Change search
Refine search result
1234 51 - 100 of 190
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 51.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Rektalcancer och sexualitet2009In: Patientkanalen, ISSN 1403-7149, no 2, p. 12-14Article in journal (Other (popular science, discussion, etc.))
  • 52.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sexualitet och fertilitet vid inflammatorisk tarmsjukdom2008Other (Other academic)
  • 53.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Stoma therapist education on internet2008In: Proceedings with congress programme, 2008Conference paper (Refereed)
    Abstract [en]

    Internet is a good help and save time in the daily work for most of us registrar nurses. In the stoma therapist (ET) education where students often live in different places, is internet education a good alternative. In a digital classroom as community on internet the student collect tasks, send answers, have contact with the teacher and other students in the course. It is like a classroom and with a webb camera or video a lesson can be hold. The lessons can also be prerecorded so the students can look on it any time. The big different and advantage from a real classroom this community is opened 24 hours a day. Advantage and another positive effect is that student and teacher can communicate and answer the task when it suites them best.

    To participants an internet course does not mean less work, all communications must be written and read. This will take more time then verbally communication. One important thing, all communication is written, so it hade to be clear to avoid misunderstanding. To learn and understand each other the student and teacher have to have a two way communication.

    The practical educations can the students carry through on the hospital in the home city with support from the local ET- nurse and the practical examination can be done with instruction from the ET- course. When the students report the examination paper to other students they have to comment and discuss the result in the community. All students most give written comments and ask questions to the other students. The student can not “be seated” quiet, all comments and answers has to be documented. All students become attend.

    The stoma therapist education in a community on internet has great opportunities and is a good alternative.

  • 54.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Stoma-related complications after stoma construction in emergency surgery.2009In: 10th European congress for nurses with interest in stomacare. Portugal, Porto, June 14-17, 2009., 2009Conference paper (Refereed)
    Abstract [en]

    PURPOSE; Prospectively longitudinal study of the frequency and type of stoma-related complications after stoma construction in emergency surgery. METHOD; 153 patients were operated acutely with a colostomy, ileostomy or loop-ileostomy formation between April 2003 and March 2005 at the Sahlgrenska University Hospital in Gothenburg, Sweden. The postoperative follow up took place in the ward and another five times two years after discharge. On these occasions diameter, height and shape of the ostomy were recorded. Peristomal skin problems, necrosis, leakage due to low ostomy, stenosis, granuloma, prolapse and peristomal hernia were evaluated. Use of convexity appliance was also documented. RESULTS were based on 144 patients 85 women and 59 men with a median age of 67 (range 23-98) years. The ostomy diameter size was postoperatively on the ward median 34 (r 22-80) mm but had reduced to 25 (r 22-60) mm in two weeks. Postoperatively on the ward 31% of colostomy was oval, and 24% of the ileostomy. After 12 months was 21% of the colostomy oval. Irrespective of ostomy types the most common complication was skin problems, most frequent in those with loop ileostomy (48%) hernia was most common in patients with colostomy (26%) at 12 months of follow-up. A patient may have developed more complications such as necrosis of stomin as the cause of this even skin problems. The patients with ileostomy used convexity appliance common in 6 month (67%) and the patients with colostomy in one year (29%). CONCLUSION This study shows that while skin problems dominated in ileostomy patients (48% in loop ileostomies) peristomal hernia was the most common complication in colostomy patients (26%). Early stoma nurse assistance in the acute phase and regular postoperative follow-up subsequently is very important.

  • 55.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Stomiteknik- och terapi i ett historiskt perspektiv2008In: Stomi- och tarmopererad : Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, p. 17-22Chapter in book (Other academic)
  • 56.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    To be an ostomate or not to be, is the question!2012Conference paper (Refereed)
  • 57.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, Eva
    Vårdvetenskap och Hälsa Sahlgrenska Akademin Göteborgs Universitet.
    Concerns and Quality of life in patients with rectal cancer preoperatively and and six months postoperatively2008In: Proceedings with congress programme; Biennialcongress of the world council of Enterostomal Therapists. Slovenia. 2008., 2008Conference paper (Refereed)
    Abstract [en]

    Background: The concerns of patients with rectal cancer are not well known. Prospective studies following patients pre and postoperatively are rare.

    Aim: The aim of the study was to assess worries and concerns, Quality of life (QOL) preoperatively, one, three and six months postoperatively in patients operated for rectal cancer with a stoma.

    Methods: Patients operated for rectal cancer between April 2003-March 2005 were asked to participate in the prospective study. Sixty-four patients participated with a median age of 67, range 30-87, (F/M = 25/39). Fifty patients were operated with a colostomy and 14 patients with a loop-ileostomy. Worries and concerns were assessed using Rating form of patient concerns (RFIPC).  Patients´ definition of QOL as well as perceived QOL and health on a visual analogue scale was evaluated.

    Results: The overall concern was greater on all items (RFIPC) preoperatively than six months postoperatively. Greatest concerns preoperatively were fear of cancer and being a burden (or dependent on others) followed by, dying early, the uncertain nature of the disease, loss of bowel control, producing unpleasant odour, being operated on, and having an ostomy.  

    Patients perceived health improved from preoperatively until six months postoperatively whereas QOL was perceived similar preoperatively as six months postoperatively. Patients´ definitions of QOL concerned mainly family, friends, social life and health.

    Conclusion: Knowledge of the specific responses of these patients could be useful in assisting health professionals to understand better patients´ fears and uncertainties as well as determine issues for which counselling might be of value.

