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  • 1.
    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.

  • 2.
    Ahlin, Catharina
    et al.
    Department of Medicine, Division of Hematology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; Red Cross University College, Stockholm, Sweden.
    Klang-Söderkvist, Birgitta
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Johansson, Erika
    Department of Medicine, Division of Hematology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Björkholm, Magnus
    Department of Medicine, Division of Hematology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Western Norway University of Applied Sciences, Department of Health Sciences, Haugesund, Norway.
    Assessing nursing students’ knowledge and skills in performing venepuncture and inserting peripheral venous catheters2017In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 23, 8-14 p.Article in journal (Refereed)
    Abstract [en]

    Venepuncture and the insertion of peripheral venous catheters are common tasks in health care, and training in these procedures is included in nursing programmes. Evidence of nursing students’ knowledge and skills in these procedures is limited. The main aim of this study was to assess nursing students’ knowledge and skills when performing venepuncture and inserting peripheral venous catheters. Potential associations between level of knowledge and skills, self-training, self-efficacy, and demographic characteristics were also investigated. The assessment was performed by lecturers at a university college in Sweden using the two previously tested instruments "Assess Venepuncture"€ and "Assess Peripheral Venous Catheter Insertion". Between 81% and 100% of steps were carried out correctly by the students. The step with the highest rating was "€œUses gloves", and lowest rating was "€˜Informs the patients about the possibility of obtaining local anaesthesia"€™. Significant correlations between degree of self-training and correct performance were found in the group of students who registered their self-training. No associations between demographic characteristics and correct performances were found. Assessing that students have achieved adequate levels of knowledge and skills in these procedures at different levels of the nursing education is of importance to prevent complications and support patient safety.

  • 3.
    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.

  • 4.
    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.

  • 5.
    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)
  • 6.
    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.

  • 7.
    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.

  • 8.
    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.

  • 9.
    Backlund, Niroshani
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Almqvist, Lotta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Transpersoners upplevelser av bemötande i vården: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 10.
    Bergström, Charlotta
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Englin, Linda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Föräldrars erfarenheter av stöd från sjukvårdspersonal när deras barn diagnostiserats med Downs syndrom under det första levnadsåret: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Down syndrome (DS) is the most common cause of intellectual disability in children. The child has an extra chromosome in the 21st chromosome pair. It is important that the nurse is comfortable within their own field of knowledge in order to give every individual the specific care they need. Becoming a parent is a major event in people's lives and it can be fraught with joy and anxietya bout the future.

    Aim: The aim of this literature review was to describe parents' experiences of support from the health care professionals when the child is born with DS and the experiences of support during the child's first year. The aim was further more to describe the included articles data collections methods.

    Method: A literaturere view with descriptive design. The literature contains ten scientific articles with both qualitative and quantitative approach. The articles were collected through PubMed and Cinahl. The authors reviewed articles and looked for similarities and differences that could form the basis of the result.

    Main result: The literature review shows that parents of children with DS are concerned about the future when support and information from nurses and health care professionals is inadequate. The parents feel unprepared for the parent hood. The results of this review were based on both qualitative and quantitative articles. Interviews, surveys and questionnaires were used as data collection methods in these articles.   

    Conclusion: This literature demonstrates the importance of good communication between parents and health care professionals. The lack of informative and emotional support creating anxiety and fear among parents. Having a child with DS is something that can change the lives of the entire family. The nurse has an important role in providing adequate support to the whole family.

  • 11.
    Bieber, A.
    et al.
    Medical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Stephan, A.
    Medical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Verbeek, H.
    School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands.
    Verhey, F.
    School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands.
    Kerpershoek, L.
    School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands.
    Wolfs, C.
    School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands.
    de Vugt, M.
    School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands.
    Woods, R. T.
    Dementia Services Development CentreWales, Bangor University, Bangor, UK.
    Røsvik, J.
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, and Department of GeriatricMedicine, Oslo University Hospital, Oslo, Norway.
    Selbaek, G.
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, and Department of GeriatricMedicine, Oslo University Hospital, Oslo, Norway.
    Sjölund, Britt-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Neurobiology, Care sciences and Society, Karolinska Institut, Stockholm, Sweden.
    Wimo, A.
    Department of Neurobiology, Care sciences and Society, Karolinska Institut, Stockholm, Sweden.
    Hopper, L.
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Irving, K.
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Marques, M. J.
    CEDOC, Chronic Diseases Research Centre, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Gonçalves-Pereira, M.
    CEDOC, Chronic Diseases Research Centre, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Portolani, E.
    Alzheimer’s Research Unit-Memory Clinic, Brescia, Italy.
    Zanetti, O.
    Alzheimer’s Research Unit-Memory Clinic, Brescia, Italy.
    Meyer, G.
    Medical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Access to community care for people with dementia and their informal carers [Zugang zu professioneller Unterstützung für Menschen mit Demenz und ihre Angehörigen: Fallvignetten für den europäischen Vergleich von Strukturen und Zugangswegen zu professioneller Pflege]: Case vignettes for a European comparison ofstructures and common pathways to formalcare2017In: Zeitschrift für Gerontologie und Geriatrie (Print), ISSN 0948-6704, E-ISSN 1435-1269Article in journal (Refereed)
    Abstract [en]

    Background

    People with dementia and their informal carers often do not receive appropriate professional support or it is not received at the right time.

    Objectives

    Description and comparison of common pathways to formal community dementia care in eight European countries as a part of the transnational Actifcare project.

    Materials and methods

    The German team was responsible for creating an individual case scenario as a starting point. The research teams in Ireland, Italy, the Netherlands, Norway, Portugal, Sweden, and the United Kingdom were then asked to describe a common pathway to formal dementia care by writing their own vignette using the provided individual case scenario.

    Results

    A transnational qualitative content analysis was used to identify the following categories as being the most important: involved professionals, dementia-specific and team-based approaches, proactive roles, and financial aspects. General practitioners (GPs) are described as being the most important profession supporting the access to formal care in all the involved countries. In some countries other professionals take over responsibility for the access procedure. Dementia-specific approaches are rarely part of standard care; team-based approaches have differing significances in each of the countries. Informal carers are mainly proactive in seeking formal care. The Nordic countries demonstrate how financial support enhances access to the professional system.

    Conclusion

    Enhanced cooperation between GPs and other professions might optimize access to formal dementia care. Team-based approaches focusing on dementia care should be developed further. Informal carers should be supported and relieved in their role. Financial barriers remain which should be further investigated and reduced.

  • 12.
    Billingsley, Jennifer
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskors upplevelse av att vårda människor med depression: En beskrivande litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is a mental illness that relapses and is different from person to person in how long it lasts and how serious the depression is considered. For each new relapse a person has the risk of future relapses increased which can become more serious and more difficult to recover from. Considering that depression is a common disorder that is becoming more common, there is no place in health care where a nurse will not meet these people.

     

    Aim: To describe how nurses experience caring for people who have depression. The aim is also to describe the study groups of the selected articles.

     

    Design: A descriptive study of literature.

     

    Findings: Nurses felt confident in recognizing symptoms of depression, but many depressions remained undiagnosed and untreated. Frustration towards the disease and its treatment were experienced since there was no time or the right knowledge to be able to handle depressed patients. The desire to learn more and be empathetic to the needs of patients was present which supported the need for a good relationship between the nurse and the patient. There was a dominance of women in the 10 selected articles. Everything from newly hired nurses to nurses who've worked for several years participated although most of them were middle-aged.

     

    Conclusion: Nurses are experiencing frustration and powerlessness when they care for people with depression, which leads to the feeling of stigmatization and poor relationships between nurse and patient. The desire to become better at recognizing depression and be a support for people with the disease exists, but the lack of time, knowledge and communication makes nurses feel insecure in their role as caregivers.

