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  • 3901.
    Öberg, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Sociology/Social work.
    Livshistorieintervju2011In: Handbok i kvalitativa metoder / [ed] Göran Ahrne & Peter Svensson, Malmö: Liber, 2011, 1, p. 58-70Chapter in book (Other academic)
  • 3902.
    Öberg, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Sociology/Social work.
    Livsloppsperspektivet2012Conference paper (Other academic)
  • 3903.
    Öberg, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology.
    The demographic picture, trends and future development2008Conference paper (Other academic)
  • 3904.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgard, Torbjörn
    Stockholms universitet.
    Diversity of intimacy forms and their importance for well-being in later life2014In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 54, no Suppl. 2, p. 195-195Article in journal (Other academic)
    Abstract [en]

    This paper focuses on different forms of intimacy in later life in late modern Sweden and their consequences for well-being. The results are based both on qualitative interviews with 28 Swedes (63–91 years), living in new relationships initiated after the age of 60 (marriage, cohabitation, LAT) or currently dating; and on a quantitative survey to 60–90 year old Swedes (n=1225; response rate 42%). The results show: A great diversity in relationship careers over the life course; a preference for LAT (70%) and cohabitation (26%) in new unions established 60+; strong support from adult children for parents’ new LAT (86%) and cohabitation (76%) relationships, but less support for marriage (50%); that new relationships are as important for life-satisfaction as long-lasting ones; after subjective health, a partner is the second most important explanation for life-satisfaction, more important than having children; LAT was the union form that added most to life-satisfaction for men while marriage was the only form that significantly added to the life-satisfaction of women. Results were the same for newly established relationships and older relationships. Results will be discussed in relation to the shift from marriage to divorce culture (Hackstaff), the transformation of intimacy (Giddens), potentials of the third age (Laslett), and gender socialization, but also in terms of how the results can be interpreted in a context of Swedish welfare-state supported individualism where a partner provides both autonomy in relation to adult children and social integration.

  • 3905.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Stockholms universitet.
    Changing Union Forms Among Older People in Late Modern Sweden2015In: Aging Families/Changing Families, 2015Conference paper (Refereed)
    Abstract [en]

    This paper focuses on union form in cross-gender relationships in later life, against the background of the transformation of intimacy in late modernity. Results are based on a survey to 60–90 year old Swedes (n=1225; response rate 42%) and European census data. Sweden seems to be the only country where there are more divorced than widowed people in this age group. Almost 1/3 of Swedes, aged 60-90, categorized as “singles” by official Swedish census data on civil status, are in fact living as LATs or cohabitants. In new romantic relationships initiated 60+ the dominant union form is LAT (70%) followed by cohabitation (26%), while marriage is rare (4%). Less than 2 in 10 singles think that is important to be married – and among marrieds less than 8 in 10. Relationship history data shows that although half of the respondents have been married only once, one third (33%) have had 2+ cohabiting unions (marital/non-marital), half (46%) 2+ established relationships, and a majority (66%) 3+ sexual partners. The results indicate that the transformation of intimacy includes older Swedes. Discussion: Should we see older people as a vanguard in the exploration of late modern intimacy, rather than carriers of cultural lag?

  • 3906.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Stockholm University.
    Diversity and Ageing – the meaning of new intimate relationships in later life2014Conference paper (Other academic)
  • 3907.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Sociology/Social work.
    Bildtgård, Torbjörn
    Social Work, Stockholm University.
    Diversity and ageing – the meaning of new intimate relationships in later life2012In: : Book of Abstracts, 2012, p. 423-423Conference paper (Refereed)
    Abstract [en]

    Social gerontology and family sociology about intimacy in old age has almost exclusively focused on institutionalized life-long marriages and little research has focused on re-partnering and the forms and meaning of this diversity of new intimate relationships in later life. Framed by Giddens’ transformation of intimacy and Laslett’s theory of the third age, as well as changing social and demographical conditions, this paper will focus on how different forms of new intimate relationships are formative for the experi-ence of ageing.The strategical sampel was diversified according to differ-ent forms of new intimate relationships: dating singles, married, cohabiting and living apart together. Qualitative interviews was used with 28 Swedes, 63–91 years, who have established a new intimate heterosexual relation-ship after 60 or who are dating singles. The results showed the significance of new intimate relations for social integration and for the experience of old age as the “crown of life”. The meaning of new intimate relations in differ-ent intimacy forms are discussed in relation to everyday life in old age, the relational history and relational careers and future perspectives of informal support structures by the relation.

