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  • 1251.
    Zborowsky, Terri
    et al.
    Ellerbe Becket Inc, Healthcare Educ & Res, Minneapolis, USA.
    Bunker-Hellmich, Lou
    Ellerbe Becket Inc, Healthcare Educ & Res, Minneapolis, USA.
    Morelli, Agneta
    University of Gävle.
    O'Neill, Mike
    Knoll Inc, Workpl Res, East Greenville, USA.
    Centralized vs. Decentralized Nursing Stations: Effects on Nurses' Functional Use of Space and Work Environment2010In: Health Environments Research & Design Journal, ISSN 1937-5867, E-ISSN 2167-5112, Vol. 3, no 4, p. 19-42Article in journal (Refereed)
    Abstract [en]

    Objective: Evidence-based findings of the effects of nursing station design on nurses' work environment and work behavior are essential to improve conditions and increase retention among these fundamental members of the healthcare delivery team. The purpose of this exploratory study was to investigate how nursing station design (i.e., centralized and decentralized nursing station layouts) affected nurses' use of space, patient visibility, noise levels, and perceptions of the work environment. Background: Advances in information technology have enabled nurses to move away from traditional centralized paper-charting stations to smaller decentralized work stations and charting substations located closer to, or inside of, patient rooms. Improved understanding of the trade-offs presented by : centralized and decentralized nursing station design has the potential to provide useful information for future nursing station layouts. This information will be critical for understanding the nurse environment "fit." Methods: The study used an exploratory design with both qualitative and quantitative methods. Qualitative data regarding the effects of nursing station design on nurses' health and work environment were gathered by means of focus group interviews. Quantitative data-gathering techniques included, place- and person-centered space use observations, patient visibility assessments, sound level measurements, and an online questionnaire regarding perceptions of the work environment. Results: Nurses on all units were observed most frequently performing telephone, computer, and administrative duties. Time spent using telephones, computers, and performing other administrative duties was significantly higher in the centralized nursing stations. Consultations with medical staff and social interactions were significantly less frequent in decentralized nursing stations. There were no indications that either centralized or decentralized nursing station designs resulted in superior visibility. Sound levels measured in all nursing stations exceeded recommended levels during all shifts. No significant differences were identified in nurses' perceptions of work control-demand-support in centralized and decentralized nursing station designs. Conclusions: The "hybrid" nursing design model in which decentralized nursing stations are coupled with centralized meeting rooms for consultation between staff members may strike a balance between the increase in computer duties and the ongoing need for communication and consultation that addresses the conflicting demands of technology and direct patient care.

  • 1252.
    Zettlin, Anna
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Enberg, Anneli
    University of Gävle, Department of Caring Sciences and Sociology.
    Livskvalitet hos patienter med Diabetes typ 2: en litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Abstract

    The aim of this review was to describe how quality of life is experienced among patients with diabetes type 2. Literature search was made in Medline and the keywords used were “diabetes mellitus type 2” and “quality of life”. Twenty studies were examined and categorized into four sections: Quality of life during complications due to diabetes type 2, quality of life during various treatments, quality of life during depression and quality of life and aspects in relation to the individual as well as social aspects. The designs of the studies were of a varying kind: randomized controlled studies, comparative studies, correlative studies and descriptive studies. The studies were published between the years of 2003-2007 and most frequently occurring were questionnaires. Validity and reliability of the instruments used in the studies were examined and valued. The number of participants in the samples varied between 49-5145 persons. The results showed that diabetes type 2-complications had a negative impact on quality of life, although different treatments and self-care support had the opposite effect. Other aspects of importance to quality of life were the support of family and relatives, age, sex, education, physical function, civil status and personal background.

  • 1253.
    Zhao, Jiaying
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Lishui University, China.
    Zhao, Yi
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Lishui University, China.
    How to improve quality of life in patients with Alzheimer´s disease: A descriptive literature review2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1254.
    Zhao, Kexia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Lishui University, China.
    Lv, Xinxiao
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Lishui University, China.
    Nursing support for psychological care of patients with colorectal cancer: A descriptive literature review2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1255.
    Zhu, Weiling
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Chen, Xiaolu
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Nurses’ occupational stressors and their coping strategies: A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1256.
    Ädel, Eva
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Pålsson, Ylva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Mårtensson, Gunilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Engström, Maria
    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.
    The interaction of peers: promotive and hindering aspects for learning and well-being using peer-learning during clinical education2017In: Article in journal (Other academic)
  • 1257.
    Ärlemar, Simone
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Larsson, Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Att belysa patienters erfarenheter av att vistas under tvång inom den psykiatrisk heldygnsvården: Litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Psykisk ohälsa är ett stort problem i samhället som många är drabbade av. Det är en livssituation som kan leda till att man tappar kontrollen över sitt liv och få förödande konsekvenser. Om individen nekar till vård så ger lagen om psykiatrisk tvångsvård rätten till ett omhändertagande. Syfte: Syftet med denna litteraturstudie var att undersöka patienters erfarenheter av att ha varit inlagd på tvång inom den psykiatriska heldygnsvården, samt att beskriva urvalsgrupper inom de valda artiklarna. Metod: En deskriptiv litteraturstudie. Med hjälp av databasen Cinahl har 15 stycken kvalitativa vetenskapliga artiklar granskats objektivt och analyserats av författarna för att uppnå studiens syfte. Huvudresultat: Resultatet innehåller information om patienternas negativa och positiva erfarenheter som presenteras i följande kategorier: Hopp och återhämtning, relationer till vårdpersonal och stigmatisering, relationer till andra patienter, sjukdomsinsikt och information, isolering och livskvalitet, rutiner och regler, miljö.Slutsats: Att vara inlagd mot sin vilja kan upplevas på olika sätt. Sjuksköterskans arbete är viktigt för patientens tillfrisknande och hantering av vardagslivet. Information om kommande behandling samt ett gott bemötande och engagerad personal är betydelsefullt för att stärka patientens autonomi och livslust.

