hig.sePublications
Change search
Refine search result
1234567 101 - 150 of 1295
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 101.
    Bertils, Petra
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Åhlén, Camilla
    University of Gävle, Department of Caring Sciences and Sociology.
    Mödrars upplevelse av amning efter hemgång från sjukhus2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [sv]

    Syftet med denna studie var att beskriva kvinnors upplevelser av amning och metoden som användes i litteraturstudien var deskriptiv. Upplevelserna i 17 studier kategoriserades i fem grupper; förutsättningar, motstridiga råd, svårigheter, positiva erfarenheter och samhällssyn. Att få motstridiga råd från sjukvården var den upplevelse som beskrevs oftast och de olika känslomässiga svårigheter kvinnorna upplevde i samband med amningen var en annan tydlig upplevelse. Kvinnorna upplevde också att de hade bristfällig kunskap om amning och dess fördelar. Amning sågs som något naturligt men förväntningarna stämde inte överens med upplevelsen. Kvinnorna använde sig av olika strategier för att lyckas med amningen och många ansåg att amning är viktigt för barnet och de trivdes med att amma. I Sverige och i Västvärlden vill man främja amning pga. dess hälsomässiga och känslomässiga betydelse för mamma och barn. Amning är dock ett sammansatt fenomen som kräver en helhetssyn och framtida forskning bör sträva efter att öka förståelsen för ammande kvinnors situation för att rätt bemöta dessa kvinnor i vården. Kvinnor behöver få ökad kunskap för att upplevelserna ska överensstämma med förväntningarna. Sjukvården bör ge enhetliga råd och adekvat stöd, och även skapa medvetenhet om hur attityder påverkar amningspraktiken.

  • 102.
    Beyene, Ellelta
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Karelius, Matilda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hanteringsstrategier hos personer med inflammatorisk tarmsjukdom: En beskrivande litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Inflammatory bowel disease involves major changes where psychological and physical stress becomes a part of ones daily life. The ability to adapt and cope well with the situation, increases the chances of feeling satisfied with life. There are various management strategies that people with IBD use to cope with their daily life.

    Aim: The aim of this study is to describe strategies that people with inflammatory bowel disease use to manage their daily lives. A further purpose is to describe the study group in the included articles.

    Method: A descriptive literature review. This study is based on 12 scientific articles, searched in the databases Cinahl and Pubmed. Keywords used were; Inflammatory Bowel Disease, Management strategies and Self-management.

    Main Results: A positive attitude stimulate energy and hope which in turn prevents people with IBD from being controlled by their disease. Help with practical aspects such as, seeing a therapist, charring information with close ones and complementary alternative methods have been shown to have positive effects. Warm baths, speaking to one`s self and use of analgesic drugs or other stimulation is used as pain relief (Audulv 2013). A passive attitude, avoidance behavior and allowing disease to take over ones life is less common. Normalization and understanding that there are less fortunate people in worse conditions, is also a management strategy.

    Conclusion: Management strategies used by people with IBD in everyday life are problem and emotionally oriented coping strategies. According to the authors, the result is of great importance for a better understanding between nurses and patients with IBD. Keywords: Inflammatory bowel disease, coping strategies and management.

  • 103.
    Billberg, Linda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Johansson, Anton
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Luftvägshantering utanför operationsavdelningen, teamdynamik, tillit till sin egen förmåga och psykologisk empowerment – en kvantitativ studie ur anestesisjuksköterskans perspektiv2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Anestesisjuksköterskan ansvarar för omvårdnaden av patienter i en högteknologisk miljö och arbetet sker självständigt med ASA I - II patienter. Anestesisjuksköterskan är en del av det team som ställs inför uppgiften att hantera en ofri luftväg och i en sådan situation är ett väl fungerande samarbete viktigt. Simuleringsträning är effektivt för att förbättra teamarbete och kunskaper. Incidensen av en svårhanterad luftväg är dubbelt så hög hos patienter utanför operationsavdelningen och då blir ett snabbt beslutsfattande viktigt för patientens överlevnad. Syfte: Syftet var att beskriva hur anestesisjuksköterskor skattar teamdynamiken, tillit till sin egen förmåga och psykologisk empowerment i en klinisk situation med ofri luftväg utanför operationsavdelningen. Ytterligare ett syfte var att undersöka samband mellan självskattningar av teamdynamik, tillit till sin egen förmåga och psykologisk empowerment. Metod: Ett frågeformulär angående teamdynamik, tillit till sin egen förmåga samt psykologisk empowerment delades ut till anestesisjuksköterskor på två sjukhus i Mellansverige. Frågeställningarna besvarades med deskriptiv statistik och Spearmans korrelation. Huvudresultat: Teamdynamiken och tilliten till sin egen förmåga vid en ofri luftväg utanför operationsavdelningen skattades högt av anestesisjuksköterskorna. Det fanns samband mellan teamdynamik, tillit till sin egen förmåga och psykologisk empowerment. Slutsats: Anestesisjuksköterskorna skattade att teamarbetet fungerar bra vid händelse av ofri luftväg utanför operationsavdelningen med en förbättringspotential kring kommunikationen i teamet. Simuleringsträning skattades som ett viktigt verktyg i att öva färdigheter och därmed rekommenderar författarna att simuleringsträning och utbildning i standardiserade kommunikationsmetoder kontinuerligt erbjuds för anestesisjuksköterskor.

  • 104.
    Billingsley, Jennifer
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskors upplevelse av att vårda människor med depression: En beskrivande litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

     

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

     

    Design: A descriptive study of literature.

     

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

     

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

  • 105.
    Billmark Elfstrand, Kristina
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Patientutbildning för personer med typ 2 diabetes. En kartläggning inom primärvården i Sverige2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patient education is an important part of the treatment in type 2 diabetes. Today there is no collected survey of patient education. The aim of the study was to survey how patient education for persons with type 2 diabetes was carried out within the primary care in Sweden and study if there was some relation between how patient education was carried out and persons' HbA1c, BMI and physical activates. Totally 684 health care centres participated. Data was received from a questionnaire and the national diabetes register that covered 91637 patients with type 2 diabetes. Data was analyzed through qualitative content analysis and with multiple linear regression analysis. The result showed that most common form of education was "Patient education with a predestined content", that was practiced individually in 362 of the health care centres, 108 of these also practiced complementary group education.  "Patient education based on the patients needs" was carried out individually at 55 health care centres, 12 were also carried out complementary group education. "Unspecified patient education" was practiced in 267 health care centres. A statistical significant relation was found indicating that patients  receiving individual education based on the patient's needs HbA1c was lower (55 health care centres). The most common procedure was a checklist in which the care provider decided what the patient needed to know.  Most of the care providers in patient education disregarded the patient's needs and interest.

  • 106.
    Birath, Diana
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Olsson Kalmering, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Humor i vårdmötet- skämtar du eller?: en litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 107.
    Bjerén, Rasmus
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Brelin, Andreas
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ambulanspersonals följsamhet till basala hygienrutiner: En observationsstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to the Swedish National Board of Health and Welfare, compliance to hygiene routines is important to prevent healthcare-associated infections (HCAI). HCAI are a threat to patient safety and may increase patient suffering and costs for the society.

    Aim: To describe compliance to hygiene routines within ambulance care in a number of given situations.

