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  • 51.
    Ayewubo, Celestine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patel, Archana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av livet efter hjärttransplantation2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a person needs heart transplantation it means that they are suffering from a serious heart failure, and in order to survive they need to undergo surgery for a new heart from a dead person. A lot of the patients don't know what to expect from the surgery and life after the transplantation but their fear of that will not overshadow the chance they have to take somebody's else's heart and begin to live a new life. The transplantation can be a difficult thing to understand and handle without help. It becomes very important for the nurse to have knowledge of the patients' experiences to adjust an individual care in the future.

    Aim: The aim of the study was to describe patients' experiences of life after heart transplantation.

    Method: A five-step model was used described by Friberg (2012) to contribute to evidence-based nursing with basis in analysis of qualitative research, for the analysis of ten scientific qualitative articles.

    Results: The findings that emerged from the analysis shows that they can be applied to the nursing profession. The findings formed three themes: New life, Existential thoughts, and Spiritual aspects, with subthemes.

    Conclusion: After the heart transplantation there is no guarantee that the patients wellbeing will improve. It is important that nurses have knowledge in this field so they can care for the patients' and help them to regain their physical and mental health.

  • 52.
    Backlund, Linus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Grundvall, Fredrik
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Omvårdnad av anhöriga till traumapatienter: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During trauma treatment lots of health personal are mobilized under a short timeframe. The focus lies upon the care of the patient which leads to reduced focus on the nursing care for the relatives. The relatives are in a difficult life situation and in a major need for nursing care. Aim: The aim of this study was to illuminate the nurses' care for the relatives of trauma patients. Method: This study is a literature review of eleven studies that involves relatives or nurses perceptions of the nursing care provided for the family-members of critically ill trauma patients. The studies were analyzed and categorized into themes and subthemes. Results: A total of three themes emerged. "Communications with the relatives", with subthemes the nurse gives information, nurses' behaviors and accessibility, taking the time to get to know the relatives. "Relatives involvement in care" with the subthemes involving the relatives in care, letting the relatives close to the patient. The last theme was "nurses provide care for the patient" without any subthemes. Conclusion: Information was crucial to the relatives. The nurse had to be calm and accessible to the relatives' needs and when he or she seemed stressed it was considered uncaring for the relatives. The relatives wanted to comfort themselves and the patient by being close to him or her. The subject needs more research especially with focus on what's being done for the relatives of trauma patients.

  • 53.
    Bahramvalady, Mozhgan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livskvalitet för patienter med kronisk obstruktiv lungsjukdom2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic obstructive pulmonary disease is a growing problem today around the world. People are getting diagnosed with COPD everyday and the number of cases is expected to increase in the future. It is important that the nurse can respond to people living with COPD and to understand the symptoms and living condition of these people in order to apply a good nursing care.

    Aim: The aim of this study was to describe how quality of life is affected by chronic obstructive pulmonary disease (COPD).

    Method: The method of this study is based on a qualitative and quantitative research according to Friberg (2006) and Friberg (2012). Nine articles was analyzed according to Fribergs five-step model and results divided in three main themes.

    Results: The main themes were Symptom that limits everyday life, symptoms with a psychosocial impact and Relieving of symptoms that increases the quality of life.

    Conclusion: The results showed that COPD affects the entire life. To combine different treatment options such as applying oxygen, special breathing techniques and to increase the physical activity, it is possible to increase quality of life in COPD.

  • 54.
    Beagan, Eva-Lotta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Brandberg, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hälsa och lidande efter en njurtransplantation: En beskrivning av patienters erfarenheter att leva med en ny njure2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden last year 426 patients received a new kidney. As a patient you can be on a waiting list for a kidney transplantation between 1-3 years, sometimes longer. While waiting for a kidney transplantation dialysis is often required. Kidney transplantation is the renal replacement therapy of choice for more than 55 % of people with kidney failure. Despite improvements of quality of life in physical, social and psychological domains many factors influence life in a negative way.

    Aim: The aim of this study was to describe patients’ experiences after a kidney transplant.

    Method: A literature-study was based on ten qualitative research articles.

    Result: Our analysis of the result emerged in two themes; "Adaption from ill to health with side-effects" and "Difficulties to make friends with uncertainty". Patients experienced a wide range of emotions while trying to adjust to life after transplantation. It is a complex task to establish normality in the shadow of troublesome side-effects and the constant risk of rejection.

    Conclusions: The kidney transplant patient often hovers between health and suffering. It is a big adjustment in life to try to live as a healthy person but along with side-effects and constant threat of graft rejection on the patients’ mind. To learn to cope with the situation and move towards acceptance the patient also needs hope. The nurse must be attentive to what the patient experiences to be able to support the patient in the process of striving towards health.

  • 55.
    Bengtsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mandelholm, Kajsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med diabetes typ 2: Strävan efter balans2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 2 is today a rapidly increasing global health problem, often caused by unhealthy lifestyle choices. Changing life after a chronic disease is both time-consuming and burdensome, especially when many felt that the life they had lived before was too valuable to give up.

    Aim: The aim of this study was to illuminate experiences of living with diabetes type 2.

    Method: A literature study was produced based on eleven qualitative scientific articles, which were analyzed by Friberg's five step analysis.

    Results: The analysis resulted in two main themes, Imbalance in life and Balance in life with eight sub-themes; The inner battle, Loneliness, Life in denial, Lack of knowledge, The will to fight, The need for support, Finding acceptance in life and The importance of knowledge. These themes described the striving for balance in life when living with diabetes type 2.

    Conclusion: The study showed that persons with type 2 diabetes experienced a mix of feelings which were highly affected by how their lives around them looked like. This meant that even though you might had learned and accepted to live with type 2 diabetes, it did not necessarily meant that life not will take a turnabout. It is important for the nurse to know that life with diabetes are changeable, and that they therefore have a significant role to support the person to find balance in life.

  • 56.
    Bengtsson, Christine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olofsson, Frida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser vid omhändertagandet av sjuka barn2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses have an important role in identifying life-threatening and serious diseases. Nurses must be able to care for both children and adults but they feel that it is tough, demanding and stressful to care for urgently ill children.

    Aim: The aim was to describe nurses´ experience of caring for ill children.

    Method: Literature-based study in which ten qualitative research articles are rewied and analyzed.

    Results: Three major categories were identified. "feelings of nurturing children" which included fear of failure, linked to their own children and emotions related to the situation. "need for knowledge" which included communication, care for children and stress. The last category was "present parents" which included pressure from parents, taking care of two patients and parents' influence on the child.

    Conclusion: The nurse experienced insecurity and inadequacy in the care of acutely or urgently ill children. They experienced a lack of knowledge in child care.

  • 57.
    Bengtsson, Josefine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I dödens närvaro: Sjuksköterskors erfarenheter av att möta döende patienter inom palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses meet patients in palliative care in different wards, in homecare and hospices. The role of the nurse is to provide patients and relatives with good care. A holistic care includes psychological, physical, social and spiritual needs.

    Aim: The aim of the study was to highlight experiences of nurses meeting dying patients in palliative care.

    Method: The method to contribute to an evidence-based care based on analysis of qualitative research as described by Friberg (2012) was chosen for the study. Ten scientific articles were analyzed and the result was three categories, with eight sub-categories.

