hig.sePublications
Change search
Refine search result
6789101112 401 - 450 of 2364
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 401.
    Edkvist, Ingela
    Socialstyrelsen.
    Mellan anhörigskap och släktskap: anhöriga till personer med psykiska funktionshinder berättar2001Report (Other academic)
  • 402.
    Edkvist, Ingela
    Dalarnas forskningsråd.
    Omsorgsarbetets otydliga tillhörighet2004In: Att vara i omsorgens mitt / [ed] Renita Sörensdotter & Inga Michaeli, Hedemora: Gidlunds förlag , 2004, p. 19-28Chapter in book (Other (popular science, discussion, etc.))
    Abstract [sv]

    Omsorg är ett diffust och svårfångat begrepp som berör många människor.Inom den kommunala omsorgen arbetar människor med att utföra omsorg på olikanivåer. Politiker, tjänstemän, undersköterskor och vårdbiträden ger omsorgutifrån olika förutsättningar och med olika kunskaper. Omsorg är även enteoretisk kunskap som lärs ut på vård- och omsorgsutbildningar på gymnasier ochhögskolor. Eftersom omsorg är så mångfacetterat och svårt att ringa in behövsen ständigt pågående diskussion om vad omsorg är och hur den ska utföras. Dennadiskussion behöver föras utifrån olika perspektiv på många olika nivåer isamhället.Att vara i omsorgens mitt belyser omsorg utifrån olika perspektiv medtyngdpunkt på hur omsorg formuleras och utformas i det senmoderna samhället.Omsorgens plats i marknadsekonomin, dess koppling till moral, omsorgens kopplingtill kvinnlighet, omsorg i konsten samt gerotranscendens som en väg till godomsorg lyfts fram i de fem essäerna. Berättelse, bild och dikt belyser omsorgpå olika sätt och inom olika sammanhang. Den röda tråden i antologin består avatt omsorgens olika innebörder och villkor diskuteras. Boken innehåller fem essäer.

  • 403.
    Edkvist, Ingela
    Dalarnas forskningsråd.
    Stöd till äldres anhöriga från kommuner och frivilligorganisationer: En kartläggning i Dalarna2000Report (Other academic)
  • 404.
    Edkvist, Ingela
    et al.
    Dalarnas forskningsråd.
    Dahlberg, Lena
    Dalarnas Forskinngsråd.
    "Så säger man inte till doktorn!": Patienters och anhörigas möte med landstinget2003In: Expansion och omprövning: Fyrtio år med Landstinget Dalarna / [ed] Isakcson, Maths; Nilsson, Staffan; Götlind, Anna & Borgert, Leif, Falun: Landstinget Dalarna , 2003, p. 91-106Chapter in book (Other (popular science, discussion, etc.))
  • 405.
    Edling, Cecilia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Första linjens chefers erfarenheter av arbetet med den psykosociala arbetsmiljön: - en kvalitativ studie i en universitetsmiljö2018Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Abstract Author: Cecilia Edling

    Title: First line managers’ experiences of work with the psychosocial work environment - a qualitative study in a university environment.

    Course: Master thesis of the main area work and health

    University: University of Gävle, Sweden

    Aim: Explore and describe experiences first line managers at universities and colleges have of working with the psychosocial work environment. Background: Problems with the psychosocial work environment are growing and is a diffuse area that can be difficult to know how to handle. First line managers have an important role by being a link between higher managers and subordinate employees, but it can also be a complex and difficult role.

    Metod: Qualitative method with qualitative content analysis. Result: Experiences are that conflicts are difficult to handle and that clarity in the role is affected by the organization of responsibility. The psychosocial work environment is perceived as difficult to work with and structural factors create stress for employees and difficulties for managers to handle.

    Conclusion: Many of the experiences, and which first line managers experience affects their work with the psychosocial work environment, are specific for universities and colleges.

    Keywords: psychosocial work environment, first line managers, university and college

  • 406.
    Edström, Katrin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science.
    Att delta i en hälsofrämjande intervention på arbetsplatsen: En intervjuundersökning2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction The Swedish Work Environment Authority has developed a new guideline that gives employees a great responsibility to promote a good working environment and prevent ill health among their employees. The reason that these guidelines have been developed is that illness among employees at work in Sweden has increased.

    Background At a workplace in a medium sized city in Sweden a group of employees was offered to participate in a health promotion intervention. The goal of the intervention was to give the employees the best conditions for prosperous health and a chance to improve their lifestyle, if they had a need for it. With the help from a coach, the employees worked in groups and individually in areas such as stress, nutrition, physical activity, ergonomics and mental health, and it was the individual´s needs and interests that guided the entire process.

    The aim of the study was to examine what the participants experienced when participating in a workplace intervention with focus on health promotion.

