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  • 101.
    Bergman, Sanne
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ess, Madelen
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenheter av den vårdande relationen till patienter med anorexia nervosa och/eller bulimia nervosa: En litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 102.
    Bergroth, Sofia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Eriksson, Maja
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Påverkan på familjen när ett barn har typ 1 diabetes: En litteraturstudie2018Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 1 diabetes is an autoimmune disease that primarily affects children. It is one of Sweden's most commonly occurring diseases. Which means that approximately 700 children between the ages of 0–15 years are affected annually. The cause of type 1 diabetes is still unknown to this date.Purpose: The purpose of this study was to investigate the family's impact of having a child (0–18 years) with type 1 diabetes as well as describing the groups in the articles.Method: A literature study with a descriptive design. The search for articles that were used were conducted in Cinahl where the authors found 11 articles; nine with a qualitative approach and two with a quantitative approach. Both authors reviewed the articles objectively.Main result: The results showed that the parents were adversely affected by the child's disease. The parents had a great concern of the child's misery. It was mainly the mothers who suffered, while the father was not aware at the same level. The mothers suffered from physical, mental, emotional, social and cognitive negative feelings. The siblings of the affected child felt outside and forgotten by the parents.Conclusion: All family members are affected by a family member having diabetes type 1. Both positive and negative feelings can occur within the family. The most common feelings that the parents experienced when the child is given type 1 diabetes is stress and anxiety. While the siblings of the children felt forgotten and lonely.

  • 103.
    Bergsman, Ann-Christin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Karlsson, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    En empirisk tvärsnittsstudie om snabbmatskonsumtion och medieanvändande hos ungdomar i nionde klass – en kvantitativ studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background; The purpose was to investigate BMI, fast-food consumption, soft drink intake, media use among adolescent in ninth grade and if there was a correlation between fast-food consumption and media use. Method; The present study was a part of the project "Food and Health 2007".  Through a quantitative method 359 adolescents in ninth grade (182 boys, 177 girls) in ten random selected schools in a county in central Sweden answered questions through surveys. Result; The boys' BMI was on average 21 and for girls 20.4 and the majority of the youths were of normal weight. Just over a third of young people ate fast food and french fries more than two to three times a month. About a third of young people drank soda once a week and a fifth reported that they drank soft drinks two to three times per week. The majority of young people watched TV between one to three hours per day and a majority declared they never used video games. More than half spend two to three hours or more per day at the computer. A correlation was found between fast food consumption and media usage. Conclusion; Youth of this study had a normal BMI and a relatively good diet, but a higher soft drink consumption. The group of overweight/obese drank soft drinks more than those who were underweight but both groups consumed fast food less often. Computer use was relatively high among young people but they almost never played video games. A positive significant correlation was found between fast food consumption and media usage.

  • 104.
    Bergstedt,, Lovisa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Woggart, Amanda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Familjers upplevelser av att leva med ett cancersjukt barn.: En litteraturstudie.2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige insjuknar ungefär ett barn i cancer varje dag. Många av barnen med cancer kunde uppleva att deras föräldrar inte berättade allt om sjukdomen för att inte göra dem ledsna. Många familjer kände att livet förändrades när barnet fick en långvarig sjukdom, det kunde vara att de kände chock, rädsla eller oro. I mötet med barn och deras familjer är det viktigt att som sjuksköterska vara lyhörd. Syfte: Att beskriva familjers upplevelser av att leva med ett cancersjukt barn, samt att studera artiklarnas undersökningsgrupp. Metod: En litteraturstudie med beskrivande design som grundade sig på elva vetenskapliga artiklar med kvalitativ ansats. Huvudresultat: Resultatet presenterades med huvudrubrikerna “Föräldrars upplevelser” och “Syskons upplevelser”. Föräldrarna upplevde ofta maktlöshet men ansåg att det var viktigt att hopp fanns. Relationen mellan föräldrarna försämrades när barnet fick cancer och även syskonet blev påverkat på det sätt att syskonet hamnade i skymundan. Stöd från andra var viktigt och ett bra stöd kunde föräldrarna få från andra föräldrar i samma situation och från vårdpersonal. Undersökningsgrupperna i studierna var oftast väl beskrivna då bland annat kön, ålder och diagnos redovisades i många av artiklarna. Den vanligaste diagnosen i studierna var leukemi. Slutsats:Vikten av stöd från vårdpersonal som gav information och vägledning ansågs som viktigt. Som sjuksköterska anser författarna att det är viktigt att veta hur och när information ska ges och hantera situationer som kan uppstå, samt att lära sig hur relationen till familjerna ska hanteras. 