    Results: The three categories were: death leaves nobody untouched, relations in the shadow of death, and needs on the environment when death approaches. Nurses described their reactions and feelings in relation to the care of a patient in the palliative phase, emotions that both concern and strain. The relationships were important in palliative care, both with patients and relatives. Aspects such as environment, colleagues and knowledge were of importance to a nurse in palliative care.

    Conclusion: Experiences to meet dying patients in palliative care were described as demanding, but also a privilege. It was considered important to include and to co-operate with the patients’ relatives. The colleagues were needed to provide a good care for the dying patient. Nurses reach security through continuous development of knowledge, experience and reflections.

  • 58.
    Bengtsson, Martin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Thörnäs, Amanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientsäkerhet på en akutmottagning i Namibia: Empirisk studie avseende identitetskontroll, basala hygienrutiner och hantering av perifer venkateter (PVK)2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients often suffer from harm and infections when in contact with healthcare. Harm caused by the healthcare imply unnecessary suffering for the patient which the healthcare could have prevented. Being a nurse comes with the responsibility of relieving suffering and preventing harm.

    Aim: The aim of the study was to illuminate the patient safety, focusing on identity check, hygiene routines and management of peripheral venous catheter (PVC), in an emergency ward in Namibia.

    Method: This is an empirical study with a qualitative approach. To gather data, six unstructured observations were carried out. The data was analyzed by using Friberg's five-step-model.

    Results: Two main themes emerged during the analysis; Patient safety work and Non-patient safety work and six sub themes; Use of hand disinfection and single-use gloves, Skillful insertion of PVC and safe management of sharps waste, Lack of identity check, Inadequate use of hand disinfection and single-use gloves, Inadequate approach before and after insertion of PVC and Insufficient conditions in work environment. 

    Conclusion: Hand hygiene was the main problem of patient safety. A work environment where hygiene material is more easily accessible could be a contributing factor to a more patient-safe approach. Identification of patients before insertion of PVC does not appear to be a routine at the emergency ward. Nurses at the emergency ward are skillful at inserting PVC:s, but are failing in other aspects in the procedure.

  • 59.
    Berg, Henric
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Patrick
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors syn på hur de kan stödja närstående till patienter i behov av palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care treatment is a common phenomenon to many registered nurses. When caring for a patient palliatively, the nurse should also care for the ones closest to the dying patient. Previous studies have shown that nurses are uncertain on how to support these relatives and that some nurses even see them as a burden. The aim of this study was to describe nurses’ views on how they can support the ones closest to the patients that need palliative care. The method used is a literature study, aiming at contributing to evidence based care grounded in analysis of qualitative research. Two electronic databases, Cinahl and Pubmed, were used for searches. Inclusion criteria were: studies should be written in the English language, no older than ten years, qualitative, presenting data in palliative care setting for adult patients only, and written from a registered nurse’s perspective. Eleven studies were included. Four themes emerged on how nurses give support: Facilitate presence, Involve the ones closest to the patient, Care for the ones closest to the patient and Meet informational needs. The conclusion is that the nurse should care for the ones closest to the patient as unique human beings and strive to fulfil individual nursing needs.

  • 60.
    Bergbom, Ingegerd
    et al.
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Karlsson, Veronika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ringdal, Mona
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Developing and evaluating an instrument to measure Recovery After INtensive care: the RAIN instrument2018In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 17, no 1, article id 5Article in journal (Refereed)
    Abstract [en]

    Measuring and evaluating patients' recovery, following intensive care, is essential for assessing their recovery process. By using a questionnaire, which includes spiritual and existential aspects, possibilities for identifying appropriate nursing care activities may be facilitated. The study describes the development and evaluation of a recovery questionnaire and its validity and reliability.

  • 61.
    Bergbrant, Rikard
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hulkkonen, Camilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur närstående påverkas av att leva med en person med psykisk ohälsa2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In society today, mental illness is a growing problem. Relatives of a person with mental illness are often adversely affected by the person's condition. Knowledge exists to help a person suffering from mental illness but not as much importance is attached to helping them handle the situation. As nurses, we must not only help the person with mental illness but also the relatives. What is missing is to recognize the needs of the relatives and gain a deeper understanding of how to better support and prevent ill-health.

    Aim: The aim of the study is to illuminate the relatives to a person with mental illness and how they are affected

    Method: This paper is a literature review founded on 12 articles with a qualitative approach based on Friberg's (2012) five-step method.

    Results: Relatives living with a mentally ill person, carry a burden of guilt, shame and are faced with ignorance from family and society. This is enhanced by the lack of knowledge of relatives and stigmatization. Being available around the clock effects the relatives negatively such as their health, work and economics. Their future plans were limited, they had to re-priorities and adapt their lives to the mentally ill person. It was a burden for relatives and thoughts of suicide often came to mind.

    Conclusion: The life and health of relatives became affected drastically, they needed more support and knowledge from the health care services. The health care services must improve their individual support.

  • 62.
    Bergegårdh, Linnea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Saifelddine, Manal
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av bröstcancer: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is developed through multiple mutations in important genes that effect the central life process. The risk of developing breast cancer increases by the numbers of relatives that have been affected. Breast cancer appears in different cellular tissues and sizes depending on the stages that are titled with the numbers zero to four. At the survey of diagnosis, the women can go through several feelings. The treatment is costumed to fit the individual and can consist of several components that can give a lot of side effects, influence the life situation and create suffering on several levels. Aim: The aim was to illuminate the woman´s experiences of breast cancer. Method: A literature-based method is used. The studies´ result were analyzed by a qualitative content analysis of a five steps method. Results: The results are presented in four main themes; Loss, Hope, Fear and Anxiety and Security where Loss contains four subthemes while the rest of the themes consist of three subthemes each. Conclusion: The conditions for feeling safe and hope in the situation for the women with breast cancer are faith and support from the family and the environment. This support was not obvious in every family in the world.

  • 63.
    Berggren,  , Simon
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dauod, Lidia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Familjers upplevelse av att ha ett cancersjukt barn: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Approximately 300 children are affected by cancer each year in Sweden, however the prognosis has been significantly improved. The disease isn't only affecting the child but even the family of the child and therefore, a family focused care should be applied. The disease creates a suffering for the entire family and the nurse then has the task of reducing that suffering.

    Aim: The purpose of the study was to highlight family experiences of having a child with cancer.

    Method: In this literature study ten qualitative articles, that shed light on the chosen subject, have been processed. The articles were analyzed using Friberg's five-step model.

    Results: The analysis resulted in four themes and 13 sub-themes. The four themes were; chaos and uncertainty, change of relationships within the family, change of everyday life and change of attitude towards life. The cancer diagnosis in the child affected everyone in the family, which caused a change in the everyday life for all members. The pursuit for information was constant among these families. Their everyday lives became chaotic when a whole series of emotions tested their relationships. The family members had a change of perspective of life, and priorities were redirected after the child’s diagnosis.

    Conclusion: The families face many emotional difficulties in connection with the child being diagnosed with cancer, and they need the support from nurses to handle these difficulties. The need for information is great among these families and therefore nurses need to be able to provide the information that families need to reduce their suffering.