    Method: A descriptive quantitative study with data collection through structured observation. Convenience sampling was used and 68 observations in total were made on two ambulance stations.

    Main result: Varying compliance to hygiene routines was found, with highest compliance to the routine stating that hair should be short or up (87%) and the routine about use of gloves (87%). The lowest compliance was found to the routine about hand disinfection before patient contact or glove use (1%). No observation showed compliance to all seven hygiene routines covered by the study.

    Conclusion: That compliance with hygiene routines has shortcomings, especially regarding hand disinfection, which may lead to weak patient safety through a risk of HCAI and patient suffering. The shortcomings are probably grounded both on an individual and an organisational level which makes discussion of the subject in affected organisations and further studies important.

  • 108.
    Bjuhr, Marie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Palmeby, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies.
    Vårdrelationens innebörd för patienter inom psykiatrisk tvångsvård: en litteraturstudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It is the nurse's responsibility to establish a caring relationship in which the patient feels safe, therefore it was important to highlight the patient's own perception of the caring relationship and what it means to caring. The aim of this study was to investigate the meaning of the caring relationship for adult patients in compulsory psychiatric treatment. The study was a literature review with qualitative and descriptive design. The search for scientific articles was done by the databases in Cinahl and PubMed with the keywords psychiatric care, caring relationship, coercion, and patient experiences. The selected articles were quality reviewed and then a content analysis of the manifest content was made which resulted in six categories: to feel disregarded loss of dignity, powerlessness, to be taken seriously, humanity and participation. Thereafter, an interpretation of the manifest content, i.e. a latent content analysis was made. Two themes were discerned: one-sidedness and mutuality. Patients described either that they experienced a distance from the health personal or that they responded to them on an equal plane. Since patients are in a dependent position in compulsory psychiatric treatment relationship becomes uneven (asymmetrical). A mutual caring relationship can be seen as a moral standard that paves the way for the establishment of a community.

  • 109.
    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
  • 110.
    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.

  • 111.
    Bjurs, Elisabet
    University of Gävle, Department of Caring Sciences and Sociology.
    Faktorer som patienter, anhöriga och sjuksköterskor anser viktiga i den palliativa vården i hemmet2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of this study was to, on the basis of the literature, give an account of what factors patients, relatives and nurses think is important in the palliative care at home. Searches of scientific articles were done in the databases Pub Med and AcademicSearch- Elite. A limita-tion on the year of 1999 – 2007 was done and various combinations of key words was used on the basis of the words palliative care, nursing at home, caregivers, need a nurse at home, quality of life, rehabilitation and advanced nurse. Exclusion criterions were articles which in-volved children and AIDS-patients. The results exhibitioner that it was a big consensus be-tween patients, relatives and nurses concerning what characteristics of the palliative care at home. The result could categorizes as communication, support, symptom relieve and informa-tion. To allow care at home for patients who be in need of palliative care, demands that nurses have competence within those subject areas so all included will be able to manage that care at home. There is a need of competence development in palliative care for professional carers, all for the patients who chose to be take cared of at home in the palliative phase, that they can have a dignified end as possible.

  • 112.
    Bjursell, Ingrid
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Grönquist, Cecilia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Viktiga omvårdnadsfaktorer av Suicidala unga: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Suicide is today recognized as a big global health problem being one of the most common causes of death among young people in the age range of 15 to 25. In Sweden approximately 150 young persons commit suicide every year.

    Purpose: The purpose of the study was to describe factors of importance in the nursing care of young people with suicidal tendency. The further purpose was to describe the study groups of the selected articles.

    Method: 11 research articles, of both qualitative and quantitative design, where identified for this literature review searching the databases PsycINFO, PubMed and CINAHL. The articles included where reviewed according to Polit and Beck (2016).

    Findings: There is a lack of resources, such as time and knowledge, for nurses in how to respond and treat young people with suicidal tendencies, in order to provide good care. Both patients and nurses testify to the lack of skills. Many patients describe how they perceive it positively when there is someone available to listen to them and take them seriously.

    Conclusion: It is difficult to identify one single factor as the most important in the nursing care of young people with suicidal tendency. It is clear that the factors identified are depending on each other. The nurse should have a non-judging attitude, a holistic approach and should strive to build a trusting relation. It is important with education and reflection to increase the nurse’s skills and with an adapted environment. Further factors of importance in the nursing care of young persons with suicidal tendency are time and suicide screening.

  • 113.
    Björk, David
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Larsson, Henrik
    University of Gävle, Department of Caring Sciences and Sociology.
    Upplevelser av sjuksköterskerollen och konflikthantering i anhörigkontakten på äldreboenden - en intervjustudie.2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The purpose of this study was to describe how nurses apprehend their role, causes for and managing of conflicts that are possible, encountering relatives of patients living in nursing homes. The design of the study is descriptive and is based on individual interviews.

    The sample was a convenience sample and nine nurses were participating, out of which two were excluded after collecting data due to being interviewed at the same time. Seven nurses remained (six women, one man), working in separate nursing homes in a municipality in southern Norrland.

    The most important part of the nurses’ role in preventing and handling conflicts with relatives consists of keeping in close touch with great understanding, good information and having a dialogue. Creating comfort, by making a good primary contact and letting the relatives contribute with their knowledge and thus make them feel essential, will get the relatives on the nurses’ side. Conflicts often appear when the health care resources run short and cause dissatisfaction and when the relatives’ bad conscience makes them wrongfully project their anger towards the nurse. To solve the problem, bringing a third part into the conflict can sometimes be a solution. Even though it may contest the will of the relatives and cause a conflict the nurse should always do what’s best for the patient, since her medical ability is greater.

  • 114.
    Björk, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Liendeborg, Lisa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vårdpersonalens och ledningsgruppens beskrivning av verksamheten med vårdhund samt deras erfarenheter om vårdhundens betydelse för personer med demenssjukdom och äldre somatiskt sjuka samt deras vård2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Human and dog have a close relationship which led to the dog developed an ability to sense the state of mind and body language of the humans. Dogs have been used in health care for many years and studies have shown that the dog gives a human better consciousness and increase the social and physical activity. Aim: To study how healthcare personnel the management team describe the service with animal assisted therapy and their experiences of and reflections about animal assisted therapy with old people with dementia and somatic disease and their care. Method: The study had a descriptive design with qualitative approach. In the study, 21 interviews were performed with staff at a facility for old people; health care personnel working with elderly with somatic diseases, those working with elderly suffering from dementia and staff in the management team. The interviews were transcribed and analyzed using qualitative content analysis. Results: The results showed that staff from the three groups was positive to the service with animal assisted therapy and that they experienced that the animal assisted therapy as positive for the old people physically, mentally and socially. The personnel working with old people suffering from dementia and staff in the management team described a wish to expand and develop the service with animal assisted therapy. One way to develop the service was that health care personnel to a larger extent should be involved in the animal assisted therapy and that animal assisted therapy to a larger extent could be a help in different care situations. Conclusion: The staff was positive to the service with animal assisted therapy and they experienced that the animal assisted therapy were positive for the old people. Possibilities to expand and develop the service with animal assisted therapy were described.

