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  • 51.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    I backspegeln: en historisk återblick2010Ingår i: Att bli sjuksköterska : en introduktion till yrke och ämne / [ed] Dahlborg Lyckhage, Elisabeth, Lund: Studentlitteratur , 2010, 1, s. 39-57Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 52.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Praxis i vårdvetenskap2010Ingår i: Lärande i och för det nya arbetslivet / [ed] Lagrosen, Stefan, Lundh Snis, Ulrika, Nehls, Eddy, Lund: Studentlitteratur , 2010, 1, s. 139-154Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 53.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Sjuksköterskan, vem är det?2010Ingår i: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg Lyckhage, Elisabeth, Lund: Studentlitteratur , 2010, 1, s. 21-37Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 54.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Vårdandets normer: minskat handlingsutrymmer för vårdare och patient2015Ingår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar & Tengelin, Ellinor, Lund: Studentlitteratur , 2015, s. 61-77Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 55.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Boman, Åse
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Analysis of discourses in a health care context2010Ingår i: Challenging the Boundaries, Vancouver, Canada, 3-5 October 2010, 2010Konferensbidrag (Refereegranskat)
    Abstract [en]

    Abstract

    To develop nursing as a critical normative science (Kirkevold, 2009), a description of the various care areas and different health phenomena is needed. This is being done on the basis of various qualitative methods´; hence within nursing discourse analysis is used to a limited extent. The aim of this paper is to exemplify phenomenon and topics within nursing that have been studied by using discourse analysis. The examples are from studies conducted during the previous years by the authors. Discourses within palliative care based on documents and observations (2009), nursing as a subordinated profession, based on media analysis (2009), and an ongoing study about discourses within care of children with diabetes based on policy documents in the Nordic countries.

    Discourse analysis provides data, such as interviews, actions and documents to be analyzed in a broader system of knowledge (Wilkinson & Kitzinger, 2000., Lupton, 1993). A discourse is a “systems of thought and systematic ways of carving out reality and is composed by structures of knowledge that influences systems of practice” (Chambon, 1999). All discourses are textual and an inter-textual drawing upon other texts, contextually embedded in historical political and cultural settings. A given text also transforms in a manner that is socially constrained and conditional upon relations of power (Foucault 1979). As Bacchi (2005) urges it is possible to adopt a more comprehensive dual-focus agenda in discourse analysis, taking into account the dual movement of discourse: the way discourse speaks us and the way we speak the discourse.

  • 56.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lau, Malena
    Vithetsnormer: normer som producerar "hudfärgade" plåster2015Ingår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar, Tengelin, Ellinor, Lund: Studentlitteratur AB, 2015, 1, s. 131-151Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 57.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lau, Malena
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå.
    Normer som hinder för jämlik och rättighetsbaserad vård2015Ingår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar & Tengelin, Ellinor,, Lund: Studentlitteratur AB, 2015, 1, s. 37-57Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 58.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lidén, Eva
    Sahlgrenska Academy at the University of Gothenburg, Institute of Health and Care Sciences.
    Competing discourses in palliative care.2010Ingår i: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, ISSN 1433-7339, Vol. 18, nr 5, s. 573-582Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Palliative care focuses on early identification as well as prevention and alleviation of suffering. Previous studies have established that palliative care is a disciplinary area in a state of transformation due to the involvement of different professional categories and that nursing care in the palliative context is influenced by the dominance of the medical perspective. AIM: This study aimed to describe palliative care from a nursing perspective prior to the implementation of a palliative care programme. PATIENTS AND METHODS: The approach was inspired by the ethnographic method and a constructionist perspective was used as a theoretical framework, as the focus was on existing palliative care discourses. Field studies were conducted on a ward where palliative care was provided to patients at the end of life. Approval for the study was granted by the Ethics Committee at Sahlgrenska Academy. Data were collected by means of participant field studies, informal deliberations and other relevant documents. MAIN RESULTS: Four different discourses were discerned: caring, non-caring, curing and the organisation. CONCLUSIONS: The ethos on the ward was strongly linked to the medical discourse. We consider that a prerequisite for the organisation of palliative care is an expressed caring perspective based on the patients' experiences of suffering, which perspective is lacking in the curing and organisational discourses.

  • 59.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lyckhage, GunnarTengelin, EllinorHögskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå.
    Jämlik vård: normmedvetna perspektiv2015Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
  • 60.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Määttä, Sylvia
    The influence of gender in academia: a case study of a university college in Sweden2011Ingår i: Equality, Diversity and Inclusion, ISSN 2040-7149, E-ISSN 2040-7157, ISSN 2040-7149, Vol. 30, nr 5, s. 379-393Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose – The aim of this paper is to describe senior lecturers' experiences of and reflections on the influence of gender on their work and career possibilities.

    Design/methodology/approach – Eight informants, four female and four male university teachers, representing different schools at a Swedish university college were interviewed. A qualitative content method was used for analysis.

    Findings – The findings revealed that the lecturers at the university college had an experience of academic gender neutrality. The findings also pointed to experiences of gendered practice that had been internalized and made normal. It also revealed that the lecturers did not consider or reflect on the gap between experiences of and reflections on gender neutrality and gendered practice.

    Research limitations/implications – Even if the number of informants is small, the findings have something important to tell about the gap between gender-neutral academia and practice in academia.

    Originality/value – The findings imply that although the Swedish model of equality work has been successful in many ways, a confrontation on the micro-political level is required to achieve a gender equality workplace environment and to increase women's career possibilities.

  • 61.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Work-Integrated Learning: A Didactic Tool to Develop Praxis in Nurse Education2014Ingår i: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 37, nr 1, s. 61-69Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Praxis is a concept that is both vague and overused in nursing science. Hence, a more stringent use of the concept praxis could help clarify the connections between theory and practice. The purpose of this theoretical article was to highlight the advantages of developing praxis in nursing education. By using praxis as a dialectic concept, nurse educators can make significant contributions to clinical practice by clarifying that theory and practice are perceived as 2 sides of same coin, leading to a move from "being in praxis" to "being of praxis," a way to develop the professionÊs autonomy. © 2014 Lippincott Williams and Wilkins.