  • 13.
    Björklund, Ove
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Åbo Akademi University, Vaasa, Finland.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Åbo Akademi University, Vaasa, Finland.
    Nyström, Lisbet
    Åbo Akademi University, Vaasa, Finland.
    Young Finnish Unemployed Men's Experiences of Having Participated in a Specific Active Labor Market Program2017In: American Journal of Men's Health, ISSN 1557-9883, E-ISSN 1557-9891, Vol. 11, no 5, 1426-1435 p.Article in journal (Refereed)
    Abstract [en]

    The purpose of the present study was to describe young Finnish unemployed men's experiences of having participated in a specific active labor market program, intended to fight unemployment and offered at a resource center. Fifteen young unemployed Finnish men in the age range 18 to 27 years were interviewed face-to-face. Purposive sampling was used to increase the variation among informants. The interview texts were analyzed using both manifest and latent qualitative content analysis. The present results reported that the young men felt that they, thanks to the program at the resource center, had acquired daily routines and could ultimately believe in the future. The young men described how they now had a structure, economic support, and that they could return to their daily life. The informants also described how they could see new possibilities and believe in oneself. There is a lack of empirical studies assessing the possible impact of active labor market programs on the unemployed based on participants' own experiences. Further research is needed to describe and elucidate in more detail the effects of targeted support measures and the needs of unemployed men of different ages and living in different contexts.

  • 14.
    Björkman, Annica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Nursing Department, Medicine and Health College, Lishui University, Lishui, China .
    Olsson, Annakarin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Wahlberg, Anna Carin
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Identified obstacles and prerequisites in telenurses’ work environment: a modified Delphi study2017In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 17, no 1, 357Article in journal (Refereed)
    Abstract [en]

    Background: Telenursing is an expanding part of healthcare, staffed with registered nurses whose work environment is typical of a call centre. Work-related stress has been shown to be a major problem in nurses’ work environments and of importance to the outcome of care, patient safety, nurse job satisfaction and burnout. Today, however, we have a limited understanding of and knowledge about the work environment for telenurses. The aim of the present study is to explore and reach consensus on perceived important obstacles and prerequisites in telenurses’ work environment.

    Methods: A modified Delphi design, using qualitative as well as quantitative data sequentially through three phases, was taken. Data were initially collected via semi-structured interviews (Phase I) and later using a web survey (Phase II-III) between March 2015 and March 2016.

    Results: The findings present a consensus view of telenurses’ experiences of important obstacles and prerequisites in their work environment. Central to the findings are the aspects of telenurses having a demanding work, cognitive fatigue and having no opportunity for recovery during the work shift was ranked as important obstacles. Highly ranked prerequisites for managing were being able to focus on one caller at a time, working in a calm and pleasant environment and having technical support 24/7.

    Conclusions: Managers need to enable telenurses to experience control in their work, provided with possibilities to control their work and to recover during work; shortening work time could improve their work environment. Limited possibilities to perform work might contribute to feelings of stress and inability to perform work. 

  • 15.
    Björkman, Annica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    The bidirectional mistrust: Callers’ online discussions about their experiences of using the national telephone advice service.2017In: Internet Research, ISSN 1066-2243Article in journal (Refereed)
  • 16.
    Björkman, Josefin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sandberg, Elin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Föräldrars copingstrategier för att hantera tiden efter att deras barn fått en cancerdiagnos: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Almost on a daily basis a child gets affected by cancer in Sweden. Childhood cancer can be a long process involving the whole family. The parents are the child’s safety and are usually involved in the care of the child. The cancer diagnosis causes demanding emotions among the parents, and that is when they can institute different ways to manage and adapt to change of living.

    Aim: The aim of the present study was to describe how parents to children diagnosed with cancer handle the life situation during the period of illness. Also to describe the included articles study sample.

    Method: A descriptive literature study based on twelve scientific articles with a qualitative approach, obtained through searches of the databases Cinahl and Pubmed.

    Main results: Throughout the result, coping strategies were seen to be effective. The result showed coping strategies as (1) support which parents obtain from religion, others in similar situation and people in the surrounding. (2) Experience of control, which parents achieved through information, routine and planning. (3) Changing the emotions and way of thinking, by maintaining hope, positive thinking, being optimistic, having an avoidance behavior and performing distracting activities. A majority of the participants in the included articles were women. Ranged in age from 20 to 60 years. Two of the articles were from Sweden and the remaining from other countries.

    Conclusion: Coping strategies were seen to be effective ways for the parents to cope with the difficult time they appeared in. Three general observed coping strategies were accommodating for the parents; support, changed emotions and way of thinking and experiences of control. By gaining an understanding of the management method of the parents and contribute and strengthen coping strategies, the health professionals can work to promote health and well-being among the parents.

  • 17.
    Blomberg, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Lindberg, Cathrine
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Upplevelser av djurterapi hos patienter med psykisk ohälsa: En deskriptiv litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In today’s caring of human beings we find animals to assist in a lot of different ways. Therapy with animals has been studied in younger persons and people with dementia but in persons with psychiatric disorders few studies have been made.

    Purpose: The aim of this article was to describe experiences of animal assisted therapy (AAT) in patients with psychiatric disorders and survey the methodological aspect investigational groups in the articles.

    Method: Search of articles was made at Högskolan in Gävle during autumn 2016 using database MedLine and WebCrawler PubMed, CINAHL and PsycINFO using MeSH search word “Animal assisted therapy”. Words used in free text search were “Mental disorders”, “Psychiatric disorders” and ”experience”. Manual search was also made according to relevance, aim and question formulation. Selected articles were read individually and together results and tables were then compiled.

    Result: This review includes 11 articles. Predominant results were shown regarding experiences as a source of joy, feeling of belonging and to be needed, quality of life, self-esteem and social interaction and lower anxiety. Both positive and negative results were found when it comes to depression.

    Conclusion: AAT seems to have positive influence in patients with psychiatric disorders regarding better self-esteem, encourage managing daily life and facilitate social interaction. In nursing this knowledge might be a tool to use in clinical care-giving. This could help nurses to support patients to conquer interaction and promote health progress. Howsoever few studies have been made in this topic and better basis of knowledge is desirable to be able to use AAT in nursing based on evidence.

  • 18.
    Broda, Anja
    et al.
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Bieber, Anja
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Meyer, Gabriele
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Hopper, Louise
    Dublin City University, School of Nursing and Human Sciences, Dublin, Ireland.
    Joyce, Rachael
    Dublin City University, School of Nursing and Human Sciences, Dublin, Ireland.
    Irving, Kate
    Dublin City University, School of Nursing and Human Sciences, Dublin, Ireland.
    Zanetti, Orazio
    IRCCS S. Giovanni di Dio "Fatebenefratelli", Brescia, Italy.
    Portolani, Elisa
    IRCCS S. Giovanni di Dio "Fatebenefratelli", Brescia, Italy.
    Kerpershoek, Liselot
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Verhey, Frans
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    de Vugt, Marjolein
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Wolfs, Claire
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Eriksen, Siren
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Oslo, Norway.
    Røsvik, Janne
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Oslo, Norway; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
    Marques, Maria J.
    CEDOC, Chronic Diseases Research Center, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Gonçalves-Pereira, Manuel
    CEDOC, Chronic Diseases Research Center, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Sjölund, Britt-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Aging Research Center (ARC), Karolinska Institutet and Stockholm University, Stockholm, Sweden.
    Woods, Bob
    Bangor University, Dementia Services Development Centre, Bangor, UK.
    Jelley, Hannah
    Bangor University, Dementia Services Development Centre, Bangor, UK.
    Orrell, Martin
    Nottingham University, Institute of Mental Health, Nottingham, UK.
    Stephan, Astrid
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Perspectives of policy and political decision makers on access to formal dementia care: expert interviews in eight European countries2017In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 17, no 1, 518Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: As part of the ActifCare (ACcess to Timely Formal Care) project, we conducted expert interviews in eight European countries with policy and political decision makers, or representatives of relevant institutions, to determine their perspectives on access to formal care for people with dementia and their carers.

    METHODS: Each ActifCare country (Germany, Ireland, Italy, The Netherlands, Norway, Portugal, Sweden, United Kingdom) conducted semi-structured interviews with 4-7 experts (total N = 38). The interview guide addressed the topics "Complexity and Continuity of Care", "Formal Services", and "Public Awareness". Country-specific analysis of interview transcripts used an inductive qualitative content analysis. Cross-national synthesis focused on similarities in themes across the ActifCare countries.

    RESULTS: The analysis revealed ten common themes and two additional sub-themes across countries. Among others, the experts highlighted the need for a coordinating role and the necessity of information to address issues of complexity and continuity of care, demanded person-centred, tailored, and multidisciplinary formal services, and referred to education, mass media and campaigns as means to raise public awareness.