    Keywords: animal assisted therapy, dementia, interviews, personnel, somatic illness

  • 115.
    Björklund, AnnCharlott
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Krigh Brodin, Pernilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans omvårdnad och barns upplevelser vid stickprocedurer : – En litteraturstudie2010Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    The aim of this literature review was to describe children's experiences of worry and fear in connection with needle procedures. Further the aim was to describe what kind of nursing the nurse can provide children and parents during needle procedures. Method: Searches for articles were carried out in the databases Cinahl and Medline via PubMed. Fourteen scientific articles were chosen and analyzed. Through this literature study, Joyce Travelbee's nursing theory has been used. Result: Feelings as worry, fear, stress, pain and distress were common occurrence during children's needle procedures and a traumatic needle procedure increased the risk to develop fear of needles. Fear of needles was most often initiated in childhood and can cause avoidance for necessary healthcare in the future. Important for the nurse was to provide with good nursing to prevent the development of needle fear by using  pain relief, interventions, distractions and coping strategies. It was important to communicate with the child and make the child participating and to adapt each situation to the child's development and individual conditions. The nurse should also prepare and involve the guardian because the guardian can have both positive and negative effect on the child's experience of the needle procedure. Conclusion: Children's experiences and the nursing in connection with needle procedures will affect their continued contact with the healthcare, therefore it is of outermost weight that the nurse has knowledge and skills to handle these situations in a correctly and evidence-based way. 

     

     

     

     

     

     

     

    Keywords: Needle procedure, children, nurse, fear, distress 

  • 116.
    Björklund, Victor
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sving, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Att vara patient på akutmottagningen: En beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Akutmottagningen är en plats dit människor söker sig vid akuta besvär, de har öppet dygnet runt, det finns inga schemalagda besök och väntetiderna är långa. Kommunikation är en viktig faktor på en akutmottagning då det används för att leverera omvårdnad och för att samarbeta. Sjuksköterskan på en akutmottagning har en hög arbetsbelastning och besitter breda kunskaper för att leverera vård till de varierande sjukdomarna som förekommer. Man vet att vara patient på ett sjukhus kan innebära ett förlorat egenvärde och hopplöshet däremot finns det lite studier på hur det är att vara patient på en akutmottagning.

  • 117.
    Björkman, Annica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Nursing Department, Medicine and Health College, Lishui University, Lishui, China .
    Olsson, Annakarin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Wahlberg, Anna Carin
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Identified obstacles and prerequisites in telenurses’ work environment: a modified Delphi study2017In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 17, no 1, article id 357Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 118.
    Björkman, Annica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    The bidirectional mistrust - callers’ online discussions about their experiences of using the national telephone advice service2018In: Internet Research, ISSN 1066-2243, Vol. 28, no 5, p. 1336-1350Article in journal (Refereed)
    Abstract [en]

    Purpose – The purpose of this paper is to explore and describe online communication about the experiencesand attitudes toward Swedish Healthcare Direct, a national telephone advice nursing (TAN) service.

    Design/methodology/approach – A descriptive research design was adopted using a six-step netnographicmethod. Three Swedish forums were purposefully selected and data from the virtual discussions were collected.

    Findings – Three themes emerged: expectancy and performativity of the nurses, absurdity in accessibilityand the scrutinizing game. The most prominent finding was the scrutinizing game, which included aspects ofbidirectional mistrust from both nurses and callers. Another salient finding was the attitudes that callers heldtoward nurses who used a technique interpreted as “passing the buck.”

    Research limitations/implications – The use of a nethnographic method is novel in this area of research.Consequently, the body of knowledge has regarding telephone advise nursing service has significantly beenbroadened. A limitation in this study is that demographic data for the posters are not available.

    Practical implications – Bidirectional distrust is an important issue that must be acknowledged by TANservices, since it might damage the service on a fundamental level. Healthcare providers, politicians, andresearchers should account for the power and availability of virtual discussions when seeking consumers’opinions and evaluating the quality of the care provided.

    Originality/value – This analysis of the ongoing discussions that take place on the internet provides insightinto callers’ perceptions of a national TAN service. The bidirectional mistrust found from both the nurses andthe callers might be a threat to callers’ compliance with the advice given and their care-seeking behavior.

  • 119.
    Björkman, Josefin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sandberg, Elin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Föräldrars copingstrategier för att hantera tiden efter att deras barn fått en cancerdiagnos: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 120.
    Björn, Catrine
    et al.
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden .
    Lindberg, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Rissén, Dag
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research. Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden.
    Significant factors for work attractiveness and how these differ from the current work situation among operating department nurses2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 1-2, p. 109-116Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: The aim was to examine significant factors for work attractiveness and how these differ from the current work situation among operating department nurses. A second objective was to examine the associations between age, gender, length of employment, work engagement, work ability, self-rated health indicators and attractiveness of the current work situation.

    BACKGROUND: The attractiveness of work is rarely taken into account in research on nurse retention. To expand this knowledge, it is relevant to examine factors that make work attractive and their associations with related concepts.

    DESIGN: Correlational, cross-sectional survey using a convenience sample.

    METHODS: Questionnaires were answered by 147 nurses in four operating departments in Sweden. Correlation and regression analyses were conducted.

    RESULTS: The nurses rated the significance of all factors of work attractiveness higher than they rated those factors in their current work situation; salary, organisation and physical work environment had the largest differences. The most significant attractive factors were relationships, leadership and status. A statistically significant positive correlation between work engagement and attractive work was found. In the multiple regression model, the independent variables work engagement and older age significantly predicted work attractiveness.

    CONCLUSIONS: Several factors should be considered in the effort to increase work attractiveness in operating departments and thereby to encourage nurse retention. Positive aspects of work seem to unite work engagement and attractive work, while work ability and self-rated health indicators are other important dimensions in nurse retention.

    RELEVANCE TO CLINICAL PRACTICE: The great discrepancies between the significance of attractive factors and the current work situation in salary, organisation and physical work environment suggest ways in which work attractiveness may be increased. To discover exactly what needs to be improved may require a deeper look into the construct of the examined factors.

  • 121.
    Björn, Catrine
    et al.
    Uppsala University, Uppsala, Sweden; Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden; Karlstad University, Sweden.
    Rissén, Dag
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research. Centre for Research & Development, Uppsala University/Region Gävleborg, Gävle, Sweden.
    Wadensten, Barbro
    Josephson, Malin
    The opportunities and obstacles nurses have in carrying out their work: a case study in an operating department in Sweden2017In: Perioperative Care and Operating Room Management, ISSN 2405-6030, Vol. 6, p. 1-6Article in journal (Refereed)
    Abstract [en]

    Background To improve working conditions and counteract nursing shortages, more knowledge is needed about the opportunities nurses have to carry out their work and what guide nurses’ work. The aim of this study was to use the ARIA guide to identify the opportunities and obstacles in nurse managers, registered specialist nurses and non-registered assistant nurses work in an operating department. Methods A descriptive case study design was performed in an operating department, comprising structured individual and group interviews according to work content analyses with nurse managers, registered specialist nurses and assistant nurses. Interviews were analysed in terms of predetermined aspects regarding working conditions and criteria for performance obstacles. Extracts from documents stating goals and registered data supplemented the interviews. Results The findings show that the daily surgery schedule, not the goal documents, guided daily work. An over-optimistic surgery schedule with unplanned changes and cancellations, over which the nurses had very little influence, as well as the time required to locate necessary equipment that was spread throughout the ward, resulted in nurses rushing through medical records and other preparations rather than preparing calmly for surgery. Although the registered specialist nurses and assistant nurses considered quality of care to be highly important, no standardised evaluations on quality of care were performed. Conclusion The study reveals the importance of a functioning physical work environment including storage, technical equipment supplies, and the positioning of technical equipment in operating rooms, in order for registered specialist and assistant nurses to perform their tasks well. Due to goal incongruence and performance obstacles, the nurses were often unable to reach their daily goals. Involving registered specialist nurses in the process of planning of the surgery schedule could facilitate their work to better match the prerequisites in the physical work environment and among available staff. In order for the Operating Department Goal Document to guide work, goals must be transformed into understandable, realistic, applicable and evaluable aims, and incorporated into daily work. 

