Change search
Refine search result
1234567 51 - 100 of 2033
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.
    Alfredsson, Anna
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Detta är en hård nöt att knäcka": Sexualupplysning till nyanlända ungdomar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In this study, we explore more closely how different organizations in society work and do their business to learn about sex and social information for newly arrived young people. In the study, the participants' own stories will provide an insight into how it may appear to work with sex and social information for newly arrived young people. These organizations work to provide sex education to newly arrived young people in diverse ways, which made it interesting to rigorously compare the organizations work methods with each other and then highlight the forces in the diverse ways of working. The purpose of this study is to investigate how some organizations in society work with sex and social information aimed at newly arrived young people. Furthermore, an aim is to investigate these organizations own perceptions of this work and look at similarities and differences in their way of working. In this qualitative study, interviews have been chosen as data collection methods. Qualitative content analysis was used to analyze data for this study. The main result of the study was presented in the form of "Change". The theme Change shows the informants' desire for change in both working methods and perceptions. The theme consists of two domains. The first domain is "Way of working" and represents how the different organizations look at the work, and what are the shortcomings. For example, more resources and continuity at work are needed, and generally how the work on sex and cohabitation information looks. Under the domain of Work, there are four categories "more resources", "continuity", "grouping" and "participation and interaction". The second domain is "Knowledge Situation and Needs", which represent the actors' perceptions of how the knowledge situation among the youths. Under the Knowledge and Requirements domain, there are two categories, "ignorance" and "attitudes". In these categories, the group's attitudes towards sexual and social information and the meetings with the organizations, as well as the attitudes of the activities, are emphasized. An illumination of the lack of knowledge of the group is in the category of ignorance, deviant ignorance compared to young people in general. In conclusion, it is generally necessary to add more resources and the theme 'Change' summarizes the whole of how the organizations work with sex and social information or how they want to work with it. More resources should be invested in the field and they need to work continuously with this area for a lengthy period. A common picture and perception was established regarding that more involvement and cooperation between organizations. The organizations consider that diverse ways of grouping at the meeting with young people are needed and constructive work with the attitudes of young people and the ignorance that the organizations consider is associated with sex and cohabitation among young people.

    Download full text (pdf)
    fulltext
  • 52.
    Alfredsson, Erika
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Frida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med Anorexia nervosa: En litterturbaserad studie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Anorexia nervosa is a serious mental illness that mainly affects young people and is characterized by how the person thinks and feels in relation to food, eating and their own body. The disease has a major impact on the person's daily life and can adversely affect people around them. As a nurse, it is important to be able to understand, respond to and provide good care to someone with Anorexia nervosa. By gaining an increased understanding of what it means to live with the disease, the nurse can relieve the suffering and improve the health of the person who is ill.

    Aim The study aimed to illuminate experiences of living with Anorexia nervosa. 

    Method A qualitative study, based on the content of eleven scientific articles.

    Results The findings revealed three main themes: The feeling of an inner conflict, The importance of being part of care and Being part of a context. The results showed that the participants who suffered from Anorexia nervosa had a need for control and a perfectionist behavior that affected large parts of their life. Several participants in the study describe how relationships with family and friends are affected by the disease and how society's view of Anorexia nervosa leads to increased loneliness and isolation. The study also illuminates theparticipants ' view of nurses' role and the healthcare. 

    Conclusion The conclusion of the results from the reviewed articles shows that life is affected in many ways for those living with Anorexia nervosa. It became clear that the disease is characterized by suffering when it comes to understanding one's own self-image and that they experience an isolating loneliness. Several people also mention how guilt and shame over having the disease affected life. Then society has an image that Anorexia nervosa is only about achieving a perfect appearance. It was also shown that the nurse has a significant role in the person's recovery.

  • 53.
    Algotsson, Jennie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bodin, Maja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vård med fokus att lindra: En litteraturbaserad studie om sjuksköterskors upplevelser i palliativ vård.2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to World Health Organization is palliative care a human right. The focus of palliative care is relieving suffering and having quality of life as the main goal. The nurse's role is to enable symptom control, to be a support for the patient and close relatives, as well as contributing to a good and worthy death. Although death is a part of life, strong feelings arise about death and the dying. Aim: The aim of this study was to describe nurse experiences of palliative care. Method: The method used was a literature study based on international qualitative research. Eleven articles were analyzed and resulted in four main themes and nine sub-themes. Results: The findings were four main themes; the profession, relationships, work environment and feelings as well as nine sub themes; experiences and knowledges, the patient, relatives, stress, support from colleagues, lack of support from colleagues, grief and impotency, satisfaction and mental strain. Conclusion: The nurse’s experience of palliative care is individual and varies depending on, experience, interaction with colleagues and self-perception regarding individual values and existential questions.

    Download full text (pdf)
    fulltext
  • 54.
    Ali, Ayan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cederrand, Robert
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet blir vad du gör det till: En litteraturstudie om att leva med hjärtsvikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Heart failure is one of the most common diagnoses in Swedish health care. Approximately 250 000 people in Sweden are estimated to have a heart failure and approximately 30 000 new patients are diagnosed every year. Heart failure is a serious illness with server symptoms and high mortality. The aim of this study was to illustrate patients with heart failures experiences of quality of life. The method that was used is a literature-based study of 12 qualitative articles that was based on their results. The included articles were published between 2003-2014. The majority of the participants were in the scale between NYHA-II-III. The result shows that patients with heart failure experienced symptom burden that limited their daily life. They described a constant struggle between the illness and the feeling of maintaining the roll they once had. The most important thing was to find strategies to maintain the quality in life and to have good spirit and positive thought. The result was presented in four themes: When the body sets limits, feelings taking over, captive in your own home and an uncertain future. The conclusion that can be drawn from the results of this study is that the experience of quality of life is highly individual and depends mostly on how the experience of the disease is being managed by the individual.

  • 55.
    Ali, Hassan
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Andréasson, Mathilda
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Vilken inverkan har traumafokuserad kognitiv beteendeterapi och spelbaserad kognitiv beteendeterapi på barn som blivit utsatta för sexuella övergrepp?2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual abuse of children is a serious restriction on the child's integrity and can cause serious psychological impacts in the form of trauma-related symptoms. It is important that the child then receives treatment to develop mental well-being.

    Aim: The purpose of this paper is to create an overview of the state of knowledge about the impact of trauma-focused cognitive behavioral therapy and game-based cognitive behavioral therapy in children who have been sexually abused.

    Method: This study is based on a literature review where data has been collected from existing information. Based on a three-step model, six scientific articles have been reviewed.

    Result: The results showed that trauma-focused cognitive behavioral therapy (TF-CBT) and game-based cognitive behavioral therapy (GB-CBT) have a positive impact in improving trauma-related symptoms in children between the ages of 4 - 18 who have been sexually abused. The results further showed that the child's knowledge area and safety thinking regarding sexual abuse increased after treatment.

    Conclusion: The present study shows that children who have been sexually abused are at risk of developing mental illness in the form of depression, PTSD, outgoing and introverted behavioral problems and sexual disorders. The result showed that cognitively behavioral treatments in the form of TF-CBT and GB-CBT have a positive effect on improving traumarelated symptoms because of sexual abuse. The result also showed that GB-CBT increases the child's safety thinking and other knowledge about sexual abuse. Because sexual abuse of children can have serious consequences for the child's future, it is important to highlight the positive impact treatments have and how the child's knowledge and safety mindset about sexual abuse can increase. The present study can thus be helpful for occupations that work with children.

  • 56.
    Ali, Ikra Abdullahi
    et al.
    University West, Department of Health Sciences.
    Guldbrandsen, Malin
    University West, Department of Health Sciences.
    BHV-Sjuksköterskors upplevelser av att arbeta med utökade hembesök: Att främja relationer genom utökade hembesök2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The child health care’s goal is to work with health promotion and preventing illness. Children who grow up in socio-economic vulnerability are at greater risk of developing illness. The extended home visiting program is for first time parents and includes six home visits under the child’s first 15 months. The project is performed by child health care nurses together with a parent counselor from the social service. 

    Aim: The purpose of the study was to describe Child Health Care nurses’ experiences of the extended home visiting program.

    Method: This study is a qualitative study with an inductive approach. Semi structured interviews were conducted with 8 informants from child health care in Sweden. Qualitative content analysis was used to analyze the interviews. 

    Results: Working in families home environment continuously is relationship-strengthening, provides increased opportunities for trust, and creates security. There is a risk with the extended home visit program that some families will feel treated differently. The child health care nurses feel that the fathers and siblings are more included. The collaboration with the social services is considered enriching for the families and the child health care nurses who are inspired and learn from the parental counselor from the social services. It is also a way to introduce the social services in a natural way for the family. The child health care nurses have different experiences regarding whether the work is time-consuming or not.