    CONCLUSIONS: Policy and political decision makers appear well acquainted with current discussions among both researchers and practitioners of possible approaches to improve access to dementia care. Experts described pragmatic, realistic strategies to influence dementia care. Suggested innovations concerned how to achieve improved dementia care, rather than transforming the nature of the services provided. Knowledge gained in these expert interviews may be useful to national decision makers when they consider reshaping the organisation of dementia care, and may thus help to develop best-practice strategies and recommendations.

  • 19.
    Brungs, Jenny
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Granevåg, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    BVC-sjuksköterskors reflektioner kring sitt arbete med övervikt och fetma hos barn mellan 2 och 5 år inom primärvården2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Fyrtioen miljoner barn runt om i världen under 5 års ålder lider idag av övervikt eller fetma. Detta ställer högre krav på BVC-sjuksköterskans arbete med prevention av övervikt och fetma.

    Syfte: Syftet med studien var att beskriva BVC-sjuksköterskors reflektioner kring sitt arbete med övervikt och fetma hos barn mellan 2 och 5 år inom primärvården.

    Metod: En kvalitativ ansats med en deskriptiv design har använts i denna studie. Datainsamlingen har skett via semistrukturerade intervjuer med nio kvinnliga BVC-sjuksköterskor som hade erfarenhet av fetma och övervikt hos barn mellan 2 och 5 år. Materialet analyserades med hjälp av manifest och latent innehållsanalys.

    Huvudresultat: I analysprocessen framkom ett tema och fyra kategorier. Temat var Att inte skuldbelägga föräldrarna och skapa förutsättningar för livsstilsförändringar för hela familjen. De fyra kategorierna som framkom var: Förutsättningar i BVC-sjuksköterskans arbete, Ett familjefokuserat arbetssätt, BVC-sjuksköterskans förebyggande arbete samt Hinder och utmaningar i BVC-sjuksköterskans arbete.

    De BVC-sjuksköterskor som deltog beskrev önskan av att inte skuldbelägga föräldrarna och hur de försökte skapa förutsättningar för en livsstilsförändring för att kunna passa hela familjen. Ibland hade dock BVC-sjuksköterskorna svårt att utföra detta arbetet på grund av olika hinder. BVC-sjuksköterskorna upplevde att föräldrarna var det största hindret i arbetet med livsstilsförändringar hos familjen.

    Slutsats: BVC-sjuksköterskor behöver mer tid och kunskap inom området barnfetma, för att lättare kunna hjälpa föräldrarna så att familjen kan uppnå en livsstilsförändring, som i slutändan hjälper barnet att uppnå en hälsosammare kroppsvikt. 

  • 20.
    Bååth, Carina
    et al.
    Faculty of Health, Sciences and Technology, Department of Health Sciences, Karlstad University, Karlstad, Sweden; County Council of Värmland, Karlstad, Sweden .
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Gunningberg, Lena
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Surgery and Oncology Division, Uppsala University Hospital, Uppsala, Sweden .
    Muntlin Athlin, Åsa
    Uppsala University, Uppsala, Sweden; Uppsala University Hospital, Uppsala, Sweden; University of Adelaide, Adelaide, Australia; .
    Prevention of heel pressure ulcers among older patients - from ambulance care to hospital discharge: a multi-centre randomized controlled trial2016In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 30, 170-175 p.Article in journal (Refereed)
    Abstract [en]

    The aim was to investigate the effect of an early intervention, a heel suspension device boot, on the incidence of heel pressure ulcers among older patients (aged 70 +). Background: Pressure ulcers are a global healthcare issue; furthermore, the heel is an exposed location. Research indicates that preventive nursing interventions starting during the ambulance care and used across the acute care delivery chain are seldom used. Methods: A multi-centre randomized control study design was used. Five ambulance stations, two emergency departments and 16 wards at two Swedish hospitals participated. Altogether, 183 patients were transferred by ambulance to the emergency department and were thereafter admitted to one of the participating wards. Results: Significantly fewer patients in the intervention group (n=15 of 103; 14.6%) than the control group (n=24 of 80; 30%) developed heel pressure ulcers during their hospital stay (p=0.017). Conclusions: Pressure ulcer prevention should start early in the acute care delivery chain to increase patient safety.

  • 21.
    Dahlkvist, Eva
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Health and Medicine, Örebro University, Örebro, Sweden.
    Hartig, Terry
    Department of Psychology, Uppsala university, Uppsala, Sweden; Institute for Housing and Urban Research,Uppsala university, Uppsala, Sweden.
    Nilsson, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Högberg, Hans
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Skovdahl, Kirsti
    Faculty of Health Sciences, Buskerud and Vestfold university, Norway.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Garden greenery and the health of older people in residential care facilities: A multi-level cross-sectional study2016In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 9, 2065-2076 p.Article in journal (Refereed)
    Abstract [en]

    AIMS:

    To test the relationship between greenery in gardens at residential facilities for older people and the self-perceived health of residents, mediated by experiences of being away and fascination when in the garden and the frequency of visitation there. To examine how these indirect effects vary with the number of physical barriers to visiting the garden.

    BACKGROUND:

    Many older people in residential facilities suffer from complex health problems. Access to a green outdoor environment may enable psychological distance, engage effortless attention, encourage more frequent visitation and promote resident health.

    DESIGN:

    A multi-level, cross-sectional, correlational design.

    METHODS:

    Questionnaires were administered June-August, 2011 to convenience samples of residents at 72 facilities for older people with complex healthcare needs. One to 10 eligible residents were sampled during self-motivated garden visits at each facility (n = 290). They reported on their garden experiences and health. Facility staff reported on objective garden characteristics and barriers to access. A serial mediation model was tested with multiple linear regression analysis.

    RESULTS:

    The total indirect effect of greenery on self-perceived health was positive and significant. Garden greenery appears to affect health by enhancing a sense of being away, affording possibilities to experience the outdoor environment as interesting and encouraging visitation. Among residents in homes with multiple barriers, only fascination mediated the relationship between greenery and self-perceived health.

    CONCLUSION:

    Ample greenery in outdoor space at residential facilities for older people appears to promote experiences of being away and fascination, more frequent visitation and better health.

  • 22.
    Delin, Rebecca
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Hammarlund, Matilda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Riskfaktorer för att utveckla posttraumatiskt stressyndrom hos ungdomar: En deskriptiv litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Posttraumatic stress disorder should be considered as a public health disease where diagnosing and treatment require attention. Adolescents who have survived life-threatening events tend to relive these traumatic events and avoid to deal with the emotions that occur, which can lead to mental disorders.

    Aim

    Identify which risk factors there is to develop posttraumatic stress disorder among adolescents and examine which data collection methods the included articles have chosen.

    Method

    Descriptive design has been used in this literature study including 13 articles collected from the databases PsycInfo and PubMed and has been categorized by similarities and differences. The articles data collection methods has been presented from the methodological aspect.

    Main results

    To be exposed to violence and traumatic events as physical injury or see someone suffer/die, be a girl, older adolescent, exposed to daily stress, broken family and have less social support were some risk factors for developing posttraumatic stress disorder. Ten of thirteen articles had a quantitative approach and used questionnaire to get responses for which risk factors there was. One article had a quantitative approach but did not use a questionnaire and two articles had qualitative approach and used interview as data collection method.

    Conclusion

    In this literature study different risk factors were identified underlying to develop PTSD among adolescents. The most common risk factors in almost all of the studies were to be exposed to violence, experience traumatic events, be a girl, have less social support from family and school, lose a family member and daily stress. As a nurse it is important to keep this in mind so the care for the adolescents are as good as possible and that coping is used in the right way.

  • 23.
    Diraoui, Fatima
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sääf, Lotten
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskans erfarenheter av att vårda patienter i livets slutskede: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year between 90 000 and 100 000 people dies in Sweden, the majority of these were cared in palliative care. The palliative care primarily focus on relief of symptoms and improvement of patient's quality of life.

    Purpose: The purpose of this study was to describe nurse’s experiences of caring for patients in the final stages of life and to describe the data collection method that was used in the included articles.

    Method: A descriptive literature study. The study was based on 14 qualitative articles found through searches in the databases PubMed and Cinahl.

    Main Results: Nurses experiences of showing respect for both patients and their relatives contributed to a better relation and trust. Nurses experienced that the palliative caring could be mentally burdened, but through support from colleagues the burden could be reduced. The demands from relatives could create a feeling of stress. Nurses on surgical and oncological ward experienced a lack of knowledge when it came to palliative care and communication. According to the nurses, communication between nurses and doctors didn't work well and were a source of stress. Data collection method in the included articles were interviews and focusgroup interviews.