    Learning objectives:To increase the knowledge of factors influencing life in patients with rectal cancer and a stoma. How to implement aspects of concerns and QOL in the care of patients with rectal cancer and a stoma.

  • 58.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, Eva
    Persson, Eva
    Framtida forskning2008In: Stomi- och tarmopererad: Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, p. 217-222Chapter in book (Other academic)
  • 59.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, Eva
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Persson, Eva
    School of Health Sciences, University of Borås, Borås.
    Lindholm, Elisabet
    Colorectal Unit, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy,.
    Long-Term Adjustment to Living With an Ileal Pouch-Anal Anastomosis2011In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 54, no 2, p. 193-199Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to describe long-term adjustment to life with an ileal pouch-anal anastomosis after surgery for ulcerative colitis, to investigate the relationship of pouch function to adjustment, and to explore factors affecting quality of life.

    METHODS: A total of 369 patients treated between 1982 and 1993 were included in the study. Questionnaires designed to assess bowel (pouch) function (Oresland score) and disease-specific adjustment (Swedish version of the Ostomy Adjustment Scale), plus open-ended questions regarding quality of life, were sent by mail. Open-ended questions were analyzed with qualitative content analysis.

    RESULTS: A total of 252 patients (84%) returned the disease-specific adjustment questionnaire (141 males/111 females); median age, 51 (range, 26-77) years; median follow-up, 15 (range, 10-21) years after construction of the ileal pouch-anal anastomosis. High adjustment ratings were found for all statements, with the maximum median score of 6 on 28 of the 36 items. Items with the lowest ratings (median score, 5) pertained to things one would do if not for the IPAA, feeling free to travel, ability to enjoy sexual activities, comfort with body image, ability to laugh about awkward situations, confidence in the appliance, and whether the surgery helped with decisions on what things are most important in life. Participants with the lowest adjustment scores had low bowel function scores (P < .0001). Open-ended quality of life questions were answered by 150 patients (59.5%). The most important areas for quality of life were health, family, restroom access, and friends. Five categories emerged from the qualitative content analysis: living a "normal" life, food restrictions, physical limitations, influence of restroom access on social life, and being dependent on medical care.

    CONCLUSIONS: Most participants had adjusted well to life with an ileal pouch-anal anastomosis and considered life to be normal. Good public restrooms were important for quality of life. Improving pouch function may help patients adjust to the postoperative state, but deeper understanding of reasons for poor adjustment despite good pouch function is needed.

  • 60.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Lindholm, E
    Oresland, T
    Börjesson, L
    Long-term outcome after ileal pouch-anal anastomosis: function and health-related quality of life2007In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 50, no 10, p. 1545-52Article in journal (Refereed)
    Abstract [en]

    PURPOSE: This study was designed to investigate long-term pouch function and health-related quality of life in a single, large cohort of patients with ileal pouch-anal anastomosis for ulcerative colitis. METHODS: Data from 370 patients were included in the study. Thirty-nine patients (11 percent) did not have a functioning pouch (failures) but were included in the health-related quality of life analyses. Pouch function (Oresland score) and health-related quality of life (Short Form-36) were evaluated by postal questionnaires. A total of 88 percent of the patients with a functioning ileal pouch-anal anastomosis returned the questionnaires vs. 76 percent of the failures. Median follow-up time after ileal pouch-anal anastomosis was 15 years vs. 11 years after failure. An age-matched and gender-matched reference sample (n = 286) was randomly drawn from the Swedish Short Form-36 database. RESULTS: Median bowel frequency was six per 24 hours: 76 percent emptied the reservoir at night, 23 percent had urgency, 12 percent had evacuation difficulties, and 17 percent experienced soiling during the day. Fifty-two percent of the males and 32 percent of the females suffered from soiling at night. More than one-half of the patients had occasional perianal soreness, 6 percent considered the pouch to be a social handicap, and 94 percent were satisfied with their pouch. Patients with a functioning ileal pouch-anal anastomosis did not differ from the reference sample on any Short Form-36 domain, except for a reduced score in General Health (P = 0.02). Pouch function was positively correlated to health-related quality of life. Patients with pouch failure had reduced health-related quality of life in most domains. CONCLUSIONS: Patients' satisfaction is high and functional outcome is good after ileal pouch-anal anastomosis. Poor pouch function affects health-related quality of life negatively. Patients with failure after ileal pouch-anal anastomosis are substantially limited in a variety of health-related quality of life domains.

  • 61.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Persson, Eva
    Carlsson, Eva
    Sexualitet och fertilitet2008In: Stomi- och tarmopererad: Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, 1:1, p. 187-208Chapter in book (Other (popular science, discussion, etc.))
  • 62.
    Bjärne, Martina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hagström, Tova
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Tonåringars upplevelse av att ha drabbats av cancer: en analys av bloggar2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to describe teenagers' experience of being diagnosed with cancer. A cancer diagnosis very dramaticaly changes the lives of a teenager and its relatives. Cancer is a loaded word that most people associate with death and the teenager and its relatives generally react with despair and anxiety towards. Adolescence is a very emotionally difficult period with many physical and psychological changes, and it is therefore particularly difficult to suffer from a serious illness like cancer during this period. The method used when conducting this study is qualitative content analysis of various blogs written by teenagers living with cancer and resulted in six categories. The result of this study shows that the analyzed teenagers have similar feelings and experiences, although they are described in various ways. Constant fear and living in uncertainty are considered to be particularly difficult. Teenagers who have cancer develope a different outlook on life and value small things differently. The teenagers included in this study have often felt alone in their situation and that no one understands them. Blogs have been used as a form of therapy where the teenagers can express their feelings. A nurse can inform and encourage patients to use blogs both in order to read about people in simular situations and also as a forum to express their own feelings.