  • 64.
    Bergh Johnsen, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rosander, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av att få en bröstcancerdiagnos: en litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One of nine women will at some point in life be treated for breast cancer. When a woman receives a cancer diagnosis, it can be a trigger of a life crisis, which manifests itself in different phases: shock phase, reaction phase, processing phase and reorientation phase. Breast cancer affects the women's lifeworld and create suffering.

    Aim: The aim of this study was to describe women's experiences of receiving a breast cancer diagnosis. Method: This is a literature-based study of twelve qualitative articles. The articles was analyzed according to a qualitative content analysis of Graneheim and Lundman (2004).

    Results: The findings of this study were that women with a newly-diagnosed breast cancer went through a life crisis while diagnosed. Three themes emerged; 1: 'To receive the diagnosis of breast cancer'. Subthemes that emerged in this theme was; 'To be in shock', 'Fear of the disease progress and its consequences', and 'Uncertainty about the future'. 2: 'Strategies to master the new life situation'. Subthemes was; 'Activities to manage everyday life', 'Trust in spirituality' and 'To accept the diagnosis'. 3: 'The inherent meaning of support'. Subthemes was; 'The importance of health professionals supportive and informative role' and 'The significance of family and friend's support'. Conclusion: Receiving a breast cancer diagnosis is manifested as multifaceted and had a great impact on women's lives. Spirituality had a great significance for women's life-world. How the diagnosis was received, was highly individual.

  • 65.
    Bergman, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Westbring, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars behov av stöd från sjuksköterskan2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background When a child is in need for care, they are mostly accompanied by their parents. In the meeting with the family, the nurse has to give comfort, attention and support to everyone, not least the parents. Due to swedish law it is the nurse’s responsability to give information and encourage good care. The parents needs to have support to be involved and feel safe in the care of their child. To achieve all of this, the nurse has a big responsability to see each person as a unique individual. Aim The aim of this study was to describe parents' need of support from the nurse when their child requires care at hospital.  Method A literature-base study has been made of qualitative articles retrieved from database Cinahl. The studies were found used systematic searches. The result of a total of eight scientific articles from different countries around the world were compiled. Results The themes highlight what kind of support parents need when their child requires care at hospital. To be a confidence-giving nurse, to be guided as a parent, to be involved, individually adapted information, education about the child’s condition and a functional communication were highlighted in the study. The main themes were- "An involved nurse" and "Verbal and non verbal support for the parents".  Conclusion Parents are in need of support when their child is in need of care. Each parent is unique and the support must be built from each individual parent. The relationship between parents and nurse could be important for the support and for the involvement of the parents.

  • 66.
    Bergqvist, Christer
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Faktorer som patienter upplever påverkar följsamheten av den ickefarmakologiska behandlingen vid hypertoni2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In this work hypertension was considered by the author to be of great concern. The work initially defined hypertension including pathophysiology, occurrence, risk factors and treatment. Self care in the form of lifestyle changes was recognized as a substantial part of the treatment for hypertensive patients. Health as a concept was discussed and Dorothea Orems self care theory was used as a basis for the study. The nurse`s role was described as helping the patient develop and maintain self-care. Aim: The aim of this study was to investigate factors that patients perceived as influential when it came to self-management of hypertension. Metod: The method used was an analysis of qualitative research developed by Friberg (2006). Nine scientific articles were analyzed to identify themes and subthemes. Results: Eleven subthemes and five themes that described what patients felt effecting their selfcare were identified. The themes that was spawned were: lifestyle which included the subthemes culture and living conditions; support which included the subthemes relation with health care and social support; attitude which included the subthemes self-esteem, engagement and responsibility; competence which included the subthemes information and advice and knowledge and information and the final theme perceived health which included the subthemes symptoms and comorbidity. Conclusions: The conclusions drawn from this work was that there were a lot of different factors that patients believed facilitated or inhibited their self-care and that it was important for nurses to consider that in the care relation with patients suffering from hypertension.

  • 67.
    Bhutiya, Anita
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hannoun, Robert
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Erfarenheter av att leva med typ 2 diabetes: En litteraturbaserad studie om sjukdomens påverkan på personers livsvärld2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes is one of the diseases that are increasing among the population globally; there is especially an increase in type 2 diabetes. Various lifestyle factors such as diet and exercise affect the disease. Diabetes is a demanding disease that needs several lifestyle changes to get control. These lifestyle changes can be challenging for the individuals and difficult to uphold.

    Aim: The aim of this study was to describe persons' experiences of living withtype 2 diabetes.

    Method: This study used the method of contributing to evidence-based nursing based on analysis of qualitative research. The result was based on 9 qualitative scientific articles and the analysis resulted in three themes and seven subthemes.

    Results: The results of the study showed that people with type 2 diabetes experience various limitations in everyday life and that social and emotional factors affect the management of diabetes. Internal resources such as motivation and self- confidence were important for the management of diabetes as well as the support from family, social networks, others with diabetes and healthcare professionals.

    Conclusion: The experience of living with type 2 diabetes varies between people, but one common denominator was that different individual circumstances affected daily life.

  • 68.
    Bilstrup, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Blom, Annika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Värdighet i livets slutskede: En litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Nurses work to promote health, prevent disease, restore health and relieve suffering. However, when the patient transitions into end of life care, the goal is no longer to cure, but to relieve. End-of-life care is about seeing the patient and helping them move on by doing what favors the patients’ well-being. Aim The aim of this study was to describe how nurses can preserve the patients’ dignity in end of life care. Method This study is based on a method to contribute to evidence-based nursing with foundation in analysis of qualitative research. 7 qualitative and 2 articles with mixed methods were analyzed using a five step model described by Friberg. Results Through the analysis three main themes and five sub-themes were developed. The main themes were: Involving the patient, Preserving the patient’s quality of life, Seeing the patient. Conclusion Through the actions performed by the nurse, dignity can be preserved. By protecting the patients’ integrity and autonomy through a person-centered care, the best conditions for giving a worthy death are created.

  • 69.
    Björk, Anna-Sara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahlstrand, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av bedsiderapportering: En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bedside report is a method of information transfer when the shift report between nurses is conducted at the patient's bedside. Shift report is an important aspect in nurses' daily work because vital information is communicated. An ineffective handover can have a negative impact on patients' safety since the patient isn't invited to participate when the traditional handover method is used. Aim: The aim of this study was to describe nurses' experiences of bedside shift report. Method: A literature review was performed and ten articles were included. Results: The study resulted in three themes and seven sub-themes. The first theme describes experiences of the cooperation between the nurse, patient and relatives. The sub-themes were; stimulates patient involvement and promotes involvement of related. The second theme describes the working process with a person-centered approach. The sub-themes were; works more patientsafe and enable overall evaluation of the patient. The third theme describes nurses' experiences of encountered obstacles when using bedside report. The sub-themes were; problematic to convey sensitive information and negative attitude to the work process. Conclusion: Bedside report has a positive impact on patient safety because it's possible for nurses to more frequently discover changes in the patients' health during the shift. Bedside report also increases the opportunity for both patient and relatives to participate in the nursing care.

  • 70.
    Björklund, Sanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelsen av stigmatisering relaterat till hepatit C: en litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hepatitis C is a stigmatized condition. The stigma is based on the association with illegal substance abuse. How stigmatization is experienced by people living with hepatitis C can contribute to reflection and awareness about their condition. Awareness is vital for achieving equal care and participation for the patients.