    The method used in the study was a semi-structured interview with four participants, both men and women aged twenty five to sixty three, which were subsequently analyzed through a qualitative content analysis.

    The result showed that the workplace as an arena was of great importance for the individuals. It was perceived as positive that the intervention took place during work hours, otherwise it would have been doubtful that the participants would have participated. It was important for the individuals to discuss the process they went through with their colleagues. However, all participants experienced a sense of shame and did not want to share their inner thoughts with their colleagues. It turned out to be difficult to formulate their individual goals, their focus was instead on what others expected from them.

    The conclusion was that fear of failure among the participants was the reason why they did not want to share their individual goals with their colleagues. In order to continue to feel motivated for a change in life style, the support from the coach and colleagues was necessary.

  • 407.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Flexibelt arbete: Utveckling och validering av ett kvantitativt frågeformulär2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the present study was to develop and validate a Swedish questionnaire assessing conditions of actual work flexibility and its determinants. Data was collected by qualitative Think aloud- interviews with three persons, and through discussions with a reference group. The results from the interviews and discussions showed that corrections were needed for some of the concepts, questions, design and number of items. Next, a cross-sectional study was performed by sending the adjusted questionnaire to three companies in Sweden (N = 266), which was answered by 92 employees. The results supported the adjustments and the questionnaires’ content validity and face validity (> 95 % of the employees agreed). Three Principal component analyses showed comprehensible factors for the three main areas of questions: determinants of actual flexibility, technology use, and work-non-work balance, indicating structural validity of the questionnaire. Furthermore, hypothesis testing showed as expected that the most index variables of actual work flexibility could significantly separate the groups with varying extents of regulated work, indicating construct validity. To conclude, this Master thesis has revealed several question domains valid for inclusion in future surveys regarding actual work flexibility and associations with health and wellbeing at work.

  • 408.
    Edäng, Zarah
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Åström, Emma
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors attityder och erfarenheter till att vårda personer med missbruksproblematik inom slutenvården: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Narkotikamissbruk medför hälsoproblem och sjuksköterskan möter människor med missbruksproblematik inom alla vårdinrättningar. Bristande kunskap, fördomar och negativa attityder är något som förekommer mot dessa människor ute i samhället och kan påverka sjuksköterskans professionella förhållningssätt i vården av personer med missbruksproblematik. Rätten till en god omvårdnad skall inte tas bort på grund av ett missbruk.

    Syfte: Syftet med denna litteraturstudie var att beskriva sjuksköterskors attityder och erfarenheter till att vårda personer med missbruksproblematik inom slutenvården samt att beskriva de inkluderade artiklarnas datainsamlingsmetod.

    Metod: En beskrivande litteraturstudie där databaserna Cinahl och PsycINFO användes för att hitta vetenskapliga artiklar. 14 kvantitativa och kvalitativa artiklar inkluderades i studien och granskades och sammanställdes av författarna.

    Resultat: Resultatet i studien visade att sjuksköterskan i vården av personer med missbruksproblematik kan ha negativa attityder till denna patientgrupp. De negativa attityderna kan orsakas av samhällets stigmatisering mot missbruk, det oförutsägbara beteendet samt hotfulla situationer som kan uppstå i arbetssituationen. Attityderna sågs vara bättre hos de sjuksköterskor som hade längre erfarenhet och mer kunskap inom missbruksproblematik. Vid granskning av metodologiska aspekten framkom att alla de inkluderade artiklarna hade beskrivit datainsamlingsmetoden, dock med varierande noggrannhet. Majoriteten av de granskade artiklarna använde frågeformulär som datainsamlingsmetod.

    Slutsats: Vården av personer med missbruksproblematik skall ske på samma villkor som till andra patientgrupper. För att förbättra attityder och fördomar mot dessa personer krävs utbildning och kunskap.

  • 409.
    Efverström, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    Två aktuella böcker problematiserar den moraliska kampen mot dopning inom idrotten: Recension av böckerna The War on Drugs in Sport av Vanessa McDermott och Testing for Athlete Citizenship av Kathryn E. Henne2016In: Idrottsforum.org/Nordic sport science forum, ISSN 1652-7224, no 16 marsArticle, book review (Other academic)
  • 410.
    Efverström, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science. Gymnastik- och idrottshögskolan, Stockholm.
    Ahmadi, Nader
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bäckström, Åsa
    Gymnastik- och idrottshögskolan, Stockholm.
    Hoff, David
    Lunds universitet.
    Anti-doping and legitimacy: An international survey of elite athletes’ perceptions2014Conference paper (Refereed)
    Abstract [en]