    Conclusion: The study shows that the extended home visit program is a good way to promote relationships with the family and the collaboration with social services. The extended home visits are a good investment to promote equal health and prevent ill health among children both in the short term but especially in the long term.

  • 57.
    Ali, Leyla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ahmed, Yglan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelse av att ge omvårdnad i palliativ vård: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients with life-threatening illnesses benefit from palliative care, which seeks to improve their quality of life. When a patient is diagnosed with a serious illness, it is the professional role of the nurse to contribute to supporting patients with safe and good palliative care, and to support individual to live with dignity in the face of incurable disease and the end of life.

    Aim: The aim of the study was to describe the nurse´s experiences providing good nursing in late palliative care. Method: Literature-based study was used with qualitative design since it was used addressing the study’s aim. Seven articles were included.

    Results: The result was compiled and from this emerged two main themes, Emotional impact and Organizational shortcomings. When nurses work in palliative care, they can face a variety of stresses. When caring for patients in their later stages of life, nurses often feel inadequate due to lack of time and resources. Nurses also suffer from a lack of organization, which means that they cannot provide the best possible treatment in palliative care.

    Conclusion: When nurses work in palliative care, they may face a variety of pressures. When caring for patients in their later phases of life, nurses often feel inadequate due to a lack of time and resources. Nurses also suffer from a lack of organization, which means that they lack organizational opportunities, because they cannot provide the best possible treatment in palliative care

    Download full text (pdf)
    fulltext
  • 58.
    Ali, Marian
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Drobic, Elma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskor i en hotfull och våldsam miljö: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Threats and violence against healthcare staff is an international concern worldwide. Specifically nurses are at high risk of experiencing threats and violence at their workplace. A threatening and violent work environment creates huge difficulties for the nurses involved. Aim: The purpose of the study was to describe nurse's experience of threats and violence in their workplace by patients and people that are related to the patient. Method: The method used was a literature study based on qualitative research. Ten articles were analyzed according to Friberg's five step model and resulted in two main themes and eight sub-themes. Results: The nurses experience were divided into two main categories; experience of feelings and the nurse's experience of consequences. Conclusion: The result showed that the nurses experience of threats and violence in the workplace affected their ability to work and their private life negatively. Consequently, having a negative influence on their patient care. Therefore, it is necessary to pay more attention to nurses working environment by applying different strategies to combat the threats and violence experienced by identifying the root cause and managing the problem.

  • 59.
    Ali Omar, Sadiya
    et al.
    University West, Department of Health Sciences.
    Dunder, Ann-Catrin
    University West, Department of Health Sciences.
    Erfarenheter av fysisk aktivitet vid diabetes typ 2 ur ett patientperspektiv: En litteraturöversikt2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Diabetes type 2 is increasing globally, the most common underlying cause is physical inactivity. Increased physical activity can help lower blood sugar and prevent future complications. In diabetes care, it is important to work in a person-centered way and take advantage of the patient's experience and strengthen the patient for self-care treatment. Specialist nurses need to promote and prevent illness as well as support the patient to manage and control the risk factors for illness.

    Aim:

    To illuminate experiences of physical activity in type 2 diabetes from a patient perspective.

    Method:

    A literature review was made through a qualitative synthesis of nine already published research studies using Evans' (2002) method. 

    Results:

    Two main themes emerged, momentum and obstacles. What is emphasized in the results shows that patients have the motivation and the will, but the results showed that there were various factors that limit and prevent patients from practicing physical activity. The results also showed that patients have a need for knowledge from the nurse to manage their illness and receive guidance regarding lifestyle changes in the form of physical activity.

    Conclusion:

    The results show that physical activity in patients with type 2 diabetes has a positive impact on physical, mental, and social health. Further studies would be needed in what motivates patients to perform physical activity

  • 60.
    Ali, Shukri
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Aly, Carolina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av utbrändhet: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Burnout due to work-related stress is increasing in the society. Many studies concern the causes and effects of burnout, but rarely concern the experiences of those who are living with burnout. The aim of this study was to examine the experience of living with burnout. The concepts of health, suffering, burnout, stress and coping are briefly described in the background. The method that was used is a literature-based study with the analysis of qualitative research. This study is based on eight qualitative articles. Six themes emerged; Physical experiences, Psychological experiences and Existential experiences, Work experiences, Experiences of relations in private life and Experiences of demands and expectations. The results shows that burnout affects a person on many different levels. Dealing with burnout involves a range of varieties of symtoms, physical as well as psychological and social. Physical symtoms that appeared among the participants were for instance fatigue, brain fog, headache and palpitations. Social and relational problems as bad conscience, low self- esteem and feelings of inadequacy were experienced. Emotional disturbances and existential reflections were common amongst those who were suffering from burnout.

    Download full text (pdf)
    fulltext
  • 61.
    Ali, Tara
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gustavsson, Anna-Lena
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Distriktssköterskans erfarenhet av sin arbetssituation på vårdcentral2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The work done by the nurse at the primary health care center includes meeting with people of different ages and with different health problems and diseases. It is important that the work is carried out in a good environment. Former studies show that the workload for the district nurse has increased and become more stressful with threats and violence from patients who expect more treatment.

    Aim: To describe the district nurse's experiences of their work situation.

    Method: A qualitative interview study with eight district nurses working in primary health care in Sweden were interviewed. The data was analysed using a qualitative content analysis with an inductive approach.

    Results: Three main categories and nine subcategories were generated by the authors. The categories included: The content of a good day is when all the colleagues are present, and the timetable is good planned with enough work containing good meetings. When planning fails is the change of planning because of more patients and obstacles in communication skills. Experience of their environment is the impact of the physical environment such as good working environment and threatening environment.

    Conclusion: There was negative employment in the district nurses' work situation, but despite that, the experience was positive to work independently, make decisions and use their resources. They felt collegial support and it was important to know where to turn when things went wrong.

    Download full text (pdf)
    fulltext
  • 62.
    Alm, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Fager, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ett utmanande vårdande i en kaotisk situation: en intervjustudie om intensivvårdssjuksköterskors upplevelser av att vårda patienter med Covid-19 under en pandemi2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: At the end of 2019, a new type of coronavirus was detected, called SARS-coronavirus-2 (SARS-CoV-2). The virus can cause severe respiratory symptoms that may require intensive care. More than 5,600 people with Covid-19 have been treated in intensive care in Sweden during the pandemic. Previous research has shown that intensive care nurses find it very stressful to care for patients with Covid-19.

    Aim: The aim is to highlight how intensive care nurses experience caring for patients with Covid-19 in an intensive care unit during a pandemic.

    Method: Qualitative method. Data were collected through individual semi-structured interviews. A total of ten intensive care nurses participated in the study, eight women and two men. The interviews have been transcribed and analyzed according to qualitative content analysis.

    Results: The analysis gave two categories and six subcategories. The first category Feeling of inadequacy highlights how intensive care nurses experience a heavy overall responsibility, that patients' care suffers and it also points out that contact with loved ones is perceived as difficult. The second category Feeling of chaos highlights that intensive care nurses find it tough not to have knowledge of the disease and that work environment became more stressful and that there were shortcomings in management support.

    Conclusion: A stressful and unfavourable care environment affects intensive care nursesnegatively. When nursing and contact with loved ones are deficient, ethical stress can lead to burnout. With more knowledge and new guidelines for care, intensive care nurses can feel more satisfied, but management faces major challenges and needs to compensate their staff to stop them from leaving their work during the pandemic. 

  • 63.
    Alm, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Miller, Klara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det dagliga livet efter att ha drabbats av en stroke: en litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: People that suffer from stroke become a regular patient category in hospitals. A severe change in the patient's living situation occurs both physically, mentally and socially. A stroke can cause physical as well as cognitive impairments. When patients lose their physical ability it often leads to a sense of loss. The disability prevents the stroke survivors from living as before and they feel they are no longer in control of their lives.

    Aim: To describe patient's experiences of performing activities of daily living after a stroke.

    Method: Method of contributing to evidence-based nursing based on analysis of qualitative research.

    Results: The result is described in two main themes: being physically limited and being psychosocially limited. Patients described traumatic and emotional experiences when they were not able to control their body and suddenly became dependent on nursing. Nurses have an important role in making the patient involved in nursing care to facilitate the patient's sense of dignity. The patients had difficulty processing their feelings after the stroke and they felt worried about the future. Social relations could be adversely affected when cognitive impairments prevented the patients and they felt sorrow when their future plans changed dramatically.

    Conclusion: Patients affected by stroke were in an exposed situation. They perceived that their changed body affected them both emotionally and existentially and they had trouble accepting their functional difficulties. Everyday life became complex because of the complications after the stroke.

