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  • 1.
    Ackelman, Birgitta Helmerson
    et al.
    Karolinska Univ Hosp, Area Occupat Therapy & Phys Therapy, Stockholm, Sweden..
    Sundholm, Anna
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Kierkegaard, Marie
    Karolinska Univ Hosp, Funct Area Occupat Therapy & Phys Therapy, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Neurobiol Care Sci & Soc, Div Physiotherapy, Stockholm, Sweden.;Karolinska Inst, Stockholm, Sweden..
    Hedborg, Kerstin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Waldenlind, Elisabet
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Ingela, A.
    Remahl, M. Nilsson
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Migraine patient school (MPS) - A structured multimodal educational programme for patients with high frequency and chronic migraine2019In: Cephalalgia, ISSN 0333-1024, E-ISSN 1468-2982, Vol. 39, p. 332-332Article in journal (Other academic)
  • 2.
    Andersson, Sandra
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Nilsson, Kristina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Distriktssköterskors upplevelser av att vårda patienter i palliativt skede inom kommunal hemsjukvård2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care means that the care is soothing and not curative, where the focus is on promoting quality of life, right into death. Palliative care varies in Sweden. Palliative care is a major area of ​​responsibility for district nurses employed in municipal home care.

    Purpose: The purpose of the study was to describe district nurses’ experiences of caring for patients in palliative stages in municipal home care.

    Method: The study used a qualitative approach with a descriptive design. Data were collected via semi-structured interviews, ten district nurses from municipal home care with experience of home-based palliative care participated. The material was analyzed using qualitative content analysis.

    Results: The district nurses described that they experienced the work with palliative care as challenging, but also as positive and satisfactory. Being able to make a difference, having involved relatives and a specialized palliative team was stated as the biggest benefits in palliative care. The difficulties were the lack of co-operation, or if the patients’ relatives were not aware of the situation. The district nurses stated that they were satisfied with their way of dealing with their feelings and that most of them sought support from their colleagues in the first place. Often, more difficult emotions occurred when it came to the care of younger patients, or when children were involved.

    Conclusion: The district nurses in this study experienced the work with patients in palliative stages as challenging, developing and emotional, but it was very rewarding. Difficulties that were highlighted were, above all, a lack of co-operation and a more difficult emotional management when it came to caring for younger patients, or when children were involved. The study can lead to an increased understanding for different healthcare providers who come into contact with patients in palliative stages and it highlights the need for collaboration to be able to get improved patient care.

  • 3.
    Andreassen Devik, Siri
    et al.
    Centre for Care Research Mid-Norway, Norway; Nord University, Norway.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Hellzén, Ove
    Mid Sweden University, Sweden.
    Nurses’ experiences of compassion when giving palliative care at home2019In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989Article in journal (Refereed)
    Abstract [en]

    Background: Compassion is seen as a core professional value in nursing and as essential in the effort of relieving suffering and promoting well-being in palliative care patients. Despite the advances in modern healthcare systems, there is a growing clinical and scientific concern that the value of compassion in palliative care is being less emphasised. Objective: This study aimed to explore nurses’ experiences of compassion when caring for palliative patients in home nursing care. Design and participants: A secondary qualitative analysis inspired by hermeneutic circling was performed on narrative interviews with 10 registered nurses recruited from municipal home nursing care facilities in Mid-Norway. Ethical considerations: The Norwegian Social Science Data Services granted permission for the study (No. 34299) and the re-use of the data. Findings: The compassionate experience was illuminated by one overarching theme: valuing caring interactions as positive, negative or neutral, which entailed three themes: (1) perceiving the patient’s plea, (2) interpreting feelings and (3) reasoning about accountability and action, with subsequent subthemes. Discussion: In contrast to most studies on compassion, our results highlight that a lack of compassion entails experiences of both negative and neutral content. Conclusion: The phenomenon of neutral caring interactions and lack of compassion demands further explorations from both a patient – and a nurse perspective. © The Author(s) 2019.

  • 4.
    Anjie, Nan
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Lu, Zhang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Nursing interventions to glycemic control among patients with type 2 diabetes: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 5.
    Arleving, Daniel
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Sjuksköterskans hanteringsstrategier i mötet med anhöriga inom akutsjukvård2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Emergency care is an eventful area. Emergency clinics have stressful meetings and emergency situations. Patients who come to emergency rooms often have a relative with them. Relatives are often described as someone who should be involved in the care. Coping has a central role in this environment for both patients, relatives but also the staff.

    Aim: To describe nurses' experiences of meetings with relatives in emergency care. The methodological aspect was to examine the selection method of the selected articles.

    Method: Literature study with 9 articles examined.

    Results: Nurses' experiences of meetings with relatives in emergency care have proved to have several dimensions of a problem. Emergency clinics are described as a place that is hectic, the staff assess and help patients in a first stage. Emergency clinics are often built for a lower patient pressure than reality. The staff have poorer conditions for coping. The staff are exposed to threats and anger from relatives. Recent research indicates that relatives are also involved in the emergency rooms. The picture that was painted was that nurses often do not want to allow relatives to take the place they need. In the study, the good example of how an emergency department meets relatives and lets them participate is revealed. The emergency department shows what should be done. Coping needs more space.

    Conclusion: The nurse's ability for using their coping strategies are worse at emergency departments. The author sees that processing processes cannot be managed properly before the next difficult-to-handle situation comes. The work environment is thus an important factor that affects the nurse's coping and also affects the meeting with relatives in emergency care. Relatives can give the nurse increased and reduced stress at work. At the same time, relatives can support the nursing and provide information to the nurse, which is a great resource.

  • 6.
    Asylbekova, Gulmira
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science.
    Upplevelser av livskvalité hos patienter med bensår: Litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Omkring 100 000 svenskar beräknas lida av bensår vilka kräver långa behandlingstider och medför ekonomiska kostnader för samhället. Olika sjukdomstillstånd såsom trauma och försämrad blodcirkulation anses som riskfaktorer. Att leva med bensår kan ha negativ inverkan på människors dagliga liv. Det är viktigt för sjuksköterskor att informera patienterna kring behandlingen, ge stöd samt ha förmågan att bemöta dem med respekt och empati. Syfte: Syftet med föreliggande studie var att beskriva hur patienter med bensår upplever sin livskvalitet samt att beskriva undersökningsgrupperna som ingick i de inkluderade artiklarna. Metod: Beskrivande litteratur studie som inkluderade tolv vetenskapliga artiklar som söktes fram i databasen Cinahl. Huvudresultat: Patienterna beskrev smärta som påverkade deras dagliga liv både fysiskt och psykiskt. Sömnproblem påverkade det psykiska måendet negativt. Rädslan för att skada sig begränsade patienterna fysiskt och man beskrev även känslan av skam, missmod, ensamhet, oro, ångest, depression och förlust av hopp. Bensår upplevdes tidssamt energikrävande och brister i kunskap hos sjukvårdpersonalen hade negativ påverkan på patienternas livskvalité. Undersökningsgrupperna varierade i antal från 5 till 247 deltagare, majoriteten var kvinnor, åldern var mellan 18 till 99 år. De flesta deltagarna hade haft venösa bensår, vilka varade mellan 6 veckor till 43 år. Slutsats: Att leva med bensår påverkade livskvaliteten. Relationen mellan sjuksköterska – patient hade stort betydelse för sårläkningen och välbefinnande. Det är viktigt att sjuksköterskor har tillräcklig kunskap om denna patientgrupp samt att ge ett professionellt bemötande, stöd och information om en egenvård. 

  • 7.
    Berg, Lotta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Attityder till och kunskap om trycksår och trycksårsprevention: En enkätstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Trycksår är ett omfattande och kostsamt problem för samhället, leder till smärta och lidande hos patienterna. Trots mycket vetenskaplig fakta om ämnet fortsätter prevalensen av trycksår att vara alltför hög. Många studier påvisar att det finns brister i både kunskap och attityder till trycksår och trycksårsprevention bland omvårdnadspersonal. Syfte: Att beskriva och jämföra vilka attityder till och vilken kunskap om trycksår och trycksårsprevention det fanns hos omvårdnadspersonal inom två olika verksamhetsområden ortopedi och kirurgi. Metod: Deskriptiv och komparativ enkätstudie med kvantitativ ansats. Enkäter delades ut till 82 sjuksköterskor och undersköterskor inom två olika omvårdnadsenheter, ortopedi och kirurgi. Det var 41 personer som deltog i studien. Resultat: Samtliga var positivt inställda till trycksårsprevention. Inga statistiskt signifikanta skillnader fanns mellan grupperna inom attityddelen. Inom kunskapsdelen fanns en statistiskt signifikant skillnad mellan grupperna i temat Riskbedömning/instrument, där omvårdnadspersonalen inom kirurgi besatt en större kunskap. Inom resterande teman fanns inga statistiskt signifikanta skillnader mellan grupperna. Slutsats: I denna studie var attityderna till att arbeta med trycksårsprevention positiva, det fanns dock kunskapsbrist bland omvårdnadspersonalen inom vissa områden av trycksår och trycksårsprevention. Inom temat Förebyggande åtgärder fanns mest bristande kunskap, därför behövs utbildning där tyngdpunkten bör ligga på de bristande områdena inom trycksår och trycksårsprevention.