  • 122.
    Björn, Daniella
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Holm, Rebecca
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personer med schizofreni och deras upplevelser av mötet med sjuksköterskan: en beskrivande litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Psykisk ohälsa existerar i hela världen och år 2016 uppgav 16 % av den svenska befolkningen att de led av nedsatt psykiskt välbefinnande. Enligt WHO (World Health Organisation) lider 21 miljoner personer världen över av schizofreni. Cirka 30 000-40 000 personer i Sverige har i dagsläget diagnosen schizofreni och årligen beräknas 1200-1500 personer insjukna i psykos.

    Syfte: Syftet med denna studie var att beskriva hur personer (från 18+ år) med schizofreni inom öppen- och slutenvården upplever mötet med sjuksköterskan samt att beskriva den metodologiska aspekten av de inkluderade artiklarnas undersökningsgrupp.

    Metod: En litteraturstudie med en deskriptiv design. Sökningarna av artiklarna genomfördes i Cinahl, PubMed och PsycINFO. Båda författarna granskade artiklarna objektivt.

    Huvudresultat: Resultatet presenterades med hjälp av tre rubriker, tillgänglighet, relation och förväntningar. Tillgänglighet, där visades att mer tid önskas med sjuksköterskan för att uppnå ett gott möte. Under relation framkom varierande resultat där både en god samt en dålig relation beskrivs i mötet med sjuksköterskor. Förväntningar där patienterna uttryckte sina förväntningar på sjuksköterskan innan och vid mötet.

    Slutsats: Patienter som i mötet med sjuksköterskan upplevde en god relation, gavs tid samt fick sina förväntningar uppfyllda var mer tillfredsställd med vården. Mer forskning kring patientens upplevelser i mötet med sjuksköterskan behövs.

  • 123.
    Björnholm, Malin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Yasin, Sara
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Erfarenheter av kvinnlig könsstympning och mötet med västerländsk sjukvård: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: FGM (female genital mutilation [FGM]) affects approximately 100 million to 140 million women worldwide. Each year there are about 3 million girls between the ages of 0-15 years who risk being genitally mutilated. Genital mutilation is present in 26 countries located in Africa, the Middle East & Asia. To circumcise women is a practice that is deeply rooted in the spiritual and cultural vision. According to Swedish law, all forms of genital mutilation are illegal and may not be performed.

    Aim: The purpose of the study was to describe women’s experience and the experience of living with genital mutilation and their encounter with western health care. The purpose was also to describe the studies finding mission in the included articles. Method: In order to answer to the present studies aim, the authors conducted a descriptive literature study. The literature have 11 articles that are of qualitative approach, 1 has the quantitative approach and 3 have both qualitative and quantitative approach, and they were analysed objectively. PubMed and CINAHL were used in this study.

    Results: The women in the study, explains that it's tradition, culture and an honour to the family being mutilated. Emotions such as fear, anxiety and shame are the experiences the women explained when meeting with western health care, and these feelings are related to the lack of communication and treatment. The women believe that there is too little knowledge about genital mutilation in the western health care and that needs to be better. Positive experience was also where the women are talking about that they were treated with respect and a good nursing care.

    Conclusion: The women who have undergone genital mutilation has both positive and negative experiences of being circumcised. Studies show that women who undergone female genital mutilation experience fear and anxiety while coming in contact with western health care. The positive experiences women had in the meeting with the western health care was that they felt treated with respect by medical staff who had good knowledge about female genital mutilation. Through increased knowledge among medical staff will the womens worry and fear gradually decrease in the countries where female genital mutilation not occur.

  • 124.
    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

  • 125.
    Blanck, Susanne
    et al.
    Baldersnäs Din Hälsocentral, Bollnäs, Sweden.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    District nurses' prescribing practice and its link to structural conditions2015In: Journal of the American Association of Nurse Practitioners, ISSN 2327-6886, E-ISSN 2327-6924, Vol. 27, no 10, p. 568-575Article in journal (Refereed)
    Abstract [en]

    Purpose: To describe district nurses' (DNs') prescribing practice and examine associations between DNs' self-reported prescribing frequency, opinions about prescribing, and structural conditions/empowerment.

    Data sources: A cross-sectional and correlational design was employed. Data were collected during 2012 using questionnaires and a prescribing register. A random sample of 150 DNs from 32 primary care centers in Sweden was invited.

    Conclusions: DNs' ability to prescribe is used to a relatively small extent and access to "opportunities" and "informal power" seems to be the most important structural empowerment conditions for increased prescribing frequency and positive opinions about prescribing. The results support Kanter's theory of structural empowerment.

    Implications for practice: This article regarding restricted prescribing shows how important structural conditions/empowerment is to DNs' prescribing and employers have to enhance nurses' access to especially the structures "opportunities" and "informal power" to increase nurse prescribing. More targeted support and training are needed in different prescribing areas to make use of DNs' prescription qualification to a greater extent.

  • 126.
    Blomberg, Caroline
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Lindberg, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Föräldrars upplevelser av att få ett prematurt fött barn som vårdas på neonatalavdelning: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 127.
    Blomberg, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Lindberg, Cathrine
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Upplevelser av djurterapi hos patienter med psykisk ohälsa: En deskriptiv litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 128.
    Blomberg, Priyanka
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Lindgren, Carina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Trycksårsprevention genom utbildning2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med föreliggande studie var att beskriva hur sjuksköterskor genom utbildning kan förebygga uppkomsten av trycksår samt att beskriva de utvalda artiklarnas urvalsmetod.

    Metod: Studien har en deskriptiv design. Artiklar publicerade mellan årtalen 2007–2017 söktes i databasen Cinahl. Resultatet baseras på 10 artiklar, varav nio hade kvantitativ ansats och en hade kvalitativ ansats.

    Resultat: De inkluderade studierna visade att utbildning inom omvårdnadsåtgärder, riskbedömningsskalor, tryckavlastande hjälpmedel och dokumentation för sjuksköterskor, reducerar uppkomsten av trycksår. Denna litteraturstudie baseras på tio artiklar där urvalet har granskats. Tre av de tio inkluderade artiklarna hade ett ändamålsenligt urval och tre hade ett randomiserat urval. De andra urvalsmetoderna som användes var systematiskt urval, kluster urval och bekvämlighetsurval. I en av de inkluderade artiklarna framgick inte vilken urvalsmetod som använts.