    Aim: To describe how people living with hepatitis C experience stigma.

    Method: A literature study based on ten qualitative studies.

    Results: It's common for people living with hepatitis C to experience stigma. Being judged as a drug user was the most prominent experience of stigma. Feelings of being less worthy occurred, especially in healthcare contexts as they received unequal care because of their condition. People living with hepatitis C describe experiences of exclusion, where rejection is central. The source of the rejection were healthcare professionals, family members and friends. Exclusion contains other experiences such as guilt and shame as well as limitation due to people's fear of being infected. Many people choose not to disclose their hepatitis C diagnosis because the fear of stigma and rejection.

    Conclusion: People living with hepatitis C experience stigmatization of various character and in different contexts. Stigma is common in the healthcare system. If healthcare professionals are aware of their view of human beings and constantly working based on a person centered- and norm-critical approach, stigmatization of vulnerable groups may possibly be reduced in the health care system.

  • 71.
    Björnsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kleiven, Joffen
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bara så du vet, äldre har också sex: En litteraturöversikt om äldres sexuella hälsa och attityd2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research showed that older people's sexual health is not addressed adequately in the health sector. It is a subject that is very limited or non-existent during basic training for nursing students. Older peoples sexually health has improved and hence there will be an even more important area for the nurse, who is responsible for the patient's health. Existing prejudices about sexuality of elderly people means that more knowledge is needed.

    Aim: The aim was to describe: 1. elderly person's experience of their sexual health and the health care receptions. 2. health care workers' attitudes towards older patients' sexual health.

    Method: A literature overview. Four qualitative and six quantitative studies between the years 2000- 2015 were analyzed.

    Results: Three main themes were identified; older people's experiences, that showed that older patients are healthier and more sexually active than before. The second main theme; health care workers experience of older people's sexual health showed that the patient's greatest obstacles to exercising their sexuality is the lack of private spaces. The nurse usually had a negative attitude to the elderly persons' sexual health, which could be due to nurses' ignorance and that sexuality is a sensitive subject. The third theme showed factors which affect sexual health in elderly. Conclusion: More information is needed about the elderly person's sexual health for patients and more training in nursing. Many older suppress their sexuality because of different standards and taboos in society, which may lead to unnecessary suffering.

  • 72.
    Blomqvist, Anders
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Moschini, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mötet med vårdpersonal - Personer som är suicidnära och deras erfarenhet: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every 40 seconds a person experience feelings of hopelessness and falls victim to suicide. The persons who are suicidal can be found all through the health care system. The health care personnel can change the outlook on life for the person, or at least ease the suffering for a while in the meeting. But health care personnel can also cause suffering by care if they don't see the person as a unique human being.

    Aim: The aim of this study was to highlight the suicidal persons experience meeting with health care professional.

    Method: A literature-based study were conducted in accordance to Friberg (2012). Analysis were made of ten qualitative scientific studies.

    Results: The result was presented in one theme, The significans of the relationship. And four subthemes arose; To be or not to be listened to, to feel or not to feel commitment, to be or not to be seen and to feel or not to feel trust and security.

    Conclusion: The result show how the persons who were suicidal experienced ease in their suffering when healthcare personnel listened, saw the person, were commited and gave a sense of trust and security. When the healthcare personnel listened and validated the persons who were suicidal it led to feelings of hope for the future. When the persons experienced that they were seen by the healthcare personnel they felt a positivity and as human beings on equal terms. When the persons who were suicidal felt security and trust for the healthcare personnel it led to a better relationship. When the persons experienced commitment from healthcare personnel they felt as they were able to let go of feelings of despair and anxiety. This resulted in a sense of wellbeing for the persons.

  • 73.
    Bolmvall, Astrid
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bond, Joakim
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med cancer: En litteraturbaserad studie som beskriver upplevelser av att leva med cancersjukdom2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Cancer is a growing problem in today ́s society. More people are diagnosed with the disease and the number of cases is expected to increase even more in the future. In order to be able to respond to people living with cancer and to apply a good nursing care, the nurse must know how these people experience their living conditions.

    Aim The aim of this study was to describe adults’ experiences of living with cancer.

    Method The method used was a literature study based on qualitative research according to Friberg (2012). The articles is analyzed according to Friberg ́s five-step model and results in three main themes and seven sub- themes.

    Results The main themes were- Changes in everyday life, Being a burden to themselves and their surroundings and To deal with an uncertain future.

    Conclusion The results showed that cancer disease changes the whole human life. The patients feel strain, both physically and mentally which changes everyday life in different ways and they live in a constant state of uncertainty.

  • 74.
    Borgström, Kajsa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kartunnen, Marlene
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att växa upp med ADHD: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Around five percent of all school children in Sweden are living with ADHD. ADHD is a neuropsychiatric disability which is manifested through hyperactivity, impulsiveness and difficulties to concentrate. As more children get diagnosed with ADHD, general nurses are required to meet these children more frequently in health care. It is therefore very important for the nurses to have good knowledge about how these children should be treated. Through increased knowledge about how children with ADHD experience their situation, a better understanding about the needs can be gained. Therefore the aim of this study was to illuminate experiences growing up with ADHD. Method: A literature-based study with analyses of qualitative studies was conducted. The analytical method was based on Friberg's five-step model. The results of a total of 10 scientific articles were compiled. Results: The result revealed three main themes and eight sub themes. The three main themes were; experiences of being different, the experiences of support and understanding from surroundings and impact from the environment. Conclusion: The result showed that the participants were affected by how they were treated by society. An accepting and understanding environment enabled the children to better manage daily life. Better understanding of ADHD by the society, including general nurses, and an increased acceptance of the children’s behavior and how they should be treated, could change their daily life in a positive way.

  • 75.
    Boström, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Runge, Jenny
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Den inre konflikten: Sjuksköterskors förhållningssätt till och upplevelser av att vårda individer med substansbrukssyndrom.2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research shows that individuals with substance use disorder experience stigmatization in society, close relationships and even negative attitudes in health care. These individuals increase in number and are a patient group that general nurses can meet in their daily work. It has also been shown that nursing treatment with regard to these individuals may be crucial for seeking and maintaining treatment. This study therefore focuses on nurses’ attitudes towards these individuals but also on their experiences when caring for them. Aim: To investigate the nurse’s attitudes to and experiences of care of individuals with substance abuse disorder. Method: The method used was a systematic literature study with basic qualitative analysis. Result: The results is presented in two domains; "Nurses’ approach" and "Nurses’ experiences" with seven categories. What turned out was a link between high level of knowledge and awareness and good care. The results also showed that some nurses had negative expectations for this patient group, which negatively affected nursing care. We could also discern an inner conflict within the nurses, who often felt insufficient and unable to provide the care the individual was entitled to. Conclusion: Nursing approaches and experiences varied. A link between knowledge and awareness and provision of good care and preventing or reducing prejudice, was found. Society and its culture tend to affect the nurses’ views of individuals with substance abuse disorder. The inner conflicts occurred when nurses did not give the individual the care that he or she were entitled to.

  • 76.
    Bourne, Frans
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rydberg, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personcentrerad vård vid demens2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a disease that is increasing among the population. It is an incurable disease that affects memory, cognitive function, communication and everyday activities. The treatment is mainly focused on care - as the available medicine only acts to reduce symptoms of the disease. The disease is associated with behaviors like unease, agitation and aggression. A way to meet the increased care-needs of a person with dementia is to apply person centered care. It is a form of care that focuses on the individual and their needs.

