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  • 301.
    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.

  • 302.
    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.

  • 303.
    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)
  • 304. Brattberg, Charlotta
    et al.
    Lennernäs, Maria
    National Institute of Public Health.
    Socialtjänstens roll i det förebyggande folkhälsoarbetet1997Report (Other academic)
  • 305.
    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.

  • 306.
    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.

  • 307.
    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.

  • 308.
    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.

  • 309.
    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.

  • 310.
    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.

  • 311.
    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.

  • 312.
    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

  • 313.
    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.  

  • 314.
    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.

  • 315.
    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
  • 316.
    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. 

  • 317.
    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
  • 318.
    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.

  • 319.
    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
  • 320.
    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.

     

  • 321.
    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.

  • 322.
    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.

  • 323.
    Bylund-Grenklo, Tove
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Oncology Pathology, Karolinska Institutet, Stockholm, Sweden.
    Werkander-Harstäde, Carina
    Department of Health and Caring Sciences, Linnaeus University, Växjö; Center for Collaborative Palliative Care, Växjö, Sweden; Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Sandgren, Anna
    Department of Health and Caring Sciences, Linnaeus University, Växjö; Center for Collaborative Palliative Care, Växjö, Sweden; Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Benzein, Eva
    Department of Health and Caring Sciences, Linnaeus University, Kalmar; Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden .
    Östlund, Ulrika
    Centre for Research and Development, Uppsala University/Region Gävleborg, Gävle; Faculty of Medicine and Health, School of Health Sciences, Örebro University; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Dignity in life and care: The perspectives of Swedish patients in a palliative care context2019In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 25, no 4, p. 193-201Article in journal (Refereed)
    Abstract [en]

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

  • 324.
    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.

  • 325.
    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)
  • 326.
    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)
  • 327.
    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.

  • 328.
    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. 

  • 329.
    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.

  • 330.
    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
  • 331.
    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.

  • 332.
    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)
  • 333.
    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
  • 334.
    Candell, Agneta
    University of Gävle, Department of Caring Sciences and Sociology.
    Tandhygienisters upplevelse av den fysiska och psykosociala arbetsmiljön2008Independent thesis Advanced level (degree of Master (One Year)), 15 credits / 22,5 HE creditsStudent thesis
  • 335.
    Candell, Agneta
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Dental hygienists' work environment: motivating, facilitating, but also trying2010Conference paper (Other (popular science, discussion, etc.))
  • 336.
    Cardell, Hanna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Lund, Amanda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Att leva med diabetes mellitus typ I, upplevelser från barn och ungdomar2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige insjuknar fler barn i diabetes typ 1 jämfört med resten av världen. De drabbade har en förhöjd halt glukos i blodet och detta kan ge kortvariga och långvariga komplikationer. Behandling avser insulin, kost, motion och mätning av blodglukos. Sjuksköterskans roll ska vara att stötta barnet och hjälpa det att ta ansvar för egenvård.

    Syfte: Att beskriva hur det är att leva med diabetes typ I som barn och ungdomar, samt att undersöka vilka datainsamlingsmetoder som artiklarna använt sig av.

    1. Hur upplever barn och ungdomar att diabetes typ I påverkar deras vardag?

    2. Vilka datainsamlingsmetoder har artiklarna använt sig av?

    Metod: Beskrivande litteraturstudie med 12 vetenskapliga artiklar publicerade mellan 2008 till 2017 med kvalitativ ansats. Artiklarna söktes fram genom databaserna CINAHL och Medline via PubMed.

    Huvudresultat: Barn och ungdomar upplevde en abnormalitet då de drabbats av diabetes typ 1. De kände sig socialt begränsade, och hade problem med att knyta an till sjukdomen och acceptera den. Ett stort behov av stöd från olika personer och den kliniska vården fanns. Barn hade lättare att anpassa sig efter den kliniska vården än ungdomar hade, ungdomar upplevde att deras sociala liv påverkades stort.

    Slutsats: Barn och ungdomar upplevde att diabetes typ 1 påverkar deras vardag stort. De hade problem med att knyta an till sjukdomen och såg negativt på den. För att uppnå acceptans var sjuksköterskan viktig och behövde finnas som ett stöd emotionellt och kunskapsmässigt.

  • 337.
    Carleson, Barbro
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Cancerrelaterad smärta: riktlinjer för smärtbedömning, patientundervisning och komplementär smärtbehandling1999Report (Other (popular science, discussion, etc.))
  • 338.
    Carleson, Barbro
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Kvalitetsindikatorer för bedömning av patienter med cancerrelaterad smärta2001In: Kvalitetsindikatorer inom omvårdnad, Stockholm: Gothia , 2001, p. 127-139Chapter in book (Other (popular science, discussion, etc.))
  • 339.
    Carleson, Barbro
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Nursing management of cancer-related pain: guidelines for pain assessment, patient education and complementary pain therapy2000Report (Other (popular science, discussion, etc.))
  • 340.
    Carleson, Barbro
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Smärtupplevelse, sjukfrånvaro och livstillfredsställelse hos personer med långvarig smärta - En utvärdering 12 månader efter genomgången rehabiliteringskurs.2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 341.
    Carlsson, Amelie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Reproducerbarhet i öga-nacke/skuldra besvär hos yrkesverksamma mikroskoparbetare: Självskattade besvär inom och mellan måndagar och fredagar under två separata arbetsveckor2016Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: Microscopy at work involves a combination of external exposures that pose an increased risk for eye-neck/shoulder symptoms such as; visually demanding near work, eye-hand coordination, static work postures and repetitive work.

    Objectives: To explore the pattern of fluctuations in eye-neck/shoulder symptoms and the reproducibility of these fluctuations during separate workdays and workweeks, for individuals who regularly perform microscopic duties at work.

    Method: Data was collected at 8 different times for all participants (n=16); Monday morning and afternoon and Friday morning and afternoon, during 2 different weeks at work.

    Results: Musculoskeletal complaints in the neck/shoulders and symptoms of eye strain increased significantly (∆Musculoskeletal complaints; p<0,01, ∆Symptoms of eye stain; p<0,05)  during the workweek.  The highest levels of self-reported symptoms did not correlate with the self-reported time in microscopy during the workweek (p>0.05).  The same tendency for the increments in symptoms was observed during both work weeks. Only for musculoskeletal complaints did the increments of symptoms correlated with one another (p<0.05). 

    Conclusion: The results indicate that microscopy at work is a risk factor, primarily for increased musculoskeletal complaints in the neck/shoulders. More studies are needed to assess the relationship between microscopy at work and the onset and development of eye-neck/shoulder complaints.

  • 342.
    Carlsson, Maria
    University of Gävle, Department of Caring Sciences and Sociology.
    Stressupplevelser och copingstrategier hos vårdpersonal på ett äldreboende.2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [sv]

    Sammanfattning

    Syftet med studien var att beskriva vilka stressorer vårdpersonalen upplever i arbetet med äldre på ett äldreboende, personalens upplevelse av stressorerna samt vilka copingstrategier de använder sig av i dessa situationer. Studien hade en deskriptiv design. Data samlades in med instrument Daily Assesment of Coping (DCA). Resultatet visade att vårdpersonalen (n 33) upplevde stress vid 86 av totalt 155 möjliga arbetstillfällen. Stressorerna utmynnade i två huvudkategorier; patientrelaterade och personalrelaterade stressorer. Huvudkategorierna bestod av fem subkategorier; patientbeteende, omvårdnadsproblem, kontakt med närstående, arbetsbelastning och kommunikation/samarbete. Medianvärdet för stressnivån var 5 (1= inte alls besvärande -7= mycket besvärande). Vid 40 tillfällen upplevde personalen att de ”inte alls” kunde påverka händelsen, vid 39 tillfällen att de ”i viss mån” kunde påverka och vid 6 tillfällen att de kunde påverka ”väldigt mycket”. Vid 56 tillfällen upplevde personalen att händelsen var ”ganska förväntad”, vid 12 tillfällen ”ganska oväntad” och vid 9 tillfällen ”helt oväntad”. Resultatet från DCA visade att copingstrategierna ”gjorde något åt det”, ”sökte stöd från andra” och ”accepterade problemet” var vanligast förekommande. Slutsatsen är att vardagliga stressorer är vanligt förekommande inom äldreomsorgen och att stressnivån för dessa är relativt hög. Vanligast var att personalen upplevde stressorerna som förväntade och att de inte kunde påverka händelsen.

  • 343.
    Carlsson, Marianne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University.
    Self-reported competence in female and male nursing students in the light of theories of hegemonic masculinity and femininity2019In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

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

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

  • 344.
    Carlsson, Marianne
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Göransson, Marina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenheter av att arbeta med och möta barn som far illa2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Alla barn har rätt till ett liv med utveckling samt att skyddas mot alla typer av våld, försummelse, övergrepp och utnyttjande av vårdnadshavare. Utsatthet i barn och ungdomsåren har visat sig påverka individens utveckling negativt. Barnets vårdnadshavare har det primära ansvaret att tillgodose barnets behov, brister detta är det samhällets ansvar att se till att barnet får den trygghet och omvårdnad som denne behöver. Där har hälso- och sjukvården samt socialtjänsten en viktig uppgift.  Syftet: Att beskriva sjuksköterskors erfarenheter av att arbeta med och möta barn som far illa.  Metod: En beskrivande litteraturstudie baserat på tio vetenskapliga artiklar med kvalitativ ansats.  Resultat: Arbetslivserfarenhet och kunskap stärkte sjuksköterskorna i arbetet med barn som for illa. God relation och kommunikation ansågs viktigt i mötet med barnen och deras familjer. Majoriteten av sjuksköterskorna vittnade om brister i utbildning, riktlinjer, stöd från ledning och samarbete med socialtjänsten. Dessa aspekter i kombination med hög arbetsbelastning ledde till att sjuksköterskorna kände osäkerhet i arbetet med barn som for illa. Sjuksköterskorna berördes emotionellt i mötet med barn som for illa.   Slutsats: Sjuksköterskor behöver stöd från ledning och utbildningsansvariga genom att erbjudas adekvat utbildning och tydliga riktlinjer i arbetet och mötet med barn som far illa, för att stärka och öka tryggheten i yrkesrollen.

  • 345.
    Carlsson, Ruth
    et al.
    Swedish Work Environment Authority.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Physical variation at work – a scientific review2016In: NES2016 - Ergonomics in theory and practice: Proceedings of 48th Annual Conference of Nordic Ergonomics and Human Factors Society / [ed] Järvelin-Pasanen, S, 2016, p. 156-159Conference paper (Refereed)
    Abstract [en]

    Physical variation is generally considered to be an important factor influencing the risk for musculoskeletal disorders in repetitive work, but a comprehensive scientific basis for this assumption has not been available. Thus, the Swedish Work Environment Authority requested the Centre for Musculoskeletal Research at the University of Gävle to review scientific standings regarding physical variation and its effects.  In total, 56 articles were included in the review. The results showed that occupationally relevant studies of the effects of physical variation are few, and that the effectiveness of initiatives promoting variation has also been studied to a limited extent. Thus, current research cannot provide a clear answer to what an effective combination would be of work tasks in a job in the context of physical variation, let alone the optimal time distribution of tasks in a short (hours, days) and long (weeks, months, years) perspective. Also, gender aspects of physical variation were considered to a very limited extent. There is a need for more studies of relevant initiatives aiming at creating increased physical variation by changing the contents of work or its temporal structure; including studies placing this issue in a gender perspective.

  • 346.
    Carlsson, Sofia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Johansson, Evelina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelser & erfarenheter av att arbeta med omvårdnad kring patienter med ätstörningar2014Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med litteraturstudien var att beskriva sjuksköterskors upplevelser och erfarenheter av omvårdnadsarbetet kring patienter med ätstörningar. Litteraturstudien kommer även bestå av en granskning av artiklarnas datainsamlingsmetod. Metod: En litteraturstudie med kvantitativa och kvalitativa artiklar publicerade mellan 2004 och 2014. Artiklarna söktes i databaserna PubMed, Cinahl och Discovery. Resultatet till föreliggande litteraturstudie baserades på 12 artiklar.  Resultat: Sjuksköterskor upplevde att de var tvungna ta över patienternas kontroll och på grund av det kände sjuksköterskorna att patienterna var manipulerande. Upplevelser av att patienterna hade sig själv att skylla och att det var deras eget fel att de hade ätstörningar uppfattades också av vissa sjuksköterskor. Vissa sjuksköterskor upplevde även att de fick vidta en mammaroll kring omvårdnaden bland dessa patienter. Sjuksköterskor upplevde att behandlingen kring patienter med ätstörningar var en utmaning och känslor som frustration uppkom. Sjuksköterskorna kände också att de inte kunde hjälpa patienterna tillräckligt på grund av utbildning- och kompetensbrist samt resursbrist. Den terapeutiska relationen var en grund för att förstå patientens psykiska ohälsa. Viktiga egenskaper för sjuksköterskan att ha var acceptans, hopp, empati och förståelse. Erfarenheter att föräldrarna skulle vara delaktiga i vården kom fram i föreliggande litteraturstudie.  Slutsats: Föreliggande litteraturstudie visade sjuksköterskans erfarenheter och upplevelser av att arbeta med omvårdnad kring patienter med ätstörningar. Vikten av en terapeutisk relation mellan patient och sjuksköterska poängterades eftersom det underlättade individens tillfrisknande. Sjuksköterskor bör se till hela patienten, både psykiskt, fysiskt och socialt, eftersom ätstörningar påverkar individernas livskvalitet. Den största utmaningen sjuksköterskor upplevde var kunskaps- och resursbrist.

  • 347.
    Carlsson, Ulrica
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Karlström, Angelica
    University of Gävle, Department of Caring Sciences and Sociology.
    Skattad rörelserädsla före och efter genomgången beteendemedicinsk rehabiliteringskurs. En beskrivande studie.2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Abstrakt All around the world there are a lots of people that suffers from chronic pain. One great factor for the devolopment of chronic pain is the phenomen fear-avoidance/kinesophobia that appear to have negative effects on rehabilitation of chronic painproblems. The aim of the present study was to describe and identify how patient that took part in a rehabilitationprogram in year 2004 and 2005 with focus on behaviourchanges estimate their fear-avoidance/kinesophobia and examine if there was any changes estimate fear-avoidance/kinesophobia respectivly before and after and respecivly before and 12 month after the rehabilitationcourse. The study had a describing prospecitive design. Data was collected by the Swedish version of Tampascale for kinesophobia. The results shows that 25 % of the participant prove a high grade of kinesophobia before the rehabilitationcourse. After the rehabilitationcourse 21,1 % of the participant prove a high grade of kinesophobia and at the follw-up 12 month after the course 26,3 % of the participants prove a high grade of kinesophobia. The medianvalue of the estimate fear-avoidance/kinesophobia was 30,0 points before, 29,0 points after and 28,5 points at the Tampascale for kinesophobia 12 month after the rehabiliationcourse. There was no statistcal significant difference between the estimate fear-avoidance/kinesophobia over time.

  • 348.
    Carlsten-Gabrielsson, Olivia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Wigfeldt, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjukvårdsupplevelser av Anorexia Nervosa ur ett patientperspektiv: En beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Anorexia nervosa är en svår psykisk sjukdom som kan förklaras som ett självdestruktivt sätt att hantera livet på. Utveckling av anorexia sker genom tre steg vilka benämns; bakomliggande faktorer, utlösande faktorer och vidmakthållande faktorer. Sjukdomen kan orsakas av både psykologiska, biologiska eller sociala omständigheter. Även kroppsideal i samhället kan ha inverkan på utvecklingen av anorexia. Syfte: Syftet var att beskriva hur patienter med anorexia nervosa upplever sjukvården. Metod: En beskrivande litteraturstudie utifrån 12 kvalitativa vetenskapliga artiklar som utgick från patientens perspektiv. Huvudresultat: Tre huvudteman identifierades vilka var måltidssituationen, relationer på vårdavdelningen samt vårdmiljö. Måltidssituationen upplevdes ångestladdad och som ett tvång, vissa upplevde att det var jobbigt att förlora matkontrollen medan andra upplevde det som en lättnad. Relationer på vårdavdelningen upplevdes viktiga eftersom ju bättre relationerna var desto bättre vårdupplevelse fick patienterna. Vidare upplevdes individanpassad vård vara betydelsefullt samt att sjuksköterskan lät patienten vara delaktig. Vårdmiljön kunde upplevas negativ eftersom patienter med anorexia inspirerades och påverkades av andra patienter vilket kunde leda till jämförelser och mer självsvält. Slutsats: Kunskapen kring hur patienter med anorexia upplever vården och önskar att bli behandlade är bristfällig hos sjuksköterskor och övrig vårdpersonal. Det är viktigt att nyexaminerade sjuksköterskor får en ökad kunskap och blir medvetna om hur de kan bidra till så goda vårdupplevelser för patienten med anorexia som möjligt.

  • 349.
    Carrwik, Christian
    et al.
    Department of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.
    Murakami, Hideki
    Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan.
    Willander, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Psychology.
    Robinson, Yohan
    Department of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.
    Potential harms of interventions for spinal metastatic disease2017In: Cochrane Database of Systematic Reviews, ISSN 1469-493X, E-ISSN 1469-493X, Vol. -, no 7, article id CD012724Article in journal (Refereed)
    Abstract [en]

    This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary objective of this review is to compare the potential harms of treatment for spinal metastatic disease for the following treatments: 1. Surgical intervention. 2. Surgical intervention with radiation therapy. 3. Radiation therapy alone. Our secondary objectives are: 1. comparing the harms of different surgical methods; 2. comparing the harms between different radiation protocols.

  • 350.
    Cedervall, Emma
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Engnell, Madeleine
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Upplevelse av livskvalité hos vuxna personer med diabetes typ 1: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus is a chronic metabolic disease that can occur at any age. Type 1 Diabetes is an autoimmune disease in which insulin deficiency occurs due to that the cells in pancreas which are producing insulin is severely reduced. As a nurse, it is important to update their knowledge about diabetes to be ableto provide the best care and support possible for people with diabetes. It has been shown that people living with other chronic diseases feel that the disease has affected their quality of life.

    Aim: The aim of this literature review is to describe how adults with type 1 diabetes experience their quality of life and to describe the methodological aspect in the selected articles.

    Method: A descriptive literature review based on twelve scientific articles. The articles where retrieved from the databases Cinahl and PubMed through the University of Gävle.

    Results: People with type 1 diabetes feel that the disease has affected their quality of life. They feel that planning is a necessity and something that is of great importance, but the thought that the disease also is life-threatening if they do not take insulin gave them much anxiety.The support of family, health care and by other people, such as work colleagues, was of great importance to the quality of life. The total number of participants was 6305 and they came from three different continents. These three were Europe, North America and Oceania.

    Conclusion: It has been shown that people with type 1 diabetes feel that the disease has affected their quality of life. This study can help nurses and other healthcare by increasing their understanding of how adults with type 1 diabetes experiencing their quality of life.

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