     

  • 8.
    Berggren, Jenny Jacqueline
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Sjöberg, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Effekten av yoga vid bröstcancer: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, breast cancer is the most common form of cancer in women. Being affected by breast cancer often causes great mental and physical stress and the problems persist in many cases after treatment is completed. Currently, there are only limited rehabilitation options for those affected. Previous research has shown that physical activity produces positive effects in people suffering from breast cancer. Yoga is a form of exercise that combines physical activity with meditative techniques and can be adapted to the conditions of the participant regardless of state of health. An increased knowledge of the effects of yoga can give nurses an understanding of how yoga can be used in rehabilitation to help those affected by breast cancer during the recovery process.  

    Aim: The aim of this literary review was to describe the effects of yoga in breast cancer, where the methodological aspect highlights the physical and psychological effects yoga has on people affected by breast cancer.

    Method: A descriptive literary review where twelve randomised controlled studies have been reviewed and complied to answer the purpose.

    Main result: The results showed more improvements in psychological symptoms than in physical symptoms. The result showed that yoga has a direct effect on fatigue and quality of life with a lasting effect after completion of treatment compared to control groups. The results for menopausal symptoms also showed a clear decrease after the yoga intervention. In contrast, sleep quality results showed improvement only if yoga was practiced at least twice a week.

    Conclusion: Although the outcome of the literature study produced a mixed result, the main result reflects the yoga's positive effects on the mental symptoms of people suffering from breast cancer. Increased knowledge of the effects of yoga can give nurses a better understanding of how yoga can be used in rehabilitation with the aim of providing an improved quality of life for the specific patient group.

  • 9.
    Berglund, Karin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Primärvårdssköterskors reflektioner av kamratlärande i primärvården: En intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Primary care is estimated to be the definite basis in health care. At the same time, large pension departures await among existing healthcare personnel, which means reduced resources to mentor students. One step in meeting this is that the primary care in a region in central Sweden decided that peer learning should be implemented at all healthcare centers for nurse- and districtnurse students.Purpose: The purpose was to describe district nurses' reflections on peer learning in primary care.

    Method: The study had a qualitative approach with descriptive design. Data collection was done through semi-structured interviews based on an interview guide developed by the author. The analysis was done with qualitative content analysis.

    Headresults: In the result, the theme emerged: A positive and developmental challenge that describes the primary care nurses' shared reflections of peer learning in primary care based on the three categories that emerged. In the Prerequisites for introducing peer lerarning category, primary care nurses reflected on the prerequisites for practicing peer learning. The category is about the supervisors' competence, the attitude towards peer learning of both co-workers and students, as well as descriptions of when resources have decreased. The nurses' reflections of the learning environment for the students are described in the category The learning environment of peer learning. It describes the supervisor's role in peer learning, about how students become a natural part of other professionals 'everyday lives, and reflections on students' development with peer learning. The Working Methods used in peer learning category describes the primary care nurses' experiences of preparation, the actual execution of peer learning and challenges, and how they envisioned their future peer learning.

    Conclusion: The results of this study showed that primary care nurses experienced peer learning in primary care as a positive developmental challenge, which can facilitate continued implementation of peer learning in primary care under the right conditions.

  • 10.
    Bergman, Mathias
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Rosén, Åsa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Kvinnors upplevelse av att ha drabbats av Hjärtinfarkt eller Takotsubo: En beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When someone suffers a serious illness that can be life-threatening, there is usually a change in life. The experience of a myocardial infarction or takotsubo can be both frightening and foreign not only to the affected, but also to their loved ones. Myocardial infarction is a disease that affects many people and is one of the most common conditions of our time. Takotsubo is a recent diagnosis that can be misinterpreted as a myocardial infarction. It is valuable to have an understanding and knowledge of the illness and life of the people affected by illnesses, including those of their relatives and health care professionals. Aim: The purpose was to describe women's experiences of having suffered from myocardial infarction and takotsubo. Method: A descriptive literature study based on eight scientific articles with a qualitative approach and one study with a mixed approach. A total of nine articles. The articles were searched via CINAHL and PubMed through Medline. Results: The most common experiences among the women were denial of the symptoms and they did not see themselves in the risk group of suffering from heart disease. Fear of being considered hypochondriacs and poor experience of care led to a delay in seeking care. The women experienced differences in care skills, between different healthcare institutions. The women felt gratitude for surviving and realized the need for lifestyle changes. Most of the women experienced anxiety about being affected by a heart attack again. Conclusion: The women were not expected to suffer a myocardial infarction or takotsubo. The women as well as health care workers did not perceive the symptoms as a myocardial infarction or takotsubo, which led to delayed care. The women also experience uneven quality of care. The women experience a great change in life and that their fears and anxieties will always be present. Keywords: Myocardial infarction, Takotsubo cardiomyopathy, Experiences, Women.

  • 11.
    Bergström, Pernilla
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Öberg, Linda
    Anestesi- och intensivvårdssjuksköterskors erfarenhet av att perioperativt vårda patienter med långvarig smärta: En kvalitativ intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Patients with persistent pain is in need of a structured treatment. Studies showed insufficient postoperative pain treatment.

    Aim: This study aimed to describe nurse anesthetists and critical care nurses experience in caring perioperative nursing patients with long term pain.

    Methods: Semistructured interviews with 15 nurse anesthetists and critical care nurses, based on clinical vignettes. Data was analysed with qualitative content analysis.

    Findings: The study results revealed five categories being prepared, that healthcare is complex and knowledge-intensive, to have a professional collaboration, to feel inadequate and to respond to the patient. The nurse anesthetists and the critical care nurses experiences showed that a clear plan and clear pharmaceutical prescriptions gave the nurse anesthetists and the critical care nurses the opportunity to prepare. This together with a more informed and involved patient improved postoperative pain treatment. By giving extra time to patients with persistent pain, their experience of pain, worry and anxiety diminished. The nurse anesthetists and the critical care nurses asked for training in pain treatment and a better contact with the pain clinic. The nurse anesthetists and the critical care nurses argued that it was important to have a good collaboration with the doctors to optimize and start the pain treatment on time. Specialist nurses experienced that patients with long-term pain were at risk of being undertreated. In cases where pain relief failed, feelings of frustration and powerlessness were described.

    Conclusion: Throughout all the nurse anesthetists and the critical care nurses experiences of caring for patients with persistent pain, it was necessary to have a clear and detailed plan for the patient's pain treatment which would extend perioperative and further to the care department or home care. With planning and preparation, the conditions for a better care of patients with persistent pain increased.

     

     

     

     

    Keywords: nurse anesthetists, experience, critical care nurse, persistent pain, long lasting pain, postoperative care.

  • 12.
    Bergström, Sofia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Murén, Saana
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Distriktssköterskors reflektioner kring sin roll och förutsättningar att ge god omvårdnad vid palliativ hemsjukvård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning

     

    Bakgrund: Allt fler palliativt sjuka patienter vårdas i hemmen vilket leder till ett ökat behov av palliativ vård i hemsjukvården. Distriktssköterskan har ett övergripande ansvar över dessa svårt sjuka patienter och deras närstående.

    Syfte: Syftet med studien var att undersöka hur distriktssköterskor som arbetar i den kommunala hemsjukvården reflekterar kring sin roll och förutsättningar att ge god omvårdnad vid palliativ hemsjukvård.

    Metod: Semistrukturerade intervjuer med tio distriktssköterskor. En kvalitativ innehållsanalys användes.