  • 1258.
    Åberg, Lina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Modig, Linda-Marie
    Anhörigas upplevelser att leva med en närstående med demenssjukdom och kommunikationen mellan dem: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 1259.
    Åberg, Siri
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Hornegård, Sofia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskors erfarenheter och upplevelser av att arbeta inom akutsjukvård: En beskrivande litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Emergency care is a versatile and complex setting which is performed at a high pace. Patients within the critical care units are often victims of trauma. Previous studies have shown that the sufferers of trauma are not only the injured person but also the people who witness the effects of these traumatic injuries. Nurses who work in the emergency care setting is faced with high demands and are expected to cope with all the aspects of their work.

     

    Aim

    The aim of this study was to describe nurses experience and perspective of working with emergency medical care and to describe the included articles test groups.

     

    Method

    This was a literature study with a descriptive design. The result was composed of twelve scientific reports. Of these were one of quantitative approach and one had a mixed method approach with both qualitative and quantitative design. Remaining articles had qualitative approaches.

     

    Main results

    Nurses who were stationed in the emergency care setting perceived their work as unpredictable and hectic. It was viewed as a rewarding but also challenging profession. The nurses felt that it required a lot of them and they also got emotionally affected by the traumatic injuries they encountered. To handle their work the nurses used different coping strategies.

     

    Conclusion

    By applying the right coping strategies, get support from others and access to different resources the workload which had a mental impact got easier to manage.

  • 1260.
    Ågren, Johanna
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Olsson, Johanna
    University of Gävle, Department of Caring Sciences and Sociology.
    Livskvalitet hos kvinnor och män före och efter hjärtrehabilitering - en enkätstudie2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of the study was to compare how patients with coronary artery disease rated their quality of life before and after participating in a 12 month cardiac rehabilitation program and to compare how women and men rated their quality of life. The sample consisted of 117 patients (35 women and 82 men) who participated in a cardiac rehabilitations program at Hälsoinvest Högbo AB between the years 1996-2001. Quality of life was measured using the QLQ-AP questionnaire (Quality of Life Questionnaire - Angina Pectoris). QLQ-AP is a disease-specific instrument and the 22 questions are grouped into a global score and four different subscales: physical activity, somatic symptoms, emotional distress and life satisfaction. The study showed a significant improvement of quality of life among the participants (n=117) for the global score and the four subscales of the QLQ-AP following cardiac rehabilitation. No significant differences in rated quality of life were seen between women and men, neither before nor after attending the rehabilitation program. The women, however, only showed a significant improvement of quality of life for the subscale emotional distress while the men showed a significant improvement of quality of life for the global score as well as for the four subscales. Conclusion: In this study, the rated quality of life improved after attending a cardiac rehabilitation program. However, the men improved in more aspects than the women did.

  • 1261.
    Åhlund, Llinda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hajizadeh, Fariba
    Patienters erfarenheter av att leva med bensår: En litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1262.
    Åhrlin, Sofie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ekqvist, Anna-Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    HIV/AIDS: Kunskap och attityder hos sjuksköterskor2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To describe nurses knowledge and attitudes towards patients who are living with HIV or AIDS and to describe potential differences in knowledge and attitudes between younger and older nurses. Method: The present empirical study had a quantitative approach with a descriptive comparative design. The sampling method was a convenience sample in which a total of 63 nurses participated and questionnaires were sent to nine divisions in three different hospitals. Results: The majority of the nurses had good knowledge of HIV and AIDS, positive attitudes and a willingness to care for this group of patients. Some of the nurses, however, expressed a fear of contracting HIV, a need for more education and negative attitudes towards specific groups with the disease. There was a significant difference in attitudes between age groups, the younger nurses had a more positive attitude than the older nurses. Conclusion: Although the nurses had good knowledge, positive attitudes and a willingness to care for this group of patients, there was a fear of contracting HIV and therefore more education about HIV and AIDS is needed for nurses. Younger nurses had more positive attitudes than older nurses. Further research is also needed since just a few studies illustrate this in Sweden.

  • 1263.
    Ångström, Marie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Lööf Lindqvist, Emanuel
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Omvårdnadsåtgärder sjuksköterskan kan vidta i arbetet för att förebygga trycksår: en beskrivande litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Pressure sores occur as a complication of care, treatment and disease where these can occur already after 60 minutes. The incidence of pressure ulcers in 2016 at 13.4% averaged over the whole of Sweden, as compared to 2015 is a reduction of only 0.2%.

    Aim: To describe the nursing care nurse can take in their work to prevent pressure sores and to report the selection method used in the selected articles.

    Method: Literature study with descriptive design that was based on thirteen articles from the databases CINAHL and Pubmed.

    Findings: The result of the above literature led four different themes: 1) Risk Assessment: By making a risk assessment of patients within 24 hours of hospitalization the risk of pressure sores was reduced. 2) Location Changes: Location Changes to the patients every two hours showed that the incidence of pressure ulcers decreased. Further, it has been shown that positions lying at 30 degrees is the method that provides the best output. 3) Pressure relief: Use of different pressure relieving agents have shown to reduce pressure sores in patients. The best method seen from differences in the control and intervention groups for pressure relief in this study is the use of a silicon border. 4) Collection of preventive care measures: The use of different protocols with several different care methods to reduce the occurrence of pressure sores have shown the best effect. Methodological aspect: 11 of the articles had a clear description of the sampling method, with the remaining two items missing description of how the selection had been made.

    Conclusion: The present literature review has shown that the above themes can be used by nurses in their daily work to reduce the risk of pressure ulcers in patients.