  • 64.
    Almqvist, Lina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lyckhage, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att skämmas över sitt barn: Föräldrars upplevelse av att leva med barn med självskadebeteende2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is a growing problem in society and is increasingly seen in younger people. Deliberate self-harm is seen as a complication of mental illness. Self-harm means that people intentionally injure themselves as a habit and with more or less severe de-gree, but with no intention to take their own life. Aim: The aim of the study is to illustrate parents’ experiences of their child’s deliberate self-harm behavior. Method: A literature-based study based on analysis of ten qualitative articles. Results: The results are presented in three main themes and ten subthemes. The first main theme is "A roller coaster of feelings", with three subthemes "First battle", "Feelings of guilt and shame" and "Anxiety and fear". The second main theme is "Parenthood and family rela-tionship" with four subthemes "Changing positions of power", "Parents in conflict", "Not being enough as a parent" and "A changed relationship". The last main theme is "Parents ex-perience of support" with three subthemes "The insufficient support", "Feeling seen" and "To get support from the surroundings". Conclusion: Health care professionals need to create a good relationship with both parents and patients, which can be done by meeting the parents' feelings and being responsive.

    Download full text (pdf)
    fulltext
  • 65.
    Almtén, Christine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Sara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Individers upplevelse av att leva med kolorektalcancer efter genomförd behandling2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Colorectal cancer is the third most common form of cancer among men and women in Sweden. The disease is shown to have a higher incidence among older individuals. Recent studies showed that the individuals may ignore their symptoms. To make a choice in what treatment to go for individuals got support from family and friends. With the focus on getting through the treatment. Understanding the individual's experience of living with colorectal cancer is important for the nurse profession. The nurse roll is to inform, support, care for these individuals and give a person-centered care.

    Aim The aim of this study was to describe individual's experience of living with colorectal cancer after completed treatment.

    Method The method used in the study was designed by Friberg (2012) to contribute with evidenced based caring in qualitative science research. Eleven science articles were analyzed using Friberg (2012) five step method of analysis. The analysis resulted into three main themes and eight subthemes.

    Results The results were formed into three main themed named: the uncontrollable body, becoming depended on the environment and a new view of life after treatment.

    Conclusion To live with colorectal cancer after completed treatment, affects the individual life situation and quality of life. Therefore, it is important for the nurse to be aware of the disease and the effects of the trearment on the individual.

  • 66.
    Almén, Elina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors erfarenheter av att medverka vid fysiska tvångsåtgärder på barn och ungdomar som vårdas utifrån lagen om psykiatrisk tvångsvård (LPT)2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The use of physical restraint in Swedish psychiatric healthcare against children under the age of 18 years has been critized against the United Nations. The psychiatric compulsory care act is used when a patient is suffering from a serious mental illness, and it may mean that the patient receives physical coercive measures against his/her will. When a patient obtains a physical coercive measure, a registered nurse is involved in the procedure. For a nurse, being involved with the use of physical coercive measures against the patients will could be perceived as a violation against the patients autonomy and also going against the essence of caring. Research shows that registered nurses experiences of being involved in the usage of physical coercive measures can cause an ethical dilemma.

    Aim: To illustrate registered nurses' experiences of participating in the usage of physical coercive measures against children and teenagers that is hospitalized under the psychiatric compulsory care act.

    Method: An interview study was conducted with seven registered nurses from all over Sweden. The interview material was analyzed through a qualitative content analysis.

    Results: Three themes appeared during the analysis. The first main theme is Go against one's ethical beliefs with the subthemes experiencing ethical dilemmas, meeting the fragile child and to abandon one's professional assignment. The second theme is Questioning, with the subthemes questioning the benefit of coercive measures, to be questioned by other health care professionals and questioning one's own approach. The third theme that appeared was Change, with the subthemes to find alternative ways of dealing with the situation, a desire to contribute to a positive development of healthcare and to have contributed to a positive change for the patient.

    Conclusion: The registered nurses' experiences of participating in the usage of physical coercive measures against children under the age of 18 years is described as a feeling of going against one's ethical values. The nurses also describe a questioning against the actual benefit of physical coercive measures. However, there's a hope for a change in the form of finding other ways than using physical coercive measures.

  • 67.
    Alpsten, Kristina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barn och ungdomars erfarenheter från vårdsituationer på sjukhus: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The UN Convention on the Rights of the Child, CRC, claims that children should be heard in decisions about themselves. Children also have the right to play. This need to be applied in healthcare environment. Swedish laws and guidelines for children's healthcare confirm this. What do children themselves propose as important support to participate? Aim The aim of this study was to describe children and young people's experience in healthcare environment. Method A literature-based study of nine qualitative academic articles was conducted. 556 children altogether were asked about their experience from healthcare environment. Results The result is presented by five themes: To be afraid and sad To feel comfort and safety To understand To be included in decisions To know the nurse Conclusion Children and young people in healthcare environment feel discomfort and insecurity. They need help with symptoms and fear. If the nurse is perceived as a "bad nurse", the child is exposed to feel helpless. A child need a certain amount of comfort, playing and contact with peers to be motivated to participate. When invited to ask questions and express their worries, they want to be involved. Children want to participate in decisions about themselves. The nurse has a key role to involve the child. Confidence is built through technical skills in achieving procedures, good communication and personal attributes, such as being helping, kind, friendly and humorous.

    Download full text (pdf)
    fulltext
  • 68.
    Alsterberg, Erika
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Berntsson, Theresia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter och patienters upplevelse av motiverande samtal: En kvalitativ litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In the nurse's profession, protecting health is an answer, some patients may need motivation and support in their lifestyle change. A method that can be used for lifestyle changes is Motivational Interviewing (MI). MI is a method who initially was intended to be used for patients with alcohol problems. However, it was seen that the method also worked to apply in other areas. The aim of this study was to explore nurses and patients´ experiences in MI. In this literature study a qualitative method was used. The result of this study was based on twelve articles. The nurses consider that MI has a person-centered approach where the patients came into focus. They felt that MI had a respectful and valuable approach towards the patient. It also appeared how important the nurses thought it was with training and practice of the method and that they felt support in using the method. The patients experienced that MI gave them the possibility to change their own thoughts instead of being forced to a change that they were not ready to do. MI is a method that can be used in various areas during lifestyle changes. The result of this study shows that if nurses are being trained, get the chance to develop their skills than their experienceis that MI is a good method to use. It is also important that nurses are given the opportunity to use the method. The patients' experience was that MI makes them involved and self-determined in their own care.

  • 69.
    Alsterberg, Erika
    et al.
    University West, Department of Health Sciences.
    Dahl, Inger Helén
    University West, Department of Health Sciences.
    Att vara en omvårdnadsutredare: Sjuksköterskors upplevelser av telefonrådgivning, en metasyntes2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Telephone calls are today an obvious part of our lives and for many patients telephone counseling may be the first contact with care. Telephone counseling is carried out within all activities within health care and constitutes a large part of the nurse's work. In order to cope with future challenges in healthcare, the development of digital solutions is seen as a necessity. "Vision e-Health 2025" has been added to develop digital health services with the goal that by 2025 Sweden will be the best in the world in using digital solutions. Telephone counseling is about nursing care over the phone, where the nurse cannot visually examine the problem. Communication is therefore an important part, where the nurse should use the conversation process to get structure in the conversation and at the same time have a basis in person-centered care.

    Aim: To identify and synthesize nurses experiences of telephone counseling.

    Method: Literature study based on qualitative research. For the study, the method metasynthesis was used, based on Noblit and Hare's description of meta-ethnography. Eight articles were included that responded to the study's purpose.

    Results: From the results, it emerged that telephone counseling is a complex job. Nurses feel that they are in a vulnerable position and carry a great deal of responsibility on their shoulders. By being a nursing investigator, nurses decides about care, advice or treatment that is best suited to the care seeker.

    Conclusion: Working with telephone counseling is a complex task that entails a range of different experiences. Nurses are in a vulnerable position and are expected to be able to give advice and have answers to questions that are asked despite limited knowledge. Being a counselor and making an assessment is difficult without seeing the patient.