    Huvudresultat: Distriktssköterskorna såg arbetet med palliativ vård som sin mest prioriterade arbetsuppgift och kände ett stort ansvar över dessa patienter. Att bygga upp en relation med patienten och närstående tidigt i vårdförloppet samt kontinuitet var en förutsättning för god vård. Distriktssköterskorna beskrev ett väl fungerande samarbete med palliativa teamet, något som ofta saknades från hälsocentralerna. Arbetet var tidskrävande och i kombination med kravet på tillgänglighet ledde detta till en känsla av stress och otillräcklighet. Stöd från kollegor ansågs värdefullt då regelbunden handledning saknades. Kunskapsbrist hos omsorgspersonal försämrade omvårdnaden och försvårade distriktssköterskans arbete. Samtliga distriktssköterskor såg behovet av förbättring inom den palliativa vården och en önskan om ett speciellt palliativt team samt ett hospice framkom.

    Slutsats: Slutsatsen av studien är att det ansvarsfyllda och tidskrävande arbetet ledde till en känsla av otillräcklighet hos deltagarna. Det framkom en stark önskan från samtliga deltagare om förbättring i den palliativa vården i form av special team och hospice.

     

  • 13.
    Birgisdóttir, Dröfn
    et al.
    Faculty of Medicine, Department of Clinical Sciences Lund, Oncology and Pathology, Institute for Palliative Care, Lunds University, Lund, Sweden.
    Bylund-Grenklo, Tove
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden.
    Nyberg, Tommy
    Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden; Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
    Kreicbergs, Ulrika
    Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; Department of Caring Sciences, Palliative Research Center, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
    Steineck, Gunnar
    The Sahlgrenska Academy, Department of Oncology, Division of Clinical Cancer Epidemiology, University of Gothenburg Institute of Clinical Sciences, Gothenburg, Sweden.
    Fürst, Carl J.
    Faculty of Medicine, Department of Clinical Sciences Lund, Oncology and Pathology, Institute for Palliative Care, Lunds University, Lund, Sweden.
    Losing a parent to cancer as a teenager: Family cohesion in childhood, teenage, and young adulthood as perceived by bereaved and non-bereaved youths2019In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 28, no 9, p. 1845-1853Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to investigate levels of perceived family cohesion during childhood, teenage years, and young adulthood in cancer-bereaved youths compared with non-bereaved peers.

    METHODS: In this nationwide, population-based study, 622 (73%) young adults (aged 18-26) who had lost a parent to cancer 6 to 9 years previously, when they were teenagers (aged 13-16), and 330 (78%) non-bereaved peers from a matched random sample answered a study-specific questionnaire. Associations were assessed using multivariable logistic regression.

    RESULTS: Compared with non-bereaved youths, the cancer-bereaved participants were more likely to report poor family cohesion during teenage years (odds ratio [OR] 1.6, 95% CI, 1.0-2.4, and 2.3, 95% CI, 1.5-3.5, for paternally and maternally bereaved youths, respectively). This was also seen in young adulthood among maternally bereaved participants (OR 2.5; 95% CI, 1.6-4.1), while there was no difference between paternally bereaved and non-bereaved youths. After controlling for a number of covariates (eg, year of birth, number of siblings, and depression), the adjusted ORs for poor family cohesion remained statistically significant. In a further analysis stratified for gender, this difference in perceived poor family cohesion was only noted in females.

    CONCLUSION: Teenage loss of a parent to cancer was associated with perceived poor family cohesion during teenage years. This was also noted in young adulthood among the maternally bereaved. Females were more likely to report poor family cohesion. Our results indicate a need for increased awareness of family cohesion in bereaved-to-be families with teenage offspring, with special attention to gender roles.

  • 14.
    Bjurbo, Charlotte
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Eriksson, Ulrika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Att befinna sig i ett ingenmansland på en akutmottagning och ändå känna tillit till akutsjukvården: En kvalitativ intervjustudie med sköra äldre patienter2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    The full text will be freely available from 2020-12-31 18:25
  • 15.
    Bjurlefält, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Erfarenhet av debriefing inom akutsjukvården.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background:

    In our everyday lives worldwide, people are affected regardless of gender and age by accidents, deaths and other traumatic events. Some professions involve a greater risk of being exposed to traumatic events. Examples of these are ambulance, emergency personnel, police and health care personnel, primarily in emergency care. These events can sometimes become overpowering. One way to counteract burnout and post-traumatic stress symptom (PTSD) in healthcare professionals is to carry out debriefing talks. This is done with the healthcare staff who has participated in a traumatic event.

     

    Aim:

    The purpose of this study was to describe the experience of debriefing in healthcare professionals in emergency care in connection with traumatic events in their professional practice.

     

    Method:

    Literature study that contains a total of 10 scientific articles, five of which are qualitative and five are quantitative.

     

    Results:

    The study results show that debriefing is perceived as a positive tool when it comes to unloading after a traumatic event for the healthcare staff in emergency care. The main factors raised in the study are time and place for debriefing, debriefing impact on the communication between the healthcare staff, the choice of debriefing leader and the need for well-designed guidelines for debriefing.

     

    Conclusion:

    The present study demonstrates that debriefing should be regarded as an effective tool for counteracting mental illness in the healthcare staff and that debriefing also reinforces communication between the various professional occupational groups in emergency care. The study also shows that well-designed guidelines are important for achieving the purpose of the debriefing.

  • 16.
    Björklund, Ove
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    FRÅN LIVSLEDA TILL LIVSMOD : Unga människors erfarenheter av arbetslöshet och stödåtgärder2019Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this dissertation is to increase our understanding of what it is like to live as an unemployed young person, by looking at young people’s narratives. An additional aim is to explore and describe how unemployed young people’s experiences of participating in a support project can be understood from a caring science perspective. The overall questions addressed in the dissertation are: What does living in unemployment mean to a young person? How can a resource center for unemployed young people provide care? The dissertation includes a compilation of four scientific articles and an introductory chapter; it has a descriptive design and a hermeneutical approach. The dissertation starts from four meta-concepts used in caring science: human being, health, caring, and the world. These meta-concepts are the mainstays of the dissertation, at the same time as they give the research themes their caring science framework. The informants were 15 unemployed Finnish young men, aged 18-27 years, and 12 unemployed Finnish young women, aged 18-26 years. All had been out of work for between two and six months. The data were gathered by means of semi-structured interviews. The interviews were examined using content analysis and hermeneutic interpretation. To increase understanding of the dissertation’s themes as related to caring science, empirical results from the four studies were connected to elements of caring science theory taken from Katie Eriksson’s caritative caring theory. In summary, the results pertaining to the young men’s and women’s experiences of unemployment can be likened to a kind of suffering or weariness of life. Activities at the resource center for unemployed young people were characterized by Eriksson’s caring science concepts of tend, play and learn. Tending was revealed in how the young people were made to feel appreciated and accepted as the persons they were and are. The concepts play and learn were revealed in how the unemployed young people were given opportunities to express their dreams for the future and to dare to see other perspectives. At the resource center, positive caring powers could be identified – powers that worked together to enable the transition from suffering and weariness of life to a feeling of zest and the courage to face life. It can be established, in summary, that unemployment affects young people’s health. Not only for the unemployed individual, but also for society at large, it should be of great value to characterize the everyday life and reality of the unemployed at an early stage, and to move those who are suffering into a caring context in order to, if all goes well, replace weariness of life with the courage to face life.

  • 17.
    Björklund, Ove
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Unemployment may increase feelings of lacking context in Life: Experiences narrated by Young Finnish Women2019In: Article in journal (Refereed)
  • 18.
    Björklund, Ove
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Nyström, L.
    Hope and Faith in the Future. Young Unemployed Finnish Women´s Experiences of Having Participated in a Specific Active Labor Market ProgramManuscript (preprint) (Other academic)
  • 19.
    Björkman, Annica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Giving advice to callers with mental illness: adaptation among telenurses at Swedish Healthcare Direct2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, article id 1633174Article in journal (Refereed)
    Abstract [en]

    Purpose: Our aim was to describe Swedish Healthcare Direct (SHD) and its features as a complex system.

    Methods: Qualitative interviews were conducted with 20 SHD telenurses, covering their experiences and skills when encountering and advising callers with mental illness. Complexity science was used as an a priori theoretical framework to enhance understanding of the complex nature of telenursing.

    Results: SHD was described as a complex system as nurses were constantly interacting with other agents and agencies. During these interactions, dynamic processes were found between the agents in which the nurses adapted to every new situation. They were constantly aware of their impact on the care-seekers, and perceived their encounters with callers with psychiatric illness as "balancing on a thin line". SHD was also described as both an authority and a dumping ground. The openness of the system did not give the nurses possibility to control the number of incoming calls and the callers' intentions.