    Conclusions: Nurses described a lack of knowledge within the palliative care and difficulties communicating with patients and their relatives. Education within palliative care and communication could contribute to nurses feeling more confident and allow them to grow in their role and improve the collaboration with doctors.

  • 24.
    Ekholm, Arvid
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Yacob Ghebremicael, Seble
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Patientens erfarenheter av egenvård i samband med hjärtsvikt: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is a common disease in the Swedish population and also a

    common cause of hospitalization. The self-care is an important part of the treatment.

    Lack of self-care can be a contributing factor to the worsening of heart failure, which

    both can lead to unnecessary suffering for the patient and lead to large costs for health

    care

    Aim: The purpose of this study was to describe patients' experiences of self-care

    associated with heart failure and describe the articles included data collection method.

    Method: Descriptive literature. Eleven scientific articles were included. Articles were

    searched using PubMed. Articles with qualitative and quantitative approach included.

    The results were analyzed by processing the articles two tables and mark with paint and

    compiled

    Result: The results of the study show that patients with heart failure often suffer from

    some form of mental illness. Patients with heart failure often have good knowledge of

    self-care. However participates depression or other forms of mental illness to reduced

    adherence to self-care because of reduced initiative.

    Conclusion: Disease heart failure is multidimensional and affects the psyche negatively

    leading to reduced ability in performing self-care. Family support, patient education and

    quick response from health care have been shown to have positive effects on self-care.

    Also contributing a strong family and good economics to better self-care.

  • 25.
    Eklund, Karolin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Distriktssköterskornas erfarenheter och reflektioner av telefonrådgivning inom primärvården: en intervjustudie2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Communication is an essential tool for nurses, especially when working with the telephone advice nursing (from here on mentioned as telenursing) that has been developed in recent decades. The aim of the present study was to describe the primary healthcare nurse´s experiences and reflections of telenursing in primary healthcare. Method: The present study was of qualitative approach with a descriptive design. Nine primary healthcare nurses was interviewed using a semi-structured interview guide. Qualitative content analysis was used as data analysis. Results: Primary healthcare nurses experienced telenursing as challenging because there were many different patients of different ages and with different health needs who contacted the telenursing. The informants described working with telenursing as stimulating because they easily were able to help many patients. Primary healthcare nurses also experienced the work stressful. The most difficult thing with telenursing described the primary healthcare nurses as the lack of visualization when assessing the need of care. Other difficulties the primary healthcare nurses described were difficulties in dealing with dissatisfied patients and to ask the right questions. The informants described they were not only the patient's wishes to meet. The primary healthcare center made demands of the primary healthcare nurses when it was lack of doctors’ appointments and because the nurses distributed the work on the healthcare center by the telenursing. The informants described the telenursing important because that is the only way for the patient to get an appointment at the healthcare center. Conclusion: The primary healthcare nurses described working with telenursing in primary healthcare as challenging and difficult with limited opportunities to ensure everyone is satisfied. The primary healthcare nurses working with telenursing in primary healthcare experienced similar difficulties as nurses at the call-centers did. The most difficult thing the primary healthcare nurses experienced with telenursing was that they did not met the patient physically. Primary healthcare nurses also experienced telenursing as important and stimulating.

  • 26.
    Eklund, Rakel
    et al.
    Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    An integrative review of the literature on how eating disorders among adolescents affect the family as a system - complex structures and relational processes2016In: Mental Health Review Journal, ISSN 1361-9322, E-ISSN 2042-8758, Vol. 21, no 3, 213-230 p.Article, review/survey (Refereed)
    Abstract [en]

    Purpose

    The aim of this literature review is to describe how eating disorders among adolescents affect family relationships and the family’s daily living conditions and to describe the family’s experienced need for professional support.

    Design/methodology/approach

    An integrative literature review based on the method of Whittemore and Knafl (2005). 15 articles with both qualitative and quantitative approaches were reviewed.

    Findings

    The results are presented in two main themes: A disharmonic family and The need for input from healthcare professionals. The results are discussed using Callista Roy's adaptation model and the adaptive modes; Group Identity Mode, Role Function and Interdependence.

    Originality/value

    This review article will be of interest to clinical nurses and other professionals who encounter families to clarify how the relationships and roles change within the family. To our knowledge, no integrative review has paid attention to how the relational aspects of the family members, their social roles and role constructions within the family affect daily living.

  • 27.
    Ekman, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Stensson, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Den psykologiska och sociala arbetsmiljön bland distriktssköterskor och sjuksköterskor i primärvård respektive hemsjukvård2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     Background: There is a different in management and organization in primary health care and in municipal home health nursing. This different may effect activities and tasks at work, which in turn can affect the psychological and social work environment of district nurses / nurses. The purpose of this study was to compare any differences in the psychological and social work environment of district nurses/nurses in primary health care and home health nursing. Method: A quantitative, comparative cross-sectional study was conducted and the data was collected with the survey QPSNordic 34+. The survey was administred to 159 participants in primary care and to 148 participants in home health nursing. The survey was answered by (n = 39) district nurses /nurses in primary health care and (n = 39) district nurses/nurses in home health nursing. The result showed significant differences in four out of eleven categories in the psychological and social work environment between the district nurses/nurses in primary care and the district nurses/nurses in home care. Differences were found in "work requirements", "control at work", "work skills" and "stress". In all of these four categories, district nurses/nurses in primary health care estimated their psychological and social work environment lower than the estimation from district nurses/nurses in home health nursing. The conclusion of this study was that district nurses/nurses in primary health care estimate their psychological and social work environment lower in comparison to the district nurses/nurses in home care nursing.

  • 28.
    Engström, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden; Nursing Department, Medicine and Health College, Lishui University, China .
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Faculty of Health Education, Stord/Haugesund University College, Norway.
    Ugland Vae, Karen Johanne
    Faculty of Health Education, Stord/Haugesund University College, Norway.
    Mårtensson, Gunilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Nursing students' perceptions of using the Clinical Education Assessment tool AssCE and their overall perceptions of the clinical learning environment: a cross-sectional correlational study2017In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 51, 63-67 p.Article in journal (Refereed)
    Abstract [en]

    Background

    Clinical education is a vital part of nursing students' learning; the importance of assessment tools and feedback in stimulating student learning has been stressed, but this needs to be studied in more detail.

    Objectives

    To examine relationships between nursing students' perceptions of using an Assessment tool in Clinical Education (AssCE) during their mid-course discussion and final assessment, the content discussed during these meetings between the student, preceptor and nurse teacher and the students' overall perception of the clinical learning environment.

    Design

    A cross-sectional, correlational design was used.

    Setting and Participants

    A convenience sample of 110 nursing students from one Norwegian university college with two campuses.

    Methods

    Data were collected with self-developed questionnaires and analysed using logistic regression with SPSS and the PROCESS macro for mediation analysis.

    Results

    There was a positive relationship between nursing students' perceptions of using the assessment tool AssCE and their overall perception of the clinical learning environment. This relationship was, in turn, mediated by the content discussed during the formative mid-course discussion and summative final assessment.

    Conclusions

    Our conclusion is that the assessment tool AssCE supported students' clinical learning and that this relationship, in turn, was mediated by the degree to which the conversation during the assessment meeting focused on the student's knowledge, skills and professional judgement.

  • 29.
    Erikson, Henrik
    et al.
    Department of Nursing and Care, Swedish Red Cross University College, Stockholm, Sweden.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Future Challenges of Robotics and Artificial Intelligence in Nursing: What Can We Learn from Monsters in Popular Culture?2016In: The Permanente Journal, ISSN 1552-5767, E-ISSN 1552-5775, Vol. 20, no 3, 15-243Article in journal (Refereed)
    Abstract [en]

    It is highly likely that artificial intelligence (AI) will be implemented in nursing robotics in various forms, both in medical and surgical robotic instruments, but also as different types of droids and humanoids, physical reinforcements, and also animal/pet robots. Exploring and discussing AI and robotics in nursing and health care before these tools become commonplace is of great importance. We propose that monsters in popular culture might be studied with the hope of learning about situations and relationships that generate empathic capacities in their monstrous existences. The aim of the article is to introduce the theoretical framework and assumptions behind this idea. Both robots and monsters are posthuman creations. The knowledge we present here gives ideas about how nursing science can address the postmodern, technologic, and global world to come. Monsters therefore serve as an entrance to explore technologic innovations such as AI. Analyzing when and why monsters step out of character can provide important insights into the conceptualization of caring and nursing as a science, which is important for discussing these empathic protocols, as well as more general insight into human knowledge. The relationship between caring, monsters, robotics, and AI is not as farfetched as it might seem at first glance.