    Slutsats: För att minska uppkomsten av trycksår krävs att sjuksköterskan får mer kunskap gällande sambandet mellan trycksår och preventionsarbete.

  • 129.
    Blomstedt, Josephine
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hakulinen, Emma
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Föräldrars upplevelser av att ha barn med diabetes mellitus typ 1 och stödet från sjukvården: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 1 is an autoimmune disease. Each year 700children aged 0-14 years get diabetes mellitus type 1. To be diagnosed involves majorchanges in daily life that require interactions between physical activity, food intake,daily insulin injections and daily checks of their blood sugar.

    Aim: The purpose of this study was to describe parents' experiences of having a childwith type 1 diabetes mellitus and how parents experience the support from healthcare.The aim was also to describe the study groups and qualitative sampling.

    Methods: This is a descriptive literaturestudy. The authors of the present study used thedatabase Pubmed. The result consists of 13 scientific articles with qualitative approach.

    Main results: The results shows that many parents experience grief, a big shock andfear about their children's health when their child has been diagnosed with diabetesmellitus type 1. Emotional support from health care and individualized care weremissing according to the parents. Study groups show a majority of mothers whoparticipated in the studies. Children's ages varied but in most of the studies were thechildren between 9-16 years. Purposive samples were used in all 13 articles.

    Conclusion: The conclusion of this study is that parents affected large when their childis diagnosed with diabetes mellitus type 1. There was an overwhelming situation with alot of emotions and changes in everyday life. More knowledge is needed in the area fornurses to be able to respond and support these families, which can lead to improvedcare.

  • 130.
    Blomstrand, Veronica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Uppman, Kristina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Följsamhet av handhygien hos hälso- och sjukvårdspersonal och hur sjuksköterskors följsamhet av handhygien kan ökas: En litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Att beskriva följsamheten av handhygien hos hälso- och sjukvårdspersonal och hur följsamheten av handhygien hos sjuksköterskor kan ökas. Metod: Litteraturstudie med beskrivande design. Data samlades in från databaserna PubMed och Cinahl. Resultatet baserades på 12 artiklar. Resultat: Den generella följsamheten av handhygien hos hälso- och sjukvårdspersonal var låg men sjuksköterskor tenderade att ha en något högre följsamhet än övrig personal. Hälso- och sjukvårdspersonal hade generellt en något högre följsamhet av handhygien efter patientkontakt än före och detta var främst i syfte att skydda sig själva från patientens bakterier. Interventioner hade en positiv påverkan på sjuksköterskors följsamhet av handhygien. Bäst resultat gav interventioner för sjuksköterskor som innehöll praktiskt träning av handdesinfektion kombinerat med information och feedback. Slutsats: Det finns brister i den praktiska tillämpningen av handhygien i den dagliga arbetsrutinen trots att hälso- och sjukvårdspersonal har kunskap om handhygien och varför det är viktigt. Interventioner är gynnsamma för följsamheten av handhygien och kontinuerlig uppdatering av kunskap med information kombinerat med praktisk träning av handhygien kan användas för att minska förekomst av vårdrelaterade infektioner och därmed höja kvaliteten på omvårdnaden.

     

  • 131.
    Blusi, Madeleine
    et al.
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Kristiansen, Lisbeth
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Jong, Mats
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Exploring the influence of Internet-based caregiver support on experiences of isolation for older spouse caregivers in rural areas: a qualitative interview study2015In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 10, no 3, p. 211-220Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Many older spouse caregivers are tied to the home by their caring duties and feel isolated. The values of supporting older caregivers are well known. In rural areas with long distances and decline in essential services, attending caregiver support groups can be difficult. Using Internet-based services can provide an opportunity for rural caregivers to participate in caregiver support, regardless of geographical distances and without the need for physical presence.

    AIMS AND OBJECTIVES: This study aimed to explore how Internet-based caregiver support may influence the experience of isolation among older spouse caregivers in rural areas.

    DESIGN: An intervention study where 63 older rural caregivers received an Internet-based caregiver support service.

    METHOD: A qualitative interview study based on 31 interviews with open-ended questions, analysed using latent content analysis.

    FINDINGS: Two themes represent the findings from the study: Expanding the concept of place and Developing networks. Even though participants still spent their days in the house, they experienced that daily life was being spent in a variety of places, both physically, virtually and emotionally. The Internet-based support service provided them with a tool to reconnect with family and develop new friends.

    CONCLUSIONS: Internet-based caregiver support may reduce the experience of isolation for spouse caregivers in rural areas. Nurses played a crucial part in the development, by encouraging, educating and inspiring caregivers and supporting their independence.

    IMPLICATIONS FOR PRACTICE: Internet-based services ought to be an option for caregiver support in rural areas as it may reduce feelings of isolation for older spouse caregivers.

  • 132.
    Boberg, Kajsa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Halling, Elin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Manliga och kvinnliga patienters upplevelser av omvårdnadssituationer ur ett genusperspektiv – en litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Genus är den sociala uppfattningen av att vara man, kvinna, flicka eller pojke. Tidigare artiklar har visat att män länge varit en minoritet inom sjuksköterskeyrket, de får inte samma förtroende hos patienterna som kvinnliga sjuksköterskor.

    Syfte: Att beskriva manliga och kvinnliga patienters upplevelser av omvårdnadssituationer ur ett genusperspektiv samt beskriva de i studien ingående artiklarnas datainsamlingsmetoder.

    Metod: En deskriptiv litteraturstudie där 11 vetenskapliga artiklar från Pubmed och Scopus har inkluderats för att besvara syfte och frågeställningar. Artiklarnas resultat och metod har analyserats och sammanställts under rubriker och kategorier.

    Resultat: Män och kvinnor har känt sig ignorerade och underlägsna i omvårdnadssituationer då de inte haft något att säga till om gällande sin egen vård och vårdpersonalen inte lyssnat på deras sjukdomsproblem. Många av artiklarna visar att manliga och kvinnliga patienter känt sig kränkta av vårdpersonalen och män har förlorat en del av sin maskulinitet samt känt sig bortglömda. I de ingående artiklarna hade både män och kvinnor en större tillit till kvinnliga sjuksköterskor. Några artiklar har även berättat om positiva upplevelser, främst hos kvinnor, av omvårdnadssituationer. Vid granskning av artiklarnas datainsamlingsmetod använde sig författarna av enkäter till de studier med en kvantitativ ansats, medans de studier med en kvalitativ ansats använde sig av intervjuer.

    Slutsats: Likheter mellan hur män och kvinnor uppfattar bemötandet från vårdpersonal har uppkommit. Framförallt kvinnor men även män har beskrivit positiva upplevelser av bemötandet från vårdpersonalen men antalet beskrivningar av negativa upplevelser är märkbart större hos båda könen.