  • 62.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Pilhammar, Ewa
    Sahlgrenska Academy at Göteborg University, Institute of Health Care Sciencies.
    The importance of awareness of nursing students' denotative images of nursing2008Ingår i: Journal of Nursing Education, ISSN 0148-4834, E-ISSN 1938-2421, Vol. 47, nr 12, s. 537-543Artikel i tidskrift (Refereegranskat)
  • 63.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Pilhammar-Anderson, Ewa
    University of Gothenburg.
    Predominant discourses in Swedish nursing2009Ingår i: Policy, Politics & Nursing Practice, ISSN 1527-1544, E-ISSN 1552-7468, Vol. 10, nr 2, s. 163-71Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to elucidate the predominant discourse in the field of Swedish nursing in 2000, 25 years after nursing was introduced as an academic discipline in Sweden. The method used was content analysis and deconstructive analysis of discourses. Laws, statutes, regulations, and examination requirements, including official reports, recruitment campaigns, and media coverage, were analyzed. The findings uncovered competing discourses striving to gain hegemony. In the public sector, official requirements competed against the media fixation on gender stereotypes and the realities of local recruitment campaigns. Media has a major role in disseminating prevailing conceptions and conventions pertaining to the nursing profession. As a result, decision makers, students, patients, and family members could get lower expectations of the professional competence of nursing practitioners than would otherwise have been the case in the absence of media exposure.

  • 64.
    Dahlqvist, Julia
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Stalefors, Josefin
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Child health care nurses' strategies in meeting with parents who are hesitant to child vaccinations2014Ingår i: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 2, nr 4, s. 47-59Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to describe how nurses in child health centres deal with parents who are hesitant to child vaccinations. Method: A study with a qualitative approach that was based on 12 semi-structured interviews. The informants were nurses working in child health centres in the Västra Götaland region. The interviews were analysed using qualitative content analysis. Results: The results identified six strategies for dealing with vaccine-hesitant parents: 1) using the family’s resources and knowledge to create a trusting relationship; 2) meetings with the same nurse; 3) open dialogue and active listening; 4) regular meetings between nurse and paediatrician; 5) nurse training on new vaccines and vaccination programme; and 6) nurse training on parents’ use of publicly available information. Conclusion: Nurses should get to know the vaccine-hesitant parents, by listening to them and understanding their point of view. Thereby, nurses establish a good relationship, inspire trust and actively involve the parents in the decision-making concerning the vaccination of their child. Nurses should not make vaccine-hesitant parents feel guilty about not wanting to vaccinate their child.

  • 65.
    Dale, Björg
    et al.
    University of Agder, Faculty of Health and Sport.
    Sævareid, Hans Inge
    University of Agder, Faculty of Health and Sport.
    Kirkevold, Marit
    University of Oslo, Faculty of Medicine, Institute of Nursing and Health Science.
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Older home nursing patients' perception of social provisions and received care2010Ingår i: Scandinavian Journal of Caring Sciences, Vol. 24, nr 3, s. 523-532Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Social loneliness and isolation may be some of the consequences that older people experience regarding age-related changes and losses, and nurses should be engaged in identifying social networks and social needs in this group. The aims of this study were to describe perceived social provisions in a group of older home-dwelling care-dependent patients, and to explore the relationship between perceived social provisions, physical functioning, mental state and reception of formal and informal care. The sample consisted of 242 persons aged 75+ years from seven municipalities in southern Norway, all receiving home nursing. Data were collected by means of structured interviews. Social support was assessed using the revised Social Provisions Scale. Physical functioning was assessed using the Barthel Index, and mental state using questions about loneliness, depressive symptoms and anxiety. Types and frequencies of social network contacts and formal and informal care were registered. Descriptive statistics, Mann-Whitney U-tests, Cronbach's alpha coefficient and stepwise multiple regression were used in the analyses. In general, the level of perceived social provisions and togetherness in the study group was high, especially among women and the married. Decreased physical functioning and declined mental state were related to lower level of social provisions. The majority of the individuals had frequently contacts with several types of social networks, like friends, neighbours and religious communities, in addition to close family. Contact with these informal networks was found to be close related to perceived social support and togetherness. Reduced social provisions was related to increased amount of home nursing, which could indicate that demand for home care may work as a strategy to gain social contact. In this sense, dependence in daily life functioning could possibly contribute to social contact rather than reduce it. © 2010 The Authors. Journal compilation © 2010 Nordic College of Caring Science.

  • 66.
    Dale, Björg
    et al.
    University of Agder.
    Sævereid, Hans Inge
    Kirkevold, Marit
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Formal and informal care in relation to activities of daily living and self-perceived health among older care-dependent individuals in Norway.2008Ingår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 17, nr 3, s. 194-203Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background. Research about formal care of older home-dwelling people in the Nordic countries is comprehensive, while research on informal care has been less inclusive.

    Aim. To describe self-reported activities of daily living and perceived health, and to relate them to amount and types of formal and informal care received by a group of care-dependent, home-dwelling older individuals in Norway.

    Design and methods. A sample consisting of 242 persons aged 75+ years receiving home nursing services. Data were collected by means of structured interviews with questions about activities of daily living (ADL), amount and types of formal and informal care and demographic variables. Descriptive statistics, chi-square test, Mann-Whitney U-test and multiple stepwise regression were used in the analyses.

    Results. ADL dependency was the only predictor for explaining quantity of home nursing received. Those who received a generous amount of formal care also received a lot of care and support from informal networks. The type of care from the two sources differed. The home nurses performed PADL tasks. While the informal caregivers offered help with IADL tasks.

    Conclusion. This study of receiving help in this group of older people in Norway shows that formal and informal care resources complement one another.