  • 30.
    Eriksson, Henrik
    et al.
    Röda Korsets Högskola.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Cyber nursing: a conceptual framework2016In: Journal of Research in Nursing, ISSN 1744-9871, E-ISSN 1744-988X, Vol. 21, no 7, 505-514 p.Article, review/survey (Refereed)
    Abstract [en]

    There have been few attempts to express in words and conceptualise ‘the Internet’ and ‘health’ within a framework. The aim of this study was to present a conceptual framework concerning virtual self-care and online caring. The results show that the concepts of virtual communities, virtual self-care and torrenting frame these very specific interactions and environments and that the concepts of keyboard cowboy, cyber aid and health interests trader stipulate different ways in which to express expertise in cyber nursing. Alongside cyber-bullying, cyber nursing is also present in virtual arenas. Nursing researchers need to explore and monitor cyber nursing activities using concepts developed within the field of nursing.

  • 31.
    Eriksson, Henrik
    et al.
    Department of Nursing and Care, The Red Cross University College, Stockholm, Sweden.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    The digital generation and nursing robotics: a netnographic study about nursing care robots posted on social media2017In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 24, no 2, e12165Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to present the functionality and design of nursing care robots as depicted in pictures posted on social media. A netnographic study was conducted using social media postings over a period of 3 years. One hundred and Seventy-two images were analyzed using netnographic methodology. The findings show that nursing care robots exist in various designs and functionalities, all with a common denominator of supporting the care of one's own and others' health and/or well-being as a main function. The results also show that functionality and design are influenced by recent popular sci-fi/cartoon contexts as portrayed in blockbuster movies, for example. Robots'designs seem more influenced by popular sci-fi/cartoon culture than professional nursing culture. We therefore stress that it is relevant for nursing researchers to critically reflect upon the development of nursing care robots as a thoughtful discussion about embracing technology also might generate a range of epistemological possibilities when entering a postmodern era of science and practice.

  • 32.
    Eriksson, Henrik
    et al.
    Röda Korsets Högskola.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Twitter discussions as predicament of robots in geriatric nursing and forecast of nursing robotics in older care2017In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535Article in journal (Refereed)
    Abstract [en]

    Background: People use social media to express perceptions, attitudes and a wide range of concerns regarding human life. Aim: This study aims at analysing the ongoing discussions on the internet microblog Twitter and offers some coming predicaments regarding developments in geriatric nursing regarding nursing robots. Methods: Data were retrospectively collected from Twitter. 1322 mentions were included in the final analyses, where principles of interpreting data by using netnography were utilized. Results: Many ideas are presented expressing functional, psychological and social aspects of robots in nursing care. Most postings come from metropolitan cities around the globe. The discussion focuses on market-driven, science fiction solutions for aged care. Twitter users overall seem to be positive using various nursing robots in aged care. These discussions offer a window into the attitudes and ideas of this group of users. Conclusion: We suggest that monitoring Twitter discussions on social media can provide valuable insights into current attitudes as well as forecast coming trends.

  • 33.
    Eriksson, Lena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Persson, Sara
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Kunskaper om och attityder till prevention av trycksår hos distriktssköterskor och sjuksköterskor inom kommunal hälso- och sjukvård2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Pressure ulcer is a common and expensive problem for society which causes suffering and pain for the patient. Registered nurses should promote health, prevent illness and relieve suffering and is responsible for identifying risk and prescribing measures for pressure ulcer prevention. The purpose of this study was to describe and compare district nurses and registered nurses knowledge and attitude to pressure ulcer prevention in municipal health care. The method: Descriptive and comparative design with quantitative approach. A questionnaire was distributed to district nurses and registered nurses who worked in nursing homes and home healthcare in five municipalities. It was 67 out of 150 respondents who participated in the study. The result: The result showed that district nurse and registered nurse’s lack in knowledge about pressure ulcer prevention. Specific in the question about position change that reduces pressure ulcer risk the most, relief of heels on pressure-reducing mattress, the right way to reduce the pressure force when a patient slides down in a chair and that oxygen deficiency causes pressure ulcer. No significant difference between the groups knowledge on pressure ulcer prevention was found. The attitude of both the district nurse and the registered nurse was positive and a significant difference was found between the groups. The district nurse had a more positive attitude compared to the registered nurse. Nurses felt less confident of their ability to prevent pressure ulcer and district nurses responded to a greater extent that pressure ulcer prevention is an important task. Conclusion: In this study, participants have insufficient knowledge about pressure ulcers prevention and the attitude of both the district nurse and the registered nurse was positive to pressure ulcer prevention. A difference between the groups was where the district nurse had a more positive attitude compared to the registered nurse.

  • 34.
    Essner, Ann
    et al.
    Department of Neuroscience, Faculty of Physiotherapy, Uppsala University, Uppsala, Sweden; Evidensia Djurkliniken Gefle, Gävle, Sweden.
    Zetterberg, Lena
    Department of Neuroscience, Faculty of Physiotherapy, Uppsala University, Uppsala, Sweden.
    Hellström, Karin
    Department of Neuroscience, Faculty of Physiotherapy, Uppsala University, Uppsala, Sweden.
    Gustås, Pia
    Department of Clinical Sciences, Faculty of Veterinary Medicine and Animal Husbandry, Swedish University of Agricultural Sciences, Uppsala, Sweden.
    Högberg, Hans
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjöström, Rita
    Unit of Research Education and Development, Region Jämtland Härjedalen, Östersund, Sweden; Department of Community Medicine and Rehabilitation, Faculty of Physiotherapy, Umeå University, Umeå, Sweden.
    Psychometric evaluation of the canine brief pain inventory in a Swedish sample of dogs with pain related to osteoarthritis2017In: Acta Veterinaria Scandinavica, ISSN 1751-0147, E-ISSN 1751-0147, Vol. 59, no 1, 44Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: To evaluate intervention, implement evidence-based practice and enhance the welfare of dogs with naturally occurring osteoarthritis (OA), access to valid, reliable and clinically relevant outcome measures is crucial for researchers, veterinarians and rehabilitation practitioners. The objectives of the present study were to translate and evaluate psychometric properties, in terms of internal consistency and construct validity, of the owner-reported measure canine brief pain inventory (CBPI) in a Swedish sample of dogs with pain related to OA.

    RESULTS: Twenty-one owners of clinically sound dogs and 58 owners of dogs with pain related to OA were included in this observational and cross-sectional study. After being translated according to the guidelines for patient-reported outcome measures, the CBPI was completed by the canine owners. Construct validity was assessed by confirmatory factor analysis, by repeating the principal component analysis and by assessing for differences between clinically sound dogs and dogs with pain related to OA. Internal consistency was estimated by Cronbach's α. Confirmatory factor analysis was not able to confirm the factor-structure models tested in our sample. Principal component analysis showed a two-component structure, pain severity and pain interference of function. Two components accounted for 76.8% of the total variance, suggesting an acceptable fit of a two-component structure. The ratings from the clinically sound dogs differed from OA dogs and showed significantly lower CBPI total sum. Cronbach's α was 0.94 for the total CBPI, 0.91 for the pain severity and 0.91 for the pain interference of function.

    CONCLUSIONS: The results indicate that the translated version of the CBPI is valid for use in the Swedish language. The findings suggest satisfying psychometric properties in terms of high internal consistencies and ability to discriminate clinically sound dogs from OA dogs. However, based on the confirmatory factor analysis, the original factor structure in the CBPI is not ideally suited to measure pain related to OA in our sample and the hypothesis of the presented two-factor structure was rejected. Further research needs to be conducted to determine whether the original psychometric results from CBPI can be replicated across different target groups and particularly with larger sample size.

