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  • 251.
    Boelskift, Mariette
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences.
    Omklädningsrummet och elevers deltagande på idrotten: enkä̈tstudie med elever och lärare2016Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Ett syfte med denna studie har varit att undersöka elever upplevelser i årskurs 6 samt några klasser i årskurs 7 och deras upplevelser i omklädningsrummen före och efter lektionen i ämnet idrott och hälsa. Mer specifikt undersöktes om det finns elever som känner sig kränkta, vad det är för kommentarer som hörs i omklädningsrummet och om eleverna har förslag till förbättringar. Det andra syftet är att undersöka vad lärare idag gör för att bidra till ett tryggare omklädningsrum och vad de kan förbättra under idrottslektionerna. Jämförelser gjordes om det finns någon skillnad mellan pojkar och flickor, mellan årskurs 6 och årskurs 7 samt mellan skolor i en och samma kommun.     Studien genomfördes med hjälp av en enkätundersökning som riktades till både elever och lärare. I studien deltog 223 elever varav 121 pojkar och 102 flickor från 11 klasser i årkurs 6 och tre klasser i årskurs 7, samtliga svarade på enkäten. Elevernas enkät innehöll 13 frågor med både slutna och öppna svarsalternativ medan lärarnas frågeformulär bestod av 10 frågor med enbart öppna svarsalternativ. Lärarna som deltog i studien var idrottslärare som arbetade med klasserna jag undersökte samt andra idrottslärare som arbetar på andra skolor. Detta gjordes för att få ett bredare resultat.  Resultatet visade att idrottslärarna arbetar mycket med att försöka skapa goda relationer till eleverna, variera utbudet på lektionerna för att skapa ett intresse hos eleverna, tydliga regler för att skapa trygghet, sprida glädje och god gemenskap för att få fler att vilja delta på lektionerna i idrott och hälsa.   Resultatet visade även att majoriteten av eleverna känner sig trygga och bekväma i omklädningsrummet. Flickorna känner sig mindre trygga och bekväma än pojkarna vilket även visar sig i att flickorna till större del vill ha chansen att duscha enskilt då flera nämner att de inte vill visa sig nakna med andra. Eleverna som deltagit i undersökningen är skonade från kränkningar om man bara ser till siffrorna, men kommentarerna från eleverna visar ett annat resultat. Resultatet skiljer sig något mellan de olika skolorna och skillnaden mellan årskurs 6 och 7 är främst att sjuorna är sämre på att duscha efter idrottslektionen på grund av att de inte känner sig bekväma i omklädningsrummet.   Slutsatsen är att det finns en hel del faktorer som gör att elever inte känner sig bekväma i samband med idrottslektionerna vilket leder till att de känner sig otrygga. Både lärare och elever har kommit med förslag som med relativt små medel kan förbättra upplevelserna i omklädningsrummet vilket med stor sannolikhet hade resulterat i att fler elever skulle duscha efter idrotten och öka elevers deltagande på lektionerna i idrott och hälsa.

  • 252.
    Bogren, Eleonore
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Dahl, Cecilia
    University of Gävle, Faculty of Health and Occupational Studies.
    Åtta personalchefers syn på friskvård2010Independent thesis Basic level (university diploma), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    ABSTRACT

    Bogren, E & Dahl, C. 2010.

    Åtta personalchefers syn på friskvård. C-uppsats i Folkhälsovetenskap 15 hp, Akademin för hälsa och arbetsliv. Högskolan Gävle.

    Purpose

    : The purpose of the study was to investigate staffmanagers opinions about keep- fit activities. To fulfill the purpose of the study following issues been used: What is keep- fit activities, Is staffmanagers opinions that keep- fit activities has effect? Is the staffmanager of the opinion that he/she can influence staffmembers to a better health?

    Method:

    Qualitative interviews has been complished with staffmanagers. The staffmanagers were active in two different districts. Keep- fit activities was the starting point for all interviews.

    Result:

    The result of the study showed that the informants have a major positive attitude to keep- fit activities. Keep- fit activities can be looked at in many different perspectives where working with keep- fit activities contains many different investments. Most part of the informants considerd that it was difficult to reach staffmembers who should need it the most and the staffmanagers role is important in staffmembers health. Most part of the informants could see connections between smaller notifications of illness and keep- fit activities. The informants think that the workingplace can be influenced by a person employed working with healthquestions. In spite of that neither there seemed to be interests or needs to employ somebody.

    Conclusion:

    The staffmanagers opinion to keep- fit activities is mostly positive, staffmanagers role is important, use keep- fit activities generates alertness and health. The result presents that keep- fit activities is of importance for staffmembers health but in how great extent the informants have different meanings about.

    Keywords:

    Health care, Health promotion, Staffmanager and Health

  • 253.
    Bohjort, Linda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vatic, Selma
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenheter av bedsiderapportering2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 254.
    Bohjort, Linda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vatic, Selma
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenheter av bedsiderapportering: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 255.
    Bohman, Mikael
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    Vårdnadshavarnas attityder till ämnet idrott och hälsa: -En kvalitativ undersökning2016Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna undersökning är att undersöka hur viktigt vårdnadshavarnas tycker att ämnet idrott och hälsa är. Frågeställningarna tar upp vårdnadshavarnas uppfattningar kring hur de själva och skolan kan påverka barnens insikt till hur viktig motion och idrott och hälsa är. Undersökningen baseras på sju kvalitativa intervjuer gjorda med vårdnadshavare till gymnasieelever på en gymnasieskola i södra Sverige.   

    Ämnet idrott och hälsa anses av vårdnadshavarna som ett av de viktigaste i Svenska skolan och placerar det på plats 1-6 av de 15 som finns. Ämnet har så stor betydelse enligt vårdnadshavarna att de trots att de anser att barnet själv ska packa idrottskläderna ändå ser till att rätt utrustning är med till dagens idrottslektion. Lika viktigt är det att vara med sina barn i fysiska aktiviteter såsom gårdsfotboll och landhockey.