  • 3908.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Stockholms universitet.
    Initiation and development of new intimate relationships in later life2016In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 56, no Suppl. 3, p. 17-18, article id Suppl. 3Article in journal (Refereed)
    Abstract [en]

    According to contemporary family theory late modern relationships are guided less be external norms and more by internal negotiation between relatively equal partners. The purpose of this paper is to study initiation and development of new intimate relationships in later life, with a focus on negotiation and change, based on relationship histories with older Swedes (n=28), who are currently in new late in life cross-gender relationships initiated 60+, or currently dating singles. The results show a paradox: relationship ideals often seem unchangeable in prospect, but actual relationship arrangements appear open and changeable, when described in retrospect. LATs recall having been determined not to initiate any new relationships, cohabitants to retain their own home, remarried informants never to marry again. The analysis focuses the negotiations leading to relationship change. We discuss and question prevailing implicit assumptions about older people’s relationships as non-negotiated and unchangeable.

  • 3909.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Stockholms universitet.
    New Forms of Intimacy in Later Life in a Culture of Divorce2014In: 8th International Conference on Cultural Gerontology: Programme and Abstracts, 2014, p. 92-92Conference paper (Other academic)
    Abstract [en]

    Studies on intimacy in later life have mostly focused on institutionalized life-­‐long marriages, and the transition out of such marriages into widowhood. Based on theories about the shift from marriage to divorce culture (Hackstaff), the transformation of intimacy (Giddens) and potentials of the third age (Laslett), this paper focuses on forms of intimacy in later life in late modern Sweden. The results arebased partly on qualitative interviews, including relationship biographies, with 28 Swedes (63–91 years) living in new heterosexual relationships initiated after the age of 60 (marriage, cohabitation, LAT) and dating singles. And partly on a quantitative survey to 60–90 year old Swedes (n=1225). The results show: A great diversity in relationship careers; a preference of LAT and cohabitation (non-­‐visible in official statistics); the importance of intimate relationships for well-­‐being and that new relationships are as important for life-­‐satisfaction as long-­‐lasting ones; that intimate relationships are more important than children for well-­‐being. A central analytical finding was the importance of time as an organizing frame for new intimate relationships in later life: the paradox of having a lot of free time in the third age, but a restricted life time left. Results will be discussed in relation to the theorizing frames mentioned above, especially new practices for intimacy in a culture of divorce. Cohort replacement is only one explanation for changing practices and the period effect seems to be as important.

  • 3910.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    University of Stockholm, Stockholm, Sweden.
    Partner-age in late life unions - ideals vs realities2016In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 56, no 3, p. 732-732, article id Suppl. 3Article in journal (Refereed)
    Abstract [en]

    Age homo/heterogamy in romantic unions is given little attention in current gerontological research. Still partner age-differences are important for men’s and women’s relationship opportunities. This paper studies actual partner-age (age-difference) in cross-gendered unions, and ideal partner-age both for singles and respondents in unions. The study was carried out by a survey to 60–90 year old Swedes, currently either singles or in a cross-gender relationship (married, cohabiting, LAT) (n=1225). Unions follow a traditionally gendered age structure: 56% of men, but only 16% of women have a younger partner. This pattern is more pronounced: in first unions (p<.001) and unions initiated before 1970 (p<.01). For respondents in unions actual partner-age showed no significant correlation with union form or urbanity (modernity-hypothesis), and not with education or income (power-hypothesis). For respondents in unions Ideal Partner-Age correlates strongly (p<.001; R2=0,76) with actual partner-age (ideal slightly younger). Among single respondents, almost all (92%) single men and half of the single women (47%) prefer a younger partner (8,9 years younger on average for men; 2,2 for women). The proportion preferring a younger partner increases by age, leading to increasingly incompatible age ideals. Results will be discussed in relation to life-course theory; gender and power; the deinstitutionalization hypothesis.

  • 3911.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Stockholms universitet.
    Sexual activity and norms among older Swedes: a life course perspective2014Conference paper (Refereed)
    Abstract [en]

    It has been argued that in late modernity sex has escaped its reproductive cage and people form pure relationships, based on mutual satisfaction. Ironically, although older people are per definition non-reproductive, they have often been neglected in studies on sexuality. In this paper we present results from 1) a qualitative interview study with a strategic sample of 28 63–91 year old Swedes currently dating or in a heterosexual relationship (married, cohabiting, LAT) initiated 60+ and 2) a quantitative survey including answers from 1225 60–90 year old Swedes. The interviews revealed a clear normative change, from a cultural context that condemned extra-marital sex in young adulthood to a context which encourages sexual relationships but not marriage in later life. All had experienced the sexual liberation of the 1960s, and today, these liberal attitudes seem to encompass later life. Today, an active sex-life was regarded as important for a good relationship and sexual attraction was seen as a precondition for new relationships. Many informants had interpreted sexual decline in former relationships as “natural” and age-related, but re-discovered sexuality with their new partner. In the survey, a majority (93 %) had had their sexual debut before marriage (despite the restrictive norms). Half or the respondents have had ≥ 4 more sexual partners, and one in five ≥ 10. Sexual activity correlated negatively with relationship length. It has often been argued in gerontology that sexual values and practices will become more liberal in the future by cohort replacement. Our data indicates that “the future might already be here”.