  • 35.
    Essner, Ann
    et al.
    Department of Neuroscience, Uppsala University, Uppsala, Sweden; Evidensia Djurkliniken Gefle, Gävle, Sweden.
    Zetterberg, Lena
    Evidensia Djurkliniken Gefle, Gävle, Sweden.
    Hellström, Karin
    Evidensia Djurkliniken Gefle, Gävle, Sweden.
    Gustås, Pia
    Department of Clinical Sciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.
    Högberg, Hans
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjöström, Rita
    Region Jämtland Härjedalen, Unit of Research Education & Development, Östersund, Sweden.
    Validation of a translated version of the Canine Brief Pain Inventory for the measure of pain severity and functional movements in canine osteoarthritis2016In: Journal of Small Animal Practice, ISSN 0022-4510, E-ISSN 1748-5827, Vol. 57, no Suppl. 2, 8-9 p.Article in journal (Refereed)
    Abstract [en]

    Reasons for performing study: The Canine Brief Pain Inventory (CBPI) is a caregiver-reported questionnaire designed to assess pain severity and the impact of pain on activities, such as functional movements, in canine osteoarthritis (OA). The English version of CBPI has displayed satisfactory psychometric properties, in canine OA. To be used in another language the CBPI has to be properly translated and tested.

    Objectives: To report some psychometric properties of a translated version of the CBPI (CBPI-S), in a group of dogs diagnosed with OA.

    Study design: Observational, cross-sectional.

    Methods: Twenty-one caregivers of clinically sound dogs and 61 caregivers of dogs with OA were prospectively included in this study. After being translated, according to recommendations for patient-reported outcome measures, the CBPI-S was completed by the caregivers. Construct validity (the ability to measure what it is supposed to measure) was assessed by repeating the principal component analysis and by assessing for differences between sound dogs and dogs with OA using Mann–Whitney U test. Internal consistency (the correlation among items) was estimated by Cronbach's α.

    Results: Principal component analysis showed a two-component structure (pain severity and impact of pain). Two components accounted for 76 · 8% of the total variance, suggesting an acceptable fit of a two-component structure. Inter-item correlations were good (overall > 0 · 39) and mean inter-item correlation was 0 · 79 for severity items and 0 · 62 for impact items. Clinically sound dogs differed from OA dogs and showed significantly lower CBPI-S total score. Cronbach's α was 0 · 94 for the total CBPI-S, 0 · 91 for the pain severity and 0 · 91 for the impact of pain.

    Conclusion: Our results supplement the knowledge with the CBPI by verifying the easy to use utility. Also, by repeating satisfying construct validity and high internal consistency of CBPI-S our results indicate that the translated version seems valid for use in another language.

    Ethical animal research: The study was approved by the Local Animal Ethics Committee in Uppsala. Informed client consent was obtained for all animals used in the study.

    Sources of funding: This study was funded by Evidensia Djursjukvård, Svelands Stiftelse, Jan Skogsborgs Stiftelse and Agria & Svenska Kennelklubbens Forskningsfond.

  • 36.
    Evensson, Nicolé
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Pettersson, Sara
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskors upplevelse av att vara involverade i barnmisshandelsfall: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Child abuse is a huge global problem and the trend in Sweden in reporting child abuse is increasing. Swedish law obligates health care personnel to report any suspicion of child abuse to child protection services. However, research shows that reports are not happening to the extent they should. Lack in knowledge on how to identify abuse and which process to follow when reporting are the main factors. It is unclear how nurses are emotionally involved when handling a child abuse case.

    Aim: To describe how nurses experience to be involved in child abuse cases and to describe one methodological aspect of the articles this study is based on.

    Method: Descriptive literature review based on twelve qualitative studies.

    Result: Nurses felt that the initial suspicion about a child being abused was often based on gut feeling only, causing both insecurity and frustration. The feeling of insecurity followed most nurses throughout the whole case, from suspicion until investigation. Research showed that most nurses felt it was difficult to maintain a professional attitude. Moreover, nurses were scared for their own lives when dealing with child abuse. The negative emotions were often long lasting. When reporting such a case to the authorities nurses could experience both feelings of anxiety and satisfaction. Throughout the investigation resignation and frustration dominated the nurses' cooperation with child protection services due to lack of status updates, for example. One successful way to deal with insecurity was social support from colleagues, but not everyone had access to such a support network. In total, the included studies comprised 222 participants, 161 of whom were nurses, between 25-64 years old. The majority were women and the participants had work experience as a nurse between two and 38 years

    Conclusion: Dealing with child abuse cases as a nurse is mostly characterized by negative impressions. The feeling of insecurity is predominant and runs lika a red thread from suspicion to investigation. Social support is perceived as a vital resource in order to deal with child abuse cases. However many challenges remain to find more solution focused approaches. A more salutogenic view is needed in research, nursing education and on the work floor in order to improve the conditions for nurses to be able to cope with these experiences.

  • 37.
    Fjärdsmans, Tobias
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Khalaf, Ahmed
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Upplevelser av att vara anhörig till en person med demens som bor på ett äldreboende: En beskrivande litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: 35,6 million people lives with a dementia disease in the world. This number is set to be doubled by 2030 and tripled by 2050. The majority of the people with dementia (PWD) have relatives in the form of, for example, spouses and adult children. To live with a dementia disease involves intellectual difficulties such as anxiety, frustration, loss of memory and depression which effects the communication with the nursing staff.

    Aim: To describe the experiences of being a relative of a PWD who lives in a nursing home for PWD and to describe the included articles from the methodological point of view study group.

    Method: Literature review with a descriptive design based on 10 qualitative scientific articles from the search engines PubMed and Cinahl. The articles were individually processed by the authors of this literature review and during the analysis, four main themes where identified. These themes later became the basis of the result.

    Main findings: The result showed that relatives to a PWD often experiences feelings of loss and guilt. They also had difficulties in trusting the nursing staff and in making decisions for their PWD.

    In the majority of the articles in this literature review the participants were women. In some of the articles the was a more even gender variety. Most of the participants in the articles were spouses of adult children to PWD although there were also siblings and grandchildren amongst the participants. The middle age of the participants varied between 54-73 years.

    Conclusion: Relatives of a PWD often experience tough feelings such as loneliness, lost love, sorrow and guilt. They also have a hard time trusting the nursing staff and struggle to justify the decisions they make for their PWD. It is important for the nurse to have some insight in regards to what the relatives experience in order to meet and support them. This enhances the care of the PWD since the relatives can contribute with information regarding what care the PWD needs.

  • 38.
    Florin, Jan
    et al.
    Department of Health and Social Sciences, Dalarna University, Falun.
    Bååth, Carina
    Faculty of Health, Sciences, and Technology, Department of Health Sciences, Karlstad University, Karlstad; County Council of Värmland, Värmland.
    Gunningberg, Lena
    Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala.
    Mårtensson, Gunilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala.
    Attitudes towards pressure ulcer prevention: a psychometric evaluation of the Swedish version of the APuP instrument2016In: International Wound Journal, ISSN 1742-4801, E-ISSN 1742-481X, Vol. 13, no 5, 655-662 p.Article in journal (Refereed)
    Abstract [en]

    The primary aim was to conduct a psychometric evaluation of the Attitude towards Pressure ulcer Prevention (APuP) instrument in a Swedish context. A further aim was to describe and compare attitudes towards pressure ulcer prevention between registered nurses (RNs), assistant nurses (ANs) and student nurses (SNs). In total, 415 RNs, ANs and SNs responded to the questionnaire. In addition to descriptive and comparative statistics, confirmatory factor analyses were performed. Because of a lack of support for the instrument structure, further explorative and consecutive confirmatory tests were conducted. Overall, positive attitudes towards pressure ulcer prevention were identified for all three groups, but SNs reported lower attitude scores on three items and a higher score on one item compared to RNs and ANs. The findings indicated no support in this Swedish sample for the previously reported five-factor model of APuP. Further explorative and confirmative factor analyses indicated that a four-factor model was most interpretable: (i) Priority (five items), (ii) Competence (three items), (iii) Importance (three items) and (iv) Responsibility (two items). The five-factor solution could not be confirmed. Further research is recommended to develop a valid and reliable tool to assess nurses' attitudes towards pressure ulcer prevention working across different settings on an international level.

  • 39.
    Forsberg, Markus
    et al.
    Department of Anaesthesia, Gävle Sjukhus, Gävle, Sweden.
    Björn, Catrine
    Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala, Sweden; Centre for Research & Development, Gävleborg, Gävle, Sweden.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Nilsson, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Nurse anesthetists' reflections on caring for patients with previous substance dependence: Balancing between professionalism and preconceptions2017In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473Article in journal (Refereed)
    Abstract [en]

    Purpose

    The study aim was to describe nurse anaesthetists’ reflections on provision of perioperative care to patients with previous substance dependence.