    Conclusions: These new insights into SHD have important implications for organization developers and nursing management in terms of overcoming linear thinking.

  • 20.
    Blad, Linda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Forslin, Daniel
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Intensivvårds- och anestesisjuksköterskors upplevelser av sin arbetsmiljö vid ett sjukhus som saknar akutkirurgi - en intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Hospital care is changing and the requirements for specialist nurses are changing. The amount of patient transports from smaller hospitals are increasing and the routes are longer. The experience of the nurses work environment has proved to be important, not least with regard to the experience of patient safety. 

    Aim: To describe how intensive care and anesthesia nurses experience working in a hospital without emergency surgery, from a work environment perspective. 

    Method: The study had a qualitative approach with descriptive design. 11 semi-structured interviews were conducted with intensive care nurses (n = 6) and anesthetic nurses (n = 5). The interviews were analyzed with qualitative content analysis. 

    Main results: Through the analysis six categories emerged. 1. To experience the importance of following guidelines 2. That collaboration and personal knowledge within the hospital facilitates the workload 3. Experience of the current assignment 4. To see the importance of nearby care 5. The cooperation with other hospitals and 6. Experience of access to resources and competence. The anesthetic and intensive care nurses experienced that it was important to follow guidelines. The fact that collaboration and personal knowledge within the hospital can facilitate the workload was another experience that was described. They experienced a satisfaction with the current assignment, although a desire to get extended assignments was described. The importance of having nearby care was described and the distance to the nearest emergency hospital was described as a problem. The collaboration with other hospitals was sometimes described to work well and sometimes a struggle preceded the collaboration. The experience of access to resources and skills was described and it emerged that the lack of resources could create frustration. 

    Conclusion: Positive experience of current assignments. In emergency situations where severely injured or sick patients entered the hospital, frustration was experienced with the lack of resources that existed.

    Keywords: Intensive Care Nurse, Nurse anesthetist, Work Environment

  • 21.
    Bylund-Grenklo, Tove
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Oncology Pathology, Karolinska Institutet, Stockholm, Sweden.
    Werkander-Harstäde, Carina
    Department of Health and Caring Sciences, Linnaeus University, Växjö; Center for Collaborative Palliative Care, Växjö, Sweden; Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Sandgren, Anna
    Department of Health and Caring Sciences, Linnaeus University, Växjö; Center for Collaborative Palliative Care, Växjö, Sweden; Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Benzein, Eva
    Department of Health and Caring Sciences, Linnaeus University, Kalmar; Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden .
    Östlund, Ulrika
    Centre for Research and Development, Uppsala University/Region Gävleborg, Gävle; Faculty of Medicine and Health, School of Health Sciences, Örebro University; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Dignity in life and care: The perspectives of Swedish patients in a palliative care context2019In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 25, no 4, p. 193-201Article in journal (Refereed)
    Abstract [en]

    Background: How patients preserve their sense of dignity in life is an important area of palliative care that remains to be explored. Aims: To describe patients' perspectives of what constitutes a dignified life within a palliative care context. Methods: Twelve palliative care patients were interviewed about their views on living with dignity. Data were analysed using qualitative content analysis. Results: What constitutes a dignified life during end-of-life care was captured by the theme 'I may be ill but I am still a human being' and presented under the categories 'preserving my everyday life and personhood', 'having my human value maintained by others through 'coherence' and 'being supported by society at large'. Conclusion: Patients' sense of dignity can be preserved by their own attitudes and behaviours, by others and through public support. Health professionals need to adopt a dignity-conserving approach, for which awareness of their own attitudes and behaviours is crucial. 

  • 22.
    Carlsson, Marianne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University.
    Self-reported competence in female and male nursing students in the light of theories of hegemonic masculinity and femininity2019In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In most parts of the world, nursing historically has been considered an occupation for women. Gender stereotypes are associated with the nursing profession.

    AIM: The aim was to describe and compare the self-reported competence in female and male nursing students. The students were also compared according to their different background college educations. The theoretical framework of hegemonic masculinity and femininity was used.

    DESIGN: A cross-sectional design with a questionnaire was used at two points in time, 2012 and 2017.

    METHODS: Nursing students completed a questionnaire on graduation from a three-year university nursing program from 12 universities/university colleges in Sweden. In total, 1,810 students were participating, 1577 female and 227 male students. The Nurse Professional Competence scale was used for data collection.

    RESULTS: There were statistical significant differences in the self-reported competence between female and male students (t-tests and ANOVAs). These differences are in agreement with the patterns of hegemonic masculinity and femininity. Female students estimated their competence in giving value-based nursing care as higher than male did. Male students estimated their competence in development and leadership higher than female did.

    CONCLUSION: The pattern of hegemonic masculinity and femininity could be identified. This indicates a difference in power between female and male students.

    IMPACT: The study addresses the self-reported competence of female and male nursing students. The results indicated that male students possibly looked on themselves as superior to the female students. In order to change the image of nursing as a woman's work, the self-images should be discussed in nursing education as well as in college education. Women interested in development, research and leadership and men interested in nursing care and administration must feel that nursing is a suitable profession for them. The stereotypical image of nursing as a women's work is a barrier to nurses' professional development.

  • 23.
    Chen, Chen
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Ning, Zhou
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    The effect of patient education interventions on stoma patients: - A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 24.
    Chen, Jian Hua
    et al.
    Department of Nursing, Medicine and Health College, Lishui University, Lishui, Zhejiang Province, China.
    Björkman, Annica
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Zou, Ji Hua
    Department of Nursing, Medicine and Health College, Lishui University, Lishui, Zhejiang Province, China.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Self–regulated learning ability, metacognitive ability, and general selfefficacy in a sample of nursing students: A cross-sectional and correlational study2019In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 37, p. 15-21Article in journal (Refereed)
    Abstract [en]

    The healthcare sector is fast-growing and knowledge-intensive, and to meet the demands associated with it, nursing students must have high levels of self-regulated learning (SRL), metacognition, and general self-efficacy (GSE). In this cross-sectional, correlational study, data were collected from 216 nursing students through a questionnaire. The aims were: 1) to describe the levels of SRL ability, metacognitive ability and GSE among second- and third-year nursing students; 2) to explore the relationships between the SRL ability, metacognitive ability and GSE of second- and third-year nursing students; 3) and to compare SRL ability, metacognitive ability and GSE between second- and third-year nursing students. Nursing students had moderate levels of SRL ability and metacognitive ability, but lower levels of GSE. Positive relationships between SRL ability, metacognitive ability, and GSE were observed. Third-year nursing students had a higher level of SRL ability but lower levels of GSE, compared to second-year students. In terms of metacognitive ability, no significant differences were observed between the student batches. Interventions are required for the improvement of nursing students’ SRL ability, metacognitive ability, and GSE.

  • 25.
    Chi, Cheng
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Wenbo, Tang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    The effect of physical activity on the quality of life in patients with type-2 diabetesThe effect of physical activity on the quality of life in patients with type-2 diabetes: – A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 26.
    Chunyi, Tang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Qiongwei, Wang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Quality of life among nursing home residents: – A questionnaire study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 27.
    Ciping, Zhang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Enhui, Huang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Nurses’ experience of workplace violence: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 28.
    Dahlberg, Caroline
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Dahlqvist, Elin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Sjuksköterskans erfarenheter av att arbeta familjecentrerat i relation till barn inlagda på sjukhus2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 29.
    Dahlkvist, Eva
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Nilsson, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Residents’ use and perceptions of residential care facility gardens: a behavior mapping and conversation study2019In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743Article in journal (Refereed)
    Abstract [en]

    Aim

    To describe the gardens and their use by individuals living at residential care facilities (RCFs) with high ratings on restorative values.

    Background

    Being outdoors has been described as important to older people's well‐being. Use of outdoor gardens may increase residents’ well‐being through experiences of restorative qualities such as being away and fascination. Thus far, there has been little research on restorative experiences of gardens in the care of older people.

    Design

    A descriptive design using behaviour mapping observations integrated with qualitative field notes and recorded conversations.

    Methods

    A criterion sampling of two gardens (out of a total of 87) was made based on residents’ ratings of restorative values; the two with the highest values were chosen. Eleven residents at the two RCFs took part. Data were collected through behaviour mapping observations, field notes and conversations on five occasions in the respective facilities during residents’ visits to the garden.

