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  • 1.
    Aasa, Ulrika
    et al.
    University of Gävle, Centre for Musculoskeletal Research.
    Jensen, B R
    Sandfeld, J
    Lyskov, Eugene
    University of Gävle, Centre for Musculoskeletal Research.
    Richter, Hans O
    University of Gävle, Centre for Musculoskeletal Research.
    Crenshaw, Albert
    University of Gävle, Centre for Musculoskeletal Research.
    The impact of computer mouse work with different size objects on subjective perception of fatigue and performance2007In: 39th Annual Congress of the Nordic Ergonomics Society, 2007Conference paper (Other academic)
  • 2.
    Aasa, Ulrika
    et al.
    University of Gävle, Centre for Musculoskeletal Research.
    Kalezic, Nebojsa
    University of Gävle, Centre for Musculoskeletal Research.
    Lyskov, Eugene
    University of Gävle, Centre for Musculoskeletal Research.
    Ängquist, Karl-Axel
    Department of Surgical and Perioperative Sciences, University of Umeå, Umeå, Sweden.
    Barnekow-Bergkvist, Margareta
    University of Gävle, Centre for Musculoskeletal Research.
    Stress monitoring of ambulance personnel during work and leisure time2006In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 80, no 1, p. 51-59Article in journal (Refereed)
    Abstract [en]

    Objectives: The aim of the present study was to assess physiological and subjective stress markers during a 24-h ambulance work shift and during the next two work-free days, and relate these parameters to self-reported health complaints. Methods: Twenty-six ambulance personnel were followed during a 24-h work shift and during the next two work-free days with electrocardiogram, cortisol assessments and diary notes. The ambulance personnel also performed tests of autonomic reactivity before and at the end of the work shift. The subjects were categorized into two groups according to their number of health complaints. Results: In general, stress markers did not show differences between the work shift and leisure time. However, a modest deviation in heart rate variability pattern and higher morning cortisol values during work in comparison with work-free days were observed in personnel with many health complaints. Conclusions: Subjective and physiological characteristics of ambulance personnel did not indicate distinctive stress during the 24-h work shift. Relationships between frequent health complaints and specific work-related factors require further prospective studies.

  • 3.
    Aasa, Ulrika
    et al.
    University of Gävle, Centre for Musculoskeletal Research. Department of Community Medicine and Rehabilitation, physiotherapy, University of Umeå, Umeå, Sweden.
    Ängquist, Karl-Axel
    Department of Surgical and Perioperative Sciences, University of Umea ̊ , Sweden.
    Barnekow-Bergkvist, Margareta
    University of Gävle, Centre for Musculoskeletal Research.
    The effects of a 1-year physical exercise programme on development of fatigue during a simulated ambulance work task2008In: Ergonomics, ISSN 0014-0139, E-ISSN 1366-5847, Ergonomics, Vol. 51, no 8, p. 1179-1194Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to evaluate the effects of individually prescribed physical exercise programmes on development of fatigue during the carrying of a loaded stretcher up and down the stairs. Nineteen ambulance personnel performed the training for 1 year. Testing occurred before and after 1 year of the training. Both the training group (n = 19) and the control group (n = 15) were assessed for physical capacity and lactate concentration in blood and ratings of perceived exertion during carrying a stretcher on the stairs. When comparisons were made between those who had been training three times/week for 1 year and the control group, lactate concentration was significantly decreased. In conclusion, markers of fatigue during stretcher carrying can be reduced by the use of individually prescribed physical exercise programmes.

  • 4.
    Aasum Hultberg, Rosanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Det är väl på sätt och vis det heteronormativa samhället som har gjort mig till transperson […]”: En enkätstudie med transpersoner2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The overall aim was to study transgender persons’ experiences of, and reactions upon, attitudes and social norms in relation to their gender identity. Another question that was relevant to answer was how transgender persons are affected by the hetero norm. The method used to collect data was through questionnaires published on the internet. The only requirement to participate was to be a transgender over 18 years old, and when the survey closed, 35 respondents had answered it. The questionnaire consisted of both quantitative and qualitative questions. Collected data were analyzed using descriptive statistics and content analysis.

    The results indicate that transgender persons living conditions are largely affected by norms, and that they encounter a considerable amount of negative attitudes due to their gender identity. To "pass" as either man or woman turned out to be something that made it easier for transgender people to evade negative attitudes.

    One hope is that this study can provide knowledge to different instances in the community to open up to be more open to critical thinking around norms.

    The conclusion was that persons with a transgender identity are affected by societal norms and by heteronormativity. It takes a lot of courage to be able to be one self but everything boils down to how strong a person are and the availability of support and role models in the surrounding society. 

  • 5.
    Abarghache, Nadia
    et al.
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences.
    Johansson, Ellen
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences.
    Kan en läshund bidra till att positivt påverka barns läsförmåga?: En metainspirerad innehållsannanlys2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att få en djupare förståelse om på vilket sätt läshunden kan bidra till att förbättra barns läsförmåga. Studien använder sig av en metainspirerad innehållsanalys. Metaanalys användes för att samla in information till studien samt att kunna dra slutsatser om tidigare forskning. Innehållsanalys användes för att skapa teman och kodning, med hjälp av innehållsanalys kan man skapa en djupare mening med textens innehåll. Artiklarna från resultatdelen samlades in från vetenskapliga databaser där alla artiklar är peer-reviewe.

     

    Studien undersöker på vilket sätt kan en läshund bidra till att positivt påverka barns läsförmåga? Är det hunden i sig som påverkar barnets läsförmåga eller är det miljön? Resultat visar på att läshunden påverkar barn positivt både psykiskt, fysiskt och socialt. Resultatet visar även på att det är läshunden som påverkar barnen positivt och inte miljön de vistas i under lästiden. Slutsatsen man kan dra av denna studie är att läshunden visar på en positiv påverkan på barn och har givit oss förståelse om på vilket sätt läshunden påverkar barnen.

  • 6.
    Abbasi, Seyed Hesameddin
    et al.
    Mid Sweden University, Sundsvall, Sweden; Tehran University of Medical Sciences, Tehran, Iran; Iranian Petroleum Health Research Institute, Tehran, Iran .
    De Leon, Antonio Ponce
    Karolinska Institutet, Stockholm, Sweden; Universidade do Estado de Rio de Janeiro, Brazil.
    Kassaian, Seyed Ebrahim
    Tehran University of Medical Sciences, Tehran, Iran.
    Karimi, Abbasali
    Tehran University of Medical Sciences, Tehran, Iran.
    Sundin, Örjan
    Department of Psychology, Mid-Sweden University, Östersund, Sweden.
    Jalali, Arash
    Tehran University of Medical Sciences, Tehran, Iran.
    Soares, Joaquim
    Mid Sweden University, Sundsvall, Sweden; Karolinska Institutet, Stockholm, Sweden.
    Macassa, Gloria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Mid Sweden University, Sundsvall, Sweden; Karolinska Institutet, Stockholm, Sweden.
    Socioeconomic status and in‑hospital mortality of acute coronary syndrome: can education and occupation serve as preventive measures?2015In: International Journal of Preventive Medicine, ISSN 2008-7802, E-ISSN 2008-8213, Vol. 6, article id 36Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Socioeconomic status (SES) can greatly affect the clinical outcome of medical problems. We sought to assess the in-hospital mortality of patients with the acute coronary syndrome (ACS) according to their SES.

    METHODS: All patients admitted to Tehran Heart Center due to 1(st)-time ACS between March 2004 and August 2011 were assessed. The patients who were illiterate/lowly educated (≤5 years attained education) and were unemployed were considered low-SES patients and those who were employed and had high educational levels (>5 years attained education) were regarded as high-SES patients. Demographic, clinical, paraclinical, and in-hospital medical progress data were recorded. Death during the course of hospitalization was considered the end point, and the impact of SES on in-hospital mortality was evaluated.

