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  • 1.
    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. 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. 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, 736-745 p.Article 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.

  • 2.
    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.

  • 3.
    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.

  • 4.
    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.

  • 5.
    Ahlin, Catharina
    et al.
    karolinska institutet, Stockholm.
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    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)
  • 6.
    Ahlin, Catharina
    et al.
    Karolinska institutet.
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    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, 364-372 p.Article 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.

  • 7.
    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.

  • 8.
    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.

  • 9.
    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.

  • 10.
    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.

  • 11.
    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.

  • 12.
    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.

  • 13.
    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.

  • 14.
    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.

  • 15.
    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.

  • 16.
    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.

  • 17.
    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.

  • 18.
    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.

  • 19.
    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.

  • 20.
    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.

  • 21.
    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.

  • 22.
    Andersson, Malin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Intensivvårdssjuksköterskors upplevelser av psykiskt påfrestande situationer, hantering och stöd samt förslag på förbättring av stöd från arbetsplatsen: en intervjustudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intensive care nurses are exposed daily to psychologically demanding situations that can be difficult to process without adequate support from the workplace. Previous research indicates that intensive care nurses lack support in these mentally challenging situations. However, there is also a lack in current research on how support can be improved.

    Purpose: The purposewas to describe the intensive care nurse's experiences of distressingsituations, how they handle these situations,how they experience the support and suggestions for improvements in the workplace.

    Method: This study has used a descriptive design along with a qualitative approach. Semi-structured interviews were held with 8 intensive care nurses and a content analysis was made.

    Result: The intensive care nurses experiences of mentally demanding situations were subjective. There could be difficult situations with patients, but also difficulties regarding personnel-related circumstances. The majority of intensive care nurses used problem-focused coping, were they actively sought out support from people they trusted. There were shared opinions regarding the support from colleagues, management and the workplace. Additionally, the intensive care nurses gave suggestions on how this support could be improved. The suggestions included that both the colleagues and the management could be more attentive and responsive to each others needs.

    Conclusion: Situations that are experienced as mentally demanding showed to vary from each individual. The support at the workplace and the support from management are experienced both as well and less well. The support can be improved by being responsive towards colleagues needs. The collegiate support was experienced as well. However, the support can be improved further by showing more compassion for one and another.

  • 23.
    Andersson, Matilda
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Saunamäki, Nina
    University of Gävle, Department of Caring Sciences and Sociology.
    2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 24.
    Andersson, Sandra
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Rönnkvist, Linnea
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnors erfarenheter av att leva med endometrios: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronic gynecological disease which ten percent of all women suffer from. The symptoms are individual but the most common are pelvic pain, pain during menstruation and intercourse pain. Because of insufficient competence in health care system women are treated with disbelief and normalization of symptoms. The nurse attitude towards these patients ought to include sensitivity, sympathy and empathy and also have a good communication and be able to find meaning in each meeting with patients.

     

    Aim: The aim with this literature review was to describe womens experience in daily life of living with endometriosis. The aim was furthermore to describe the included articles data collections method.

     

    Method: A literature review with descriptive design. Data were collected through databases PubMed and CINAHL where ten articles with a qualitative approach was found which laies to basis for the result.

     

    Main results: The way to diagnosis was a long process that was related to disbelief and endometriosis diffuse symptoms. Endometriosis limited womens physical, psychological and social abilities that significantly reduced quality of life. Pain was the most substantial symptom and to be able to handle with the pain, they constantly search for strategies. The strategies varied slightly among the women but the most useful approach was a major dietary change. The ten articles that was included in this literature review  used interviews to collect data and supplemented with diarys and journal entries to describe womens experiences of living with endometriosis.

     

    Conclusion: Endometriosis affects a womans daily life adversely and also her relationships with other people. Deficiencies in health care was significantly when non adequate information was given and a marked disbelief related to the womens symptom that can be one reason for a delayed diagnosis. To be able to handle everyday life women had found different strategies to reduce pain. 

  • 25.
    Andersson, Sara
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Pahlbäck, Ann - Charlotte
    University of Gävle, Department of Caring Sciences and Sociology.
    Vilka kunskaper om smärta beskriver litteraturen att sjuksköterskor har: En litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of this study was to describe nurses’ knowledge of pain. The method used was a systematic literature study. Information was gathered from the databases Blackwell Synergy, Academic Search Elite and Medline, and the keywords used in the search were: pain, knowledge, nurses and nurses.

    The result was divided into three subgroups; Insignificant documentation and evaluation. More education is necessary. Knowledge and attitudes.