    Aim: The aim of this study was to illuminate nurse's experiences of applying person centered care to persons living with dementia.

    Method: A qualitative literature-based study. Twelve articles were selected and analyzed. Results: The results show that the nurses' felt that the relationship with the person with dementia is important in order to be able to carry out person-centered care. This relationship is created by learning about the person and their background and current needs. The results show that the nurses' experiences of person-centered care was that attitudes created a basis for giving appropriate care. These experiences also showed the possibilities to handle questions of an existential nature. Furthermore, the nurses found that the physical environment had a great impact on their ability to interact with the person and to meet the persons' challenging behaviors in a satisfactory way. They also found that their knowledge of the person greatly improved which led to the soothing of the persons suffering. The nurses' experiences show that the person-centered care-method requires specific circumstances. 

    Conclusion: This study provides a crucial insight into the experiences of nurses when applying person-centered care on persons living with dementia. The nurses play a key role in soothing unease and limiting the amount of suffering a person has to endure whilst they are in a new and unfamiliar environment. There is a definite lack of knowledge among the nurses in how to communicate efficiently with a person living with dementia

  • 77.
    Brink, Charlotte
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jönsson, Michaela
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det är bara en sjukdom: Människors upplevelser av att leva med HIV2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Through successfully medical therapy of HIV today the population with HIV is an increasing group of patients. These patients have to suffer a lot of difficult challenges and therefor are in a big need of a lot of support. Therefore the experiences of living with HIV is an important knowledge that makes it easier for the nurse in the care and support of persons with HIV. Aim: The aim was to describe peoples experiences of living with HIV Method: A literature-based study based on twelve qualitative studies was performed Results: The study resulted in five main categories which together gives a view over the experiences of living with HIV. The categories is: life takes a different turn, come out or keep it secret, consequences of the diseases, need for support and life goes on. Conclusion: The result shows that living with HIV can be a challenge and the nurse is an important person for this population, who they can get support from. Much support is needed when it can be hard for some to live the life they want and many who is diagnosed with HIV is living with it as a secret. Nurses knowledge about their experiences is important to confirm their feelings and reduce the stigma that is common in the society by sharing their knowledge.

  • 78.
    Brunius Charlez, Hilda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Ellinor
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors erfarenheter av att leva med endometrios: En litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronical disease and it affects 10 % of all human beings living with an uterus. There are still little known about the etiology of endometriosis. The most common symptom is deep pelvic pain and the women who´s living with endometriosis are often affected by the disease in their daily life. Aim: The aim of this study was to gain understanding for women´s experiences of living with the chronical disease endometriosis. Method: This study was a literature-based study and it's based on 10 qualitative articles that were analyzed for the result. The articles were analyzed by using the method of contributing to evidence-based nursing based on analysis of qualitative research. Results: Two main themes emerged from this study as; The impact of the human meeting and the impact on quality of life. Seven subthemes were identified as; to be treated with ignorance, to not been taken seriously, to be confirmed, to get a diagnosis, to find coping strategies, that the social life is affected and that relationships are affected. Conclusion: Conclusions that can be deducted from this study are that women who suffer from endometriosis experience different dimensions of suffering. The need of more knowledge about endometriosis and how that can affect the women’s experiences of the healthcare is another conclusion that can be deducted from the study.

  • 79.
    Brännberg, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Forberg, Mette
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors erfarenheter av att leva med högfungerande autism: En litteraturöversikt2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research on the area of autism is based on the man's perspective, which means that women do not meet the required criteria for an autism diagnosis. Therefore, women with high-functioning autism do not receive the care they need because the characteristics of women with high-functioning autism differ from men's. Thus research on women's experiences must be recognized and prioritized in order for the nurse to have an opportunity to provide an equal care and a person-centred care.

    Aim: The aim of this study was to illuminate women's experiences of living with high-functioning autism.

    Method: The method was a literary survey. The database CINAHL was used to search for scientific articles. Through systematic and unsystematic searches eight articles were included that were analysed using Friberg's analysis method for literary surveys.

    Result: The result is presented on the basis of two themes: Need to fit into society and Living with autism. The study shows a struggle with social expectations and a feeling of not fitting in anywhere. To cope with their daily struggles the result shows a behaviour of masking their symptoms.

    Conclusion: This study provides understanding and knowledge of how women experience living with high-functioning autism. A combination of masking symptoms and the lack of knowledge within the healthcare contributes to women with high-functioning autism not getting the help and support they need.

  • 80.
    Bubach, Ronja
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Göransson, Diana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur patienter med HIV eller AIDS upplever bemötandet av vårdpersonal2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: HIV and AIDS is a severe infectious disease. The first cases of AIDS were recorded amongst homosexual men in the United States. The disease has been found in more than 200 countries. There is a stigma surrounding the disease and patients are still being exposed to discrimination and indignity. Bad interactions between patients and healthcare personnel (HCP) caused concern and the patients avoided care to great extent. Aim: The aim was to increase the understanding of HIV and AIDS patients' experiences of the encounters with HCP in a medical context.

    Method: The method was grounded in analysis of qualitative research and was used to create an oversight of a specific phenomenon. Systematic searches in PubMed and Cinahl along with unsystematic searches resulted in 11 qualitative articles. The articles was analyzed and resulted in three main and six under themes.

    Results: The result indicated that the patients experienced both positive but mainly negative experiences. The experiences that was described was attributes among the HCP, actions in the meetings and feelings among the patients. The attitude towards the patients failed in healthcare situations and was uttered through discrimination and indignity. Confidentiality was breached and patients were denied care.

    Couclusion: The stigmatatism was widely figured in the healtcare system and had its core in the lack of knowledge about the disease. It is of fundamental importancy to increase the knowledge about the disease, for both HCP and the public.

  • 81.
    Bylund, Julia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Liljeblad, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara förälder till ett barn med cancer: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background In Sweden about 300 children are diagnosed with cancer every year. Behind everychild there is a family who is as present as the patient itself. After the cancer diagnose, parent's everyday life is drastically changing and their mental stressors are put to the test. Parents have an important role in caring for the child and it's important that the nurse support and involve the parent's in their caring. Aim The aim of the study was to describe parents' experiences of having a child cared for cancer. Method The method of this study was to contribute to evidence-based nursing based on analysisof qualitative research. This research was to convey parent's perspective for a better understanding of their experience in nursing. An analysis of twelve qualitative articles was performed. The analysis resulted in three themes and eight subthemes. Result The results of this study showed that parent's experience a hard time after their child is diagnosed with cancer. They reported fear, anxiety, stress, sorrow, chaos and hope as a few feelings during the period of illness. Also, how the family's dynamics changed during the course of time and the importance of nurse's approach to maintain parent's well-being and security. Conclusion The parents described a lack of support and information from the nurse in the caring of their child and expressed a need for greater participation and better reception. Keywords care, childhood cancer, experience, parent's perspective, support

  • 82.
    Bååw Wennerstrand, Nina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Thorsén, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Familjens upplevelse av att leva med barn som haren neuropsykiatrisk funktionsnedsättning: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The two most common neuropsychiatric disabilities are attention deficithyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Functional impairmentsentail some difficulties for the child that affects the family situation such as interaction withother people and learning and memory difficulties.