  • 105.
    Bergström, Charlotta
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Englin, Linda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Föräldrars erfarenheter av stöd från sjukvårdspersonal när deras barn diagnostiserats med Downs syndrom under det första levnadsåret: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 106.
    Bergström, Emma
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kärvin, Linnéa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Att vara ett syskon till en bror eller syster med cancer2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Varje år insjuknar ca 320 barn mellan 0-18 år av cancer i Sverige vilket innebär att många syskon kan få en förändrad vardag. Cancer orsakas av att celler i kroppen börjar dela sig okontrollerat samt ökar i storlek, vilket resulterar i en cancertumör. Hur ett syskon reagerar när en bror eller syster får sin cancerdiagnos är beroende på ålder och tidigare erfarenheter. I mötet med ett sjukt barn och dess familj är det viktigt att som sjuksköterska stötta och hantera hela familjens upplevelser i den rådande situationen. Syfte: Syftet med studien var att beskriva syskons upplevelse av att ha en bror eller syster med cancer samt att studera de inkluderade artiklarnas undersökningsgrupp. Metod: En deskriptiv litteraturstudie som inkluderar elva vetenskapliga artiklar som söktes via databasen Medline via PubMed. Artiklarna analyserades med hjälp av Polit och Becks niostegsmodell för ett objektivt urval. Huvudresultat: Syskon som hade en bror eller syster med cancer upplevde många omställningar i livet, både emotionellt, fysiskt och psykiskt. Resultatet visar tre centrala stora upplevelser som syskonen upplevde, ”Känslosamma ögonblick”, “Att rätt information skapar trygghet” samt “Att leva i en förändrad tillvaro”. Undersökningsgrupperna i de inkluderade artiklarna var individer mellan 6-22 år och både pojkar och flickor samt att antalet varierade mellan 6-125 deltagare. Slutsats: Ett syskon till en bror eller syster med cancer upplever många känslor och förändringar samt påverkas av den nya tillvaron som uppstår efter cancerbeskedet. Detta innebär att familjesituationen, relationer och skolan påverkas på olika sätt.  

  • 107.
    Bergström, Filippa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Granevåg, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hjärtsviktspatienters följsamhet till, samt beskrivningar och upplevelser av, att följa icke-farmakologiska behandlingsriktlinjer – en litteraturstudie2014Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is a common disease among the Swedish population today and it is also the number one cause of hospitalisation. A lack of compliance with the pharmacological treatment for heart failure is a big issue within the medical services today. This significantly contributes to increased hospitalisation as well as higher mortality rates among Heart failure patients. However, non-pharmacological treatments have been found to be a rather good complement to the pharmacological treatment. 

    Aim: The purpose of this literature study was to describe patients’ compliance with, as well as their experiences and accounts of, following non-pharmacological guidelines in connection to heart failure. An examination of the included studies’ focus groups and their quality was done as well.

    Method: A descriptive literature study where twelve scientific articles were included. The articles were found on the databases Pubmed and Cinahl. Parts of the study’s results were selected and analysed. These were then divided into categories and subcategories that suited the literature study’s research questions.

    Result: The compliance with the non-pharmacological treatment guidelines was generally inadequate. The most obstacles were found concerning the guidelines the patients got regarding the restrictions on salt. Thirst, forgetfulness, and physical symptoms were also big obstacles for complying with a non-pharmacological treatment. The biggest advantages of complying with the treatment that were identified were an increased sense of well-being and decreased hospitalisation.

    Conclusion: A general lack of compliance with the non-pharmacological treatment guidelines concerning the restrictions on salt and fluid, regular weigh-ins, and exercise occur among heart failure patients. Many obstacles to complying with treatment were identified, but the advantages of complying with non-pharmacological treatment guidelines were also described in the study.

  • 108.
    Bergström, Filippa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Granevåg, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hjärtsviktspatienters följsamhet till, samt beskrivningar och upplevelser av, att följa icke-farmakologiska behandlingsriktlinjer– en litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hjärtsvikt är vanligt förekommande i den svenska befolkningen och är den vanligaste orsaken till sjukhusinläggning. Bristande följsamhet till den farmakologiska hjärtsviktbehandlingen är idag ett stort problem inom sjukvården. Detta bidrar till ökade sjukhusinläggningar samt ökad dödlighet hos hjärtsviktspatienterna. Icke-farmakologisk behandling har dock kunnat ses som ett komplement till den farmakologiska behandlingen.

    Syfte: Syftet med denna litteraturstudie var att beskriva patienters följsamhet till, samt beskrivningar och upplevelser av, att följa icke-farmakologiska riktlinjer i samband med hjärtsvikt. En granskning av kvaliteten beträffande de inkluderade studiernas undersökningsgrupp utfördes även.

    Metod: En beskrivande litteraturstudie där 12 vetenskapliga artiklar inkluderades. Artiklarna söktes vid databaserna Pubmed och Cinahl. Delar från studiernas resultat plockades ut och analyserades. Dessa delades sedan upp under kategorier och underkategorier passande för att svara till litteraturstudiens frågeställningar.

    Resultat: Generellt var följsamheten till de icke-farmakologiska behandlingsriktlinjerna bristande. Flest antal hinder identifierades beträffande riktlinjer gällande saltrestriktioner. Törst, glömska, samt fysiska symtom var även de stora hinder till en följsam icke-farmakologisk behandling. De största fördelarna som identifierades till en följsam behandling var ökat välmående samt minskade sjukhusinläggningar.

    Slutsats: En generellt bristande följsamhet till de icke-farmakologiska behandlingsriktlinjerna gällande salt- och vätskerestriktioner, regelbunden vägning samt träning förekommer bland hjärtsviktspatienter. Många hinder till en följsam behandling identifierades, men även fördelar till att vara följsam till icke-farmakologiska behandlingsriktlinjer beskrevs i studierna.