    Download full text (pdf)
    Tonåringars upplevelse av att ha drabbats av cancer
  • 63.
    Björkman, Antonia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hult, Ulrika
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Traumaomhändertagande på akutmottagningen: Upplevelser ur patientens perspektiv2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    A trauma is a potential life threatening state which demands special resources and optimal care. Trauma doesn't just mean physical violence against the body, it can also put the patient in a psychological crisis. The trauma care in the emergency department is a short and intensive assessment between the patient and the emergency staff, where there is a risk that the patient may feel exposed and uncomfortable. For the nurse to be able to provide security and meet the patients' needs of well-being during the trauma care, the nurse has to try to understand the patients' needs and experiences. Aim: The aim of this study was to illuminate the patient's experiences during trauma care in the emergency department. Method: The study is implemented as a literature review where nine earlier studies were analyzed for the purpose to investigate knowledge which is available in this area. The results of the patient's experiences were divided in to themes and subthemes. Result: Three themes emerged from the result. Communication with subthemes I receive no information and I relieve information. Relatives' with the subtheme my relatives are present. I got taken care of with subtheme they touch me, they see me, the room is full of people and I am being examined. Conclusion: There were similarities and differences in the patients' experiences. Patients found it important to receive information and they felt secure when the trauma team were with them and showed them compassion. Experiences of family presence during trauma care showed differences between men and female patients. The experiences that have emerged in this study still show patterns that can give nurses more understanding and awareness for the patient experiences. It's hard to draw any reliable conclusions about the results. This is because of the lack of research in this area.

    Download full text (pdf)
    fulltext
  • 64.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture.
    Herlitz, Johan
    University of Borås, School of Health Sciences, .
    Kjellgren, Karin
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture.
    General self-efficacy and health-related quality of life after myocardial infarction2012In: Psychology, Health & Medicine, ISSN 1354-8506, Vol. 17, no 3, p. 346-355Article in journal (Refereed)
    Abstract [en]

    Fatigue after myocardial infarction (MI) has been found to be distressing. A person's self-efficacy will influence his/her health behavior and plays an active role in tackling illness consequences. This study investigated associations between fatigue, disturbed sleep, general self-efficacy, and health-related quality of life (HRQoL) in a sample of 145 respondents admitted to hospital for MI two years earlier. The aim was to identify the predictive value of general self-efficacy and to elucidate mediating factors between self-efficacy and HRQoL. General self-efficacy measured four months after MI was positively related to HRQoL after two years. In tests of indirect effects, fatigue meditated the effects between self-efficacy and the physical and the mental dimension of HRQoL, respectively. The indirect effect of disturbed sleep went through that of fatigue. To conclude, patients who suffer from post-MI fatigue may need support aimed at helping them increase their self-efficacy as well as helping them adapt to sleep hygiene principles and cope with fatigue, both of which will have positive influences on HRQoL.

  • 65.
    Brändström, Linnéa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Primary Health Care in Sollebrunn.
    Mazaz, Nader
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. The Psychiatric Clinic, Norra Älvsborg County Hospital, Trollhättan.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Nurse collaboration in community and psychiatric care: a Swedish study2015In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 20, no 6, p. 297-303Article in journal (Refereed)
    Abstract [en]

    Aim The aim of the study was to examine registered nurses’ (RNs) experiences of collaboration in the community health care and psychiatric inpatient care systems. Background RNs in one area in the west of Sweden have indicated the need for collaborative routines between the community health care and psychiatric inpatient care systems. Method Qualitative content analysis of focus group interviews. Results RNs felt the web-based health-care communication programme was a major obstacle to the development of a collaboration plan. The poor collaboration between RNs was due to the absence of knowledge about the duties of each nursing team. Conclusion The findings contribute to the understanding of the barriers to collaboration between RNs in community health care and psychiatric inpatient care, and highlight the need for nurse managers to ensure well-functioning routines.

  • 66.
    Brändström, Yvonne
    et al.
    NU Hospital Group, Trollhättan, Department of Internal Medicine, Heart Center.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Grankvist, Gunne
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Herlitz, Johan
    Sahlgrenska University Hospital, Department of Molecular and Clinical Medicine.
    Karlson, Björn W
    AstraZeneca R&D, Mölndal.
    Physical activity six months after a myocardial infarction2009In: International journal of nursing practice, ISSN 1440-172X, Vol. 15, no 3, p. 191-7Article in journal (Refereed)
    Abstract [en]

    In the present study, we wished to explore physical activity in middle-aged patients 6 months after a myocardial infarction and to compare the patients' self-reported activity level with pedometric measures of footsteps/day. The sample comprised 89 patients with myocardial infarction, aged

  • 67.
    Bégat, Ingrid B E
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Severinsson, Elisabeth I
    Mental Health Nursing, Department of Nursing Education, Hedmark College, Oslo.
    Nurses' reflections on episodes occurring during their provision of care: an interview study2001In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 38, no 1, p. 71-7Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate nurses' reflections and interpretations regarding their provision of care, through interviews (N 46), using a hermeneutic method of analysis. Nurses work in a milieu that has undergone constant changes such as, in organisation, decreased number of staff, and with patients demanding more advanced care. The care provided, based on the nurses' narrated episodes were interpreted as two main aspects: interpersonal oriented aspects and task oriented aspects. The subaspects were identified as 'nurse-patient relationship', 'ability to understand the patients' suffering' and 'taking responsibility'.