    Although there are a number of studies on policy making concerning doping and anti-doping in elite sports, the athletes’ perspective has largely been neglected. The present study contributes to bridging this gap. Since forming and developing the anti-doping policy utterly depends on how legitimate the practitioners believe this policy to be, the specific aim for this paper is to study how elite athletes at the broad international arena perceive the legitimacy of anti-doping policy and practices. An on-line questionnaire, designed to capture elite athletes’ perceptions, was answered by 261 respondents from 51 different countries and four international sports federations. Respondents were elite athletes belonging to the International Registered Testing Pool of each federation. The respondents were generally supportive towards anti-doping policy. Over 80% agreed that different anti-doping activities, from doping controls and the whereabouts system to storing of test samples and biological passports, are essential parts of the work against doping in sports. Support for anti-doping policy is also shown when 80% of the athletes agreed that anti-doping work should develop in a way that there is the same level of, or more, anti-doping activities compared to the current. The principle of anti-doping is, in this study, shown to be legitimate. However, at the level of practices, four areas were perceived as challenging. Regarding practical procedures, 34% experienced difficulties filing whereabouts information and 73% felt worried that they won’t be available for testing at the right place and right time in correlation to the whereabouts information they had provided. Concerning the athletes’ personal life and privacy, 50% of female athletes and 30% of males stated that they feel somewhat or very uncomfortable regarding their privacy when providing a urine sample. Furthermore, in regard to the whereabouts system, 47% of the respondents stated that they feel monitored. The efficacy and equality of anti-doping work is put under question by 58% who believed that users of forbidden substances/methods escape detection and 44% who did not believe that the whereabouts system is working properly in all countries. 70% of the respondents did not believe that all athletes applying for a therapeutic use exemption are treated in the same way. Regarding the athletes influence and participation in the policy work, 85% believe that athletes should be more involved. These four areas can be seen as unintended consequences of the work and reveal a weak point for the legitimacy of anti-doping when the athletes not fully perceive procedural justice. In conclusion, legitimacy for anti-doping policy in general is strong while a questioning of the legitimacy in the execution of the rules is discerned. If anti-doping authorities wish to maintain and increase the legitimacy of the anti-doping efforts, a thorough understanding for and consideration of the athletes’ perceptions is beneficial.

  • 411.
    Efverström, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science. Swedish School of Sports and Health Sciences, Stockholm, Sweden .
    Ahmadi, Nader
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Hoff, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science. School of Social Work, Lund University, Lund, Sweden.
    Bäckström, Åsa
    Swedish School of Sport and Health Sciences, Stockholm, Sweden .
    Anti-doping and legitimacy: an international survey of elite athletes’ perceptions2016In: International Journal of Sport Policy, ISSN 1940-6940, E-ISSN 1940-6959, Vol. 8, no 3, p. 491-514Article in journal (Refereed)
    Abstract [en]

    Anti-doping work is a comprehensive enterprise that entails control and governance of elite athletes’ everyday lives. However, in policy-making regarding doping and anti-doping in elite sports, the athletes’ perspective has not been considered adequately. Focusing on elite athletes’ perceptions of anti-doping as both principle and praxis, the study aimed to analyse how these perceptions can be understood from a legitimacy perspective. A survey study involving 261 elite athletes from 51 different countries and four international sports federations was conducted. The results showed that the athletes did not question the legitimacy of the rules, but had concerns about the legitimacy of the way the rules and principles are enforced in practice, specifically with regard to matters of privacy, lack of efficiency and equal conditions as well as athletes’ involvement in the anti-doping work. The article describes how athletes’ perceptions of the legitimacy of anti-doping work constitute the basis for their willingness to follow regulations as well as a precondition for the work’s functionality and stability. In light of this finding, the article calls for the empowerment of athletes in anti-doping work.

  • 412.
    Efverström, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science. Gymnastik- och idrottshögskolan, Stockholm.
    Bäckström, Åsa
    The Swedish School of Sport and Health Sciences, Stockholm, Sweden.
    Ahmadi, Nader
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Hoff, David
    School of Social Work, Lund University, Lund, Sweden.
    Contexts and conditions for a level playing field: Elite athletes’ perspectives on anti-doping in practice2016In: Performance Enhancement & Health, ISSN 2211-2669, E-ISSN 2211-2669, Vol. 5, no 2, p. 77-85Article in journal (Refereed)
    Abstract [en]

    The implementation of global anti-doping regulations was intended to provide a level playing field for all athletes entering sports competitions. However, studies have shown that the worldwide harmonization of rules has not been entirely efficacious. For instance, great variation has been found in how anti-doping organizations implement anti-doping regulations, and it has also been shown that athletes distrust the equivalence of the worldwide rules as regards their effects. The purpose of the present article is to examine how elite athletes from different contexts experience anti-doping procedures and to analyse the legitimacy of anti-doping practice. In order to capture a variety of voices and perspectives, 13 elite athletes from five different continents and three international sports federations were interviewed. The analysis shows that when global anti-doping policy is implemented in different contexts and under different conditions, inequities and structural injustices emerge concerning infrastructure, knowledge and support at the individual athlete level. These consequences may have implications for the legitimacy of anti-doping work, because the existence of procedural justice may be called into question. We therefore suggest that anti-doping policy-making should be based on taking into account these different conditions and being aware of the perspectives that underpin regulations intended to be applied global.