  • 67. Davallius, Carl-Axel
    et al.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Hälsorelaterad information via Internet: Hinder och möjligheter för individen2006Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 26, nr 4, s. 37-40Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Increasingly people use the Internet to find health-related information. However, to obtain information of good quality there may be obstacles. The aim of this literature review was to gain knowledge about use of the Internet in developing health related knowledge. Two questions were posted: What factors can be obstacles in understanding health-related information on the Internet? What effects can health related information obtained from the Internet have for the user? In a systematic search in CINAHL and Pubmed, and a systematic review of two specific journals from the years 2000 to 2004, 14 scientific articles were found. Use of the Internet is related to the individual’s age, socio-economical factors, ethnicity, and health. Information obtained from the Internet may influence the patient-caregiver relation, as well as the individual’s sense of security and independence. There are learning needs for the individual in how to use the Internet and needs for improvement of the search-engines and websites

  • 68.
    Davallius, Carl-Axel
    et al.
    NU-sjukvården, Västra Götalandsregionen.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Quality of some Swedish websites on ‘Heart attack’ assessed with the EU quality criteria2009Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, nr 1, s. 9-13Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To evaluate quality of websites containing health information about heart attack in the Swedish language, accessible via one common used search engine available to the general public. Background: Increasingly, information about different health problems is sought on the Internet. From a layman perspective, such information can be hard to find, to understand and to trust. Health care professionals should be able to inform and teach the individual safe ways of finding health information of good quality on the Internet, which involves assessments of the websites. Methods: In one common used search engine, the Google, one search was performed during February 2006. Seventy websites were evaluated using one or all the European Union (EU) quality criteria. Findings: No website met all the criteria, but websites found on the search engines first search pages, met the criteria in the best way. Those websites were primarily aimed at mediating health information to the general public provided by government authorities, county councils, universities and companies. Conclusions: Ethnic minority groups, and individuals with low literacy skills/or visual impairments, may have difficulties finding suitable information. The EU quality criteria need to be refined in order to better assess the quality on different kind of websites.

  • 69.
    Emilsson, Maria
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Betydelsen av personlighet och uppfattning om läkemedel för följsamhet till astmamedicinering2010Licentiatavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    En okontrollerad astma kan leda till komplikationer i lungor och luftvägar. Astma kan kontrolleras med läkemedelsbehandling men fullständig astmakontroll uppnås inte alltid. Den vanligaste orsaken till att astmakontrollen inte uppnås är brister i följsamheten till astmamedicinering. Syfte: 1) Att undersöka om personlighetsdrag hos unga vuxna med astma var relaterad till astmakon-troll och hälsorelaterad livskvalitet, samt belysa samband mellan personlighetsdrag och följsamhet till regelbunden a... merstmamedicinering. 2) Att belysa samband mellan personlighetsdrag, uppfattning om läkemedel och följsamhet till astmamedicinering. Material och metod: I Studie I ingick 268 individer (165 kvinnor och 103 män) i åldern 22 år (±1år). I Studie II ingick 35 patienter (25 kvinnor och 10 män) med en medelålder av 52.8 år. I studierna an-vändes frågeformulär för att samla in data om personlighet, följsamhet, astmakontroll, hälsorelaterad livskvalitet och uppfattning om läkemedel. Resultat: Personlighet hade samband med följsamhet till astmamedicinering, uppfattningar om läke-medel, astmakontroll och hälsorelaterad livskvalitet. I Studie I framkom att de som skattade sig mer impulsiva rapporterade lägre följsamhet. Ett negativt samband fanns mellan höga värden i personlig-hetsdraget alexitymi (bristande intresse att förstå och prata om känslor) och följsamhet till astmamedi-cinering hos unga vuxna män. Likaledes framkom ett negativt samband mellan personlighetsdraget antagonism och följsamhet hos unga vuxna män. Hos båda könen var personlighetsdraget negativ af-fektivitet relaterat till dåligt kontrollerad astma. Det indikerades att personlighet kan påverka den men-tala hälsan hos både unga kvinnor och män, medan den fysiska hälsan hade samband med astmakon-troll och fysisk aktivitet. I Studie II framkom att fyra av fem personlighetsdrag hade samband i olika riktningar med uppfattningar om läkemedel. Högt värde i Specefikt-nödvändighetsskalan (uppfattning om nödvändigheten av förskrivna läkemedel) var relaterat till hög grad av följsamhet. Personlighets-draget målmedvetenhet var relaterat till hög följsamhet hos män. Känslomässig instabilitet hade sam-band med lägre värden i följsamhet också hos män. Konklusion: Kunskapen om personlighetens betydelse behöver fördjupas, men uppsatsens resultat indikerar behovet av att identifiera individuella skillnader i personlighet för att öka patienternas följ-samhetsbeteende, stärka deras uppfattning om nödvändigheten av läkemedelsbehandling och minska deras oro för läkemedelsbehandling, vilket har betydelse för både astmakontroll och hälsorelaterad livskvalitet. 

  • 70.
    Emilsson, Maria
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Lötvall, Jan
    Krefting Research center.
    Millqvist, Eva
    Department of Internal Medicine/Respiratory Medicine and Allergology, Sahlgrenska University Hospital.
    Lundgren, Jesper
    Instutionen för Psykologi, Göteborgs universitet.
    Johansson, Åke
    Avdelning för lung medicin Central sjukhuset Skövde.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning. Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    The Influence of personality traits and beliefs about medicines on adherence to asthma treatment2011Ingår i: Primary Care Respiratory Journal, ISSN 1471-4418, E-ISSN 1475-1534, Vol. 20, nr 2, s. 141-147Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

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

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

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

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

  • 71.
    Emilsson, Maria
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Sandén, Inger
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Sjuksköterskors omvårdnad av vuxna patienter med feber2007Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, nr 1, s. 37-42Artikel i tidskrift (Refereegranskat)
  • 72.
    Engström, Maria
    et al.
    Linköping University, Radiology, Department of Medical and Health Sciences, .
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Landtblom, Anne-Marie
    Linköping University, Center for Medical Image Science and Visualization (CMIV).
    Ek, Anna-Christina
    Linköping University, Nursing Science, Department of Medical and Health Sciences.
    Karlsson, Thomas
    Linköping University, Center for Medical Image Science and Visualization (CMIV).
    Thalamo-striato-cortical determinants to fatigue in multiple sclerosis2013Ingår i: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 3, nr 6, s. 715-728Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background The aim was to explore the thalamo-striato-cortical theory of central fatigue in multiple sclerosis (MS) patients with self-reported fatigue. If the theory correctly predicted fatigue based on disruptions of the thalamo-striato-cortical network, we expected altered brain activation in this network in MS participants while performing a complex cognitive task that challenged fatigue. Methods

  • 73.
    Fast, Anna
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Att vara äldre och leva med kronisk hjärtsvikt: En intervjustudie2010Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Abstract

     