  • 68.
    Bégat, Ingrid
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Ikeda, Noriko
    Nagano College of Nursing.
    Amemiya, Takiko
    Nagano College of Nursing.
    Emiko, Konishi
    Nagano College of Nursing.
    Iwasaki, Akiko
    Nagano College of Nursing.
    Severinsson, Elisabeth
    Stavanger University College, Faculty of Health and Social Work Education.
    Comparative study of perceptions of work environment and moral sensitivity among Japanese and Norwegian nurses2004In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 6, no 3, p. 193-200Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to explore the relationship between work environment and moral sensitivity among Japanese (n = 138) and Norwegian nurses (n = 71), and to compare the results from a sociocultural perspective using a descriptive-correlational design. Data were analyzed using descriptive and inferential statistics. The results point to a significant relationship between work environment and moral sensitivity for both groups of nurses. In comparison, the Japanese nurses were more focused on 'patient centered oriented care', reported 'work engagement', seeking 'meaning in difficult caring situations' and 'following rules'. In addition, they ranked the factor 'values in action of patient care' as significant and 'relation to superior and colleagues' and 'job stress and anxiety' ranked significant to 'moral conflicts'. The Norwegian nurses were more independent, which was correlated with moderate significance with 'job stress and anxiety'. A significant correlation was found between 'physical and mental symptoms' and 'moral conflicts' among Norwegian nurses.

  • 69.
    Bégat, Ingrid
    et al.
    Nordic School of Public Health, Göteborg.
    Severinsson, Elisabeth
    Ersta University College.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Implementation of clinical supervision in amedical department: nurses' views of the effects1997In: Journal of Clinical Nursing, ISSN 0962-1067, Vol. 6, no 5, p. 389-394Article in journal (Refereed)
    Abstract [en]

    The purpose of this pilot study was to investigate nurses' views of the effects of clinical supervision in terms of its influence over their working situation, as well as their satisfaction with their working milieu. The nurses who took part in an education programme and a clinical supervision programme worked on two wards in a medical clinic. Nurses answered a questionnaire measuring the psychosocial environment. Data were analysed by means of descriptive statistics. Results showed that the nurses felt more confirmed in their work and more satisfied with the information given after 9 months of clinical supervision. Results point to the need for further investigations concerning clinical supervision as a method of achieving job satisfaction among nurses.

  • 70.
    Carlsson, E.
    et al.
    Institute for Care and Health Sciences, University of Gothenburg, Sahlgrenska University Hospital.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hallén, A. M.
    Colorectal Unit, Sahlgrenska University Hospital.
    Lindholm, E.
    Colorectal Unit, Sahlgrenska University Hospital.
    Persson, E.
    University of Borås,School of Health Sciences .
    Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and an ostomy2010In: Journal of Wound, Ostomy and Continence Nursing (WOCN), ISSN 1071-5754, E-ISSN 1528-3976, Vol. 37, no 6, p. 654-661Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Rectal cancer is the most common reason for a person to undergo ostomy surgery. The aim of this study was to assess concerns and health-related quality of life (HRQOL) before surgery and during the first 6 months following ostomy surgery in the presence of rectal cancer. SUBJECTS AND SETTINGS: The sample comprised 57 patients at a university hospital in Gothenburg, Sweden. Their median age was 66 years (range, 30-87); 35 men and 22 women participated in the study. METHODS: Participants prospectively answered questionnaires preoperatively, and at 1, 3, and 6 months postoperatively.Concerns were assessed using the rating form of the Inflammatory Bowel Disease Patient Concerns, and HRQOL was evaluated using the 36-Item Short Form Health Survey. Results were compared with population norms. RESULTS: Participants expressed concerns associated with developing cancer, being a burden on others, and related to the uncertain nature of disease. Health-related quality of life scores dropped significantly in 6 of 8 domains when preoperative scores were compared to those obtained 1 month postoperatively, but scores improved at 6 months. There were significant differences between preoperative study group scores and population norms on physical and emotional role function, social function, and for mental health domains. Significant differences persisted when population norms were compared to study group scores 6 months following surgery on all these domains except mental health. Participants identified good relations with significant others, social and leisure activities, psychological issues, and health as important for maintaining QOL. Obstacles to maintaining QOL included fatigue, pain, illness-induced limitations in life, and worries over what their new life would entail. CONCLUSION: Surgical management of rectal cancer raises concerns and profoundly impairs QOL during the first several postoperative months. © 2010 Wound, Ostomy and Continence Nurses Society.