  • 133.
    Bodin, Josefine
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Löfgren, Amanda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personers upplevelse av att leva med kronisk hjärtsvikt i det dagliga livet: En despkriptiv litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic heart failure is a big scourge and are today a contributing factor to inlay at hospitals in Sweden. The disease causes symptoms of different degrees of difficulties, where the most common is lethargy, breathlessness and fatigue. Nurses have an important role with nursing people with heart failure where person-centered care is sought to preserve integrity and see to individual needs. It’s common that family members has a caring-role for persons with heart failure. Purpose: The aim of the literature study was to describe people's experience of living with chronic heart failure in daily life. Method: A descriptive literature study comprising 13 qualitative research articles who was gathered from PubMed and CINAHL, nursing databases. Main result: People with heart failure experienced limitations in daily life, both physical and psychological caused by chronic heart failure symptoms. These limitations meant that some people with heart failure were in need of daily support. Many appreciated the support they received while some experienced it a burden. Fear and anxiety were characterized in contribution to heart failure and people experienced the uncertainty about the future as unpredictable. Conclusion: Person’s with heart failure experienced limitations in their daily life. These limitations resulted in a need of support which affected their personal life. In conjunction with heart failure people experienced both negative and positive feelings towards the progress of the disease. It is of great importance for nurses to take part of how persons with heart failure experiences daily life in contribution to take care and nurse these people. A sense of comprehensibility and meaningfulness for the situation with heart failure could give a greater understanding for the disease and increasing quality of life.

  • 134.
    Bohjort, Linda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vatic, Selma
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenheter av bedsiderapportering2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BackgroundGood communication in healthcare is a very important part of nursing care. This applies between nurses and patients, but also between the nurses. Giving the right information to ongoing nurse is important to plan the tasks of the day. There are many different ways to shift report. Bedside reporting is one of them. This means that in change of shifts, the reporting is done by the patient's bedside, instead of in the office with only the staff participating. This increases the patient's security.

    AimsThe aim of this study is to highlight the experience of bedside reporting from a nurse perspective.

    DesignThis study is a descriptive literature study and the databases Cinahl and Medline via PubMed have been used to obtain relevant scientific articles.

    ResultsThe results of the studies showed that many nurses were positive to bedside reporting. Good communication is the main reason for good work. Seeing the patient directly at the start of the shift leads to a calmer environment and increased patient participation. The patient is included from the start and may take part in his own care. Bedside report also gives the patient a opportunity to easy detect fault statements. The patient is able to ask questions directly instead of having to wait during the day until the nurse enters the room. Secrecy is something that is not mentioned as much in the articles. It is a very important part to take into account, especially if there are several patients who share a room.

    ConclusionCommunication, time, environment and trust are recurrent in many articles, and these are the ones that a good bedside report is based on. Through bedside reporting, the contact between the patient and the nurse has increased confidence and patient safety.

  • 135.
    Bohjort, Linda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vatic, Selma
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenheter av bedsiderapportering: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 136.
    Bolinder, Johan
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Wallenberg, Daniel
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Transkulturell omvårdnad – en litteraturstudie om sjuksköterskans upplevelse2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim was to examine how nurses perceive Transcultural nursing. Furthermore, the authors wanted to highlight the quality of the selected articles sampling method and study group. Method: The study have a descriptive design that included 10 qualitative articles, searches were made in the databases; Medline and PubMed, and furthermore manual article search. Results: The results showed that nurses felt that patients from another culture could give rise to complicate the nursing process. Nurses experienced that patients' expressions of pain could vary depending on their culture. Nurses perceived that their Transcultural knowledge was inadequate and desired therefore a greater range of knowledge in the field of Transcultural nursing. Relatives described to often visit the patients in larger groups which the nurse experienced as problematic. Nurses felt that patient communication was complicated when language barriers existed. Irritation in nurse- patient relations occurred when language barriers existed. The results are presented in four headings: "experiences of"; difficulties in nursing, knowledge and education, patients' relatives and patient communication. Conclusion: The authors expect to care for patients from a different cultural background, but feels that their nursing education does not provide sufficient tools in Transcultural nursing. This literature study hopes to lead to reflection and discussion between nurses and other medical professionals in the field of Transcultural nursing. The authors are calling for a broader and deeper range of knowledge for nursing students and professional practicing nurses in the field of transcultural nursing.

  • 137.
    Borg, Tomas
    et al.
    Uppsala University, Uppsala, Sweden.
    Carlsson, Marianne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Larsson, Sune
    Uppsala University, Uppsala, Sweden.
    Questionnaire to assess treatment outcomes of acetabular fractures2012In: Journal of Orthopaedic Surgery, ISSN 1022-5536, E-ISSN 2309-4990, Vol. 20, no 1, p. 55-60Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To construct a questionnaire to assess outcomes in patients who underwent internal fixation for acetabular fractures.

    METHODS: 27 female and 100 male consecutive patients (mean age, 50 years) who underwent internal fixation for acetabular fractures were included. Patients were asked to report their outcomes at months 6, 12, and 24 using a questionnaire. The initial questionnaire was constructed by an expert group. There were 11 closed questions, each came with 6 responses from ?no discomfort? to ?very severe discomfort?. Three open questions were added to cover topics that were not included. The content validity and relevance of the 11 closed questions was determined using factor analysis to determine the number of factors involved. Factorability of the correlation matrix was measured via the Bartlett test of sphericity and Kaiser-Meyer- Olkin (KMO) measure of sampling sufficiency. Factor loadings of <0.50 were considered acceptable for factor representation. Reliability in terms of internal consistency was expressed as Cronbach alpha coefficients. The responses to the 3 open questions were analysed and categorised by a single assessor.

    RESULTS: 120 (94%) of the patients completed at least one questionnaire, and 92 (72%) completed all 3 questionnaires during the follow-up period. Based on responses to the 6-month questionnaire, responses to the 11 closed questions were significantly intercorrelated (Spearman 0.17-0.80). After factor analysis and analysis of responses to open questions, the number of questions was reduced to 6 and included questions related to pain, walking, hip motion, leg numbness, sexual life, and operation scar. Reliability of the questionnaire was estimated to alpha=0.89. Criterion validity was adequate with a high correlation with the Short Form 36 (r=0.56-0.80).

    CONCLUSION: Patients treated with acetabular fractures can be adequately assessed using the 6-item questionnaire and one global question concerning impact on activities of daily living.

  • 138.
    Bos, Elisabeth
    et al.
    Centre for Family and Community Medicine, Department of Neurobiology, Care Sciences and Society, Huddinge, Sweden.
    Löfmark, Anna
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Törnkvist, Lena
    Centre for Family and Community Medicine, Department of Neurobiology, Care Sciences and Society, Huddinge, Sweden.
    District nurses' experience of supervising nursing students in primary health care: A pre- and post-implementation questionnaire study2009In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 9, no 6, p. 361-366Article in journal (Refereed)
    Abstract [en]

    Nursing students go through clinical supervision in primary health care settings but district nurses' (DNs) circumstances when supervising them are only briefly described in the literature. The aim of this study was to investigate DNs experience of supervising nursing students before and after the implementation of a new supervision model. Ninety-eight (74%) DNs answered a questionnaire before and 84 (65%) after implementation of the new supervision model. The study showed that DNs in most cases felt that conditions for supervision in the workplace were adequate. But about 70% lacked training for the supervisory role and 20% had no specialist district nurse training. They also experienced difficulty in keeping up-to-date with changes in nurse education programmes, in receiving support from the university and from their clinic managers, and in setting aside time for supervision. Improvements after the implementation of a new model chiefly concerned organisation; more DNs stated that one person had primary responsibility for students' clinical practice, that information packages for supervisors and students were available at the health care centres, and that conditions were in place for increasing the number of students they supervised. DNs also stated that supervisors and students benefited from supervision by more than one supervisor. To conclude, implementation of a new supervision model resulted in some improvements.