  • 3912.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Social Work, Stockholm University.
    The impact of new intimate relationships in later life on life satisfaction2013In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 53, no Suppl. 1, p. 61-61Article in journal (Other academic)
  • 3913.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Social Work, Stockholm University.
    The impact of new intimate relationships in later life on social and filial relationships.2014Conference paper (Other academic)
  • 3914.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Stockholms universitet.
    The importance of intimate relationships for well-being in later life2014Conference paper (Other academic)
    Abstract [en]

    Studies on intimacy in later life have mostly focused on institutionalized life-long marriages, and the transition out of such marriages into widowhood. Based on theories about the shift from marriage to divorce culture (Hackstaff), the transformation of intimacy (Giddens) and potentials of the third age (Laslett), this paper focuses on forms of intimacy in later life in late modern Sweden. The results are based partly on qualitative interviews, including relationship biographies, with 28 Swedes (63–91 years) living in new relationships initiated after the age of 60 (marriage, cohabitation, LAT) and dating singles. And partly on a quantitative survey to 60–90 year old Swedes (n=1225). The results show: A great diversity in relationship careers; a preference of LAT and cohabitation (non-visible in official statistics); the importance of intimate relationships for well-being and that new relationships are as important for life-satisfaction as long-lasting ones; that intimate relationships are more important than children for well-being. A central analytical finding was the importance of time as an organizing frame for new intimate relationships in later life: the paradox of having a lot of free time in the third age, but a restricted life time left. Results will be discussed in relation to the theorizing frames mentioned above, especially new practices for intimacy in a culture of divorce. Cohort replacement is only one explanation for changing practices and attitudes to new intimate relationships in later life and the period effect seems to be as important.

  • 3915.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Stockholms universitet.
    Time as a structuring condition for new intimate relationships in later life: A qualitative study of elderly Swedes2013In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 17, no Suppl. 1, p. 109-110Article in journal (Refereed)
    Abstract [en]

    Introduction: Social gerontology about intimacy in old age has almost exclusively focused on institutionalized life-long marriages. However, mobility in and out of intimate relationships has become more common in late modern societies also in later life. In this paper the research questions are: What characterizes the formation of new intimate relationships in later life? Are there any specific, more or less universal, conditions that separate them from relationships in earlier life phases?

    Method: Qualitative interviews were used with a strategical sample of 28 6-?91 year old Swedes, who have established a new intimate heterosexual relationship after the age of 60 or who are dating.

    Results: The results showed time as constituting a central structuring condition for new intimate relationships in later life. In the results three aspects of time: Available free time, Lived time and Remaining time ? which all have a constituting and formative power on new late in life relationships are discussed in relation to theories of late modernity and the Third Age and in relation to changing demographical conditions.

    Conclusion: The concluding discussion will be about the time theoretical frame as a model for understanding experiences of ageing.

  • 3916.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Institutionen för socialt arbete, Socialhögskolan, Stockholms universitet, Stockholm, Sverige.
    Andersson, Lars
    Institutionen för samhälls- och välfärdsstudier (ISV), NISAL, Linköpings universitet, Linköping, Sverige.
    Skyddar en parrelation på äldre dar mot ensamhet?2016In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 23, no 1, p. 19-36Article in journal (Refereed)
    Abstract [en]

    The purpose of this article is to study the importance of intimate relationships as protection from loneliness in later life. We base ourselves on a survey to Swedes aged 60–90 (n=1 225) focusing on intimate relationships. The analysis considers neglected issues in ageing research on loneliness: the importance of union form, the importance of looking at relationship dissolution in terms of both widowhood and divorce, and the importance of new late life unions (a gains perspective). We use two theoretical perspectives: the discrepancy model (realities vs. ideals), and the protection hypothesis, where the partner is generally the first and most important source of support in everyday life. The results show that a partner protects against loneliness and that union form matters: marriage provides the best protection, followed by cohabitation and Living Apart Together (LAT). Feelings of loneliness decrease over time following a union dissolution – and, for men, more rapidly after separation than widowhood. The more the ideal union form differs from one’s actual union form, the more common are feelings of loneliness. Initiating a new relationship after a union dissolution protects against loneliness. The article discusses the importance of using union form instead of civil status as relationship indicators in studies of older people in late modern Sweden, and of including separation/divorce as indicators of union dissolution besides widowhood. It also stresses the importance of looking at later life not only from a loss – but also from a gains – perspective.