  • 70.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Fatigue after myocardial infarction - a two-year follow-up study2013In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 11-12, p. 1647-1652Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To investigate changes in self-reported fatigue and depression from four months to two years following a myocardial infarction, as well as to explore gender differences, identify the incidence of fatigue without coexisting depression and finally predict health-related quality of life at a two-year follow-up. Background: Depression and fatigue are associated with decreased health-related quality of life after myocardial infarction. Although there is a close relationship between fatigue and depression, it has been shown that symptoms of fatigue can occur without coexisting depression. Design: Quantitative and longitudinal design. Methods: Participants (n = 155) were asked to complete the following questionnaires: the Hospital Anxiety and Depression Scale, the Multidimensional Fatigue Inventory-20 (MFI-20) and the Short Form Survey (SF-36) following myocardial infarction (after four months and two years). Descriptive statistics, paired t-tests and multiple regressions were carried out. Results: In the entire group, self-reported fatigue had decreased from four months to two years after myocardial infarction. After two years, 18% of respondents reported depression together with fatigue and 30% reported fatigued without depression. Women scored higher than men on the fatigue dimensions reduced activity, reduced motivation and mental fatigue. Moreover, the physical dimension of health-related quality of life two years after myocardial infarction was predicted by experienced general fatigue at four months. Conclusion: Fatigue with or without coexisting possible/probable depression remains as a significant symptom two years after myocardial infarction in nearly half of the entire group. Relevance to clinical practice: Fatigue is a problem following myocardial infarction. Therefore, systematic screening and early identification of patients experiencing symptoms of depression and fatigue after myocardial infarction are important for suitable care planning. In contemporary coronary care, strategies aimed at relieving fatigue should be developed. ᅵ 2013 Blackwell Publishing Ltd.

  • 71.
    Alsén, Pia
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Thörn, Susanna
    Primary Health Care, Sollentuna, Sweden.
    Nordqvist, Linnea
    Primary Health Care, Munkedal, Sweden.
    Berndtsson, Ina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Men’s Experience of Difficulties during First Year Following Myocardial Infarction: Not OnlyFatigue2016In: Health, ISSN 1949-4998, Vol. 8, p. 1654-1667Article in journal (Refereed)
    Abstract [en]

    Recovery from a myocardial infarction (MI) can be a very difficult process and some patients are also stricken by fatigue. The aim of the study was to describe the difficulties experienced by men with fatigue during the first year following their MI. The study was conducted using qualitative content analysis of semi-structured interviews with nine men in working age (mean age: 55 years) with verified fatigue (≥12 of 20 on the Multidimensional Fatigue Scale with a mean of 17) one year after their MI. During the first year after the MI the men suffering from fatigue experienced various difficulties in terms of both themselves and the care received. The analysis generated three themes with difficulties described by the interviewed men. 1) Going through involuntary change: not recognizing their body and the inability to recognize themselves. 2) Lacking individualized care: To be denied satisfactory health care treatment and to be denied respectful treatment. 3) Not being seen in the light of the social context: The MI affects the whole family and caregivers do not pay attention to the family. In order to make both the patient and relatives feel secure and cared for, it is essential that caregivers be aware of the importance of providing individualized care over time with particular attention for the patient’s social context.

  • 72.
    Alverbo, Ida
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Jennerhed, Cecilia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Upplevelser i mötet mellan personer med borderline personlighetssyndrom och hälso- och sjukvårdspersonal: Metaetnografisk studie2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Mental illness is increasing in the society. People with borderline personality syndrome have difficulties with affect regulation, relationship to one self and others, and have a higher risk of suicide. Health care professionals find the work in psychiatric care rewarding, but also challenging and difficult. Nurses feel less empathy for patients with borderline personality disorder and perceive them as more dangerous than other patients. Patients with borderline personality disorder feel rejected by the health care.

    Aim

    To explore the experiences in the mutual meeting between people with borderline personality disorder and healthcare professionals.

    Method

    The study is conducted with the qualitative method of meta ethnography. Searches were made through seven databases which resulted in 24 included studies. The studies were synthesized which resulted in two main metaphors and two respectively three sub metaphors.

    Results

    The result consists of two main metaphors; What is hidden under the surface where staff and patients feel they have too little knowledge about the diagnosis, which gives negative feelings. The changing waves of the sea where it emerges that the meeting between patient and staff is complex. Lack of knowledge is seen as an obstacle, and trust and respect have been identified as decisive factors for a good meeting.

    Conclusion

    Both patients and health professionals experience suffering in the care meeting. Patients want to be helped at the same time as healthcare professionals experience obstacles along the way. In order for healthcare staff to be able to meet patients, knowledge is needed to be able to create trust.

  • 73.
    Alverbratt, Catrin
    University West, Department of Health Sciences, Specialist Nursing programme. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Implementation of a New Working Method in Psychiatric Care2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: The implementation of evidence-based methods in hospital settings is challenging and multifaceted. There are several different factors that may affect implementation processes, of which the organisational culture may be one. It is well known that conservative organisational culture can hinder implementations; accordingly, a mix of different organisational cultures is preferable. Aim: The aim of this thesis was to follow the implementation process of an ICF-based assessment tool regarding cultural differences associated with the implementation in a psychiatric clinic. As part of the project, an assessment tool based on the International classifi cation of functioning disability and health (ICF) was developed and implemented. Method: In Study I, three Swedish expert groups participated and analysis of inter-rater reliability was conducted through simulated patient cases. In Study II, data were collected through focus group interviews pre- and post-implementation of the ICF-based assessment tool; thereafter, data were analysed using directed content analysis guided by Normalization Process Theory (NPT). Data from 109 nursing staff who completed the organisational values questionnaire (OVQ) and resistance to change (RTC) were investigated, and the association between the OVQ and RTC was examined with regression analysis (Study III). Patients n=50 representing the intervention hospital and n=64 representing the control hospital answered the Empowerment scale (ES) and Quality in psychiatric care (QPC-IP) (n=45 from intervention hospital and n=64 from control hospital). Staff n=37 at the control hospital answered the OVQ which was presented as descriptive data (Study IV). Results: Inter-rater reliability of the ICF-based assessment tool (DLDA) displayed acceptable kappa values (Study I). The DLDA tool showed the potential for empowering patients. Furthermore, it was considered useful for dialogues, refl ection and for identifying patients’ strengths. Nonetheless, it was diffi cult to implement it in practice due to contributing factors such as time pressure, heavy workload, stress and lack of routine in using the tool (Study II). The intervention hospital was characterised by an organisational culture of trust, belongingness and fl exibility, i.e. a human relation culture. One ward (I.W.3), however, was not dominated by a human relation culture. This ward had an almost equal mix of different cultures (human relation, open system, internal processes and rational goal) (Study III). The results of Study IV were non-signifi cant; however, it indicated that intervention ward 3 proved to be the most prominent ward regarding patient participation and empowerment among the intervention group. The results suggest hospital wards with equal mix of different cultures is more successful than cultural polarisation. Conclusion: Only one of fi ve wards succeeded in implementing the DLDA successfully (ward 5). Ward number three was the most successful of the inpatient intervention wards. The intent of the DLDA method was considered to be good and its use in a psychiatric nursing context can provide structured support in order to improve the dialogue with the patient, but it was not used in practice in all the studied wards. The organisational culture of the intervention hospital was dominated by human relation properties, however with one exception, ward number three. The results tentatively show that organisational culture may affect outcomes of implementation processes. Consequently, it appears that an equal mix of different cultures are more auspicious than cultural polarisations. The results seems to confi rm previous research, where one ward with a balanced mix of different cultures succeeded best to implement DLDA, of the wards representing psychiatric inpatient care. Ward number three did also show the best results in terms of empowerment and patient participation of the intervention wards. Further research aims to continue developing and conducting psychometric testing of the DLDA tool. The DLDAs impact on patient assessed empowerment and patient participation requires studies on larger populations than the current study

  • 74.
    Alverbratt, Catrin
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    A New Working Method in Psychiatric Care: the impact of implementation2016In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, no 3, p. 295-304Article in journal (Refereed)
    Abstract [en]

    An equal mix of organizational cultures is important for a successful implementation process. The aim of this study was to examine the implementation of a new working method in psychiatric hospital wards, representing different cultural characteristics. Descriptive quantitative data were collected at two hospitals (intervention and control). The results revealed one ward characterized by a mix of organizational cultures. This ward, compared with other intervention wards, showed the best results regarding patient assessed empowerment and participation. The result shows tentatively that organizational culture may have an impact on the implementation processes.

  • 75.
    Alverbratt, Catrin
    et al.
    University West, Department of Nursing, Health and Culture. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    Åström, Sture
    University West, Department of Nursing, Health and Culture. Umeå universitet.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture. University West, Department of Health Sciences, Section for nursing - graduate level.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies.
    The process of implementing a new working method - a project towards change in a Swedish psychiatric clinic2014In: Journal of Hospital Administration, ISSN 1927-6990, E-ISSN 1927-7008, Vol. 3, no 6, p. 174-189Article in journal (Refereed)
    Abstract [en]

    The implementation of evidence-based methods in hospital settings is difficult and complex. The aim of the present study was to highlight the implementation process concerning a new working method, i.e. a new assessment tool, based on the International Classification of Functioning Disability and Health (ICF), among psychiatric nursing staff on five participating wards at a Swedish county hospital. Descriptive, qualitative data were collected through focus group interviews pre- and post-implementation. Data were analysed using directed content analysis, guided by Normalization Process Theory (NPT). The results revealed that just one of the five participating wards met the criteria for a successful implementation process. The results confirm previous studies showing the difficulty of implementation. Although participants agreed with the intention of the model, they were reluctant to apply it in practice. The implementation process seemed to be influenced by factors such as: time pressure; heavy workload; stress; lack of routines in using the tool; lack of nursing staff; as well as cultural characteristics and resistance to change.