    Chronic heart failure is a common disease in elderly, and is the most common reason for hospitalization in patients over 65 years of age. Research on the elderly and heart failure often focus on treatment strategies, less research is available on patients' own experiences of living with chronic heart failure. The purpose of this interview study, was to gain more knowledge about patients´ own experiences of living with chronic heart failure. Nine patients were interviewed and the text was transcribed verbatim and it was then analyzed with a phenomenological hermeneutical method. From the analysis, three main themes emerged. The analysis showed that all patients had lack of knowledge in terms of their disease, but also, knowledge about treatment and self-care was scarce. Living with chronic heart failure also affected the daily life negative in many ways. Isolation, difficulty to manage daily activities and, above all, lack of energy made the quality of life poor. All patients were dependent on help from relatives or outsiders in order to complete their daily lives. However, several informants could not see the need for more help from outside and relied entirely on the help and support from relatives. This leads to an unsustainable home situation with repeated admissions to hospital as a result. Conclusion: We nurses need to be better at helping patients to be more involved in their treatment and to take more responsibility for their own self-care. We should also involve and support family members and motivate the patient to accept professional help, and then we might reduce several readmissions and improve patients’ wellbeing.

  • 74.
    Fex, Angelika
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Ek, Anna-Christina
    Linköpings universitet, Institutionen för medicin och hälsa.
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Health–illness transition among persons using advanced medical technology at home2011Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, nr 2, s. 253-261Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 75.
    Fex, Angelika
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Ek, Anna-Christina
    Linköping University, Department of Medicine and Health, Faculty of Health Sciences .
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Living with an adult family member using advanced medical technology at home2011Ingår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 18, nr 4, s. 336-347Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

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

  • 76.
    Fex, Angelika
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Ek, Anna-Christina
    Linköping University, Department of Medicine and Health, Faculty of Health Sciences.
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Self-care agency and perceived health among people using advanced medical technology at home2012Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 68, nr 4, s. 806-815Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim.

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

    of people using advanced medical technology at home.

     

    Background.

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

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

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

    and sense of coherence has previously been implied.

     

    Methods.

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

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

    questionnaire addressed perceived health and daily life with medical technology.

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

    of Antonovsky’s sense of coherence scale were included.

     

    Results.

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

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

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

    satisfactory. Perceived health was rated significantly lower among participants using

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

    close contact with others and not feeling helpless contributed positively to

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

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

    negative factor.

     

    Conclusion.

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

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

  • 77.
    Finnström, Berit
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Kokinsky., Eva
    Utvärdering av två självskattningsinstrument för smärta bland barn på en akutmottagning2008Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, nr 1, s. 48-50Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this pilot study a faces pain scale (FPS) and the ColouredAnalogue Scale (CAS) were evaluated. The FPS consists of six faces corresponding to a numeric scale of 0 to 10, and the CAS is a modified visual analogue scale from 0 to 10. The aims were to examine if FPS and CAS were considered as equal, valid and applicable in measuring pain in children in an emergency room. To assess concurrent validity, 62 children in an emergency room were asked to mark their current pain on both self-report scales. When construct validity was assessed, a subgroup of children (n=19) was asked to score their pain before and after administered analgesics. All children were asked which scale they preferred. There were no significant differences in the scores between the scales. The correlation between them was 0.64 for children >8 years of age and 0.66 for children 4.5–7 years (p<0.05). Median scores after analgesic administration decreased from 5.8 to 4.2 with CAS (p<0.001) and from 6 to 4 with FPS (p<0.001). Children >8 years preferred CAS, while younger children preferred FPS (p<0.05). Both scales showed concurrent and construct validity in this study group of untrained children in an emergency room.

  • 78.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Det vetenskapliga ämnet2014Ingår i: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg-Lyckhage, Elisabeth, Lund: Studentlitteratur AB, 2014, 2., s. 85-106Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 79.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Det vetenskapliga ämnet2010Ingår i: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg Lyckhage, Elisabeth, Lund: Studentlitteratur , 2010, 1, s. 85-107Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 80.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Fatigue in individuals with multiple sclerosis: lived experiences and perceived impact in daily life2005Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
  • 81.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Vem är patienten?2014Ingår i: Att bli sjuksköterska -e: en introduktion till yrke och ämne / [ed] Dahlborg-Lyckhage, Elisabeth, Lund: Studentlitteratur , 2014, 2., s. 107-120Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 82.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Vem är patienten2010Ingår i: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg Lyckhage, Elisabeth, Lund: Studentlitteratur , 2010, 1, s. 109-122Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 83.
    Flensner, Gullvi
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Ek, Anna-Christina
    Linköping University, Department of Medicine and Health, Faculty of Health Sciences .
    Landtblom, Anne-Marie
    Linköping University, Division of Neurology, Faculty of Health Sciences.
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Fatigue in relation to perceived health: People with multiple sclerosis compared with people in the general population2008Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 22, nr 3, s. 391-400Artikel i tidskrift (Refereegranskat)
  • 84.
    Flensner, Gullvi
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för omvårdnad (HTU).
    Ek, Anna-Christina
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Reliability and validity of the Swedish version of the Fatigue Impact Scale (FIS).2005Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 12, nr 4, s. 170-180Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Fatigue is a complex phenomenon that, for those not affected, is hard to understand. To achieve better assessments, caregivers need reliable and valid tools. The aim of this study was to investigate the reliability and validity of the Swedish version of the Fatigue Impact Scale (FIS) among working-aged individuals diagnosed with multiple sclerosis (MS), as well as in a comparative group randomly selected from the general population in the same geographical area. Both individuals with MS ( n =161) and individuals recruited from the general population ( n =194) participated in the study. A questionnaire was used for the data collection. The data were analysed using non-parametric statistical methods. Reliability of FIS was addressed by item-to-item and item-to-total correlations. Concurrent validity was tested for by analysing correlations between the FIS and general questions, and construct validity by investigation of differences in the FIS scores between known groups. The FIS was found to be homogenous, with item-to-total correlation coefficients of 0.42 ≤ r s ≤0.86 ( p [ABSTRACT FROM AUTHOR]