  • 3917.
    Öborn, Helena
    et al.
    Division of Pediatrics, Department of Clinical Science, Technology and Intervention, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
    Wettergren, Lena
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Herthelius, Maria
    Division of Pediatrics, Department of Clinical Science, Technology and Intervention, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
    Forinder, Ulla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work. Department of Neurobiology, Care Sciences and Society, Division of Social Work, Karolinska Institutet, Stockholm, Sweden.
    Associations between lower urinary tract dysfunction and health-related quality of life in children with chronic kidney disease2016In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 8, p. 959-966Article in journal (Refereed)
    Abstract [en]

    Aim Little is known about the health-related quality of life (HRQoL) of children with lower urinary tract dysfunction (LUTD) and chronic kidney disease (CKD). We investigated LUTD and other possible predictors of impaired HRQoL in children with conservatively treated moderate to severe CKD or with a kidney transplant.

    Methods All 64 children with CKD or a kidney transplant treated at Karolinska University Hospital, Stockholm, Sweden, between June 2011 and December 2012 were approached and 59 children aged 8-18 were enrolled in the study. Lower urinary tract function was evaluated with voiding history, frequency and volume chart, uroflowmetry and post void ultrasound measurements. Self-reported HRQoL was assessed with validated generic instruments.

    Results The HRQoL of the study cohort was as good as the general paediatric population, apart from the physical and psychological well-being dimensions, and was no different to children with other chronic conditions. Urinary incontinence, but not LUTD in general, was associated with impaired HRQoL, as was having a kidney transplant and being female in some dimensions.

    Conclusion LUTD was common in children with CKD or a kidney transplant but did not affect their general HRQoL. Predictors of impaired HRQoL included incontinence, having had a kidney transplant and being female.

  • 3918.
    Ödlund, Cecilia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Berg, Lotta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Omvårdnad vid höftfraktur2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

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

    Syfte:

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

    Metod:

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

    Huvudresultat:

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

    Slutsats:

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

  • 3919.
    Öhlund, Lennart S.
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Aalesund University College, Aalesund, Norway .
    Grönbladh, Leif
    Uppsala University, Uppsala University Hospital, Uppsala, Sweden .
    Letter to the Editor Regarding "Exiting Prostitution: An Integrated Model," by L. M. Baker, R. L. Dalla, & C. Williamson, Violence Against Women, 16, 579-6002012In: Violence against Women, ISSN 1077-8012, E-ISSN 1552-8448, Vol. 18, no 3, p. 371-372Article in journal (Other academic)
  • 3920.
    Öhlund, Lennart S.
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science.
    Gunne, Lars
    Uppsala universitet, Uppsala, Sweden.
    The treatment goal in maintenance treatment of heroin addiction ought to be more than retention2013In: Heroin Addiction and Related Clinical Problems, ISSN 1592-1638, Vol. 15, no 1, p. 53-56Article in journal (Other academic)
  • 3921.
    Öhman, Jessica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jogin, Jennie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Sjuksköterskans omvårdnadserfarenheter av patienter med en strokediagnos2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

     

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

     

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

     

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

     

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

  • 3922.
    Öhman, Johanna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Jonsson, Isabelle
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Hur personer med hypotyreos upplever sin livskvalité2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hypothyroidism is one of the most common endocrine diseases. Every year, people get sick with the disease and most commonly, women are affected. Being affected by hypothyroidism means that there is a lack of thyroid hormones in the thyroid gland and makes the energy production goes to a low saver. Competence requirements are imposed on the nurse in the caring process of patients with hypothyroidism as the consequences of the disease may appear diffuse and difficult to measure. Purpose: The purpose of this study was to describe how people with hypothyroidism experience their quality of life. Method: This study is a descriptive literature study. Eleven articles with both qualitative and quantitative design have been analyzed and divided into themes and sub-themes. Main Results: People with hypothyroidism experienced neither a better quality of life nor improvements in thyroid-related symptoms despite being medicated. The feeling of these people was that they felt weak, powerless, drained of energy and that their daily activities were limited. A feeling of misunderstanding was experienced in health care when the doctors focused mainly on the person's test results. Although the doctor mentioned that the blood values were within reference, people with hypothyroidism felt that a number of symptoms remained. Conclusion: People with hypothyroidism express dissatisfaction with their experience of quality of life, their medication and even the care relationship. Living with hypothyroidism means that you may have remaining symptoms despite medication and the quality of life for these people is adversely affected. Through an increased understanding of this complex illness, the nurse could contribute with greater security and help these people by creating a better care relationship.