  • 1264.
    Åsblom, Lena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Distriktssköterskors och sjuksköterskors reflektioner av arbete med telefonrådgivning i primärvården: En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of the study was to describe the district nurse's and nurse's reflections on work in telephonenursing in primary care. Background: Telephonenursing today represents a major part of nurses' work in primary care. The classical patient visit has in part been replaced by telephonenursing, where nurses are expected to have broad medical and social skills, as well as educational skills. Working in telephonenursing can be complicated, challenging and stimulating. Method: The study used a qualitative approach with descriptive design. Nine telephone nurses from primary care participated in the study and were interviewed January-May 2017. Result: The results in this study showed that telephonenursing was experienced as stressful, demanding and complex with limited control capabilities. Timepressure at work, resource shortage in health care and disturbed work environment felt as strenuous circumstances that could lead to stress. Telephonenursing was also described as fun, varied, satisfying, evolving and problem solving was a prominent feature. Good conversations with patients, as well as support at work were described as important factors. Conclusion: The nurses in this study experienced that work in telephonenursing was complexed with high demands and strains. However, it was also a fun, varied and satisfying work. Continuous education and slightly reduced demands can lead to an improved work situation, where the risk of impaired health for nurses can be reduced and patient safety can be strengthened.

  • 1265.
    Åsell, Caroline
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Sjuksköterskors upplevelse av samarbete i detmultidisciplinära teamet vid akut omhändertagande av traumapatienter2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att beskriva hur intensivvårds- och akutmottagningssjuksköterskor upplevde samarbetet i traumateamet vid det akuta traumaomhändertagandet. Författaren till studien har valt att göra en intervjustudie medkvalitativ ansats. Fyra intensivvårdssjuksköterskor och sex akutmottagningssjuksköterskor vid ett medelstort sjukhus i östra Sverige deltog i studien. Data samlades in genom semistrukturerade intervjuer. Data analyserades med hjälp av kvalitativ innehållsanalys. Åtta kategorier framkom under analysarbetet: ’ledarskap’, ’organisation’, ’att inte hitta på akutrummet’, ’kompetens’, ’kommunikation inom traumateamet’, ’samarbete inom traumateamet’, ’stress och negativa känslor’ samt ’att känna omsorg’. Resultatet i föreliggande studie visade på betydelsen av ett gott ledarskap. Sjuksköterskorna uttryckte en önskan om att kirurgjour/traumaledare skulle ’ta kommandot’ och leda traumaomhändertagandet. Det visade också på vikten av att ha en bra organisation, som i det här fallet var ATLS-konceptet. Att inte hitta på akutrummet upplevdes som ett problem av sjuksköterskorna. Att ha erfarenhet och ha övat på traumaomhändertagande ansågs som viktigt av sjuksköterskorna. En god kommunikation inom traumateamet främjade enligt sjuksköterskorna samarbetet vid traumaomhändertagandet. Sjuksköterskorna upplevde att ett gott samarbete vid traumaomhändertagandet skapade teamkänsla. Stress upplevdes både som något negativt och något positivt av sjuksköterskorna. I studien lyfts både problem och positiva saker i traumaarbetet fram av sjuksköterskorna. Sjuksköterskorna var positivt inställda till samövningar, som de tror skulle förbättra samarbetet. Det framkom i studien att kommunikation, ledarskap, erfarenhet och en bra organisation kan förbättra samarbetet i det akuta traumaomhändertagandet. Stress, dålig kommunikation och otydliga roller kan försämra samarbetet. Till viss del anser författaren att detta skulle kunna förbättras genom ytterligare övningar, detta i likhet med föreliggande studies resultat.

  • 1266.
    Åslin, Susanne
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Knutsson Fröjd, Linda
    University of Gävle, Department of Caring Sciences and Sociology.
    Föräldrars uppfattning av kontakten med barnavårdscentralen2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Abstract

    Nearly 100% of all children born in Sweden get in contact with the Child Health Centre (BVC). The aim with the BVC´s activity is health supervise, counselling and to support parents in their parenting role. The purpose of this study was to describe how parents experience their contact with BVC. The study has a deskriptiv quantitative design and a qualitative part with analysis of the contents of the open questions. It was carried out in an area in the middle of Sweden. All parents who visited BVC one week in October 2006, was asked to participate in the study. Twenty-one BVC divided on 18 different Cities/Communities have participated in the study. A sum of total 524 questionnaires was handed out during this week. Out of these 402 questionnaires were returned completed. For the most part the parents were pleased with their contact with the BVC. The contact with the nurse at BVC and the oppertunity to ask “about anything” were things that the parents appreciated the most.

    The possibility to reach the BVC by phone was a source of dissatisfaction.The nurse at BVC is a great support to new becomed parents. The relationship between the nurse and the parents is very important to fulfil the purpose of the child health centres activity.