    Att på fritiden delta i föreningsverksamhet anses som betydelsefullt av vårdnadshavarna.  Vårdnadshavarna anser att hemmet och skolan har ett gemensamt ansvar att väcka intresset hos eleven för idrott och hälsa. Alla vårdnadshavarna är samstämmiga kring att ämnet idrott och hälsa ska finnas kvar. Undersökningen visar också att det är viktigt att få med sig rätt utrustning och att eleverna får testa på olika aktiviteter för att se vad som passar dem. 

  • 256.
    Bolinder, Johan
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Wallenberg, Daniel
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Transkulturell omvårdnad – en litteraturstudie om sjuksköterskans upplevelse2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 257.
    Boman, Eva
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Psychology.
    Ballgren, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Psychology.
    Svedberg, Pia
    Karolinska Inst, CNS, Stockholm, Sweden.
    Is health related quality of life among school children associated with level of semantic memory?2010In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 19, p. 107-107, article id 194/1380Article in journal (Other academic)
  • 258.
    Bombardi, C.
    et al.
    Department of Veterinary Morphophysiology and Animal Productions, University of Bologna, Ozzano dell'Emilia, Italy.
    Grandis, A.
    Department of Veterinary Morphophysiology and Animal Productions, University of Bologna, Ozzano dell'Emilia, Italy.
    Chiocchetti, R.
    Department of Veterinary Morphophysiology and Animal Productions, University of Bologna, Ozzano dell'Emilia, Italy.
    Bortolami, R.
    Department of Veterinary Morphophysiology and Animal Productions, University of Bologna, Ozzano dell'Emilia, Italy.
    Johansson, Håkan
    University of Gävle, Centre for Musculoskeletal Research.
    Lucchi, M. L.
    Department of Veterinary Morphophysiology and Animal Productions, University of Bologna, Ozzano dell'Emilia, Italy.
    Immunohistochemical localization of alpha(1a)-adrenoreceptors in muscle spindles of rabbit masseter muscle2006In: Tissue & Cell, ISSN 0040-8166, E-ISSN 1532-3072, Vol. 38, no 2, p. 121-125Article in journal (Refereed)
    Abstract [en]

    The expression of alpha(1a)-adrenoreceptors (alpha(1a)-ARs) within the muscle spindles of rabbit masseter muscle was investigated. The alpha(1a)-ARs were detected by immunohistochemical fluorescent method and examined along the entire length of 109 cross serially sectioned spindles. The sympathetic fibers were visualized by the immunofluorescent labeling of the noradrenaline synthesizing enzymes tyrosine hydroxylase (TH) and dopamine beta-hydroxylase (DBH). In order to recognize the intrafusal muscle fiber types, antibodies for different myosin heavy chain isoforms (MyHCI) were used. TH and DBH immunolabeled nerve fibers have been observed within the capsule lamellar layers, in the periaxial fluid space and close to intrafusal muscle fibers. The alpha(1a)-ARs were detected on the smooth muscle cells of the blood vessels coursing in the muscle and in the capsule lamellar layers or within the periaxial fluid space of the spindles. Moreover, at the polar regions of a high percentage (88.1%) of muscle spindles a strong alpha(1a)-ARs immunoreactivity was present on the intrafusal muscle fibers. In double immunostained sections for alpha(1a)-ARs and MyHCI it was evidenced that both bag, and nuclear chain fibers express alpha(1a)-ARs. The receptors that we have detected by immunofluorescence may support a direct control by adrenergic fibers on muscle spindle.

  • 259.
    Bond, Lisa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Effekt av höj- och sänkbara skrivbord efter arbetstid: Påverkas fysisk aktivitet samt skattning av fysiska besvär efter arbetstid hos kontorsanställda som använt ett höj och sänkbart skrivbord2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Several studies show that sedentary is harmful to humans. Despite this, the degree of sedentary increases and 75% of the total time of sedentary is at the workplace. A common way to reduce sedentary is to introduce sit-stand workstations. Studies show that this gives good effects during working hours but few have studied what those providing for effects after working hours. Objective: Study office workers to see if there is a difference in the frequency and duration of physical activity and estimation of physical problems after a working day if they were sedentary or varied its working position by using a sit-stand workstation.

    Method: 20 office workers measured the frequency and duration of physical activity and estimated physical problems through a diary and a questionnaire after work.

    Results: No significant differences were detected.

    Conclusions: It is not possible to draw any general conclusions from this study as the sample is small and measurement methods are only subjective. More studies are needed where you look at what happens after working hours in the future to ensure the pros and cons of sit-stand worskstations.

  • 260.
    Borg, Tomas
    et al.
    Uppsala University, Uppsala, Sweden.
    Carlsson, Marianne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Larsson, Sune
    Uppsala University, Uppsala, Sweden.
    Questionnaire to assess treatment outcomes of acetabular fractures2012In: Journal of Orthopaedic Surgery, ISSN 1022-5536, E-ISSN 2309-4990, Vol. 20, no 1, p. 55-60Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 261.
    Borgqvist, Anna
    et al.
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences, Educational science.
    Lövgren, Emma
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences, Educational science.
    Fysisk aktivitet på fritidshemmet: En studie om 51 verksamma lärares syn angående fysisk aktivitet på fritidshemmet samt deras samarbete med lokala idrottsföreningar.2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie handlar om hur fritidshemmet arbetar för att främja barns fysiska aktivitet. Syftet var att ta reda på hur fritidshemmet arbetar i sitt dagliga arbete för att främja fysisk aktivitet samt vad fritidspedagoger har för tankar angående ett samarbete med föreningslivet. För att få svar på undersökningens frågeställningar användes en semistrukturerad enkät som besvarades av verksamma fritidspedagoger. Resultatet visar att fritidshemmen använder utelek för att uppnå daglig fysisk aktivitet. I studien framgår det också att de flesta respondenterna menar att idrottshallen kommer till användning för att ge barnen möjlighet till att röra på sig. Resultatet visar även att fritidspedagoger tror att ett samarbete mellan fritidshem och föreningslivet kan leda till att barnen får ett mer hälsosamt liv. En viktig aspekt för att ett samarbete ska kunna ske mellan parterna är att de båda har en enad syn angående syftet till samarbetet. 