  • 109.
    Bergström, Martina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Schilke, Jeanette
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personers erfarenheter av att leva med bipolär sjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Having a bipolar disorder means to live with changes in the level of activity in the form of depression, mania or hypomania. The disease leads to difficulties and challenges for those affected as well as their families. To be able to guide and give good care to a person with bipolar disorder, the nurse has to have a good understanding of their situation. Aim: The aim of this review was to describe peoples experiences of living with bipolar disorder and to describe the methods of data collection in the included studies. Method: This review has a descriptive design. The data bases PubMed and PsycINFO were used to collect the data, which resulted in ten qualitative studies for this review. Main result: People with bipolar disorder describe their experiences of getting the diagnosis as a turbulent time with difficulties to accept the diagnosis. Stigma was experienced. They described an effect on life as feelings of lost autonomy, limitations and a change of identity. A good daily structure, awareness of signs of warning, triggers and the need of support were important to cope with the disease. Interviews were mostly used as a method of collecting data in the included studies. Conclusion: To live with a bipolar disorder means difficulties. It is important for people with bipolar disorder to receive support and to know how to handle the changing course of the disease to avoid a new episode. Nurses need knowledge about people’s experiences of having a bipolar disorder to be able to give the best possible care.

  • 110.
    Bergström, Maud
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Lagestrand, Emmie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Skolsköterskors berättelser om sitt hälsofrämjande arbete med tonåringar2010Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna kvalitativa studie var att deskriptivt återge skolsköterskors berättelser om sitt hälsofrämjande arbete med tonåringar. Ett strategiskt urval användes och skolsköterskor från Uppsala, Älvkarleby och Gävle kommun deltog i studien. Datainsamling skedde genom 5 semistrukturerade kvalitativa intervjuer. Materialet analyserades med hjälp av en innehållsanalys. Resultatet delades in i fyra kategorier: hälsa, hälsoarbete, utmaningar/begränsningar och skolsköterskans hälsofrämjande arbete. I resultatet framkom att skolsköterskor upplevde tonåringars hälsa som god och att hälsa ett allmänt välbefinnande utifrån sina egna förutsättningar. Skolsköterskorna upplever att tonåringarna mår bra men de som mår dåligt, mår sämre än förut. Det hälsofrämjande arbetet bestod av många delar där hälsosamtalen lade en grund för vilka insatser som kunde behövas vidare. De hälsofrämjande insatser som skolsköterskorna lade fokus på var lite olika från skola till skola. Runt tonåringarna berättade skolsköterskorna att det fanns ett stort skyddsnät bestående av både professionell personal och föräldrar. De berättade också att det kunde vara svårt att nå fram till tonåringar och identifiera de som behövde hjälp i tid. Tid var något som sågs som en bristvara. Slutsatsen i denna studie är att skolsköterskorna inriktar sitt arbete efter tonåringens behov utifrån hälsosamtalen.

  • 111.
    Bergström, Tobias
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Litteraturstudie angående problem och möjligheter i samband med informationsöverföring mellan vårdgivare: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 5 credits / 7,5 HE creditsStudent thesis
  • 112.
    Bertelson, Jenny
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ett livsavgörande beslut och en livslång förbindelse: Patienters behov av stöd före och efter gastric bypass2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to describe what kind of support patients who undergo gastric bypass-surgery needs. The study had a descriptive design and seventeen Swedish participants who’ve had a gastric bypass were recruited. Data were collected by a semi structured question form through mail and the material was analyzed using qualitative content analysis. The result is presented in three categories and one theme. The category Feeling left out describes how the participants experienced a lack of support before their surgery. In this category a lack of psychological support, both before and after surgery, came out. The category also describes the loss of follow-up after surgery. The category Feeling at ease describes the importance of information before surgery and to be prepared for life after surgery. The category also shows the importance of support from healthcare services, relatives and other people who’ve had a gastric bypass, to feel at ease. The third category, To stand on my own two feet, showed that the participants took own responsibility to get as much information as possible before and after surgery and that they were not in need of support from healthcare services. The theme So big, but still so small – to take own responsibility for a life changing decision, but still be in need of support with the connection emerges from the categories and describes the patients need of support before and after gastric bypass.

  • 113.
    Bertelson, Jenny
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelser av att genomgå utbildning om smärta och systematisk smärtskattning hos äldre: Att bygga en relation för kommunikation – ett förhållande mellan erfarenhet och kunskap2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to by group interview view nurses’ experiences of undergoing training on pain and systematic pain assessment in the elderly and to describe how nurses perceive that they recognize and resolve pain problems in the elderly after training. The study had a descriptive design and five nurses, who worked in nursing home, participated in the interview. The material from the group interview was analyzed using qualitative content analysis method. The results are presented in five categories: Attention to expression of pain, The importance of knowledge about pain, Teamwork by pain, The importance of pain assessment instruments and Nursing and evaluation by pain. The study revealed that the nurses interpreted the elderly verbal expressions and body language, and the difficulties around communication about pain. It was revealed that the families provided information about the pain in elderly. The nurses expressed that their own experience of pain gave knowledge and they also expressed the expectations they had of the education effort. The nurses’ experiences of cooperation between different professions emerged. The nurses also expressed how the results from pain assessment in the elderly could be an aid incommunication, how drugs are used to relieve pain, as well as alternative pain relief methods. Study results showed that training in pain and pain assessment in the elderly is important for the detection of pain in the elderly and for communication about adequate pain relief.