  • 76.
    Ames, Harvey
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Koch, Carl
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ungdomars upplevelser av ansvar för sin egenvård vid diabetes typ 1: en litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of adolescents with type one diabetes in Sweden is a growing concern. A difficult time for adolescents is when the responsibility of managing diabetes shifts from the parents to the child. The shift in responsibility demands a higher standard from the adolescents in their discipline towards their selfcare. This demand causes different responses in the adolescentswho tackle the challenge differently and experience different challenges along the way to independence and a successful self-care of their diabetes. It is therefore of the upmost importance that nurses reads into the situations to understand these challenges to the best of their ability, so that they can provide the adolescents with the best guidance possible.

    Aim: The aim of this study was to illuminate adolescents’ experience of responsibility for their self-care in diabetes type 1.

    Method: The method were to contribute to evidence-based nursing based on analysis of qualitative research. Eleven scientific articles were analyzed using Friberg’ s five step model for analysing qualitative articles.

    Results: The results of the analysis are presented in three themes; “Incorporating diabetes into daily routine”, “When family and friends are involved” and “Diabetes; a burden”.

    Conclusion: Nurses who better understand the challenges that the adolescents are facing are more likely to be able to successfully guide adolescents on their path to a successful and independent self-care of their diabetes type one.

  • 77.
    Amini, Narges
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dagliga utmaningar: patienters erfarenheter och hanterandet av knäartros2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Osteoarthrosis is considered the 11th most common disorder that causes the greatest disability and gradually decline the patient’s quality of life. Studies have shown that 80% of the patients have different types of disabilities and 25% can not perform their daily activities. Aim: The purpose of this study was to describe patients’ experiences of being stricken with knee osteoarthritis. Method: A literature-based study was chosen as the method that conduce to evidence-based nursing by analyzing qualitative research. The analysis resulted in three main themes and seven subthemes. Results: Three main themes were: “Daily challenges”, “To relieve symptoms” and “To be cared”. The main finding was that knee osteoarthritis considered to be the central focus in the patients’ lives which caused physical and socio-economies limitations. This worsened their quality of life and mental well-being. Although surgery considered to be the only solution, the expectations regarding the outcome differed. Conclusion: It is important to treat knee osteoarthritis in early course of the disease to prevent limitations and other diseases. The patient’s need information and support to manage their symptoms.

  • 78.
    Amissah, Aicha
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Abdulqadir Jama, Fadumo
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att leva med typ 1 diabetes: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 1 diabetes is a chronic disease that requires both a changed lifestyle and rigorous treatment routines, which can be a tough task to adapt to. Aim To illustrate patients' experience of living with type 1 diabetes. Method: A literature study was conducted based on an analysis of 11 qualitative articles. Results: The analysis resulted in two main themes with five subthemes. Emotional impact is the first main theme with the subthemes ability to accept the disease and unpleasantness. The second main theme is importance of health care with the subthemes experience of treatment, experience of knowledge and access to health care. Conclusion: The patients experienced difficulties in accepting the disease, which led to emotional problems such as anxiety, fear and confusion, even denial of the diagnosis. Patients experienced a lack of knowledge among healthcare professional. It is important that healthcare professionals are responsive, attentive and include the patient in the implementation / planning of care

  • 79.
    Amponsah, Owusu
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Huseynova, Khadija
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att drabbas av transitorisk ischemisk attack2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Transient ischemic attack (TIA) is a is a risk factor for stroke. This occurs when the blood flow in one of the blood vessels of the brain is inhibited for a short time and then restored without any serious damage. In a year, more than 46,000 people around the world are affected for the first time. People who suffer from TIA experience feelings of depression, fatigue, reduced quality of life, difficulty returning to normal activities and work

    Aim: The purpose of this study is to describe patients' experiences of suffering from TIA

    Method: A literature study based on analysing eight qualitative articles.

    Results: Two themes emerged inthe result; The significance of the symptom & everyday life after TIA, built on six subthemes.The results showed that the experience of a TIA symptom is unclear and varies in different durations. TIA has a negative impact on patients economic and social lives. The tendency to seek care has a strong connection with how the individual has previously experienced their health and the encouragement of relatives.

    Conclusion: Nurses and other healthcare professionals need to work to create trust so that all patient with TIA seek care. This can be achieved through good care relations and individualized information sharing. 

  • 80.
    Amudzi, Elizabeth
    et al.
    University West, Department of Health Sciences.
    Nkwe, Nange
    University West, Department of Health Sciences.
    Sjuksköterskors erfarenheter av att vårda äldre med depression: En litteraturstudie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Depression är en psykisk sjukdom som går i skov och varierar från person till person i hur allvarlig depressionen upplevs, samt dess varaktighet. För varje sjukdomsperiod som en persongår igenom, ökas risken för framtida regression som kan bli allvarligare och svårare att återhämta sig ifrån. Depression är en psykisk sjukdom eller störning vilken drabbar många människor. Sjukdomen ökar i samhället och sjuksköterskor kommer att träffa på personer som lider av denna sjukdom. Syftet med denna litteraturstudie var att beskriva sjuksköterskors erfarenheter av att vårda äldre med depression. Metoden som valdes var en litteraturstudie därnio vetenskapliga artiklar från år 2013–2023 ingick.

    Litteraturstudiens analys resulterade i följande teman och underteman: Utmaningar i att identifiera depression med subteman:otillräcklig kunskap om tidiga symtom och oro av att vara oförberedda, betydelsen av att skapa allians med subteman: skapa en vårdande relation och bygga förtroende och tillit samtbegränsningar av vården med subteman: brist på tid och brist på resurser och samarbete. Detta resultat var förekommande i de nio artiklar som valdes ut, där grundsjuksköterskor, distriktssköterskor samt erfarna och nya sjuksköterskor som arbetat i flera år deltog. Sjuksköterskor ställdes inför utmaningar på grund av bristande kunskap och utbildning när de gav vård till äldre personer med depression. Det ledde till känslor av dåliga relationer och stigmatisering mellan sjuksköterskor och patienter. Dessutom hade sjuksköterskorna en önskan om att bli bättre inom sina arbetsområden och strävade efter att få mer utbildning för att känna igen depressiva symtom och även kunna stödja äldre personer med depression. Bristen på denna kunskap och utbildning ledde dock till att de kände sig osäkra i sitt omvårdnadsarbete.

  • 81.
    Andelin, Mervi
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Uppfattningen av typ 2 diabetes hos personer från Mellanöstern som lever i Sverige: en beskrivande kvantitativ pilotstudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research shows that persons from the Middle East are at higher risk to develop type 2 diabetes which increases the risk of diabetic complications and early death. Both illness perception and self care are significant factors for the disease process. The diabetes nurse needs to search for knowledge of illness perception thus they have a central role in strengthening the individuals' ability to handle treatment, symptoms, emotional, cognitive and physical consequences as well as lifestyle changes.

    Aim: The aim of this study was to investigate illness perception of type 2 diabetes among persons from The Middle East living in Sweden.

    Method: A descriptive analysis of a pilot study was conducted in the region of VästraGötaland during spring 2019. 27 individuals answered the Brief Illness Perception Questionnaire about their illness perception of type 2 diabetes.

    Results: The participants perceived type 2 diabetes to be a chronic disease and reported a very high degree of coherence of the disease. They also perceived that type 2 diabetes can be controlled by both treatment and themselves to a very high degree and to a relatively high degree. Trust in treatment was greater than in their own control. The study shows a significant difference in coherence of type 2 diabetes between women and men in the study, where women experienced a higher degree of coherence than men. Identity and consequences were the dimensions of illness perception with the lowest median.

    Conclusion: Illness perception affects the degree of self care and disease progress. The results can be used to give an increased understanding of illness perception of type 2 diabetes among persons from the Middle East living in Sweden.

  • 82.
    Anderberg, Amanda
    et al.
    University West, Department of Health Sciences.
    Eliasson, Alice
    University West, Department of Health Sciences.
    Belysa sjuksköterskors erfarenheter av att vårda patienter med psykiatriska diagnoser inom somatisk vård: En kvalitativ litteraturstudie2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The prevalence of psychiatric diagnoses is increasing in society and nurses in somatic care frequently encounter patients with psychiatric diagnoses in their work. Psychiatric- and somatic multimorbidity is common and the nurse is expected to care with aperson-centered and holistic approach for patients in accordance with established documents and laws. Previous research indicates a stigmatization of these patients in society and by the nurses themselves.