    Results

    The observations revealed that the main uses of the gardens were to socialise and relax. The conversations also showed that the garden stimulated residents’ senses and evoked memories from the past. These restorative values were interpreted as a sense of being away and fascination. Not having opportunities for outdoor visits was reported to result in disappointment and reduced well‐being.

    Conclusions

    The findings showed that two basic gardens with different characteristics and views could stimulate residents’ senses and evoke memories from the past; this supports the call for residents to be able to spend time in gardens to promote their well‐being.

    Implications for practice

    First‐line managers, nurses and healthcare staff in the care of older people should consider that regular opportunities to spend time outdoors may promote older people's well‐being through feelings of being away and fascination.

  • 30.
    Eivergård, Kristina
    et al.
    Department of Nursing Sciences, Mid-Sweden University, Östersund, Sweden; Department of Health Care Science, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Livholts, Mona
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    Aléx, Lena
    Department of Nursing, Umeå University, Umeå, Sweden.
    Hellzén, Ove
    Department of Nursing Sciences, Mid-Sweden University, Östersund, Sweden.
    The Importance of Being Acceptable - Psychiatric Staffs' Talk about Women Patients in Forensic Care2019In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 40, no 2, p. 124-132Article in journal (Refereed)
    Abstract [en]

    Currently, women comprise about ten percent of those sentenced to psychiatric forensic clinics in Sweden. Those who are sentenced to forensic care because of offending and violent behaviour have already taken a step away from the usually expected female behaviour. On the other hand, there are many women in forensic care who have not committed crimes, but who instead self-harm. Studies have identified a gender bias in diagnosing and care in psychiatric settings, but there are few studies conducted on women in forensic care. The present study therefore examined how the situation of women patients and female norms are expressed in the staff's talk about these women during verbal handovers and ward rounds at a forensic clinic in Sweden. The aim was to explore how psychiatric staff, in a context of verbal handovers and ward rounds, talk about women who have been committed to forensic psychiatric care, and what consequences this might have for the care of the patients. The content of speech was examined using audio recordings and a method of analysis that was inspired by thematic analysis. The analysis identified that the staff talked about the women in a way that indicates that they expected the women to follow the rules and take responsibility for their bodies in order to be regarded as acceptable patients.

  • 31.
    Ekstedt, Mirjam
    et al.
    Linnéuniversitet; Karolinska institutet.
    Lindblad, Marléne
    Ersta Sköndal Bräcke University College; KTH.
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Nursing students’ perception of the clinical learning environment and supervision in relation to two different supervision models – a comparative cross-sectional study2019In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 18, article id 49Article in journal (Refereed)
    Abstract [en]

    Background

    Knowledge concerning nursing students’ experiences of the clinical learning environment and how supervision is carried out is largely lacking. This study compares nursing students’ perceptions of the clinical learning environment and supervision in two different supervision models: peer learning in student-dedicated units, with students working together in pairs and supervised by a “preceptor of the day” (model A), and traditional supervision, in which each student is assigned to a personal preceptor (model B).

    Methods

    The study was performed within the nursing programme at a university college in Sweden during students’ clinical placements (semesters 3 and 4) in medical and surgical departments at three different hospitals. Data was collected using the Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale, CLES+T, an instrument tested for reliability and validity, and a second instrument developed for this study to obtain deeper information regarding how students experienced the organisation and content of the supervision. Independent t-tests were used for continuous variables, Mann-Whitney U-tests for ordinal variables, and the chi-square or Fischer’s exact tests for categorical variables.

    Results

    Overall, the students had positive experiences of the clinical learning environment and supervision in both supervision models. Students supervised in model A had more positive experiences of the cooperation and relationship between student, preceptor, and nurse teacher, and more often than students in model B felt that the ward had an explicit model for supervising students. Students in model A were more positive to having more than one preceptor and felt that this contributed to the assessment of their learning outcomes.

    Conclusions

    A good learning environment for students in clinical placements is dependent on an explicit structure for receiving students, a pedagogical atmosphere where staff take an interest in supervision of students and are easy to approach, and engagement among and collaboration between preceptors and nurse teachers. This study also indicates that supervision based on peer learning in student-dedicated rooms with many preceptors can be more satisfying for students than a model where each student is assigned to a single preceptor.

  • 32.
    Elin, Carlsson
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Sofia, Frank
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Kvinnor med endometrios erfarenheter av möten med vården: En beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Endometrios är en vanlig sjukdom som drabbar 1 av 10 menstruerande kvinnor. Smärta i nedre buken är ett vanligt symtom som ofta leder till minskad livskvalitet och minskat välbefinnande hos de drabbade kvinnorna. Trots detta finns relativt lite kunskap inom området och forskning kring drabbade kvinnors erfarenheter av möten med vården. Syfte: Att beskriva vilka erfarenheter kvinnor med endometrios har av möten med vården. Metod: En beskrivande litteraturstudie baserad på 11 vetenskapliga artiklar varav tio med en kvalitativ ansats och en med en kvantitativ ansats. Artiklarna hämtades i databaserna MedLine via PubMed och CINAHL. Huvudresultat: Kvinnor med endometrios beskrev erfarenheter av att de inte blev tagna på allvar och att deras symtom normaliserades i möten med vården. Det framkom att kvinnor hade erfarenheter av att vårdpersonal hanterade fertilitetsfrågor på ett okänsligt sätt. Kvinnor med endometrios beskrev erfarenheter av både positiv och negativ kommunikation i möten med vården beroende på vårdpersonalens kommunikationsförmåga. Erfarenheter av kunskapsbrist hos vårdpersonal och vag eller komplicerad information ledde till oro hos kvinnor och gjorde att de tappade förtroende för vården och sökte information på egen hand. Slutsats: De erfarenheter som kvinnor med endometrios har av möten med vården är av avgörande betydelse för hur deras livskvalitet ser ut, hur de mår psykiskt, deras självkänsla och hur de klarar av att hantera sjukdomen. Kunskapsbrist och normativa föreställningar om kvinnor från vårdpersonalens sida leder till negativa erfarenheter av vårdmötet för de drabbade kvinnorna. Det är därför viktigt att öka kunskapen förståelsen om endometrios hos vårdpersonal

  • 33.
    Engström, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Högberg, Hans
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Strömberg, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.
    Hagerman, Heidi
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Staff Working Life and Older Persons’ Satisfaction With Care: A Multilevel, Correlational Design2019In: Journal of Nursing Care Quality, ISSN 1057-3631, E-ISSN 1550-5065Article in journal (Refereed)
  • 34.
    Engström, Therese
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Wallström, Madelene
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Patienters upplevelser av hälsosamtal för 40-åringar: En intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Forskning har visat att risken för livsstilsrelaterade sjukdomar påverkas av en persons levnadsvanor. Folkhälsan i Sverige är globalt sett god, trots det insjuknar tiotusentals människor varje år i sjukdomar som hade kunnat förhindras med förebyggande hälso- och sjukvård. Ohälsan rapporteras vara som allra störst i Gävleborgs län. I Gävleborgs län blir alla som fyllt 40 år erbjudna ett kostnadsfritt hälsosamtal via sin hälsocentral. Samtalet kan hållas av en distriktsköterska och huvudfokus i hälsosamtalet är patientens levnadsvanor. Syfte: Syftet med denna studie var att beskriva patienters upplevelser av hälsosamtal för 40-åringar på hälsocentraler i Gävleborgs län. Metod: Tio deltagare som uppfyllde inklusionskriterierna deltog i studien. Datainsamlingen skedde genom semistrukturerade telefonintervjuer. Materialet analyserades med kvalitativ innehållsanalys. Huvudresultat: Resultatet presenteras utifrån tre huvudkategorier: Tydlig struktur på hälsosamtalet, nytändning och motivation efter hälsosamtalet och brister i hälsosamtalet. Deltagarna upplevde en tydlig struktur på hälsosamtalet då stjärnprofilen visualiserade patienternas totala hälsostatus på ett tydligt sätt. Flertalet deltagare hade blivit mer motiverade till att göra en livsstilsförändring efter hälsosamtalet, hälsosamtalet hade startat en reflektion angående deras hälsa. De hade också en förhoppning om att hälsosamtalet skulle ge de en nytändning. Majoriteten av deltagarna uppgav att det fanns brister i hälsosamtalet, de saknade erbjudande om uppföljning och de önskade även mer individanpassad rådgivning. Slutsats: Patienters upplevelser av hälsosamtal för 40-åringar sågs som en positiv ”hälsocheck-up”. Samtalsledarens roll har betydelse för upplevelsen av hälsosamtalet. Det framkom att hälsosamtalet har brister gällande uppföljning. Deltagarna saknade individanpassad rådgivning. 40-årssamtalet levde inte upp till patientens förväntningar och förhoppningar.