  • 114.
    Berthilson, Marie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Eriksson, Caroline
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Avledande icke farmakologiska metoder och metodernas effekter vid procedursmärta hos barn 2-12 år: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Children sometimes need to seek medical help in order to undergo treatment procedures of various kinds. Children's reaction to anxiety and fear are governed by age, understanding, imagination and perception of reality. Children therefore need to be prepared for unpleasant procedures that they will undergo, such as: painful examinations, venipuncture or injections. These procedures can create anxiety and fear in children.

    Purpose: The purpose of this study was to describe the various non - pharmacological istraction methods and its effects on procedural pain in children. And to describe the study groups in the included articles.

    Method: A descriptive design was used to answer the literature studies experimental purpose and questioning. The study was based on thirteen scientific articles. The papers were searched in databases Cinahl and PubMed. The articles were published between the years 2006-2016.

    Result: The study demonstrates that non - pharmacological distraction methods for example: playing with soap bubbles, looking through a kaleidoscope, listen to music and use a “Buzzy” have had a soothing effect on children’s fear, anxiety and pain. The effects have been estimated using different scales by nurses, researchers and parents' observations. The children themselves have been estimating the effects of the non - pharmacological distraction methods.

    Conclusion: In the results of the present study, the authors concluded that non-pharmacological distraction methods can ease children's fear, anxiety or pain at different nursing actions. The authors have also come to the conclusion that the distraction methods investigated can be used in everyday work in pediatric care.

  • 115.
    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.

  • 116.
    Bhambhani, Yagesh
    et al.
    Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.
    Mactavish, Jennifer
    Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Canada.
    Warren, Sharon
    Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.
    Thompson, Walter R.
    Department of Kinesiology and Health, Georgia State University, Atlanta, GA, United States.
    Webborn, Anthony
    Sussex Centre for Sport and Exercise Medicine, Chelsea School Research Centre, University of Brighton, United Kingdom.
    Bressan, Elizabeth
    Department of Sport Science, Stellenbosch University, South Africa.
    De Mello, Marco Tuilo
    Medicina e Biologia Do Sono, Universidade Federal de Sao Paulo, Sao Paulo, Brazil.
    Tweedy, Sean
    School of Human Movement Studies, University of Queensland, Brisbane, Australia.
    Malone, Laurie
    Lakeshore Foundation, Research and Education, Birmingham, AL, United States.
    Fröjd, Kennet
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports and health. Swedish Development Centre for Disability and Sport.
    Van De Vliet, Peter
    International Paralympic Committee, Bonn, Germany.
    Vanlandewijck, Yves
    Faculty of Kinesiology and Rehabilitation Sciences, Catholique University, Leuven, Belgium.
    Boosting in athletes with high-level spinal cord injury: Knowledge, incidence and attitudes of athletes in paralympic sport2010In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 32, no 26, p. 2172-2190Article in journal (Refereed)
    Abstract [en]

    Autonomic dysreflexia (AD) is unique to individuals with spinal injuries (SCI) at T6 or above and can be voluntarily induced. Although AD improves wheelchair racing performance in some athletes, it also elicits exaggerated blood pressure, which could be dangerous. The International Paralympic Committee considers AD doping and banned its use. Purpose. The purpose of this study is to evaluate AD knowledge, incidence and attitudes (KIA) of Paralympians with SCI. Methods. An existing questionnaire was modified to include questions of AD KIA, validated by three experts and piloted with a small sample. It was administered on-line, mailed to members of a scientific network and distributed during the Beijing Paralympic Games. Fisher Exact test was used to evaluate differences across gender, injury and education. Results. Of 99 participants, 54.5% had previously heard of AD while 39.4% were unaware; 16.7%, all males, had used AD to enhance performance. Participants reported that AD was (1) useful for middle (78.6%) and long distance (71.4%), marathon (64.3%) and wheelchair rugby (64.3%); (2) somewhat dangerous (48.9%), dangerous (21.3%) or very dangerous (25.5%) to health. Results were not influenced by age, injury level or injury duration. Conclusions. Findings indicate the need for educational programmes directed towards enhancing the AD knowledge of rehabilitation professionals, coaches and trainers working with SCI individuals.

  • 117.
    Bieber, A.
    et al.
    Medical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Stephan, A.
    Medical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Verbeek, H.
    School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands.
    Verhey, F.
    School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands.
    Kerpershoek, L.
    School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands.
    Wolfs, C.
    School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands.
    de Vugt, M.
    School for Mental Health and Neuroscience, Alzheimer Center Limburg, Department of Psychiatry and Neuropsychology, Maastricht University Medical Center, Maastricht, The Netherlands.
    Woods, R. T.
    Dementia Services Development CentreWales, Bangor University, Bangor, UK.
    Røsvik, J.
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, and Department of GeriatricMedicine, Oslo University Hospital, Oslo, Norway.
    Selbaek, G.
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, and Department of GeriatricMedicine, Oslo University Hospital, Oslo, Norway.
    Sjölund, Britt-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Neurobiology, Care sciences and Society, Karolinska Institut, Stockholm, Sweden.
    Wimo, A.
    Department of Neurobiology, Care sciences and Society, Karolinska Institut, Stockholm, Sweden.
    Hopper, L.
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Irving, K.
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Marques, M. J.
    CEDOC, Chronic Diseases Research Centre, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Gonçalves-Pereira, M.
    CEDOC, Chronic Diseases Research Centre, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Portolani, E.
    Alzheimer’s Research Unit-Memory Clinic, Brescia, Italy.
    Zanetti, O.
    Alzheimer’s Research Unit-Memory Clinic, Brescia, Italy.
    Meyer, G.
    Medical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Access to community care for people with dementia and their informal carers: Case vignettes for a European comparison ofstructures and common pathways to formalcare [Zugang zu professioneller Unterstützung für Menschen mit Demenz und ihre Angehörigen: Fallvignetten für den europäischen Vergleich von Strukturen und Zugangswegen zu professioneller Pflege]2018In: Zeitschrift für Gerontologie und Geriatrie (Print), ISSN 0948-6704, E-ISSN 1435-1269, Vol. 51, no 5, p. 530-536Article in journal (Refereed)
    Abstract [en]