    Aim:

    The aim of this study was to illustrate nurses’ experiences of caring for patients with psychiatric diagnoses in somatic care. Method: A qualitative literature-based study with eight scientific articles were included and analyzed with Friberg´s description of the five-step model.

    Results:

    Three main themes were identified with seven additional subthemes. The nurse’s personal challenges: nurses felt fear and anxiety when caring for patients with psychiatric diagnoses with psychiatric and somatic multimorbidity in a somatic care setting because of the lack of knowledge and trust for the patients. Organizational Barriers: inadequate teamwork and collaboration on and between the units made it difficult. Perceptions of patients: stigmatization and preconceptions by the nurses influenced the care of the patients.

    Conclusion:

    It indicates that nurses experience uncertainty in caring for patients with psychiatric diagnoses in somatic care. There is a substantial knowledge gap in the field, and further research is needed for nurses to feel more confident working with patients with psychiatric diagnoses in somatic care.

    Download full text (pdf)
    fulltext
  • 83.
    Andersen, Malin
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Pettersen, Camilla
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Ett liv i ensamhet: en litteraturöversikt om äldre hälsa2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Elderly are a heterogeneous and growing group and therefore they have to be seen as separate individuals with different needs. In Sweden the municipality has the overall responsibility of elderly care and the social welfare board has to make sure that the elderly get to live independently under safe conditions.

    Aim: The aim of this study is to describe different factors that affects social isolation and loneliness among elderly.

    Method: The method that was chosen for this study was a literature review. Systematic and unsystematic searches were conducted to find articles for the results. Eight articles were chosen for this study, four quantitative and four qualitative.

    Results: The result includes two themes and four subthemes. One factor that was found was the loss of earlier life with two subthemes the body that no longer works and when the significant other pass away. Another factor was the importance of context with two subthemes importance of family and friends and in the absence of social connection.

    Conclusion: Factors that were shown to have an impact on social isolation and loneliness were individual and could depend on body function, losses and personality. The elderly need to feel safe in their environment and that there is someone who can help them.

  • 84.
    Andersson, Anikim
    et al.
    University West, Department of Health Sciences.
    Berner Randelin, Ebba
    University West, Department of Health Sciences.
    Kvinnors upplevelser av att leva med livmoderhalscancer: en litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cervical cancer is a global health problem, by year 2020 around 600,000 women were suffering from cervical cancer. The contagious infection Human Papillomavirus causes the majority of cervical cancers worldwide. The impact of cervical cancer on women contributes to changes in their social and sexual relations in which women finds themselves. 

    Aim: The aim was to describe women's experiences of living with cervical cancer.

    Method:The method used in this study was literature-based. Friberg's five-step model was used to analyze the selected scientific articles used for the result.

    Results: Based on the analysis work, three themes emerged: the intimate relationship, being affected by cervical cancer and a second chance. Seven subthemes were compiled in coding: the experience of changed sexuality and femininity, to feel loneliness in the disease, to find support in the environment, to feel bad about what is to be cured, a constant worry, see life with new eyes, find comfort in religion and faith, there is a future.

    Conclusion: Women's lives after suffering from cervical cancer changed drastically and affected their health.

    Download full text (pdf)
    fulltext
  • 85.
    Andersson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Brink, Eva
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Yang Hansen, Kajsa
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages. Department of Education and Special Education, Gothenburg University (SWE).
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Development and validation of experienced work-integrated learning instrument (E-WIL) using a sample of newly graduated registered nurses: A confirmatory factor analysis2023In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 128, p. 1-9, article id 105889Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Research indicates that newly graduated registered nurses struggle to develop practical skills and clinical understanding and to adapt to their professional role. To ensure quality of care and support new nurses, it is vital that this learning is elucidated and evaluated. Aim The aim was to develop and evaluate the psychometric properties of an instrument assessing work-integrated learning for newly graduated registered nurses, the Experienced Work-Integrated Learning (E-WIL) instrument.

    METHOD: The study utilized the methodology of a survey and a cross-sectional research design. The sample consisted of newly graduated registered nurses (n = 221) working at hospitals in western Sweden. The E-WIL instrument was validated using confirmatory factor analysis (CFA).

    RESULTS: The majority of the study participants were female, the average age was 28 years, and participants had an average of five months' experience in the profession. The results confirmed the construct validity of the global latent variable E-WIL, "Transforming previous notions and new contextual knowledge into practical meaning," including six dimensions representing work-integrated learning. The factor loadings between the final 29 indicators and the six factors ranged from 0.30 to 0.89, and between the latent factor and the six factors from 0.64 to 0.79. The indices of fit indicated satisfactory goodness-of-fit and good reliability in five dimensions with values ranging from α = 0.70 to 0.81, except for one dimension showing a slightly lower reliability, α = 0.63, due to the low item number. Confirmatory factor analysis also confirmed two second-order latent variables, "Personal mastering of professional roles" with 18 indicators, and "Adapting to organisational requirements" with 11 indicators. Both showed satisfactory goodness-of-fit, and factor loading between indicators and the latent variables ranged from 0.44 to 0.90 and from 0.37 to 0.81, respectively.

    CONCLUSION: The validity of the E-WIL instrument was confirmed. All three latent variables could be measured in their entirety, and all dimensions could be used separately for the assessment of work-integrated learning. The E-WIL instrument could be useful for healthcare organisations when the goal is to assess aspects of newly graduated registered nurses' learning and professional development.

    Download full text (pdf)
    fulltext
  • 86.
    Andersson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hällgren Graneheim, Ulla
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Nursing, Umeå University, Umeå (SWE).
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Newly-graduated nurses´ work-integrated learning: A qualitative study from an educational and occupational perspective2022In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 59Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe newly graduated nurses´(NGNs´) experience of work-integrated learning (WIL), from an educational and occupational perspective.

    Background: NGNs often find themselves unprepared to meet occupational demands on their competence on entering working life, and express difficulties integrating educational theory into a practical context. Qualitative and effective WIL becomes particularly important for NGNs to develop the competence required to handle the transition from education to working life.

    Design: This is a qualitative, descriptive study with an inductive approach.

    Methods: Seven focus-group discussions were performed and subjected to qualitative content analysis.

    Results: The results revealed that WIL for NGNs includes personal mastering of several professional roles: a self-directed and collaborative learning role, a relational nursing role, and a transition from a student role to a collegial role. Furthermore, WIL entails adapting to organisational requirements, including development of contextual workplace knowledge and understanding; striving for confidence in medical-technical performance; and developing an experience-based understanding of clinical situations.

    Conclusion: The results reveal that WIL is complex, encompassing adaptation to roles and personal capabilities that increase new graduates´competence and preparation for work. In addition, WIL requires personal commitment to one’s own learning as well as organisational and social support. 

    Download full text (pdf)
    Elsevier
  • 87.
    Andersson, Anna-Sara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Landberg, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens upplevelse av att möta sjuksköterskor som vårdgivare inom primärvården.: en litteraturöversikt2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Considering the increasing requirements and needs facing primary health care, the aspiration to use nurses as care providers has increased. This is done to improve the availability, effectiveness, and to dispense the available resources.

    Aim: The purpose of this study is to illuminate the patient's experiences of meeting nurses as care providers in primary health care.

    Method: Six qualitative, three quantitative, and one mixed method articles were analyzed to create a literature review.

    Results: Generally, the patients were satisfied with meeting nurses as care providers in primary health care. The result showed that the patients described relationship, trust, participation, and communication with nurses as significant aspects to feel secure. That the nurses made time available, as well as were easy to contact, were also aspects that contributed to the patients feeling secure. Uncertainties regarding the nurse's role, competence, and not being able to choose level of care were aspects that affected the insecurity.

    Conclusion: Nurses in primary health care have big opportunities to develop the meeting in a way that the patient feels secure in health care. Most patients experience great satisfaction with care provided by nurses. Considering the above facts, it seems possible to develop health care led by nurses. 

    Download full text (pdf)
    fulltext
  • 88.
    Andersson, Ann-Christine
    et al.
    Jönköping University,The Jönköping Academy for Improvement of Health and Welfare, Jönköping.
    Ainalem, Ingrid
    Centre for Innovation and Improvement (CII), Region Skane, Malmo.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level. Kristianstad University, Kristianstad.
    Janlöv, Ann-Christin
    Kristianstad University, Kristianstad.
    Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing.2016In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, no 1, p. 44-52Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe health care- and social service professionals' experiences of a quality-improvement program implemented in the south of Sweden. The focus of the program was to develop inter-professional collaboration to improve care and service to people with psychiatric disabilities in ordinary housing. Focus group interviews and a thematic analysis were used. The result was captured as themes along steps in process. (I) Entering the quality-improvement program: Lack of information about the program, The challenge of getting started, and Approaching the resources reluctantly. (II) Doing the practice-based improvement work: Facing unprepared workplaces, and Doing twice the work. (III) Looking back-evaluation over 1 year: Balancing theoretical knowledge with practical training, and Considering profound knowledge as an integral part of work. The improvement process in clinical practice was found to be both time and energy consuming, yet worth the effort. The findings also indicate that collaboration across organizational boundaries was broadened, and the care and service delivery were improved.