  • 71. Carlsson, Eva
    et al.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hälsa och sjukdom2008In: Stomi- och tarmopererad: Ett helhetsperspektiv, . Lund: Studentlitteratur , 2008, p. 151-174Chapter in book (Other academic)
  • 72. Carlsson, Eva
    et al.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Persson, Eva
    Stomibandagering.2008In: Stomi- och tarmopererad: Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, p. 69-82Chapter in book (Other academic)
  • 73.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Fix och trix i den kommunala ekonomin2010In: Nästan som det brukar vara: kommunal utveckling under ansträngda förhållanden / [ed] Brorström, Björn & Nilsson, Viveca, Göteborg: Kommunforskning i Västsverige (KFi , 2010, 1, p. 19-25Chapter in book (Other academic)
  • 74.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Knapphetens konsekvens2009In: Krisen som kom av sig?: om att hantera sämre tider / [ed] Nilsson, Viveka, Göteborg: Kommunforskning i Västsverige (KFi) , 2009, 1. uppl., p. 24-28Chapter in book (Other academic)
  • 75.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Lärande mellan harmoni och konfrontation2010In: Lärande i och för det nya arbetslivet / [ed] Lagrosen, Stefan, Lundh Snis, Ulrika, Nehls, Eddy, Lund: Studentlitteratur , 2010, 1., p. 47-62Chapter in book (Other academic)
  • 76.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Neglektiv styrning2007In: Demokratisk och effektiv styrning: en antologi om forskning i offentlig förvaltning, Lund: Studentlitteratur , 2007, p. 587-606Chapter in book (Other academic)
  • 77.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Team, från vaggan till graven2009In: Team i vård, behandling och omsorg: erfarenheter och reflektioner / [ed] Berlin, Johan, Carlström, Eric, Sandberg, Håkan, Lund: Studentlitteratur , 2009, 1. uppl., p. 239-262Chapter in book (Other academic)
  • 78.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Vårdchefer: konsten att leda2009 (ed. 1. uppl)Book (Other academic)
  • 79.
    Carlström, Eric
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Boken om team: En kunskapsöversikt om team och teamarbete in hälso- och sjukvården2004Book (Other academic)
  • 80.
    Carlström, Eric
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Berlin, Johan
    Göteborgs universitet / Sahlgrenska akademin.
    Den gula linjen: En kritisk studie av artefakters symbolvärde i hälso-och sjukvårdsteam2009In: Business as usual: The 20th NFF conference, in Turku / Åbo, August 17-21, 2009, 2009, p. 1-22Conference paper (Refereed)
  • 81.
    Carlström, Eric
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Berlin, Johan
    Göteborgs universitet.
    Var och en på sin kant: om avsaknaden av synkron samverkan på olycksplatsen2009In: Kommunal ekonomi och politik, ISSN 1402-8700, Vol. 13, no 3, p. 7-22Article in journal (Refereed)
  • 82.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Strategies for change: Adaptation to new accounting conditions2012In: Journal of Accounting and Organizational Change, ISSN 1832-5912, Vol. 8, no 1, p. 41-61Article in journal (Refereed)
    Abstract [en]

    Purpose - The purpose of this paper is to identify middle managers' strategies during changed accounting conditions. Design/methodology/approach - Middle managers from hospitals, primary care and community care were interviewed about their strategies during change processes. Each middle manager selected changes that had played the greatest part in a ten-year period. Findings - Each change was dominated by one strategy that corresponded to the tactics of middle managers during change. They ITquestioned/IT new control models, they ITexperimented/IT with smart budget strategies and they ITimplemented/IT new IT technology. These strategies formed transitions in a continuous circular change model based on Hinings and Malholtra. The study points to two key findings. First, strategies that can be perceived as irrational are organised within a context of plausible explanations; and second, middle managers in public organisations are likely to adopt innovations supported by management policy voluntarily and to question or even reject those prohibited. Research limitations/implications - Criticism may be directed towards the fact that the theoretical model presented in the analysis has an element of determinism. In the model, the managers' control strategies are given limited influence. The theoretical model's strength is that it measures the development in slow-to-change public organisations with long histories and deeply rooted practices. Practical implications - The results can be used to understand the motives of the middle managers' strategies for change. It provides support to management that hesitates between defending a well-established but criticised organisational model, and implementing new and untested approaches. Originality/value - Theoretical change models frequently originate from a management perspective or differentiate between "top-down" and "bottom up" change. In this paper, change is regarded as a generalised process where different phenomena are connected. This forms a circular model that moves between stable phases without change and transformative phases of major change. © 2012 Emerald Group Publishing Limited. All rights reserved.

  • 83.
    Carlström, Eric
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Ullah, Muhammad
    Hur leker olika barn bäst: om sjuksköterskor och biståndsbedömare i kommunal vård och omsorg2002In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 79, no 5, p. 453-463Article in journal (Refereed)
  • 84.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Att analysera berättelser (narrativer)2012In: Dags för uppsats: Vägledning för litteraturbaserade examensarbeten / [ed] Friberg Febe, Lund, 2012, 2, p. 162-173Chapter in book (Other (popular science, discussion, etc.))
  • 85.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Att analysera diskurser2012In: Dags för uppsats: Vägledning för litteraturbaserade examensarbeten / [ed] Friberg, Febe, Lund, 2012, 2, p. 145-160Chapter in book (Other (popular science, discussion, etc.))
  • 86.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Kunskap, kunskapsanvändning och kunskapsutveckling2012In: Dags för uppsats: Vägledning för litteraturbaserade examnensarbeten / [ed] Friberg, Febe, Lund: Studentlitteratur AB, 2012, 2, p. 23-36Chapter in book (Other (popular science, discussion, etc.))
  • 87.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Preoperative Information Provided to Swedish and Immigrant Patients Before Total Hip Replacement2012In: Medicinski arhiv, ISSN 0350-199X, E-ISSN 1986-5961, Vol. 66, no 6, p. 399-404Article in journal (Refereed)
    Abstract [en]

     Background: Total hip replacement is an operation that usually leads to pain  relief and improved health related quality of life (HRQoL). Previous studies have demonstrated the importance of information about upcoming surgery.

    Therefore, it was of interest to study how both immigrants, whose first language was not Swedish, and Swedish patients described pre-operative information.

    Material and methods:

    Individual interviews were conducted with 10 immigrants and 10 Swedish participants. The data were analysed using qualitative content analysis. The study was carried out in western Sweden from March to November 2010.

    Results:

    The findings revealed that pre-operative information for all patients undergoing elective total hip replacement was limited. Patients from both groups expressed concern about inadequate  preoperative information pertaining to the surgery, implant selection, pain relief, choice of anaesthesia, no or too short a time to put questions to the surgeon and an overall stressful situation.