  • 262.
    Bornedal, Kristina
    University of Gävle, Faculty of Education and Business Studies, Department of Culture Studies, Religious Studies and Educational Sciences.
    Individers uppfattningar av motivation till en viktnedgång samt det sociala stödets inverkan: en fenomenografisk studie2011Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I dagens samhälle är hälften av alla män överviktiga, drygt en tredjedel av alla kvinnor och vart femte barn är överviktiga eller feta (Svenska livsmedelsverket, 2010). Med detta i åtanke väcktes tanken angående hur överviktiga individer motiveras i en process av viktnedgång. Syftet med studien var att undersöka uppfattningar av motivation hos överviktiga individer som genomgår en viktminskningsprocess. Vidare var även syftet att undersöka hur dessa individer påverkas av att genomgå en viktminskningsprocess i grupp. Detta är en fenomenografisk studie där intervjuer har genomförts med tre individer som är i en pågående viktminskningsprocess hos ett viktminskningsföretag. Efter en bearbetning av det empiriska materialet kunde tre beskrivningskategorier utläsas, att komma igång, att nå framsteg samt att blicka framåt. Resultatet visade på många skillnader, men också likheter i individernas uppfattningar av motivation. Slutsatsen blev att respondenterna fann motivation i form av ett stort stöd hos gruppen på viktminskningsföretag, vilket var viktigt för dem i deras viktminskningsprocess, samt att en snabb start i början av processen ökar motivationen för den resterande resan

  • 263.
    Bos, Elisabeth
    et al.
    Centre for Family and Community Medicine, Department of Neurobiology, Care Sciences and Society, Huddinge, Sweden.
    Löfmark, Anna
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Törnkvist, Lena
    Centre for Family and Community Medicine, Department of Neurobiology, Care Sciences and Society, Huddinge, Sweden.
    District nurses' experience of supervising nursing students in primary health care: A pre- and post-implementation questionnaire study2009In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 9, no 6, p. 361-366Article in journal (Refereed)
    Abstract [en]

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

  • 264.
    Bosch, Tim
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    De Looze, Michiel
    TNO Work & Employment.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Lyskov, Eugene
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Visser, Bart
    Faculty of Human Movement Sciences, VU Amsterdam.
    van Dieën, Jaap
    Faculty of Human Movement Sciences, VU Amsterdam.
    Fatigue, timing strategy and performance during prolonged repetitive work with interposed breaks2012Conference paper (Refereed)
  • 265.
    Bosch, Tim
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    De Looze, Michiel
    TNO, Work& Employment, the Netherlands.
    Lyskov, Eugene
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Visser, Bart
    Amsterdam School of Health Professions, the Netherlands.
    van Dieën, Jaap
    VU Amsterdam, Faculty of Human Movement Sciences, the Netherlands.
    Temporal strategy and performance during a fatiguing short-cycle repetitive task2012In: Ergonomics, ISSN 0014-0139, E-ISSN 1366-5847, Vol. 55, p. 863-873Article in journal (Refereed)
    Abstract [en]

    This study investigated temporal changes in movement strategy and performance during fatiguing short-cycle work. Eighteen participants performed six 7-minutes work blocks with repetitive reaching movements at 0.5 Hz, each followed by a 5.5-minute rest break for a total duration of one hour. Electromyography (EMG) was collected continuously from the upper trapezius muscle, the temporal movement strategy and timing errors were obtained on a cycle-to-cycle basis, and perceived fatigue was rated before and after each work block. Clear signs of fatigue according to subjective ratings and EMG manifestations developed within each work block, as well as during the entire hour. For most participants, timing errors gradually increased, as did the waiting time at the near target. Changes in temporal movement strategy were negatively correlated with changes in the level and variability of EMG, suggesting that an adaptive temporal strategy offset the development of unstable motor solutions in this fatiguing, short-cycle work

  • 266.
    Boström, Jonathan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vilken beredskap har Gästriklands idrottsföreningar inför utmaningarna som skapas av förändringar i samhället?: Ändrade spelregler för idrottsföreningarna2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ändamålet med studien var att kartlägga vilken beredskap Gästriklands idrottsföreningar har inför de utmaningar som skapas av förändringar i samhället, studien fokuserade på samhällsförändringarna kommersialisering och demografiska förändringar då dessa bland annat ser ut att hota det ideella engagemanget och föreningarnas möjlighet att få ekonomiskt stöd från samhället. Detta undersöktes genom en webbaserad enkätstudie och målpopulationen för studien var Gästriklands idrottsföreningar. Enkäten skickades ut till 232 stycken och 55 svar inkom vilket ger en svarsfrekvens på 23% och ett bortfall på 75%, frågorna i enkäten var skapta för att belysa styrkor, svagheter, hot och möjligheter. Det finns vissa mönster som tyder på att det finns en relation mellan demografiska förändringarna, kommersialisering och föreningarnas upplevda styrkor, svagheter, hot och möjligheter. Resultatet visar också att det finns skillnader mellan föreningar i mindre och större kommuner vad gällande bland annat den upplevda mängden av ideella ledare samt barn och ungdomar. Sammantaget finns det en brist på ideella ledare i Gästrikland samt att det finns en rädsla för ett ekonomiskt minskat stöd från kommunerna, det går dock inte att säga att kommersialiseringen eller demografiska förändringar är den direkta orsaken till detta. 