  • 3923.
    Öhman, Louisa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hur sjuksköterskor kan bidra till följsamhet av basala hygienrutiner inom kommunal vård och omsorg2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 3924.
    Öhman, Michaela
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Östergrens, Lisa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskors upplevelser av att möta patienter med psykossjukdom inom den somatiska vården: En beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 3925.
    Öhnell, Ulrika
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology.
    Martinsson, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology.
    Allt går att reparera förutom döden: en studie om tillitens betydelse mellan behandlare och klient2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This thesis is a qualitative study with the intent to examine how a number of clients and counselors describe their experiences and impressions of the importance of high-level trust vs. low-level trust relationships between the client and the counselor. We have separately interviewed two clients and one counselor from an addiction treatment center (HVB-home). We found several similarities in the clients´ stories. Both had, for example, experienced weak attachment during their childhood and their addictions were about ridding anxiety. Both clients have had prior experiences of low-level trust relationship with counselor which has led to a negative impact on their treatment. The counselor we interviewed believed that a client’s earlier attachment experiences can influence whether or not a new relationship between a client and a counselor will be successful. That which we have found most interesting in the interviews is that all three interviewees agree that a high-level trust relationship between the client and the counselor is of high importance for the outcome of the treatment.

  • 3926.
    Öholm-Lundahl, Helen
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Mählqvist, Evalena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Patienters upplevelser av intravenös jämfört med nasal smärtlindring inom ambulanssjukvården i Stockholm: En empirisk studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 3927.
    Öman-Olsson, Linn
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Gunnarsson, Anneli
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans stöd till en hälsosam förändring för överviktiga barn och deras familjer2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of this literature review was to describe how the nurse can support overweight children and their families and to describe what support these children and their families request from the nurse in order to make a healthy change. Furthermore the intent is to review the included articles quality regarding the data collection method.

    Method: A systematic research in the databases Cinahl and Academic Search Elite was used to find the articles. The systematic research lead to 11 articles that was included in this study.

    Result: Children suffering from overweight and their parents wish to get an increased support from the health care through in example individual programs for the entire family. The nurse can use a neutral language and the growth chart in order to make the families observe the overweight of the children. Another good method for the nurse to use is motivational interviewing. Different intervention programs have been produced to support overweight children and their parents and are a good way to highlight the living habits and to make an individual plan for the families. The data collection method is explicitly described in all of the 11 included articles.

    Conclusion: The present literature review shows that overweight children and their families want more support from nurses and healthcare. Nurses need more education to be able to pay attention to the kids and parents on the issue. By developing and strengthening the procedures and tools that have been developed, the nurse may be strengthened in their professional role in efforts to support overweight children and their parents.

  • 3928.
    Örndahl Lindqvist, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Knaggård, Therese
    University of Gävle, Faculty of Health and Occupational Studies.
    Sjuksköterskestudenters attityder angående att samtala med patienter om deras sexualitet: en enkätstudie2010Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 3929.
    Österback, Julia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Public Health and Sport Science.
    En undersökning om pedagogers uppfattningar om pedagogisk måltid i förskolan: Med en induktiv studiedesign2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Österback, J. (2019). A survey about preschool teachers’ perceptions of pedagogic meal. Bachelor thesis in Public Health Science. Department of Occupational and Public Health Science. Faculty of Health and Occupational Studies. University of Gävle, Sweden.

     

    Aim: Examine preschool teacher’s perceptions about pedagogic meal.

    Design: The survey included an inductive approach, intensity sampling, semi-structured interviews and a qualitative content analysis.

    Results: The result was presented on the basis of four main categories; the first, The preschool teacher´s view of the pedagogic meal. The second, Factors in the environment that affect the educational meal with the subcategories Room and group size, How food is served, Space and time for the meal, Interruptions during meals. Subsequently, the category Socialization during the meal with two subcategories, Norms and rules & Learning strategies affect children's habits. Finally, the category Preschool teachers’ knowledge, background and development with the subcategories Learning strategies affect children's habits & skills development is needed.

    Conclusions: Further research is proposed to be quantitative research, a survey to test what emerged in the results of this study. This would provide a basis for creating guidelines and policies for how a pedagogical meal should be shaped more concretely.

     

    Keywords: pedagogic meal, meal environment, children's habits, resources, skills

  • 3930.
    Österberg, Jenny
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Söderström, Hanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Att vara anhörig till en demenssjuk person: en litteraturstudie som belyser livssituationen ur ett anhörigperspektiv2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

  • 3931.
    Österberg, John
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Rahim, Namir
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    En beskrivning av hur personer med diabetes typ 2 upplever att genomgå livsstilsförändringar till följd av sjukdomen2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes är en av de sjukdomar som är mest växande globalt. I Sverige är det över 400 000 människor som lever med diabetes. Diabetessjukdomen finns i olika former och de vanligaste formerna är diabetes typ 1 och diabetes typ 2. Risken att bli drabbad av den sjukdomen ökar vid fetma, tobaks- och alkoholkonsumtion. Därför kan det bli nödvändigt att genomföra livsstilsförändring för att förbättra den mentala och fysiska hälsan hos personer som lever med diabetes typ 2.