  • 35.
    Enohnyaket, Rose
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Mahammed, Amina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Faktorer som sjuksköterskor skattar som attraktiva för arbetet: En enkätstudie på ortopediska vårdavdelningar2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. Shortage of nurses is an alarming problem in Sweden and the world as a whole. To be able to solve this problem it important to identify those factors that according to the nurses can contribute to make their work attractive.

    Aims. The aim of this study was to describe factors that make work attractive and how these differ from the actual work situation among nurses who work in orthopedic departments.

    Methods. It was a cross-sectional survey with descriptive and comparative design. Data were collected in orthopedic departments in sex different hospitals in the middle of Sweden using questionnaires. A total of 95 nurses responded. Correlation and regression analyses was used to analyze the data.

    Main Results. According to the nurses’ factors that were most important for a job to be attractive were leadership, salaries, collaboration (teamwork) and job status. Nurses appreciated their current work situation lower than the attractive work. To feel valuable was the best in the current work situation, while the salary was worst. Comparison of the current work with the attractive work shows significant difference with significant level <0.05 when comparing all factors. The most significant was salary because it had the biggest discrepancy between the current work and the attractive work while the journey to and from work had the least discrepancy.

    Conclusions. According to the results of the analyses good leadership, high salaries, good collaboration (teamwork) and good job status are of great importance when considering strategies to retain nurses. Nurses appreciated their current work situation lower than the attractive work with salaries being worst. This implies that one strategy that could improve the current working situation may be an increase in salaries.

     

  • 36.
    Eriksson, Elisabet
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Wejåker, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Danhard, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Nilsson, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Living with a spouse with chronic illness – the challenge of balancing demands and resources2019In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, no 1, article id 422Article in journal (Refereed)
    Abstract [en]

    Aims and objectives. To describe the partners’ experiences of living with a person with chronic illness and how they manage everyday life.

    Background. The number of partners providing informal care for their chronically ill spouse is rising, and they describe their daily life as demanding.

    Design. A descriptive design with a qualitative approach was used.   

    Methods. A purposive sample of 16 partners with a chronically ill spouse were interviewed. The interviews were recorded, transcribed, and analyzed using qualitative content analysis.

    Results Four main themes were identified: ‘Living with challenges caused by the spouse's disease,’ ‘Seeking support for living with the spouse’s illness,’ ‘Appreciating the good parts of life’ and ‘Adapting to constant changes and an uncertain future.’ The participants rated their health as rather good and had great confidence in their own ability to cope with daily life. Their experiences of support from formal care providers varied; they expressed the need for more assistance from the health care sector.

    Conclusions. The partners experienced many challenges in everyday life when providing informal care for their chronically ill spouse. This affected both their physical and psychological health, as they had limited time for themselves. The partners seemed to receive more support from their informal network than from formal care providers. In handling daily life, the partners balanced demands and resources to identify possibilities to move forward and find meaning in life.

    Relevance to clinical practice. Formal care providers must acknowledge partners' needs, develop evidence-based assessment guidelines, and provide efficient support to partners with a chronically ill spouse. 

  • 37.
    Eriksson, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jonsson, Ann-Sofi
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Intensivvårdssjuksköterskors upplevelser av patientbedömning i samband med MIG-uppdrag2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: The intensive care nurse, together with an anesthetist, is included in a Medical emergency team (MET). If a patient in a ward demonstrates deterioration in vital parameters and is suspected having organ failure, MET is consulted, which together with the patient-responsible doctor and nurse evaluates and assesses the patient. Thereafter MET recommends treatment or move the patient to intensive care unit.

    Aim: The aim of this study was to describe intensive care nurses experiences of assessing patients and what they consider in connection with the MET assessments.

    Method: The study was performed with a qualitative approach and descriptive design. Eleven intensive care nurses were interviewed with semi-structured interviews.

    Result: Six main categories appeared in the result: To be prepared and have information is important for assessment, To use senses and experience when assessing, To cooperate with other staff categories is important, To use assessment tools, To have experiences of the environment around the patient in connection with the assessment, and that limitations affect the assessment and further care. The intensive care nurses described that structured patient-information, good teamwork, using assessment tools, clinical judgement and experience made the assessment easier. The result also showed that there appeared to be individual differences in how the assessment was carried out and on what grounds the decisions were taken. High workload, stress, lack of resource, limitations in care and distraction in the environment could have an impact on assessment.

    Conclusion: The results have contributed to increasing the understanding of the intensive care nurses experiences of assessing patients in connection with MET assignments. The results have also drawn attention to the fact that high workload, stress, environment, limitations in care and lack of resource can have an impact on patient assessment.

    Key words: Intensive care nurse, Medical emergency team, Nursing assessment

  • 38.
    Eriksson, Madelen
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Krantz, Jaana
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    En beskrivande upplevelse av att leva med utmattningssyndrom: Ett analysarbete utifrån självbiografier2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

     

    Background: Exhaustion syndrome is classified as a stressrelated psychological illness which is an escalating community problem. The syndrome is multifaceted which gives room for misdiagnosis as depression.

    Aim: The purpose of the literature study is to explore and describe people's stories having been affected by the phenomenon of exhaustion syndrome and how it is expressed in autobiographies.

    Method: A manifest content analysis of six autobiographies, with an inductive qualitative approach.Main findings: Living with exhaustion syndrome is a multifaceted phenomenon that affects the whole human being and their world of life. Often, the physical symptoms have been neglected and when the collapse occur, the first fear is a physical illness. The study highlights the different phases that occur within the human being after receiving the diagnosis.

    Conclusion:

    Exhaustion syndrome is an escalating phenomenon that affects both individually and socially. That more research requires is a fact, however, this study has highlighted the many angles off exhaustion syndrome from the affected ones own perspectives. One hope is that the person-centered care will have a greater place in the carecontext in order to work as a districtnurse to improve the conditions for good commuication and participation.

  • 39.
    Eriksson, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Sjuksköterskors erfarenheter av att genomföra efterlevandesamtal inom den kommunala äldreomsorgen: En intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Den palliativa vården upphör inte i och med att patienten avlider utan innefattar även att sjukvården finns som ett stöd till närstående i deras sorgeprocess. En kvalitetsindikator på en god palliativ vård är att närstående erbjuds efterlevandesamtal. Syfte: Syftet med studien var att beskriva vilka erfarenheter sjuksköterskor inom den kommunala äldreomsorgen hade av att genomföra efterlevandesamtal. Metod: Studien hade en kvalitativ ansats och en beskrivande design. Åtta sjuksköterskor som arbetade inom äldreomsorgen i en kommun i mellan Sverige intervjuades utifrån en semistrukturerad intervjuguide. Data analyserades utifrån kvalitativ manifest innehållsanalys. Huvudresultat: Fyra kategorier och elva subkategorier framkom ur dataanalysen. De fyra kategorierna var; Förberedelser, Utförande av efterlevandesamtal, Innehåll i efterlevandesamtal och Samtalets betydelse för sjuksköterskan. Genomförandet av efterlevandesamtal var en viktig men oprioriterad arbetsuppgift. Förberedelserna inför ett efterlevandesamtal var individuella och samtalens innehåll varierade. Det var en balansgång att hålla samtalet professionellt utan att närstående upplevde att samtalet utfördes på rutin. Efterlevandesamtalen framkallade känslor hos sjuksköterskorna, tillförde sjuksköterskan en uppföljning av vårdtiden och bidrog till att sjuksköterskan växte i sin yrkesroll och gavs en ökad trygghet inför kommande patienter som vårdades i livets slut. Samtalet sågs även som ett avslut på relationen. Slutsats: Efterlevandesamtal behöver synliggöras som en arbetsuppgift. Sjuksköterskorna behöver ha avsatt tid för genomförandet, informeras om vad som förväntas av sjuksköterskan i samband med samtalet och få en ökad kunskap om en bra struktur för samtalet. Om det nås kan det leda till att sjuksköterskor växer i sina yrkesroller och den palliativa vården vid enheten kontinuerligt utvärderas.