    Aim: The aim of this study was to illuminate the family's experience of living with childrenwho have a neuropsychiatric disability.

    Method: A qualitative approach was used for this literature based study. The CINAHL and PubMed databases were used to search for scientific articles. Through systematic searches we found ten articles and these were analyzed using Friberg's five-step method.

    Results: The result is presented on the basis of three themes: An everyday battle, Experiences of understanding and support from the outside world and Family life in light and darkness. It shows that it was a daily struggle for family members in their daily lives. The parents experienced a lack of understanding from the outside world and received limited support. Several parents felt socially isolated and alone. Their daily situation ended up in strong emotions.

    Conclusion: This study provides an understanding of how family members experience their everyday situation with the child with neuropsychiatric disability. The family relationship was affected in one way or another and it was important for family members to receive support. The nurse has an important responsibility to provide the support and care that family members need to avoid suffering.

  • 83.
    Bölja, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gueye, Soukeyna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur mår sjuksköterskan?: En beskrivning av stressorer i arbetsmiljön2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stress is a physical reaction to a threat or challenge in daily life. Long-lived stress can lead to illnesses as diabetes, depression, muscle tensions, sleep difficulties, infections and stomach problems. Stress is a known problem among nurses because of dealing with heavy workloads, time pressure and staff shortage. Stress can lead to burnout and is the dominant cause of occupational disease in the nursing staff. The working environment plays a big role in a functioning workplace, and it requires sufficient areas and equipment, enough staff and good communication among colleagues. Aim: The aim of this study is to describe stressors that the nurse is exposed to in relation to the work environment. Method: A literary based survey method was used in this study. Nine qualitative articles was analysed using the qualitative method by Friberg. Result: Three main themes was shaped: Organisational shortage, Collegiate hassle, and Conflict with your profession. Conclusion: Stress was created by shift work, not feeling recovered, lack of leadership, staff shortage and to meet high demands in the workplace, and high amount of patients which increased working tasks and the feeling of not having enough time. Too much documentation that took time from the patients, always having to be available for different requests and interpersonal issues among colleagues also increased stress for nurses.

  • 84.
    Börjesson, Anna-Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Koitrand, Romy
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Isolera sjukdomen, inte patienten: patienters upplevelse av isoleringsvård på sjukhus2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nursing of patients who require isolation means to meet and care for people and their families in a vulnerable situation. It is important to gain insight into patients' experience to get a better understanding of source isolation. Increased knowledge provides better conditions for the staff to respond to patients in isolation.

    Aim: The aim of this study was to describe patients' experience of isolation in hospital care. Method: A literature review based on previous research. Nine articles were selected, four with qualitative approach, three with quantitative approach and two with mixed design i.e. both qualitative and quantitative approach.

    Results: The study resulted in five categories that reflected patients' experience of isolation in hospital care. Conclusion: The aim was to describe patients' experience of isolation in hospital care. We performed a literature review and came up with five categories: To be marked, Frustration due to lack of understanding, Fear and anxiety, Loneliness and confinement and Satisfaction with health care. Our result show that many patients experience negatively charged emotions while in isolation, but even so, they are not less satisfied with the care compared to nonisolated patients. Comprehension for the impact of isolation on patients' emotional wellbeing can improve the nursing for these patients. "To isolate the disease - not the patient" ought to be the motto for the nurse and the rest of the team involved in the care for the isolated patient.

  • 85.
    Börjesson, Carin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dagström, Charina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans stöd till anhörigvårdare i hemmet2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Informal caregivers are a group of people that tends to be forgotten in terms of caring. The public health nurse comes in contact with patients and their informal caregivers in their homes, where the family’s life situations has changed due to the course of the illness. It is important for the professional nurse to identify the needs of the informal caregiver and to support the informal caregiver to carry on. Nurses’ ability to loosen the burden of the informal caregiver enables the patient to be in care at home for a longer time, which turns to benefit the society.

    Aim: To enlighten the need of professional nurses’ support to informal caregivers in their home.

    Method: A literature review of nine qualitative studies, analyzed by influence of Friberg´s model for literature overviews.

    Results: The findings revealed three themes with subthemes: To feel safe, including the nurse´s presence, the nurse´s availability, and the conversation with the nurse. To be informed, including to be given information by the nurse and the content of the information. To be taken seriously, including to be recognized and to trust the nurse´s readiness to act.

    Conclusion: Informal caregivers have needs of the professional nurses´ support and their expectations of the nurse is large. To for fill all these needs can be a challenge. A person-centered care based on knowledge of the treatment and communication are in focus in order to give requested support to informal caregivers who care for relatives in their home.

  • 86.
    Börjesson Rintala, Daniel
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kinnunen, Elias
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hjärtsvikt: Ett liv med en kronisk sjukdom2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is one of the most rapidly growing diseases in the world. Previous research has focused on the medical side of the treatment for the disease but not much has been done in regards of understanding patient´s experiences.

    Aim: The aim was to describe patients' experiences of living with heart failure.

    Method: For this study a method to contributing to evidence-based nursing with a ground in analysis of qualitative research was used. This method was chosen as a way to better understand patients' experiences of living with heart failure. An analysis of ten qualitative articles was carried out, this analysis resulted in five main themes and ten subthemes. Results: The result showed that patients living with heart failure suffer from a variation of physical and psychological symptoms that force them to change their lives and often leads to social isolation. The result also showed that in order to properly accept and live with their disease a positive outlook on life and hope for the future was required. Finally, the result showed that how the patients were received and treated by health care professionals played a large part in their outlook on and hope for the future.

    Conclusion: Patients living with heart failure experience many physical and psychological difficulties. Strategies for coping and support from family and healthcare is a necessity for them to be able to live with their condition.

  • 87.
    Cabdi, Naimo
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sejdic-Smajic, Alma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelser av att ha ett barn som har astma: en systematisk litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Asthma is a chronic inflammatory lung disease that most often emerges in childhood and affects millions of children around the world. Asthma can affect parents and their children more or less depending on how severe asthma is. When children are cared for, parents are an important and necessary resource for the child's well-being. That´s why it´s important to support not only the child but also parents in the care process.

    Aim: The purpose of this literature study is to describe experiences of parents who care for a child with asthma.

    Method: This study was based on systematic literature search which was based on ten qualitative articles that responded to the purpose of the study.

    Results: The results showed that parents caring for a child with asthma often experienced concern, frustration, hope and need for knowledge about asthma. Parents experienced great deal of concern before child was diagnosed, during deterioration periods and concern about negative side effects medication could cause in the future for the children. Frustration emerged when dealing with health care professionals and school/preschool staff. Despite everyday concern, frustration, lack of knowledge parents still felt hope for the future.

    Conclusion: Nurses have continuous contact with parents that care for children with asthma. Parents caring for child with asthma need a great deal of support from health care system to be able to manage child's illness best way they can. Increased understanding and knowledge about parents experience makes it possible for nurses to have an open dialog with parents and include them better in their child's care.