  • 89.
    Andersson, Annicka
    et al.
    University West, Department of Health Sciences.
    Smedberg, Elisabet
    University West, Department of Health Sciences.
    Pappors upplevelse av delaktighet i mötet med specialistsjuksköterskan vid Barnavårdscentralen2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The child health care mission is to work to promote health with the child's best interests in focus and to support parents in their parenting. It also includes promoting equal parenting by making the conditions for participation visible in dialogue with parents. Participation is the basis for a health-promoting approach in child health care. Research shows that fathers feel less involved in child health care. At the same time, there are studies that show that a father who is involved in his parenting is a good condition (prerequisite) for children's development and is an important health issue for both parents and children. The specialist nurse therefore has an important role in supporting and guiding parents in their parenting.

    Aim: To describe fathers' experience of participation as a parent in contact with child health care center.

    Method: Qualitative content analysis with an inductive approach. Eight fathers participated in the study and interviews were conducted with semi-structured open-ended questions. All participants had children between 0-6 years and were followed at child health care center. 

    Results: In the result an overall theme and three categories emerged. The specialist nurse's professional approach was the theme. The first category, Seeing the whole family, was about the importance of including the whole family in the meetings. The second category, Accessibility and guidance, highlighted the fathers' need for information and that they found it easy to reach the specialist nurse. The third category, Have confidence, where the fathers described the specialist nurse as welcoming, pleasant and knowledgeable, which gave a feeling of security.

    Conclusion: All fathers had great confidence in the specialist nurse, who in turn created security for the fathers. In this study, the fathers felt that they were involved in child health care, and it was based on the specialist nurse's professional treatment.

  • 90.
    Andersson, Ellen
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jensen, Martina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det förändrade livet: den vuxna personens upplevelse av att leva med afasi till följd av stroke2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year 25 000- 30 000 people strikes with stroke. Out of these, at least every fifth is affected with aphasia. Affected with aphasia may cause an essential impact and change in the everyday life. The changes may also result in a suffering for the adult with aphasia. Therefore it’s important that the nurse has adequate knowledge of what aphasia is and treats the person for whom it is, not for its illness. Aim: The aim of this study was to illuminate the adult’s experience of aphasia’s impact in the changed life after stroke. Method: A qualitative method to contribute to evidence-based nursing with a ground in analysis of qualitative research, was used to enable a deeper understanding of adult’s experiences of aphasia. Ten qualitative articles were analysed, four themes and eight subthemes emerged. Results: The results showed that the adult with aphasia experienced a loss of the identity, loved ones and work. Aphasia also caused a change in the language ability that affected participation in social activities. All resulting in a suffering. To cope with the aphasia’s difficulties, different strategies evolved. The adult with aphasia also described the social support to be important but also to accept what aphasia had contributed in the changed life. Conclusion: According to the results the language appeared to be a central part to whom we are. When the language ability no longer existed, a suffering emerged. Keywords: Aphasia, communication, patient’s perspective, stroke, suffering.

  • 91.
    Andersson, Emelie
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Jag är ingen psykolog, så det är som det är": En kvalitativ intervjustudie om förskolepersonals erfarenheter av att identifiera psykisk ohälsa hos barn i förskolan2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background According to the Public Health Agency of Sweden, mental ill-health is increasing in Sweden and the affected are becoming younger and younger. There is therefore an increasing need for more research on children and their mental ill-health. To be able to stop this negative development it is of foremost importance that children get help as early as possible. Preschool staff members play a vital role in the identification of mental ill-health among young children and making sure that the right help is given. Aim The aim of the study is to illustrate preschool staff member´s experience of identifying children with mental illhealth. Method The method used is qualitative interview study. Six female preschool staff members have been interviewed and a content analysis has been applied on the answers. Results Children´s mental ill-health is a very complex subject and something that is not included in the Swedish curriculum. Additionally, the education of preschool staff members does not include anything concerning children's mental ill-health. Consequently, preschool staff members battle with a situation where they play a crucial role in the identification of mental ill-health among the children however they do not possess neither the knowledge nor the skills to do so. Conclusion Mental ill-health among children in preschool is a very complex subject. Preschool staff members face a very tough responsibility in identifying the signs of mental ill-health among the children and the reasons for this are many.

  • 92.
    Andersson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mötet med sjuksköterskan på akutmottagningen: en litteraturbaserad studie ur ett patientperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is valuable that the patients experience a good encounter with the nurse at the emergency department. There are several factors that can influence the encounter and the patients' perception of the nurses and the surroundings at the emergency department. To not be seen as the person you are or not treated well, is a common reason why patients feel health suffering. It is the patients' experience of the circumstances which determines whether situations cause health suffering or not. Aim: The aim of this study was to describe patients' experiences of the encounter with the nurse at the emergency department.

    Method: The method used in this study was a literature review, based on qualitative studies. Ten articles were analyzed according to Friberg's (2012) qualitative content analyze in five steps. Results: The researchers found five themes that specifically stood out when studies were researched. The themes were feelings of: participation, being seen, abandonment, being dependent and vulnerability. Conclusion: The experience of the encounter with the nurse at the emergency department differ from each patient. All patients want to meet a nurse who characterises kindness and warmth. The nurses are the ones who can control the outcome of the encounter at the emergency department.

    Download full text (pdf)
    fulltext
  • 93.
    Andersson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stenwall, Carah
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att vänta på organtransplantation: En litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Organ transplantation is seen as a treatment to save lives. There are great differences in the transplantation process between different countries. Patients have previously described the process of organ transplantation as restrictive and emotionally draining with an overhanging fear of death before transplant.

    Aim: The aim of this study was to describe patients’ experiences of waiting for organ transplantation. 

    Method: This literature-based study was conducted with analysis of qualitative research to gain knowledge about the patients’ experiences. Analysis of the eleven articles was performed by using Friberg’s five-step method.

    Results: Two main themes and six subthemes emerged from the analysis. The main themes The need for support and information highlighted the patients need for support and adequate information from both family and health care professionals. This was seen as a way to handle the uncertainty that the waiting time could bring. The other main theme The time on the waiting list described that waiting for an organ transplantation could bring restrictions to their daily life. Patients described the time on the waiting list as uncertain and many thoughts about the donor arose. Also, hope about their future was prominent throughout the time on the waiting list. At times this hope could turn to despair.

    Conclusion: Waiting for an organ transplantation is a multifaceted experience. Support from family was considered crucial and therefore should be included when possible. Nurses are responsible for giving enough and appropriate information and support to the patients during their wait.

    Download full text (pdf)
    fulltext
  • 94.
    Andersson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wågberg, Pernilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att finna en mening i en osäker och förändrad framtid: Patienters upplevelse av palliativ vård2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The purpose of palliative care is to give the patients a good quality in the end of life, relive suffering and help them live life as normal as possible. The patients should always be involved in their own care.

    Aim: The purpose of this study was to illustrate how patients experience palliative care.

    Method: This is a literature-based study that is based on nine qualitative analyzed articles. The articles analyze was based on Friberg five step model.

    Results: The results presented in two categories: I´m changing and A safe response. The results show that it´s important to be aware of every human's individual needs and thoughts in palliative care to give the best care.

    Conclusion: This study shows that lack of time on hospital care affect patients care negatively. The best palliative care is the one given to patients at their own home.

    Download full text (pdf)
    fulltext
  • 95.
    Andersson, Erika
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ett vårdverksamhetsperspektiv på samverkan i sjuksköterskeprogrammets verksamhetsförlagda utbildning2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Society is constantly evolving and changes are taking place, which creates the opportunity to collaborate around several different areas. Working for a work-integrated learning (WIL) could mean that you work structured together with healthcare and college with common goals and collaborative issues. The content of the study deals with healthcare representatives´ perceptions of the importance of collaboration, the possibility of nursing education's vocational education. Method used in the study is qualitative method with focus group interviews. In the study, three focus groups and one interview were interviewed. Interviewees consisted of managers, supervisors and supervisors. The care activities that the informants represented were somatic care in emergency medical care, psychiatric care and home care. A qualitative content analysis was made by the interviews that were themed by interpretation of the interviews. Healthcare representatives wanted a collaborative perspective in various areas, such as development and collaboration of teaching models, assessment and evaluation. Working together with work-integrated learning as a model can be a way of interacting. There is a hope that the healthcare and higher education institutions will find development pathways in the future to ensure the knowledge of nursing students and their future occupational role, as to ensure the quality of care.