  • 139.
    Boström, Sara
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Granström, Frida
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Att överleva ett hjärtstopp- Personers upplevelser av livet efteråt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hjärt- och kärlsjukdomar som bland annat innefattar hjärtstopp är en av de vanligaste dödsorsakerna i Sverige, fler överlever och kan räddas med hjälp av HLR. En förutsättning för att överleva ett hjärtstopp är att snabbt få adekvat vård. Sjuksköterskan har genom sin profession ett omvårdnadsansvar, därför är det viktigt att ha förståelse för hur personer upplever tiden efter ett hjärtstopp och anpassar bemötande samt omhändertagandet efter det. Syfte: Att beskriva personers upplevelser efter att ha överlevt ett hjärtstopp. Metod: En beskrivande litteraturstudie med tematisk dataanalysmetod. Resultatet grundar sig på 13 vetenskapliga artiklar med både kvalitativ och kvantitativ ansats. Huvudresultat: Överlevarna upplevde uppvaknandet och minnesluckorna efter hjärtstoppet som ett tomrum. De kände sig sårbara och saknade känslan av sammanhang. Hjärtstoppet ledde till att personerna upplevde en osäkerhet kring sin kropp och dess begränsningar. Överlevare upplevde fysiska och psykiska utmaningar. Personerna upplevde en längtan efter att återgå till vardagen och kände ett behov av att hitta en mening med det som hänt för att återfå sitt välbefinnande. Hjärtstoppet väckte existentiella funderingar och personerna upplevde hjärtstoppet som en vändpunkt och att de hade fått en andra chans. Slutsats: Överlevarna upplevde att deras liv påverkas utifrån flera aspekter, både fysiskt, psykiskt, emotionellt och existentiellt. Personerna hade en längtan att återgå till sitt tidigare liv och hitta en mening med det som hänt. Denna kunskap kan hjälpa sjuksköterskan i sitt kliniska arbete, genom att förståelsen bidrar till ett bättre bemötande och individen kan därför få bästa möjliga omvårdnad.

  • 140.
    Brand, Linn
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Pettersson, Magdalena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personers erfarenhet och livskvalitet av att leva med ALS: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The disease Amyotrophic Lateral Sclerosis (ALS) cannot cure which creates a lot of anxiety and suffering. Finding meaning in life leans to get support in family, life partners, friends and hobbies. When the speech and swallowing gets difficulty and respiratory failure makes itself known these people finds help through technical equipment to achieve a better quality of life.

    Aim: The aim of this study is to describe people´s experience and quality of life of living with ALS and to review data collection methods in the included articles.

    Method: This descriptive study is the result of 16 articles of both quantitative and qualitative approach.

    Main results: There are many symptoms that need to be mitigated in various stages of the disease. Relatives and leisure activities provide important support as the disease is characterized by enormous suffering. Later in the disease process when the body’s functions slow down, there is technical equipment available to improve quality of life. Conclusion: In order to find the quality of life in this devastating disease turns these people into their families and hobbies. Today, there are technical equipment that these individuals may have access to, inter alia, to continue to communicate and get help with their breathing failure that improves their quality of life. More research is needed to find cures and better treatment methods so that the symptoms of this disease can be alleviated so that quality of life can be created.

  • 141.
    Brander Lund, Alexandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hur upplever tonåringar och unga vuxna med ätsörningar att livskvaliteten påverkas?: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The nurse's work means being able to give good care to people with different ethnic backgrounds, beliefs and values. When working with young people, the nurse was lacking the expertise to provide the right kind of support to help with mental illness, substance abuse, self-harm behavior and eating disorders. Eating disorders are a condition of mental illness in which the patient has developed what may resemble a phobia of normal body weight. Physical health is also affected because of the different methods that the victim uses for weight loss and because of loss of nutrient. Quality of life is how people perceive their existence and if the person feels they have a meaning in life. The aim of this study was to describe how adolescents and young adults with eating disorders perceive their quality of life. The author has used 10 different scientific articles which described how teenagers and adults with eating disorders perceive their quality of life. In the result, the researchers found that those affected by eating disorders had a low quality of life, age and gender didn’t matter. When compared to people without eating disorders, values ​​show that those with eating disorders had worse results both physically but primarily psychological, in tests of quality of life. Men and boys had risk factors such as physical activity and body dissatisfaction, while girls and womens risk factors were a desire for thinness, body dissatisfaction and body objectification. It was also found that sufferers with social support had a better quality of life than those without social support. The conclusion could be made that regardless of age and sex, patients with eating disorders have a poorer quality of life. It is important for nurses to help this population by daring to see their suffering on other levels when they seek out health care.

  • 142.
    Brever, Andrea
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Akide, Cynthia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelser och erfarenheter av att arbeta med patienter med diagnosen schizofreni2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     Background:

    Schizophrenia is a chronic psychiatric sickness which has a big effect on the patient´s behavior, thoughts and feelings.

     Aim:

    This study´s aim was to describe nurses` experience working with people who have schizophrenia diagnose and to describe how the articles shows the selection for the method.

     Method:

    This literature study was based on contains a total of 11 qualitative and quantitative articles. The data collection was done using PubMed, Cinahl and PsycInfo databases.

     Main Results:

    The nurse has a big role in helping the patient understand the patient’s sickness and also during communication. The nurse´s ability to observe and give support at the period of the sickness mean a lot for the patient during the caring process. Believing in the patient leads to a positive result for both the nurse and the patient. A good ability to communicate can help improve the relationship between the nurse and the patient. Nurses’ show both positive and negative attitudes towards patients with schizophrenia but the meetings can help to strengthen relations between nurses, patients and their relatives.

     Discussion:

    The patient’s understanding of the sickness as well as the relation with the families and the nurse is greatly affected by the nurse´s competence, ability and attitude. The different kind of job situations, environment and relationships influences nurses’ experiences working the schizophrenia patients.

     Conclusion:

    It is important to see that the caring procedure of the patients with schizophrenia is a whole process. The nurse needs to have good competence and ability in order to give the patient good and quality at the care. The nurses needs to learn more to in order to achieve a good competence about schizophrenia which can lead to a good result of the caring process.

  • 143.
    Broberg, Berit
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Noren, Linnéa
    University of Gävle, Department of Caring Sciences and Sociology.
    Näringstillförsel för äldre personer med demenssjukdom,2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of this littrature review has been to describe how you can satisfy the need of nourishment for older people who suffer from dementia. Data has been retrieved by searches in Academic Search Elite, Sience Direct, Blackwell, PubMed and in the Journal Vård i Norden. The studies show that most of the people with dementia have a hard time to satisfy the nourishment. The results show that through different preventive measurement you can improve the nourishment for these people, to set the table, play calm music and to have a table companion. By taking the food oneself created a good meal environment and the individually need was provided for. A good oral status improved the nutritional status. Patients who got nourishment addition put on weight or retained their weight. Nursing staff wished and needed more education in nutrition for older people with dementia.