  • 88.
    Carlbo, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Claesson, Hanna Persic
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Åström, Sture
    Umeå University, Faculty of Nursing, Umeå, Sweden.
    Nurses' Experiences in using Physical Activity as Complementary Treatment in Patients with Schizophrenia.2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 7, p. 600-607Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Schizophrenia is a common disease with a high risk of comorbidity in both psychiatric and somatic diseases. Physical activity is proven effective in reducing symptoms of schizophrenia and increasing overall health. Still it is not used systematically in the care of persons with schizophrenia.

    AIM: The aim of this study is to describe nurses' experience, including personal motivation, in using physical activity as complementary treatment in patients with schizophrenia.

    METHOD: Interviews in three focus groups with 12 participating nurses were conducted. Qualitative content analysis was used to analyze data.

    RESULTS: Physical activity was commonly used. Although several nurses signaled positive patient response, i.e. less anxiety and better quality of sleep, the overall consensus was an uncertainty regarding the benefits. It was perceived as non-evidence based form of intervention.

    CONCLUSION: The uncertainty of the benefits of physical activity is evident in nursing staff and poses a resistance to implement systematic physical activity as a complementary treatment in schizophrenia. A new awareness of evidence based nursing is suggested to promote a wider and more receptive attitude to reduce patient vulnerability in persons with schizophrenia.

  • 89.
    Carlson, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Allmänsjuksköterskors upplevelser av att vårda patienter som lider av Anorexia nervosa2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:. Anorexia nervosa (AN) is a complex disease that is increasing in society. Often the person who suffers from anorexia nervosa has no medical insight and is opposed to the treatment and care. It takes many resources from the nurses to try to get the patient to experience better health. Previous research has limitations on how nurses feel that caring for patients suffering from AN and to be able to have a care of good quality more knowledge about the current topic is needed.Aim: The purpose of this study was to elucidate registered nurses' experience of caring for patients suffering from anorexia nervosaMethod: The study was based on to Friberg's (2012) qualitative content analyse for literature based studies. Five qualitative articles were used in this study, to get a deeper knowledge about this topic.Results: The analysis revealed two categories and four subcategories: creating a relationship and an ongoing struggle. The nurses' role is to create the quality of the meeting between her and her patient. The nurse should see the individual behind the disease and patients respond equally. This is not always easy when patients suffering with AN often sabotages and manipulate, because they do not see the seriousness of AN. This becomes a frustration for the nurse, when they feel they cannot help their patient.Conclusion: Nurses find it tough to meet her patients with anorexia nervosa. They felt failed when they could not help their patients. As future nurses need more knowledge and education.

  • 90.
    Carlsson, Ingrid
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Heidenborg, Annika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Möten och vårdande i ett mångkulturellt samhälle: ett sjuksköterskeperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Currently it is a stream of refugees; one of the history´s greatest, and many refugees are coming to Sweden that affects the healthcare. For nurses it is important to have an understanding of different cultures as well as handle different situations in the right way. It is important that every individual receives the care they need and does not get affected by cultural factors. The patients should be treated with respect and the nurses should indicate safety on any level. Aim: To describe factors that affects the meetings between nurse and patient with different cultural backgrounds. Method: A literature study was accomplished based on analysis made by Qualitative and Quantitative articles. Results: The study resulted in two main themes. The first, which is the importance of communication in a meeting and the second is the competences within culture for the nurse in health care. In cross-cultural-meetings the communication is important otherwise there is a risk the caring will not be as good as it can be. Four subthemes showed a finding about how language-barriers can contribute to misunderstandings with more analysis and samplings as a consequence and the need of a professional interpreter. There also was the importance of the need of knowledge about culture diversities and methods to support the nurse in giving good care. The fourth subtheme is about that there are culture diversities in cross-cultural-meeting. Conclusion: The result shows that the significant factor when meetings occur is the lack of communication. For promotion of good healthcare through a respectable meeting, it is necessary to be aware of the importance of a professional interpreter. The result also shows that cultural differences occur and a need for interpreter guidance when necessary is needed to avoid misunderstandings. With good knowledge in the issue the nurses will have better conditions for the meetings with the patients with different cultural backgrounds.

  • 91.
    Chkair, Hagar
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av att överleva ett hjärtstopp: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, approximately 10 000 people are annually subjected to a cardiac arrest, of which a proximately 500 survive. When one is subjected to a cardiac arrest it gives a feeling of bewilderment where the feeling of context and connection might disappear. Aim: To highlight the experience of surviving a cardiac arrest. Method: A systematic literature study utilizing eight articles with a qualitative approach concluded to the results. The research was made in two databases; Chinal and Pubmed. Results: Many experience a change physical activity and the majority were affected by unease and anxiety. Furthermore, the results showed that patients experienced an affect on their social relationships and they expressed the need to share their experienced with other people. Conclusion: Cardiac arrest led to patients assessing life differently after the incident. Many experienced that it was very valuable to share their experiences with others. The research suggests that the nursing unit did not give patients the support that they felt they needed.

  • 92.
    Christoffersson, Ellinor
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Monica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barn som bevittnar våld i hemmet: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is important that children grow up in a safe environment, however research shows that one of ten children witness domestic violence. When children grow up domestic violence they can lose important skills which can be hard to gain back. Therefor it is important that the children get the help and support they need.

    Aim: The purpose of the study was to describe children's experiences of domestic violence.

    Method: A literature review based on two quantitative and eight qualitative articles.

    Results: Children described different experiences when they witness domestic violence. Three themes emerged in the result, living with family violence, emotional reactions and help and support.

    Conclusion: Children who have witnessed domestic violence often need outside help to process the traumatic events. Professionals who work with children need a high competence to be able to assess all/different signs of trauma. The results of this study can be a support for the professionals who work with children.

  • 93.
    Couchér, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Niklasson, Victoria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vad skapar stress i sjuksköterskans arbetsmiljö?: En litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sick absences is rising due to mental illness and acute stress reactions. Nurses' experience of stress in their work environment is well-known. Previous studies shows that this may lead to sick absence and nurses quitting their jobs. The theoretical basis lies in a holistic perspective of the environment and that all factors in the environment has an impact on humans and their health.Aim: The aim of the study was to describe what causes stress in the nurses' work environment.Method: A literature based study was conducted. The study was based on qualitative and quantitative articles. A total of 12 articles were analyzed by identifying differences and similarities. It emerged into main theme and sub theme. Results: The study emerged into three main themes as causes of stress in the nurses' work environment. These main themes were 'interpersonal conflicts', 'the nurse's role' and 'the nature of work'. Conclusion: There were different factors that effected nurses' experience of stress. This factors were often linked and made an impact on one another. Therefore it is important that focus lies not only on individual factors but to improve the work environment in whole. The nurse also needs tools to handle stress in the work environment. More research is recommended when it comes to qualitative studies, prevention and coping.