    Nurses need to improve their documentation and do it more continuously, not only at the end of their workday, but also make documentation about changes in the patient’s condition. The result showed lack in nurse’s basic traing regarding pain and pain management. Nurses that had gone to further education regarding pain and pain management had more knowledge in the subject. Concerning how knowledge and attitudes played a role in the interpretation of pain in patients from other cultures , the result showed how important it is that the nurses are culturally congruent, meaning that they must support, promote and amplify actions and decisions that goes along the lines of other cultures values and life styles.

    The educating of pain advisers seems very worth wile since workplaces with pain-advisers have improved their pain management considerable.

  • 26.
    Andersson, Susann
    University of Gävle, Faculty of Health and Occupational Studies.
    Patienters upplevelse av informationen i samband med hjärtinfarkt2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 27.
    Andersson, Therese
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Linder, Isabelle
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans attityder och betydelsefulla faktorer i mötet med patineter med självskadebeteende: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: People who self-harm is nothing new, this behavior has a lot of different terms and definitions. Self-destructive feelings can be rooted in assaults and violations. A self-harming behavior is sometimes used to regain control or to be used as self-punishment. Today there is a greater attention towards research in the subject of self-harm which brings new knowledge. Aim: The aim is to illuminate nurses’ attitudes an factors that is important in the encounter of patients who suffers from self-injurious behavior and to exanimate the samples selection in the articles of this study. Method: A descriptive literature study was conducted and fifteen articles from PsycINFO and PubMed between years 2005-2015. The chosen articles have qualitative and/or quantitative approach. Results: Nurses attitudes towards people who self-harm are predominantly positive. Negative attitudes are also presented in the encounter in form of antipathy, frustration, powerlessness and anxiety. Nurses are experiencing a lack of knowledge and resources. Conclusion: For nurses to feel confident in their work and give the best possible care to people who self-harm there is a need of education and organizational improvements such as more time and support from colleagues. Clinical significance: Our expectation with this study is to bring attention and understanding in the subject of self-harm.

  • 28.
    Andersson, Therés
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kjellberg, Emilia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Licensierade vårdhundar som komplement till omvårdnaden av barn med Autismspektrumtillstånd2014Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med föreliggande litteraturstudie var att beskriva på vilket sätt licensierade vårdhundar kan fungera som ett komplement i omvårdnaden av barn med autismspektrumtillstånd. Syftet var också att beskriva kvaliteten av artiklarna utifrån den metodologiska aspekten urval. En litteraturstudie med deskriptiv ansats genomfördes utifrån två artiklar med kvalitativ ansats, två artiklar med kvantitativ ansats, fyra artiklar med kvalitativ ansats och kvantitativa mätningar, samt två artiklar med kvantitativ ansats och kvalitativa inslag i form av observationer. De inkluderade artiklarna hade publicerats mellan åren 1989 och 2013. De databaser som användes för artikelsökningen var Academic Search Elite, Cinahl och PubMed med sökorden: Dogs, Child, Autism Spectrum Disorders, Animal-assisted, Service dogs, Autism samt Therapy Dogs. Huvudresultatet visade att de problem som barn med AST har med att passa in i samhället på grund av sina negativa, asociala beteenden till viss del kan avhjälpas i interaktion med licensierade vårdhundar. Vårdhunden hade förmågan att hjälpa barnen med AST att utveckla och förbättra sin fysiska aktivitet samt sina psykosociala beteenden. Det visade sig också att den familjära sammanhållningen ökade i närvaro av en licensierad vårdhund. För få studier har genomförts inom området barn med AST i interaktion med licensierad vårdhund, och därför är vidare forskning inom området nödvändigt för ytterligare evidens. För att en god omvårdnad ska kunna bedrivas krävs det mer utbildning och forskning inom detta område.

  • 29.
    Andersson, Victoria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Karlsson, Jenny
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Att leva med Polycystiskt ovariesyndrom: en litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med denna litteraturstudie var att beskriva hur det är att leva med Polycystiskt ovariesyndrom (PCOS). Metod: Deskriptiv litteraturstudie. Data inhämtades från databaserna Pubmed och Cinahl. Resultatet baserades på 14 evidensbaserade artiklar. Resultat: Kvinnor med Polycystiskt ovariesyndrom hade större risk att utveckla ångest och depression jämfört med normalpopulationen, orsaken till detta är inte klarlagd forskarnas åsikter går isär. Majoriteten av artiklarna i denna litteraturstudie hävdade att att ett högt Body Mass Index (BMI) var den största bidragande faktorn som orsakade psykisk ohälsa och reducerad livskvalité hos denna patientgrupp. Kvinnor med ett högt BMI hade större risk att utveckla psykisk ohälsa. Sjukvården negligerade ofta de psykologiska aspekterna som syndromet medförde. Vilket kunde leda till onödigt lidande för dessa kvinnor. Slutsats: Kvinnor med PCOS upplevde mer psykisk ohälsa och reducerad livskvalité i jämförelse med normalpopulationen. Personal inom hälso- och sjukvård behövde mer kunskap om syndromet för att kunna hjälpa denna patientgrupp på bästa sätt.