    Design

    A qualitative approach with a descriptive design.

    Methods

    Semi-structured interviews based on clinical vignettes were conducted with ten nurse anaesthetists.

    Findings

    The perioperative care provided to patients with previous substance dependence was perceived as balancing between professionalism and preconceptions for this specific patient group. The nurse anaesthetists felt that anesthetizing this group of patients constituted an anaesthesiological challenge with regard to knowledge, experience and time. However, the nurses also had feelings of distrust and uncertainty due to lack of knowledge.

    Conclusion

    The nurse anaesthetists strove to uphold the principle that patients who are/have been substance dependent have the same right to adequate treatment and care as all patients. If guidelines were developed for this patient group, care could be made safer and nurses’ sense of uncertainty minimized.

     

  • 40.
    Franzén, Sofie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Ohlsson, Spire
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Upplevelser av att leva med inflammatorisk tarmsjukdom (IBD): En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Inflammatory bowel disease (IBD) includes the diseases Ulcerative Colitis and Morbus Crohn. Environmental factors and changing diets are thought to be reasons for IBD cases has increased in the US and Western Europe in a short time. It is in Sweden about 500 people affected of Morbus Crohn every year and Ulcerative colitis affects about 900 people per year. The disease has physical symptoms such as diarrhea, pain and weight loss, but also affects an individual psychosocial. Aim: The aim was to describe people's experiences of living with inflammatory bowel disease, and to present the study group as described in the included articles. Methods: This study is a descriptive literature study and 11 qualitative articles were used. PubMed and Cinahl were used to search for articles. Keywords used were: Inflammatory Bowel Diseases, Qualitative, Everyday Life and Lived Experiences. Main results: IBD is a chronic disease. Physical symptoms such as nausea, pain and fatigue which is also seen as a mental symptoms. The disease was found to influence the individual's daily life, eating habits, family life, and social relationships. All included articles presented the study group. Conclusion: IBD are becoming more common in the world. The symptoms are both physical and psychosocial and affects the afflicted person everyday life, social life and diet. Nurses face a big challenge in being able to confronting and care for these patients, since each individual has different perceptions of the same diagnosis.

  • 41.
    Fritzell, Kaisa
    et al.
    Department of Neurobiology, Care Sciences and Society, Div. of Nursing, Karolinska Institutet, Stockholm.
    Jervaeus, Anna
    Department of Neurobiology, Care Sciences and Society, Div. of Nursing, Karolinska Institutet, Stockholm.
    Stake Nilsson, Kerstin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Hultcrantz, Rolf
    Karolinska University Hospital, Stockholm.
    Wengström, Yvonne
    Department of Neurobiology, Care Sciences and Society, Div. of Nursing, Karolinska Institutet, Stockholm.
    Translation and cultural adaption of the decisions module for colorectal cancer screening into a Swedish version - the SCREESCO questionnaire2017In: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708, Vol. 52, no 11, 1248-1252 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES:

    Colorectal cancer (CRC) is suitable for population screening due to its high incidence and the recognizable and treatable prephase, and the present study is part of the larger study; Screening for Swedish Colons (SCREESCO). In Sweden, there is, to our knowledge, no questionnaire assessing shared decision making (SDM) with regard to CRC screening and, therefore, the aim of the study was to translate and culturally adapt the CRC screening module of the National Survey of Medical Decisions (DECISIONS) into a Swedish context.

    MATERIAL AND METHODS:

    A qualitative design inspired by guidelines based on methods for cross-cultural adaptation of questionnaires was used. In addition, focus group discussions, individual interviews and think-aloud (TA) sessions were performed.

    RESULTS:

    Of the 54 items included in the original DECISION survey, 32 were excluded, 22 were modified, and three were added as a result of the qualitative study. How the health care organization communicated and CRC screening knowledge was communicated were found to be the most important cultural differences between Sweden and the USA. The final questionnaire consists of 24 items.

    CONCLUSION:

    The process of translation and cultural adaptation of the CRC screening module of the DECISIONS survey resulted in the removal and modifying of a considerable number of items. The major rationale for the removal and modifying of items can be explained by the different cultural traditions between Sweden and the USA when communicating with the health care system regarding screening participation and how CRC screening information and knowledge is communicated.

  • 42.
    Fritzell, Kaisa
    et al.
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Stake Nilsson, Kerstin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Jervaeus, Anna
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Hultcrantz, Rolf
    Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
    Wengström, Yvonne
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden; Breast and Sarcoma Unit, Radiumhemmet, Karolinska University Hospital, Stockholm, Swede.
    The importance of people's values and preferences for colorectal cancer screening participation.2017In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360XArticle in journal (Refereed)
    Abstract [en]

    Background: To explore how individuals reason when they make decisions about participating in colorectal cancer(CRC) screening.

    Methods: Individuals randomized colorectal cancer (CRC) screeningto FIT or colonoscopy included in the Screening of Swedish Colons (SCREESCO) program was invited to focus group discussions and individual telephone interviews. The concept of shared decision-making (SDM: information; values/preferences; involvement) was used as a matrixfor the analyses. To validate findings, additional focus group discussions using the nominal group technique were performed.

    Results: Lack of knowledge of CRC and CRC screening was prominent for participants and non-participants, while the results differed between the groups in relation to their values and preferences. The influence of significant others promoted participation while it prevented it among non-participants. Those who participated and those who did not made it clear that there was no need to involve health care professionals when making the decision.

    Conclusions: Based on the results, a display of different ways to spread knowledge and communicate about CRC and CRC-screening could be applied such as, community-based information campaigns, decisions aids, interactive questionnaires, chat-functions and telephone support. The disparity in values and pref-erences between participants and non-participants may be the key to understand why non-participants make theirdecisions not to participate and warrant further exploration.

  • 43.
    Fritzell, Kaisa
    et al.
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Stake-Nilsson, Kerstin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Jervaeus, Anna
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Hultcrantz, Rolf
    Karolinska University Hospital, Stockholm, Sweden.
    Wengström, Yvonne
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    The importance of peoples values and preferences in promoting colorectal cancer screening participationIn: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360XArticle in journal (Refereed)
    Abstract [en]

    Background: To explore how individuals reason when they make decisions about colorectal cancer (CRC) screening participation from the perspective of participants and non-participants.

    Methods: Individuals randomized to FIT or colonoscopy included in the Screening of Swedish Colons (SCREESCO) program were invited to focus group discussions and individual telephone interviews. The concept of shared decision-making (SDM: information; values/preferences; involvement) was used as a matrix for the analyses. To validate findings, additional focus group discussions using the nominal group technique were performed.

    Results: The results covered the SDM concept. Lack of knowledge of CRC and CRC screening was prominent in both participants and non-participants, while the results differed between the groups in relation to their values and preferences. The influence of significant others promoted participation among participants while it prevented it among non-participants. Both participants and non-participants made it clear that there was no need to involve health care professionals when making their decision.

    Conclusion: Based on the results, a display of different ways to promote knowledge and communication about CRC and CRC-screening, e.g. community-based information campaigns, decisions aids, interventions, such as interactive questionnaires, chat-functions and telephone support, should be provided. The disparity in values and preferences between participants and non-participants may be the key to understand why non-participants make their decisions not to participate and should be further explored.

  • 44.
    Frykman, Madeleine
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Wikström, Sofia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskors erfarenheter av att arbeta på akutmottagning: litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The Emergency department is a part of the hospital where patients comes with a critical condition and unexpected ilness for a first judgment. The healthcare provided is intense and demanding of the nurses.

    Aim: The aim of the study was to describe the nurses experiences of working in the emergency department. Our purpose is also to describe the study participants in the selected studies.

    Methods: The present literature review has a decpriptive design. PubMed was used and 15 articles were included, eight had a qualitative approach and seven had a quantitative. The limits that were used in the data collection was years, language and access for the university of Gävle. The data were analysed by color-coding and reading and the result is presented by four themes.

    Main Results: It was revealed the emergency department nurses were affected by the experience of various forms of stress. The patient population is constantly increasing, which concerned the nurses, which in turn led to increased workload. The need of education and more resources of nurses is big, and the work enviroment is demanding with a high patient flow, violence and hectic days. In the selected articles there was in total 1492 participants.