  • 85.
    Flensner, Gullvi
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Ek, Anna-Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Reply to commentary on "Reliability and validity of the Swedish version of the Fatigue Impact Scale (FIS)"2006Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 13, nr 2, s. 134-Artikel i tidskrift (Refereegranskat)
  • 86.
    Flensner, Gullvi
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Ek, Anna-Christina
    Linköping University, Department of Medicine and Health, Division of Nursing Science, Faculty of Health Sciences.
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Landtblom, Anne-Marie
    Linköping University Division of Neuroscience, Department of Clinical and Experimental Medicine, Faculty of Health Sciences.
    Sensitivity to heat in MS patients: A factor strongly influencing symptomology - an explorative survey2011Ingår i: BMC neuroscience (Online), ISSN 1471-2202, E-ISSN 1471-2202, Vol. 11, nr 27Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Many individuals diagnosed with Multiple Sclerosis (MS) are sensitive to increased body temperature, which has been recognized as correlating with the symptom of fatigue. The need to explore this association has been highlighted. The aim of this study was to investigate the occurrence of heat sensitivity and its relations to disease course, disability, common MS-related symptoms and ongoing immunosuppressive treatments among individuals 65 years of age or younger diagnosed with MS.Methods: A cross-sectional designed survey was undertaken. A questionnaire was sent to MS-patients with an Expanded Disability Status Score (EDSS) in the interval of 0-6.5 and who were between 20 and 65 years of age, living in an eastern region of Sweden (n = 334). Besides occurrence of heat sensitivity (Yes/No) and corresponding questions, the Fatigue Severity Scale (FSS), the MS-related symptom checklist and the Perceived Deficit Questionnaire (PDQ) were included. Data were analysed in relation to data level using Chi-square, Mann Whitney U-test, and Student's t-test. Pearson's and Spearman's correlations were calculated. In the logistic regression analyses (enter) dichotomized MS-symptoms were used as dependent variables, and EDSS, disease-course, time since onset, heat-sensitivity, age and sex (female/male) were independent variables. In the linear regression analyses, enter, mean FSS and summarized PDQ were entered as dependent variables and EDSS, disease-course, time since onset, heat sensitivity, age and sex (female/male) were independent variables.Results: Of the responding patients (n = 256), 58% reported heat sensitivity. The regression analyses revealed heat sensitivity as a significant factor relating not only to fatigue (p < 0.001), but also to several other common MS symptoms such as pain (p < 0.001), concentration difficulties (p < 0.001), and urination urgency (p = 0.009).Conclusions: Heat sensitivity in MS patients is a key symptom that is highly correlated with disabling symptoms such as fatigue, pain, concentration difficulty and urination urgency. © 2011 Flensner et al; licensee BioMed Central Ltd.

  • 87.
    Flensner, Gullvi
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lindencrona, Catharina
    The cooling-suit: a study of ten multiple sclerosis patients’ experiences in daily life1999Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 29, nr 6, s. 1444-1453Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The cooling-suit: a study of ten multiple sclerosis patients’ experiences in daily life Approximately 60%–80% of all multiple sclerosis (MS) patients are heat sensitive. The aim of this study was to gain information on the effects of an assistive device, the cooling-suit, on MS-patients’ self-care ability and also practical implications. A single-case approach was adopted in a quasi- experimental before-and-after study. The cooling-suit was used in their own homes by 10 individuals with diagnosed MS in different stages from relapsing–remitting to chronic progressive. Data collection procedures were self-assessment through a structured assessment-instrument, an open-ended interview before and after the intervention and a diary written during one week. The selected instrument, the MS Self-Care ADL Scale, has been developed for persons with MS and was translated into Swedish. The results showed increased self-care ability during and after use of the cooling-suit. However, different aspects of daily life activities were improved and to a varying extent. It is concluded that the study participants were supported and empowered in different activities of daily life such as walking and transfer and reduced voiding problems by using the cooling-suit. Some difficulties in handling the cooling-suit were also reported. [ABSTRACT FROM AUTHOR]

  • 88.
    Flensner, Gullvi
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lindencrona, Catharina
    The National Board of Health and Welfare, Stockholm.
    The cooling-suit: case studies of its influence on fatigue among eight individuals with multiple sclerosis.2002Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 37, nr 6, s. 541-50Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM OF THE STUDY: To study if the use of a cooling-suit by individuals with multiple sclerosis (MS) influenced their experience of fatigue and consequent restrictions in daily life. BACKGROUND: The majority of MS patients consider fatigue as one of their most disabling symptoms and as having a significant impact on their daily lives. Fatigue often increases in a warm environment. A cooling-suit has been reported as a practical method of cooling, but the effect on fatigue has not yet been studied. RESEARCH METHODS: Eight individuals used a cooling-suit in their own homes during a test-period. In a single case-control design, their experience of fatigue was studied before and after. Quantitative and qualitative methods were used: self-assessments using the Fatigue Impact Scale (FIS), open-ended interviews and semi-structured diaries. RESULTS: All study participants reported a reduction in fatigue during the test period. On the FIS, they scored reductions in the physical, cognitive and psycho-social dimensions of daily life. They experienced fatigue less often and for shorter periods. In their diaries and interviews they described decreased muscular strain, less sense of fatigue in relation to intake of food and positive effects on cognitive, social or affective problems related to fatigue. DISCUSSION: The cooling-suit is a practical method for cooling. It gives freedom and flexibility and can be used regardless of setting. Nurses who meet heat-sensitive individuals with MS have the opportunity to give information on cooling methods, including how to use a cooling-suit. In this pilot study we found that individuals with MS who suffered from fatigue reported a number of improvements in quality of daily life. CONCLUSIONS: The result indicates that use of a cooling-suit by individuals with MS may decrease their sense of fatigue. In this sample positive outcomes on daily life situations were reported. Further studies are needed to support these results.

  • 89.
    Flensner, Gullvi
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Rudolfsson, Gudrun
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Learning to fly with broken wings - forcing a reappraisal of time and space.2016Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, nr 2, s. 403-410Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: When living with a chronic disease, the whole human being is affected and his/her experience of health challenged.AIM: This study had a dual aim: to obtain a new understanding of experiences of the body among persons suffering from the chronic neurological disease multiple sclerosis (MS) and how they come to terms with such experiences.

    METHOD: A total of ten interviews were re-analysed using a hermeneutic approach.

    RESULTS: The experiences of the body were revealed as 'Learning to fly with broken wings', comprising two themes: 'Getting to know the foreign body' and 'Building a new living space', both requiring reappraisal of time and space.