    RESULTS: A total of 6246 hospitalized patients (3290 low SES and 2956 high SES) were included (mean age = 60.3 ± 12.1 years, male = 2772 [44.4%]). Among them, 79 (1.26%) patients died. Univariable analysis showed a significantly higher mortality rate in the low-SES group (1.9% vs. 0.6%; P < 0.001). After adjustment for possible cofounders, SES still showed a significant effect on the in-hospital mortality of the ACS patients in that the high-SES patients had a lower in-hospital mortality rate (odds ratio: 0.304, 95% confidence interval: 0.094-0.980; P = 0.046).

    CONCLUSIONS: This study found that patients with low SES were at a higher risk of in-hospital mortality due to the ACS. Furthermore, the results suggest the need for increased availability of jobs as well as improved levels of education as preventive measures to curb the unfolding deaths owing to coronary artery syndrome.

  • 7.
    Abbasi, Seyed Hesameddin
    et al.
    Department of Health Sciences, Section of Public Health Sciences, Mid Sweden University, Sundsvall, Sweden; Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
    Sundin, Örjan
    Department of Psychology, Mid Sweden University, Östersund, Sweden.
    Jalali, Arash
    Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
    Soares, Joaquim
    Department of Health Sciences, Section of Public Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Macassa, Gloria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Department of Health Sciences, Section of Public Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Ethnic Differences in the Risk Factors and Severity of Coronary Artery Disease: a Patient-Based Study in Iran2017In: Journal of Racial and Ethnic Health Disparities, ISSN 2197-3792Article in journal (Refereed)
    Abstract [en]

    Background

    Diverse ethnic groups may differ regarding the risk factors and severity of coronary artery disease (CAD). This study sought to assess the association between ethnicity and CAD risk and severity in six major Iranian ethnic groups.

    Methods

    In this study, 20,165 documented coronary artery disease patients who underwent coronary angiography at a tertiary referral heart center were recruited. The demographic, laboratory, clinical, and risk factor data of all the patients were retrieved. The Gensini score (an indicator of CAD severity) was calculated for all, and the risk factors and severity of CAD were compared between the ethnical groups, using adjusted standardized residuals, Kruskal–Wallis test, and multivariable regression analysis.

    Results

    The mean age of the participants (14,131 [70.1%] men and 6034 [29.9%] women) was 60.7 ± 10.8 years. The Fars (8.7%) and Gilak (8.6%) ethnic groups had the highest prevalence of ≥4 simultaneous risk factors. The mean Gensini score was the highest for the Gilaks (77.1 ± 55.9) and the lowest among the Lors (67.5 ± 52.8). The multivariable regression analysis showed that the Gilaks had the worst severity (β 0.056, 95% CI 0.009 to 0.102; P = 0.018), followed by the Torks (β 0.032, 95% CI 0.005 to 0.059; P = 0.020). Meanwhile, the Lors showed the lowest severity (β −0.087, 95% CI −0.146 to −0.027; P = 0.004).

    Conclusions

    This study found that there was heterogeneity in CAD severity and a diverse distribution in its well-known traditional risk factors among major Iranian ethnic groups.

  • 8.
    Abbott, Rebecca
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Straker, Leon
    Curtin Health Innovation Research Institute, Curtin University, Perth, Australia.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Patterning of children's sedentary time at and away from school2013In: Obesity, ISSN 1930-7381, E-ISSN 1930-739X, Vol. 21, p. E131-E133Article in journal (Refereed)
    Abstract [en]

    Objective:

    Sedentary behavior in children is positively associated with an increased risk of both obesity and insulin resistance. Children spend a considerable portion of their awake time in sedentary behavior; however, the pattern of accumulation is not known. Thus the objective of this study was to describe the patterning of sedentary behavior of children at and away from school.

    Design and Methods:

    The patterns of sedentary time in a sample of 53 children (28 girls) aged 10-12 years during school-term time were examined. Children wore an accelerometer for 1 week. Total sedentary time, prolonged sequences (bouts) of sedentary time, and frequency of active interruptions to sedentary were examined on school days and weekends and within school time and non-school time on school days.

    Results:

    The data did not support our hypothesis that children accumulated more sedentary time on school days when compared with weekend days (mean [SD]: 64.4% [5.3] vs. 64.9% [9.0], P = 0.686). However, when comparing school time with non-school time on school days, children accumulated more sedentary time at school (66.8% [7.3] vs. 62.4% [5.2], P < 0.001) and spent more time at school in sustained sedentary sequences, that is, uninterrupted sedentary time for 30 min or more (75.6 min [45.8] vs. 45.0 min [26.8], P < 0.002). The children also recorded less breaks per sedentary hour within school time when compared with non-school time (8.9 h−1 vs. 10.2 h−1, P < 0.001).

    Conclusion:

    Reducing total sedentary time spent both in and out of school remains an important challenge. Interrupting sedentary time more often in the “working” (school) day could also reap important musculoskeletal and metabolic health rewards for children.

  • 9.
    Abdelrazek, Fathya
    et al.
    Faculty of Nursing, Suez Canal University, Port-Said, Egypt.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Aly, Magda
    Faculty of Nursing, Suez Canal University, Port-Said, Egypt.
    El-Sabour, Mona Abd
    Faculty of Nursing, Suez Canal University, Port-Said, Egypt.
    Ibrahim, Naglaa
    Faculty of Nursing, Suez Canal University, Port-Said, Egypt.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Leadership and management skills of first-line managers of elderly care and their work environment2010In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 18, no 6, p. 736-745Article in journal (Refereed)
    Abstract [en]

    Aim To study the leadership and management skills of first-line managers (FLMs) of elderly care and their work environment in Egypt and Sweden. Background FLMs in Egypt and Sweden are directly responsible for staff and quality of care. However, FLMs in Sweden, in elderly care, have smaller units/organizations to manage than do their colleagues in Egypt. Furthermore, family care of the elderly has been the norm in Egypt, but in recent years institutional care has increased, whereas in Sweden, residential living homes have existed for a longer period. Methods A convenience sample of FLMs, 49 from Egypt and 49 from Sweden, answered a questionnaire measuring leadership and management skills, structural and psychological empowerment, job satisfaction and psychosomatic health. Results In both countries, FLMs' perceptions of their leadership and management skills and psychological empowerment were quite high, whereas scores for job satisfaction and psychosomatic health were lower. FLMs had higher values in several factors/study variables in Egypt compared with in Sweden. Conclusion and implications The work environment, both in Egypt and Sweden, needs to be improved to increase FLMs' job satisfaction and decrease stress. The cultural differences and levels of management have an effect on the differences between the two countries.

  • 10.
    Abdi, Parvin Monika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Har elever tillräckligt med tid för att äta?: En undersökning på högstadieelevers upplevelser av skolmåltiden2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Meal at school is a part of the school studies and it is important for health, but is also a prerequisite for both learning and enjoyment.  The school meal can provide students an opportunity to recover from their studies but sometimes students perceive the meal situation as stressful. It is important that the food environment at school works well for school children, so they do not have to rush during the meal and they can get the opportunity to eat in peace. The purpose of this study was to investigate how students perceive lunch break at school. If they feel they get enough time to eat and how they feel during the meal situation in the school restaurant. The research approach of this study was qualitative and the method of data collection was focus groups. Data were analyzed as a content analysis. The aim of the study were secondary school students in grade 7 and 9, one class from each grade was selected. The study was conducted at a secondary school in a municipality in Sweden with approximately 210 000 inhabitants. The results of the study show that students at secondary school feel they have enough time to eat lunch, but the lunch break is too short. The meal environment in the school restaurant is perceived as very messy and stressful. The meal situation was experienced as more stressful at grade 7 students than 9th grade students.  The conclusion was that students need longer lunch break and meal environment is perceived as stressful.

  • 11.
    Abou-Soultan, Nariman
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Abujazar, Ahmed
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Hur personer med schizofreni upplever sin livskvalité: En deskriptiv litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Schizophrenia is a form of psychosis, it is rare but a very serious disease and the lifetime risk of becoming sick is 0.8% in Sweden. People with schizophrenia experience altered perception of reality because of symptoms such as hallucinations and delusions. Many relatives of people with schizophrenia argue that there is a lack of knowledge that leads to distorted view of themselves and the environment. The diagnosis of schizophrenia is based on symptoms, which consequently means that nurses have an important role which should include plenty hospitality, communication and understanding of patients' quality of life.