    Conclusions: Adequate preoperative information is important for optimising pain relief and shortening the hospital stay. The fact that the patients overwhelmingly rated the preoperative information as inadequate may be due to several reasons. Mental distress and the two-week interval between the time when the patient received the information and the operation might have contributed to the low degree of retention.

  • 88.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Friberg, Febe
    Högskolan i Stavanger .
    Changing essay writing in undergraduate nursing education through action research: a Swedish example2013In: Nursing Education Perspectives, ISSN 1536-5026, E-ISSN 1943-4685, Vol. 34, no 4, p. 226-232Article in journal (Refereed)
    Abstract [en]

    This article describes the development of literature-based models for bachelor degree essays in Swedish undergraduate nursing education. Students' experiences in a course with literature-based models for bachelor degree essays are discussed. The ever-growing body of nursing research and specialized and complex health care practices make great demands on nursing education in terms of preparing students to be both skilled practitioners and users of research. Teaching to help students understand evidence-based practice is a challenge for nursing education. Action research was used to generate knowledge of and practical solutions to problems in everyday locations. Six models were developed: concept analysis, contributing to evidence-based nursing by means of quantitative research, contributing to evidence-based nursing by means of qualitative research, discourse analysis, analysis of narratives, and literature review. Action research was found to be a relevant procedure for changing ways of working with literature-based, bachelor degree essays. The models that were developed increased students' confidence in writing essays and preparedness for the nursing role.

  • 89.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Gardvik, Anna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Karlsson, Helena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Törner Mulari, Jenny
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Young Women With Anorexia Nervosa2015In: SAGE Open, E-ISSN 2158-2440, Vol. 5, no 1Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe how young women living with self-identified anorexia narrate about their lives by blogging. Thirteen Swedish blogs were chosen and analyzed by means of qualitative content analysis. The results described falling ill, the illness itself, and the path to recovery. Low self-esteem, depressed state of mind, and self-destructive behavior were typical signs at the start of the illness. The women’s lives were characterized by a need for controlling their body by tormenting it and by the illness demanding all their concentration and energy. The women suffered from the feeling of being a disappointment to their family members. The illness was like an enemy that had to be defeated with the help of family members, health care professionals, and by means of therapy. A turning point occurred when the women felt at their worst or had tired of the illness and could concentrate on something other than their body and the eating disorder. Suffering from self-identified anorexia was described as experiencing low self-esteem. The illness took all of the women’s time and energy. For a turning point to be reached, the women needed support from family, friends, and health care professionals, including the use of distractions.

  • 90.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Skyvell-Nilsson, Maria
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Prerequisites for person-centered care: As described by community care nurses2015In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 3, no 1, p. 5-13Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe nurses’ experiences of person-centered care within an integrated care chain.

    Method: The study included four data sets: Two focus group interviews with a total of 22 nurses; an open questionnaire answered by 17 nurses; and individual follow-up interviews with 4 volunteers from among the 17 nurses. In total, 39 informants were included in this study. Qualitative content analysis was carried out to identify the latent content of the focus group and interview data, and the manifest content of the questionnaire data.

    Results: The results showed that learning about, from and with each other were prerequisites for achieving person-centered care. The ability to provide person-centered care was influenced by factors that could be related to both the organization and to the individual nurse. Important factors were organizational transparency and structure, leadership and collaboration between healthcare centers, partnership, sole caregiver attitudes and skills.

    Conclusion: In order to develop person-centered care, it is crucial that an integrated care chain feature a joint documentation system; efficient use of the resources allocated to the needs of the various healthcare centers; and a change of focus from the professional to the person seeking care.

  • 91.
    Emilsson, Maria
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Lötvall, Jan
    Krefting Research center.
    Millqvist, Eva
    Department of Internal Medicine/Respiratory Medicine and Allergology, Sahlgrenska University Hospital.
    Lundgren, Jesper
    Instutionen för Psykologi, Göteborgs universitet.
    Johansson, Åke
    Avdelning för lung medicin Central sjukhuset Skövde.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    The Influence of personality traits and beliefs about medicines on adherence to asthma treatment2011In: Primary Care Respiratory Journal, ISSN 1471-4418, E-ISSN 1475-1534, Vol. 20, no 2, p. 141-147Article, review/survey (Refereed)
    Abstract [en]

    Aim:To explore the influence of personality traits and beliefs about medicines on adherence to treatment with asthma medication.

    Methods:Respondents were 35 asthmatic adults prescribed controller medication. They answered questionnaires about medication adherence, personality traits, and beliefs about medicines.

    Results:In gender comparisons, the personality traits “Neuroticism” in men and “adherence to medication” were associated with lower adherent behaviour. Associations between personality traits and beliefs in the necessity of medication for controlling the illness were identified. Beliefs about the necessity of medication were positively associated with adherent behaviour in women. In the total sample, a positive “necessity-concern” differential predicted adherent behaviour.

    Conclusion:The results imply that personality and beliefs about medicines may influence how well adults with asthma adhere to treatment with asthma medication.