    CONCLUSION: Living with a chronic disease such as MS means learning to fly with broken wings, which involves subordination to the body leading to a higher level of integration in the process of becoming towards health and well-being.

  • 90.
    Fredriksson-Larsson, Ulla
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Alsén, Pia
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    I've lost the person I used to be-Experiences of the consequences of fatigue following myocardial infarction2013Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8, s. 20836-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Fatigue has been found to be the most frequent and bothersome symptom after myocardial infarction (MI), influencing health-related quality of life negatively. Moreover, fatigue after MI has been described as incomprehensible due to its unpredictable occurrence and lack of relationship to physical effort. The aim of this study is therefore to explore persons' experiences of consequences of fatigue and their strategies for dealing with it 2 months after MI. In total, 18 informants, aged 42-75 years, participated in the study. Interviews were conducted and analysed using constructivist grounded theory methodology. Grounded in the data, the main consequence of fatigue, as illustrated in the core category, was: I've lost the person I used to be. It indicates a sense of reduced ability to manage daily life due to experiences of fatigue. The core category was developed from the four categories: involuntary thoughts, certainties replaced with question marks, driving with the handbrake on and just being is enough. Furthermore, attempts to relieve fatigue were limited. These findings indicate that patients with symptoms of fatigue should be supported in developing relief strategies, for example, rest and sleep hygiene as well as physical activity. In conclusion, the results show that fatigue can be understood in light of the concepts "comprehensibility" and "manageability." They also indicate that, working from a person-centered perspective, health-care professionals can support patients experiencing post-MI fatigue by giving them opportunities to straighten out the question marks and by inviting them to discuss involuntary thoughts and feelings of being restricted in their daily life functioning.

  • 91.
    Fredriksson-Larsson, Ulla
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden. 3Centre for Person-Centred Care, University of Gothenburg, Gothenburg, Sweden..
    Alsén, Pia
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Karlson, Björn W
    AstraZeneca, Mölndal, Sweden.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. University of Gothenburg, Institute of Health and Care Sciences.
    Fatigue two months after myocardial infarction and its relationships with other concurrent symptoms, sleep quality and coping strategies.2015Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, nr 15-16, s. 2192-2200Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIMS AND OBJECTIVES: To explore fatigue levels two months after myocardial infarction and examine the associations with other concurrent symptoms, sleep quality and coping strategies.

    BACKGROUND: Fatigue has been found to be the most frequent and bothersome symptom after myocardial infarction, influencing health-related quality of life negatively.

    DESIGN: The present study was explorative and cross-sectional. The focus was on fatigue two months postmyocardial infarction, complemented with a comparative analysis of fatigue dimension levels.

    METHODS: The sample included 142 persons (mean age 63 years), treated for myocardial infarction, who responded to a questionnaire package measuring fatigue, depression, health complaints (symptoms), sleep quality and coping strategies.

    RESULTS: The main results showed that a global fatigue score two months postmyocardial infarction was associated with concurrent symptoms, such as breathlessness and stress, and coping strategies such as change in values, intrusion and isolation. In comparisons of present fatigue dimension levels (general fatigue, physical fatigue, reduced activity and mental fatigue) two months postmyocardial infarction with baseline measurements (first week in hospital), the results showed that levels of fatigue dimensions had decreased. In comparisons with levels of fatigue four months postmyocardial infarction in a reference group, we found lower levels of fatigue two months postmyocardial infarction.

    CONCLUSION: The present findings indicated that postmyocardial infarction fatigue is lowest two months postmyocardial infarction. This may thus be the right time to identify persons experiencing postmyocardial infarction fatigue, as timely fatigue relief support may prevent progression into a state of higher levels of fatigue.

    RELEVANCE TO CLINIC PRACTICE: Measuring fatigue two months postmyocardial infarction would enable healthcare professionals to identify persons experiencing fatigue and to introduce fatigue relief support. Tailored rehabilitation support should include stress management and breathlessness relief support. If maladaptive use of the coping strategies isolation and intrusion is observed, these strategies could be discussed together with the patient.

  • 92. Frejd, Lisa
    et al.
    Nordén, Gunnela
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Att bli transplanterad: En studie av patientens upplevelse2008Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, nr 2, s. 14-18Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Transplantation is a well established form of treatment for terminal organs failure. Most patients that undergo this treatment havebeen through a period of severe illness and suffering. In the care of the patient the nurse can ease the suffering.The aim of this study was to describe how patients experience organ transplantation.Methods: Nine kidney transplanted and five liver transplanted patients were interviewed concerning their experience of transplantation.Interviews with semi constructed questions were performed at two occasions during the first month post transplanted. The text was then analyzedwith the qualitative content analysis.Results: After text analysis seven categories and two themes emerged. The themes were – physical suffering and physical well-being. Aftertransplantation the recollection of illness was very strong and despite severe disease trust in the health care and in the careers remained high.Conclusions:It is central that nurses are aware of that process – to go from a life threatening illness to an experience of well-being – is slow.If nurses are conscious about this, an opportunity to persist patients trust toward the health care and health careers, is given.

  • 93.
    Fulton, John
    et al.
    School of Health, Natural and Social Sciences, University of Sunderland, United Kingdom.
    Bøhler, Ann
    University College Buskerud, Drammen, Norway.
    Hansen, Grethe Storm
    University College Buskerud, Drammen, Norway.
    Kauffeldt, Anders
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Welander, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Santos, Margarida Reis
    Escola Superior de Enfermagem de São João, Porto, Portugal.
    Thorarinsdottir, Kristin
    University of Akureyri, Iceland.
    Ziarko, Ewa
    Instytyt Pielegniarstwa, Krakow, Poland.
    Mentorship: An international perspective2007Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 7, nr 6, s. 399-406Artikel i tidskrift (Refereegranskat)
  • 94.
    Fäldt, Camilla
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Hansson, Ann
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Emilsson, Maria
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Sandén, Inger
    Hälsouniversitetet, Linköping.
    Granskning av sjuksköterskorsomvårdnadsdokumentation rörandeurininkontinens hos äldre personer2009Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, nr 4, s. 20-24Artikel i tidskrift (Refereegranskat)
  • 95.
    Gauffin, Helena
    et al.
    Linköping University, Department of Neurology and Department of Clinical and Experimental Medicine, Linköping, Sweden.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Landtblom, Anne-Marie
    Uppsala University, Department of Neuroscience, Uppsala, Sweden.
    Being parents with epilepsy: thoughts on its consequences and difficulties affecting their children2015Ingår i: Neuropsychiatric Disease and Treatment, ISSN 1176-6328, E-ISSN 1178-2021, Vol. 11, s. 1291-1298, artikel-id NDT.S74222Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: Parents with epilepsy can be concerned about the consequences of epilepsy affecting their children. The aim of this paper is to describe aspects of what it means being a parent having epilepsy, focusing the parents’ perspectives and their thoughts on having children.