    Background

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

    Objectives

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

    Materials and methods

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

    Results

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

    Conclusion

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

  • 118.
    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.

  • 119.
    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.

  • 120.
    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
  • 121.
    Bjerke, Sofia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Nordling, Åsa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Livskvalitet hos personer som lever med en implanterbar defibrillator (ICD), ur ett köns- och åldersperspektiv: En beskrivande litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The ICD controls the heart rhythm and reacts to serious heart rhythm abnormalities and trigger, if necessary, a defibrillation to restore the heart to normal rhythm. Living with an ICD can provide major changes in everyday life. Nurse´s important role regards to provide relevant patient education to include promoting the health and quality of life (QOL) for these individuals. Purpose: To describe QOL for people living with an ICD, from a gender and age perspective, and to examine the included articles selection strategy and research group. Method: The result of this descriptive literature review compiled from eleven quantitative scientific articles, sought in PubMed and Scopus. Main Results: Women reported lower QOL then men linked to impaired mental, physical and social function. Also a greater concern and anxiety were found in women. Mental illness affected mainly young people, who also experienced a lower acceptance to the device than older ICD- receivers. Older people reported less concern that the ICD would deliver a shock. However, a reduced QOL related to higher incidence of physical impairment, were noticed in the elderly ICD- receivers compared to the younger. Four articles specified their selection strategy. All reported the number of participants and how many were men and women. The age range of participants was specified in five articles. Conclusion: Impacts on QOL could be discerned to different gender and ages. These findings confirmed the need for health professionals to access more holistic patient- education programs that focus not only on the technical aspects of living with an ICD but more on the individual impact.

  • 122.
    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.

  • 123.
    Bjuhr, Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vårdande vård utifrån patientens perspektiv.: En kvalitativ intervjustudie med patienter inom psykosvården.2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att beskriva och öka förståelsen för vad patienter med

    psykosproblematik upplevde vad i vården som var befrämjande eller hindrande i

    deras återhämtningsprocess och för deras hälsa, hur det tog sig i uttryck och

    varför.

    Patienterna vårdades på ett för målgruppen specialiserat internatboende.

    Metod, studien hade en beskrivande och tolkande design med hermeneutisk

    fenomenologisk metod inspirerad av Van Manen. Datainsamlingen genomfördes

    med hjälp av semistrukturerade intervjuer, sju deltagare medverkade i studien.

    Analysen utfördes i flera steg, holistisk strategi, detaljerad strategi och selektiv

    strategi. Resultatet av analysen utmynnade i fem huvudteman med fjorton

    tillhörande subteman: Mellanmänsklig relation, Demokratisk atmosfär,

    Kommunikation, Att vara aktiv och

    Hopp. Hoppet framkom som en naturlig och underliggande aspekt som

    genomsyrade alla andra teman. Den övergripande tolkningen utmynnade i

    begreppet Medvaro, som var det gemensamma för alla teman. Medvaro beskrev

    också temanas beroende förhållande till varandra.Slutsatsen av den här studien var

    att patienternas upplevelse var att vården på internatboendet där de vistas var

    vårdande, vad som gjorde att den var vårdande framgick av de fem huvudtemana,

    hur det tog sig i uttryck beskrevs genom patienternas egna berättelser och varför

    fenomenet framträdde så som det gjorde tolkades utifrån begreppet Medvaro.

    Nyckelord: Patientens erfarenhet, psykos, återhämtning,

  • 124.
    Bjuhr, Marie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Westerberg Jacobson, Josefin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Willmer, Mikaela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Lindberg, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Women with disturbed eating behavior rate less work engagement2016Conference paper (Refereed)
    Abstract [en]

    There is a lack of research exploring emotional commitment to work in relation to eating attitudes. Since eating disorders are associated with adverse psychological and social consequences, work engagement could be affected. The purpose was to compare work engagement among women with and without disturbed eating (DE).

    A cross-sectional survey using the Utrecht Work Engagement Scale and the Eating Disorder Examination Questionnaire in a general population cohort of 26-36-year-old women (n=847). Threshold for DE was 1 SD above general population mean. Independent t-test was used to compare work engagement. Ethical approval (reg no:2014/401)

    The level of work engagement was lower (p=0.02) among women with DE (mean 3.69 +-1.43) than women without DE (mean 4.06 +-1.18). The score for dedication was also lower (p=0.02) within the DE group (mean 3.74+-1.57 vs 4.22 +-1.26). However, vigour and absorption were not different.