    Conclusion: The experience of stress affected the nurses emotionally and physically, which also affected the social life. The emergency department is unorganized with a high patientflow that affects the work enviroment and the patient safety. The high patient flow contributed also to a long waiting time which increased the risk of violence. More resources of nurses and education is needed

  • 45.
    Grudzinska, Maja
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Öberg, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Vuxna patienters upplevelser av att leva med HIV: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: HIV (Human Immunodeficiency Virus) is a disease that affect the human immune system. Around 30–35 million people are living with HIV in the world. HIV affects people, both mentally and physically.

    Aim: To describe adults/adult patients experiences of living with HIV, focusing on mental and physical aspects, and to describe how the study group looks in the selected studies.

    Method: A descriptive literature study, based on 10 scientific articles with qualitative approach. The database that was used to find the articles was Cinahl.

    Main Results: The result of this literature study shows that people living with HIV daily feel emotions of fear, depression, anxiety and stress due to living with the disease. The emotions connect directly to experiences of stigmatization and discrimination within the healthcare and community. People living with HIV are often afraid how other people will react their disease. Physical symptoms like fatigue affect their everyday life negative, and the ability to live a normal life is prevented. The study group is clearly presented based on what the authors of the audited studies describes.

    Conclusion: HIV-positive people can be found in all healthcare facilities. Emotions of guilt and shame often occure with people who are living with HIV. As a nurse, the attitude towards people with HIV is very important.

  • 46.
    Gustafsson, Niclas
    et al.
    Ersta-Sköndal College University, Stockholm, Sweden.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Effect of Complex Working Conditions on Nurses Who Exert Coercive Measures in Forensic Psychiatric Care2016In: Journal of Psychosocial Nursing and Mental Health Services, ISSN 0279-3695, E-ISSN 1938-2413, Vol. 54, no 9, 37-43 p.Article in journal (Refereed)
    Abstract [en]

    Nurses who exert coercive measures on patients within psychiatric care are emotionally affected. However, research on their working conditions and environment is limited. The purpose of the current study was to describe nurses' experiences and thoughts concerning the exertion of coercive measures in forensic psychiatric care. The investigation was a qualitative interview study using unstructured interviews; data were analyzed with inductive content analysis. Results described participants' thoughts and experiences of coercive measures from four main categories: (a) acting against the patients' will, (b) reasoning about ethical justifications, (c) feelings of compassion, and (d) the need for debriefing. The current study illuminates the working conditions of nurses who exert coercive measures in clinical practice with patients who have a long-term relationship with severe symptomatology. The findings are important to further discuss how nurses and leaders can promote a healthier working environment.

  • 47.
    Gustafsson, Victoria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Holmberg, Malin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Nyutexaminerade sjuksköterskors upplevelser av sin första tid som yrkesverksam: En beskrivande litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nursing profession is a multi-faceted profession in which the first time as a newly qualified nurse is important. There is a correlation between a good start in the profession and that newly graduated nurses stay in the profession. It is very important that graduated nurses remain in the profession to maintain continuity and experience, as this components leading to increased patient safety.

    Aim: To describe newly graduated nurses first experience as a registered nurse and to describe the included articles study-group. Method: A descriptive literature review based on twelve scientific articles. The articles were retrieved from databases CINAHL and PubMed through the University of Gävle. Results: The results of this study described the experiences of newly graduated nurses in their transition to professional. To obtain a satisfactory transition to the new profession, many details must be considered. Topics that emerged most clearly were the workplace induction, supervision, colleagues and the new professional role. Newly graduated nurses experienced workplace introduction as both positive and negative. How the supervision was experienced depended on the supervisor's professional experience and that the experience was described as significant for the development of skills. If the newly graduated nurses were integrated and accepted in a good way of new colleagues, the professional confidence increased. The newly qualified nurses experienced difficulties in dealing with their new professional role because of lack of knowledge and clinical experience. The total number of participants in the study were 396 and four continents were represented, such as Europe, Asia, Oceania and North America. Conclusion: The importance of a good workplace introduction and first time in the profession can’t be emphasized enough. Newly graduated nurses described that it was imperative that they got the support they needed and that they were permitted to be novices in their profession to have a solid foundation to stand on. Support for the newly graduated nurses should be an integrated part of healthcare.

  • 48.
    Gümüs, Alaa Salam
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Patienters upplevelser av att leva med långvarig smärta ur psykosocialt perspektiv samt sjukvårdens bemötande: en litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic pain is defined as pain that has not gone over 3-6 months. Pain is an individual experience that cannot be objectively measured, but that experience knows how intense it is, and pain duration.

    Aim: The aim of this literature review was to describe patient's experiences of living with chronic pain from a psychosocial perspective. The aim was also to describe the data collection methods of scientific articles have used.

    Method: This literature review has a descriptive design. This literature review study's results are based on 12 scientific articles that have been found through the database CINAHL and PubMed.

    Result: The compilation of the included articles led to perceptions of emotional impact on patients' lives as a major suffering and negative thoughts about the future. Pain was felt also that the social constraints of working life, loss of identity and social relationships. Patients experienced a negative attitude of medical staff.

    Conclusion: Experiences of pain affect patients psychologically and socially. Pain has led to the emotional impact and led to social constraints in both working life and relationship to family, friends and children. Experience of healthcare professionals experienced negative treatment of patients where the pain is not taken seriously. This in turn affected the receive any treatment or medication. The author of this literature review means that based on present literature studies results are deficiencies in health care, this in turn may help to increase medical knowledge of these patients experience chronic pain as well as to cope with the in a dignified and respectful manner, believing the pain and to extend helping hand to patients

  • 49.
    Hagberg, Jeanette
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Jern, Ann-Christine
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Kvinnors livskvalitet vid endometrios: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a gynaecological disease that affects a large number of women throughout the world. These women are often treated by the lack of knowledge, distrust and normalizing attitudes. That causes delay in diagnosis care and treatment, which creates unnecessary suffering. Nurses have an important function in the treatment of these women by supporting the woman, create a good alliance and provide relevant information.

    Aim: The aim of the study was to describe women's experiences of quality of life in endometriosis and to examine and describe the articles included data collection methods.

    Method: Literature study has a descriptive design. Data were collected through Medline / PubMed and CINAHL and twelve articles were found, all with qualitative approach. These articles were the basis for this study.

    Results: Endometriosis results in a greatly reduced quality of life that affects their partner, relationship and social life, such as work, school and hobbies. A lack of knowledge in health-care leads to normalization and delayed diagnosis that creates unnecessary suffering for these women. Many of the women created their own strategies to deal with their symptoms in daily life. All twelve articles with descriptive design have collected data by interviewing women about their experiences of living with endometriosis.

    Conclusion: Endometriosis affects significantly the women's daily lives, and all the relationships, in a negative way. Their health is affected physically, psychologically and socially with the result that they get their quality of life greatly reduced. Significant financial savings can be made by increased knowledge in the field and diagnosis at an earlier stage. Suffering from Endometriosis would be reduced, and the quality of life for those women’s will significantly increase.

  • 50.
    Hagerman, Heidi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Högberg, Hans
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Nursing Department, Medicine and Health College, Lishui University, Lishui, China.
    Empowerment and performance of managers and subordinates in elderly care: A longitudinal and multilevel study.2017In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834Article in journal (Refereed)
    Abstract [en]

    AIM: To investigate relationships between first-line managers' ratings of structural and psychological empowerment, and the subordinates' ratings of structural empowerment, as well as their ratings of the managers' leadership-management performance.

    BACKGROUND: Work situations in elderly care are complex. To date, few studies have used a longitudinal, correlational and multilevel design to study the working life of subordinates and managers.

    METHOD: In five Swedish municipalities, questionnaires were answered twice during 2010-12 by 56 first-line managers and 769 subordinates working in nursing homes or home-help services.

    RESULTS: First-line managers' empowerment at Time 1 partially predicted subordinate's structural empowerment and ratings of their managers' leadership-management performance at Time 2. Changes over time partially revealed that the more access managers had to structural empowerment, i.e. increase over time, the higher the ratings were for structural empowerment and managerial leadership-management performance among subordinates.

    CONCLUSIONS: Findings strengthen research and theoretical suggestions linking first-line managers' structural empowerment to their subordinates' structural empowerment and ratings of their manager's leadership-management performance.

    IMPLICATIONS FOR NURSING MANAGEMENT: Managers with high access to structural empowerment are more likely to provide subordinates access to structural empowerment.

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