    Download full text (pdf)
    fulltext
  • 96.
    Andersson, Fredrik
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Börjesson, Oliver
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Att identifiera resursfaktorer för arbetsnärvaro i en västsvensk kommun: En fenomenografisk ansats2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sickness absence in Swedish municipalities have increased during the past five years. This is a trend that follows all Swedish municipalities. A municipality in Western Sweden has worked much to prevent sickness absence through rehabilitation. However, the municipality now wants to shift focus and work more with those who are healthy by investigating what creates health among their employees.

    Purpose & Issue: This study aims to investigate which resource factors of health that contributes to the working presence in a municipality in Western Sweden. Method: A qualitative method with inspiration from phenomenography has been used for the study design, for gathering data and for the data analysis.

    Result – Outcome space & Conclusions: Four main categories emerged identifying The result shows four categories identified as the most important resource factors for health among for the informants. These four categories were: job satisfaction, morale, opportunity to influence and wholeness.

  • 97.
    Andersson Hagiwara, Magnus
    et al.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Wireklint Sundström, B.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Brink, Peter
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Herlitz, J.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Hansson, P. -O
    University of Gothenburg, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    A shorter system delay for haemorrhagic stroke than ischaemic stroke among patients who use emergency medical service2018In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 137, no 5, p. 523-530Article in journal (Refereed)
    Abstract [en]

    Objectives We compare various aspects in the early chain of care among patients with haemorrhagic stroke and ischaemic stroke. Materials & methods The Emergency Medical Services (EMS) and nine emergency hospitals, each with a stroke unit, were included. All patients hospitalised with a first and a final diagnosis of stroke between 15 December 2010 and 15 April 2011 were included. The primary endpoint was the system delay (from call to the EMS until diagnosis). Secondary endpoints were: (i) use of the EMS, (ii) delay from symptom onset until call to the EMS; (iii) priority at the dispatch centre; (iv) priority by the EMS; and (v) suspicion of stroke by the EMS nurse and physician on admission to hospital. Results Of 1336 patients, 172 (13%) had a haemorrhagic stroke. The delay from call to the EMS until diagnosis was significantly shorter in haemorrhagic stroke. The patient’s decision time was significantly shorter in haemorrhagic stroke. The priority level at the dispatch centre did not differ between the two groups, whereas the EMS nurse gave a significantly higher priority to patients with haemorrhage. There was no significant difference between groups with regard to the suspicion of stroke either by the EMS nurse or by the physician on admission to hospital. Conclusions Patients with a haemorrhagic stroke differed from other stroke patients with a more frequent and rapid activation of EMS.

  • 98.
    Andersson, Heléne
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gisslén, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att närvara eller icke närvara, det är frågan...: en litteraturöversikt över närståendes upplevelser av att närvara vid hjärt- lungräddning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Studies indicate that both patients and nurses are positive to have relatives present at the cardiopulmonary resuscitation (CPR) situation. They see relatives as a resource and support, and also that the afterward crisis management may be facilitated. Routine should be created for the nurse to offer the relatives to attend and that it will become a natural part of CPR situation.

    Aim: To illustrate the experiences of close relatives attending cardiopulmonary resuscitation.

    Method: A literature study with qualitative approach. Seven articles were reviewed and analyzed according to content analysis method.

    Results: We found that relatives appreciated and felt it was important to attend the CPR-situation. They found it easier to move on after the incident, especially if the patient died. They wanted to be sure that everything that could be done also was done. The feeling that their presence in some way protected their dear ones from danger and harm was also important. Honest information was considered essential and the relatives appreciated the efforts and care that the healthcare personal gave their relatives.

    Conclusions: The vast majority of relatives to patients undergoing CPR choose to feel that it's important to be present at the CPR. Based on this knowledge, further work can lead to create routines concerning relatives' wishes to attend CPR situations.

  • 99.
    Andersson, Jenny
    et al.
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Region Västra Götaland Department of Medicine Geriatrics and Emergency Medicine/Östra Sahlgrenska University Hospital Gothenburg (SWE).
    Jakobsson, Sofie
    Institute of Health and Care Sciences Sahlgrenska Academy University of Gothenburg Gothenburg (SWE).
    Rejnö, Åsa
    University West, Department of Health Sciences, Section for nursing - graduate level. Skaraborgs Hospital Skövde (SWE).
    Hansson, Per‐Olof
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Region Västra Götaland Department of Medicine Geriatrics and Emergency Medicine/Östra Sahlgrenska University Hospital Gothenburg (SWE).
    Nielsen, Susanne J.
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Department of Cardiothoracic Surgery Sahlgrenska University Hospital Gothenburg (SWE).
    Björck, Lena
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Region Västra Götaland Department of Medicine Geriatrics and Emergency Medicine/Östra Sahlgrenska University Hospital Gothenburg (SWE).
    Decision‐Making in Seeking Emergency Care for Stroke Symptoms2022In: Stroke: Vascular and Interventional Neurology, E-ISSN 2694-5746, Vol. 2, no 6Article in journal (Refereed)
    Abstract [en]

    Background

    Previous studies have shown that rapid treatment for stroke, especially ischemic stroke, reduces mortality and disability. The focus has mainly been on reducing time from arrival at hospital to start of treatment. However, the main reason for delay is often time from symptom onset to arrival at hospital. This study therefore aimed to explore decision‐making processes after the onset of stroke symptoms in patients experiencing a first‐time stroke.

    Methods

    We included 36 patients aged 18 and older, all of whom were hospitalized with a first‐time stroke between October 2018 and April 2020. All patients were interviewed once within 4 weeks of symptom onset and before hospital discharge. Eligible patients were identified retrospectively through a targeted review of medical records. The data were collected and analyzed according to the grounded theory methodology.

    Results

    In total, 43 potential patients were identified and asked to participate. Overall, 36 patients were included in the study: 17 women (median age 77.0 years, interquartile range 17.5) and 19 men (median age 65.7 years, interquartile range 17.2). All interviewees felt fear, and this affected their decision to seek emergency care. The decision‐making processes were described by the core category of “Acting on fear.” The reason for feeling frightened determined the actions taken. The reasons were sorted into 3 main categories: (1) “seeking care”–recognized stroke symptoms and acted immediately; (2) “pending and reluctance”–suspected stroke but awaited to seek care; and (3) “seeking an explanation”–confused by symptoms.

    Conclusion

    We found that decision‐making when experiencing stroke symptoms was complex. All patients felt fear, which determined their actions. Some patients knew about stroke symptoms and acted immediately. Others suspected stroke but still chose to wait, whereas others were confused and tried to find answers. These results could contribute to form future awareness campaigns.

    Download full text (pdf)
    fulltext
  • 100.
    Andersson, Jenny
    et al.
    Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE), Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Rejnö, Åsa
    University West, Department of Health Sciences, Section for nursing - graduate level. Stroke unit, Department of Medicine, Skaraborg Hospital Skövde (SWE).
    Jakobsson, Sofie
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE), Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Hanson, Per-Olof
    Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE), Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Nielsen, Susanne
    Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg (SWE), Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Björck, Lena
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE), Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE).
    Patient´s description of onset stroke symptoms: Oral Presentations. ESOC 2023 Abstract Book2023In: European Stroke Journal, ISSN 2396-9873, E-ISSN 2396-9881, Vol. 8, no 2, p. 427-427, article id 725Article in journal (Refereed)
    Abstract [en]

    Background and aims: Stroke symptoms vary and could be hard to recognize. In addition, stroke severity has decreased according to the National Institutes of Health Stroke Scale (NISSH), with less pronounced symptoms expression. Knowledge on the patient’s description of stroke symptoms is therefore needed. The aim was to describe patient’s symptoms at stroke onset.

    Methods: A qualitative content analysis was used. Data were collected through individual interviews with 27 patients (16 men and 11 women, median age 70.4 years). All patients were hospitalized with a first-time stroke. The interviews were conducted within 4 weeks of symptoms onset and before hospital discharge.

    Results: All patients had symptoms that affected their daily life. Some patients described having multiple symptoms at the same time, others had symptoms that began insidiously and worsened over time. Symptoms such as overwhelming fatigue or nausea were described as Premonition of becoming ill, feeling unwell or that something was wrong. Motoric bodily changes were multifaceted as slurred speech or dizziness, balance difficulties and losing control of the body or motor dysfunction. But also, that the surroundings were distorted, and solid objects moved around. Symptoms of Dazed and affected senses included confusion and visual impairment or headache.

    Conclusions: Stroke is a complex disease with several different symptoms’ expressions and could be difficult to recognize, especially when symptoms are less typical or perceived as not serious. Increased awareness of stroke symptoms among caregivers and among members of the community is important and needed.

1234567 51 - 100 of 2033
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