     

    Syfte: Syftet med denna studie var att beskriva hur personer med diabetes typ 2 upplever att genomgå livsstilsförändringar till följd av sjukdomen. Syftet var också att beskriva datainsamlingsmetoderna i de inkluderade artiklarna i resultatet.

     

    Metod: En litteraturstudie med en deskriptiv design som baserades på 14 kvalitativa vetenskapliga artiklar.

     

    Huvudresultat: Resultatet för denna litteraturstudie baserades på möjligheter och svårigheter som påverkade upplevelsen av att genomgå livsstilsförändringar hos personer med diabetes typ 2. Utifrån möjligheter har fyra subteman identifierat: Kost och motion som motivationsfaktorer, erhållen kunskap, betydelsen av stöd från omgivningen och att ta personligt ansvar. I huvudteman svårigheter presenterades dessa subteman: Kost- och motions påverkan på det sociala och vardagliga livet, brist på kunskap samt krav och inre kamp.

     

    Slutsats: Flera personer fick blandade känslor utifrån upplevda möjligheter och svårigheter som de har stött på under livsstilsförändringen. Det blir viktigt att sjukvårdspersonal får en bättre helhetsförståelse kring patienters olika upplevelser av att genomgå en livsstilsförändring för att kunna optimera en personcentrerad vård, egenvårdsinsatser och tillgodose patienters egenvårdsbehov.

  • 3932.
    Östergren, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science.
    Hinder och förutsättningar för nyanlända; ett perspektiv från människor som arbetar med nyanländas mottagande: En intervjustudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 3933.
    Östergårds, Anna-Karin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Aburweileh, Hossam
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Vuxna patienters upplevelser av den palliativa vården i hemmet2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 3934.
    Österlund, Catharina
    et al.
    University of Umeå, Faculty of Medicine, Department of Odontology, Clinical Oral Physiology, Umeå, Sweden.
    Nilsson, Evelina
    University of Umeå, Faculty of Medicine, Department of Odontology, Clinical Oral Physiology, Umeå, Sweden.
    Hellström, Fredrik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.
    Häger, Charlotte K.
    University of Umeå, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Umeå, Sweden.
    Häggman-Henrikson, Birgitta
    University of Malmö, Faculty of Odontology, Orofacial Pain and Jaw Function, Malmö, Sweden.; Scandinavian Center for Orofacial Neurosciences (SCON), Malmö, Sweden.
    Jaw-neck movement integration in 6-year old children differs from that of adults2020In: Journal of Oral Rehabilitation, ISSN 0305-182X, E-ISSN 1365-2842, Vol. 47, no 1, p. 27-35Article in journal (Refereed)
    Abstract [en]

    Background: A functional integration between the jaw and neck regions during purposive jaw movements is well described in adults, but there is a lack of knowledge of such integration during jaw function in children.; Objectives: To determine the movement integration between the jaw and neck during jaw motor tasks in 6-year-olds, whether there is a difference between children and adults.; Methods: Jaw and neck movements were recorded with an optoelectronic 3D system in 25 healthy 6-year-olds (12 girls, 13 boys) and 24 healthy adults (12 women, 12 men) during paced jaw opening-closing and self-paced gum chewing. Jaw and neck movement amplitudes, intra-individual variation in movement amplitude, ratio between neck-jaw movement amplitudes, and movement cycle time were analysed. Differences between children and adults were evaluated with Mann-Whitney U test for independent samples.; Results: Compared to adults, 6-year old children showed larger neck movement amplitudes (P=0.008) during chewing, higher intra-individual variability in amplitudes of jaw (P=0.008) and neck (P=0.001) movements, higher ratio between neck-jaw movement amplitudes for jaw opening-closing (P=0.026) and chewing (P=0.003), and longer jaw movement cycle time (P≤0.0001) during the jaw opening-closing task.; Conclusion: Despite integrated jaw-neck movements in 6-year old children, the movement pattern differs from that of adults and may be interpreted as an immature programming of jaw-neck motor behavior. The well-integrated movements observed in adults most likely develop over years, perhaps into adolescence, and needs further research including well controlled longitudinal studies to map this development in order to provide appropriate age-related clinical treatment for functional disorders. This article is protected by copyright. All rights reserved.; This article is protected by copyright. All rights reserved.

  • 3935.
    Österman Menander, Charlotta
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology.
    Jakobsson, Katarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology.
    Dilemman i väntrummet: En etnografisk studie om interaktioner och dilemman i socialtjänstens väntrum2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    “Waiting room dilemmas- an ethnographical study of interactions and dilemmas in social welfare waiting rooms” 

    The social services activity is a balance between service and control. Uniting these parts is a challenge, and this study’s main intention is about how various social offices relates to this in their work with peoples waiting room experiences. The purpose of the study is by observations and interviews, to investigate what exists in a place like a public authority waiting room. Questions like what kind of interactions will take place and which dilemmas might occur are asked. The result shows that different approaches in how social workers do call clients up occur, the accessibility or lack of accessibility to computers, telephone and copying machine, clarifies the power imbalance that exists in governmental work. The result also shows that some waiting room interactions may be experienced as enforced and that the social services law is hard to maintain.

  • 3936.
    Österström, Stina Lisa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Ohlsén, Oscar
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Inre arbetsmotivation och engagemang i organisationen: en studie om skillnader mellan inhyrda och tillsvidareanställda läkare2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to examine if intrinsic motivation and work commitment to the organization differs between permanent doctors and hired doctors. The total of 63 doctors who participated in the study made an internet-based survey with 21 questions taken from the Basic Need Satisfaction at Work Scale and 3 questions from the section “work commitment” in QPS Nordic. The main results of the study showed that permanent doctors perceived a higher level of intrinsic motivation on all the three needs autonomy, competence and relatedness. Furthermore the result showed a tendency that permanent doctors perceived a higher level of work commitment to the organization then hired doctors.

  • 3937.
    Östgård, Kristina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vårdpersonalens upplevelser av att vårda personer med Beteendemässiga och Psykiska Symtom vid Demens (BPSD)2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 3938.
    Östlin, Kajsa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jansson, Sara
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vuxna personers erfarenheter av att leva med diabetes mellitus typ 2: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

  • 3939.
    Östlin, Nurtena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Rasoulzadeh, Arezou
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Livskvalitet och copingstrategier hos ungdomar med cancer: : En litteraturstudie2011Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 3940.
    Östlund, Ann-Sofi
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet.
    Motivational Interviewing in Primary Care: Nurses' experiences and actual use of the method2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

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

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

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

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

  • 3941.
    Östlund, Ann-Sofi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala universitet.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala universitet.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala universitet.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala universitet.
    Primary care nurses' performance in motivational interviewing: a quantitative descriptive study2015In: BMC Family Practice, ISSN 1471-2296, E-ISSN 1471-2296, Vol. 16, no 1, p. 89-100Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 3942.
    Östlund, Ann-Sofi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala universitet.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala universitet.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    District nurses' and registered nurses' training in and use of motivational interviewing in primary care settings2014In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 15-16, p. 2284-2294Article in journal (Refereed)
    Abstract [en]

    Aims and objectives

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

    Background

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

    Design

    A cross-sectional survey study.

    Methods

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

    Results

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

    Conclusions

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

    Relevance to clinical practice

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

  • 3943.
    Östlund, Ann-Sofi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Lindqvist, Helena
    Department of Clinical Neuroscience, MIC Lab, Karolinska Institutet, Stockholm, Sweden.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Primary care nurses' communication and its influence on patient talk during motivational interviewing2016In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 11, p. 2844-2856Article in journal (Refereed)
    Abstract [en]

    Aim

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

    Background

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

    Design

    A descriptive and predictive design was used.

    Methods

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

    Findings

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

    Conclusions

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

  • 3944.
    Östlund, Ann-Sofi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Wadensten, Barbro
    Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Motivational interviewing: Experiences of primary care nurses trained in the method2015In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 15, no 2, p. 111-118Article in journal (Refereed)
    Abstract [en]

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

  • 3945.
    Östlund, Frida
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Mossberg, Marianne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Nyutexaminerade sjuksköterskor och stress: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att undersöka nyutexaminerade sjuksköterskornas upplevelse av stress i yrket. Metoden som användes var en litteraturstudie som baserade sig på 17 artiklar. Resultatet blev tydligt att stressen var en nedbrytande faktor för de nyutexaminerade sjuksköterskorna. Upplevelsen att det förväntades av dem att vara en självständig sjuksköterska och kunna allt från början skapade stress. Den kliniska kunskapen och ledarskapsrollen har den nyutexaminerade sjuksköterskan för lite träning på och detta anses vara en brist i utbildningen. Stressen kan bli och var en början till utmattningssyndrom för många nyutexaminerade. Det var ett stort antal nyutexaminerade som hade tankar om att sluta redan tidigt i sjuksköterskeyrket. De sjuksköterskor som upplevde arbetsglädje och fick sina behov tillfredsställda kände inte av stressen på samma vis. Faktorerna som oftast kom upp som orsak att till öka stressen var när arbetsmiljö, ledning, bemanning och kontakten med kollegor inte fungerade. Slutsats Det är viktigt att vara medveten om stressen som nyutexaminerad sjuksköterska och ta ansvar för sin egen hälsa. Ledningen inom hälso- och sjukvården bör öka sin medvetenhet om sjuksköterskeyrkets risker.

  • 3946.
    Östlund, Hanna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Blad, Linda
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Fysisk aktivitets inverkan på individers mentala hälsa som depression och nedstämdhet vid ischemisk hjärtsjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 3947.
    Östlund, Kajsa
    University of Gävle, Faculty of Health and Occupational Studies.
    En kvalitativ studie om upplevda möjligheter och begränsningar med hälsofrämjande öppen förskola: Ett uppdrag från Salutsatsningen i Västerbottens Läns Landsting2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to examine how open pre-school as an arena for health promotion worked. The focus was on the employees’ experiences of the opportunities and limits in their work. The study was a comission from Salutsatsningen in Västerbotten County Council in Sweden. The method was a qualitative approach and five interviews were conducted with employees in open pre-schools in Västerbotten. The interviews were based on the criteria that served as guidelines in the employees’ work. The three main elements (criteria) were psychosocial health, diet and physical activity. The results showed that the employees had adequate procedures for their health promotion work. They experienced opportunities to support parents in their parenting and to promote healthy messages to the visitors in open pre- school. The limits they experienced were primarily in the form of cooking facilities and physical activities. Collaboration with other actors as Child health center, Maternity Care, Social Services and Dental health was also crucial to health promotion work. The conclusion was that the health promotion work in Västerbotten has a solid foundation to strengthen and support children and parents and also to promote healthy messages. But there are some deficiencies in the area of knowledge among staff and lack of clarity from Salut regarding certain criteria.

  • 3948.
    Östlund, Sara
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology.
    Andersson, Carina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology.
    ”Såna som mig får inte du tag på”: -Vilka faktorer är viktiga för att personer med intellektuell funktionsnedsättning ska erhålla en anställning på den öppna arbetsmarknaden?2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine important factors during support for people with intellectual disability to obtain employment. Five professionals who are supporting people with intellectual disabilities in the process towards work and four individuals that have received employment support have been interviewed. An empowerment perspective and inductive thematic method has been used to analyze the material. The results showed the importance to adjust support and evaluation individually. Client inclusive support, the work with motivation and advocating for people with disability are all important factors. To support development of skills and self awareness, to accustom society to people with disability and contribute to positive expectations are also central aspects. The conclusion has shown that empowerment-based support is a successful way of helping people with intellectual disability to receive employment. Also when needed, be able to offer continued support when employment has been established to help people retain employment.

  • 3949.
    Överbring, Anette
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Rosell, Linda
    University of Gävle, Faculty of Health and Occupational Studies.
    Chefers upplevelser av eget och framtida ledarskap2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim was to examinehow managers, based on similar education and policy background, perceive their leadership today, and how it according to them, maybe developed in the future. The sample consisted of younger and older managers within the same organization, with diverse experience in managementand leadership roles. Data were collected by two focus groups interviews and analyzed bya thematic analysis. The results indicated that managers, regardless of age and experience, have similar views on their management role and are in general positive regardingtheir leadership, despite stressand time pressure related issues. They have also suggested similar changes for future management and leadership roles. One such suggestion is that the organization must actively work to attract additional workers in the future, in order to meet increasing competitions against other employers. Competition between employers will increase for new employees who willmake greater demands on their employers interms of working conditions and benefits.

  • 3950.
    Strömberg, Annika (Editor)
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Forskning pågår 2019: Akademin för hälsa och arbetsliv2019Report (Other academic)
    Abstract [sv]

    Genom denna rapport vill vi synliggöra den forskning som bedrivs inom Akademin för hälsa och arbetsliv. Som underlag samlar forskningsrådet vid akademin årligen in projektbeskrivningar från forskarna kring pågående projekt. Rapporten är tänkt att ge en överblick över forskningens inriktning och innehåll. Rapporten bidrar även till att kunna kommunicera pågående forskning såväl internt som externt.

    I rapporten har projekten sorterats under temporära samlingsrubriker som vi idag ser som starka inriktningar för forskningen vid akademin. Forskning och kunskapande sker i processer där både innehåll och inriktning flyttas under resans gång. Projekt formas, omformas och nya projekt startar upp. Titeln på rapporten ”Forskning pågår” signalerar just denna föränderlighet.

    Det är med stor glädje som vi för andra året i rad kan presentera över 100 pågående projekt med inriktning mot hälsa och arbetsliv.

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