     

    Aim: The aim of this study is to describe how people with schizophrenia experience their quality of life and to describe the method of selection of the articles included.

     

    Method: The present study has a descriptive design and contains a total of 12 articles with qualitative and quantitative effort. The majority of the articles that have been used has the qualitative approach. Data collection has been conducted via PsycINFO.

     

    Main Results: The diagnosis of schizophrenia contributed to confusion and difficulties to accept their disease. Symptoms and side effects of the medicine were the most conspicuous factors that resulted in the loss. Experiences of stigmatization and rejection by the environment were also a contributing factor for a poorer quality of life. The 12 included articles have mainly used the interviews to reach people's subjective experiences of living with schizophrenia.

     

    Conclusion: Schizophrenia affects people's daily lives and relationships with other people negatively which led to the suffering and poorer quality of life. Knowledge of how people with schizophrenia experience their quality of life is important information for nurses that can lead to greater understanding, better reception, care and treatment.

  • 12.
    Abrahamsen, Håkon B
    et al.
    Norwegian Air Ambulance Fdn, Drobak, Norway; Univ Bergen, Bergen, Norway; Natl Ctr Emergency Primary Hlth Care, Bergen, Norway; Univ Stavanger, Stavanger, Norway .
    Sollid, Stephen J M
    Norwegian Air Ambulance Fdn, Drobak, Norway; Univ Stavanger, Stavanger, Norway; Oslo University Hospital, Oslo, Norway.
    Öhlund, Lennart S.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science.
    Røislien, Jo
    Univ Stavanger, Stavanger, Norway; Univ Oslo, Oslo, Norway.
    Bondevik, Gunnar Tschudi
    Univ Bergen, Bergen, Norway; Natl Ctr Emergency Primary Hlth Care, Bergen, Norway.
    Simulation-based training and assessment of non-technical skills in the Norwegian Helicopter Emergency Medical Services: a cross-sectional survey2015In: Emergency Medicine Journal, ISSN 1472-0205, E-ISSN 1472-0213, Vol. 32, no 8, p. 647-653Article in journal (Refereed)
    Abstract [en]

    Background: Human error and deficient non-technical skills (NTSs) among providers of ALS in helicopter emergency medical services (HEMS) is a threat to patient and operational safety. Skills can be improved through simulation-based training and assessment. Objective: To document the current level of simulation-based training and assessment of seven generic NTSs in crew members in the Norwegian HEMS. Methods: A cross-sectional survey, either electronic or paper-based, of all 207 physicians, HEMS crew members (HCMs) and pilots working in the civilian Norwegian HEMS (11 bases), between 8 May and 25 July 2012. Results: The response rate was 82% (n=193). A large proportion of each of the professional groups lacked simulation-based training and assessment of their NTSs. Compared with pilots and HCMs, physicians undergo statistically significantly less frequent simulation-based training and assessment of their NTSs. Fifty out of 82 (61%) physicians were on call for more than 72 consecutive hours on a regular basis. Of these, 79% did not have any training in coping with fatigue. In contrast, 72 out of 73 (99%) pilots and HCMs were on call for more than 3 days in a row. Of these, 54% did not have any training in coping with fatigue. Conclusions: Our study indicates a lack of simulation-based training and assessment. Pilots and HCMs train and are assessed more frequently than physicians. All professional groups are on call for extended hours, but receive limited training in how to cope with fatigue.

  • 13.
    Abrahamsson, Angela
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hansson, Eva-Lena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Att beskriva personers upplevelse av sin livssituation efter att ha genomgått en gastric bypass operation ur ett fysiskt, psykiskt och socialt perspektiv: Litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Obesity is now a growing problem in the world and as a result, several do gastric bypass surgery for weight loss. It is important that the experiences from a physical, mental and social approach is illuminated to provide a better understanding and to help them to right direction.

    Aim: To describe the experience situation of life a one person after doing a gastric bypass surgery from a physical, psychological and social perspective.

    Method: A descriptive study of eleven scientific articles.

    Results: After a gastric bypass, the people have a more positive attitude towards life according the three perspectives. They experienced that they fit into society and could participate in the social and physical context in a better way than before. Sometime after the surgery, the participants experienced that they were back into the old habits which gave them a worse quality of life. They ment that the operation was a tool but the hard part remained and they expected a challenge, as some managed better than others.

    Conclusions: It is important to give people good support, and information to enable them to preserve their new lifestyle. They are making a great mental effort, therefore they are indeed of psychotherapy and guidence to find a suitable copingstrategy to handle different situations.

  • 14.
    Ahlgren, Linda
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Hedlund-Ekström, Annika
    University of Gävle, Department of Caring Sciences and Sociology.
    Barns rätt och behov av kunskap om sitt ursprung. Attityder hos par som tar emot donerade ägg eller spermier samt de som donerar.2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The purpose of the study was to describe what attitudes there were among recipients and donors about the guiding principles that should comply with oocyte- and sperm donation. The purpose was also to investigate if there were any differences within the groups of recipient women and men and the donor group considering disclosure to the child about their origin.

    The study became a part of a national project. Data were collected with questionnaire that included earlier described aspects. It was formed with statements to take stands towards in form of “agree” or “disagree”. Number of participants were 333 and data were collected from April 2005 until spring 2008.

    The main results found that among donors and the attitudes toward the child’s right to get knowledge about their origin showed that women was significantly more positive in several aspects then the men. The results also showed that considering the guiding principles that should comply with gametes donation the recipients and donors had just about similar attitudes. For the recipients there was only the women who had a significant difference in one of the statements, otherwise there was no difference in either of both groups for the attitudes about disclosure to the child.

  • 15.
    Ahlin, Catharina
    et al.
    karolinska institutet, Stockholm.
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Klang, Birgitta
    Karolinska institutet, Stockholm.
    Johansson, Eva
    Karolinska institutet, Stockholm.
    Development of instruments for assessment of nursing students’ knowledge and skills in performing venepuncture and inserting peripheral venous catheters2011Conference paper (Refereed)
  • 16.
    Ahlin, Catharina
    et al.
    Karolinska institutet.
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Klang Söderkvist, Birgitta
    Karolinska instituet.
    Johansson, Eva
    Karolinska Instituet.
    Development of instruments for assessment of knowledge and skills in performing venepuncture and inserting peripheral venous catheters2013In: Journal of Vascular Access, ISSN 1129-7298, E-ISSN 1724-6032, Vol. 14, no 4, p. 364-372Article in journal (Refereed)
    Abstract [en]

    Purpose: Performing venepuncture is one of the most routinely performed invasive procedures in nursing care. The aim of this study was to develop instruments for the assessment of nursing students' knowledge and skills when performing venepuncture and inserting a peripheral venous catheter. 
Methods: Two instruments were developed using the following steps. 1) Assessment items of importance for the procedures (venepuncture 48 items and peripheral venous catheter 51 items) were collected from focus groups including nurses, lecturers and patients. 2) The number of items was reduced using a method based on the Delphi method. Experts (n=51) reviewed the instruments in two rounds. The revised versions included 31 items for venepuncture and 33 items for peripheral venous catheter insertion. 3) Usability tests were conducted by nurses who tested the instruments to confirm that items were possible to assess. 4) Inter-rater reliability was assessed by twelve lecturers who in pairs, but independently of each other, used the instruments to assess 50 nursing students. 
Results: Proportion of agreement and Cohen's kappa coefficient were calculated for each item to determine inter-rater reliability. Among the tested items for both instruments, the median proportion of agreement was 1 (range 0.66-1) and the median kappa was 0.52 (range 0.22-1). 
Conclusions: The instruments developed for assessing nursing students' knowledge and skills of venepuncture and peripheral venous catheter insertion showed satisfactory inter-rater reliability.