  • 144.
    Broda, Anja
    et al.
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Bieber, Anja
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Meyer, Gabriele
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Hopper, Louise
    Dublin City University, School of Nursing and Human Sciences, Dublin, Ireland.
    Joyce, Rachael
    Dublin City University, School of Nursing and Human Sciences, Dublin, Ireland.
    Irving, Kate
    Dublin City University, School of Nursing and Human Sciences, Dublin, Ireland.
    Zanetti, Orazio
    IRCCS S. Giovanni di Dio "Fatebenefratelli", Brescia, Italy.
    Portolani, Elisa
    IRCCS S. Giovanni di Dio "Fatebenefratelli", Brescia, Italy.
    Kerpershoek, Liselot
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Verhey, Frans
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    de Vugt, Marjolein
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Wolfs, Claire
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Eriksen, Siren
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Oslo, Norway.
    Røsvik, Janne
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Oslo, Norway; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
    Marques, Maria J.
    CEDOC, Chronic Diseases Research Center, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Gonçalves-Pereira, Manuel
    CEDOC, Chronic Diseases Research Center, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Sjölund, Britt-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Aging Research Center (ARC), Karolinska Institutet and Stockholm University, Stockholm, Sweden.
    Woods, Bob
    Bangor University, Dementia Services Development Centre, Bangor, UK.
    Jelley, Hannah
    Bangor University, Dementia Services Development Centre, Bangor, UK.
    Orrell, Martin
    Nottingham University, Institute of Mental Health, Nottingham, UK.
    Stephan, Astrid
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Perspectives of policy and political decision makers on access to formal dementia care: expert interviews in eight European countries2017In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 17, no 1, article id 518Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 145.
    Brodin, Lisa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Bengin Uslan, Yekta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Äldres uplevelser av depression: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Idag är depression den vanligaste psykiatriska diagnosen i Sverige. Var femte svensk har någon gång i sitt liv fått diagnosen. Befolkningen i landet blir äldre och med åldern kommer riskfaktorer för depression. Dessa riskfaktorer är minskad socioekonomisk status, att förlora en eller flera familjemedlemmar och funktionsnedsättning.

    Syfte: Syftet var att beskriva äldre personers upplevelse av att leva med depression samt att beskriva urvalsgrupperna.

    Metod: En deskriptiv litteraturstudie med 12 artiklar. 10 av dessa var kvalitativa och 2 hade mixad metod. Sökningarna gjordes i PubMed och Cinahl. Samtliga deltagare led av depressiva symtom, enbart några hade diagnosen depression.

    Huvudresultat: Äldre personer med depression upplevde rädslor för de känslor som kom i samband med depressionen. De upplevde också att de isolerade sig från vänner och bekanta på grund av sin sjukdom. Dels på grund av att de förlorade självförtroendet men också på grund av de fysiska smärtorna som gjorde att de inte orkade umgås. Deltagarna upplevde också att mötet med vården till stor del var negativt. Dock framkom att upplevelsen av sjuksköterskor var positiv.

    Slutsats: Andelen äldre ökar och likaså psykisk ohälsa. Äldre personer som lever med depression är svåra att upptäcka och det kan leda till onödigt lidande. Därför är det viktigt att sjuksköterskor har kunskap inom ämnet för att kunna ge bästa möjliga omvårdnad. Nyckelord: Depression, upplevelser, äldre

  • 146.
    Broman, Marinah
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Nyberg, Sandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Patienters upplevelser i samband med rehabilitering efter stroke: En beskrivande litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stroke is a disease that affects approximately 30,000 people in Sweden each year, and is estimated to cost society around SEK 18 billion. Rehabilitation after stroke is often intense, multi-faceted and long lasting.

    Aim: The aim of the present study was to describe patients' experiences of rehabilitation after stroke and to describe the study group in the included articles.

    Methods: A descriptive literature review based on 12 qualitative studies.

    Results: Stroke was perceived as a disruptive life events and the main goal of all rehabilitation was to return to the life that patients lived before the stroke.The hope of regaining lost functions were perceived as important and any signs of improvement gave motivation to continue rehabilitation.The contrast was considerable between those patients who experienced participation in the rehabilitation process, and those who wished they had a bigger influence.Women felt less involved than men. It was revealed that the patients felt that they had been discharged prematurely from the stroke unit and were not prepared for the homecoming. Their reduced abilities became much clearer when they returned to their everyday lives at home and they lacked the close contact and the exchange of experiences they had had with other patients in the hospital.

    Conclusion: It was found that patients with stroke have different experiences regarding goals, support, information and participation in rehabilitation. An individualized approach to patient goals is significant and adequate information is important. Effective support from health professionals contribute to increased participation and increase the patient's ability to perform and manage activities in the rehabilitation.

  • 147.
    Broman, Monica
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Eklöv, Margareta
    University of Gävle, Department of Caring Sciences and Sociology.
    Läkemedelsöverföring vid byte av vårdform. Litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
  • 148.
    Brungs, Jenny
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Granevåg, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    BVC-sjuksköterskors reflektioner kring sitt arbete med övervikt och fetma hos barn mellan 2 och 5 år inom primärvården2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

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

  • 149.
    Brännström, Margareta
    et al.
    Strategic Research Program in Health Care Sciences (SFO-V), Karolinska Institutet, and Department of Nursing, Umeå University, Umeå, Sweden.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Ivarsson, Bodil
    Department of Cardiothoracic Surgery, Lund University and Skåne University Hospital, Lund, Sweden.
    Nilsson, Ulrica
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Svedberg, Petra
    School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
    Thylén, Ingela
    Division of Nursing Sciences, Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, and Department of Cardiology UHL, County Council of Östergötland, Linköping, Sweden.
    Sexual knowledge in patients with a myocardial infarction and their partners2014In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 29, no 4, p. 332-339Article in journal (Refereed)
    Abstract [en]

    Background: Sexual health and sexual activity are important elements of an individual’s well-being. For couples, this topic is often affected after a myocardial infarction (MI). It has become increasingly clear that, after an MI, patients are insufficiently educated on how to resume normal sexual activity. However, sufficient data on the general knowledge that patients and partners have about sexual activity and MI are lacking.

    Objective: The aims of this study were to explore and compare patients’ and partners’ sexual knowledge 1 month after a first MI and 1 year after the event and to compare whether the individual knowledge had changed over time. A second aim was to investigate whether patients and their partners report receiving information about sexual health and sexual activity from healthcare professionals during the first year after the event and how this information was perceived.

    Subjects and Methods: This descriptive, comparative survey study enrolled participants from 13 Swedish hospitals in 2007-2009. A total of 115 patients with a first MI and their partners answered the Sex After MI Knowledge Test questionnaire 1 month after the MI and 1 year after the event. Correct responses generated a maximum score of 75.

    Results: Only 41% of patients and 31% of partners stated that they had received information on sex and relationships at the 1 year follow-up. The patients scored 51±10 on the Sex After MI Knowledge Test at inclusion into the study, compared with the 52±10 score for the partners. At the 1-year follow-up, the patients’ knowledge had significantly increased to a score of 55±7, but the partners’ knowledge did not significantly change (53±10).

    Conclusions: First MI patients and their partners reported receiving limited information about sexual issues during the cardiac rehabilitation and had limited knowledge about sexual health and sexual activity.

  • 150.
    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. 

1234567 101 - 150 of 1295
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf