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  • 3751.
    von Braun, Therese
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete.
    Larsson, Sam
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete.
    A social work perspective on health, wellbeing and sustainability2017Ingår i: A good life for all: Essays on sustainability celebrating 60 years of making life better / [ed] Fagerström, Arne and Cunnigham, Gary M., Mjölby: Atremi AB , 2017, 1, s. 45-69Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    There is a great debate considering social work related to health issues, wellbeing and sustainable development. This chapter examines possibilities and limitations of using a multidimensional perspective to explore and analyse use and misuse of alcohol, based on self-theoretical reasoning, gives a more detailed and specific understanding of substance users who represent a heterogeneous population, and of substance use-related dependency problems and their treatment to restore health and wellbeing and more sustainable life situations. Such an approach describes and analyses drug-use related problems in a manner that provides holistic information and relevant knowledge about persons and situational interaction processes that are involved in the use and misuse of alchol and drugs and its treatment. Tentative conclusions are presented.

  • 3752.
    von Braun, Thérèse
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Sociologi/Socialt arbete.
    Praktisk tillämpning av counselling inom socialt arbete2010Ingår i: Counselling - stödsamtal i socialt arbete / [ed] Sam Larsson och Sven Trygged, Stockholm: Gothia Förlag AB, 2010, s. 127-150Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 3753.
    von Braun, Thérèse
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete. Department of Social Work, Stockholm University, Stockholm, Sweden.
    Therapists' Narratives of Therapeutic Relationships in the Treatment of Drug-Dependent Patients2013Ingår i: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 48, nr 13, s. 1416-1433Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The article explores and analyzes therapists' narratives, using selected stories, and their strategies for achieving a positive therapeutic relationship and a therapeutic alliance with their patients as a critical dimension to enable effective treatment with patients manifesting dependency problems. Although the therapists are applying different treatment and dependency theories and methods they all emphasize the importance of the therapeutic alliance in order to be successful in the treatment process.

  • 3754.
    von Braun, Thérèse
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete. Department of Social Work, Stockholm University, Stockholm, Sweden.
    Larsson, Sam
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete. Department of Social Work, Stockholm University, Stockholm, Sweden.
    Sjöblom, Yvonne
    Department of Social Work, Stockholm University, Stockholm, Sweden, and 3Department of Social and Welfare Studies, University of Linköping, Norrköping, Sweden.
    Narratives of Clients' Experiences of Drug Use and Treatment of Substance Use-Related Dependency2013Ingår i: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 48, nr 13, s. 1404-1415Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The article focuses on narratives of clients' experiences of using/misusing alcohol and drugs and includes comments on their therapeutic process during treatment for dependency on psychoactive drugs. It discusses the role of narratives that focus on clients' experiences of understanding the use/ misuse of psychoactive drugs, emphasizing the importance of the narratives. Narrative therapy for substance-use-related dependency is discussed. Insight into the treatment processes of dependency, based on narrative case illustrations, is also provided.

  • 3755.
    von Braun, Thérèse
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete. Department of Social Work, Stockholm University, Stockholm, Sweden.
    Larsson, Sam
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete. Department of Social Work, Stockholm University, Stockholm, Sweden.
    Sjöblom, Yvonne
    Department of Social Work, Stockholm University, Stockholm, Sweden; Department of Social and Welfare Studies, University of Linköping, Norrköping, Sweden.
    Perspectives on treatment, alliance and narratives concerning substance use-related dependency2013Ingår i: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 48, nr 13, s. 1386-1403Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article considers different perspectives on the treatment of substance use-related dependency, focusing on the importance of a therapeutic relationship, working alliance, counseling, and the use of narrative methods. The article also discusses some unresolved critical issues concerning the possibilities and limitations of acquiring necessary knowledge about substance use-related dependency when using narrative research methods. The main conclusion is that the therapeutic relationship between the therapist and the client is of crucial importance for a positive outcome of treatment and that narrative methods provide a detailed empirical database for analyses of substance use-related dependency.

  • 3756.
    Von Schéele, Åsa
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap.
    Malm Nilsson, Sara
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap.
    En beskrivande litteraturstudie om sjuksköterskors erfarenheter av att vårda barn inom somatisk akutsjukvård2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Knowledge of nurses’ experiences of caring for children in somatic emergency care can be useful for nurses and other healthcare professionals to increase their understanding of the difficulties they may face. There is research on nurses’ experiences of caring for children in somatic emergency care, but there is no compilation of the latest research.  Aim: The purpose of the study was to describe nurses’ experiences of caring for children in somatic emergency care.  Method: A descriptive literature study containing ten articles that were searched in the CINAHL and PubMed databases. Findings: The result showed that nurses’ experiences of caring for children in somatic emergency care were; Caring for children created strong emotions; Parents have a significant role in the nursing situation; Caring for children places special demands on the nurse and there is a need to have coping strategies.  Conclusion: This study can provide nurses with knowledge and tools to more easily manage the care of children in emergency situations. By taking part in nurses’ experiences, we can share the reality they experience in their work role. This is to be taken most seriously as they felt there was need for improvement work on several levels.

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  • 3757.
    Von Schéele, Åsa
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap.
    Malm Nilsson, Sara
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap.
    Sjuksköterskors erfarenheter av att vårda barn inom somatisk akutsjukvård2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Background: Knowledge of nurses’ experiences of caring for children in somatic emergency care can be useful for nurses and other healthcare professionals to increase their understanding of the difficulties they may face. There is research on nurses’ experiences of caring for children in somatic emergency care, but there is no compilation of the latest research.  Aim: The purpose of the study was to describe nurses’ experiences of caring for children in somatic emergency care.  Method: A descriptive literature study containing ten articles that were searched in the CINAHL and PubMed databases. Findings: The result showed that nurses’ experiences of caring for children in somatic emergency care were; Caring for children created strong emotions; Parents have a significant role in the nursing situation; Caring for children places special demands on the nurse and there is a need to have coping strategies.  Conclusion: This study can provide nurses with knowledge and tools to more easily manage the care of children in emergency situations. By taking part in nurses’ experiences, we can share the reality they experience in their work role. This is to be taken most seriously as they felt there was need for improvement work on several levels.   

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  • 3758.
    von Uckermann, Alexander
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Bergström, Viktor
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Transaktionellt och transformativt ledarskap: Ur ett kvalitativt medarbetarperspektiv2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med studien var att undersöka vad personalen anser om transaktionellt och transformativt ledarskap avseende ledarens användande av villkorad belöning, leda genom avvikelser, karismatiskt/inspirerande, intellektualiserande och individualiserande ledarskap. För denna kvalitativa studie användes en semistrukturerad intervjuguide för att undersöka sex medarbetares uppfattningar av ledarskapsstilarna på ett företag i mellersta Sverige. Materialet analyserades genom deduktiv tematisk metod för att identifiera nyckelord kopplade till respektive tema och underkategori baserade på Bass faktormodell (1985) (Avolio, Bass & Jung, 1999). Resultatet presenterar personalens perspektiv på ledarskap och bidrar med kunskap om hur medarbetarna ser på betydelsen och tillämpningen av ledarskap. Det framkom en bild av både transaktionellt och transformativt ledararskap som inriktat på att tillfredsställa medarbetares behov i arbetslivet. Resultatet kan ge organisationen ökad förståelse för hur ledarskap kan tillämpas på arbetsplatsen enligt medarbetarnas intressen.

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  • 3759.
    Voraroon, Supaporn
    et al.
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Boromarajonani College of Nursing, Suphanburi, Thailand.
    Hellzen, Ove
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden.
    Enmarker, Ingela
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap, Med-Vårdvetenskap.
    Meebunmak, Yaowaluck
    Boromarajonani College of Nursing, Ratchaburi, Thailand.
    Devik, Siri Andreassen
    Centre for Care Research Mid-Norway, Steinkjer, Norway.
    The impact of shareholding networks for facilitating care in rural Thailand.2019Ingår i: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 40, nr 4, s. 392-398Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study explored the existential meaning of being a participant in shareholding networks for the care of older people in Thailand. Ten older persons were interviewed about their experiences of participating in the networks. A reflective lifeworld perspective based on phenomenological philosophy was used. The findings show that participating in shareholding network activities entails an always-present existence of aging intertwined with life. Its constituents further describe the essential meaning of the phenomenon: "experience of improved self-management", "feeling of increased self-esteem", and "bridging a gap in the care of older people". Participation in shareholding network activities means keeping contact with oneself and being able to have a life that corresponds to how one perceives oneself to be and must therefore be understood from a holistic perspective. The present study recommends that older persons' need for support include places where safe and profound reflection on existential issues.; Copyright © 2019. Published by Elsevier Inc.

  • 3760.
    Voraroon, Supaporn
    et al.
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Boromarajonani College of Nursing, Suphanburi, Thailand.
    Meebunmak, Yaowaluck
    Boromarajonani College of Nursing, Ratchaburi, Thailand.
    Enmarker, Ingela
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap. Centre for Care Research Mid-Norway, Steinkjer, Norway.
    Hellzen, Ove
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden.
    Shareholding Networks for Care in Rural Thailand: Experiences of Older Persons and Their Family Members2017Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 7, s. 318-330Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Most members of the older population in Thailand live in rural areas while their children live in cities. With the joint family system separated, elderly Thai persons often have to care for themselves, and opportunities for them to get involved in community care remain limited. In response, the aim of this study was to describe olderpersons’ and their family members’ experiences with shareholding networks for the care of older people in rural Thailand. Paired interviews with five older persons and five of their family members were conducted, and collected data were subjected to content analysis, which yielded results organized around two themes:older persons’ outsider status and disregard for older persons’ individuality.Whereas the theme of outsider status describes shortcomings in healthcare encounters, the theme of disre-gard for individuality describes the lack of engagement of authorities and ca-regivers in older persons’ care. In that sense, the concept of participation emerged as a framework for understanding interviewees’ experiences. Given findings from local authorities, older individuals and theirfamily members should engage in dialogue in order to support healthcare based on shared un-derstanding.

  • 3761.
    Voraroon, Supraon
    et al.
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Boromarajonani College of Nursing, Suphanburi, Thailand.
    Hellzén, Ove
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden.
    Meebunmak, Yaowaluck
    Boromarajonani College of Nursing, Suphanburi, Thailand.
    Enmarker, Ingela
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap. Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Centre of Care Research, Department of Health Sciences, Nord University, Steinkjer, Norway.
    Older People’s Lived Experiences with Participation in Shareholding Networks for the Care of Older People in Rural Areas of Thailand: A Phenomenological Hermeneutic Study2017Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 7, nr 7, s. 875-892Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Older people participating in shareholding networks are exposed to diverse situations, which may be associated with dignity. Aims: This study aimed to illuminate the meaning of lived experiences when participating in shareholding networks for the care of older people in rural areas. Methods: This qualitative study is based on individual interviews. Ten older Thai persons with at least 12 months of lived experiences participating in shareholding networks for older people in rural areas were interviewed. A phenomenological-hermeneutic approach, inspired by Ricoeur, was used to understand the meaning of the narrated text. Findings: The structural analysis resulted in four themes: 1) being satisfied with activities, 2) being valued as important, 3) being frustrated and feeling sad, and 4) being bored and feeling disinterest. The meaning of participation in a shareholding network for the elderly can be understood as a pathway to feelings of confidence and presence of others. Confidence and allowing the presence of others mean facing humanity and sensing vulnerability, because in a trusting relationship the person who gives confidence is susceptible to the other’s betrayal. Conclusion: An individual’s dignity should be a high priority in health and social care strategies. Therefore, it is important for healthcare professionals to initiate a dialogue with the shareholding participants for support and information. The narrations in this study can be used as a basis for developing cooperating care with older people in shareholding network focusing on their needs and dignity.

  • 3762.
    Vougt, Helena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv.
    Skolsköterskors uppfattning om orsaker till samt resurser för att bemötagrundskoleelevers psykiska ohälsa: en intervjustudie1988Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med studien var att belysa skolsköterskors uppfattning om orsaker till elevers psykiska ohälsa samt vilka resurser skolsköterskor har för att bemöta psykisk ohälsa hos barn och ungdomar. Studien genomfördes som en intervjustudie med beskrivande design vid grundskolor i Mellansverige. Sex skolsköterskor valdes ut utifrån geografisk spridning och typ av skola (fristående eller kommunal) för en semistrukturerad intervju. Intervjuerna analyserades med kvalitativ innehållsanalys. I resultatet framkom nio kategorier: Skolsköterskornas uppfattning var att de vanligaste orsakerna till barns psykiska ohälsa är relaterade till kategorierna hemförhållanden, neuropsykiatriska problem och inlärningssvårigheter hos barnen, brister i kontakten med BUP, prestationskrav att leva upp till, mobbing, konflikter och egna funderingar. Om skolsköterskornas resurser framkom kategorierna Skolsköterskan själv som resurs, Tid, Samarbetsgrupper och Ekonomi.

    Slutsats: Skolsköterskorna upplevde att det fanns flera olika orsaker till barnens psykiska ohälsa där hemförhållandena var den främsta. Skolsköterskornas resurser var deras eget arbete med barnen, tid, ekonomi samt interna och externa resurser. Samarbetet med dessa grupper fungerade i stort sett bra men med vissa brister, t.ex. köer till BUP samt vissa svårigheter i samarbetet med socialtjänsten.

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  • 3763.
    Waage Andrée, Rebecka
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Sundin, Rakel
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Sjuksköterskors beskrivning av patientsäkerhet inom socialpsykiatrin: en intervjustudie2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 3764.
    Wadelius, Sofia
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Bergström, Pernilla
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Upplevelse av livskvalitet efter hjärtstopp: En litteraturstudie2013Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Sammanfattning

    Syfte: Syftet är att beskriva hur individer som överlevt ett hjärtstopp samt individer som överlevt ett hjärtstopp och erhållit en ICD upplever sin livskvalitet utifrån ett fysiskt, psykiskt och socialt perspektiv. Vidare var syftet också att beskriva kvaliteten på de ingående artiklarna avseende undersökningsgrupp. Metod: Beskrivande litteraturstudie med 12 ingående resultatartiklar. Sökningar gjordes i databaserna Cinahl, PubMed och PsychINFO. Huvudresultat: Upplevelsen av livskvalitet påverkas ur flera aspekter hos individer som drabbats av hjärtstopp. Den fysiska förmågan var försämrad och med en för många uttalad trötthet försvårades det dagliga livet för dessa individer. Många upplevde oro och ångest och detta tillsammans med depression var en betydlig bidragande del till en minskad upplevelse av livskvalitet. Slutsats: Upplevelsen av livskvalitet är individuell och många upplever en sämre livskvalitet efter hjärtstoppet medan andra upplever att livet är lika bra som innan eller bättre efter hjärtstoppet. Sjuksköterskan har i sitt arbete ett stort ansvar att se till den enskilda individen och förmedla information, kunskap och hopp.

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  • 3765.
    Wagenius, Lisa
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Wikholm, Emma
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Chefers bemötande av sexuella trakasserier2011Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
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  • 3766.
    Wahlberg, Anna Carin
    et al.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Björkman, Annica
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Expert in nursing care but sometimes disrespected-Telenurses' reflections on their work environment and nursing care2018Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 21/22, s. 4203-4211Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe telenurses' reflections on their work environment and how it impacts on their nursing care.

    BACKGROUND: Telenursing is one of the largest healthcare settings in Sweden today; approximately 5.5 million care-seekers call the designated number-1177-each year. Telenursing is regarded as highly qualified nursing care, and providing care over the telephone is considered a complex form of nursing. Within other fields of nursing, the work environment has been shown to affect the outcome of care, patient safety, nurse job satisfaction and burnout.

    DESIGN: The study used a descriptive design and followed the COREQ checklist.

    METHODS: Twenty-four interviews were performed and analysed using qualitative content analysis.

    RESULTS: The main theme concerned "feeling like a nursing care expert but sometimes being disrespected." The telenurses reported that their work environment supported their work as nursing care experts via the telephone in some respects, but also hindered them. Appreciation and respect they received from the vast majority of callers positively impacted the work environment and contributed to work satisfaction. However, they also felt disrespected by both their employers and healthcare staff; they sometimes felt like a dumping ground. Receiving support from colleagues seemed invaluable in helping them feel like and be a nursing care expert.

    CONCLUSION: Work was perceived as cognitively demanding and sometimes exhausting, but appreciation from care-seekers and the feeling of being able to provide qualified nursing care made working as a telenurse worthwhile.

    RELEVANCE TO CLINICAL PRACTICE: If telenurses are to perform good nursing care over the telephone, managers must provide them with resources, for example, support, education and opportunities for recovery during shifts. It seems that the role of the 1177 service has not been properly implemented and accepted within the healthcare system, and politicians need to anchor its mission within the healthcare organisation.

  • 3767.
    Wahlborg, Maria
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Bergqvist, Emma
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Ensamstående mödrars upplevelser av att leva med försörjningsstöd2011Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
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  • 3768.
    Wahlström, Jens
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.
    Bergsten, Eva
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Trask, Catherine
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Centre for Health and Safety in Agriculture, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Jackson, Jennie
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Forsman, Mikael
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. IMM Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Full-shift trunk and upper arm postures and movements among aircraft baggage handlers2016Ingår i: Annals of Occupational Hygiene, ISSN 0003-4878, E-ISSN 1475-3162, Vol. 60, nr 8, s. 977-990Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: The present study assessed full shift trunk and upper arm postural exposure amplitudes, frequencies, and durations among Swedish airport baggage handlers, and aimed to determine whether exposures differ between workers at the ramp (loading and unloading aircraft) and baggage sorting areas.

    Methods: Trunk and upper arm postures were measured using inclinometers during three full work shifts on each of 27, male baggage handlers working at a large Swedish airport. Sixteen of the baggage handlers worked on the ramp and 11 in the sorting area. Variables summarizing postures and movements were calculated, and mean values and variance components between subjects and within subject (between days) were estimated using restricted maximum likelihood algorithms in a one-way random effect model.

    Results: In total, data from 79 full shifts (651 hours) were collected with a mean recording time of 495 minutes per shift (range 319-632). On average, baggage handlers worked with the right and left arm elevated >60° for 6.4% and 6.3% of the total workday, respectively. The 90th percentile trunk forward projection (FP) was 34.1° and the 50th percentile trunk movement velocity was 8°s-1. For most trunk (FP) and upper arm exposure variables, between-subject variability was considerable, suggesting that the flight baggage handlers were not a homogeneously exposed group. A notable between-days variability pointed to the contents of the job differing on different days. Peak exposures (>90°) were higher for ramp workers than for sorting area workers (trunk 0.6% ramp vs 0.3% sorting; right arm 1.3% ramp vs 0.7% sorting).

    Conclusions: Trunk and upper arm postures and movements among flight baggage handlers measured by inclinometry were similar to those found in other jobs comprising manual material handling, known to be associated with increased risks for musculoskeletal disorders. The results showed that full-shift trunk (FP), and to some extent peak arm exposures, were higher for ramp workers compared to sorting workers.

  • 3769.
    Wahlström, Jens
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, CBF. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, CBF. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Liv, Per
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, CBF. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Hedlund, Pernilla
    Department of Occupational and Environmental Medicine, Umea University Hospital, SE-901 85 Umeå, Sweden.
    Ahlgren, Christina
    Department of Community Medicine and Rehabilitation, Umea University, SE-901 87 Umeå, Sweden.
    Forsman, Mikael
    Department of Public Health Sciences, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
    Upper arm postures and movements in female hairdressers across four full working days2010Ingår i: Annals of Occupational Hygiene, ISSN 0003-4878, E-ISSN 1475-3162, Vol. 54, nr 5, s. 584-594Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To describe upper arm postures and movements among female hairdressers, including the variability between hairdressers, between days within hairdresser, and between tasks, as a basis for understanding the characteristics of exposures in the job, considering possible sources of variation and recovery, and discussing appropriate exposure assessment strategies. METHODS: Data on upper arm postures were collected using inclinometers during four working days the same week from 28 female hairdressers working in 13 salons. Twenty of the hairdressers noted customer on and off times in a diary, to allow separate analyses of customer tasks (CT) and auxiliary non-customer tasks (AT), including breaks. For a number of posture and movement variables, mean values and variance components between subjects (BS) and within subjects between days (BD) were estimated using restricted maximum likelihood algorithms in one-way random effect models. RESULTS: For the 20 hairdressers with diaries, CT accounted for 279 min (58%) (SD(BS) = 39 min and SD(BD) = 85 min) of the working day and AT and breaks for 207 min (42%) (SD(BS) = 46 min and SD(BD) = 88 min). The hairdressers worked with the right arm elevated >60 degrees for 6.8% of the whole job (SD(BS) = 2.8% and SD(BD) = 2.0%). On average, the hairdressers worked with the right arm elevated >60 degrees for 9.0% of the time during CT, compared to 3.7% during AT, resulting in a contrast between tasks of 0.35. CONCLUSIONS: Hairdressers may be at risk for developing musculoskeletal disorders in the neck and shoulders due to a considerable occurrence of highly elevated arms, especially during CT. On the other hand, we do not find reasons to classify hairdressing as a job with too little variation. Posture variability between days within hairdressers was in the same order of magnitude as that between hairdressers, suggesting that 'typical' workdays do not exist. The exposure contrast between CT and AT for variables describing elevated arm postures indicates that for these variables a simple task-based approach for estimating job exposure could be successful.

  • 3770.
    Waleh Åström, Amanda
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Heiden, Marina
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Strömberg, Annika
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete.
    Uncertainty in monetary cost estimates for assessing working postures using inclinometry, observation or self-report2017Ingår i: NES 2017 ”JOY AT WORK”: Conference Proceedings / [ed] Anna-Lisa Osvalder, Mikael Blomé and Hajnalka Bodnar, 2017, s. 160-161Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background

    In order to optimize cost-efficiency when collecting posture data in field studies, accurate cost data are needed. A few studies have assessed costs of different measurement methods, but they did not address the uncertainty of the cost estimates. Information on the uncertainty of cost estimates is key input when deciding which method to use.

    Aim

    This study aimed atassessingthe uncertainty in estimates of costs for collecting posture data by inclinometry, observations and self-report.

    Method

    The study wasbased on data collected at a Swedish paper mill (Heiden et al. 2017)1. Using a model developed by Trask et al. (2014)2, costs were calculatedfor measuring trunk and upperarm postures of twenty-eight workers during three full shifts using inclinometers, observations from recorded videos, and workers’ self-reports from a questionnaire. For each measurement method, the uncertainty of the actually observed total cost was assessed by determining the range of costs between an assumed best case (lowest cost) and worst case (highest cost) using scenario analysis.

    Results

    Observation was the most expensive method (€41499) and also showed a large uncertainty in the cost estimate (€19089–€87154). Self-reports had the lowest cost (€9156) with the smallest uncertainty (€3941–€27473). The overall cost for inclinometry was €16851 with best and worst cases €8567 and €60313, respectively. The actual costs of inclinometry and self-reports in the conducted study were reasonably close to the best case.

    Discussion

    In their study of flight baggage handling, Trask et al. (2014) concluded that inclinometry was more expensive than observation when measuring trunk and arm postures. In the present study, we found observation to be the more expensive. Given the uncertainty in cost estimates, both results are plausible. Notably, in Trask et al. (2014), video recordings were restricted to 4 hours, whereas in the present material, video recordings covered full 7 -to 12-hour shifts. The time allocated to collecting video material for observations will significantly affect the cost comparison of methods, and this may serve as an example that further investigations of separate cost components for each method are warranted.

    Conclusions

    Based on a meticulous cost assessment, we found that cost estimates for observation of working postures were the most uncertain, followed by inclinometry and self-reports. A better understanding of data collection costs and their uncertainty, and thus of how to properly identifyan optimal measurement method, requires a deeper analysis of the cost model, and of the contributions of separate cost components to the overall cost

    1 https://doi.org/10.1093/annweh/wxw0262

    2 https://doi.org/10.5271/sjweh.3416

  • 3771.
    Waleh Åström, Amanda
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Heiden, Marina
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Strömberg, Annika
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete.
    Uncertainty in monetary cost estimates for assessing working postures using inclinometry, observation or self-report2018Ingår i: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 71, s. 73-77Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To assess uncertainty in cost estimates for collecting posture data by inclinometry, observations and self-report.

    Method: In a study addressing physical workloads at a paper mill, costs were calculated for measuring postures of twenty-eight workers during three shifts. Uncertainty in costs was assessed for all three methods as the range between an assumed best case (lowest cost) and worst case (highest cost) using scenario analysis.

    Results: The cost for observation was larger, but also more uncertain (€16506 and €89552 in the best and worst case, respectively) than that of inclinometry (€7613 - €45896). Self-report costs were both lower and less uncertain (€3743 - €23368).

    Conclusions: The extent of uncertainty in cost estimates implies that observation could be less expensive than inclinometry, e.g., in a scenario where experienced observers could use existing software, while inclinometers would have to be purchased. We propose adding uncertainty assessments to cost estimates when selecting a method for measuring working postures, and offer guidance in how to proceed in a specific setting.

  • 3772.
    Waleh Åström, Amanda
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Heiden, Marina
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Mathiassen, Svend Erik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning.
    Strömberg, Annika
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete.
    Uncertainty of cost components in assessments of working posture by different methods2018Konferensbidrag (Refereegranskat)
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  • 3773.
    Waleteg, Therese
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Styf-Lundqvist, Katarina
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Familjens erfarenheter när ett barn får diagnosen cancer: En litteratur studie2013Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Sammanfattning

    Syftet: att utifrån litteraturen beskriva föräldrars och syskons erfarenheter då ett barn i familjen får diagnosen cancer. Metod: En beskrivande litteraturstudie som baserades på 11 vetenskapliga artiklar med kvalitativ ansats och en vetenskaplig artikel med både kvalitativ och kvantitativ ansats. Litteratursökning genomfördes i databaserna Medline via Pubmed och Cinahl. Huvudresultat: Barnets cancerdiagnos påverkade hela familjen. Föräldrarnas parrelation förändrades, friska syskon kände sig utanför och upplevde förändringar i relationen till det sjuka barnet. Mammorna tog rollen som vårdgivare för det sjuka barnet och papporna ansvarade för hushållet samt resten av syskonskaran. Friska syskon fick ökat ansvar vilket ledde till mognad och självständighet. Föräldrarnas frånvaro ledde till en splittrad familj där friska syskon togs omhand av andra. Både friska syskon och föräldrar kände skuld och hade tankar krig döden. Från diagnos och till behandlingens slut styrde cancern familjen och deras tillvaro. Föräldrarna kände oro men samtidigt ett hopp om framtiden. Slutsats: Ytterligare forskning krävs för att få bättre förståelse och kunskap om friska syskons upplevelser när ett barn får diagnosen cancer. Majoriteten av studierna baseras på föräldrars upplevelser. Det är viktigt att vården anpassas efter hela familjen, för att detta ska bli möjligt krävs att sjuksköterskor har kunskap om hela familjen.

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  • 3774.
    Wall, Susanne
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Henriksson, Camilla
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Närstående till hemodialyspatienter - litteraturens beskrivning av deras situation och det stöd de efterfrågar2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Kronisk njursjukdom med livsuppehållande hemodialysbehandling medförde förändrade levnadsvillkor för patienter och närstående. Närvaro av närstående var en faktor som positivt påverkade patienten och utan närståendes stöd krävdes större insatser från sjukvården. Till närstående räknas anhöriga, men även andra som har nära relationer med patienten, som till exempel vänner eller grannar. Syftet med denna litteraturstudie var att undersöka hur litteraturen beskriver situationen för närstående till hemodialyspatienter och vilken typ av stöd de efterfrågade, samt att beskriva inkluderade studiers urvalsgrupper. Det är en beskrivande litteraturstudie där 10 kvalitativa artiklar från databasen CINAHL inkluderades. Studiens resultat utmynnade i två huvudkategorier och åtta underkategorier. Situationen för de närstående präglades av oro, rädslor och osäkerhet kopplade till den sjukes hälsotillstånd och hemodialysbehandlingarna som orsakade stora begränsningar. Livssituationen påverkade många av de närståendes relationer, där den vårdande rollen och den sociala isoleringen hade framträdande platser. Resultatet visade att de närstående hade behov av att samtala om existentiella frågor, främst om döden, vilket gav en uppfattning om allvaret i de närståendes livssituation. Det var tydligt att stödet från sjukvården till de närstående upplevdes som mer betydelsefullt än stödet från övrig omgivning. De närstående hade svårigheter att uttrycka önskemål om stöd och efterfrågade initiativ till samtal från sjukvården.  

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  • 3775.
    Wallgren, Kenneth
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv.
    Björk, Henrik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv.
    Smärtskattning av äldre personer med demens - En litteraturstudie2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med föreliggande litteraturstudie var att beskriva olika smärtbeteenden hos äldre personer med demens samt smärtskattningsinstrument som är avsedda att användas för äldre personer med demens. Vetenskapliga artiklar söktes i Medline och CINAHL och arton artiklar inkluderades. Huvudresultatet i föreliggande litteraturstudie var att det finns tillförlitliga och enkla smärtskattningsverktyg för äldre personer med demens att använda för vårdpersonalen. De 4 valda smärtskattningsskalorna, PAINAD, MOBID, DOLOPLUS och PACSLAC hade alla höga psykometriska egenskaper vilket gör att de på ett säkert och tillförlitligt sätt kan användas av vårdpersonalen. Resultatet visade också på problemen att särskilja smärta hos en äldre person med demens från andra psykosociala problem som till exempel hunger, törst eller behov att gå på toaletten. De valda artiklarna testade i många fall smärtskattningsverktygen för äldre personer med demens mot självskattningsverktyg och att sjuksköterskan bara utifrån egna observationer gjorde en värdering av smärtstyrka eller intensitet. Vissa av de ingående artiklarna har jämfört validitet och reabilitet vid en översättning av smärtskattningsverktygen från originalspråket till ett annat språk och kommit till slutsatsen att även om validitet och reabilitet sjunkit på vissa punkter så har inte de psykometriska egenskaperna försämrats i den mån att smärtskattningsverktygen blivit obrukbart i en översatt version. 

    Nyckelord: Smärta, demens, mätning, beteende 

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  • 3776.
    Wallin, E.
    et al.
    Department of Surgical Sciences/Anesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Larsson, I. M.
    Department of Surgical Sciences/Anesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Sellert-Rydberg, M.
    Department of Anesthesiology & Intensive Care, Intensive Care Unit, Falun, Sweden.
    Rubertsson, S.
    Department of Surgical Sciences/Anesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap.
    Support and impact on everyday life after survival from cardiac arrest: Relatives' descriptions 6 months after a significant other's cardiax arrest2011Ingår i: Intensive Care Medicine, ISSN 0342-4642, E-ISSN 1432-1238, Vol. 37, nr Suppl. 1, s. S74-S74, artikel-id 0276Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    INTRODUCTION

    The aim was to describe relatives’ need of support and information whena significant other has survived cardiac arrest and the impact on everyday life 6 months after theevent.OBJECTIVES.Interviews with 20 relatives were conducted 6 months after a significantother’s cardiac arrest.

    METHODS

    The interviews were recorded and transcribed verbatim and were analyzed withqualitative content analysis.

    RESULTS

    The result illustrated various experiences by relatives. Six months after the sig-nificant other’s cardiac arrest relatives experienced support mainly from other family membersand friends. Relatives stated that the care, support and information in the intensive care unit hadbeen good but that they felt abandoned by the health care when the significant other wasdischarged from the intensive care unit. There were various requests to get more support fromthe health care mainly around issues concerning prognosis, rehabilitation and follow-up care.There were also requests to meet others in same situation, like family groups where they couldshare experiences. They experienced that the everyday life was affected especially withincreased responsibilities and requirements at home, restrictions in social life, a sense ofabandoned and a lack of understanding from the surroundings and a constant concern for thesignificant other.

    CONCLUSIONS

    Relatives’ everyday life was still affected 6 months after the event withincreased responsibilities at home and a constant concern for the person stricken by a cardiacarrest. The study illustrates that health care personnel need to offer relatives follow-upappointments to clarify issues concerning support and information.

  • 3777.
    Wallin, E.
    et al.
    Uppsala University, Department of Surgical Sciences, Anaesthesiology & Intensive Care, Uppsala, Sweden.
    Larsson, I.-M.
    Uppsala University, Department of Surgical Sciences, Anaesthesiology & Intensive Care, Uppsala, Sweden.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Rubertsson, S.
    Uppsala University, Department of Surgical Sciences, Anaesthesiology & Intensive Care, Uppsala, Sweden.
    Survivors after cardiac arrest and hypothermia treatment: Function and satisfaction in the first 6 months2013Ingår i: Intensive Care Medicine, ISSN 0342-4642, E-ISSN 1432-1238, Vol. 39, nr Suppl. 2, s. S289-S289, artikel-id 0270Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    INTRODUCTION

    The purpose of resuscitation and subsequent hypothermia treatment isto regain the health the patient had before the cardiac arrest. The effect can be classified indifferent ways: survival, time of survival and quality of life (QoL) (1). The life after cardiacarrest survival are affected and described as severe fatigue, feelings of anxiety and/ordepression, increased dependency in activity of daily life (ADL) and decreased QoL. (2)The aim of the study was to describe differences over time regarding functional outcome,physical and cognitive function of survivors after cardiac arrest treated with hypothermiaand also to examine survivors’ life satisfaction 6 months after cardiac arrest and genderdifferences.

    OBJECTIVES

    A prospective study including 40 cardiac arrest survivors admitted to threeSwedish hospitals between 2008 and 2012.

    METHODS

    Participants were studied from intensive care unit discharge to one and6 months after cardiac arrest. In addition to cerebral performance category (CPC), partic-ipants were asked to answer questionnaires regarding activities in daily life (Barthel Index),cognitive function (Mini Mental State Examination) and life satisfaction (LiSat-11).

    RESULTS

    At discharge from intensive care unit 9 (22.5 %) participants were defined withbad functional outcome (CPC 3–4). CPC improved over time and at 6 month all participantswere estimated with good functional outcome (CPC 1–2). At 1 month participants wereimpaired but they improved over time in their activities in daily life and cognitive function.Satisfaction with ‘‘life as a whole’’ was seen in 72.5 %.

    CONCLUSIONS

    Cardiac arrest survivors are satisfied with life as a whole despite a severeillness which has impaired their physical and cognitive function but seemed to improve overtime. To predict patients’ functional outcome in early stages is difficult and cerebral per-formance category alone is not sufficient to assess patients function. The healthcare teamneeds to work interdisciplinary and furthermore get a consensus of the instruments that bestcan reflect physical and cognitive function to specify the rehabilitation.

    REFERENCE(S)1: Cummins RO, Chamberlain D, Hazinski MF, Nadkarni V, Kloeck W,Kramer E, et al. Recommended guidelines for reviewing, reporting, and conducting researchon in-hospital resuscitation: the in-hospital ‘Utstein style’. American Heart Association.Circulation. 1997;95(8):2213–39. PubMed PMID: 9133537. 2. Moulaert VR, WachelderEM, Verbunt JA, Wade DT, van Heugten CM. Determinants of quality of life in survivors ofcardiac arrest. J Rehabil Med. 2010;42(6):553–8. PubMed PMID: 20549160.

  • 3778.
    Wallin, Ewa
    et al.
    Department of Surgical Sciences Anaesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Larsson, Ing-Marie
    Department of Surgical Sciences Anaesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Larsson, Elna-Marie
    Department of Surgical Sciences Radiology, Uppsala University, Uppsala, Sweden.
    Raininko, Raili
    Department of Surgical Sciences Radiology, Uppsala University, Uppsala, Sweden.
    Rubertsson, Sten
    Department of Surgical Sciences Anaesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Acute brain lesions on magnetic resonance imaging in relation to neurological outcome after cardiac arrest2018Ingår i: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 62, nr 5, s. 625-647Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    Magnetic resonance imaging (MRI) of the brain including diffusion-weighted imaging (DWI) is reported to have high prognostic accuracy in unconscious post-cardiac arrest (CA) patients. We documented acute MRI findings in the brain in both conscious and unconscious post-CA patients treated with target temperature management (TTM) at 32-34°C for 24 h as well as the relation to patients' neurological outcome after 6 months.

    METHODS:

    A prospective observational study with MRI was performed regardless of the level of consciousness in post-CA patients treated with TTM. Neurological outcome was assessed using the Cerebral Performance Categories scale and dichotomized into good and poor outcome.

    RESULTS:

    Forty-six patients underwent MRI at 3-5 days post-CA. Patients with good outcome had minor, mainly frontal and parietal, lesions. Acute hypoxic/ischemic lesions on MRI including DWI were more common in patients with poor outcome (P = 0.007). These lesions affected mostly gray matter (deep or cortical), with or without involvement of the underlying white matter. Lesions in the occipital and temporal lobes, deep gray matter and cerebellum showed strongest associations with poor outcome. Decreased apparent diffusion coefficient, was more common in patients with poor outcome.

    CONCLUSIONS:

    Extensive acute hypoxic/ischemic MRI lesions in the cortical regions, deep gray matter and cerebellum detected by visual analysis as well as low apparent diffusion coefficient values from quantitative measurements were associated with poor outcome. Patients with good outcome had minor hypoxic/ischemic changes, mainly in the frontal and parietal lobes.

  • 3779.
    Wallin, Ewa
    et al.
    Department of Surgical Sciences - Anaestesiology & Intensive Care, Uppsala University, Uppsala Sweden.
    Larsson, Ing-Marie
    Department of Surgical Sciences - Anaestesiology & Intensive Care, Uppsala University, Uppsala Sweden.
    Nordmark-Grass, Johanna
    Department of Surgical Sciences - Anaestesiology & Intensive Care, Uppsala University, Uppsala Sweden.
    Rosenqvist, Ivan
    Department of Surgical Sciences - Anaestesiology & Intensive Care, Uppsala University, Uppsala Sweden.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Rubertsson, Sten
    Department of Surgical Sciences - Anaestesiology & Intensive Care, Uppsala University, Uppsala Sweden.
    Characteristics of jugular bulb oxygen saturationin patients after cardiac arrest: A prospective study2018Ingår i: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 62, nr 9, s. 1237-1245Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    Using cerebral oxygen venous saturation post-cardiac arrest (CA) is limited because of a small sample size and prior to establishment of target temperature management (TTM). We aimed to describe variations in jugular bulb oxygen saturation during intensive care in relation to neurological outcome at 6 months post- CA in cases where TTM 33°C was applied.

    METHOD:

    Prospective observational study in patients over 18 years, comatose immediately after resuscitation from CA. Patients were treated with TTM 33°C M and received a jugular bulb catheter within the first 26 hours post-CA. Neurological outcome was assessed at 6 months using the Cerebral Performance Categories (CPC) and dichotomized into good (CPC 1-2) and poor outcome (CPC 3-5).

    RESULTS:

    Seventy-five patients were included and 37 (49%) patients survived with a good outcome at 6 months post-CA. No differences were found between patients with good outcome and poor outcome in jugular bulb oxygen saturation. Higher values were seen in differences in oxygen content between central venous oxygen saturation and jugular bulb oxygen saturation in patients with good outcome compared to patients with poor outcome at 6 hours (12 [8-21] vs 5 [-0.3 to 11]% P = .001) post-CA. Oxygen extraction fraction from the brain illustrated lower values in patients with poor outcome compared to patients with good outcome at 96 hours (14 [9-23] vs 31 [25-34]% P = .008).

    CONCLUSIONS:

    Oxygen delivery and extraction differed in patients with a good outcome compared to those with a poor outcome at single time points. Based on the present findings, the usefulness of jugular bulb oxygen saturation for prognostic purposes is uncertain in patients treated with TTM 33°C post-CA.

  • 3780.
    Wallin, Ewa
    et al.
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Larsson, Ing-Marie
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Rubertsson, Sten
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Cardiac arrest and hypothermia treatment: function and life satisfaction among survivors in the first 6 months2014Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 85, nr 4, s. 538-543Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim of the study:

    To describe differences over time in outcome, physical and cognitive function among survivors of cardiac arrest treated with hypothermia and to examine survivors’ life satisfaction 6 months after cardiac arrest as well as gender differences. Methods: The study was prospective and included 45 cardiac arrest survivors admitted to three Swedish hospitals between 2008 and 2012. Participants were followed from intensive care unit discharge to one and six months after cardiac arrest. In addition to cerebral performance category (CPC), participants were asked to complete questionnaires regarding activities in daily life (Barthel index), cognitive function (mini mental state examination), and life satisfaction (LiSat-11). Results: Outcome measured using CPC scores improved over time. At 6 months, all participants were classified as having a good outcome. At one month, participants were impaired but improved over time in their activities in daily life and cognitive function. At 6 months satisfaction with "life as a whole" was seen in 70%. Conclusions: Cardiac arrest survivors are satisfied with life as a whole despite a severe illness that has impaired their physical and cognitive function, which seemed to improve over time. Predicting patients’ functional outcome in early stages is difficult, and the CPC score alone is not sufficient to assess patients’ function. It is a need to reach a consensus to which instruments best reflect physical and cognitive function as well as to specify a rehabilitation plan.

  • 3781.
    Wallin, Ewa
    et al.
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Larsson, Ing-Marie
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Rubertsson, Sten
    Institutionen för kirurgiska vetenskaper, Uppsala universitet.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Relatives' experiences of everyday life six months after hypothermia treatment of a significant other's cardiac arrest2012Konferensbidrag (Refereegranskat)
  • 3782.
    Wallin, Ewa
    et al.
    Inst. för kirurgiska vetenskaper, Uppsala universitet.
    Larsson, Ing-Marie
    Inst. för kirurgiska vetenskaper, Uppsala universitet.
    Rubertsson, Sten
    Inst. för kirurgiska vetenskaper, Uppsala universitet.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Vårdvetenskap.
    Relatives' experiences of everyday life six months after hypothermia treatment of a significant other's cardiac arrest2013Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, nr 11-12, s. 1639-1646Artikel i tidskrift (Refereegranskat)
  • 3783.
    Wallin, Ewa
    et al.
    Department of Surgical Sciences – Anaesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Rubertsson, Sten
    Department of Surgical Sciences – Anaesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Larsson, Ing-Marie
    Department of Surgical Sciences – Anaesthesiology & Intensive Care, Uppsala University, Uppsala, Sweden.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap.
    Larsson, Elna-Marie
    Department of Surgical Sciences – Radiology, Uppsala University, Uppsala, Sweden.
    Raininko, Raili
    Department of Surgical Sciences – Radiology, Uppsala University, Uppsala, Sweden.
    Acute brain lesion on MRI in relation to neorological outcome 6 months after cardiac arrest treated with hypothermia2015Ingår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 96, nr Suppl. 1, s. 147-147, artikel-id AP254Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Aim of the study: To document the acute magnetic resonance imaging (MRI) findings on the brain in cardiac arrest (CA) patients treated with therapeutic hypothermia (TH) and their relation to patients’ neurological outcome after 6 months.

    Method: A prospective observational study with MRI was performed regardless the level of consciousness in 56 post-CA patientstreated with TH.

    Results: MRI of the brain was obtained at a median of 4 days (3–13 days). At 6 months, 32/56 had survived with good neurological outcome. The MMSE was performed in 28/32 (88%) patients with a median of 28 (24–30). Acute ischemic lesions were found on diffusion-weighted MRI (DWI) in 34 (61%) patients and were more common in patients with poor outcome (p= 0.006). Acute ischemic injuries affected mostly gray matter, deep or cortical, and with or without involvement of the underlying white matter. Very few lesions were pure white matter lesions. Lesions in the occipital and temporal lobes, deep gray matter and cerebellum were most associated with poor outcome. Reductions in the apparent diffusion coefficient (ADC) were more common in patients with poor outcome, particularly in the occipital lobes. None of the patients with an ADC below 600×10−6mm2/s in any region survived to 6months.

    Conclusions: In visual analyses of acute MRI, extensive acutelesions were found in the cortical regions and deep gray matter and were associated with poor outcome. In ADC measurements, low values were associated with poor outcome. Patients with good outcome showed a minor pathological pattern mainly in the frontal and parietal lobes.

  • 3784.
    Wallin, Rose-Marie
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och kriminologi.
    Östlund, Jenny
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och kriminologi.
    Missbruksvård genom hemtjänst: Hemtjänstpersonalens upplevelse av att kunna stödja äldre med alkoholmissbruk2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Studiens syfte var att undersöka vilka hinder och möjligheter hemtjänstpersonalen beskriver avseende att arbeta med missbruksbehandling utifrån sin yrkesroll i det dagliga klientarbetet. Arbetet hade en kvalitativ ansats med fem semistrukturerade intervjuer. För att analysera resultaten användes rollteori och ålderism. Studiens resultat visade att hindren består av kunskapsbrist hos personalen, klientens självbestämmande, tillåtande attityder kring äldre och alkohol samt resursbrist inom äldreomsorgen. Möjligheterna består av närheten till klienten, riktlinjer för inköp av alkohol och samverkan med anhöriga. Därutöver beskriver personalen ett stort engagemang där de är beredda att utgöra ett stöd i händelse av att en klient önskar hjälp för sitt missbruk

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  • 3785.
    Wallmark, Henrik
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Social kompetens - Bedömning och betydelse vid rekryteringsprocesser2011Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
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  • 3786.
    Wallström, Annika
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Hemtjänstpersonals upplevelser av sin arbetssituation och sina förutsättningar för kommunikation och samverkan kring vårdtagarna2015Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
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  • 3787.
    Wallström, Malin
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Brungs, Jenny
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap.
    Sjuksköterskan och patientens upplevelse av sjuksköterskans arbetsrelaterade stress och dess påverkan på omvårdnaden: En litteraturstudie2015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
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  • 3788. Wallström, Rebecca
    et al.
    Ståleborg Persson, Renée
    Salzmann-Erikson, Martin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap.
    Working with children in families with parental substance abuse: nurses' experiences and complexity in relationships2016Ingår i: Journal of Psychosocial Nursing and Mental Health Services, ISSN 0279-3695, E-ISSN 1938-2413, Vol. 54, nr 6, s. 38-44Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Children who grow up in families with parental substance abuse are exposed to increased risk of developing a variety of disorders. As nurses encounter these children, it is important for them to be supportive. The aim of the current study was to describe nurses' experiences and reflections regarding their work with children in families with parental substance abuse. A qualitative descriptive approach was adopted. Seven nurses were interviewed, and data were analyzed using inductive content analysis. The results were presented in four categories: (a) nurses' responsibilities; (b) identification of children's social network; (c) ethical concerns; and (d) assessment and evaluation of children's behavior. Nurses' preventive work and intervention in dysfunctional families may have direct consequences on children's present and future development and well-being. 

  • 3789.
    Wally, Lade
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Unaccompanied Refugee youth and Social Interactions: Perceptions and experiences of social interaction with native-born2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    The aim of this study has been to explore how unaccompanied refugee youth create and consider their social interaction in their new country of residence, the study also explore how the participants perceived social interaction in relation to other areas of life and which mechanism they considered to be important for a positive social interactions.

    The empirical material was collected through four semi-structured interviews with unaccompanied refugee youths in Sweden.

    The analysis is based on Social Capital theory by Pierre Bourdieu. Bourdieu explain the term social capital to understand how individuals can ensure benefits or be inhabited through participation in certain social interactions. 

    The key results of this study show that the participants view their social interaction to be an important aspect of integration into the Swedish society, mainly because it provides them with the opportunity to learn the Swedish language faster. For this reason, the participants preferred to socialize with natives rather than with their own ethnic group.

    Key result of this study is that the refugee youth perceived social interaction with native-born to be of greater importance, than with co-ethnic. Co-ethnic group means to belong to same ethnic groups as itself. The reasons for this were that they had fled their home countries due to persecution as a result of sexual orientation, and of social unacceptence of their lifestyles.

    Another reason was they perceived interaction with native-born to better enhance possibilities of integration to host society.

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  • 3790.
    Walter, Frida
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap.
    Blomström, Julia
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap.
    "Vad kan jag säga?": Att möta patienter med suicidalt beteende inom akutsjukvården - sjuksköterskors attityder och upplevelser2019Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    BACKGROUND. Every year, 800,000 suicides are carried out in the world and in Sweden suicidal behaviour is the most common cause of death among individuals 15 to 44 years. The nurse's specific expertise in emergency care consists of the patient's care, a task which the suicidal patients state requires a positive attitude and the opportunity to devote time to the patient. Despite this, this patient group states that they are addressed by sentencing nurses with a lack of understanding. But how do nurses experience this meeting and their attitude towards this patient group? AIM. The aim of this general literature review was to describe nurses’ attitudes to and experiences of meeting patients with suicidal behaviour in emergency care. METHOD. The study's design is a descriptive general literature review. Articles were searched in CINAHL and MEDLINE via PubMed and 12 articles were included in the results. RESULTS. The study showed that nurses in emergency care generally held positive attitudes towards patients with suicidal behaviour. Negative attitudes were also described, which could be influenced by the nurses' own moral and religious values. The encounter between nurse and suicidal patient created great frustration among the nurses, due to lack of time and environmental adjustment for patients with suicidal behaviour, as well as the feeling of not having the knowledge and skills needed to care for this patient group. CONCLUSION. Nurses need education in suicidal behaviour to influence their attitude and experience of meeting this patient group. 

    KEYWORDS: suicidal behavior, nurses, attitudes, emergency care 

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  • 3791.
    Walter, Frida
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap.
    Blomström, Julia
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap.
    "Vad kan jag säga?": Att möta patienter med suicidalt beteende inom akutsjukvården – sjuksköterskors attityder och upplevelser2019Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    BACKGROUND. Every year, 800,000 suicides are carried out in the world and in Sweden suicidal behaviour is the most common cause of death among individuals 15 to 44 years. The nurse's specific expertise in emergency care consists of the patient's care, a task which the suicidal patients state requires a positive attitude and the opportunity to devote time to the patient. Despite this, this patient group states that they are addressed by sentencing nurses with a lack of understanding. But how do nurses experience this meeting and their attitude towards this patient group? AIM. The aim of this general literature review was to describe nurses’ attitudes to and experiences of meeting patients with suicidal behaviour in emergency care. METHOD. The study's design is a descriptive general literature review. Articles were searched in CINAHL and MEDLINE via PubMed and 12 articles were included in the results. RESULTS. The study showed that nurses in emergency care generally held positive attitudes towards patients with suicidal behaviour. Negative attitudes were also described, which could be influenced by the nurses' own moral and religious values. The encounter between nurse and suicidal patient created great frustration among the nurses, due to lack of time and environmental adjustment for patients with suicidal behaviour, as well as the feeling of not having the knowledge and skills needed to care for this patient group. CONCLUSION. Nurses need education in suicidal behaviour to influence their attitude and experience of meeting this patient group.

     

     

    KEYWORDS: suicidal behavior, nurses, attitudes, emergency care

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  • 3792.
    Wang, Lujiaozi
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Zhu, Siyu
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Online Game Addiction Among University Students2013Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    This thesis is about the effects of online game addiction on both Swedish and Chinese undergraduate students at University of Gävle, Sweden. It aims at investigating the impact that online games have on undergraduate students at University of Gävle, Sweden. As most of the previous researchers in this area conducted a quantitative research, we decided to do a qualitative research which can help us to get a deeper and better understanding of online game addiction.

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  • 3793.
    Wang, Qianling
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    The Needs of Older People in Later Life2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    The aim of this report is to understand the actual needs of older people who live in a nursing home in Sweden. Qualitative method was applied in order to collect data from interviews of both older people and staffs of the nursing home. Data analysis was performed by using hermeneutical circle. The results revealed the basic needs, the psychological needs, the self-fulfillment and the ‘needs and wants’ of older people. The results showed that the needs of older people were varied as individuals are unique. In general, the basic needs are for survival, and the needs of families, communications, personalized activities, and encouragement which might have the conductive function for older people to live a happy later life.

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  • 3794.
    Wang, Xiaoyu
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap. Lishui University, China.
    Tingting, Dong
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap. Lishui University, China.
    Women’s experiences of gestational diabetes mellitus: A descriptive review2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
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  • 3795.
    Wang, Yuxin
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Zhang, Mengbing
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Domstic Violence against Children: views from social work2011Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Domestic violence against children is well known on the social problem aspect, and Sweden has become the first country clarifying its stance on physical punishment and child abuse since established “anti-spanking” law in 1979. The purpose of this research was to investigate how Swedish social workers deal with the issue about domestic violence against children. The research was developed with hermeneutics approach and ecological systems theory, and carried out by four respondents from Social Services Gävle. With the answers claimed by the respondents, constitute the results and conclusions, that is all kinds of tackling methods about child abuse should be regulated by laws, and cooperate with police or citizens comprehensively, especially in the period of investigation.  This paper might be a general pattern, but we do hope it could make people rethinking about child abuse issues, that probably may reduce a little bit pressure to children in the future. 

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    FULLTEXT01
  • 3796.
    Waterhouse, Alistair
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och kriminologi.
    Exploring Drug Practitioners' Perspectives of Roles within a UK and Swedish Drug Treatment Service2020Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    This research study aims to draw comparisons on similarities and differences in how drug treatment practitioners perceive and conduct their therapeutic roles working in UK and Swedish drug treatment services. Previous research shows that global ideologies influence national policies that then influence drug treatment practitioners in how they conduct their work. To further explore the practitioners’ perspectives, four semi- structured interviews were conducted with practitioners in both a Swedish and UK Drug Service. The interviews were analyzed through thematic analysis and three themes and three sub-themes emerged from the statements of the practitioners and were then further analysed to explore similarities and differences. The results show that there were similarities in that all practitioners emphasized the importance of creating a therapeutic alliance with the service users, they all had some form of internal and external collaboration and they all used evidence based methods. The same areas showed differences when explored in greater detail. The theoretical framework of Social Constructionism and Labelling Theory was used to explore the results.

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  • 3797.
    Weber, Zachary R.
    et al.
    Department of Kinesiology and Physical Education, McGill University, Montreal, Canada; Occupational Biomechanics and Ergonomics Laboratory, Michael Feil and Ted Oberfeld/CRIR Research Center, Jewish Rehabilitation Hospital, Laval, Quebec, Canada .
    Srinivasan, Divya
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Centrum för belastningsskadeforskning. Department of Industrial and Systems Engineering, Virginia Polytechnic Institute and State University, Blacksburg, Virginia.
    Côté, Julie
    Department of Kinesiology and Physical Education, McGill University, Montreal; Occupational Biomechanics and Ergonomics Laboratory, Michael Feil and Ted Oberfeld/CRIR Research Center, Jewish Rehabilitation Hospital, Laval, Quebec, Canada.
    Sex-Specific Links in Motor and Sensory Adaptations to Repetitive Motion-Induced Fatigue2018Ingår i: Motor Control, ISSN 1087-1640, E-ISSN 1543-2696, Vol. 22, nr 2, s. 149-169Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The objectives of this study were to assess the sex-specific relationships between motor and sensory adaptations to repetitive arm motion-induced neck/shoulder fatigue, and measure how additional sensory stimulation affected these adaptations. Twenty-three participants performed two sessions of a repetitive pointing task until scoring 8 on the Borg CR10 scale for neck/shoulder exertion or for a maximum of 45min, with and without sensory stimulation (i.e. light touch) applied on the fatiguing shoulder. Just before reaching the task termination criteria, all participants showed changes in mean and variability of arm joint angles and experienced a five-fold increase in anterior deltoid (AD) sensory threshold in the stimulus-present condition. Women with the greatest increases in AD sensory thresholds demonstrated the greatest increases in shoulder variability (r= .66) whereas men with the greatest increases in upper trapezius sensory thresholds demonstrated greatest changes in shoulder angle (r= -.60) and coordination (r= .65) variability. Thus, sensory stimulation had no influence on time-to-termination but affected how men and women differently adapted, suggesting sex differences in the sensorimotor fatigue response mechanisms.

  • 3798.
    Wedin, Karin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap.
    Samband mellan fysisk aktivitet och självskattad stress, energi och muskelbesvär hos anställda med ett rörligt respektive ett stillasittande arbete.2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    The purpose of this study was to investigate the association between physical activity and perceived stress, energy and musculoskeletal disorders among office-workers and warehouse-workers and also to see if there were any differences depending on work-place and gender. The method that was used to collect data was three different validated questionnaires that measured stress and energy (the Stress-Energy questionnaire), musculoskeletal disorders (intensity and localization of pain, a Pain Drawing questionnaire with a VAS-scale) and physical activity (IPAQ – the short version). Eighty-eight workers participated in the study. Forty-seven of them were office-workers and forty-one were warehouse-workers. The result showed that there was a positive association between the variables stress and musculoskeletal disorders (r=,339) (p=,003) and also stress and energy (r=,228) (p=,033) among all workers. The warehouse-workers perceived more muscle-pain (p=,032) and less energy (p=,069) than the office-workers. Among the office-workers were the men more physically active then the women (p=,002). There was also a tendency that the more physically active the office-workers were, the less stressed they felt (-r=,294) (p=,059). The conclusions are that physical activity seems to be associated with a lower stress-level among the office-workers and that the association between stress and pain could be different depending on psychical activity at work.  

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  • 3799.
    Wei, Na
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap.
    Zheng, Simin
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för vårdvetenskap.
    The satisfaction of community health service among female and male She Minority in Lishui, China:: A cross-sectional comparative study2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 3800.
    Weiss, Franziska
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi.
    Governmental discourse surrounding families in Germany from 1968 till 2006: A balancing act of family- integrity and societal change, with special attention to the mother’s occupation2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    In Germany, the family is historically that of a traditional one. A bourgeois family, in which the father takes care of the family’s existential situation, and the mother commits to housework and care of children (Fleckenstein, 2011; Nill& Schultz, 2010). This is mirrored in ‘subsidiarity’; that care and financial provision is first and foremost covered by the family itself, and then if first instance fails, covered by the state (Fleckenstein, 2011). Hence, ‘care’ is an explicit political expectation that the state has on families. Within this definition of family, contextualized is the mother; she constitutes a committed care-taker, and a less flexible employee on the labour market (Fleckenstein, 2011; Nill& Schultz, 2010).

    This bachelor’s thesis, studies governmental discourse surrounding German families and women within them. The aim was to identify definitional constants in the German Family-reports about the concepts of family, and working mothers. For this family- reports from 1968, 1994, and 2006 have been analysed. To do this, the researcher made use of the discourse historical approach formulated by Ruth Wodak (Wodak& Meyer, 2001). 

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