  • 92.
    Eriksson, Marita
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mölleryd, Gerd
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sjuksköterskeutbildning på Högskolan Väst: en jämförande studie av alternativ verksamhetsförlagd utbildning och reguljär utbildning2008Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Högskolan Väst genomförde år 2003-2006 en alternativ sjuksköteskeutbildning i samarbete med primärvård, länssjukvård och kommunal hälso- och sjukvård. Syftet med föreliggande rapport var att jämföra två sjuksköterskeutbildningar, den alternativa verksamhetsförlagda utbildningen och den reguljära utbildningen. Studien fokuserade på studenternas bakgrund och inställning till att arbeta inom olika inriktningar i hälso- och sjukvården. En pilotstudie i form av strukturerade intervjuer genomfördes med studenterna i den alternativa verksamhetsförlagda utbildningen. Studenterna i båda utbildningsvarianterna besvarade en enkät med bakgrundsfrågor. I början och slutet av utbildningen besvarade studenterna ytterligare enkäter om sin inställning till framtida arbete inom olika vårdområden som sjuksköterska. I jämförelse med studenterna i den reguljära utbildningen var studenterna i den alternativa verksamhetsförlagda utbildningen i genomsnitt två år äldre, fler hade föräldrar med arbetarbakgrund, flera barn boende hemma och var sammanboende eller gifta i högre grad. Studenterna hade också mer erfarenhet av tidigare arbete inom vården. Vid jämförelse av de båda utbildningsvarianterna framkom att studenternas inställning till olika vårdområden och framtida arbete som sjuksköterska uppvisade påfallande likheter. I början av utbildningen var barnsjukvård, förlossningsvård och akutsjukvård mest intressant. Psykiatrisk vård och äldreomsorg var de områden som prioriterades lägst av studenterna. I slutet av utbildningen var kirurgisk och medicinsk vård de områden som befanns vara mest intressanta. Psykiatrisk vård och äldreomsorg var fortfarande lägst prioriterat av studenterna i båda utbildningsvarianterna. Utbildningarnas olika upplägg och genomförande har inte påverkat studenternas inställning i detta avseende.

    Download full text (pdf)
    FULLTEXT01
  • 93.
    Fast, Anna
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Livskvalitet efter hjärtstopp: en litteraturöversikt2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim was to describe adult patients quality of life after cardiac arrest and resuscitation with CPR. Method: A literature overview based on eight scientific articles and one master thesis. Results: The result is presented in three categories, physical, psychological and social quality of life. Sleeping disorders, fatigue and low energy level affected the physical quality of life in a negative way. The psychological quality of life was often impaired the first time after the cardiac arrest, to be improved over time. Number of patients described a will to change their life, to put priorities straight and live for the moment. The social quality of life was affected by several factors such as social isolation, work disability and impaired social network. Several patients had to move to sheltered accommodation and many more patients was relaying on others to manage their activity of daily living (ADL). Other patients described no change regarding their social quality of life. Conclusion: The results showed that very few people survived a cardiac arrest, but once survival was achieved, a fairly good quality of life could be expected. Several of the studies also showed that patients can have a good quality of life despite physical, psychological and social dysfunction.

    Download full text (pdf)
    FULLTEXT01
  • 94.
    Fex, Angelika
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Egenvård och medicinsk teknik: Egenvård bland personer med avancerad medicinsk-teknisk utrustning hemma2011In: Nordisk sygeplejeforskning, ISSN 1892-2678, E-ISSN 1892-2686, Vol. 1, no 1, p. 66-74Article in journal (Refereed)
    Abstract [en]

    Self-care among persons using advanced medical technology at home

    The use of advanced medical technology at home has increased. Equipment for long-term oxygen treatment, dialysis and ventilator treatment are examples of such technology. This article describes a research project with the aim to develop knowledge of self-care and transition, and issues that influence daily life and health among persons using advanced medical technology at home. Results from three qualitative studies and one quantitative study are described and further discussed with regard to clinical implications.

  • 95.
    Fex, Angelika
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    From novice towards self-care expert: studies of self-care among persons using advanced medical technology at home2010Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The use of advanced medical technology at home has increased in most industrialized countries. The overall aim of this thesis was to develop knowledge of self-care and transition and issues that influence daily life and health among persons using advanced medical technology at home.

    Three qualitative studies were performed to describe the structure of self-care (I) and elucidate meanings of health-illness transition experiences among persons using long-term oxygen, or a ventila-tor, or performing blood or peritoneal dialysis (II), and to gain a deeper understanding of the meaning of living with an adult family member in this context (III). Ten interviews with adult patients (I-II) and ten with adult next of kin (III) in this context were performed and analysed with descriptive phenome-nological (I), phenomenological hermeneutical (II) and hermeneutical (III) methods. A quantitative, descriptive, comparative, cross-sectional design was used to describe and find factors that influence self-care agency and perceived health in a larger group of persons (180 patients) using the enumerated types of advanced medical technology at home (IV).

    In the results, (I) self-care among persons using long-term oxygen, a ventilator, or equipment for blood or peritoneal dialysis at home was described at a generic level, independent of the specific type of technology used. The general description of self-care in this context involved prerequisites for, activities for and consequences of self-care; (II) the health-illness transition among adult persons in this context was interpreted as contentment at being part of the active and conscious process towards transcending into a new state of living, in which the individual and the technology were in tune. The successful and healthy transition experience was characterized by human growth and becoming; (III) living with a family member who is using advanced medical technology at home was interpreted as meaning rhythmical patterns of being closely connected to but also separated from him or her, and of sorrow versus reconciliation. Dependence on others was reflected in a need for support from the healthcare professionals and significant others; (IV) health-related and technology-related variables in daily life were rated as satisfactory to quite a high extent, but participants using long-term oxygen perceived their health as significantly lower compared to the other technology groups. Further, a significant difference in sense of coherence was found between users of long-term oxygen and peri-toneal dialysis. Factors that contributed to self-care agency and sense of coherence were found.