  • 267.
    Boutzas, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Hälsokontroller och beteendeförändring hos byggarbetare: en intervjustudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The incidence of illness among construction workers is higher than average in other industries, because of accidents and other conditions at work. One of the most important resources to prevent injury and maintain health in the workplace, is the occupational health care. The aim of this qualitative study was to describe the construction workers experiences of their occupational health and work environment and about whether occupational health check-ups have had any significance for their behavior change.

    Five male construction workers who had underwent a health check and after that performed a behavior change, was recruited via an occupational care center. Data was collected by face to face and telefon interviews, that were subsequently transcribed and analysed by thematic analyse. The tematic analyse resulted in four main themes: "enabling factors for good health of the construction workers professional”, ”restricted factors to the good health of the construction worker's occupation", "benefits of occupational health promotion" and "concrete results of occupational health check-ups".

     

    The construction workers experienced their occupational health and work environment as both positive and negative. The positive about work was the social contact with colleagues and employers, the negative was that the work environment contributed to poor health due musculoskeletal of injury and stress. Health check-ups contributed to behavior change and pontential prevention of diseases among construction workers.

     

    The health check-ups was considered as being meaningful and enabled a change in behavior after understanding that they must change their lifestyle to avoid disease. Further research is needed on how to improve construction workers occupational health through occupational health services.

  • 268.
    Brand, Linn
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Pettersson, Magdalena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personers erfarenhet och livskvalitet av att leva med ALS: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

  • 269.
    Brander Lund, Alexandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hur upplever tonåringar och unga vuxna med ätsörningar att livskvaliteten påverkas?: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 270.
    Brandt, S. Anders
    University of Gävle, Department of Technology and Built Environment, Ämnesavdelningen för samhällsbyggnad.
    Föreläsningar - övningar - eller?: en jämförande studie av undervisningsmetoder inom gevärsskytte och geografiska informationssystem2004In: Kunskap och lärande i den högre utbildningen: lärarreflektioner från praktiken / [ed] Sara Dahlström och Göran Fransson, Gävle: Pedagogiska rådet, Högskolan i Gävle , 2004, p. 19-38Chapter in book (Other academic)
  • 271. Brattberg, Charlotta
    et al.
    Lennernäs, Maria
    National Institute of Public Health.
    Socialtjänstens roll i det förebyggande folkhälsoarbetet1997Report (Other academic)
  • 272.
    Brehlin, Magnus
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Brun, Jimmie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Förekomst och uppkomst av skador inom CrossFit: Hur ofta, var och i vilka moment skadar sig svenska avancerade utövare?2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet är att analysera skador, dess förekomst och uppkomst, bland svenska avancerade CrossFit-utövare. Frågeställningar är hur många skador inträffar och hur ofta skadar sig svenska avancerade CrossFit-utövare? Var är de eventuella skadorna lokaliserade? I vilka moment uppstår de eventuella skadorna?Metod som användes var ett frågeformulär om träningsrutiner och eventuella skador under tolv månaderna. Enkäten distribuerades via de sociala medierna Facebook och Instagram till individerna som placerade sig inom topp fem procent på den svenska Open-rankingen 2017. Data samlades in mellan 29 mars och 16 april 2018. Totalt uppfyllde 231 personer inklusionskriterierna och enkäten skickades till 217 av dessa. Av de 217 deltagarna svarade 130 på enkäten. Deskriptiva statistiska analystekniker i SPSS användes för att beskriva förekomst och uppkomst av skador.Resultatet visar att av samtliga respondenter har 85 (65,4 %) skadat sig vid minst ett tillfälle inom tolv månader. Skadeincidensen bland deltagarna beräknades till 1,7 skador per 1000 timmar av CrossFit-utövande. De vanligaste lokalisationerna för skada var i axel (n = 31, 22 %), ländrygg (n = 25, 18 %) och knä (n = 23, 17 %). De flesta av skadorna inträffade under momentet tyngdlyftning (n = 38, 23,7 %), gymnastik med redskap (n = 31, 19,3 %) följt av styrkelyft och övrig styrketräning på vardera 10 % (n = 16).Slutsatsen är att CrossFit inte har en högre skaderisk än många andra populära sporter. Avancerade CrossFit-utövare verkar skada sig i lägre utsträckning än övriga nivåer av CrossFit-utövare. Längre tid med utövande av CrossFit verkar minska skaderisken. Skador sker oftast i axlar, ländrygg och knän under momenten tyngdlyftning och gymnastik med redskap. Resultaten kan ge värdefull information för skadeförebyggande arbete inom CrossFit genom att förmedla kunskap om vilka kroppsdelar som oftast skadas och under vilka moment.

  • 273.
    Brenne, Tor S.
    et al.
    Fakultet for sykepleie og helsevitenskap - Nord universitet.
    Enmarker, Ingela
    Fakultet for sykepleie og helsevitenskap - Nord universitet.
    Valderaune, Victor
    Fakultet for sykepleie og helsevitenskap - Nord universitet.
    Etterutdanningsnettverket i Namdal: visjon og virkelighet2009Report (Other academic)
    Abstract [en]

    Etter 10 år som et forsøk/prosjekt har EiNa endelig fått sin permanente organisering gjennom en partnerskapsavtale. EiNa-partnerskapet har nå medlemmer som dekker det meste av helseog sosialtjenestene i Namdalen. I tillegg er også oppvekstsektorens ansatte tatt inn i målgruppen for EiNas aktivitet. Denne rapporten er del 2 i det evalueringsprosjektet som styret i EiNa initierte i 2009 og som ble gjennomført av Høgskolen i Nord-Trøndelag. Del 1 presenterte virksomheten gjennom 10 år dels som en historiefortelling, dels med dokumentasjon av prosess og avtaler som EiNa er bygd opp omkring og dels gjennom å presentere aktiviteten i oversikter og i statistikk. Denne rapporten tar for seg resultatene av en brukerundersøkelse som ble gjennomført våren 2009.

  • 274.
    Brever, Andrea
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Akide, Cynthia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelser och erfarenheter av att arbeta med patienter med diagnosen schizofreni2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     Background:

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

     Aim:

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

     Method:

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

     Main Results:

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

     Discussion:

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

     Conclusion:

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

  • 275.
    Bring, Annika
    et al.
    Department of Neuroscience, Physiotherapy, Uppsala University, Uppsala, Sweden.
    Bring, Johan
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Electronics, Mathematics and Natural Sciences, Statistics.
    Söderlund, Anne
    Department of Neuroscience, Physiotherapy, Uppsala University, Uppsala, Sweden, and School of Health, Care and Social Welfare, Physiotherapy, Mälardalen University, Västerås, Sweden.
    Wasteson, Elisabet
    Division of Psychology, Department of Social Sciences, Mid Sweden University, Östersund , Sweden.
    Åsenlöf, Pernilla
    Department of Neuroscience, Physiotherapy, Uppsala University, Uppsala, Sweden.
    Coping Patterns and Their Relation to Daily Activity, Worries, Depressed Mood, and Pain Intensity in Acute Whiplash-Associated Disorders2013In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 20, no 2, p. 293-303Article in journal (Refereed)
    Abstract [en]

    BACKGROUND

    There is a lack of knowledge regarding how individuals with acute whiplash-associated disorders (WAD) appraise and cope with situation-specific stressors.

    PURPOSE

    The aim of the study was to describe the daily process of coping reported in a daily coping assessment by individuals with acute WAD within 1 month after the accident. More specifically, profiles of coping strategies were identified and patterns between stressors, primary and secondary appraisals, and coping strategy profiles were described in relation to reported level of activity, worries, depressed mood and pain intensity during the day.

    METHOD

    A descriptive and exploratory design was applied. Two hundred and twenty-nine whiplash-associated disorders-daily coping assessment (WAD-DCA) collected during seven consecutive days from 51 participants with acute WAD in Sweden, were included. Cluster analysis was used to obtain coping strategy profiles and data were graphically visualised as patterns through the coping process.

    RESULTS

    When measuring coping as a daily process relating to the specific stressful situation, different coping pocess patterns appeared. During days with a high degree of physical and mental well-being, high self-efficacy beliefs seemed to be working as an important secondary appraisal, whereas during days with a low degree of physical and mental well-being primary appraisals of the stressor as a threat and catastrophic thoughts were present in the coping process.

    CONCLUSIONS

    Early identification of situational- and individual-specific stressors, appraisals and coping efforts as measured by the WAD-DCA may contribute to the understanding of the coping process in the acute stage of WAD and its possible impact on recovery and adjustment.

  • 276.
    Broberg, Berit
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Noren, Linnéa
    University of Gävle, Department of Caring Sciences and Sociology.
    Näringstillförsel för äldre personer med demenssjukdom,2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

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

  • 277.
    Broberg, Sofia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Kan någon stoppa oss om vi börjar rulla fram?: Föreställningar som vårdpersonal har om orsaken till övervikt och fetma bland barn och ungdomar upp till 18 år.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Objective: The purpose of this study was to identify the contributing factors for overweight and obesity among children and adolescents based on a treating person perspective. A secondary purpose of this work was to describe the course of events if or when children and adolescents suffer from overweight and obesity are emitted to treatment, and what type of efforts that are deployed

     

    Method: The study utilized a qualitative method. Six interviews were conducted with clinicians who had expertise in treating child and adolescent obesity. The data collection method consisted of semi-structured interviews.

     

    Result: All respondents agreed that treatment of child and adolescent obesity needed to be individualized and adjusted to the child or young person's needs and abilities. The most influencing factors to the obesity problem were deemed to be the heritage and the environment. Half of the respondents feel that it was appropriate for some improvements in treatment, but these may not be implemented in the absence of resources. In order to solve the obesity problem, several efforts must be deployed at different levels in society.

     

    Conclusion: Overweight and obesity among children and adolescents represents a complex public health problem. It is important to prevent and treat obesity among children before its transition to adult obesity when it is more difficult to treat.

  • 278.
    Broda, Anja
    et al.
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Bieber, Anja
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Meyer, Gabriele
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Hopper, Louise
    Dublin City University, School of Nursing and Human Sciences, Dublin, Ireland.
    Joyce, Rachael
    Dublin City University, School of Nursing and Human Sciences, Dublin, Ireland.
    Irving, Kate
    Dublin City University, School of Nursing and Human Sciences, Dublin, Ireland.
    Zanetti, Orazio
    IRCCS S. Giovanni di Dio "Fatebenefratelli", Brescia, Italy.
    Portolani, Elisa
    IRCCS S. Giovanni di Dio "Fatebenefratelli", Brescia, Italy.
    Kerpershoek, Liselot
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Verhey, Frans
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    de Vugt, Marjolein
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Wolfs, Claire
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Eriksen, Siren
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Oslo, Norway.
    Røsvik, Janne
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Oslo, Norway; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
    Marques, Maria J.
    CEDOC, Chronic Diseases Research Center, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Gonçalves-Pereira, Manuel
    CEDOC, Chronic Diseases Research Center, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Sjölund, Britt-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Aging Research Center (ARC), Karolinska Institutet and Stockholm University, Stockholm, Sweden.
    Woods, Bob
    Bangor University, Dementia Services Development Centre, Bangor, UK.
    Jelley, Hannah
    Bangor University, Dementia Services Development Centre, Bangor, UK.
    Orrell, Martin
    Nottingham University, Institute of Mental Health, Nottingham, UK.
    Stephan, Astrid
    Martin Luther University Halle-Wittenberg, Institute of Health and Nursing Sciences, Halle (Saale), Germany.
    Perspectives of policy and political decision makers on access to formal dementia care: expert interviews in eight European countries2017In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 17, no 1, article id 518Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 279.
    Brodin, Lisa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Bengin Uslan, Yekta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Äldres uplevelser av depression: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

  • 280.
    Broeng, Kevin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Undernäring på äldreboenden: En kvalitativ studie om hur nutritionsansvariga arbetar för att förebygga undernäring hos patienter på äldreboenden2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Broeng, K. (2015). Malnutrition in the elderly care. A qualitative study about how nutrition managers works preventively against malnutrition with patients in the elderly care. Bachelor thesis in Public Health science. Department of work- and public health science. The academy of health and working life. University of Gävle, Sweden  The aim of the thesis was to describe how nutrition managers in the elderly care works preventively against malnutrition and also to describe the barriers that the nutrition managers considers to be common in the work with preventing malnutrition. Qualitative method with individual semistructured interviews was used and later on, the material was analyzed by a thematic analysis. Four people in the charge for elderlys nutrition in the elderly care was interviewed. The results found that nutrition managers in the elderly care, among other things, works preventively against malnutrition for the elderly by making estimations if the elderly are at risk of malnutrition. The results also found that meals for the elderly are in some cases planned by recommendations by the Swedish National Board of Health and Welfare and the Swedish National Food Administration (NFA) and also some activities around meals that was planned were based on NFAs recommendations for prevention of malnutrition. Another thing the results found was that a big part of the nutrition managers working with prevention of malnutrition was to teach and motivate the other staff in the elderly care to work preventively against malnutrition, because the nutrition managers perceived that the staff did not have enough motivation and knowledge about the subject.  

  • 281.
    Broman, Marinah
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Nyberg, Sandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Patienters upplevelser i samband med rehabilitering efter stroke: En beskrivande litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 282.
    Broman, Monica
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Eklöv, Margareta
    University of Gävle, Department of Caring Sciences and Sociology.
    Läkemedelsöverföring vid byte av vårdform. Litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
  • 283.
    Brorsson, Oskar
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Electronics, Mathematics and Natural Sciences.
    Idrott, positiv eller negativ inverkan på mobbning: En studie från Nicaragua som behandlar föreningsidrottens påverkan på den aktives attityd till mobbning2012Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
  • 284.
    Brungs, Jenny
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Granevåg, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    BVC-sjuksköterskors reflektioner kring sitt arbete med övervikt och fetma hos barn mellan 2 och 5 år inom primärvården2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

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

  • 285.
    Brändholm, Jonas
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Electronics, Mathematics and Natural Sciences.
    En kvalitativ intervjustudie om bedömningskonstens resa inom idrott och hälsa2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 286.
    Brännström, Margareta
    et al.
    Strategic Research Program in Health Care Sciences (SFO-V), Karolinska Institutet, and Department of Nursing, Umeå University, Umeå, Sweden.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Ivarsson, Bodil
    Department of Cardiothoracic Surgery, Lund University and Skåne University Hospital, Lund, Sweden.
    Nilsson, Ulrica
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Svedberg, Petra
    School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
    Thylén, Ingela
    Division of Nursing Sciences, Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, and Department of Cardiology UHL, County Council of Östergötland, Linköping, Sweden.
    Sexual knowledge in patients with a myocardial infarction and their partners2014In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 29, no 4, p. 332-339Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

  • 287.
    Burmeister, Fredrik
    University of Gävle, Faculty of Health and Occupational Studies.
    Perceptions of physical activity among ethnic minority women in Sweden.2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 288.
    Burström, Bo
    et al.
    Centre of Health Equity Studies, Stockholm University/Karolinska Institutet, Sweden.
    Macassa, Gloria
    Centre of Health Equity Studies, Stockholm University/Karolinska Institutet, Sweden.
    Öberg, Lisa
    Centre of Health Equity Studies, Stockholm University/Karolinska Institutet, Sweden.
    Bernhardt, Eva
    Centre of Health Equity Studies, Stockholm University/Karolinska Institutet, Sweden.
    Smedman, Lars
    Centre of Health Equity Studies, Stockholm University/Karolinska Institutet, Sweden.
    Equitable Child Health Interventions: The Impact of Improved Water and Sanitation on Inequalities in Child Mortality in Stockholm, 1878 to 19252005In: American Journal of Public Health, ISSN 0090-0036, E-ISSN 1541-0048, Vol. 95, no 2, p. 208-216Article in journal (Refereed)
    Abstract [en]

    Today, many of the 10 million childhood deaths each year are caused by diseases of poverty—diarrhea and pneumonia, for example, which were previously major causes of childhood death in many European countries. Specific analyses of the historical decline of child mortality may shed light on the potential equity impact of interventions to reduce child mortality.

    In our study of the impact of improved water and sanitation in Stockholm from 1878 to 1925, we examined the decline in overall and diarrhea mortality among children, both in general and by socioeconomic group. We report a decline in overall mortality and of diarrhea mortality and a leveling out of socioeconomic differences in child mortality due to diarrheal diseases, but not of overall mortality. The contribution of general and targeted policies is discussed.

     

  • 289.
    Burström, Lage
    et al.
    Occupational and Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; Department of Work and the Physical Environment, National Institute for Working Life, Umeå, Sweden.
    Lundström, Ronnie
    Occupational and Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; Department of Biomedical Engineering and Informatics, University Hospital of Northern Sweden, Umeå, Sweden.
    Sjödin, Fredrik
    Department of Work and the Physical Environment, National Institute for Working Life, Umeå, Sweden.
    Lindmark, Asta
    Department of Work and the Physical Environment, National Institute for Working Life, Umeå, Sweden.
    Lindkvist, Markus
    Department of Biomedical Engineering and Informatics, University Hospital of Northern Sweden, Umeå, Sweden.
    Hagberg, Mats
    Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Nilsson, Thor
    Occupational and Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; Department of Occupational and Environmental Medicine, Sundsvall Hospital, Sundsvall, Sweden.
    Acute effects of vibration on thermal perception thresholds2008In: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 81, no 5, p. 603-611Article in journal (Refereed)
    Abstract [en]

    Objective This study focuses on the acute effects of vibration and how vibrations influence the measures of the thermal perception thresholds during different vibration magnitudes, frequencies, and durations.

    Methods The fingers of ten healthy subjects, five males and five females, were exposed to vibration under 16 conditions with a combination of different frequency, intensity and exposure time. The vibration frequency was 31.5 and 125 Hz and exposure lasted between 2 and 16 min. The energy-equivalent frequency weighted acceleration, according to ISO 5349-1, for the experimental time of 16 min was 2.5 or 5.0 m/s(2) (r.m.s.), corresponding to a 8-h equivalent acceleration, A(8) of 0.46 and 0.92 m/s(2), respectively. A measure of the thermal perception of cold and warmth was conducted before the different exposures to vibration. Immediately after the vibration exposure the acute effect was measured continuously on the exposed index finger for the first 75 s, followed by 30 s of measures at every minute for a maximum of 10 min. If the subject's thermal thresholds had not recovered, the measures continued for a maximum of 30 min with measurements taken every 5 min.

    Results For all experimental conditions and 30 s after exposure, the mean changes of the thresholds compared with the pre-test were found to be 0.05 and -0.67C for the warmth and cold thresholds, respectively. The effect of the vibration exposure was only significant on the cold threshold and only for the first minute after exposure when the threshold was decreased. The warmth threshold was not significantly affected at all. The frequency and the exposure time of the vibration stimuli had no significant influence on the perception thresholds for the sensation of cold or warmth. Increased equivalent frequency weighted acceleration resulted in a significant decrease of the subjects' cold threshold, not the warmth. The thresholds were unaffected when changes in the vibration magnitude were expressed as the frequency weighted acceleration or the unweighted acceleration.

    Conclusion When testing for the thermotactile thresholds, exposure to vibration on the day of a test might influence the results. Until further knowledge is obtained the previous praxis of 2 h avoidance of vibration exposure before assessment is recommended.

  • 290.
    Burström, Lage
    et al.
    Occupational and Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; Department of Work and the Physical Environment, National Institute for Working Life, Umeå, Sweden.
    Lundström, Ronnie
    Occupational and Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; Department of Biomedical Engineering and Informatics, University Hospital of Northern Sweden, Umeå, Sweden.
    Sjödin, Fredrik
    Department of Work and the Physical Environment, National Institute for Working Life, Umeå, Sweden.
    Lindmark, Asta
    Department of Work and the Physical Environment, National Institute for Working Life, Umeå, Sweden.
    Lindkvist, Markus
    Department of Biomedical Engineering and Informatics, University Hospital of Northern Sweden, Umeå, Sweden.
    Hagberg, Mats
    Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Nilsson, Thor
    Occupational and Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; Department of Occupational and Environmental Medicine, Sundsvall Hospital, Sundsvall, Sweden.
    Acute effects of vibration on thermal perception thresholds2006In: Diagnosis of injuries caused by hand-transmitted vibration - 2nd International workshop, Göteborg, 2006, 2006Conference paper (Refereed)
    Abstract [en]

    Objective This study focuses on the acute effects of vibration and how vibrations influence the measures of the thermal perception thresholds during different vibration magnitudes, frequencies, and durations.

    Methods The fingers of ten healthy subjects, five males and five females, were exposed to vibration under 16 conditions with a combination of different frequency, intensity and exposure time. The vibration frequency was 31.5 and 125 Hz and exposure lasted between 2 and 16 min. The energy-equivalent frequency weighted acceleration, according to ISO 5349-1, for the experimental time of 16 min was 2.5 or 5.0 m/s(2) (r.m.s.), corresponding to a 8-h equivalent acceleration, A(8) of 0.46 and 0.92 m/s(2), respectively. A measure of the thermal perception of cold and warmth was conducted before the different exposures to vibration. Immediately after the vibration exposure the acute effect was measured continuously on the exposed index finger for the first 75 s, followed by 30 s of measures at every minute for a maximum of 10 min. If the subject's thermal thresholds had not recovered, the measures continued for a maximum of 30 min with measurements taken every 5 min.

    Results For all experimental conditions and 30 s after exposure, the mean changes of the thresholds compared with the pre-test were found to be 0.05 and -0.67C for the warmth and cold thresholds, respectively. The effect of the vibration exposure was only significant on the cold threshold and only for the first minute after exposure when the threshold was decreased. The warmth threshold was not significantly affected at all. The frequency and the exposure time of the vibration stimuli had no significant influence on the perception thresholds for the sensation of cold or warmth. Increased equivalent frequency weighted acceleration resulted in a significant decrease of the subjects' cold threshold, not the warmth. The thresholds were unaffected when changes in the vibration magnitude were expressed as the frequency weighted acceleration or the unweighted acceleration.

    Conclusion When testing for the thermotactile thresholds, exposure to vibration on the day of a test might influence the results. Until further knowledge is obtained the previous praxis of 2 h avoidance of vibration exposure before assessment is recommended.

  • 291.
    Byström, Ann
    University of Gävle, Department of Education and Psychology, Ämnesavdelningen för folkhälsovetenskap.
    Attityder och kunskaper kring hållbara matvanor2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The Purpose of this study was to examine what knowledge and which attitudes there are about environmental friendly food in the society. To do so an essay were constructed and distributed to five different working places. Altogether there were 50 essays distributed and 43 were returned. The main result; the respondents think that it is important for people to learn how to consume food in a more environmentally friendly way. The majority of the respondents recognized the eco-label KRAV but the European eco-label and Demeter were not recognized in a less extent. Few of the respondents knew what GMO stands for. Over half of the respondents thought that it is pretty important/important or very important to buy ecological food but only one third of them said that they commonly/always buy ecologic food. Slightly more than one third was shore that they could contribute to an environmental friendly development by consuming ecological food. Conclusion: the respondents know too little about what the eco-labels stands for. Far from everyone is convinced that it actually is environmental friendly to buy environmental friendly food.

  • 292.
    Byström, Marianne
    et al.
    Department of Work and the Physical Environment, National Institute for Working Life.
    Landström, Ulf
    Statshälsan/Prevab, Department of Work and the Physical Environment, National Institute for Working Life.
    Lennernäs, Maria
    Swedish Dairy Association.
    Kännedom, attityd och levnadsmönster bland högskolestuderande angående kost, motion och trötthet2003Report (Other academic)
  • 293.
    Byström, Marianne
    et al.
    Department of Work and the Physical Environment, National Institute for Working Life.
    Neely, Gregory
    Umeå university, National Institute for Working Life.
    Landström, Ulf
    Statshälsan/Prevab, National Institute for Working Life, Umeå.
    Lennernäs, Maria
    Swedish Dairy Association.
    Måltidens inverkan på vakenhet och prestation2002Report (Other academic)
  • 294.
    Bäccman, Evelina
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Eklund, Marie-Louise
    University of Gävle, Department of Caring Sciences and Sociology.
    Tio smutsiga fingrar: en observationsstudie om följsamheten till hygienrutiner på en infektionsavdelning som vårdar patienter med ESBL2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Resistant bacteria are an increasingly large problem within the Swedish health care system. Extended spectrum ß-lactamases (ESBL) are bacteria that produce enzymes capable of breaking down antibiotics, a characteristic which renders them resistant to antibiotics. One of the main causes for the spreading of resistant bacteria is low compliance to hand hygiene procedures.

    The aim of this study was to examine how the health care workers of an infectious disease ward apply the hygiene guidelines that have been established for health care staff. Data was collected through observations in an infectious disease ward in Central Sweden. The results showed that compliance towards hand hygiene procedures was less than 50% within the two staff groups compared. It also showed good compliance to the guidelines for glove use when caring for patients not carrying ESBL, but less compliance when caring for patients with the infection. The difference was statistically significant, i.e. health care staff used gloves more often when caring for patients not carrying ESBL than they did with patients who were carriers. The results showed that that almost 50% of the observed health care workers did not use hand disinfection before contact with patients, whether these were ESBL carriers or not. This indicates that compliance to hand hygiene procedures is not as good as one could hope for.

  • 295.
    Bäck, Max
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hur påverkar valet mellan greppsula och glidsula sopningen i curling2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Curling is unique in the way that you can affect the path of the curling rock after it´s been released. Depending on the amount of force (Kg) and frequency (strokes/min) of the sweeping motion it affects the path differently. The purpose of this study is to exam if curling players sweeping with gripper on are better regarding sustaining their force and frequency sweeping multiple stones compared to curling players sweeping with sliders on. The report is an experimental study with two groups. The selection consisted of 17 men, aged 16-23 years, regularly playing in one of the two top leagues in Sweden. The participants swept three stones in a row during 15 seconds with 50 seconds rest in between the stones. Equipment used during the collection of data were the (Broom-mate), heartrate monitor (Pm25, Beurer: Germany) and (Borg-RPE-scale). The results from the report suggest that there´s no significant difference between sweeping with gripper or slider on, regarding the ability to apply and sustain their force and frequency during three rounds of sweeping. 

  • 296.
    Bäckström, Matilda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jonsson, Sandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Attityder till patienter med beroendesjukdom - patienternas och vårdpersonalens upplevelser: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden it is estimated that there are about 300 000 people living with alcohol addiction today and approximately 700 000 people with harmful use of alcohol, and an estimated 55 000 with drugaddiction. Healthcare staff will meet this large group of patients everywhere.

    Aim: Describing health care professionals attitudes toward patients with addictive disorders and patients experience of the health care professionals attitudes. The aim was also to describe an outline of the selected articles of this group.

    Method: Literature study came from descriptive design consisting of 11 scientific articles. Article search by database Medline thrue PubMed and PsycINFO.

    Main results: The results showed that professional staff statedthey believe patients with addictive disorders self-inflicted their illness and therefore did not deserve any help. It also showed that patients experienced discrimination, abuse, negative attitudes and discrimination in the health care system. According to patient experience this caused many from seeking further treatement.

    Conclusions: Patients with addictive disorders were often met with negative attitudes and discrimination from health care professionals. This negative experience resulted in that many patients refrained from seeking treatemtent. It is therefore important that health care professionals receive professional training and education in addictive disorders in order to view every patient as a separate individual in order to reduce any discriminatory behaviour.

  • 297.
    Bäremo, Isabelle
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Strandman, Diana
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Föräldrars erfarenheter att leva med barn som har ADHD och mötet med sjukvården: en litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 298.
    Bååth, Carina
    et al.
    Faculty of Health, Sciences and Technology, Department of Health Sciences, Karlstad University, Karlstad, Sweden; County Council of Värmland, Karlstad, Sweden .
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Gunningberg, Lena
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Surgery and Oncology Division, Uppsala University Hospital, Uppsala, Sweden .
    Muntlin Athlin, Åsa
    Uppsala University, Uppsala, Sweden; Uppsala University Hospital, Uppsala, Sweden; University of Adelaide, Adelaide, Australia; .
    Prevention of heel pressure ulcers among older patients - from ambulance care to hospital discharge: a multi-centre randomized controlled trial2016In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 30, p. 170-175Article in journal (Refereed)
    Abstract [en]

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

  • 299.
    Bååth, Carina
    et al.
    Karlstad Universitet.
    Mårtensson, Gunilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Mamhidir, Anna Greta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Florin, Jan
    Högskolan i Dalarna.
    Muntlin-Athlin, Åsa
    Uppsala Universitet.
    Gunningberg, Lena
    Uppsala Universitet.
    Pressure ulcer prevention – is nursing knowledge appropriate or not?: A descriptive multi-center study in Sweden2013In: Proceedings of the 16th Annual European Pressure Ulcer Meeting, Vienna Austria, 2013Conference paper (Refereed)
  • 300.
    Cai, Yaxiu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Lishui University, China.
    Wang, Wei
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Lishui University, China.
    Quality of life among residents in nursing homes: A questionnaire study2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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