  • 1267.
    Åslund, Sofie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vallin Isaksen, Linda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    En litteraturstudie om patienters erfarenheter av vården i samband med ECT2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1268.
    Åström, Ida
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Wiklund, Elin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Orsaker och preventiva åtgärder gällande fallolyckor hos äldre personer boende på vårdhem: En litteraturstudie2014Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med föreliggande litteraturstudie var att beskriva vad som orsakar fallolyckor hos äldre inom vårdhem, beskriva preventionsåtgärder samt att granska de urvalsmetoder som de granskade artiklarna använde sig av.Metod: Artiklar söktes i databaserna PubMed, Medline samt Cinahl med publiceringsbegränsning mellan år 2008-2013. Totalt 16 artiklar inkluderades.                 Resultat: Föreliggande litteraturstudies resultat delades upp i två huvudkategorier med sex underrubriker varav fyra berörde orsaker till fallolyckor och två behandlade preventionsåtgärder. 1) Individuella faktorer; flera individuella faktorer såsom ålder, ostabil gång samt medicinsk bakgrund visade sig orsaka fallolyckor hos äldre boende på vårdhem. 2) Fysisk vårdmiljö; många aspekter av vårdhemmets miljö orsakade fallolyckor hos äldre boende på vårdhem, exempel på dessa aspekter var rummens utformning samt inredning. 3) Hjälpmedel; ett samband påvisades mellan fallolyckor och hjälpmedlet rullstol där antalet fallolyckor ökade vid användandet av rullstolar. Användandet av fysiska begränsningsåtgärder visade sig ha olika effekt på antalet fallolyckor. 4) Läkemedel; medicinering med centralverkande läkemedel orsakade en ökad risk att drabbas av fallolyckor medan icke-centralverkande läkemedel inte visades orsaka fallolyckor. 5) Fysiska preventionsåtgärder; interventionsprogram med fysiska preventionsåtgärder visade sig ha olika effekt på antalet fallolyckor. Det visade sig att olika undergrupper påverkades olika av preventionsåtgärder. 6) Preventionsåtgärder genom vårdpersonal; preventionsåtgärder genom vårdpersonal visade sig inte ha någon effekt på antalet fallolyckor. Metodologisk aspekt gällande urvalsmetod; av de granskade artiklarna framgick en tydlig beskrivning av urvalsmetod i åtta artiklar, i två artiklar beskrevs urvalsmetoden men ej utförligt och sex artiklar saknade helt beskrivning av urvalsmetod.Slutsats: Fallolyckor är ett världsomspännande folkhälsoproblem och förekomsten är stor hos äldre boende på vårdhem. Föreliggande litteraturstudie visade att ett flertal orsaker till fallolyckor hos äldre boende på vårdhem och fallolyckspreventionsåtgärder var belagt i vetenskapliga studier men att mer forskning krävs för att stärka bevisvärdet samt att förbättra preventionsarbetet. För att minska antalet fallolyckor hos äldre boende på vårdhem krävs det att sjuksköterskan ser till individen och arbetar förebyggande samt utvärderar de handlingar som utförs.  

  • 1269.
    Ödlund, Cecilia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Berg, Lotta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Omvårdnad vid höftfraktur2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Patienter med höftfraktur blir allt fler i takt med att medelåldern ökar. Det är en stor och resurskrävande patientgrupp. De har under en längre tid varit underprioriterade vilket har resulterat i långa väntetider till operation.

    Syfte:

    Syftet var att beskriva om det fanns några fördelar att arbeta med höftspår vid höftfrakturer samt att beskriva urvalet av de använda vetenskapliga artiklarna.

    Metod:

    Deskriptiv litteraturstudie med tretton vetenskapliga artiklar med kvalitativ och kvantitativ ansats. Likheter och olikheter i artiklarnas resultat har kategoriserats och sammanställts till fem olika teman.

    Huvudresultat:

    Resultatet visade att det fanns fördelar med att arbeta med omhändertagande via höftspår, detta resulterade i kortare väntetid till operation samt färre komplikationer. Dessa patienter som omhändertogs via höftspår hade även en kortare vårdtid. Risken för mortalitet påverkades inte nämnvärt vid höftspår kontra konventionell vård vid höftfraktur.

    Slutsats:

    I kategorien förkortad tid till operation samt kortare vårdtid kan man se stora positiva skillnader efter införandet av höftspår, i minskade postoperativa komplikationer en viss förbättring. I kategorin minskad risk för dödlighet ses ingen statistisktsignifikant skillnad. Riktlinjerna kring detta höftspår har påverkat omvårdnaden i en positiv riktning. Dessa patienter omhändertas nu med en snabbare och bättre rutin. Det har inte upptäckts några nackdelar med att arbeta med höftspår.

  • 1270.
    Öhman, Jessica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jogin, Jennie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Sjuksköterskans omvårdnadserfarenheter av patienter med en strokediagnos2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund Stroke tillhör en av våra största folksjukdomar och förblir en av de sjukdomar som kräver de högsta dödsantalen och ger allvarliga följder med omfattande funktionsnedsättningar. Följderna efter en stroke varierar beroende av vart och med vilken omfattning skadan orsakat, vilket ger en varierande symptombild med olika grader av funktionsnedsättningar. Detta gör omvårdnaden av en strokepatient till komplex som ställer höga krav på en individuellt anpassad vårdplan med anpassade professioner som omger patienten.

     

    Syftet med denna litteraturstudie var att undersöka sjuksköterskans erfarenheter av att vårda patienter med en strokediagnos. 

     

    Metod En beskrivande litteraturstudie som baserats på resultatet av 10 kvalitativa och 3 kvantitativa artiklar.

     

    Huvudresultat Det framkommer att sjuksköterskan har en viktig uppgift i att arbeta kliniskt och nära patienten men att det på grund av brist på resurser och utbildning är svårt att ge en tillfredställande omvårdnad. Sjuksköterskans position bland andra professioner upplevs inte heller som självklar och behöver vara väldefinierad för att kunna säkerställa att patientens vård är av hög kvalitet. Det framkommer även att sjuksköterskan i sin omvårdnad behöver involvera patienten mer i kommunikationen genom att lära känna personen bakom patienten för att på så vis förbättra återhämtningen efter en stroke.

     

    Slutsats Sjuksköterskan utgör en nyckelroll vid omvårdnaden av strokepatienten. Studier visar dock att det saknas kunskap, utbildning och förståelse från både organisation och sjuksköterskor vilket på flera sätt sänker patientens vårdkvalitet.

  • 1271.
    Öhman, Louisa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hur sjuksköterskor kan bidra till följsamhet av basala hygienrutiner inom kommunal vård och omsorg2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Basic hygiene is an important measure to prevent healthcare associated infections, save patients’ lives, and reduce economic costs for health care. Healthcare associated infections are a threat to patient safety. In community care persons who are the care takers are a risk group and nurses must make sure that basic hygiene procedures are followed.

    Method: Literature studies with descriptive design, article search in databases Cinahl and PubMed. The results found are based on twelve chosen articles.

    Aim: To describe factors related to adherence to basic hygiene and how nurses in community care can help to improve compliance with these procedures.

    Results: In the nursing staff and leadership in health care interest in and the understanding of basic hygiene is described as being of most importance. Lack of knowledge of the meaning of patient care cleanliness, negative attitudes and non-existing availability of necessary tools and heavy workload had a negative impact. Intensified education and making sure that equipment is available as well as the application of standardized methods, were found to be prerequisite for adherence to basic hygiene routines.

    Conclusion: Nurses can contribute to improved adherence to basic hygiene routines by promoting education, positive attitudes, a positive adaption of the physical environment, strategic structuring of the workload, and standardized methods, applying basic hygiene routines, being part of and promoting increased interaction in nursing care. Suggestions for future studies is to implement web-based courses, updating courses and training in basic hygiene routines in the workplace. That may increase knowledge, understanding and awareness of the application of basic hygiene routines hence leading to improved nursing care and enhancing patient safety.

  • 1272.
    Öhman, Michaela
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Östergrens, Lisa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskors upplevelser av att möta patienter med psykossjukdom inom den somatiska vården: En beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year approximately 2000 people in Sweden fall ill to some kind of psychotic disorder. Psychotic disorders are often associated with prejudice and stigma. Research has shown a connection between the expected external stigma, internal stigma and the recovery of patients with a psychotic disorder. It has also been described that patients with a psychotic disorder has received insufficient care due to their psychiatric illness.    

    Aim: The aim of this study was to describe how nurses experience the encounter with patients that are suffering from a psychotic disorder within the somatic inpatient and outpatient care.

    Method: A descriptive literature study based on 5 qualitative and 5 quantitative scientific articles. The databases that was used to obtain articles was PubMed and Cinahl.   

    Main result: It appeared that there is a substantial lack of knowledge regarding psychotic disorders within the somatic care. Nurses often experienced feelings of fear, tension and insecurity, which made the encounter with these patients problematic. Limitations such as time constraints contributed to unfavourable conditions in the care of patients with a psychotic disorder.   

    Conclusion: Stigma, lack of knowledge and deficiencies in the care environment could make the care that patients with a psychotic disorder receive inadequate. Therefore, it is important that nurses in the somatic inpatient and outpatient care become aware of their own preconceptions and attitudes towards these patients, and that nurses get access to additional knowledge on this topic. The somatic units should also try to make improvements in the care environment.

  • 1273.
    Öholm-Lundahl, Helen
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Mählqvist, Evalena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Patienters upplevelser av intravenös jämfört med nasal smärtlindring inom ambulanssjukvården i Stockholm: En empirisk studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A common symptom of ambulance care is pain, which can often exacerbate the pain already experienced by the patient, as the necessary movements are carried out by the crew to the stern and ambulance. It is the nurses in the ambulance crew who assess whether pain relief is required urgently or not during transport to hospitals.   Objective: The purpose of this study was to study patient´s experiences of intranasal (i.n) pain relief compared to intravenous (i.v) pain relief within the ambulance service in Stockholm area.    Method: The study is an empirical study with a descriptive design.   Main results: The study showed that the only significant difference in the area where the experience of anxiety and/or fear was measured in connection with i. n versus i. v. pain relief method. It was more that experienced a negative aspect in the form of anxiety and or fear in the group that received in n pain relief. No other significant differences in the experience of pain relief, satisfaction of neither the ring's power, the way to obtain the medicine or experience side effects was demonstrated. A comparison of the reported showed that the most common side effect was nausea, and it was most common in the group that received in n pain relief.   Conclusion: Based on this result, one can question whether the mode of administration is crucial for the effect and experience of positive or negative aspects of pain management. 

  • 1274.
    Öhrn, Sandra
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Steinmark, Heidie
    University of Gävle, Department of Caring Sciences and Sociology.
    Mjuk massage för personer med demens: personal och patienters perspektiv2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim with the literature study was to describe how persons with dementia and health care workers in the geriatric care experiences soft massage and to describe the derived effects for persons with dementia. Scientific articles were sampled from the databases: Medline (Pub Med), Cinahl and Psyc INFO. The main results of the study are presented in three parts: how persons with dementia experiences soft massage, health care workers experiences of giving soft massage and the health care workers descriptions on derived effects on persons with dementia. The results showed that persons with dementia experienced a positive reaction to soft massage and the health care workers did no longer feel helpless in their care service towards persons with dementia. The studies showed that soft massage decreased agitation, wandering, pain and sleeplessness. Not all persons with dementia was receptive to soft massage, therefore an ethical awareness was required by the health care workers.

  • 1275.
    Ölund, Charlotta
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Att vara prövad men inte uppgiven - konsten att leva med bensår2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att beskriva hur patienter med bensår upplever sin vardag ur ett fysiskt, känslomässigt, och socialt perspektiv. Studien hade en beskrivande design med kvalitativ ansats. Tio patienter med bensår från tre hälsocentraler intervjuades och materialet bearbetades med kvalitativ innehållsanalys. Resultatet redovisades utifrån temat: Att vara prövad men inte uppgiven som bildades av tre kategorier: Sårets kondition, Komplikationer till att leva med bensår samt Anpassning till att leva med bensår. Temat beskrev att patienter med bensår hade många svårigheter men att de, samtidigt, på olika sätt, tog itu med dessa svårigheter för att kunna leva ett så bra liv som möjligt. Sårets kondition hade stor betydelse för patientens upplevelse av smärta. Många patienter var otillräckligt smärtlindrade och hade ont både dag och natt. Andra besvär var lukt och läckage från såret. Komplikationer till att leva med bensår innebar känslomässiga påfrestningar så som nedstämdhet, ilska och oro. Fysiska svårigheter bestod i att inte orka gå längre sträckor. Praktiska besvär innefattade att behöva hjälp med vardagliga sysslor. Många patienter hade svårt att upprätthålla sina sociala kontakter. Patienternas anpassning till att leva med bensår var stor och de använde sig av både praktiska och känslomässiga copingstrategier.

  • 1276.
    Österberg, Jenny
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Söderström, Hanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Att vara anhörig till en demenssjuk person: en litteraturstudie som belyser livssituationen ur ett anhörigperspektiv2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: to examine the effects on the lives of people who are related to someone with dementia.

    Method: A literature review with descriptive design. The study was based on 13 articles collected in the databases PubMed and Cinahl.

    Result: The results showed a marked change in the lives of those related to a person diagnosed with dementia, and the life situation was affected in multiple ways. The type of relationship the relative and the ill person had before the disease could in some instances affect how the relative experienced the situation. The results demonstrated emotions like isolation, anger, powerlessness, as well as loss and guilt. In dealing with the role as caregiver factors like having a positive attitude and a good support system was mentioned. Very often the relatives would maintain their roles as caregivers as long as possible, but when the situation became untenable, the move to assisted living was inevitable.

    Conclusion: The results of the study showed that the overall impact on the lives of relatives of people diagnosed with dementia was negative. There is some research on how the lives of relatives of people with dementia are affected, but in order for nurses to give the best support possible, there is a need for even more research and publications on this topic.

  • 1277.
    Östergårds, Anna-Karin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Aburweileh, Hossam
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Vuxna patienters upplevelser av den palliativa vården i hemmet2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year, about 90 000 people in Sweden die and most of them are in need of palliative care. The individual should as far as possible be able to decide if he or she wants to die at home or in hospice care. Historically, palliative care was meant to treat people with cancer but has gradually evolved to treat several types of disorders.

    Purpose: The purpose of this study was to describe how adults perceive palliative care in their home, as well as to study the selected articles data collection method.

    Method: The present study has a descriptive design. The study results are based on eleven scientific articles, ten with qualitative approach, and one with a mixed approach. All articles were reviewed by both authors and color marked depending on the content. The articles were identified through databases CINAHL and Pubmed.

    Main Results: The palliative care at home was perceived largely as positive among patients. It was highly valued having their relatives close and to reside in their familiar home environment at the end of life. It also emerged that the palliative patients were concerned about being a burden to their families. By having paramedics in their home as well as support from relatives they were given the opportunity to be able to handle everyday activities on their own, which turned out to generate quality of life. Dignity of the palliative patients was described by the concepts of integrity, well-being and self-determination. Good communication and continuity was seen as important factors for the patients.

    Conclusion: Palliative patients who received care at home looked largely positive about the care they received. They felt that the cooperation between health care and their families was essential for safe care in their home. These patients' desire to be cared for and die at home should be a priority as it will lead to increased quality of life. Results of this study gives a clear indication of development areas in palliative care.

  • 1278.
    Östgård, Kristina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vårdpersonalens upplevelser av att vårda personer med Beteendemässiga och Psykiska Symtom vid Demens (BPSD)2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    More and more people suffer from dementia and a large part of these is affected by some point of one or several behavioral and psychological symptoms of dementia (BPSD). BPSD creates great suffering for the affected but can also be difficult for the people around them to manage, relatives and health professionals, and is a big reason that a person moves in to a nursing facility. The aim of this study was to describe health professional’s experience of caring for persons with behavioral and psychological symptoms in dementia, BPSD. The study had a descriptive design with qualitative approach. Data were collected through six individual semi-structured interviews. By convenience sampling, nursing assistant working at a nursing facility for people with dementia in Sweden were recruited. Data were analyzed by qualitative content analysis. A theme emerged, “Difficulties to find a balance between need and resource”. The informants experienced their work in caring for people with BPSD as a great challenge but also as very awarding. The feeling of being inadequate, lacking knowledge or ability to handle certain situations or symptoms and lack of resources perceived as stressful by the informants. Aggressiveness and anxiety in individuals with BPSD were experienced as the most difficult to handle. The results also showed that the informants experienced working with persons with BPSD as exiting, interesting and fun and that they felt satisfaction in being there for the person with BPSD and to be able to contribute to their well-being. The conclusion in this study shows that informants experienced great challenges in their work to create wellbeing for people with BPSD. Support and education could increase the job satisfaction for the health personnel but also increase the quality of life for people with BPSD.

  • 1279.
    Östlin, Kajsa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jansson, Sara
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vuxna personers erfarenheter av att leva med diabetes mellitus typ 2: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Antal fall av diabetes mellitus typ 2 ökar i Sverige samt över hela världen. Okunskap om hur sjukdomen utvecklas och hanteras kan leda till komplikationer och andra sjukdomar.

    Syfte: Syftet med litteraturstudien var att beskriva vuxna personers erfarenheter av att leva med diabetes mellitus typ 2, samt att beskriva de inkluderade artiklarnas datainsamlingsmetod.

    Metod: Litteraturstudien har deskriptiv design. Studien inkluderar 12 kvalitativa artiklar funna i databaserna PubMed och Cinahl.

    Huvudresultat: I analysen av artiklarna framkom kategorier som besvarade vuxna personers erfarenheter av att leva med diabetes mellitus typ 2. Kategorierna var: Erfarenheter av att ha diagnostiseras med diabetes typ 2, Vuxna personers erfarenheter av kontroll och behandling av diabetes typ 2, Erfarenheter av kostförändringar i samband med diabetes typ 2 hos vuxna personer, Erfarenheter av sociala sammanhang hos vuxna personer med diabetes typ 2 och Erfarenheter och hanteringssätt att leva med sin diabetes typ 2. Resultatet reflekterar positiva och negativa erfarenheter i det vardagliga livet i hos personer med diabetes mellitus typ 2.

    Slutsater: Att få diabetes mellitus typ 2 medförde många olika känslor hos flera informanter. Diabetes påverkade vardagliga livet och krävde förändringar i den drabbades liv. Flera informanter erfor frustation över vården och många erfor stöd från familj och vänner. Rädsla för att drabbas av komplikationer till följd av sin sjukdom och inte få se sina barn växa upp gav motivation till att ta hand om sin sjukdom. 

  • 1280.
    Östlund, Amanda
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Hillberg, Cecilia
    University of Gävle, Department of Caring Sciences and Sociology.
    Anhörigas upplevelser av att leva med närstående som drabbats av Alzheimers sjukdom: -En beskrivande litteraturstudie-2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Abstract The aim of the study was to describe relative’s experiences of living with or near a person that has Alzheimer’s disease. The study builds on social, physical and psychic perspectives. The studies were based on 18 scientific articles that were quality checked with the aid of a review model. Articles were applied for through the databases Academic Search Elite, Cinahl and Vård I Norden Online. The selection criteria’s were that the articles replied on the study's aim, were written on Swedish or English and published between the years 2000 to 2008. The result showed that relatives were set to a dramatic change that were requiring, challenging and the relatives experienced dread, sorrow, stress and debt. The social network decreased and the result was often decreased loneliness and isolation. The result also showed that the relatives were in need of aid from family and friends, and from the healthcare. To summary the majority experienced that the burden increased of being relatives to a person with Alzheimer’s disease.

    Keywords: Alzheimer’s disease, family, relatives, experience.

  • 1281.
    Östlund, Ann-Sofi
    University of Gävle, Department of Caring Sciences and Sociology.
    Distriktssköterskors upplevelser av och tillvägagångssätt vid ett motiverande samtal2008Independent thesis Advanced level (degree of Magister), 10 points / 15 hpStudent thesis
  • 1282.
    Östlund, Ann-Sofi
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet.
    Motivational Interviewing in Primary Care: Nurses' experiences and actual use of the method2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of the present thesis was to describe and examine primary care nurses´ self-reports on training, use and performance as well as experiences and actual performance of MI.

    Method: One qualitative and three quantitative studies were conducted among primary care nurses. A study-specific questionnaire was sent to 980 primary care nurses and 673 (69%) responded (Study I). Semi-structured interviews were conducted with 20 MI trained primary care nurses (Study II). MI sessions between 12 (Study III) respective 23 (Study IV) primary care nurses and patients (total 32 respective 50 sessions) were audio-recorded. Data were analyzed using qualitative content analysis, Motivational Interviewing Integrity Code, Motivational Interviewing Sequential Code for Observing Process Exchanges and statistical analysis.

    Results: The findings showed that primary care nurses reported and experienced lack of training in MI and lack of prerequisites for using MI (Study I-II), while training, knowledge, prerequisites and time were associated with use of MI. They also reported and experienced that MI facilitated their work with patients (Study I-II) as well as elicited their own ability to motivate and be empathetic (Study II). About half of the primary care nurses reported that they used MI (Study I), and none of the nurses (Study III) achieved the approved skill levels in MI in their recorded sessions. They overestimated their performance on six of eight aspects of MI (Study III). The most frequently used nurse talk in the recorded sessions was neutral, which is not consistent with MI. Questions and reflections directed toward change were most likely to be followed by change talk among patients (Study IV).

    Conclusions: Self-reported knowledge about MI and personal as well as workplace prerequisites for using it were associated with self-reported use of MI. Participating nurses´ experienced that MI requires openness, practice, support, feedback and willingness. The participating primary care nurses did not achieve approved levels of MI skills in their recorded MI sessions. Patients´ change talk is more likely to occur after open questions, complex reflections as well as after questions and reflections directed toward change.

  • 1283.
    Östlund, Ann-Sofi
    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 universitet.
    Kristofferzon, Marja-Leena
    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 universitet.
    Häggström, Elisabeth
    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 universitet.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala universitet.
    Primary care nurses' performance in motivational interviewing: a quantitative descriptive study2015In: BMC Family Practice, ISSN 1471-2296, E-ISSN 1471-2296, Vol. 16, no 1, p. 89-100Article in journal (Refereed)
    Abstract [en]

    Background: Motivational interviewing is a collaborative conversational style intended to strengthen motivation to change. It has been shown to be effective in addressing many different lifestyle problems as well as in chronic disease management, and many disease prevention guidelines promote use of motivational interviewing. The aim of the present study was twofold: to assess to what extent the primary care nurses in the study perform motivational interviewing according to the Motivational Interviewing Treatment Integrity Code and to investigate how the participating primary care nurses rated their own performance in motivational interviewing.

    Method: The study was based on twelve primary care nurses’ audio-recorded motivational interviewing sessions with patients (total 32 sessions). After each session, the nurses completed a questionnaire regarding their experience of their own performance in motivational interviewing. The audio-recorded sessions were analyzed using Motivational Interviewing Integrity Code 3.1.1.

    Results: None of the nurses achieved beginning proficiency in all parts of any motivational interviewing sessions and two nurses did not achieve beginning proficiency in any parts or sessions. Making more complex than simple reflections was the specific verbal behavior/summary score that most nurses achieved. Beginning proficiency/competency in “percent open questions” was the summary score that fewest achieved.

    Conclusion: Primary care nurses did not achieve beginning proficiency/competency in all aspects of motivational interviewing in their recorded sessions with patients, where lifestyle change was discussed. This indicates a need for improvement and thus additional training, feedback and supervision in clinical practice with motivational interviewing.

  • 1284.
    Östlund, Ann-Sofi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala universitet.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala universitet.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    District nurses' and registered nurses' training in and use of motivational interviewing in primary care settings2014In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 15-16, p. 2284-2294Article in journal (Refereed)
    Abstract [en]

    Aims and objectives

    To examine to what extent district nurses and registered nurses have training in motivational interviewing, to what extent they use it and what prerequisites they have for using it; to compare district nurses and registered nurses, as well as to compare users and nonusers of motivational interviewing; and to examine possible relationships between use of motivational interviewing and the variables training, supervision and feedback in motivational interviewing and prerequisites for use.

    Background

    Motivational interviewing is an effective method for motivating patients to change their lifestyle, used increasingly in primary care.

    Design

    A cross-sectional survey study.

    Methods

    A study-specific questionnaire was sent to all district nurses and registered nurses (n = 980) in primary care in three counties in Sweden, from September 2011–January 2012; 673 (69%) responded. Differences between groups as well as relationships between study variables were tested.

    Results

    According to self-reports, 59% of the respondents had training in motivational interviewing and 57% used it. Approximately 15% of those who reported using it had no specific training in the method. More district nurses than registered nurses had training in motivational interviewing and used it. The following factors were independently associated with the use of motivational interviewing: training in and knowledge of motivational interviewing, conditions for using it, time and absence of ‘other’ obstacles.

    Conclusions

    Having knowledge in motivational interviewing and personal as well as workplace prerequisites for using it may promote increased use of motivational interviewing.

    Relevance to clinical practice

    Having the prerequisites for using motivational interviewing at the workplace is of significance to the use of motivational interviewing. In the context of primary care, district nurses seem to have better prerequisites than registered nurses for using motivational interviewing.

  • 1285.
    Östlund, Ann-Sofi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Lindqvist, Helena
    Department of Clinical Neuroscience, MIC Lab, Karolinska Institutet, Stockholm, Sweden.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Primary care nurses' communication and its influence on patient talk during motivational interviewing2016In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 11, p. 2844-2856Article in journal (Refereed)
    Abstract [en]

    Aim

    To describe what verbal behaviors/kinds of talk occur during recorded motivational interviewing sessions between nurses in primary care and their patients. The aim was also to examine what kinds of nurse talk predict patient change talk, neutral talk and/or sustain talk.

    Background

    Motivational interviewing is a collaborative conversational style. It has been shown to be effective, in addressing health behaviors such as diet, exercise, weight loss and chronic disease management. In Sweden, it is one of the approaches to disease prevention conversations with patients recommended in the National Guidelines for Disease Prevention. Research on the mechanisms underlying motivational interviewing is growing, but research on motivational interviewing and disease prevention has also been called for.

    Design

    A descriptive and predictive design was used.

    Methods

    Data were collected during 2011-2014. Fifty audio-recorded motivational interviewing sessions between 23 primary care nurses and 50 patients were analyzed using Motivational Interviewing Sequential Code for Observing Process Exchanges. The frequency of specific kinds of talk and sequential analysis (to predict patient talk from nurse talk) were computed using the software Generalized Sequential Querier 5.

    Findings

    The primary care nurses and patients used neutral talk most frequently. Open and negative questions, complex and positive reflections were significantly more likely to be followed by change talk and motivational interviewing-inconsistent talk, positive questions and negative reflections by sustain talk.

    Conclusions

    To increase patients’ change talk, primary care nurses need to use more open questions, complex reflections as well as questions and reflections directed toward change.

  • 1286.
    Östlund, Ann-Sofi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Wadensten, Barbro
    Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Motivational interviewing: Experiences of primary care nurses trained in the method2015In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 15, no 2, p. 111-118Article in journal (Refereed)
    Abstract [en]

    Motivational interviewing is a person-centered counseling style used to promote behavioral change regarding a wide variety of lifestyle problems. Use of motivational interview is growing worldwide and among many different healthcare professions, including primary care nursing. The study aim was to describe motivational interview trained nurses' experiences of motivational interviewing in primary care settings. The study had a qualitative descriptive design. It was carried out in Swedish primary care settings in two county council districts, with 20 primary care nurses trained in motivational interviewing. Half of them used the method in their work, half did not. Qualitative semi-structured interviews were used. Data were analyzed using qualitative content analysis. The nurses experienced that openness to the approach and an encouraging working climate are required to overcome internal resistance and to increase use of motivational interviewing. They also experienced mutual benefit: motivational interviewing elicits and develops abilities in both nurses and patients. For the nurses using it, motivational interviewing is perceived to facilitate work with patients in need of lifestyle change. Lack of training/education, support, interest and appropriate work tasks/patients are reasons for not using motivational interviewing.

  • 1287.
    Östlund, Hanna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Blad, Linda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Fysisk aktivitets inverkan på individers mentala hälsa som depression och nedstämdhet vid ischemisk hjärtsjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One in five individuals with ischemic heart disease suffer from depressive disorders. Depression in individuals with ischemic heart disease leads to increased mortality. Previous research has shown that physical activity has an effect on people`s mental health in depression. Mortality in ischemic heart disease decreases and the need for cardiac rehabilitation increases.

    Aim: The purpose was to investigate the impact physical activity had on the mental health of individuals with ischemic heart disease, as well as describe the study groups of the included studies.

    Method: A descriptive literature study of 11 quantitative scientific articles. The articles were searched in the databases PubMed and Cinahl.

    Main results: Physical activity had a positive effect on depression and sedation in patients with ischemic heart disease. Only the physical exercise`s effect on depression was difficult to measure and prove, but research showed that improved fitness in many cases led to a reduction of depressive disorders. The effects of physical activity tended to differ between men and women. The number of participants in the studies was between 62-522 and more men than women participated. The majority of the studies had an average age of participants between 61-67.5 years.

    Conclusion: Physical activity improved the mental health of individuals with ischemic heart disease. It was difficult to prove that physical activity alone, was what affected mental health, because many aspects apart from physical activity, are part of a rehabilitation program. However, highlighting the importance of physical activity from more than one aspect should increase the conditions to motivate more people to participate in exercise-based cardiac rehabilitation. It will not only be a benefit to the patient but also a profit for the society.

  • 1288.
    Östlund, Ulrika
    et al.
    Care Sciences and Society, Karolinska Institutet, Sweden.
    Wennman-Larsen, Agneta
    Persson, Carina
    Gustavsson, Petter
    Wengström, Yvonne
    Mental health in significant others of patients dying from lung cancer2010In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 19, no 1, p. 29-37Article in journal (Refereed)
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