  • 94.
    Dahl, Hanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Ida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vårdhundens påverkan på livskvaliteten hos den äldre människan: en analys av kvalitativa studier2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In an ever-changing society with inadequate resources, the elderly are easily forgotten. Despite the risk of side-effect, pharmaceutical drugs are added to promote their quality of life. Instead of drugs as a first step, perhaps one can give man's best friend a chance. Aim: The aim of this study was to illuminate the therapy dog’s impact on the quality of life of the elderly person. Method: This study was a qualitative literature-based study with an inductive approach, using a qualitative content analysis of the results from eight qualitative scientific articles. Result: The study resulted in three themes and eight sub-themes. The therapy-dog had a positive impact on the quality of life of the elderly person, both subjective and objective. The experience of well-being was created by the therapy-dog's influence to develop old memories, the feeling of harmony, and a break from everyday life. New opportunities were created when the care dog motivated the elderly to dare to open up, activate, and seek new relationships. Conclusion: The result shows that the meetings with the therapy-dog had positive impacts on several fronts of the elderly. What counts as beneficial impacts is subjective as well as relative. Contrary to everything positive, negative impacts may also occur. Conclusions that can be deduced from this study’s result are that the therapy-dog as an implementation contributes positively to the elderly's quality of life. It should be noted, however, that this intervention is not for everyone as there are allergies, fears, negative impacts and general dislike towards dogs and that this has to be respected. Keywords: Elderly, animal assisted therapy, health, quality of life.

  • 95.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Health care systems in transition: Equality, access and health literacy in three Scandinavian welfare states.: “The Emperor’s new clothes”: discourse analysis on how the patient is constructed in the new Swedish Patient Act2017Conference paper (Refereed)
    Abstract [en]

    The Swedish welfare debate increasingly focuses on market liberal notions and its healthcare perspective aims for more patient-centered care. This article examines the new Swedish Patient Act describing and analyzing how the patient is constructed in government documents. This study takes a Foucauldian discourse analysis approach following Willig’s analysis guide. The act contains an entitlement discourse for patients and a requirement discourse for healthcare personnel. These two discourses are governed by a values-based healthcare discourse. Neo-liberal ideology, in the form of New Public Management discourse, focusing on the value of efficiency and competition, is given a hegemonic position as laws and regulations are used to strengthen it. The new Swedish Patient Act seems to further strengthen this development. The Act underlines the increased entitlement for patients, but it is not legally binding as it offers patients only indirect entitlement to influence and control their care. To safeguard the patient’s entitlement under the Patient Act, healthcare personnel should be made aware of the contents of the Act, so that they can contribute to the creation of systems and working methods that facilitate respect of the Act’s provisions in daily healthcare work.

  • 96.
    Dahlgren, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kiesen, Clara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med endometrios, en sjukdom som styr livet2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a disease which, though it impacts one of ten women, has a lack of knowledge in the society and among healthcare professionals. The lack of knowledge causes delays in diagnosis and a lack of comprehension for the women.

    Aim: The aim of this study was to describe women's experiences of living with endometriosis.

    Method: The method used in this study was a method to contribute to evidence-based nursing with ground in analysis of qualitative research. Through the similarities and contradictions in the analyzed studies, themes and under-themes were created.

    Result: Findings showed that the women's experiences often were negative. Friends, family and healthcare professionals normalized the pain and the women often endured the pain in belief that it was normal. The lack of knowledge in endometriosis caused misdiagnosis and diagnostic delays. The endometriosis limited the women's daily living, work and social life by decreasing their activity because of symptoms as pain, nausea, fatigue, heavy bleeding and diarrhea. The disease also affected the women's relationships and the feeling of being a woman.

    Conclusion: The lack of knowledge in endometriosis caused an unnecessarily suffering among the women with the disease. If the awareness of endometriosis would increase in the society and among healthcare professionals the time for diagnosis and the encounters with patients suffering from endometriosis could improve.

  • 97.
    Dahlin, Sanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Jessica
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patienters upplevelser efter sin njurtransplantation: Att bidra till evidensbaserad omvårdnad med grund i analys av kvalitativ forskning2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Kidney failure require for certain, method of treatment by dialysis. Dialysis require a lot of time from the patients life. For some patient are kidney transplantation the last way out to recover. After a kidney transplantation patients need to take medications for a lifetime, so they don’t get a rejection of the new kidney.

    Aim: The aim of this study was to describe patients' experiences of life after a kidney transplant.

    Method: A literature review based on 9 articles with a qualitative approach.

    Results: After analysis two themes emerged; Emotional roller coaster and New me. It showed that patients who has been transplant are having mixed experiences of the life after transplantation. For example, some patient´s felt fear of rejection for the new organ and some felt hope for a new life, and fear of going back to dialysis. Some patient´s felt gratefulness to the people how were willing to donate a kidney for them, and they felt hope for a better life.

    Conclusion: People who have undergone a kidney transplant, are having both mental, physical and emotional strain

  • 98.
    Daouk, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Al Tememe, Zahra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av hemodialysbehandling2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The main function of the kidneys is to purge blood from waste products. When this function partially or completely ceases, the patient's blood is purified by a dialysis machine, either in hospital or in a dialysis reception. The treatment is time consuming because the patients need to perform the treatment at a specific place three to four times a week and, the treatment takes three to five hours. Aim: To describe the experiences of hemodialysis in patients with chronic renal failure. Method: A systematic literature study based on eleven articles with a qualitative approach were analyzed. Result: The result of the study showed that the patients´ experiences of hemodialysis revealed in four different themes. These were divided into limited freedom, changed interaction with the environment, patients' loss and uncertainty in the present and of the future. Conclusion: Being treated with hemodialysis involves major changes in the patients' daily life including, diet restrictions and time-consuming hospital visits. The changes affect several aspects of the patients´ physical, mental and social wellbeing.

  • 99.
    Daouk, Josefin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilebo, Moa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det palliativa slutskedet: Sjuksköterskans upplevelser kring faktorer som försvårar och möjliggör arbetet inom den palliativa vården av barn2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research have shown a lack of knowledge in pediatric palliative care. While working in the pediatric palliative care, nurses face a lot of emotions that are hard to cope with.

    Aim: The aim of this study was to explore nurse's experiences of factors that complicate and facilitate their work within' the pediatric palliative care.

    Method: The method used was a literature based study with focus on qualitative studies. Data were analyzed using Friberg's method of analyses. The analysis resulted in four main themes and nine subthemes.

    Results: The four main themes that emerged were "Organizational influence", "Nurse's own feelings", "The nursing role" and "Copingstrategies to manage experiences".

    Conclusion: Working with a child in palliative care may have an emotional impact on the nurse. With better education and knowledge the nurse can provide the child and the family more qualitative care.

  • 100.
    Darnolf, Margareta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lind, Margot
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur sjuksköterskor kan stärka personer med diabetes att hantera sin egenvård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes is a fastgrowing disease and a global health problem. It´s important that people with diabetes learn to manage their self-care to avoid complications, maintain a good health and get a freer life that they themselves control. The aim was to describe how nurses strengthens people with diabetes to manage their self-care. A literature study was carried through based on eight qualitative scientific articles and one quantitative scientific article. The analysis resulted into three main themes and five subthemes. The main themes were: strengthening self-care activities, relationships and patient at the center and support for self-care. Subthemes were: skills development, opportunities, control, communications and roles. This study indicates a patient/person-centred care from the perspective of individual which is consistent with the approach under development in Swedish health care today. Nurses need correct skills and required time to properly train and educate people. They also desire to gain new knowledge to educate people to a good self-care. Group-based personal education gives a good insight of the people and provides better health as well as lower costs of care due to fewer complications. Various efforts of "tools" for nurses to have in the education of people and the communication between the nurse-person functioning are crucial elements for achieving a good self-care. Nurses should be aware of the power relationship in the I-you- relationship with the person to avoid "taking over" the patient's empowerment and responsibility for their own self-care.

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