    The work engagement in the cohort was within the average range although women with DE had significantly lower emotional commitment to work. As work engagement is linked to business success, workplace growth and sustainability it seems important to explore tailored strategies to improve work engagement among women with DE.

  • 125.
    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.

  • 126.
    Björck, Madelené
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Haagensen, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Erfarenheter av dialysbehandling: En litteraturstudie ur ett patientperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Varje år behandlas ungefär 2900 personer med hemodialys, vilket innebär att blodet renas från slaggprodukter via en dialysmaskin. När en person påbörjar en dialysbe-handling förändras hela deras liv och de behöver finna sätt att hantera det på. Copingstrategier kan vara till hjälp för patienten i den jobbiga processen. Det är också viktigt för patienten att sjuksköterskan finns där och ger stöd samt anpassad information.

    Syfte: Att beskriva patienter med njursjukdomars erfarenheter av att leva med dialysbehand-ling, samt att beskriva de inkluderade artiklarnas datainsamlingsmetoder.

    Metod: En beskrivande design har använts i denna litteraturstudie. 14 vetenskapliga artiklar med kvalitativ ansats har använts.

    Huvudresultat: Dialysbehandling är en tuff process som påverkar patienten både fysiskt, psykiskt och existentiellt. Tiden som patienten tvingas lägga ner tillsammans med dialysma-skinen inkräktar på patientens vardag såpass att de inte har möjlighet att resa bort längre än ett par dagar. Patienten måste genomgå dialysbehandlingen för att överleva, trots den upplevda rädslan och smärtan. Ett sätt att hantera alla känslor och den trötthet patienten upplever är genom att använda sig av copingstrategier. Artiklarna som använts i studien är kvalitativa där intervjuer använts för att få fram deltagarnas erfarenheter.

    Slutsatser: Patienterna påverkas mycket av den tuffa dialysbehandlingen. Det krävs att pati-enten klarar av att hantera den tuffa processen för att överleva sin sjukdom, oavsett alla nega-tiva och påfrestande konsekvenser som det medför. Sjuksköterskan kan utgöra stöd och hjälpa patienten med att ge den information samt hitta de resurser som patienten behöver för att han-tera situationen.

  • 127.
    Björk, Madelen
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Wiker, Jennifer
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Den fysiska belastningen och skador hos kvinnliga fotbollsspelare: Finns det ett samband?2018Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inledning: Fotboll är en lagsport som innehåller fysiska -och tekniska krav. Till författarnas kännedom finns det begränsat med vetenskaplig forskning om kvinnliga fotbollsspelare, dess belastning och sambandet till skador under träning och match. Syfte: Syftet med denna studie var att mäta den fysiska belastningen och skador under en fyra veckors träning -och matchperiod hos kvinnliga fotbollsspelare i ålder 18–22 år. Metod: Datainsamlingen genomfördes med 10 hertz Global Positioning System (GPS)- enheter på sex kvinnliga fotbollsspelare från mellersta Sverige under säsong 2018. Variablerna som mättes var distans i meter, player load, meter i olika hastigheter, en egenskattad belastning för styrketräningspass och egenskattad veckobelastning. Fotbollsspelarna studerades under 17 träningstillfällen och tre matcher. Data analyserades deskriptivt för att se som det fanns samband mellan player load och egenskattad belastning. Ett t-test användes för att se om det fanns några skillnader i lagets planerade belastning och den uppmätta belastningen. Vidare analyserades även om det fanns ett samband mellan de skador som uppstod och den fysiska belastningen. Resultat: Mätningarna visar att de kvinnliga fotbollsspelarnas planerade belastning stämmer relativt bra med den uppmätta belastningen för distans (m) och player load, dock inte hastighetszonerna. Vid ett högre player load värde skattar sig fotbollsspelarna som en mer ansträngd belastning och muskeltrötthet. Under denna studie uppstår fyra skador hos de deltagande. Slutsats: Resultatet tyder på att hög fysisk belastning kan ha ett samband med skador hos kvinnliga fotbollsspelare.

  • 128.
    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

  • 129.
    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 

  • 130.
    Björklund, Malin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Larsson, Sandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Familjers uppfattningar relaterat till sitt barns övervikt eller fetma: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:Overweight and obesity among children has increased, this is seen to be due to genetic causes in combination with environmental factors. Overweight and obesity is a contributing factor due to diseases such as type 2 diabetes and cardiovascular disease and psychological stress of the individual.

    Aim: The aim of the present study was to describe the families' perceptions related to their child being overweight or obese. Furthermore, the aim has been to describe the articles included data collection method.

    Method: Twelve pieces of scientific papers were used as a basis for a literature study with a descriptive design.

    Main results:This literature study shows that families rarely perceive their child's proper weight. In most cases families underestimated child obesity because they considered them as normal weight. Difference between girls and boys was something that emerged, it turned out that the parents had a higher acceptance regarding overweight boys related to girls being overweight. Socioeconomic differences were also significant when one clearly saw a higher acceptance regarding obesity in parents with low income. The parents felt that in the preventive work with overweight children, it was important that the focus would be on the whole family and not just the overweight child. Articles data collection method consisted of interviews and questionnaires.