  • 30.
    Andrae, Fredrik
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Eriksson, Eleonore
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskestudenters kunskap om HIV och inställningen till behovet av HIV-testning2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: HIV-infection is a chronic and progressive disease that, left untreated, leads to a deterioration of the immune system and the development of AIDS. 

    Aim: To examine nursing students´, at two universities, knowledge about HIV and their attitude towards assessing the need for a HIV-test.

    Method: An empirical cross-sectional study using descriptive and comparative design with a quantitative approach. Data was collected by a questionnaire among third year nursing students at the University of Gavle and Uppsala University (N=95).

    Result: A majority (88,4 %) answered correctly that intercourse with more than one partner increases the risk for contracting HIV. Three students (3,2 %) answered incorrectly that there is a vaccine for HIV. Nearly half of the students did not know that lubricant, combined with a condom, does not reduce the risk for contracting HIV. A majority (78,9 %) recommended a HIV-test to a woman who have had unprotected sex with a man. In analyzing the students´ explanatory statements for the need for a HIV-test, four categories emerged; “risk”, “sexual behavior”, “patients´ concern” and “not knowing”.  

    Conclusion: The nursing students had relatively good knowledge about HIV. However, there was a significant lack of knowledge in some questions. The nursing students´ attitudes towards HIV-testing conforms relatively well with current guidelines. However, there is a need to change an outdated way of assessing the risk for HIV-infection to be able to provide counseling to patients based on current knowledge.

  • 31.
    Andreassen Devik, S.
    et al.
    Centre of Care Research, Department of Health Sciences, Nord University, Steinkjer, Norway; Department of Health Sciences, Nord University, Namsos, Norway.
    Hellzén, Ove
    Department of Nursing Sciences, Mid-Sweden University, Sundsvall, Sweden.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Centre of Care Research, Department of Health Sciences, Nord University, Steinkjer, Norway; Department of Nursing Sciences, Mid-Sweden University, Sundsvall, Sweden.
    Bereaved family members' perspectives on suffering among older rural cancer patients in palliative home nursing care: a qualitative study2016In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354Article in journal (Refereed)
    Abstract [en]

    Little is known about experiences with receiving home nursing care when old, living in a rural area, and suffering from end-stage cancer. The aim of this study was thus to investigate bereaved family members' perceptions of suffering by their older relatives when receiving palliative home nursing care. Qualitative semi-structured interviews were conducted with 10 family members, in Norway during autumn 2015, and directed content analysis guided by Katie Eriksson's theoretical framework on human suffering was performed upon the data. The two main categories identified reflected expressions of both suffering and well-being. Expressions of suffering were related to illness, to care and to life and supported the theory. Expressions of well-being were related to other people (e.g. familiar people and nurses), to home and to activity. The results indicate a need to review and possibly expand the perspective of what should motivate care. Nursing and palliative care that become purely disease and symptom-focused may end up with giving up and divert the attention to social and cultural factors that may contribute to well-being when cure is not the goal.

  • 32.
    Andreassen Devik, Siri
    et al.
    Fakultet for sykepleie og helsevitenskap, Nord universitet, Bodö, Norge.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Fakultet for sykepleie og helsevitenskap, Nord universitet, Bodö, Norge.
    Quality collaboratives used to improve drug safety for older patients in primary care in Norway2016Conference paper (Refereed)
  • 33.
    Andreassen Devik, Siri
    et al.
    Centre for Care Research Mid-Norway, Steinkjer, Norway; Department of Health Sciences, Mid-Sweden University, Sundsvall, Sweden.
    Enmarker, Ingela
    Centre for Care Research Mid-Norway, Steinkjer, Norway; Nord Trøndelag University College, Namsos, Norway.
    Bitnes Wiik, Guri
    Nord Trøndelag University College, Namsos, Norway.
    Hellzén, Ove
    Centre for Care Research Mid-Norway, Steinkjer, Norway; Department of Health Sciences, Mid-Sweden University, Sundsvall, Sweden; Nord Trøndelag University College, Namsos, Norway.
    Meanings of being old, living on one's own and suffering from incurable cancer in rural Norway2013In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 17, no 6, 781-787 p.Article in journal (Refereed)
    Abstract [en]

    Purpose

    The aim of this study was to explore and understand the lived experience of older people living alone and suffering from incurable cancer in rural Norway.

    Methods and sample

    Narrative interviews were conducted with five older people with incurable cancer (three women and two men, aged 71–79), receiving outpatient and life-prolonging chemotherapy and living alone in their homes in rural areas. A phenomenological hermeneutical approach was used to interpret the meaning of the lived experience.

    Key results

    Four main themes were found: enduring by keeping hope alive, becoming aware that you are on your own, living up to expectations of being a good patient and being at risk of losing one's identity and value. Enduring this situation means struggling with terminal illness and facing death in a brave manner, and replacing former ways of living. The process of providing treatment may threaten dignity and cause additional distress.

    Conclusions

    These results show a complex and comprehensive situation where physical symptoms and emotions are interwoven. Further the results describe how the ways of suffering caused by the manner in which care is delivered, suffering related to the cancer disease and existential suffering, may increase each other's impact. The social and rural context calls for special attention as the patients may lack recourses to gain sufficient care. Their comfort depends to a large extent on the health professionals' sensitivity.

  • 34.
    Andreassen Devik, Siri
    et al.
    Fakultet for sykepleie og helsevitenskap - Nord universitet.
    Enmarker, Ingela
    Fakultet for sykepleie og helsevitenskap - Nord universitet.
    Haugum, Margrete Hembre
    Trøndelag Forskning og Utvikling.
    Evaluering av Mestring i lag – sammen om rehabilitering. Prosjekt ved Namdal rehabilitering2012Report (Other academic)
  • 35.
    Andreassen Devik, Siri
    et al.
    Centre of Care Research, Mid-Norway, Steinkjer, Norway; Department of Nursing, Sweden University, Sundsvall, Sweden.
    Enmarker, Ingela
    Centre of Care Research, Steinkjer, Mid-Norway; Department of Health Sciences, Nord-Trøndelag University College, Namsos, Norway.
    Hellzén, Per Ove
    Centre of Care Research, Steinkjer, Mid-Norway; Department of Nursing, Mid-Sweden University, Sundsvall, Sweden; Department of Health Sciences, Nord-Trøndelag University College, Namsos, Norway.
    When expressions make impressions-Nurses' narratives about meeting severely ill patients in home nursing care: A phenomenological-hermeneutic approach to understanding2013In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8, no 1, 21880Article in journal (Refereed)
    Abstract [en]

    Registered nurses (RNs) working in homecare encounter severely ill and palliative patients whose expressions may cause ethical challenges and influence their daily work. The aim of this qualitative study was to illuminate and interpret the meaning of nurses’ lived experiences when meeting these patients. Narrative interviews were conducted with 10 RNs working in home nursing care. These interviews were audiotaped and transcribed verbatim to a text and interpreted by a phenomenological-hermeneutic method inspired by Ricoeur. The meaning of the RNs’ lived experience of patients’ expressions was formulated into four themes. The first theme, Being open for the presence of the Other, includes two subthemes: “Sensing vulnerability” and “Empathizing with.” The second theme, Being satisfied, entails the subthemes, “Feeling exceptional” and “Being trusted.” The third theme, Being frustrated, contains the subthemes, “Being disappointed” and “Being angry.” The fourth and final theme, Being ambivalent, includes one subtheme: “Being generous or reserved.” Patients’ expressions that make impressions on nurses create emotional waves. Expressions leave impressions that call upon the nurse, and confront her with taking the risk of letting intuition and pre-reflexive feelings gain entry to her care. Allowing for the Other's presence is seen as a precondition, which means facing humanity and sensing a vulnerability in herself as well as in the Other. Understanding and balancing this emotional dimension in care seems to cause confusion and distress within the nurses. Realizing how their feelings may lead to either generosity or aloofness towards the patient is upsetting. Our interpretation suggests that these impressions echo confusion according to the role of being a professional nurse. There is a need to pay more attention to how the emotional dimension in care is understood and impacts the way nurses perform their professional role.

  • 36.
    Andreou, Anette
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    JANOLS RENGEBORG, JOHANNA
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Stressfaktorer som påverkar de nyutexaminerade sjuksköterskornas under sitt första år som verksamma2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med denna litteraturstudie var att identifiera och lyfta fram stressfaktorer som nyutexaminerade sjuksköterskor möter under sitt första år som yrkesverksam sjuksköterska.

    Metod: Beskrivande litteraturstudie, 11 artiklar som sökts i Pubmed ingick i litteraturstudien. En analys av innehållet har gjordes av den utvalda litteraturen utifrån syfte och frågeställning. Artiklarna har lästs igenom vid flertalet tillfällen av bägge författarna. Artiklarna har systematiskt granskats och klassificerats för att innehållet skulle kunna identifieras, analyseras och sammanställdes. Resultat: Den största oron hos den nyutexaminerade sjuksköterskan var bl.a. att bli sedd som inkompetent, att skada patienter eller att inte kunna ge en god vård, och att inte kunna leva upp till det ansvarskrav som lades på dem. Detta medförde att den första perioden i den nya yrkesrollen gav både fysisk och psykisk utmattning. De nya sjuksköterskorna skall inte enbart socialiseras in i kliniskt arbete utan även finna sin plats i arbetsgruppen. Formella såväl som informella regler och föreskrifter råder, vilket formar deras beteende och genom detta utsätts de för många olika stressfaktorer som påverkar deras upplevelser under deras två första år som verksam sjuksköterska.

  • 37.
    Anthony, Caroline
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Kiya, Fariba
    University of Gävle, Department of Caring Sciences and Sociology.
    Klimakteriet Kvinnans upplevelse: Litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Abstract

    The purpose of this descriptive literature study was to describe the climacteric experiences and expectations of women and the support provided by the public health sector especially from nursing staff. Knowledge gained from this study is aimed to be used in providing more comprehensive nursing care for women. The search for literature was done by using databases. English-language articles that presented relevant data were identified from 1995 to 2007. A total of twenty- two scientific articles were included in the study.

    The analysis resulted in two major categories of experiences: Confusion as well as insecurity and dissatisfaction with health service providers. Confusion and insecurity is rooted in the physical, psychological and social aspects of life. Women’s experiences and expectations differ from each other. Both positive and negative aspects are described. Society in general has a significant influence on how women experience climacteric. General dissatisfaction with health care providers was prominent and this applied across the board from nurses to doctors. Women experienced that health care providers lacked understanding to their needs and communication between them was far from satisfactory. The authors conclude that it is essential for nursing staff to understand the effects of climacteric in order to meet the needs of women.

  • 38.
    Antonsson, Camilla
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Kavallin, Kjerstin
    University of Gävle, Department of Caring Sciences and Sociology.
    Livskvalitet hos ungdomar En beskrivande och jämförande studie2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The purpose of this study was to describe how adolescents in the age of 16-19 experience

    their quality of life and to explore if there are any differences between the sexes.

    The study was carried out at a high school in Sweden during January 2008 and is an

    empirical, quantitative cross sectional study with a descriptive and comparative design. The

    final sum of participants were 90, 47 girls and 43 boys. The authors used the Life Satisfaction

    Questionnaire. The results of the study showed that the highest scores were found in physical

    symptoms. The teenagers scored lowest in the everyday life’s fun and meaningful activities.

    The result showed differences between the sexes, boys rated significantly higher quality of

    life than girls in physical symptoms, whereas girls rated their quality of life significantly

    higher in relations to family members and friends. The teenagers estimated their study result

    and their ability to manage their studies as rather good, in these subjects, the girls rated

    significantly higher scores than the boys. The majority of the students did not feel harassed. A

    third of the adolescents stated that they had felt depressed in some degree or higher. In this

    question, the boys rated significantly higher scores than the girls.

    Keywords: Quality

  • 39.
    Arenhall, Eva
    et al.
    Örebro universitet.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sexualitet och parrelation vid hjärtsjukdom2012In: Kardiologisk omvårdnad / [ed] Bengt Fridlund, Dan Malm, Jan Mårtensson, Lund: Studentlitteratur, 2012, 2, 403-416 p.Chapter in book (Other academic)
  • 40.
    Arenhall, Eva
    et al.
    Örebro University Hospital, Department of Cardiology.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University; Linnaeus University, Växjö, Sweden.
    Malm, Dan
    School of Health Sciences, Jönköping University; County Hospital Ryhov, Jönkoping, Sweden.
    Nilsson, Ulrica
    Department of Anesthesia and Intensive Care, Örebro University.
    The male partners' experiences of the intimate relationships after a first myocardial infarction2011In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 10, no 2, 108-114 p.Article in journal (Refereed)
    Abstract [en]

    Background: Stress in the intimate relationship is found to worsen the prognosis in women suffering from myocardial infarction (MI). Little is known about how male spouses experience the intimate relationship.

    Aim: This study aimed to explore and describe the experience of men’s intimate relationships in connection to and after their female partner’s first MI.

    Methods: An explorative and qualitative design was used. Interviews were conducted with 16 men having a partner who the year before had suffered a first MI. The data were analysed with qualitative content analysis.

    Results: Three themes emerged: masculine image challenged; life takes another direction; and life remains unchanged. The men were forced to deal with an altered image of themselves as men, and as sexual beings. They were hesitant to approach their spouse in the same way as before the MI because they viewed her to be more fragile. The event also caused them to consider their own lifestyle, changing towards healthier dietary and exercise habits.

    Conclusions: After their spouse’s MI, men experienced a challenge to their masculine image. They viewed their spouse as being more fragile, which led the men to be gentler in sexual intimacy and more hesitant to invite sexual activity. This knowledge about how male spouses experience the intimate relationship could be helpful for health personnel in hospitals and primary care when they interact with couples where the woman suffers from cardiac disease or other chronic disorders.

  • 41.
    Arenhall, Eva
    et al.
    Örebro universitet.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala.
    Fridlund, Bengt
    Hälsohögskolan Jönköping.
    Nilsson, Ulrica
    Örebro universitet.
    The female partners' experiences of intimate relationship after a first myocardial infarction2011In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 11-12, 1677-1684 p.Article in journal (Refereed)
    Abstract [en]

    Aim.

    This study aimed to explore and describe women’s experience of intimate relationships in connection to and after their partner’s first myocardial infarction.

     

    Background.

    Support from partners is important for recovery, but little is known about partners’ experience of intimate relationships after myocardial infarction.

     

    Design.

    The study used an explorative, qualitative design.

     

    Methods.

    The first author interviewed 20 women having a partner who had suffered a first myocardial infarction during the preceding year. Qualitative content analysis was used to analyse the data.

     

    Findings.

    Three themes emerged: ‘limited life space’, ‘sense of life lost’ and ‘another dimension of life’. The women described how their self-assumed responsibility led to a more stifling and limited life. Their sense of life lost was described in terms of deficits and feeling the loss. The women also described experiencing another dimension of life characterised by three subthemes: ‘uncertainty of life’, ‘certain of relationship’ and ‘share life more’.

     

    Conclusions.

    The partners’ myocardial infarction had an impact on the interviewees’ intimate relationships; they suffered a major loss and missed their ‘former’ partner, both emotionally and sexually. They struggled with the new asymmetry in their intimate relationship and felt compelled to adapt to their partners’ lack of sexual desire or function. Also, their partner controlled them, which lead towards a stifling, more limited life space.

     

    Relevance to clinical practice.

    Caregivers in hospital and primary care settings could apply the findings in their efforts to help couples recover or maintain intimate relationships following myocardial infarction.

  • 42.
    Areteg, Marcus
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Utvärdering av postoperativ noninvasiv ventilationmed Bi-level Positive Airway Pressure av obesapatienter som genomgår elektiv gastric bypasskirurgi2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Obese patients have a higher risk for respiratory complications after general anesthesia related toreduced vital capacity (VC), functional residual capacity (FRC) and total lung capacity (TLC).Earlier studies have shown that postoperative treatment with Bi-level Positive Airway Pressureimproved forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1.0) andsaturation (SpO2) after elective gastric bypass surgery. Present study evaluates whether or not thesame postoperative treatment also shows differences in arterial blood gases, if compared with usualpostoperative treatment with nasal administered oxygen. A second aim was to describe how patientsexperienced the BIPAP treatment. Arterial blood gases from 18 patients were analyzed withanalytical statistics. The study showed that postoperative treatment whit BIPAP during 3 hoursresults in higher SpO2 and lower paCO2 than traditional postoperative treatment after electivegastric bypass surgery. Both treatments results in lower paO2 and unchanged pH. Several patientsexperienced discomfort during the BIPAP treatment.

  • 43.
    Arnells, Malin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Östergrens, Nancy
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Omvårdnadsproblem i samband med polyfarmaci hos äldre personer: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim was to describe the nursing problems that may arise in connection withpolypharmacy in the elderly. The literature review was done with descriptive design. Datacollection through PubMed and Cinahl. The result was based on 12 quantitative articles. Theresults showed that there was a correlation between polypharmacy and several specificnursing problems among older people. The nursing problems that occurred most among thestudied articles were falls and fractures. It was revealed that the number of used medicinescould be identified as a risk factor for falls and fractures, but also drug type could influence.The results also showed that dizziness and balance problems could be associated withpolypharmacy. Other nursing problems that could connect with polypharmacy was impairednutritional status, such as weight loss and malnutrition. There were also a connection betweengastrointestinal problems and usage of many drugs. The conclusion was that a correlationbetween polypharmacy and several nursing problems among older people were found. A totalof four categories of nursing problems were identified in the studied articles: falls andfractures, impaired nutritional status and malnutrition, gastrointestinal problems, dizzinessand balance problems.

  • 44.
    Arvidsson, Angelica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Spennare, Malin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskors erfarenheter att vårda patienter med drogmissbruk i sjukvården: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskor möter många olika individer. 780 000 individer över 18 år i Sverige uppskattades 2009 - 2011 ha ett drogmissbruk eller drogberoende. Alla har rätt till samma vårdkvalité oavsett livssituation och bakgrund. Människor med drogberoende känner sig ofta stigmatiserade av samhället. Vilket område Sjuksköterskan än jobbar inom kommer sjuksköterskan någon gång möta patienter med drogmissbruk.

    Syfte: Syftet med denna litteraturstudie var att beskriva sjuksköterskors erfarenheter av att vårda patienter med drogmissbruk inom sjukvården samt beskriva de inkluderade artiklarnas datainsamlingsmetod.

    Metod: denna studie är en beskrivande litteraturstudie. Två stycken databaser användes under sökningen, 12 vetenskapliga artiklar användes i resultatet. Dessa granskades upprepade gånger och sammanställdes.

    Huvudresultat: Sjuksköterskor beskrev ofta negativa erfarenheter av att vårda patienter med drogmissbruk.  Sjuksköterskor beskrev att de ofta upplevde en rädsla och oro inför våldsamma och hotfulla situationer. Att patienter med drogmissbruk hade eget ansvar över sitt liv och hälsa beskrevs av en del av sjuksköterskorna. En del av sjuksköterskorna beskrev att de tyckte att det var viktigt att vara en förespråkare för patienter med drogmissbruk.

    Slutsats: Alla människor har samma rätt till vård och att uppleva hälsa oavsett livssituation och bakgrund. Att leva med drogmissbruk är inget som ska inverka på omvårdnadskvalitén som ges till patienterna. För att utveckla vården och minska patienternas upplevelse av stigmatisering behövs mer och regelbunden utbildning för sjuksköterskor och andra professioner.

  • 45.
    Arvidsson, Elisabet
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    BVC-sköterskors reflektioner av att arbeta med mammor med förlossningsdepression och deras barn: En intervjustudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: About 10–15% of new mothers are affected by Post Partum Depression. A new mother with depression means a higher risk of attachmentsproblem with her newborn child. The child health care nurse has a regular contact with newborns and their mothers. Therefor they can have an important role in the process of attachment. Aim: The aim of the study was to describe reflections of the child health care nurses in their work with mothers with Postpartum Depression and their newborn. Method: The present study had a descriptive design with a qualitative approach. Eight child health care nurses  were interviewed with semi-structured interviews. The material was analyzied using qualitative content analysis. Result: A underlying theme was; ”To have knowledge and to know your limitations, for a trustworthy interaction.” The theme had four descriptive categories; ” Ways to discover the mother with a postpartum depression”, ”The interaction with the mother” ”Strategies at work” and ”Challenges in work”. Conclusion: During the study it has been revealed that if guidelines and routines are to work optimally discovering the mother with Post Partum Depression, it requires a good communication. Already at the first meeting a journey began, that could mean a working interaction or not. It required in addition to formal knowledge of Postpartum depression also an ability to interact with the mother. It was about getting the mother´s confidence.

  • 46.
    Arvidsson, Lisa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Förstagångsmammors förväntningar på, erfarenheter och reflektioner av kontakten med sjuksköterskan på barnavårdscentralen: En intervjustudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 47.
    Aspgren, Emma
    University of Gävle, Department of Caring Sciences and Sociology.
    Distriktssköterskors upplevelser av att arbeta med motiverande samtal som ett arbetsverktyg2008Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att beskriva distriktssköterskors upplevelser av att arbeta med motiverande samtal som arbetsverktyg. Studien hade en kvalitativ ansats med beskrivande design. Nio distriktssköterskor från fyra hälsocentraler i ett landsting i Mellansverige deltog. Data samlades in med semistrukturerade intervjuer och analyserades utifrån kvalitativ innehållsanalys. Tre huvudkategorier framkom (användningsområde, arbetsverktyg, och förändrat arbetssätt) och dessa bildade temat