  • 17.
    Ahmadi, Fereshteh
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för socialt arbete.
    Culture, Religion and Spirituality in Coping: The Example of Cancer Patients in Sweden2006Book (Other (popular science, discussion, etc.))
    Abstract [en]

    Recent research has shown significant associations (negative and positive) between religious and spiritual factors and mental health. Much of this research, however, has been conducted in the US, where religion is an integrated part of most people’s lives. Other studies on religious and spiritually oriented coping conducted outside the US have also focused on religious people. Yet many are non-believers, and many believers do not consider themselves religious, i.e. religion is not an important part of their life. There are also societies in which the dominant culture and ways of thinking dismiss the role of religion in people’s lives. Research on religious coping rarely takes these people into consideration. Thus, the following questions arise: How are religion and spirituality involved in coping when non-believers or non-religious people face difficult events? How do culture and ways of thinking affect people’s choice of religious and spiritual coping methods? Proceeding from a cultural approach to coping and health, this book attempts to address these questions by looking at the coping strategies of Swedish cancer patients.

  • 18.
    Ahmadi, Fereshteh
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för socialt arbete.
    Hard and Heavy Music: Can It Make a Difference in the Young Cancer Patients' Life?2009In: Voices: A World Forum for Music Therapy, ISSN 1504-1611, E-ISSN 1504-1611, Vol. 9, no 2Article in journal (Refereed)
    Abstract [en]

    The aim of the study on the basis of which this article is written was to examine, from the patients’ perspective, the role music plays as a coping method when facing cancer. Here, using music as a coping method refers to using music (listening to and/or playing music individually or participating in a music therapy program) frequently in order to deal with the significant demands presented by cancer. A semi-structured interview with 17 cancer patients who have used music (listened to or played music) in order to cope with their illness was applied. Five of interviewees were men and twelve women. The youngest informant was 24 and the oldest 73 years old. In the paper presented in this conference I will discuss the result of my study concerning the effects of hard and heavy music in coping with cancer. The result of study shows that hard and heavy music as a coping method:

    - by calling in question the cultural demands of having control over their feelings, helps the young cancer patients to obtain their control,

    - by questioning what are conventionally defined as meaning of life, helps the young cancer patients to find a meaning,

    - by calling in question  the cultural requests of being calm and collected helps the young cancer patients to get their tranquility,  

    - by cheering unhealthy behaviors like using drug and having violent sex helps the young cancer patients to recover their mental health.

    All this due to the possibility the heavy and hard music provides for the young cancer patients to get self-confidence by putting away the false mask one wear and be who she/he really is.

  • 19.
    Ahmadi, Fereshteh
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Ahmadi, Nader
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Nature as the most important coping strategy among cancer patients: a Swedish survey2015In: Journal of religion and health, ISSN 0022-4197, E-ISSN 1573-6571, Vol. 54, no 4, p. 1177-1190Article in journal (Refereed)
    Abstract [en]

    The authors have conducted a quantitative survey to examine the extent to which the results obtained in a qualitative study among cancer patients in Sweden (Ahmadi, Culture, religion and spirituality in coping: The example of cancer patients in Sweden, Uppsala, Acta Universitatis Upsaliensis, 2006) are applicable to a wider population of cancer patients in this country. In addition to questions relating to the former qualitative study, this survey also references the RCOPE questionnaire (designed by Kenneth I Pargament) in the design of the new quantitative study. In this study, questionnaires were distributed among persons diagnosed with cancer; 2,355 people responded. The results show that nature has been the most important coping method among cancer patients in Sweden. The highest mean value (2.9) is the factor ‘nature has been an important resource to you so that you could deal with your illnesses’. Two out of three respondents (68 %) affirm that this method helped them feel significantly better during or after illness. The second highest average (2.8) is the factor ‘listening to ‘natural music’ (birdsong and the wind)’. Two out of three respondents (66 %) answered that this coping method significantly helped them feel better during illness. The third highest average (2.7) is the factor ‘to walk or engage in any activity outdoors gives you a spiritual sense’. This survey concerning the role of nature as the most important coping method for cancer patients confirms the result obtained from the previous qualitative studies. 

  • 20.
    Ahmadi, Fereshteh
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Park, Jisung
    Retirement Research Center at Samsung Life Insurance, Jung-Gu, Seoul, Korea.
    Kyung Mee, Kim
    Department of Social Welfare, Soongsil University, Seoul, Korea.
    Ahmadi, Nader
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Exploring Existential Coping Resources: The Perspective of Koreans with Cancer2016In: Journal of religion and health, ISSN 0022-4197, E-ISSN 1573-6571, Vol. 55, no 6, p. 2053-2068Article, review/survey (Refereed)
    Abstract [en]

    The present study aimed to explore the use of meaning-making coping (existential, spiritual, and religious coping) among cancer patients in Korea and to investigate the impact of culture on their choice of coping methods. Thirty-three participants with various kinds of cancer were interviewed. Four different kinds of coping resources emerged from analyses of the interview transcripts: (1) belief in the healing power of nature; (2) mind–body connection; (3) relying on transcendent power; and (4) finding oneself in relationships with others. The findings of this study suggest the importance of investigating cultural context when exploring the use of the meaning-making coping strategies in different countries.

  • 21.
    Ahmadi, Nader
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Foreword2013In: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 48, no 13, p. 1283-1284Article in journal (Other academic)
  • 22.
    Ahmadi, Nader
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work. University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Ljungqvist, ArneSvedsäter, GöranUniversity of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science. University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    Doping and public health2016Collection (editor) (Other academic)
    Abstract [en]

    Doping – the use of performance-enhancing substances and methods – has long been a high-profile issue in sport but in recent years it has also become an issue in wider society. This important new book examines doping as a public health issue, drawing on a multi-disciplinary set of perspectives to explore the prevalence, significance and consequences of doping in wider society. It introduces the epidemiology of doping, examines the historical context, and explores the social, behavioural, legal, ethical and political aspects of doping. The book also discusses possible interventions for addressing the problem on organisational and societal levels.

  • 23.
    Ahmadi, Nader
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work. University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Ljungqvist, Arne
    Svedsäter, Göran
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science. University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    Introduction: Doping and Public Health2016In: Doping and Public Health / [ed] Nader Ahmadi, Arne Ljungqvist, Göran Svedsäter, Abingdon: Routledge, 2016, 1, , p. 151p. 1-10Chapter in book (Other academic)
  • 24.
    Ahmadi, Nader
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work. University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Svedsäter, Göran
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science. University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    "The winner takes it all": Individualization and Performance-Enhancing Drugs and Methods in Sport and in Society2016In: Doping and Public Health / [ed] Nader Ahmadi, Arne Ljungqvist, Göran Svedsäter, Abingdon: Routledge, 2016, 1, , p. 151p. 38-48Chapter in book (Other academic)
    Abstract [en]

    A common misconception in today's society is that everything is (or should be) rational and goal-oriented, which we summarized earlier as pragmatic rationalism. We call this pragmatic rationalism a misconception because it misses a historical fact that individuals' actions are and have never been governed entirely by rational motives. Emotional, ethical and existential considerations influence human actions extensively. Solidarity, willingness to share and even self-sacrifice and prioritizing the good of others before one's own are values that have survived many different economic cultures. Even today's extremely individualized society with its focus on reaching success and winning at any price cannot completely suppress these values. There is an inherent contradiction between the crude egoism of modern individualism and its historical development that largely has its origin in the care of humans.

  • 25.
    Akander, Sara
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Eriksson, Ellinor
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Hur personer som lever med HIV/AIDS upplever bemötandet inom vården: - En litteraturstudie2017Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: HIV is a viral disease that is caused by a retro virus which damage the immune system. AIDS is the final stage of the disease and there are two types of HIV; type 1 and type 2. The carer and the patient are dependent on each other to make the medical care optimal. The meeting is an important part of patients’ experience of medical care, especially for people living with a contagious disease. Earlier research showed that healthcare professionals could have a potentially critical view on people living with HIV/AIDS (PLHA). Knowledge about how PLHA experience the meeting when in contact with the healthcare sector today is missing, therefore the authors of this study wanted to examine this topic further. Aim: The aim was to describe how PLHA experience the meeting within the healthcare sector when seeking help because of the disease, and also to describe the sample used in the articles that were used in this study. Method: Descriptive literature review, nine articles both qualitative and quantitative where used. Key findings: : According to PLHA was a positive encounter important to the career-patient-relationship. Trough more information and increased knowledge about the disease in nurses and other healthcare personnel did PLHA describe that the encounter became more positive and the HIV-related stigma could be reduced. An individual education for PLHA were also an important factor to reduce the self-experienced stigma that often were based upon shame. That internal shame and the feeling that needing to hide something could lead to depression and negative feelings. A negative encounter could for example be lack of dedications and an un-welcoming attitude and furthermore reluctance in the healthcare personnel to treat and support PLHA both physically and psychological Conclusions: PLHA doesn't experience as much stigma or discrimination today as before, but there are still a certain degree of preconceptions. Further education of both healthcare personnel that doesn't encounter these kind of patients on a regular basis and information to the society could help reduce the preconceptions and the stigma that still exist around this disease.

  • 26.
    Aldén, Rebecka
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Werme, Sandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans agerande och faktorer som kan påverka beslutsfattandet om att anmäla vid misstänkt barnmisshandel.: En litterarurstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet: var att beskriva sjuksköterskans agerande och vilka faktorer som kan påverka beslutet om att anmäla eller inte vid misstanke om barnmisshandel samt att granska kvaliteten avseende de metodologiska aspekterna urval- och datainsamlingsmetod i studiens ingående artiklar.

    Metod: Deskriptiv litteraturstudie baserad på femton vetenskapliga artiklar som söktes från databaserna Pubmed och Cinahl.

    Resultat: Sjuksköterskor känner sig osäkra när tecken/symtom var otydliga och avvaktade för att samla information innan hon eller han bestämde sig för att anmäla. Sjuksköterskor var bekväma i sina observationer när arbetsplatsen stod bakom beslut om att anmäla misstanke om barnmisshandel. Faktorer som visade sig påverka sjuksköterskans beslut om att anmäla var utbildning, kunskap, samarbete, riktlinjer, självförtroende, attityder och inställning.

    Slutsats: Screening för barnmisshandel, tydliga riktlinjer, mer stöd från kollegor samt utbildning inom området behövs.

  • 27.
    Aleksandrov, A. A.
    et al.
    St Petersburg State University, Russia.
    Deinekina, T. S.
    St Petersburg State University, Russia.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Lyskov, Eugene B.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    ВЛИЯНИЕ НАБЛЮДЕНИЯ ЗА ДВИЖЕНИЕМ НА ВОССТАНОВЛЕНИЕ РАБОТОСПОСОБНОСТИ ПОСЛЕ ФИЗИЧЕСКОГО УТОМЛЕНИЯ [The influence of movement's observation on recuperation after physical fatigue]2014In: Zurnal vyssej nervnoj deâtel'nosti im. I.P. Pavlova, ISSN 0044-4677, Vol. 64, no 5, p. 481-487Article in journal (Refereed)
    Abstract [en]

    The study aim was to investigate effects of mental activity, accompanied by mu-rhythm depression, on recuperation after physical fatigue. In a study participants performed 11 one minute bouts of static hand grip intermitted by 2 minutes rest pauses. During pauses participants watched video with either dynamic hand grips (biological movements) or deformation of geometric figure (control). Obtained data showed there was a significant depression of mu-rhythm during biological movement's observation. There was significant fatigue of subjects in an exercise with physical activity, but there was no reliable influence of performed mental activity on recovery after fatigue.

  • 28.
    Alexander, Weman
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ida, Westerberg
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnors upplevelser av det första året efter en Gastric bypass operation.: En kvalitativ blogganalys2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att beskriva kvinnors upplevelser av livet första året efter en Gastric bypass operation. Metoden var en kvalitativ blogganalys av beskrivande design som använde sig av ett ändamålsurval med inklusion- exklusionkriterier. Åtta kvinnor deltog i studien. Det insamlande materialet analyserades genom en manifest innehållsanalys. 

    Syftet med studien var att beskriva kvinnors upplevelser av livet första året efter en Gastric bypass operation. Metoden var en kvalitativ blogganalys av beskrivande design som använde sig av ett ändamålsurval med inklusion- exklusionkriterier. Åtta kvinnor deltog i studien. Det insamlande materialet analyserades genom en manifest innehållsanalys. 

    Slutsatsen var att ingen av informanterna ångrade ingreppet då de upplevde att operationen var den enda vägen ur tillståndet. Informanterna upplevde att stödet och attityderna från sjukvården var sämre än väntat samt att informationen om vad som väntade efter operation var till och från var bristfällig. Attityden från omgivningen men även ibland från vården upplevdes som dålig och informanterna kändes sig missförstådda, inte tagna på allvar och ibland utanförskap.

  • 29.
    Alfredsson, Elin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Kulturella aktiviteters betydelse för äldres känsla av sammanhang: En enkätundersökning på två äldreboenden i Mellansverige2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective: The purpose of this study was to investigate whether there was any association between participation in cultural activities and sense of coherence among seniors living in two nursing homes.

    Methods: A questionnaire based on Antonovskys SOC-13-questionaire was used, with added self-formulated questions including gender, age, level of physical function and participation in cultural activities. The questionnaire was distributed to 76 people 65 years and older without dementia at two nursing homes in central Sweden and 40 respondents answered the questionnaire. The material was processed and analyzed in the statistic computer program SPSS, where descriptive statistics were prepared and a chi-square analysis and logistic regression analysis was performed.

    Results: No statistically significant relationship between participation in cultural activities and sense of coherence could be seen. However, there was a correlation between the level of function and SOC scores. The lower level of function, i.e. the more help the respondent needed in everyday life, the lower sense of coherence.

    Conclusion: Functional level seems to have greater impact on an individual's sense of coherence than participation in cultural activities in the given study population.

  • 30.
    Alm, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vorén, Rose-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Upplevelse av palliativ vård hos patienter behandlade för obotlig cancer på hospice eller inom den slutna vården - en litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose: The purpose of this study was to describe the experiences of terminal cancer patients’ receiving palliative care in hospice or in an in-patient care unit, and illuminate what these patients believe that good palliative care involves. Method:  The Literature study had a descriptive design and was based on 14 scientific articles that were retrieved from the databases Cinahl, PubMed, PsycInfo and by manual search. The results of the analysis were compiled into 5 categories containing 23 subcategories. Main Result: Patients experienced that the issue of most importance in palliative care was to obtain adequate pain relief without reservation or delay. Good communication and interaction between the nurse and the patient was the basis for good health care to be developed. Trust in health professionals' skills and abilities were essential to patients' perceptions of security. Autonomy was central for the patients’ participation in their health care, and it created a sense of control and meaning. The environment at the hospice had a negative impact on the patients’ self-image and made them lose their identity. Finding meaning in their suffering helped the patients gradually to accept their situation in order to find peace in their knowing of the inevitable. Conclusion: The interpersonal communication and nursing skills is of crucial importance for patients' perceptions of good health care. More research is needed to meet the growing request of qualified professional palliative care.

  • 31.
    Alm, Lena
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Sjöström, Anneli
    University of Gävle, Department of Caring Sciences and Sociology.
    Att leva som barn till förälder med psykisk sjukdom2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of this descriptive review was to elucidate how the literature describes how children of parents with mental illness experience and have knowledge about their parent’s illness. The aim was furthermore to describe how the children’s existence is affected, can be improved and why the children so often are invisible. Search through Medline (through PubMed) database and additional manual search was conducted. In total fourteen articles fulfilled the inclusion criteria and were reviewed. The chosen method for analysis was qualitative and the results are presented on the basis of different subjects that elucidated the questions at issue. The study shows that children of parents with mental disorder often takes responsibility for the parents disease, a disease that has to be kept a secret and often lead to social isolation for the children. The children often have poor knowledge of the parent’s illness. Due to different obstacles these children are difficult to identify and thereby also difficult to help. The children themselves have clear opinions of what kind of help they want, mainly economic and domestic support, conversational support and information. One of the authors’ conclusions is that new research needs to be done regarding Swedish conditions.

  • 32.
    Almén-Åström, Eva
    University of Gävle, Department of Caring Sciences and Sociology.
    En jämförelse av patienters upplevelser av delaktighet, livstillfredsställelse, arbetssituation och sjukvårdskonsumtion efter Strokescreening respektive traditionell vård2008Independent thesis Advanced level (degree of Magister), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of this study was that, with focus on experiences of participation and life satisfaction, work situation and consumtion of non institutional care, compare two groups that had participated versus not participated in a stroke program for Strokescreening. A questionnaire was sent retrospective to a consequetive group of people. The results were analyzed with Chi2-test, Mann Whitney-test, T-test, linear regression analyzes and multiple logistic analyze. No significant differences could be shown between the groups even though some tendences were noted. The group who participated in the Strokescreening program experienced less participation in personal care than the group who did not participate. The strokepatients that participated in this study experienced a significant lower level of life satisfaction than a reference group of a normal population of Swedes. There was a prominent difference between the groups about occupation before the stroke. In time of this study there where some higher percentes in the group who participated in the Strokescreening program that had returned to work. Several of the participants in the group that had not participated in the Strokescreening program had a regulary contact with the non institutional care. The results of the present study arouse some questions about the benefit with the Strokescreening program related to the expences. The method of a questionnairy study had some weekness, both in a relatively high level of reduction of participants and a question about the relevace of the questions asked. Therefore, it would be of great interest to make an interview study of this population. It would also be of great interest to examin if there are any differences in the frequency of how many of the participants who gets another stroke in respective group. The purpose of that would be to see if the Strokescreening program has any secondary preventive effect.

  • 33.
    Alvesand, Caroline
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Linder, Charlotte
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Ungdomars upplevelse av att leva med Diabetes Mellitus typ 1.: En deskriptiv litteraturstudie.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes Mellitus Type 1 debuts in childhood and adolescence. The treatment is self-care that involves blood glucose control, drug treatment and following recommendations on diet and exercise. Nursing's professional area includes children and adolescents. Deviating from self-care activities and secrecy around the disease affects the quality of care for young people. Purpose: To describe the young people's experience of living with Diabetes Mellitus type 1 as well as describing the study groups of the studies examined. Method: Descriptive literature study with twelve scientific articles with qualitative as well as qualitative and quantitative approach. Consequences and differences in the results of the articles have been categorized and themes and subthemes have been identified. Results: Young people experienced difficulties in accepting their illness and wanted to have control over and take responsibility for their illness and increase independence. Young people experienced the feeling of being different and avoiding self-care in social contexts. Difficulties to follow dietary recommendations varied and blood glucose controls were exerted. Support from friends and peers facilitated the performance of self-care. It was positive that nurses showed interest in the lives of adolescents in addition to their DMT1. Nurses were found to fail to get into the situation of young people and to be an emotional support. Conclusion: There is a need for increased support and understanding from nurses. Through increased understanding, the nurse can help to facilitate the transfer of responsibility. This can lead to increased safety and sense of control among adolescents, which may help them dare to share their illness with the environment.

  • 34.
    Alvåg, Amanda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Anna, Ramberg
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Mödrars upplevelse av postpartumdepression: En litterturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 35.
    Alyass, Laila
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Finns det belägg för socialt stöd i arbetsplatsen?: Studie om en myndighet i Mellansverige som har i uppgift att fatta individuella beslut.2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ohälsa på arbetsplatsen utgör en stor riskfaktor beträffande folkhälsa. Jag har valt att undersöka hur anställda på en myndighet beskriver dess innebörd av socialt stöd och hurvida det är en viktig faktor för arbetslivet att kunna uppleva någon form av socialt stöd. Tidigare forskning har visat att bristande socialt stöd på arbetsplatsen ger en ökad risk för stress, vilket kan resultera i att arbetsglädje och välmående försämras. Med hjälp av socialt stöd från arbetskollegor skapas det arbetsglädje och ett ökat välmående. Syftet: med denna uppsats var att undersöka hurvida handläggare på en myndighet upplever soicalt stöd i arbetet. Detta för att kunna se om sociala stödet har samband med arbetshälsan och hur det påverkar arbetstagarnes vämående. Metod: I studien har en kvalitativ ansats använts, där 4 respondenter intervjuvades på en myndighet i ett län i Mellansverige. I studien har data analyserats och styrkats från en deskriptiv innehållsanalys, där intervjuerna transkriberades och kategoriserades för att kunna få fram resultatet. 

    Resultat: visade att samtliga respondenter upplevde att socialt stöd på arbetsplatsen är något positivt och kan även fungera som ett hjälpmedel främst vid stressiga perioder. Studien har även visat att socialt stöd från arbetskollegor skapar trygghet i arbetet. Detta genom att man vid svåra situationer får stöd från kollegor för att finna lösningar på problem som kan uppstå. Slutsatsen: visar att med ett gott arbetsteam skapas det en förutsättning för en bättre arbetshälsa med ökad välbefinnande även vid stressiga situationer. 

  • 36.
    Andarea, Jackline
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Örnblom, Jeanette
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Föräldrars upplevelser av att leva med ett barn 0–13 år, med diabetes typ 1.: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today live about 450 000 people with diabetes in Sweden and it makes the disease one of the major diseases. Diabetes mellitus type 1 is a chronic autoimmune disease primarily affects young people. In Sweden live about 7000 children with the disease and fall ill every year approximately 700 children under 15 years. This makes the disease one of the most common chronic diseases in children in Sweden.

    Aims: The purpose of this study was to describe parents' experience of living with a child (0-13 years) with type 1 diabetes mellitus and to describe the data collection methods of the included articles.

    Methods: A descriptive literature study, which included 11 scientific articles, nine articles of qualitative approach, one quantitative and one mixed study. These were analyzed objectively by both authors. The searches took place in PubMed and Cinahl.

    Results: The results show that parents experienced stress and life adjustment when child get diabetes. They felt a sense of worry and they found it difficult to assign responsibility to someone else. Support and information perceived as flawed in different situations, but a healthcare team or a mentor perceived as positive. Data collection methods in the included articles were mostly interviews except one who applied the questionnaire.

    Conclusions: Parents experienced constant worry, lack of support and information. With the right support and information would reduce parents' anxiety and it could also strengthen the child's self-care ability.

  • 37.
    Andersson, Alexandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Den stickrädda patienten2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Studies show that about 10% of the world population suffer from needle fear. Consequences for the person with this phobia who knows needle fear is anxiety and avoidance of medical procedures involving injections. This can lead to health problems for the individual and in the worst case lead to the person avoiding all healthcare. It is important that the nurse has knowledge of the factors that can lead to needle fear and what the nursing interventions that can alleviate the suffering of the patient.

    Aim: The purpose of this study was to highlight nurses nursing care measures required to preclude the fear of needles in children. The aim was also to describe the selection groups in the included articles.

    Method: A literature review in which the results of the 12 articles reviewed, analyzed and compiled. Searches were conducted in PubMed, CINAHL and PsycINFO.

    Main Results: The result showed that the environment's design is important as children get injections, and how well the child was prepared for needle insertion. The result showed that even small children have the opportunity to benefit from training on needle insertion procedures. Adjusting the time it takes for a baby and a toddler to adapt must be allowed to steer healthcare. Distraction was used as a method before the needle insertion but that the best were of distraction was not needed.

    Conclusions: The environment´s design is important as children get injections and nurse can reduce the feeling of a hospital or clinic by adapting the environment and provide for distracting toys. It is important that children know what would happen at the needle insertion procedure and even smaller children can benefit from education about needle injection procedures and understand the importance of them. The nurse can by adjusting the session time for the child's needs and validate the child's feelings reduce anxiety and fear of the needle fearing children.

  • 38.
    Andersson, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Berglund, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Distriktssköterskors och sjuksköterskors erfarenheter om och reflektioner av arbetsmiljön i kommunaliserad hemsjukvård - En intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract (MB och AA)

    District and registered nurses work with various tasks and in different services includinghome care. The patient’s home becomes the nurse’s workplace. The aim of the study was to describe district nurses’/registered nurses’ perceptions and experiences of the work environment in municipalized home care, among those with short and long professional experience. Descriptive design and qualitative approach was used. Five participants with shortand six with long professional experiences were interviewed. The material was analyzed using qualitative content analysis. The results for participants with short work experience led to fivecategories: factors influencing workload, factors affecting collaboration, relationships and ethical dilemmas, organizational conditions and leadership, and lack of communicationreduce patient safety. The work was experienced physically diverse increased number ofpatients and time constraints led to stress. The work also felt joyful with good relationships to patients and families. Ethical dilemmas arose from divergent views of the patient’s health care needs. The results among participants with long professional experience revealed four categories: nursing in home environment, factors affecting communication and collaboration, tomunicipalize home care is a conversion process and a lack of leadership. The work was described as physically demanding but varied. Shortcomings of communication and information meant that important patient information was missing. District nurses felt theirspecialist competence undervalued. The conclusion is that regardless short or long professional experience, the participants witnessed of positive and negative aspects in their work environment. The work was perceived sensed but increased understanding and supportfrom managers about the work situation was desired. When working in home care, it can be difficult to affect work environment factors of importance because the work is performed inpatients’ homes.

  • 39.
    Andersson, Benita
    et al.
    Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden; Institute of Experimental Medicine AS CR, Prague.
    Bjelke, B.
    Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
    Syková, Eva
    Institute of Experimental Medicine AS CR, Prague; Department of Neuroscience, Second Medical Faculty, Charles University, Prague, Czech Republic .
    Temporal Profile of Ultrastructural Changes in Cortical Neurons after a Compression Lesion2006In: Physiological Research, ISSN 0862-8408, E-ISSN 1802-9973, Vol. 55, no 3, p. 339-348Article in journal (Refereed)
    Abstract [en]

     We studied the occurrence of apoptosis and secondary delayed cell death at various time points in the penumbra zone, which is the target for therapeutic intervention after stroke. A compression lesion was induced in the right sensory motor cortex of rat brains. At 0.5, 1, 3, 6, 12, 24, 48 and 72 h after lesioning, motor functions were evaluated by behavioral tests, and cortical layers IV and V were examined by electron microscopy. Behavioral recovery was observed at 48 h after lesioning. At 0.5-1 h in the lesioned area, the neuropil was expanded and contained affected cells. Apoptotic cells were found between 0.5-72 h, and at 12 h, 47.3 % of the total cell number was apoptotic cells. On the contralateral side, cells showed an enlarged endoplasmic reticulum at 3 h, indicating secondary delayed cell death. Our results show that a compression lesion is a useful model for studying ultrastructural changes in injured cells. The lesion results in the penumbra zone with apoptotic cell death between 0.5-72 h. As secondary delayed cell death occurred on the contralateral side at three hours after lesioning might be the time period during which injured, but still viable, neurons can be targets for acute treatment.

  • 40.
    Andersson, Elisabeth
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Englund, Kerstin
    University of Gävle, Faculty of Health and Occupational Studies.
    Omvårdnadspersonalens beskrivning av sina upplevelser av möter med utåtagerande personer med demenssjukdom och betydelsen av bemötandet2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to describe how care givers experience working with people who suffer from dementia and acting out behaviour and to illustrate the importance of the care givers approach. Sixteen caregivers were interviewed from different nursing homes in the middle of Sweden. The interviews were analyzed with qualitative content analysis. The result is divided into two content areas. The analysis of the first content area, care givers experiences of meeting people with dementia and acting out behaviour, resulted in three categories, which deals with the approach. The categories were; to be insecure, to feel a challenge and to be secure. To have co-workers nearby resulted in feeling secure. A challenge was to make the person suffering from dementia feel well once again. To be inexperienced resulted in insecurity among the care givers. The second area of content was, the care givers description of the value of a good approach when meeting people suffering from dementia and acting out behaviour. The analysis of that content area resulted in four categories; to be clear, to be calm, to be experienced and to be accepted. To be calm and use few words was successful. To have knowledge and to be appreciated made the care giving work easier. The result of the study illustrates different approaches from care givers in their contact with patients with dementia and how care givers experienced that contact.

  • 41.
    Andersson, Ellinor
    University of Gävle, Faculty of Health and Occupational Studies.
    Har ett idrottsmedlemskap som barn någon betydelse för den fysiska aktiviteten som vuxen?2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine whether students' memberships in sports clubs has affected their attitudes towards physical activity and physical activity level. It was a qualitative descriptive survey based on individual interviews. Results showed that there was a pattern between the former sports membership and current patterns of physical activity.  For instance, those who liked playing football at a young age, continue to adopt the same type of exercise today. This pattern applies to other types of physical activity, with or without club membership. In addition, many respondents thought that a club membership at a young age could have an impact on their physical activity as adults. This was mainly due to the positive feeling that sportsmen perception, that physical activity was something good and fun. Social cohesion in sport was the one thing that many of those interviewed believed was a major reason why sports, was perceived as positive.

  • 42.
    Andersson, Fredrik
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Christina, Lindberg
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans vårdande på akutmottagningen – ur ett patientperspektiv: En deskriptiv litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The emergency department has a high patient inflow and this results in increased waiting times for patients with low priority injuries and diseases/conditions. The confidentiality in health care prevents the nurse from giving information on why other patients are prioritized over them. Nurses can with the knowledge of patients' experiences of care in the emergency department, get a better understanding and through this provide more individualized care and increased satisfaction of patients.

    Aim: To describe patients' experiences of care from nurses in the emergency department. Furthermore, the aim of this study was to examine the data collection method of the included articles.

    Methods: A literature study with descriptive design. The twelve included scientific articles were sought out in the databases CINAHL and PubMed. The approaches of these are quantitative, qualitative or mixed.

    Results: Many patients felt that the treatment they received by the nurse in the emergency department was good. The good hospitality, ability to listen and the high competence of the nurse brought a mutual respect between nurse and patient. During the waiting time, however, the patients sometimes felt as a burden on nurses and in some cases even felt ignored. The lack of contact with the nurses during the waiting time meant that the patients did not receive the information they deemed necessary. Patients described that the nurse communication was adequate and that they used an easy to understand language.

    Conclusion: Most patients were satisfied with the care they received by the nurse in the emergency department. They felt that the nurse had a high level of competence and communication was adequate. However, there were patients who felt that the information was inadequate.

  • 43.
    Andersson, Helena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Äldre motionärers upplevelser av motionsträning: en beskrivande intervjuundersökning2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Title: Older people's experiences of exercise training: a survey based on a descriptive design.

    Course: Public Health: Theory and method of application and degree, 30 credits. University of Gävle, health education program.

    Author: Helena Andersson

    Purpose: According to earlier research the western population is aging. This may affect, the older peoples`s physical disability in one form or another. The consequences may be that the need off care can increase. However elderly can prevent a variety of age-related diseases by being physically active. The study will examine how older people view physical activity and participation of other social activities. This is to improve understanding of older people's health and what can be done in the future.

    Method: The study was conducted using a qualitative approach, in which four semi-structured interviews were conducted with older adults who exercise regularly. The interviews were based on a thematic interview guide with specific themes that gave informants space to talk freely about the issues raised. The sample consisted of three women and one man where the youngest was 63 and the oldest 74 years old.

    Results: Exercise was the highest priority of this group of people. It was in the connection with social interaction that the exercise became complete according to the informants. The place for exercise was found to be important; to train with others, seemed to generate joy, power, energy and motivation. This meant that all informants were rarely sick, which also was something that was pointed out. They exercise to obtain more healthy years.

  • 44.
    Andersson, Izabelle
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Är Instagram en pådrivande faktor till utvecklande av Ortorexi?: En kvalitativ innehållsanalys om hur flödet av bilder på Instagram påverkar unga kvinnors kroppsuppfattning, fysiska aktivitet och matvanor i relation till fenomenet ortorexi.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to explore if young women aged 18-20 years experienced that Instagram affected their body image, their physical activity and their eating habits in relation to the phenomenon orthorexia. The method for the study was a qualitative content analysis based on semi-structured interviews with four young women with the age of 18-20 years old. The results showed that Instagram affected young women's body image, their physical activity and their eating habits. Primarily body image and physical activity were most affected, eating habits were less affected. The results showed that there were both a positive and a negative impact, but by far a negative impact. Respondents experienced feelings like anxiety and guilt when, for example, a training session did not go as planned or after they had eaten an unhealthy meal. Their mindset and emotions that came forward in the results were partly linked to the phenomenon of orthorexia. The young women were adversely affected by the pictures and videos on Instagram and also by other social media. They exposed themselves to develop mental and physical ill health. Society should consider prioritizing the young women to prevent them from falling into the mindset that is similar to the phenomenon of orthorexia. 

  • 45.
    Andersson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Att arbeta som jourtjej: krav och rekrytering2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 46.
    Andersson, Kajsa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jansson, Linnea
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Nyutexaminerade sjuksköterskors upplevelser av arbetsrelaterad stress samt stressens konsekvenser: En kvalitativ intervjustudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to describe newly graduated nurses' experiences of work-related stress and to describe their experiences of what consequences stress can lead to. A descriptive interview study with qualitative approach was used. Data collection was performed by eight semi-structured interviews. The collected data was analyzed using qualitative manifest content analysis. The main result demonstrates that newly graduated nurses experienced stress in the beginning of their profession, partly because it is a time of uncertainty. Newly graduated nurses have described a decreased experience of stress with increased knowledge and experience, and reduced demands on herself in the professional role. Nursing is described to be stressful due to a variety of causes but there are measures that can be used to reduce stress. Stress has been described to cause consequences both for the nurse as an individual and for the care of patients, which has been described to result in feelings such as frustration and inadequacy. In line with Benner's theory it can be stated that newly graduated nurses undergo a professional development which lead to a experience of decreased stress. Stress in the nursing profession is a complex problem that must be dealt with on several fronts. For the newly graduated nurse it is very important that she is gentle with herself in the professional role by not having too high demands on herself to be able to practice her profession, that is carry out optimal patient-focused nursing.

  • 47.
    Andersson, Karin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Arbetsrelaterad stress och dess inverkan på möjligheten till att vara fysiskt aktiv, hos ett urval av grundskolelärare: Intervjuundersökning2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 48.
    Andersson, Karin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Hedlund, Petra
    University of Gävle, Faculty of Health and Occupational Studies.
    Sjuksköterskans kunskaper om kvinnovåld: en litteraturstudie2010Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    År 2007 anmäldes 19600 fall av våld mor kvinnor där förövaren var en manlig bekant till kvinnan. Mörkertalet är stort och våldet är ofta väl dolt bakom hemmets väggar. Syftet med denna litteraturstudie var att belysa vilka kunskaper sjuksköterskan behövde för att kunna identifiera/urskilja kvinnor utsatta för våld i nära relation samt ge en god omvårdnad till dessa när de sökte till hälso- och sjukvården. Ur de granskade artiklarna utläste författarna fem teman "Urskilja kvinnor utsatta för våld i nära relation", "Att möta våldsutsatta kvinnor", "Våldsutsatta kvinnors erfarenheter av vården", "Sjuksköterskans behov av riktlinjer och utbildning" och " Sjuksköterskans inställning till att ställa frågan". Det framkom att sjuksköterskor behövde riktlinjer och utbildning/erfarenhet för att kunna identifiera och ge en god omvårdnad till kvinnor utsatta för våld i nära relation. En god omvårdnad för dessa kvinnor innebar att sjuksköterskan vågade fråga om deras situation, vågade ta emot svaret och förmedla vidare kontakt.

    En slutsats författarna drar efter denna litteraturstudies genomförande är att forskning om sjuksköterskors kunskaper inom detta område bör undersökas ytterligare. Vidare bör det även forskas om vilken kunskap om detta ämne sjuksköterskestudenter erhåller i sin utbildning till sjuksköterska.

  • 49.
    Andersson Kraft, Emelie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Distriktsköterskans arbete med och reflektioner kring behandlingen av vuxna patienter med övervikt och fetma: En kvalitativ intervjustudie med distriktssköterskor på landstingsdrivna vårdcentraler i Uppsala län2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Övervikt och fetma är ett växande problem i Sverige och delar av världen. Det är en riskfaktor för andra somatiska sjukdomar och har en negativ inverkan på livskvalitén. Syftet med denna studie var att beskriva distriktsköterskors arbete med och reflektioner kring behandlingen av vuxna patienter med övervikt och fetma. Studien var av kvalitativ ansats med deskriptiv design och genomfördes genom semistrukturerade intervjuer med åtta distriktssköterskor på landstingsdrivna vårdcentraler i Uppsala län. Resultatet av studien visade att mätvärden och samtal var viktiga verktyg för att distriktssköterskorna ska kunna identifiera patientens övervikt eller fetma. I behandlingen av övervikt och fetma var motiverande samtal, tvärprofessionellt arbete, fysisk aktivitet på recept och kostråd centrala delar. Liksom de stöd som distriktssköterskan utgjorde för patienten i beteendeförändringen. Patientens brist på motivation eller vilja kunde försvåra samarbetet mellan patient och distriktssköterska. Slutsatsen av studien visade att distriktssköterskorna hade en betydande roll i patientens beteendeförändring mot en hälsosammare livsstil och viktminskning. Distriktssköterskorna hade kunskap och kompetens att hjälpa patienten i arbetet med beteendeförändringen men mer kunskap behövdes för att kunna utveckla vården. Riktlinjer för hur övervikt och fetma ska tas om hand och behandlas inom vården var viktiga och hjälpte distriktssköterskorna att motivera sitt arbete hos verksamhetschefer. Distriktssköterskorna följde delvis vårdprogrammet för fetma hos vuxna i Uppsala län.

  • 50.
    Andersson, Kristoffer
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans arbetsmiljö och patientsäkerhet: En litteraturstudie2012Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med litteraturstudien var att beskriva hur sjuksköterskans arbetsmiljö påverkar patientsäkerheten. Metoden som användes var en litteraturstudie som baserade sig på tretton artiklar. Resultatet pekade på att kvalitén på vården som sjuksköterskorna gav var signifikant associerad med sjukhusets arbetsmiljö och antalet anställda. Det fanns ett starkt samband mellan antalet patienter per sjuksköterska och patientsäkerheten. Det visade sig även att om en arbetsplats har en dåligt organiserad arbetsmiljö så kan det motverka fördelarna med att ha mycket personal. Sjuksköterskor måste vara flexibla då patienternas behov och vårdkedjor var mycket komplexa och ständigt varierande. Det kan finnas starka kopplingar mellan patienternas säkerhet i vården och sjuksköterskornas arbetsmiljö samt flera faktorer som påverkar denna arbetsmiljö: bemanning, organisation, arbetsansvar, höga krav, arbetsledning, patienternas tillstånd, arbetsrelationer, lagarbete, arbetsvillkor, sjuksköterskans professionella inställning, kommunikation, resurser, stress, utmattningssyndrom, stora mängder administration, telefonarbete, hanterande av svåra situationer och övriga icke sjuksköterskeuppgifter. Sjuksköterskeyrket beskrivs som mycket komplext, att det förväntas mycket och att det ställs stora krav på våra sjuksköterskor. Hög arbetsbelastning, konflikter mellan kollegor, dålig ledning och emotionell börda kopplades till utmattningssyndrom bland sjuksköterskor. Slutsatsen blev att låg bemanning och dålig arbetsmiljö kan påverka vårdkvalitén och patientsäkerheten.

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