    Conclusion: Families often underestimated their child's obesity. Parents felt that in the preventive work with overweight or obese children, it was important that the focus would be on the whole family and not just on the child. Knowledge of how families perceive their child's overweight and obesity are important to increase understanding of how prevention work should be improved and be made by health care professionals.

  • 131.
    Björklund, Ove
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Åbo Akademi University, Vaasa, Finland.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Åbo Akademi University, Vaasa, Finland.
    Nyström, Lisbet
    Åbo Akademi University, Vaasa, Finland.
    Young Finnish Unemployed Men's Experiences of Having Participated in a Specific Active Labor Market Program2017In: American Journal of Men's Health, ISSN 1557-9883, E-ISSN 1557-9891, Vol. 11, no 5, p. 1426-1435Article in journal (Refereed)
    Abstract [en]

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

  • 132.
    Björklund, Ove
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Åbo Akademi.
    Söderlund, Maud
    Åbo Akademi.
    Nyström, Lisbet
    Åbo Akademi.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Åbo Akademi.
    Unemployment and Health: Experiences Narrated by Young Finnish Men2015In: American Journal of Men's Health, ISSN 1557-9883, E-ISSN 1557-9891, Vol. 9, no 1, p. 76-85Article in journal (Refereed)
    Abstract [en]

    Studies have shown that the experiences and consequences of unemployment can affect people differently depending on, for example, age and gender. The purpose of the present study was to describe young Finnish men's experiences of being unemployed as well as how their experiences of health emerged. Fifteen young unemployed Finnish men in the age range 18 to 27 years were interviewed face to face. Purposive sampling was used to increase the variation among informants. The interview texts were analyzed using both manifest and latent qualitative content analysis. The present results showed that the young men were strongly negatively affected by being unemployed. They described how they had slowly lost their foothold. They also described feelings of shame and guilt as well as a flight from reality. The present results show that even young men who have only experienced shorter periods of unemployment, in this study periods between 2 and 6 months, are negatively affected, for example, with regard to their identity and emotional life. Further research is needed to describe and elucidate in more detail the effects of unemployment on men of different ages and living in different contexts.

  • 133.
    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.

  • 134.
    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.
    Andersson, Kajsa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Bergström, Jenny
    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. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Increased Mental Illness and the Challenges This Brings for District Nurses in Primary Care Settings2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 12, p. 1023-1030Article in journal (Refereed)
    Abstract [en]

    Patients with mental illness generally make their initial healthcare contact via a registered nurse. Although studies show that encountering and providing care to care-seekers with mental illness might be a challenge, little research exists regarding Primary Care Nurses' (PCN) view of the challenges they face. The aim of this study was to qualitatively explore PCNs' reflections on encountering care-seekers with mental illness in primary healthcare settings. The results consist of three themes: constantly experiencing patients falling through the cracks, being restricted by lack of knowledge and resources, and establishing a trustful relationship to overcome taboo, shame, and guilt.

  • 135.
    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. 

  • 136.
    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.

  • 137.
    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.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    When all other doors are closed: Telenurses' experiences of encountering care seekers with mental illnesses.2018In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 5, p. 1392-1400Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe the telephone nurses' experiences of encountering callers with mental illnesses. Telenursing services are solely staffed with telenurses, who with the support of a decision support system (CDSS) independently triage callers based on the severity of the main symptoms presented by the care seeker. The system focuses on somatic symptoms, while information regarding mental health and mental illnesses is limited. Information about telenurses' experiences of encountering care seekers with mental illnesses is scarce, despite the increase in mental illnesses in the population. The study used a descriptive design with a qualitative approach. Twenty telenurses were interviewed, and the data were then analysed using inductive qualitative content analysis. The results are elaborated in the following three categories: (i) Experiences of encountering care seekers with mental illnesses; (ii) Experiences of facing difficulties and challenges; and (iii) Experiences of facing dissatisfaction and threats. Encountering care seekers with mental illnesses is metaphorically addressed as 'when all other doors are closed'. Encountering care seekers with mental illnesses was perceived as time-consuming and did not adequately correspond to the resources given by the service. Even though telenurses strive to achieve agreement, there is a collision between human needs and organizational structures. The study pinpoints the lack of resources for and education about mental illnesses and the limitations of the decision system, which needs to be updated in order to provide all care seekers care on equal terms.

  • 138.
    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.

  • 139.
    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.

  • 140.
    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.

  • 141.
    Björn, Sara
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Föräldrars kunskap om och attityder till vaccin mot humant papillomvirus: En beskrivande litteraturstudie2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Since of January 2010 vaccine against human papillomavirus (HPV) is a part of the Swedish child vaccination program. The decision to vaccinate can be difficult for the parents to make. Purpose: The purpose of the study was to describe parental knowledge and attitude towards vaccine against human papillomavirus and how that influenced their decision to vaccinate their children. Design: Mixed methods research with integrated design. Method: A descriptive literature review. A systematic search was performed in the databases PubMed and CINAHL and 12 studies were identified. The studies had quantitative and qualitative design. Results: Parents were positive towards the HPV-vaccine. Many parents lacked knowledge and felt they didn´t have enough information about the vaccine. There was concern about the safety and side effect. Many got their information from media but the preferred source of information was caregivers. Parents who had gotten information from caregivers were more positive towards the vaccine. The recommended age for vaccination was considered too low and there was concern that a vaccination would have an effect on their daughter’s sexual behavior. Among the parents who had made the choice to vaccinate that concern was lower. Social norms and religion affected the parents in their decision to vaccinate. Lower education was a predictor in the decision to vaccinate. Experience of abnormal pap-smears or cervicularcancer also affected the intention to vaccinate.

     

    Search words: MeSH-therms accept*, attitudes, behavior, beliefs, decision, HPV-vaccine, intent*, knowledge, parents.

  • 142.
    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.

  • 143.
    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.

  • 144.
    Blom Johansson, Monica
    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.
    Östberg, Per
    Uppsala University, Uppsala, Sweden.
    Sonnander, Karin
    Uppsala University, Uppsala, Sweden.
    A multiple-case study of a family-oriented intervention practice in the early rehabilitation phase of persons with aphasia2013In: Aphasiology, ISSN 0268-7038, E-ISSN 1464-5041, Vol. 27, no 2, p. 201-226Article in journal (Refereed)
    Abstract [en]

    Background: Having a family member with aphasia severely affects the everyday life of the significant others, resulting in their need for support and information. Family-oriented intervention programmes typically consist of support, information, and skill training, such as communication partner training (CPT). However, because of time constraints and perceived lack of skills and routines, such programmes, especially CPT, are not common practice among speech-language pathologists (SLPs).

    Aims: To design and evaluate an early family-oriented intervention of persons with stroke-induced moderate to severe aphasia and their significant others in dyads. The intervention was designed to be flexible to meet the needs of each participant, to emotionally support the significant others and supply them with information needed, to include CPT that is easy to learn and conduct for SLPs, and to be able to provide CPT when the persons with aphasia still have access to SLP services.

    Methods & Procedures: An evaluative multiple-case study, involving three dyads, was conducted no more than 2 months after the onset of aphasia. The intervention consisted of six sessions: three sessions directed to the significant other (primarily support and information) and three to the dyad (primarily CPT). The intervention was evaluated both qualitatively and quantitatively based on video recordings of conversations and self-assessment questionnaires.

    Outcomes & Results: The importance of emotional support as well as information about stroke/aphasia was clearly acknowledged, especially by the significant others. All significant others perceived increased knowledge and understanding of aphasia and related issues.

    Communicative skills (as manifested in the video recordings) showed improvements from pre- to post-intervention.

    Conclusions: The results corroborate the need for individualised and flexible family-oriented SLP services that are broad in content. Furthermore, the results support the early initiation of such services with recurrent contact. The usefulness of CPT this early in the rehabilitation process was indicated but is yet to be proved.

  • 145.
    Blom Johansson, Monica
    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.
    Östberg, Per
    Uppsala University, Uppsala, Sweden.
    Sonnander, Karin
    Uppsala University, Uppsala, Sweden.
    Communication changes and SLP services according to significant others of persons with aphasia2012In: Aphasiology, ISSN 0268-7038, E-ISSN 1464-5041, Vol. 26, no 8, p. 1005-1028Article in journal (Refereed)
    Abstract [en]

    Background: Significant others are important to persons with aphasia. For several reasons they should be involved in speech-language pathology (SLP) services, including acquiring facilitating communicative strategies and receiving support. In order to further adapt SLP services there is a need to know the perceptions and views of the significant others. Little is known about how they perceive changes in communication as well as received SLP services and in what way they want to be involved in these services.

    Aims: The study aimed to investigate which communicative changes significant others of persons with aphasia had experienced after a stroke event and to what extent these changes were experienced. A further aim was to describe the significant others' experiences of SLP services and their motivation to participate in these services. Finally, the significant others' experiences were compared in terms of sex, age, type of relationship, time since stroke onset, and type and severity of aphasia.

    Methods & Procedures: An 80-item study-specific questionnaire was answered by 173 significant others of persons with aphasia living throughout Sweden (response rate 69%). Of these, 33% were male and 67% female. Mean age was 64.2 years (range 33–87 years) and 85.5% of the participants were a cohabiting partner to a person with aphasia.

    Outcomes & Results: A total of 64% of participants perceived their conversations as being less stimulating and enjoyable compared with conversations before stroke onset. Aphasia was considered a substantial or very substantial problem by 64%. The participants took on an increased communicative responsibility, and 70% had changed their communicative behaviour in order to facilitate conversations. A total of 75% (n = 130) had met with the SLP of the person with aphasia. Of those, 63% perceived their own support from SLP services to be adequate; 87% considered language ability training as the most important SLP service. Type and severity of aphasia were especially related to the communicative experiences of the participants and their motivation to be involved in SLP services.

    Conclusions: The substantial decrease from pre- to post-stroke regarding enjoyment and meaningfulness of conversations suggests the need to further improve SLP services in order to help the people in question communicate at an optimal level. We suggest that clinicians should put more emphasis on explaining the benefits and availability of different kinds of aphasia rehabilitation services, such as functional communication training and communication partner training in addition to language ability training.

  • 146.
    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
  • 147.
    Blomberg, Fanny
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Rick, Linda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnors upplevelser av livmoderhalscancer: en litteraturstudie2010Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 148.
    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.

  • 149.
    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.

  • 150.
    Blomberg, Sanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Interprofessionell samverkan bidrar till förbättrad patientsäkerhet: Intensivvårspersonalens reflektioner kring mobil intensivvårdsgrupp (MIG)2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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