    "Att förändra fokus i mötet och aktivera patienten". Huvudkategorin Användningsområde visade att motiverande samtal oftast användes i mottagningsarbetet. Vidare ansåg distriktssköterskorna att motiverande samtal fungerade bra inom barn – och skolhälsovården men att motiverande samtal var svårt att använda i palliativ vård. Huvudkategorin Arbetsverktyg visade hur distriktssköterskorna använde sig av motiverande samtal samt vilka delar de ansåg var viktiga för att utöva motiverande samtal. Viktigast var ett respektfullt bemötande av patienten och distriktssköterskorna visade detta genom att ställa öppna frågor. Distriktssköterskorna frågade patienterna om lov för att ge information och identifierade vart i förändringsprocessen som patienterna befann sig. En annan viktig del var att tydliggöra patientens egenansvar. I huvudkategorin Förändrat arbetssätt beskrev distriktssköterskorna hur arbetet hade förändrats sedan utbildningen i motiverande samtal. Den största skillnaden var att patienterna hade ett utökat ansvar nu jämfört med tidigare och att distriktssköterskorna nu fungerade som coach.

  • 48.
    Asplund, Sara
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Distriktssköterskornas erfarenheter och reflektioner kring fysisk aktivitet på recept och motiverande samtal för att främja patientens fysiska aktivitet2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 49.
    Backlund, Kristina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Höök, Jessica
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Erfarenheter av sjuksköterskeledd mottagning hos patienter med reumatoid artrit: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Chronic arthritis rheumatism or rheumatoid arthritis (RA) is a chronic inflammatory joint disease and is the most common arthritis disease, in which headache is joint pain. RA is present in all populations, with varying prevalence. In Scandinavia, the prevalence is approximately 0.7%. The ethnology of RA is a combination of genetic and environmental factors. Living with RA affect the patient physically, emotionally, psychologically and socially, meaning that the whole life situation is affected.

    Aim: The purpose of the literature study was to describe the experiences of nurse-led clinics for patients with rheumatoid arthritis and to present the study groups described in the articles included.

    Methods: A descriptive literature study

    Main results: Patients' experiences of nurse-led clinics were encounters in a warm, friendly and familiar atmosphere. The care was described as person-centered and competent provided and based on each individual's special needs. The nursing specialist skills were highly valued and described to create a sense of security for the patient. The nurse-led clinic was reported readily available, flexible and to create stability in the care. The accessibility also meant that the patients were aware of when and how to contact the nurse. The patient's experience was that good communication with the healthcare staff provided a mutual respect and instilled an increased patient confidence.

    Conclusion: The conclusion of this study was that nurse-led clinics could add value for the patient nursing care. This offered care represented familiarity, hope and confidence for the patients. To achieve added value, good communication and relationship are of the utmost importance, which in turn provide security and create a fundamental possibility in health-promoting care.

  • 50.
    Balazsi, Krister
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Karlstedt, Josefin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Faktorer som är av betydelse för långsiktigt viktminskningsresultat efter gastric bypass: En litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med denna litteraturstudie var att sammanställa och beskriva faktorer som är av betydelse för långsiktigt viktminskningsresultat, mer än tre år efter gastric bypass.

    Metod: För att besvara studiens syfte gjordes en litteraturstudie med deskriptiv design. Studien har baserats på fjorton vetenskapliga artiklar som har sökts fram via Medline samt genom manuell sökning.

    Resultat: Studien visade att faktorer som var av betydelse för långsiktigt viktminskningsresultat var kost, fysisk aktivitet, beteende, uppföljning, preoperativ viktnedgång samt medicinska faktorer såsom utvidgning av magsäck och gastrojejunal stomi. God kostkvalitet och utövande av fysisk aktivitet visade sig ha ett signifikant samband med långsiktig viktminskning. Beteenden såsom kontroll över matbegär och ätvanor var av stor betydelse. Hetsätning visade sig påverka viktresultatet negativt. Patienter som gick på uppföljning visade större viktminskning på lång sikt liksom patienter som lyckades minska i vikt före operationen.

    Slutsats: Långsiktigt viktresultat efter gastric bypass kan förbättras genom rätt kost, fysisk aktivitet, långsiktig uppföljning samt genom att tidigt upptäcka ohälsosamma ätbeteenden. Mer forskning krävs angående faktorer som påverkar viktresultatet på lång sikt och vad sjukvården kan göra för att påverka dessa.

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