    In conclusion, self-care in a high-tech home context means more than simply mastering the technology. With the goal of maintaining an active, social life, the health-illness transition involves a learning process of accepting and integrating the technology into daily life. With knowledge and support, patients and next of kin are able to assume substantial responsibility for self-care/dependent-care. Daily life seems to be manageable for patients using this kind of technology at home.  

  • 96.
    Fex, Angelika
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Ek, A. C.
    Linkoping Univ, Fac Hlth Sci, Div Nursing Sci, Dept Med & Hlth Sci.
    Söderhamn, Olle
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Self-care among persons using advanced medical technology at home2009In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 20, p. 2809-2817Article in journal (Refereed)
  • 97.
    Fex, Angelika
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Flensner, Gullvi
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Ek, Anna-Christina
    Linköpings universitet, Institutionen för medicin och hälsa.
    Söderhamn, Olle
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Health–illness transition among persons using advanced medical technology at home2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 2, p. 253-261Article in journal (Refereed)
    Abstract [en]

    This study aimed to elucidate meanings of health–illness transition experiences among adult persons using advanced medical technology at home. As an increasing number of persons perform self-care while using different sorts of advanced medical technology at home, knowledge about health–illness transition experiences in this situation may be useful to caregivers in supporting these patients. A qualitative design was used. Five women and five men, all of whom performed self-care at home, either using long-term oxygen therapy from a ventilator or oxygen cylinder, or performing peritoneal or haemodialysis, were interviewed. Ethics committee approval was obtained. Informed consent was received from all participants, and ethical issues concerning their rights in research were raised. The interviews were analysed using a phenomenological hermeneutical methodology, including both an inductive and a deductive structural analysis. This method offers possibilities to obtain an increased understanding by uncovering a deeper meaning of lived experiences through interviews transcribed as texts. The health–illness transition for adult persons in this context was found to mean a learning process of accepting, managing, adjusting and improving daily life with technology, facilitated by realizing the gain from technology at home. Further, the meaning of the health–illness transition experience was interpreted as contentment with being part of the active and conscious process towards transcending into a new state of living, in which the individual and the technology were in tune. The healthy transition experience was characterized by human growth and becoming. This study elucidates one meaning of health–illness transition experiences in relation to the use of advanced medical technology on a more generic level, independent of the specific type of technology used. A positive attitude towards technology at home facilitates the transition.

  • 98.
    Fex, Angelika
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Flensner, Gullvi
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Ek, Anna-Christina
    Linköping University, Department of Medicine and Health, Faculty of Health Sciences .
    Söderhamn, Olle
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Living with an adult family member using advanced medical technology at home2011In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 18, no 4, p. 336-347Article in journal (Other academic)
    Abstract [en]

    Living with an adult family member using advanced medical technology at home An increased number of chronically ill adults perform self-care while using different sorts of advanced medical technology at home. This hermeneutical study aimed to gain a deeper understanding of the meaning of living with an adult family member using advanced medical technology at home. Eleven next of kin to adults performing self-care at home, either using long-term oxygen from a cylinder or ventilator, or performing peritoneal or haemodialysis, were interviewed. The qualitative interviews were analysed using a Gadamerian methodology. The main interpretation explained the meaning as rhythmical patterns of connectedness versus separation, and of sorrow versus reconciliation. Dependence on others was shown in the need for support from healthcare professionals and significant others. In conclusion, next of kin took considerable responsibility for dependent-care. All next of kin were positive to the idea of bringing the technology home, even though their own needs receded into the background, while focusing on the best for the patient. The results were discussed in relation to dependent-care and transition, which may have an influence on the self-care of next of kin and patients. The study revealed a need for further nursing attention to next of kin in this context. 

  • 99.
    Fex, Angelika
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Flensner, Gullvi
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Ek, Anna-Christina
    Linköping University, Department of Medicine and Health, Faculty of Health Sciences.
    Söderhamn, Olle
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Self-care agency and perceived health among people using advanced medical technology at home2012In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 68, no 4, p. 806-815Article in journal (Refereed)
    Abstract [en]

    Aim.

    This article reports a study of self-care agency and perceived health in a group

    of people using advanced medical technology at home.

     

    Background.

    An increasing number of people are using medical technology for selfcare.

    Few studies describe daily life in this context at an overriding level, irrespective

    of the specific sort of technology. A connection between self-care, perceived health

    and sense of coherence has previously been implied.

     

    Methods.

    A descriptive, comparative, cross-sectional quantitative design was used.

    Data were collected from a questionnaire during the winter of 2009/2010. The

    questionnaire addressed perceived health and daily life with medical technology.

    Swedish versions of the Appraisal of Self-care Agency scale and the 13-item version

    of Antonovsky’s sense of coherence scale were included.

     

    Results.

    The questionnaire was answered by 180 adults performing self-care at

    home involving long-term oxygen, a ventilator, or peritoneal- or haemo-dialysis.

    Health-related and technology-related variables in daily life were mostly highly

    satisfactory. Perceived health was rated significantly lower among participants using

    long-term oxygen. Sufficient sense of coherence, knowledge of how to use technology,

    close contact with others and not feeling helpless contributed positively to

    self-care agency. Positive contributing factors for perceived health were being satisfied

    with life, having an active life and not feeling helpless, whereas age was a

    negative factor.

     

    Conclusion.

    Daily life is manageable for people in this context. Long-term oxygen

    treatment and advanced age can be regarded as risk factors for perceiving ill health.

  • 100.
    Finnström, Berit
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Den professionella sjuksköterskan i dagens vård2010In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg-Lyckhage, Lund: Studentlitteratur , 2010, p. 59-82Chapter in book (Other academic)
1234 51 - 100 of 190
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf