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  • 351.
    Everhag, Susanne
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Olsen, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Icke farmakologisk behandling vid oro och ångest hos äldre personer med demenssjukdom: en kvalitativ intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are about 160 000 persons suffering from dementia in Sweden. About 80 % of all patients with dementia have sometimes behavioral and psychological symptoms of dementia (BPSD). The symptoms can be e.g. anxiety. National guidelines provides non pharmacological interventions before prescriptions of drugs at BPSD.

    Aim: The purpose of the study was to elucidate the nurse’s experiences of barriers and opportunities to use non pharmacological treatment for anxiety in older people with dementia.

    Method: The study has a descriptive design with quality approach. Data were collected through 11 individual semi-structured interviews. By convenience sampling, registered nurse’s working at nursing homes for people with dementia were recruited. The study took place in Sweden. Data were analyzed with by qualitative content analysis.

    Main Results: Two categories appeared in the result. "Barriers to use non-pharmacological measures" and "Opportunities for using non-pharmacological measures". Deficiency of documentation, lack of time and lack of skilled and knowledgeable staff perceived as barriers. It was important to have good knowledge of dementia among different members of the team. Life stories and contact person considered important. Informants told about the good care that prevents much concern and anxiety and competent staff who discovered the anxiety early put in to action as the team agreed, often with quit good result. Education was seen as a great opportunity.

    Conclusion: Care of person-centered approach leads to better personal knowledge enabling early non pharmacological interventions.

  • 352.
    Fabricius, Maja
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Söderberg, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnors behov av stöd vid livsstilsförändringarefter en hjärtinfarkt2013Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med den föreliggande litteraturstudien var att beskriva kvinnors behov av stöd vid livsstilsförändringar efter en hjärtinfarkt.

    Metod: Författarna genomförde en beskrivande litteraturstudie, baserad på 16 artiklar, vilka eftersöktes i databaserna Cinahl och PubMed.

    Huvudresultat: Studier visade att genomförandet av livsstilsförändringar hos kvinnor handlade om inneboende resurser hos individen som ledde till kvinnans intentioner att göra livsstilsförändringarna. De inneboende resurserna var konsekvenser av hjärtinfarkten och anpassning samt motivation och strategier.  För att lyckas genomföra livsstilsförändringarna var kvinnan beroende av olika former av stöd. De stödjande incitamenten var både främjande och hämmande, vilka påverkade huruvida individen klarade av att förändra sitt beteende.

    Slutsats: Återhämtningsperioden efter hjärtinfarkten präglades av en tvetydighet, vilken påverkade kvinnornas intentioner att genomföra livsstilsförändringarna. Denna kunskap kan sjuksköterskan använda sig av i dennes stödjande roll i början av rehabiliteringen och vid samtal om livsstilsförändringar. Kvinnor efterfrågar information anpassad för kvinnor och de upplevde svårigheter att upprätthålla livsstilsförändringarna i det dagliga livet på grund av en icke-samarbetande familj och vänner. Mer forskning behövs om vilken typ av information kvinnor efterfrågar och informationen kring livsstilsförändringarna bör också involvera familj och närstående för att på så vis främja kvinnans stöd i det dagliga livet.

  • 353.
    Fagerhov, Josefine
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Krantz, Lina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Anledningar till att föräldrar väljer att inte vaccinera sina barn2017Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Every year about 1.5 million children die in diseases that can be prevented by vaccination. Since the introduction of the general vaccination program, mortality in these diseases has decreased significantly and some of the diseases have disappeared completely. This is seen as a result of the vaccinations.

    Aim: The aim of this study was to describe reasons why parents choose not to vaccinate their children and to review the data collection methods that was used in the included articles.

    Method: The present literature study has a descriptive design. The results of the study are based on 13 scientific articles reviewed by both authors. The included articles were searched through the Medline via PubMed and CINAHL databases. The data collection methods of the included articles have also been reviewed.

    Main result: When parents choose to refrain from vaccinations for their children, there are several reasons behind their decision. The reasons the parents indicate is fear of side effects and risks, that it is an intrusion of the child's natural immune system, that a healthy lifestyle can prevent the disease, that the vaccine-preventing diseases are not dangerous, lack of information, mistrust of the government, public health authorities and pharmaceutical companies as well as social networking influence. The data collection methods of the studies were questionnaires and interviews.

    Conclusion: It is important for the nurse and other healthcare professionals to have knowledge about the parent's underlying causes to refuse vaccination. Good communication and adequate information can help parents to make a deliberately decision in the vaccination question.

  • 354.
    Fagerhov, Josefine
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Krantz, Lina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Anledningar till att föräldrar väljer att inte vaccinera sina barn.: En deskriptiv litteraturstudie.2017Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
  • 355.
    Fahlberg, Linnea
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ledares uppfattningar om barnidrott och tävling: En kvantitativ studie baserad på webbenkäter2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Tävling inom barnidrotten är någonting som diskuteras mycket idag. Ska barn tävla eller inte? Tidigare studier har visat att många av de barn som idrottar tycker att själva matchen eller tävlingen räcker som tävlingsmoment. Vikten av kunniga ledare har också visats i tidigare studier, då barn även utvecklar sina personliga färdigheter av att idrotta.

    Syfte: Syftet med studien är att undersöka Gävleborgs idrottsledares uppfattningar om barns tävlande i den organiserade idrotten.

    Metod: I studien används en kvantitativ metod för att undersöka uppfattningarna hos en bredd av barn- och ungdomsledarna inom idrotten, från ett flertal olika idrotter. Insamlingsmetoden är webbenkät. Med sammarbete från Gävleborgs Idrottsförbund och SISU Idrottsutbildarna har enkäten skickats ut till idrottsledare i Gävleborgs län.

    Resultat och diskussion: Respondenterna är 346 idrottsledare i Gävleborgs län, både män och kvinnor, och de representerar ett flertal olika idrotter. Resultatet visar att majoriteten av ledarna tycker att barn kan tävla, men att det kan ske utan seriespel och tabeller. Ledare uppfattar att föräldrar tycker det är viktigare med seriespel och tabeller än vad de uppfattar att barnen själva tycker. Många av ledarna uppfattar att barn kan hantera vinster och förluster i idrotten, medan vuxna ledare och föräldrar inte kan hantera det lika bra.

    Slutsats: Slutsatser som kan dras är att många ledare i Gävleborg menar att barnidrotten kan innehålla tävlingsmoment, utan seriespel och tabeller. Tävling inom barnidrotten kan många gånger uppfattas som ett vuxenproblem, medan barnen själva inte uppfattas ha problem med tävling inom idrotten, enligt ledarna.

  • 356.
    Falgin, Jonas
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    Blomster, Kaisa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    Svenska crossfitutövares bakgrund, skadeprevalens & förekommande skadekategorier: En kvantitativ tvärsnittsstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Crossfit is a modern sport that yearly expands worldwide. The goal of the sport is to develop performance and fitness so athletes can optimize their performance in many training categories. Furthermore, the sports WOD:s is complex, where many physiological challenges occur. The athlete is forced to push their limits of the movements, where there is a possibility for failure between the muscle fibers activation and synchronization. This can risk the sports security regarding injuries because of insufficient motor performance. A study from 2014 estimate the injury prevalence in crossfit to be 20%. Meanwhile a study from 2017 showed that the injury prevalence increased to 31,91%. Method: The objective of this study was to examine the crossfit athlete background, injury prevalence and injury categories between oktober 2016 - april 2017 in Sweden. A Brazilian survey was used in this study. The survey was modified and translated to Swedish before administered to certified crossfit facilities around the country. The method for this study used a descriptive cross-sectional design with a quantitative distribution of an online survey. Result: The common crossfit athlete is preferably 32 years or older, had a sedentary work and strict training routines with years of experience. Furthermore, 58 of 190 participants sustained a total of 87 injuries the past 6 month. This correlates to an injury prevalence of 30,5% for the crossfit athletes in Sweden. Furthermore, the most common injury categories were located on the neck/spine (21,84%), shoulder (18,39%), skeletal muscle (16,09%) and knee (16,09%). Therefore, the sport can cause different injuries throughout participation. Conclusion: Due to a high injury prevalence and a wide variation of injuries does the sport show a high injury risk, despite the athletes training experience. It takes more research to know the exact mechanisms for the injuries and how they can be prevented. 

  • 357.
    Falk, Jenny
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Lagerhorn, Åsa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Arbetsrelaterade faktorer som kan ha betydelse för sjukvårdspersonalens följsamhet till riktlinjer gällande handhygien: En deskriptiv litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 358.
    Falk, Susanne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Operationssjuksköterskors upplevelser av stressorer i arbetet: – en intervjustudie2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to describe theatre nurses experiences of stressors at work. Descriptive design with qualitative approach was applied. Semi structured interviews were conducted with twelve theatre nurses at a hospital in Sweden. Manifest and latent content analysis was used for analysis of the interviews.The result led to the following main themes; The time must be kept at all costs. The two subthemes which grow out of the categories were; Major operations program with a small staff and Insecurity and lack of understanding on the high tempo. With an operations program that was in focus and lack of staff worked theatre nurses under time pressure during the working hours. With overtime and constant adjustment of staff and patients, managed staff to carry out the operation program. Lack of time for the control of medical devices and medical equipment that had ceased to function during surgery, was experienced as very stressful. Poor cooperation with several surgeons and work in sterile center made the theatre nurses experienced stress.

  • 359.
    Falkner, Veronica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Lindgren, Carolin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Livskvalitet hos närstående till patienter med kronisk hjärtsvikt respektive multipel skleros: En empirisk studie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Studiens syfte var att beskriva och jämföra livskvalitet hos närstående till patienter med kronisk hjärtsvikt (CHF) respektive multipel skleros (MS) samt hur demografiska bakgrundsvariabler är relaterade till livskvalitet i undersökningsgruppen. Detta är en delstudie ur ett större forskningsprojekt.Metod: Frågeformuläret SF-36 användes för att mäta livskvalitet hos närstående till patienter med CHF (n = 28) samt närstående till patienter med MS (n = 19). De närstående valdes ut av patienter.Resultat: Det fanns signifikanta skillnader mellan närstående till patienter med CHF respektive MS gällande fysisk hälsa, där närstående till patienter med MS har skattat högre fysisk hälsa. Närstående till patienter med CHF skattade lägst på Vitalitet och högst på Social funktion och närstående till patienter med MS skattade lägst på Vitalitet och högst på Social funktion och Emotionell rollfunktion. Slutsats: Närstående till patienter med CHF skattade signifikant lägre än närstående till patienter med MS gällande fysisk hälsa. Resultatet av studien indikerar att andra faktorer än sjukdom inverkar på närståendes livskvalitet.

  • 360.
    Ferm, Hanna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Howie, Helena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Tecken på att barn far illa i hemmet samt vilka hinder och möjligheter som finns för sjuksköterskan att upptäcka att barn far illa: En deskriptiv litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 361.
    Fernberg, Mattias
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Upplevd livskvalitet hos KOL-patienter som vårdas i hemmet2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic obstructive pulmonary disease (COPD) is a serious and common disease that is one of the most common causes of hospitalization. The most common cause of the disease is tobacco smoking and exposure to chemical substances. But, there is also a genetic factor behind i.e lack of protein (alpha 1 antitrypsin) deficiency and old age. To prevent the disease from worsening, it is important to stop smoking and persons who have been diagnosed with COPD should consider exercising, physical activity and take their prescribed medications to stop the progression of the disease. Objective: To describe the quality of life in COPD patients cared for at home. Furthermore, the aim is to describe the included articles data collection method. Method: Descriptive literature with 15 scientific articles from the database PubMed has been used. Articles results and methodology were analysed and summarized in four categories. These categories were: Physical and Mental health. Needs of Support & Fears and Concerns, as well as the included articles Data Collection Method. Results: Self-care program for COPD patients has been shown to have positive effects on their physical and mental health and ultimately their quality of life. The patients who received pulmonary rehabilitation program reported that they experienced a high quality of life that was linked to increased physical health. Support from family members and from health care was considered important. The patients who were near death associated with the disease often experienced anxiety and fear of dying, which meant that their quality of life was low. Patients receiving oxygen therapy in the home experienced an improvement in breathing which raised their quality of life. Conclusion: Patient education proved to have good effect on COPD patients' self-care. Patients who have undergone training in pulmonary rehabilitation appeared to experience a high quality of life. COPD patients experiencing isolation when the disease leads to a sedentary life and a sense of exclusion from social life. The studies showed that it is important to support and provide information to COPD patients for them to cope with their illness. 

  • 362.
    Fernis, Sara
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jörnelind, Anne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans erfarenheter i mötet med cancerpatienter i palliativ vård: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: The word cancer is a loaded word affecting many people, and the disease affects one in three in a lifetime. Cancer is one of the most common diseases and the numbers are rising. This leads to increased palliative care and the nurse’s work become more demanding.

    Aim: The purpose of this study is to highlight nurses' experiences in meeting with cancer patients in palliative care and examine the included articles data collection method.

    Method: A descriptive literature study with quantitative and qualitative articles published between 2005 and 2015. The results are based on eleven articles from the databases PubMed and Cinahl.

    Results: The study has two main results and associated subheadings. The two main headings are: The nurse's difficulties in working with cancer patients in palliative care and the nurse’s positive experience working with cancer patients in palliative care. Difficulties in the nurse's work occur in both physical and psychological form. Positive experience that the nurse brings out is how nurses and patients form relationships. Furthermore, they lift the importance of team work and patients' relatives and examination of the data collection methods revealed that the authors of ten articles used semi-structured interviews. The eleventh article used questionnaires.

    Conclusion: The nurses face daily difficulties and opportunities in their profession. The nurses have feelings of inadequacy - while they feel privileged to work with severe cancer patients living their last days. Uncertainty and deficiency in communication affecting nurses in their work and therefore need further research and education in several areas.

     

     

     

     

     

     

     

     

  • 363.
    Fernqvist, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Rundberg, Lovisa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Patienters upplevelser av att överleva hjärtstopp: En beskrivande litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Increased application of cardiopulmonary resuscitation and the use of defibrillators has contributed to increased cardiovascular survival rates. The nurse thus meets these persons to an increasing extent than before in their occupational profession and the attitude may have meaning to the victim.

     

    Aim: The aim of the literature study was to describe the patient's experience of surviving heart arrest and to review the data collection method in the included scientific articles.

     

    Method: A summary of previous research has been made and six qualitative and four quantitative scientific articles are the results of this descriptive literature study.

     

    Results: Surviving a heart arrest was experienced as a life-changing event in life. Recurring challenges in everyday life were fear, anxiety and insecurity. Support from healthcare professionals, family and friends was experienced as important components for experiencing a sense of security and coherence in existence. Another major problem was the impact of the cardiac arrest on memory. Important reporters of the traumatic event were healthcare professionals and other persons present at the heart arrest. In those who survived the heart arrest, there was a need to share their experiences with people with similar experiences.

     

    Conclusions: The majority of those who survived a heart arrest experienced it as a traumatic event. An event that resulted in feelings like insecurity, fear and anxiety but also a gratitude to life. A nurse who identifies the patient's individual needs can help the patient experience an increased sense of manageability, meaningfulness and comprehension in the current life-changing situation.

  • 364.
    Finn Ericsson, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    BVC-sköterskans erfarenheter och reflektioner av kommunikation via tolksamtal: En intervjustudie2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The Swedish health care law has the aim to give good and equal health care to the entire population. Provision of communication support should therefore be available if needed when encountering health care. Studies highlights the importance of good communication between patients and caregivers. Aim: To describe primary child health nurse’s experiences and reflections of working with children and their caretakers in interpreter mediated communication. Method: Interviews with seven informants, qualitative approach and descriptive design. Analyze method: qualitative content analysis. Result: The primary child health nurse often faces difficulties in the work situation when an interpreter is needed but looks a joy in and a willingness to make these meetings as good as possible. Contributing factors to successful interpreting mediated communication were related to; calm interpreter behavior, preparedness, accredited medical interpreter education, speaking the patient’s accent, being on-site and preferably a female interpreter. Successful factors related to the primary child health nurse included; calm behavior, distinct communication, an open-minded attitude allowing questions and a supportive manager allowing the nurses to plan their work independently. Problems facing the primary child health nurse was related to the interpreter’s dedication and knowledge, gender, family wishes versus the primary child health nurse thoughts of being the best interventions, noises during interpreter mediated conversations, time controlled work, interpreter service company, difficulties in telephone interpreted calls because of poor technical equipment. Conclusion: To keep up the primary child health nurse’ positive attitude despite difficulties in interpreter mediated communication it’s necessary with an increased manager support and higher priority of this subject, focusing that the nurse should be able to choose the best communication form, improvement of the technical equipment and to obtain interpreter mediated communication education.

  • 365.
    Finn Ericsson, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Lindström, Susanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Varför kvinnor väljer bort amning - gravida kvinnors och mammors beskrivningar av vad som påverkar beslutet: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 366.
    Fjärdsmans, Tobias
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Khalaf, Ahmed
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Upplevelser av att vara anhörig till en person med demens som bor på ett äldreboende: En beskrivande litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: 35,6 million people lives with a dementia disease in the world. This number is set to be doubled by 2030 and tripled by 2050. The majority of the people with dementia (PWD) have relatives in the form of, for example, spouses and adult children. To live with a dementia disease involves intellectual difficulties such as anxiety, frustration, loss of memory and depression which effects the communication with the nursing staff.

    Aim: To describe the experiences of being a relative of a PWD who lives in a nursing home for PWD and to describe the included articles from the methodological point of view study group.

    Method: Literature review with a descriptive design based on 10 qualitative scientific articles from the search engines PubMed and Cinahl. The articles were individually processed by the authors of this literature review and during the analysis, four main themes where identified. These themes later became the basis of the result.

    Main findings: The result showed that relatives to a PWD often experiences feelings of loss and guilt. They also had difficulties in trusting the nursing staff and in making decisions for their PWD.

    In the majority of the articles in this literature review the participants were women. In some of the articles the was a more even gender variety. Most of the participants in the articles were spouses of adult children to PWD although there were also siblings and grandchildren amongst the participants. The middle age of the participants varied between 54-73 years.

    Conclusion: Relatives of a PWD often experience tough feelings such as loneliness, lost love, sorrow and guilt. They also have a hard time trusting the nursing staff and struggle to justify the decisions they make for their PWD. It is important for the nurse to have some insight in regards to what the relatives experience in order to meet and support them. This enhances the care of the PWD since the relatives can contribute with information regarding what care the PWD needs.

  • 367.
    Florin, Jan
    et al.
    Department of Health and Social Sciences, Dalarna University, Falun.
    Bååth, Carina
    Faculty of Health, Sciences, and Technology, Department of Health Sciences, Karlstad University, Karlstad; County Council of Värmland, Värmland.
    Gunningberg, Lena
    Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala.
    Mårtensson, Gunilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala.
    Attitudes towards pressure ulcer prevention: a psychometric evaluation of the Swedish version of the APuP instrument2016In: International Wound Journal, ISSN 1742-4801, E-ISSN 1742-481X, Vol. 13, no 5, p. 655-662Article in journal (Refereed)
    Abstract [en]

    The primary aim was to conduct a psychometric evaluation of the Attitude towards Pressure ulcer Prevention (APuP) instrument in a Swedish context. A further aim was to describe and compare attitudes towards pressure ulcer prevention between registered nurses (RNs), assistant nurses (ANs) and student nurses (SNs). In total, 415 RNs, ANs and SNs responded to the questionnaire. In addition to descriptive and comparative statistics, confirmatory factor analyses were performed. Because of a lack of support for the instrument structure, further explorative and consecutive confirmatory tests were conducted. Overall, positive attitudes towards pressure ulcer prevention were identified for all three groups, but SNs reported lower attitude scores on three items and a higher score on one item compared to RNs and ANs. The findings indicated no support in this Swedish sample for the previously reported five-factor model of APuP. Further explorative and confirmative factor analyses indicated that a four-factor model was most interpretable: (i) Priority (five items), (ii) Competence (three items), (iii) Importance (three items) and (iv) Responsibility (two items). The five-factor solution could not be confirmed. Further research is recommended to develop a valid and reliable tool to assess nurses' attitudes towards pressure ulcer prevention working across different settings on an international level.

  • 368.
    Foconi, David
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Omar, Nawed
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans roll i förebyggande åtgärder för att förhindra trycksår: En beskrivande litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 369.
    Fogd, Monica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ilén Hindrikes, Frida
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Skillnader mellan män och kvinnors symtombild vid akut hjärtinfarkt: En litteraturstudie2012Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna litteraturstudie var att beskriva och jämföra skillnader mellan män och kvinnors symtombild vid insjuknandet i akut hjärtinfarkt, samt att granska studiernas kvalitet gällande urvalsgrupp, deltagare och bortfall. En beskrivande litteraturstudie genomfördes där vetenskapliga artiklar av kvalitativ och kvantitativ ansats analyserades. Huvudresultatet visade att båda könen hade känningar av obehag i kroppen några dagar/timmar innan de alarmerande symtomen uppkom. Bröstsmärta var ett utav de mest rapporterade symtomen. Dock hade kvinnor mer atypisk bröstsmärta än männen. Kvinnorna tenderade även att uppleva mer strålande smärtor, exempelvis ut i ryggen från centrala bröstet, till skillnad från männen som upplevde smärta på högra sidan utav bröstet. Symtom som illamående, svettningar, andningsproblematik/yrsel och trötthet var andra vanliga symtom som kunde uppkomma ensamma eller i kombination med bröstsmärtan hos båda könen. Det framkom dock att kvinnor har fler symtom vid symtomdebuten än männen. Hos männen var den typiska symtombilden bröstsmärta, svettningar och andningsproblematik. I kvinnors symtombild var illamående, yrsel och trötthet även vanligt förekommande. Svårigheter med att koppla samman symtombilden med hjärtat var även vanligare hos kvinnorna än hos männen. Slutsatsen är att symtombilden vid hjärtinfarkt varierar från individ till individ, men även könsbundna skillnader finns. För att minska den prehospitala fördröjningen vid hjärtinfarkt krävs det att sjukvårdspersonal och allmänheten får ökad kunskap om symtomen som kan uppkomma.

  • 370.
    Fors, Louise
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jensinger, Sophie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Anknytning mellan föräldrar och deras prematura barn: - En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: More premature infants survive. A secure attachment is beneficial for the child’s social and physical development.

    Aim: The aim with the study was to describe the attachment between parents and premature infant, and the importance of the nurse related to attachment. The aim was also to examine the quality of the data collection methods, in the selected articles.

    Method: The design is a descriptive literature study based on 14 articles, where half of the articles has a quantitative approach and the other half has a qualitative approach. The articles were searched and found in the databases’ PubMed and Cinahl. Five subjects’ were identified after analysis of the articles’ results. 

    Results: Parents of a newborn premature infant does not receive the same proximity, as parents of a full-term baby. The child's size and health is a limiting factor in proximity to the child with both mothers and fathers. Nurses’ at a Neonatal Intensive Care Unit has an essential role in the attachment between parents and preterm infant.

    Conclusion: A premature birth implies obstruction in attachment between infant and parents. A key element to promote attachment is that the nurse involves parents in the care of the preterm infant.

  • 371.
    Fors Styf, Karin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hylander, Irene
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Socialt stöd till ungdomar med kroniska sjukdomar2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Social support is important for adults well-being, quality of life and self-esteem. The nurse should respond to the patient's care needs, knowledge of social support for young people with chronic diseases is therefore important. The purpose was to investigate who or which ones provide social support for young people with chronic diseases and what social support contributes to. A descriptiv design where used. The literature search in the database Medline via Cinahl resulted in twelwe articles. The results showed that young people with chronic diseases received support from family, friends, healthcare professionals, through technology, school and pets. Social support led to protection, quality of life, Sense of Coherence (SOC) and independence. Protection meant someone was there for them and quality of life to be like everyone else. SOC meant to get help to deal with life of their own resources and independence to fend for themselves. Social support for young people with chronic diseases is important. The nurse should know that young people need support from different groups and what it leads to. Further research about nurse's perceptions of their role with regard to support for young people would be of interest.

    Key words: Social support, young people, care, chronic diseases.

  • 372.
    Forsberg, Carin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Dagkirurgiska patienters erfarenheter gällande postoperativ information som givits av sjuksköterska/läkare: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 373.
    Forsberg Fryklund, Emelie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jonsson, Marcel
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kan en Facebookgrupp påverka dess medlemmar till att bli mer fysiskt aktiv genom socialt stöd?: En kvantitativ studie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Fysisk aktivitet (FA) är ett omdiskuterat ämne, speciellt idag när Fysisk inaktivitet blir

    allt vanligare i takt med att användningen av sociala medier ökar. Därför är det

    intressant att undersöka om sociala medier kan inspirera till att vi blir mer fysiskt

    aktiv.

    Syftet med denna studie är att beskriva hur Facebookgruppen Träningsglädje och

    inspiration påverkar medlemmarnas fysiska aktivitet genom socialt stöd. Studiens

    frågeställningar är

    -       Hur upplever medlemmarna i Facebookgruppen Träningsglädje och Inspiration att deras fysiska aktivitet påverkas i samband med emotionellt stöd?

    -       Hur upplever medlemmarna i Facebookgruppen Träningsglädje och Inspiration att deras fysiska aktivitet påverkas i samband med informativt stöd?

    Studien är baserad på en kvantitativ enkätundersökning med deskriptivredovisning. Enkäten bestod av 13 frågor med svarsalternativ.

    Målpopulationen är gruppmedlemmarna i Facebookgruppen Träningsglädje och inspiration. Enkätundersökningen resulterade i 74 respondenter.

    Resultatet visar att hälften av de svarande inte upplever att de påverkats att bli mer FA dock

    upplever majoriteten av de svarande att de fått emotionellt och informativt stöd från

    gruppen. Trots att majoritet inte upplever att de påverkats av gruppen till att bli mer FA så

    upplever cirka 65 procent att de blivit mer FA efter de gått med i Facebookgruppen.

    Slutsatsen visar att majoriteten i Facebookgruppen upplever socialt stöd, men inte i

    samband med FA. Däremot upplever majoriteten att deras FA har ökat efter att de blev

    medlemmar i Facebookgruppen Träningsglädje och inspiration. Ett medlemskap i en

    träningsinspirerad Facebookgrupp kan öka ens fysiska aktivitet.

  • 374.
    Forsberg, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Astma-KOL-sköterskors erfarenheter av att stödja patienter med kroniskt obstruktiv lungsjukdom till tobaksavvänjning: En intervjustudie2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Chronic obstructive pulmonary disease (COPD) is a costly public health problem with major risks of developing complications. Smoking is the single biggest cause of COPD and a successful tobacco cessation therefore provides great health benefits. District nurse's duty is to motivate and guide patients to self-care and lifestyle changes. The purposeof this study was to elucidate the Asthma-COPD nurse’sexperience in supporting patients with COPD to tobacco cessation. MethodA study with qualitative approach and descriptive design has been made. Seven Asthma-COPD nurses who work with tobacco cessationwere interviewed through semi-structured interviews were recorded and analyzed using qualitative content analysis.The resultsshowed the importance of being responsive and create a good relationship with the patient and to avoid an accusatory approach. The patient's motivation was perceived to be the dominant factor for success. Motivational interviewing could awaken, strengthen and sustain the motivation to quit smoking. Even social support and consistency insights were reported to be major success factors. Patients experiences of shame and guilt, mental illness and loneliness was described to be impeding factors that hampered the work on tobacco cessation. Difficulty in identifying patients were adopted to correlate with poor adherence to existing procedures in force to identify, register and refer patients for asthma-COPD clinic. Human resource and time constraints contributed to the experiences of stress and de-prioritization of asthma-COPD clinic's work, which was reported to prevent effective aid to smoking cessation. The conclusionis that asthma-COPD nurses strove to follow the recommended guidelines in their work. The work was perceived as complex and was both stimulating and frustrating, and that they wanted more support from managers in the form of additional time for the specific work on tobacco cessation.

  • 375.
    Forsberg, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Olsson, Christina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Föräldrars upplevelser och behov på en neonatalavdelning2012Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med litteraturstudien var att beskriva föräldrars upplevelser och behov på en neonatalavdelning. Data söktes ur databaserna PubMed och Cinahl och femton artiklar inkluderades i resultatet. Resultatet visade att kommunikation och information, delaktighet och närvaro, kunskap och förståelse, tillit och respekt, stress och oro samt trygghet var de allra viktigaste kärnfrågorna gällande föräldrars behov och upplevelser. Resultatet visade att en ärlig och förtroendeingivande kommunikation är av allra största vikt för att främja en god anknytning mellan föräldrarna och barnet. Det framkom att föräldrarna önskade vara delaktiga i barnets vård och att de ville bli uppmuntrade av vårdpersonalen att delta i denna. Det framgick tydligt att de flesta föräldrar hade ett stort behov av att tillgodogöra sig kunskap om såväl anatomi och fysiologi men även rörande medicinteknik. Föräldrarna uppgav att det var betydelsefullt att känna tillit till vårdpersonalen. De poängterade även hur viktigt det var att vårdpersonalen skapade en känsla av respekt och trygghet, både i yrkesrollen och som medmänniskor. Resultatet visade att brister i en eller flera av dessa sex kärnfrågor medförde känslor av stress och oro hos föräldrarna. En slutsats som kan dras är att vårdpersonalens bemötande och förmåga att engagera föräldrarna blir direkt avgörande för familjens totala helhetsupplevelse.

  • 376.
    Forsberg, Markus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Anestesisjuksköterskans perioperativa omvårdnad av den substansberoende patienten.: En anestesiologisk utmaning innehållande kunskap, erfarenhet & empati.2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    When anesthetizing patients who abuse or have abused addictive substances it is enormously important to have a specialized cognizance which is adjusted based on every patient’s individual needs to minimize the risk of relapse. Research in this area is sparse and further research is needed in order to reach a deeper understanding for the nurse anesthetist perioperative care of this group of patients. The aim of this study was to describe nurse anesthetist’s reflections in terms of perioperative nursing of the substance dependent patient The study was conducted with descriptive design and qualitative approach. Purposive sampling was used to select ten nurse anesthetists at two hospitals for interviews with clinical vignettes. Results are based on four categories, Prejudice, A difficult patient group, The experienced nurse anesthetist knows what she is doing, Passing the problems to the postoperative care and eleven subcategories. Although there was a prejudice against this patient group experienced the interviewed nurse anesthetist knew what she was doing when caring for this difficult patient group, because of her experience. The lack of clinical work with these patient caused nurse anesthetist to feel that the problem is handed over to the postoperative care. The nurse anesthetist realized that their knowledge was not adequate concerning the perioperative care of patients with substance addiction. Despite this the challenges to anesthetizing this patient group were positive.

  • 377.
    Forsberg, Markus
    et al.
    Department of Anaesthesia, Gävle Sjukhus, Gävle, Sweden.
    Björn, Catrine
    Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala, Sweden; Centre for Research & Development, Gävleborg, Gävle, 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.
    Nilsson, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Nurse anesthetists' reflections on caring for patients with previous substance dependence: Balancing between professionalism and preconceptions2018In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 33, no 1, p. 69-77Article in journal (Refereed)
    Abstract [en]

    Purpose

    The study aim was to describe nurse anaesthetists’ reflections on provision of perioperative care to patients with previous substance dependence.

    Design

    A qualitative approach with a descriptive design.

    Methods

    Semi-structured interviews based on clinical vignettes were conducted with ten nurse anaesthetists.

    Findings

    The perioperative care provided to patients with previous substance dependence was perceived as balancing between professionalism and preconceptions for this specific patient group. The nurse anaesthetists felt that anesthetizing this group of patients constituted an anaesthesiological challenge with regard to knowledge, experience and time. However, the nurses also had feelings of distrust and uncertainty due to lack of knowledge.

    Conclusion

    The nurse anaesthetists strove to uphold the principle that patients who are/have been substance dependent have the same right to adequate treatment and care as all patients. If guidelines were developed for this patient group, care could be made safer and nurses’ sense of uncertainty minimized.

     

  • 378.
    Forsblom, Elin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Klockerwold Ljungström, Madelene
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterkors uppleverlser av att bedriva palliativ vård i ordinärt boende2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     

     

    Aim. The aim of the study was to describe how nurses in home care experience to pursue palliative care in ordinary housing. Methods. The study had a descriptive design with qualitative approach and was carried out through semi-structured interviews with 14 nurses in home health care from two medium-sized Swedish municipalities. The material was analyzed with manifest and latent content analysis. Findings. The underlying theme that emerged in the study was: Working with palliative care in the patient´s own homes is positive but challenging. Informants describe among other things that they perceived palliative home care as meaningful and that relatives have a central role in the palliative home care since they are close to the patient around the clock. The stress that emerges from the heavy work load and the long geographic distances are described as strenuous and to affect the care in a negative way. Informants describe the home environment as challenging as it is often not adapted for care and the collaboration with the palliative team is described to be experienced as both positive and negative. Conclusion.The nurses in the study experienced working with palliative home care as positive but challenging. By clarifying the most challenging parts of the work such as stress, the home environments configuration and that the consultant team is not available for contact around the clock, can enhance the understanding for which areas of improvement there is in the area of ​​palliative home care. It is also of importance to illuminate the parts that the nurses experienced as positive, to thereby maintaining and clarifying those parts within the work which contributes to enhance the nurses work satisfaction.

     

    Keyword: experience, home care, nurse, palliative care

  • 379.
    Forslin, Daniel
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Gunnarsson, Karolina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenheter av att vårda vuxna patienter i livets slutskede inom slutenvården: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Approximately 15,000 people die in different hospital wards in Sweden each year. As a nurse, you will come in contact with and meet with these patients in the final stages of their lives. It is important as a nurse to be prepared for this care to be able to provide professional treatment and the best possible care.

    Aim

    The purpose of this study was to describe nurses' experiences of caring for adult palliative patients in hospital wards and to investigate the included articles data collection method.

    Method

    A descriptive literature study with qualitative articles. Articles have been searched in Medline and CINAHL databases and by manual search. The final number of included articles was 11. The articles were then reviewed by both authors to ensure that they correspond to the purpose of the current study.

    Results

    The result of the reviewed articles came to be highlighted in the results section of the current study and described under three mainheadings. These showed the importance of work experience among nurses that they would feel comfortable in their work situation. How much time factor affected the quality care and the emotions associated with the nurses caring for patients in the final stages of life. The reviewed articles datacollection method consisted of semi-structured interviews and unstructured interviews.

    Conclusion

    Nurses experience different feelings in this caring, both positive and negative. Further more, the nurse struggling to find enough time to and to allocate time between patients to match prevailing conditions to create a good end of life care for these patients. In this work, nurses feel that they required experience to manage the care of patients in the final stages of life. The nursing education is perceived to not adequately prepare nurses for this care.

  • 380.
    Fransson, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Distriktssköterskors reflektioner och erfarenheter av det hälsofrämjande arbetet i möten med kvinnor från andra kulturer: En intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 381.
    Franzén, Sofie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Ohlsson, Spire
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Upplevelser av att leva med inflammatorisk tarmsjukdom (IBD): En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Inflammatory bowel disease (IBD) includes the diseases Ulcerative Colitis and Morbus Crohn. Environmental factors and changing diets are thought to be reasons for IBD cases has increased in the US and Western Europe in a short time. It is in Sweden about 500 people affected of Morbus Crohn every year and Ulcerative colitis affects about 900 people per year. The disease has physical symptoms such as diarrhea, pain and weight loss, but also affects an individual psychosocial. Aim: The aim was to describe people's experiences of living with inflammatory bowel disease, and to present the study group as described in the included articles. Methods: This study is a descriptive literature study and 11 qualitative articles were used. PubMed and Cinahl were used to search for articles. Keywords used were: Inflammatory Bowel Diseases, Qualitative, Everyday Life and Lived Experiences. Main results: IBD is a chronic disease. Physical symptoms such as nausea, pain and fatigue which is also seen as a mental symptoms. The disease was found to influence the individual's daily life, eating habits, family life, and social relationships. All included articles presented the study group. Conclusion: IBD are becoming more common in the world. The symptoms are both physical and psychosocial and affects the afflicted person everyday life, social life and diet. Nurses face a big challenge in being able to confronting and care for these patients, since each individual has different perceptions of the same diagnosis.

  • 382.
    Fredholm, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sköld, Helene
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelser av att möta personer med missbrukssyndrom samt sjuksköterskans attityder i vårdmötet2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Substance-use disorder is common in society and involves harmful use of different substances, for example. alcohol and drugs. The use is in progress despite adverse consequences for the person's life situation and increases the risk of unstable health. Which leads to an increased need for healthcare. Research has shown that people with substance-use disorder experience exclusion, stigma and shame in contact with healthcare  

    Aim To describe nursing experience of meeting people with substance-use disorder and the nurse's attitudes in the healthcare meeting, as well as describing the survey articles of the included articles.  

    Method A descriptive literature study. Ten items are included in the result. Article search was made in the PubMed and Cinahl databases. Discussion was conducted between the authors to compile an objective result.  

    Results Nurses had different opinions about if substance-use disorder were a disease or not. Persons with substance-use disorder were considered irresponsible for their health status according to nurses. Nurses described how they experienced the patient group as erratic and manipulative and that caused increased workload. Furthermore, a sense of frustration arose over their own missile and the uncertainty surrounding the patient group. Requests for education were expressed. According to the nurses, patience and support were important parts of care and to not reflect their own opinion.  

    Conclusion Depending on whether nurses saw the substance-use disorder as a state of illness or as self-inflicted, positive or negative attitudes and experiences have emerged. Knowledge and education in substance-use disorder is necessary to maintain an ethical approach within the nurse's profession.

  • 383.
    Fredin, Hanna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Lundstein, Sandra
    University of Gävle, Faculty of Health and Occupational Studies.
    Hur beskriver sjuksköterskor på kommunens särskilda boenden för äldre sitt dagliga arbete med malnutrition?2011Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att belysa sjuksköterskans upplevelser av att arbeta med problematiken kring malnutrition på särskilt boende för äldre. En deskriptiv design användes till den kvalitativa studien. Intervjuer med hjälp av en intervjuguide genomfördes med åtta sjuksköterskor som valdes ut genom ett bekvämlighetsurval. Alla sjuksköterskor arbetade på särskilda boenden för äldre. Data analyserades genom en manifest innehållsanalys. Sjuksköterskorna identifierade malnutrition med hjälp av bedömningsformulär, samarbete med omvårdnadspersonal samt sin kliniska blick. Orsaker till malnutrition beskrevs som fysiska, organisatoriska eller beroende på den äldres egen vilja. Samarbete med olika instanser inom organisationen beskrevs vara av största vikt för att förhindra malnutrition och svåra situationer beskrevs uppstå i livets slutskede. Förebyggande åtgärder som lyftes fram var kostanpassning, måltidsmiljön och stimulering av sinnena. Samtliga sjuksköterskor visade på olika aspekter av problem i arbetet med malnutrition hos äldre personer boende på särskilda boenden för äldre. De belyste hur de identifierade, arbetade förebyggande med malnutrition, vad som orsakade malnutrition och svårhanterade situationer. Sjuksköterskorna, upplevde organisatoriska svårigheter som t.ex. arb

  • 384.
    Fredin, Karin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Holmqvist, Kristin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnor som överlevt bröstcancer–erfarenheter och behov av socialt stöd från vården: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of this study was to describe women, from different cultures, experiences and needs of social care support after surviving their breast cancer. The aim was also to do a quality review of the methodological aspect selection sampling in the selected and reviewed articles.

    Method: A literature review with descriptive design.

    Result:  The result of this literature review shows that, within informationsupport, the women experience a lack of information regarding physical and mental health and a lack of information from the doctor about the side effects, guidelines, and lymphedema. It turned out that the women had a need for better and more information, separated information conversations with their health professionals and also the correct adapted information at the right time. Within the emotional support and valuation support the results show that women had experiences of language barriers, unmet relationship with physicians with a lack of holistic approach. The women were in need of an assigned contact-person and rehabilitation team, available healthcare and extra support in both the physical and psychological self-care, individual health care interventions. Mostly of the included articles had purposive samples.

    Conclusion: The literature review indicatesdeficiencies in the aftercare for women survivors of breast cancer and also highlights women's need for social support from health care. The women stated they need more and better information, that health professionals do not pay attention to their mental health enough and that careshould be based on a holistic approach to enable an improvement after treatment.

  • 385.
    Fredriksson, Elin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Olsson, Hanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelser av samarbetet med läkare2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 386.
    Freiman, Agneta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Distriktssköterskors erfarenheter av fysiskt, psykiskt och sexuellt våld samt omsorgssvikt mot äldre personer över 65 år: En intervjustudie2016Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research shows that the majority of abuse of older people over 65 occurs within the family but can also occurs in institutions for the elderly and other care facilities. Purpose: The purpose of this study was to describe nurses' experiences of physical, psychological and sexual violence, and neglect of the elderly people above 65 years of their close relationships in the ordinary or special accommodation. Method: The study had a descriptive design qualitative approach and was carried out through semi-structured interviews with eight district nurses working in municipal home care. The material was analyzed using qualitative content analysis. Results: The analysis process resulted in six categories: Presence of physical violence hidden by the involved Psychological violence in the form of insults and threats Limited experience of sexual violence Neglect in the form of too little, too much or no care Emotionally affected by violent situations Good communication and support from employees but lack of support in the guidelines. Conclusion: The conclusion of this study is that the district nurses working in home health care come into contact with abused older people and that violence against these occur when the district nurse is the patient's home and when they are not there. Violence carried out can be physical, psychological, sexual or neglect and need for further research on the topic of violence in close relationships among the elderly is urgent.

  • 387.
    Friberg, Caroline
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Strandberg, Josefine
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnors upplevelser av klimakteriet: - en beskrivande litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim – The purpose of this study was to describe women's experiences of menopause and to highlight one methodological aspect.

    Method – A descriptive literature study. 11 articles on women's experiences of menopause are compiled in this study. A review of the sampling and presentation of eventual drop-outs has been occurred. The articles were found in PubMed and Cinahl and a manual search has also been done.

    Main results - The experiences of menopause varies among individuals. Women's symptoms associated with menopause varied both in intensity and in frequency. Women also dealt with the symptoms in different ways. Some felt that it affected their everyday life, while others experienced that the climacteric phase was easy to pass.

    Conclusion - Menopause is a natural process that usually coinciding with other changes in life, therefore it was not rare that women experienced some form of identity crisis. During the climacteric phase it is advantageous for women to apply their coping strategies. A recurring dilemma was the demand of increased knowledge related to women's stories. The women desired ambient responsiveness and better support from healthcare during menopause. A large proportion of middle-aged women will somehow be in contact with health services. This means that general nurses also will meet these women.

  • 388.
    Friberg, Stina
    et al.
    Falu Lasarett, Infektionskliniken.
    Jansson, Josefine
    Levia hälsovård, Rättvik.
    Westergren, Eva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Lindberg, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet.
    Grundutbildade sjuksköterskors upplevelse att börja arbeta på en barnavdelning2016In: Nordisk sygeplejeforskning, ISSN 1892-2678, E-ISSN 1892-2686, Vol. 6, no 1, p. 20-33Article in journal (Refereed)
    Abstract [en]

    Basic trained nurses experience to start working on a children’s ward

    The aim of the study was to describe nurses trained to a basic level experience of starting work on a children's ward. A qualitative study has been conducted with a purposively drawn sample of informants. Semi-structured interviews were conducted with eight basic trained nurses. Data were analyzed using qualitative content analysis. The results showed that respondents felt that the pediatrics course is not preparing for the professional work with children. Most felt that it was through real situations in the workplace that they gained necessary knowledge. Furthermore, it was found that only a few were satisfied with the induction. Spending time with many different supervisors was an important factor for experiencing dissatisfaction with the induction. Good support was received from employees; however the support of the organization was poor. Conclusion: Today's undergraduate education in nursing does not include enough pediatrics to prepare students for professional work with children and adolescents. Actions at individual and workplace levels are needed to increase knowledge of the basic trained nurse. Continuity and support during the induction is important for newly employed nurses to feel competent in their work.

  • 389.
    Frisegård, Matilda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans preventiva omvårdnadsåtgärder för patienter med trycksår i samband med sjukhusvistelse: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As early as the 1500s in France the surgeon Ambroise Pare treated patients with what we today call pressure ulcers. Pressure ulcers are common in hospitalized patients and affect both the patients’ quality of life and contribute to high costs for society.

    Aim: To describe the nurses preventive care measures for pressure ulcer patients during hospital stays and to describe what data-collection methods chosen articles have used.

    Method: A literature review with descriptive design based on 12 scientific articles with either a qualitative and/or quantitative approach. The search for articles occurred in the databases Cinahl and PubMed.

    Result: Five categories were identified; inspection and skin assessment, documentation and education, support surfaces, repositioning and the importance of nutrition. The nurse responsibility is to inspect and assess the skin of patients as patients, especially the elderly, have difficulty in self-detect pressure ulcers. In order to prevent the occurrence of pressure ulcers requires good documentation systems and wider staff education regarding prevention measures and concrete guidelines in pressure ulcer prevention. Changing position of bedridden patients every three hours with 30-degrees is a good pressure ulcer prevention. Giving supplements for bedridden patients regardless of whether they already are malnourished or not has a positive impact in the development of pressure ulcers. It has also been shown to be a direct link between malnourished patients and the occurrence of pressure ulcers.

    Conclusion: To reduce the occurrence of pressure ulcers nurses should work from categories such as: inspection and skin assessment, documentation and education, support surfaces, repositioning and the importance of nutrition. Awareness of pressure ulcers and lack of time for nursing care should also be improved.

  • 390.
    Fritzell, Kaisa
    et al.
    Department of Neurobiology, Care Sciences and Society, Div. of Nursing, Karolinska Institutet, Stockholm.
    Jervaeus, Anna
    Department of Neurobiology, Care Sciences and Society, Div. of Nursing, Karolinska Institutet, Stockholm.
    Stake Nilsson, Kerstin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Hultcrantz, Rolf
    Karolinska University Hospital, Stockholm.
    Wengström, Yvonne
    Department of Neurobiology, Care Sciences and Society, Div. of Nursing, Karolinska Institutet, Stockholm.
    Translation and cultural adaption of the decisions module for colorectal cancer screening into a Swedish version - the SCREESCO questionnaire2017In: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708, Vol. 52, no 11, p. 1248-1252Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES:

    Colorectal cancer (CRC) is suitable for population screening due to its high incidence and the recognizable and treatable prephase, and the present study is part of the larger study; Screening for Swedish Colons (SCREESCO). In Sweden, there is, to our knowledge, no questionnaire assessing shared decision making (SDM) with regard to CRC screening and, therefore, the aim of the study was to translate and culturally adapt the CRC screening module of the National Survey of Medical Decisions (DECISIONS) into a Swedish context.

    MATERIAL AND METHODS:

    A qualitative design inspired by guidelines based on methods for cross-cultural adaptation of questionnaires was used. In addition, focus group discussions, individual interviews and think-aloud (TA) sessions were performed.

    RESULTS:

    Of the 54 items included in the original DECISION survey, 32 were excluded, 22 were modified, and three were added as a result of the qualitative study. How the health care organization communicated and CRC screening knowledge was communicated were found to be the most important cultural differences between Sweden and the USA. The final questionnaire consists of 24 items.

    CONCLUSION:

    The process of translation and cultural adaptation of the CRC screening module of the DECISIONS survey resulted in the removal and modifying of a considerable number of items. The major rationale for the removal and modifying of items can be explained by the different cultural traditions between Sweden and the USA when communicating with the health care system regarding screening participation and how CRC screening information and knowledge is communicated.

  • 391.
    Fritzell, Kaisa
    et al.
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Stake Nilsson, Kerstin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Jervaeus, Anna
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Hultcrantz, Rolf
    Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
    Wengström, Yvonne
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden; Breast and Sarcoma Unit, Radiumhemmet, Karolinska University Hospital, Stockholm, Swede.
    The importance of people's values and preferences for colorectal cancer screening participation2017In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no 6, p. 1079-1084Article in journal (Refereed)
    Abstract [en]

    Background: To explore how individuals reason when they make decisions about participating in colorectal cancer(CRC) screening.

    Methods: Individuals randomized colorectal cancer (CRC) screeningto FIT or colonoscopy included in the Screening of Swedish Colons (SCREESCO) program was invited to focus group discussions and individual telephone interviews. The concept of shared decision-making (SDM: information; values/preferences; involvement) was used as a matrixfor the analyses. To validate findings, additional focus group discussions using the nominal group technique were performed.

    Results: Lack of knowledge of CRC and CRC screening was prominent for participants and non-participants, while the results differed between the groups in relation to their values and preferences. The influence of significant others promoted participation while it prevented it among non-participants. Those who participated and those who did not made it clear that there was no need to involve health care professionals when making the decision.

    Conclusions: Based on the results, a display of different ways to spread knowledge and communicate about CRC and CRC-screening could be applied such as, community-based information campaigns, decisions aids, interactive questionnaires, chat-functions and telephone support. The disparity in values and pref-erences between participants and non-participants may be the key to understand why non-participants make theirdecisions not to participate and warrant further exploration.

  • 392.
    Fritzell, Kaisa
    et al.
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Stake-Nilsson, Kerstin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Jervaeus, Anna
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Hultcrantz, Rolf
    Karolinska University Hospital, Stockholm, Sweden.
    Wengström, Yvonne
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    The importance of peoples values and preferences in promoting colorectal cancer screening participationIn: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360XArticle in journal (Refereed)
    Abstract [en]

    Background: To explore how individuals reason when they make decisions about colorectal cancer (CRC) screening participation from the perspective of participants and non-participants.

    Methods: Individuals randomized to FIT or colonoscopy included in the Screening of Swedish Colons (SCREESCO) program were invited to focus group discussions and individual telephone interviews. The concept of shared decision-making (SDM: information; values/preferences; involvement) was used as a matrix for the analyses. To validate findings, additional focus group discussions using the nominal group technique were performed.

    Results: The results covered the SDM concept. Lack of knowledge of CRC and CRC screening was prominent in both participants and non-participants, while the results differed between the groups in relation to their values and preferences. The influence of significant others promoted participation among participants while it prevented it among non-participants. Both participants and non-participants made it clear that there was no need to involve health care professionals when making their decision.

    Conclusion: Based on the results, a display of different ways to promote knowledge and communication about CRC and CRC-screening, e.g. community-based information campaigns, decisions aids, interventions, such as interactive questionnaires, chat-functions and telephone support, should be provided. The disparity in values and preferences between participants and non-participants may be the key to understand why non-participants make their decisions not to participate and should be further explored.

  • 393.
    Frykman, Madeleine
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Wikström, Sofia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskors erfarenheter av att arbeta på akutmottagning: litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The Emergency department is a part of the hospital where patients comes with a critical condition and unexpected ilness for a first judgment. The healthcare provided is intense and demanding of the nurses.

    Aim: The aim of the study was to describe the nurses experiences of working in the emergency department. Our purpose is also to describe the study participants in the selected studies.

    Methods: The present literature review has a decpriptive design. PubMed was used and 15 articles were included, eight had a qualitative approach and seven had a quantitative. The limits that were used in the data collection was years, language and access for the university of Gävle. The data were analysed by color-coding and reading and the result is presented by four themes.

    Main Results: It was revealed the emergency department nurses were affected by the experience of various forms of stress. The patient population is constantly increasing, which concerned the nurses, which in turn led to increased workload. The need of education and more resources of nurses is big, and the work enviroment is demanding with a high patient flow, violence and hectic days. In the selected articles there was in total 1492 participants.

    Conclusion: The experience of stress affected the nurses emotionally and physically, which also affected the social life. The emergency department is unorganized with a high patientflow that affects the work enviroment and the patient safety. The high patient flow contributed also to a long waiting time which increased the risk of violence. More resources of nurses and education is needed

  • 394.
    Frykman, Martina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Andersson, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Färdigheter och förutsättningar för sjuksköterskor i mötet med patienter med psykisk ohälsa: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The definition of mental illness is characterized by a lack of management regarding mood, thoughts or behavior. It is difficult for the person to cope with everyday duties as well as relationships with other people.

    The study revealed that the society should take action to prevent social isolation for those with mental illness. The central concepts of care theory is love, learning and well-being, where nurses' conditions and actions create results in the patient.

    Aim:

    Describe skills and prerequisites nurses need at the meeting of patients with mental illness. A further aim was to examine the ethical considerations included studies made use of.

    Method:

    A descriptive literature study

    Main result:

    Nurses feel they do not have skills regarding mental illness. When nurses care for patients with mental illness are often formed stigmatizations regarding these patient groups and care will suffer. That creates difficulties in dealing with situations where patients' mental health problems are preventing optimal care efforts. The nurses felt that the general nursing care was better if the right knowledge and training in mental health raised further.

    Conclusion:

    Nurses need increased knowledge and training regarding mental illness in order to have skills and opportunities.

  • 395.
    Frövall, Marlene
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Rolandsdotter, Kajsa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vårdpersonalens följsamhet till handhygienrutiner: Faktorer som hindrar och möjliggör2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att beskriva vilka faktorer som hindrar och möjliggör följsamhet till handhygienrutiner hos vårdpersonal inom slutenvården. Vidare var syftet att utreda hur urvalen och bortfallen beskrevs i litteraturen. Metoden som användes var beskrivande litteraturstudie. Datainsamlingen gjordes via databaserna: PubMed, Chinal och PsycINFO och gav 15 artiklar som resultatet byggdes på. Resultatet sammanställdes och gav de sex rubrikerna: Tidsaspekt; personalens kunskap och attityder; miljö och tillgång till material; hudkondition; vanor och kollegors inflytande. Tidsbrist, hudirritationer och bristande kunskap hade stor inverkan till att hygienrutinerna inte efterföljdes som de skulle. Däremot framkom det att tillgång till material och uppdaterad information bidrog till att hygienrutinerna förbättrades. I kvalitetsgranskning av den metodologiska aspekten urval och bortfall redovisades att sex av artiklarna beskrev vilken urvalsmetod som använts och i åtta artiklar beskrevs eventuella bortfall. Slutsatsen som drogs var att allmänsjuksköterskan och omvårdnadsledaren i sin yrkesroll behöver mer kunskap om vad som bidrar till att handhygienrutinerna inte efterföljs. Samt att mer tillgängligt material och bättre produkter skulle öka tillämpningen av hygienrutinerna.

  • 396.
    Funestig, Tobias
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    Wiklund, Jonas
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science. 1991.
    Kan SMAT protokollet tillämpas för att mäta den aeroba effekten på vuxna ishockeyspelare?: En experimentell studie med Skating Multistage Aerobic Test (SMAT)2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Vikten av att testa idrottares aeroba effekt idrottsnära har länge varit känd. Skating Multistage Aerobic Test (SMAT) är ett idrottsspecifikt test för ishockeyspelare som utvecklades med unga individer men som idag används på vuxna ishockeyspelare utan att någon validering har skett med den vuxna åldersgruppen.

    Syfte och frågeställning: En experimentell pilotstudie utfördes med syftet att validera SMAT-protokollet på vuxna ishockeyspelare samt undersöka vilken tillförlitlighet SMAT-protokollet har för att uppskatta testvärdet hos vuxna ishockeyspelare jämfört med det uppmätta värdet.

    Metod: 6 aktiva ishockeyspelare i division 2 (Ålder: 27,6 ± SD 7,2 år) deltog i studien. Syreupptagningen mättes konstant under utförandet av SMAT med Jaeger Oxycon Mobile system och jämfördes med SMAT protokollets erhållna värden. VO2 platå, blodlaktat, respiratoriska kvot (RER) och % av maxpuls granskades för att undersöka om testet var tillförlitligt.

    Resultat: På nivå ett var medelvärdet på samtliga 6 deltagares testvärde 24,52 ml syre/min/kg i jämförelse med SMAT protokollets erhållna testvärde på 27,7 ml syre/min/kg. Medeltestvärdet för deltagarna visade en stigande skillnad med SMAT protokollets värden i och med nivåökningarna, på nivå 13 var skillnaden 53,37 (Jaeger systemet) kontra 71,6 ml syre/min/kg (SMAT-protokollet). Samma trend sågs på individuell nivå.  5 av 6 deltagare uppnådde en VO2 platå och ≥95% av maxpuls. Laktatnivåerna innan testet var 0,7 till 1,7 och efter testet 5,6 till 13,6 varav 2 deltagare uppnådde gränsvärdet (≥8 mmol/L-1). 4 av 6 uppnådde RER gränsen på ≥1.10.

    Diskussion: Skillnaderna i testvärdena mellan SMAT och det uppmätta värdet tros blivit påverkat av ungas arbetsekonomi (skridskoteknik), på grund av sämre arbetsekonomi så kräver unga en högre syreförbrukning för ett givet arbete. Den anaeroba kapaciteten kan också ha påverkat då vuxna har en större förmåga att utnyttja det anaeroba systemet.

    Slutsats: Resultatet tyder på att SMAT protokollet inte är tillförlitligt för att mäta testvärdet hos vuxna ishockeyspelare.

     

  • 397.
    Furuseth, Christina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies. University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Samuelsson, Therese
    University of Gävle, Faculty of Health and Occupational Studies. University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Beskrivning av patienters postoperativa vårdförlopp tre dagar efter kolorektalkirurgi enligt ERAS vårdprogram2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    The purpose of this study was to describe the post-operative care during the three first days for patients who have undergone colorectal surgery according to ERAS care programs with a focus on the variables nutrition, elimination, activity, type of analgesia and the number of hospital days documented in the patient record and patient log books. ERAS means "Early Recovery After Surgery" and the purpose of the health care program is to accelerate recovery after colorectal surgery. The study had a descriptive design and a quantitative approach, in which 51 patient records were included. Log books and patient records were reviewed postoperatively. According to the log books estimated most of the patients, who had documented, that they ate and drank very good or good. According to nursing documentation most of the patients ate ordinary food and drank nutritional drinks. According to the log books, the mean and median were about two drinks per day while nursing documentation varied. According to the log books, the median first stool after surgery was two days and according to the nursing documentation three days. The median number of walks in the corridor varied from 2-3 (log books) to two walks each day (nursing documentation). Epidural analgesia was the most common analgesia. The mean number of hospital days was 8.4 days (median 7 days). The conclusion is that few ERAS patients achieved the targets set at the hospital. The lack of documentation makes the interpretation difficult.

  • 398.
    Färdigs, Desirée
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Johansson, Matilda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personers upplevelser av livskvalité och det dagliga livet efter att ha överlevt hjärtstopp: En beskrivande litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Under 2016 rapporterades 7938 fall i Sverige där personer drabbats av hjärtstopp, varav 1317 personer överlevde. Syrebristen som uppstår vid ett hjärtstopp kan orsaka skador på kroppen efter endast några minuter, därför är det av vikt att se hur dessa personer upplever livskvaliteten och det dagliga livet.

    Syfte: Syftet med denna litteraturstudie var att beskriva personers upplevelser av livskvalité och det dagliga livet efter att ha överlevt hjärtstopp, samt vilka undersökningsgrupper som använts i artiklarna.

    Metod: Designen var en beskrivande litteraturstudie som byggde på 14 vetenskapliga artiklar varav fem av kvalitativ ansats och nio av kvantitativ ansats. Artiklarna söktes fram i databasen Medline via PubMed.

    Huvudesultat: Resultatet baseras på 1566 stycken deltagare. Fysiska och psykiska begränsningar förekom och kunde påverkade deltagarnas dagliga liv. Gällande livskvalitén kunde den upplevas olika, även om de flesta upplevde bra livskvalité efter hjärtstoppet. Även deltagarnas sociala liv påverkades och den förändrade livssituationen kunde bli en utmaning. Detta gjorde att stödgrupper kunde vara bra för att hantera det dagliga livet.

    Slutsats: Efter ett hjärtstopp upplevdes livskvalitén hos deltagarna olika. Fysiska, psykiska och sociala begränsningar kunde förekomma vilket kunde ha negativ betydelse för livskvalitén och upplevas som en utmaning i det dagliga livet. Det kan därför vara av vikt för sjuksköterskan att redan vid omvårdnaden av patienten på sjukhus informera och stödja patienten i de förändringar som efter utskrivning kan förekomma, samt att efter utskrivning ge fortsatt stöd till patienterna för att underlätta återhämtningen i det dagliga livet.

  • 399.
    Färlin, Lena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jonsson, Hannah
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hur anhörigvårdare till personer med Huntingtons sjukdom upplever sin livssituation: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Huntington’s disease (HD) is a neurologic disease that’s genetic hereditary and can affect both women and men equally. The disease infect nerve cells in the brain that controls muscle regulation, leading to involuntary movements. Cognitive loss is another symptom, as well as influenced speech and breathing. HD is a progressive disease and is divided into various phases. In the last phase the victim is completely dependent on others. The disease is called a relative’s disease because the relative often takes the care role to the person with HD.

    Purpose: The aim of this study was to describe how family caregivers to persons with Huntington’s disease experience their situation in life. Furthermore to describe the included scientific articles study group.

    Method: A descriptive literature study based on ten scientific articles with qualitative approach. The databases used for the literature research were Cinahl and PsycINFO.

    Main results: Family carers of people with Huntington's disease described an emotional stress that often led to depression and isolation. Their lives were sidelined while caring occupied most of their time and they often felt alone in their situation. The fear of being affected themselves by the disease was imminent. Incomprehension and ignorance were common, both from the medical staff and the surroundings. Obtaining support from family, friends and support groups were significant and desirable.

    Conclusion:  Family carers experienced an emotional strain while caring for their family member with Huntington's disease. Nurses should learn from their experiences to improve nursing care and treatment against family carers.

  • 400.
    Gardulf, Ann
    et al.
    Karolinska Institutet, Stockholm, Sweden; The Japanese Red Cross Institute for Humanitarian Studies, Tokyo, Japan.
    Nilsson, Jan
    The Japanese Red Cross Institute for Humanitarian Studies, Tokyo, Japan; Karlstad University, Karlstad, Sweden.
    Florin, Jan
    Dalarna University, Falun, Sweden.
    Leksell, Janeth
    Dalarna University, Falun, Sweden; Uppsala University, Uppsala, Sweden.
    Lepp, Margret
    University of Gothenburg, Gothenburg, Sweden; Østfold University College, Halden, Norway.
    Lindholm, Christina
    Sophiahemmet University, Stockholm, Sweden.
    Nordström, Gun
    Karlstad University, Karlstad, Sweden; Hedmark University College, Hedmark, Norway.
    Theander, Kersti
    Karlstad University, Karlstad, Sweden; County Council of Värmland, Karlstad, Sweden.
    Wilde-Larsson, Bodil
    Karlstad University, Karlstad, Sweden; Hedmark University College, Hedmark, Norway.
    Carlsson, Marianne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala University, Uppsala, Sweden.
    Johansson, Eva
    Karolinska Institutet, Stockholm, Sweden.
    The Nurse Professional Competence (NPC) Scale: Self-reported competence among nursing students on the point of graduation2016In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 36, p. 165-171Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: International organisations, e.g. WHO, stress the importance of competent registered nurses (RN) for the safety and quality of healthcare systems. Low competence among RNs has been shown to increase the morbidity and mortality of inpatients.

    OBJECTIVES: To investigate self-reported competence among nursing students on the point of graduation (NSPGs), using the Nurse Professional Competence (NPC) Scale, and to relate the findings to background factors.

    METHODS AND PARTICIPANTS: The NPC Scale consists of 88 items within eight competence areas (CAs) and two overarching themes. Questions about socio-economic background and perceived overall quality of the degree programme were added. In total, 1086 NSPGs (mean age, 28.1 [20-56]years, 87.3% women) from 11 universities/university colleges participated.

    RESULTS: NSPGs reported significantly higher scores for Theme I "Patient-Related Nursing" than for Theme II "Organisation and Development of Nursing Care". Younger NSPGs (20-27years) reported significantly higher scores for the CAs "Medical and Technical Care" and "Documentation and Information Technology". Female NSPGs scored significantly higher for "Value-Based Nursing". Those who had taken the nursing care programme at upper secondary school before the Bachelor of Science in Nursing (BSN) programme scored significantly higher on "Nursing Care", "Medical and Technical Care", "Teaching/Learning and Support", "Legislation in Nursing and Safety Planning" and on Theme I. Working extra paid hours in healthcare alongside the BSN programme contributed to significantly higher self-reported scores for four CAs and both themes. Clinical courses within the BSN programme contributed to perceived competence to a significantly higher degree than theoretical courses (93.2% vs 87.5% of NSPGs).

    SUMMARY AND CONCLUSION: Mean scores reported by NSPGs were highest for the four CAs connected with patient-related nursing and lowest for CAs relating to organisation and development of nursing care. We conclude that the NPC Scale can be used to identify and measure aspects of self-reported competence among NSPGs.

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