  • 40.
    Forsman, Henrietta
    et al.
    Högskolan Dalarna.
    Inger, Jansson
    Göteborgs Universitet.
    Leksell, Janeth
    Högskolan Dalarna.
    Lepp, Margret
    Göteborgs Universitet.
    Sundin Andersson, Christina
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Nilsson, Jan
    Sophiahemmet Högskola.
    Clusters of competence: Relationship between self-reported professional competence and achievement on a national examination among graduating nursing students2019In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Article in journal (Refereed)
    Abstract [en]

    Aims

    To identify clusters based on graduating nursing students’ self‐reported professional competence and their achievement on a national examination. Furthermore, to describe and compare the identified clusters regarding sample characteristics, students’ perceptions of overall quality of the nursing programme and students’ general self‐efficacy.

    Design

    A cross‐sectional study combining survey data and results from a national examination.

    Methods

    Data were collected at two universities and one university college in Sweden in January 2017, including 179 students in the final term of the nursing programme. The study was based on the Nurse Professional Competence Scale, the General Self‐Efficacy scale and results from the National Clinical Final Examination. A Two‐Step Cluster Analysis was used to identify competence profiles, followed by comparative analyses between clusters.

    Results

    Three clusters were identified illustrating students’ different competence profiles. Students in Cluster 1 and 2 passed the examination, but differed in their self‐assessments of competence, rating themselves under and above the overall median value respectively. Students in Cluster 3 failed the examination but rated themselves at the overall median level or higher.

    Conclusion

    The study illustrates how nursing students’ self‐assessed competence might differ from competency assessed by examination, which is challenging for nursing education. Self‐evaluation is a key learning outcome and is, in the long run, essential to patient safety.

    Impact

    The study has identified clusters of students where some overestimate and others underestimate their competence. Students who assessed their competence low but passed the exam assessed their general self‐efficacy lower than other students. The findings illuminate the need for student‐centered strategies in nursing education, including elements of self‐assessment in relation to examination to make the students more aware of their clinical competence.

  • 41.
    Forsström, Diana
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Wigzell, Ingeborg
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    HBTQ-personers erfarenheter av bemötande i hälso- och sjukvården2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Homo-, bi-, trans- och queerpersoner (HBTQ-personer) är en grupp människor som inte är heterosexuella eller identifierar sig med det kön de fötts med. HBTQ-personer är således människor som har en sexuell läggning eller könsidentitet annat än heteronormen. Denna norm beskriver att utgångspunkten för människors sexualitet och könsidentitet är att alla förväntas vara heterosexuella. Det är konstaterat att HBTQ-personer i större omfattning riskerar att drabbas av ohälsa. Att uppmärksamma HBTQ-personers erfarenheter inom hälso-och sjukvården är viktigt för att se till att kunskapen, medvetenheten och slutligen omvårdnaden av HBTQ-personer blir bättre. Syfte: Syftet med litteraturstudien var att beskriva HBTQ-personers erfarenheter av bemötande i hälso-och sjukvården. Metod: Litteraturstudie med beskrivande design. Litteraturstudien omfattar 11 artiklar om HBTQ-personers erfarenheter av bemötande i hälso- och sjukvården. Av dessa använde en mixed method, av resterande hade åtta en kvalitativ ansats och två hade en kvantitativ ansats. Huvudresultat: Resultatet av föreliggande litteraturstudie visade att HBTQ-personer har både positiva och negativa erfarenheter kring sjukvårdspersonalens bemötande, kunskap och förståelse samt kommunikation. Slutsats: I föreliggande litteraturstudie framkom det att HBTQ-personer har både positiva och negativa erfarenheter av bemötande inom hälso-och sjukvården. En ökad kunskap och medvetenheten hos sjuksköterskor och sjukvårdspersonal behövs kring HBTQ-frågor, för att HBTQ-personer ska uppleva ett positivt bemötande.

  • 42.
    Grudzinska, Maja
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Sjuksköterskornas reflektioner om arbetet som konsultsköterska med fokus på telefonrådgivning med andra vårdgivare: En intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Livslängden ökar i hela världen vilket gör att antalet multisjuka stiger och belastningen på hälso – och sjukvården och på kommunsjuksköterskorna ökar. Kommunsjuksköterskorna har idag en komplex roll och är alltmer rådgivande konsulter under sitt arbete. Telefonrådgivning med omvårdnadspersonalen blir vanligare och kan medföra svårigheter för kommunsjuksköterskorna att göra bedömningar och utföra patientsäker vård.

    Syfte: Syftet med föreliggande studien var att beskriva sjuksköterskornas reflektioner om arbetet som konsultsköterska med fokus på telefonrådgivning med andra vårdgivare.

    Metod: En intervjustudie med kvalitativ ansats med beskrivande design valdes för att beskriva kommunsjuksköterskornas upplevelser. Resultat: Kommunsjuksköterskorna ansvarade för ett stort antal patienter under sitt arbetspass. Alla bedömningar som skedde togs utifrån omvårdnadspersonalens beskrivningar per telefon. Tre kategorier framkom för att belysa deras upplevelser: Att arbeta med telefonrådgivning inom äldreboenden, Ett utmanande arbete samt Kommunikation med omvårdnadspersonalen.

    Slutsats: Kommunsjuksköterskorna har en komplex och växlande roll inom äldrevården, de arbetar som rådgivande konsulter dagligen. Praktiska förutsättningar som påverkar kommunsjuksköterskornas arbete försvårar deras bedömningsförmågor. Telefonrådgivning med omvårdnadspersonalen är utmanade och kräver erfarenheter och kunskaper hos kommunsjuksköterskorna. Studien kan leda till en ökad förståelse hos olika yrkeskategorier som kommer i kontakt med kommunsjuksköterskorna och ger en inblick i deras arbetssätt.

  • 43.
    Gunnarsson, Cajsa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Norin, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Postoperativ smärta hos patienter som genomgått laparoskopisk kolecystektomi: En jämförande registerstudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Att förebygga och behandla postoperativ smärta är anestesisjuksköterskans ansvar genom det perioperativa förloppet. Tidigare studier har visat att förekomsten av postoperativ smärta efter laparoskopisk kolecystektomi är hög.

    Syfte: Syftet med studien var att beskriva postoperativ smärtskattning hos patienter som genomgått laparoskopisk kolecystektomi på en sluten operationsavdelning och en dagkirurgisk operationsavdelning. Syftet var också att undersöka skillnader i förekomst av postoperativ smärta mellan män och kvinnor, yngre och äldre patienter samt mellan patienter som opererats på sluten- respektive dagkirurgisk operationsavdelning.

    Metod: Studien var en retrospektiv registerstudie med kvantitativ ansats. Registerdata innehållande data från 338 patienter inhämtades från kvalitetsregistret Svenskt Perioperativt Register från år 2016–2018. Materialet analyserades med beskrivande och jämförande statistik.

    Resultat: Resultatet visade att 70 % av patienterna skattade måttlig till svår postoperativ smärta (NRS 4-10). Det framkom även att kvinnor samt yngre patienter (<50 år) på den dagkirurgiska operationsavdelningen skattade signifikant högre postoperativ smärta jämfört med män och äldre patienter.

    Slutsatser: Även om inga generella slutsatser kan dras tyder resultaten på att kvinnor samt patienter 50 år och yngre är särskilt utsatta för otillräcklig smärtbehandling i samband med laparoskopisk kolecystektomi. Eftersom alla människor har rätt till god smärtlindring behöver omvårdnaden således anpassas efter patientens individuella förutsättningar och behov. När anestesisjuksköterskan når en förtrolig relation till patienten finns goda förutsättningar för en tillfredställande postoperativ omvårdnad.