    Methods:

    Fourteen adults aged 18–35 years with epilepsy and subjective memory decline took part in focus-group interviews. The interviews were conducted according to a semi-structured guideline. Material containing aspects of parenthood was extracted from the original interviews and a secondary analysis was done according to a content-analysis guideline. Interviews with two parents for the Swedish book Leva med epilepsi [To live with epilepsy] by AM Landtblom (Stockholm: Bilda ide; 2009) were analyzed according to the same method.

    Results:

    Four themes emerged: (1) a persistent feeling of insecurity, since a seizure can occur at any time and the child could be hurt; (2) a feeling of inadequacy – of not being able to take full responsibility for one’s child; (3) acknowledgment that one’s children are forced to take more responsibility than other children do; and (4) a feeling of guilt – of not being able to fulfill one’s expectations of being the parent one would like to be.

    Conclusion:

    The parents with epilepsy are deeply concerned about how epilepsy affects the lives of their children. These parents are always aware that a seizure may occur and reflect on how this can affect their child. They try to foresee possible dangerous situations and prevent them. These parents were sad that they could not always take full responsibility for their child and could not live up to their own expectations of parenthood. Supportive programs may be of importance since fear for the safety of the child increases the psychosocial burden of epilepsy. There were also a few parents who did not acknowledge the safety issue of their child – the authors believe that it is important to identify these parents and provide extra information and support to them.

  • 96.
    Gauffin, Helena
    et al.
    Division of Neurology, Medical Faculty/IKE, Linköping University, Sweden.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Landtblom, Anne-Marie
    Division of Neurology, Medical Faculty/IKE, Linköping University, Sweden.
    Living with epilepsy accompanied by cognitive difficulties: Young adults’ experiences2011Ingår i: Epilepsy & Behavior, ISSN 1525-5050, E-ISSN 1525-5069, Vol. 22, nr 4, s. 750-758Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective

    Epilepsy can sometimes be followed by memory impairment. This can result from the underlying cause of epilepsy or from recurrent seizures, or can be a side effect of antiepileptic drugs or a symptom of another disease such as depression. The aim of the study described here was to explore the experience of living with epilepsy and subjective cognitive decline.

    Method

    To better understand the deeper meaning of the phenomenon, a qualitative design was chosen. Fourteen adults aged 18–35 took part in focus group interviews. The participants were divided into four groups, two groups of women and two groups of men, and the interviews were conducted according to a semistructured protocol. Transcripts were analyzed in accordance with the content analysis guidelines.

    Results

    Four themes emerged: “affecting the whole person,” “influencing daily life,” “affecting relationships,” and “meeting ignorance in society.”

    Conclusions

    Cognitive decline has a heavy impact on young adults with intractable epilepsy. In contrast to seizures, the cognitive decline is persistent. The themes reflected different hardships faced by the participants. The consequences of living with epilepsy and cognitive impairment concerned education, employment, social life, self-esteem, and hope for the future. The participants were already using strategies to cope with their cognitive decline, but may benefit from help in developing new strategies to better adjust to their memory problems. Development of more educational programs for both people with epilepsy and their relatives could improve their difficult situations. With help, people can learn to adjust their goals in life and live a fulfilling life despite the disease.

    Highlights

    ► Cognitive decline has a heavy impact on young adults with intractable epilepsy. ► It has consequences for employment, social life, self-esteem, and future plans. ► Participants employed many strategies to cope with their cognitive decline. ► Young people with epilepsy would benefit from help to better adjust to memory problems.

  • 97.
    Giota, Joanna
    et al.
    Institutionen för pedagogik och didaktik, enheten för Individ, kultur och samhälle, Göteborgs Universitet.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Nielsen, Bo
    Institutionen för pedagogik och didaktik, enheten för Individ, kultur och samhälle, Göteborgs Universitet.
    Berndtsson, Åsa
    Institutionen för pedagogik och didaktik, enheten för Individ, kultur och samhälle, Göteborgs universitet.
    Insamling av enkätuppgifter i grundskolans årskurs 9 våren 2008 för UGU-projektets åttonde kohort (födda 1992)2008Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    Det huvudsakliga syftet med föreliggande rapport är att redogöra för urval, genomförande och instrumentegenskaper för insamlingen av enkätuppgifter inhämtade från eleverna i åk 9 för det åttonde stickprovet, varav flertalet är födda 1992. Den första enkätundersökningen för denna kohort gjordes i grundskolans åk 6. Det totala antalet elever i stickprovet uppgick  ursprungligen till 10 153. Från åk 3 då urvalet gjordes och till tidpunkten för enkätundersökningen i åk 9 har antalet elever reducerats till 9 890. Den främsta orsaken till detta bortfall är att de aktuella eleverna har flyttat från Sverige. Datainsamlingen har diskuterats i UGU-projektets referensgrupp bestående av representanter för Skolverket, Högskoleverket, SCB samt några forskningsinstitutioner. Elevenkätens mer precisa innehåll och formuleringar har sedan fortlöpande diskuterats med representanter från framförallt SCB. De uppgifter som insamlats omfattar delvis modifierade och delvis samma frågeställningar som insamlats för tidigare stickprov i grundskolans åk 6 och åk 9 samt från den enkät som erbjudits efter avslutad grundskola. Dessutom tillkom ett antal frågor rörande nya områden som inte behandlats i tidigare enkäter. Den slutgiltiga enkäten kom att omfatta 25 frågor av vilka 17 frågor rör grundskolan, 5 frågor handlar om elevens fortsatta skolgång efter grundskolan, 2 frågor rör elevers motivation för lärandet och uppfattning om kognitiv förmåga och 1 fråga berör elevens fritidssysselsättningar. Enkät och följebrev distribuerades som en postenkät adresserad hem till eleverna. Enkäten skickades ut i vecka 10 år 2008. Ett tack- och påminnelsekort samt ytterligare två påminnelser med ny enkät skickades därefter med någon veckas mellanrum. Svarsfrekvensen var 59 procent och bortfallet bestod nästan uteslutande av ej avhörda personer. Det interna bortfallet varierade mellan olika frågor och var överlag lågt. Det förefaller som om enkätens frågor har fungerat väl. För de skalkonstruktioner som motsvarar tidigare använda skalor gäller att delfrågornas antal i de allra flesta fall har utökats, vilket har inneburit att de mättekniska egenskaperna har förbättrats. De skalor som är nya för datainsamlingen i åk 9 avser att mäta olika typer av motivation för lärandet samt skalor för elevernas uppfattning om kognitiv förmåga. Den nu, för fjärde gången, använda modellen med huvudfrågor och underlydande delfrågor, utifrån vilka skalor kan bildas, bedöms alltså även denna gång ha fungerat väl. I och med att samma frågor och alternativ har används vid två olika tillfällen (åk6 och åk 9) för samma kohort ökar möjligheten att studera förändringar hos samma elever över tid. Att konstruera skalor genom att summera delfrågornas poäng och att använda sig av viktade data är två metoder/tekniker, bland andra, som kan användas för att öka resultatens reliabilitet och validitet. Ambitionen med föreliggande rapport har dock inte varit att ställa olika metoder mot varandra och diskutera dess styrkor och svagheter, utan att ge exempel på hur frågorna i elevenkäten kan användas.

  • 98.
    Gombos, Timea
    et al.
    Semmelweis University, IIIrd Department of Internal Medicine, Faculty of Medicine, 1125 Budapest, Hungary.
    Kertész, Krisztina
    Semmelweis University, Dietetical Service, Kútvölgyi Clinical Center, 1125 Budapest, Hungary.
    Csíkos, Ágnes
    Semmelweis University, IIIrd Department of Internal Medicine, Faculty of Medicine, 1125 Budapest, Hungary.
    Söderhamn, Ulrika
    University of Agder, Faculty of Health and Sport, 4809 Arendal, Norway.
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Prohászka, Zoltán
    Semmelweis University, IIIrd Department of Internal Medicine, Faculty of Medicine, 1125 Budapest, Hungary.
    Nutritional form for the elderly is a reliable and valid instrument for the determination of undernutrition risk, and it is associated with health-related quality of life2008Ingår i: Nutrition Research, ISSN 0271-5317, E-ISSN 1879-0739, Vol. 28, nr 2, s. 59-65Artikel i tidskrift (Refereegranskat)
  • 99.
    Grankvist, Gunne
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Illness perception of nursing students regarding MYOCARDIAL INFARCTION2009Ingår i: Nursing Education Perspectives, ISSN 1536-5026, Vol. 30, nr 4, s. 234-238Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Health Interventions aimed at secondary prevention of myocardial infarction (MI) are important. Patients' illness perceptions influence adherence behaviors and actions. Providing adequate information about the disease and lifestyle interventions is an important task for health care professionals. Therefore, a question of interest is how health care professionals perceive myocardial infarction themselves. The aim with the present study was to investigate how nursing students at a Swedish university perceived Ml and to determine whether their illness perceptions changed during their six-term program of education. Illness perception was measured using the Revised Illness Perception Questionnaire (IPQ-R) in a sample of 196 students enrolled in terms 2, 4, and 6 of the nursing program. A quasi-experimental design was used. Illness perceptions among nursing students were also compared to illness perceptions in a group of patients with coronary heart disease. The belief that it is possible to control Ml through medical treatment became stronger during the course of nursing education. Nursing students were found to view the consequences of Ml as serious, but also as medically treatable and responsive to lifestyle changes.

  • 100.
    Gustafsson, Erika
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Holm, Maritha
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Rättspsykiatrisk vård: En svängdörr? 2009Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Alla, som vårdas inom rättspsykiatrisk vård, har någon form av psykiskt funktionshinder och har också begått ett eller flera brott. Vården regleras av ett antal lagar. I rehabiliteringen ingår utslussning av patienten till öppna vårdformer genom så kallad permission. Ett antal av de patienter som har permission återintas emellanåt till slutenvården av olika orsaker. De benämns ibland som svängdörrspatienter.

    Syfte: Syftet var att belysa olika berörda personalgruppers syn på och erfarenheter av vad som har betydelse för om en patient som vårdas enligt lagen om rättspsykiatrisk vård, lyckas eller misslyckas med sin permission.

    Metod: En kvalitativ ansats valdes och två fokusgruppsintervjuer med sex deltagare i varje grupp genomfördes. Texten analyserades med hjälp av en kvalitativ innehållsanalys.

    Resultat: Tre huvudteman som hade betydelse för om en permission lyckades framkom: samsjuklighet, hur grundläggande behov mötts och samverkan runt patienten. Under dessa framkom 14 subteman: rätt psykiatrisk diagnos, samtidigt missbruk, följsamhet i medicinering, socialt nätverk, sysselsättning, tryggt boende, patientens ekonomi, se patientens behov, tydlig planering, kunskap och motivation, otydlig ansvarsfördelning, samverkan inför permission, kontaktmannaskap och uppföljning i öppenvård.

    Konklusion: Mycket fungerar bra i vården runt patienten inom rättspsykiatrisk vård. Brister finns dock som behöver förbättras och utvecklas. Det är viktigt att patienterna är delaktiga i vården och att olika instanser skapar individuella förutsättningar och flexibla lösningar för att permissionen ska lyckas. Ordnad ekonomi är av stor betydelse för att permissionen ska lyckas, då det påverkar många delar i patientens vardag. När patienten misslyckas med permissionen kan orsaken vara att man inte har tagit reda på dennes verkliga behov eller inte tagit tillräcklig hänsyn till dessa i permissionsplaneringen. Bristande resurser i samhället bidrar ibland till att patienter inom rättspsykiatrisk vård inte får rätt eller tillräckliga insatser, vilket är ett problem.

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