  • 44.
    Gustafsson, Sofia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Blomqvist, Fannie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Personers upplevelser av hur livet förändrats efter en hjärtinfarkt: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hjärt-kärlsjukdomar, så som hjärtinfarkt, är en vanlig orsak till inläggning på svenska sjukhus. Symtom och upplevelser efter hjärtinfarkt är en viktig faktor som varje sjuksköterska behöver ha förståelse och kunskap om för att kunna möta varje person individuellt och ge en god omvårdnad. Sjuksköterskan måste se varje individ som unik. Syfte: Syftet med litteraturstudien var att beskriva personers upplevelser av hur livet förändrats efter en hjärtinfarkt. Metod: En litteraturstudie med beskrivande design innehållande 11 kvalitativa artiklar som söktes fram i databaserna Pubmed, Cinahl & PsycINFO. Resultat: Människor som genomgått en hjärtinfarkt upplevde olika variationer av begränsningar i det vardagliga livet. De vanligaste begränsningarna i denna studie var trötthet och psykologiska förändringar. Några av deltagarna upplevde positiva förändringar där de blev motiverade till livsstilsförändringar och fick en andra chans i livet. Slutsats: Deltagarna upplevde förändringar som begränsade dem i deras liv. Främst negativa förändringar, dock förekom även positiva förändringar som känslan av att ha fått en andra chans i livet. Ökad förståelse hos sjuksköterskan kan underlätta arbetet med personers upplevelser samt hanteringen av dess mående efter en hjärtinfarkt.

  • 45.
    Göransson, Moa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Lindén, Julia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Föräldrars erfarenheter av att leva med ett barn med cancer2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract: Background: The most common cause of death for children aged 1-14 is childhood cancer. There is about a third who suffers from leukemia, a third who suffers from brain tumors and the last part constitutes the rest of the diagnoses. It is important to know how to respond parents 'thoughts and feelings about living with a child with cancer, since caregivers must individually the care of the child to their parents' needs. Aim: The aim of this study is to describe parents experience ́s to live with a child with cancer. Method: A literature study based on 11 articles with qualitative approach with the keywords: child, childhood cancer, cancer, family experiences, parents’ experiences and pediatric. The Cinahl database was used to search for articles. Main result: It has been consistent in the result that parents experienced anxiety, depression, anger and lack of sleep. Life is affected by parents after the children’s cancer diagnosis as there is a lack of everyday routines and normality. At a cancer diagnosis, the parents had a hard time seeing a future with the cancer sick child, which shows that the parents longing for the moment the child is cured. Conclusion: It became clear that parents of children with cancer experienced an initial need for support and the importance of getting the right information. Parents isolate themselves from their surroundings but can find other parents in the hospital with the same experience.

  • 46.
    Hagerman, Heidi
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala, Sweden.
    Working Life Among First-Line Managers and Their Subordinates in Elderly Care: an Empowerment Perspective2019Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The aim of this thesis was to study the working life of first-line managers and their subordinates in elderly care from an empowerment perspective. Methods: Paper I and II used a qualitative approach, and semi-structured interviews were conducted with 14 male and 14 female first-line managers. Data were analyzed using qualitative content analysis. Paper III and IV used a quantitative approach with a longitudinal, correlational and multilevel design. 78 first-line managers and 1398 subordinates filled in the questionnaire at T1 and 56 first-line managers and 769 subordinates at T2. Data were analyzed using descriptive statistics, multivariate analyses (III &amp; IV) and multilevel modelling (IV). Results: In Paper I and II, the first-line managers reported having a challenging and complex work situation. Although the first-line managers sometimes expressed a need for better access to structural empowerment in terms of information, resources and support, they experienced psychological empowerment in their work. In Paper III, the results indicated that the more access the first-line managers had to structural empowerment over time, the more likely they were to feel psychologically empowered over time, resulting in lower ratings of their stress symptoms and higher ratings of their own self-rated leadership-management performance over time. Another finding in Paper III was the influence the number of subordinates per first-line manager had on the first-line managers’ ratings of structural empowerment and the subordinates’ ratings of structural empowerment and stress symptoms. In Paper IV, the results indicate that the more access the first-line managers had to structural empowerment at T1, the more access the subordinates had to structural empowerment at T2, and the higher the subordinates rated their first-line manager’s leadership-management performance at T2, when controlling for psychological empowerment. Conclusions: The working life of first-line managers in elderly care is complex and challenging, and they seem to need better access to structural empowerment (Paper I-IV). However, although deficiencies in access to structural empowerment were reported, the first-line managers experienced their work as a positive challenge (Paper 1) and felt that, though the work was not easy, it was worth it (Paper II).

  • 47.
    Hagerman, Heidi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Wadensten, Barbro
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Male first-line managers experiences of the work situation in elderly care: An empowerment perspective2018Conference paper (Refereed)
  • 48.
    Hagerman, Heidi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, 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 Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Nursing Department, Medicine and Health College, Lishui University, Lishui, China .
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    How do first-line managers in elderly care experience their work situation from a structural and psychological empowerment perspective?: An interview study2019In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, no 6, p. 1208-1215Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    The work situation for first-line managers in elderly care is complex and challenging. Little is known about these managers' work situation from a structural and psychological empowerment perspective.

    AIM:

    To describe first-line managers' experiences of their work situation in elderly care from a structural and psychological empowerment perspective.

    METHOD:

    Interviews from 14 female first-line managers were analysed using qualitative content analysis.

    RESULTS:

    The theme described the managers' work situation as "It's not easy, but it's worth it." In the four subthemes, the managers described their work in terms of "Enjoying a meaningful job," "A complex and demanding responsibility that allows great authority within set boundaries," "Supported by other persons, organisational preconditions and confidence in their own abilities" and "Lacking organisational preconditions, but developing strategies for dealing with the situations."

    CONCLUSION:

    The managers described having various amounts of access to structural empowerment and experienced a feeling of meaning, competence, self-determination and impact, that is, psychological empowerment in their work.

    IMPLICATIONS FOR NURSING MANAGEMENT:

    It is vital that first-line managers have access to organisational support. Therefore, upper management and first-line managers need to engage in continuous dialogue to customize the support given to each first-line manager.

  • 49.
    Hamad, Arazo
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Rasoul, Louzan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Hur vuxna personer upplever att det är att leva med en obotlig cancersjukdom och hur det påverkar deras livskvalitet2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige diagnostiserades ca 60 000 personer med cancer under år 2016 och många av dessa erhåller palliativ vård eftersom cancersjukdomen för vissa förblir obotlig. En person som insjuknar i en obotlig cancersjukdom får en förändrad livskvalitet och upplevelsen av sjukdomen varierar beroende på sjukdomsstadiet. Syfte: Syftet med den här litteraturstudie var att beskriva hur vuxna personer upplevde att det var att leva med en obotlig cancersjukdom och hur det påverkade deras livskvalitet. Metod: En beskrivande litteraturstudie som grundar resultatet på elva vetenskapliga artiklar framtagna via databasen MedLine via PubMed. Resultat: Resultatet visar att cancerdrabbade personer upplever förändringar i det psykiska och fysiska måendet, vilket ledde till att de socialt isolerade sig på grund av problemen och symtomen sjukdomen medför. Stöd från anhöriga samt sjukvården var betydelsefullt och viktigt. Livskvaliteten påverkades negativt hos majoriteten av personerna med en obotlig cancersjukdom. Slutsats: Personers upplever förändringar och påverkan på livskvaliteten olika under sjukdomens olika stadier och därför är det viktigt att rätt individanpassad vård bedrivs.

  • 50.
    Hansson, Erica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Forselius, Jenny
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Upplevelser av att utföra egenvård hos personer som har Diabetes typ 2: Beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en vanlig kronisk sjukdom som ökar över hela världenoch kan ge svåra komplikationer vid brist på egenvård. Med hjälp av goda levnadsvanoroch fysisk aktivitet kan sena komplikationer förebyggas.Syfte: Att beskriva personers upplevelser av att utföra egenvård vid diabetes typ 2.Metod: En beskrivande litteraturstudie som har baserats på 13 stycken vetenskapligaartiklar. Artiklarna hittades i databaserna PubMed och Cinahl och var av kvalitativansats och skulle besvara studiens syfte och frågeställning.Resultat: Kunskap, förståelse, motivation och stöd ansåg som viktiga faktorer vidutförandet av egenvårdsrutiner vid diabetes typ 2, dock ansåg många det vara svårt attupprätthålla dem. Med en större förståelse var det lättare att reglera sinablodsockervärden med hjälp av diet och fysisk aktivitet. Det är av stor betydelse hursjuksköterskan förmedlar sin information till patienten.Slutsats: För att kunna göra en livsstilsförändring gällande egenvårdsrutiner var detviktigt att acceptera sin sjukdom diabetes typ 2. Personer med diabetes typ 2 har behovav stöd och motivation från sjuksköterskan för att upprätthålla utförandet avegenvårdsrutiner. Kunskap var viktigt för att kunna hantera sin sjukdom och förebyggasena komplikationer. Det är viktig som sjuksköterska att vara lyhörd och visa individenrespekt samt låta hen vara självbestämmande.

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