  • 413.
    Egal, Ebtisam
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Utlandsföddas erfarenheter av arbetslöshet och hälsa: en intervjustudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to explore foreigners’ experiences of unemployment and health. Research indicates that unemployment can lead to reduced health and it also shows that people born abroad have a greater risk of health problems compared with those born in Sweden. A qualitative method was employed in this empirical study. Interviews were conducted to collect data. The selection was three women and three men who had lived in Sweden for less than ten years. They had not worked for at least six months, which made them long-term unemployed. The results illustrated that they experienced that their mental health had been affected and they experienced stress, anxiety and fatigue. They worried that unemployment could lead to mental and physical ill health. They perceived that support was an important factor in dealing with unemployment and informants' family and friends were a great support for them. Authorities were not supportive socially or psychologically, but they were a financial support that foreigners could turn to when they needed help. The obstacles that foreigners face in their job search are language and lack of skills and they feel that these obstacles highly affect their chances of getting a job. The conclusion of this study was that foreigners’ mental health has been affected negatively by the unemployment but not their physical health. But they were worried that both their mental and physical health would worsen if they don’t get a job in the near future. More qualitative research is required to understand the experiences of foreigners’ situations while unemployed.

  • 414.
    Ehn, Marie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Englund, Kristina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Svårigheter och möjligheter med egenvårdshantering vid Diabetes typ 2 - Ur ett patientperspektiv: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes has increased significantly worldwide and is most common with older people but affects people at younger and younger ages as well. Self-care constitutes a large part of the treatment of type 2 diabetes and is an important factor in maintaining a good quality of life. Lack of self-care can result in fatal complications.

    Aim: The purpose of this study was to investigate the difficulties and possibilities of patients with type 2 diabetes and how they feel about managing their self-care. A further aim was to show how the data have been collected in the articles used in the literature study.

    Method: A descriptive literature study is based on eleven scientific articles published between the years 2010-2015. All the articles were found in databases Cinahl, Pubmed and Scopus. Articles of qualitative approach were examined along the purpose and research questions.

    Results: The patients had insufficient knowledge about self-care which could be due to the information from the nurse was incomplete or insufficient. The patients thought lifestyle changes was important, but still there was a big negative approach towards changing habits.

    Conclusion: Information and knowledge are essential to conducting effective self-care when type 2 diabetes is such a challenging disease for both the patient and the nurse. When the patients saw lifestyle changes difficult to accomplish on their own the nurse was an important resource to achieve treatment goals.

  • 415.
    Eidborn, Johanna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kindevåg, Åsa
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Vård i hemmet av ALMA-teamet: Närståendes perspektiv2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Den geriatriska patienten bor i allt större utsträckning i det egna hemmet, trots multisjuklighet, vilket ställer stora krav på sjukvården. Modellen Comprehensive Geriatric Assessment  innebär helhetsbedömning av den geriatriske patientens behov och multiprofessionellt teamarbete. ALMA-teamet i västra Region Östergötland är ett sådant team som vårdar äldre patienter med komplexa vårdbehov i hemmet.  Syftet med studien var att utifrån närståendes erfarenhet och upplevelse beskriva den vård som deras anhöriga fått av ALMA-teamet i ordinärt boende.  Metoden som användes var semistrukturerade intervjuer som analyserades med hjälp av kvalitativ innehållsanalys, och totalt intervjuades tolv närstående.

    Resultat:

    De närståendes erfarenheter var att ALMA-teamets hembesök gjorde vården mer lättillgänglig för patienterna, samt besparade dem besvärliga resor och långa väntetider i sjukvården. Det kunde vara tryggt att få vara hemma och ha tillgång till avancerad vård i samarbete med kommunal hemsjukvård. Gemensamma besök av ALMA-teamet och Hemsjukvården kunde både upplevas som en trygghet med samlad kompetens eller att det blev rörigt, framförallt med närvarande studenter. Det fanns hos de närstående en önskan om att ALMA-teamet skulle finnas kvar och utökas, både regionalt och nationellt. Slutsatsen är att det upplevdes positivt att vårdas i det egna hemmet och slippa resor och väntetid i sjukvården.  

  • 416.
    Eivergård, Kristina
    et al.
    Mid-Sweden University, Department of Nursing Sciences, SE- Östersund, Sweden.
    Enmarker, Ingela
    Mid-Sweden University, Department of Nursing Sciences, SE- Östersund, Sweden.
    Hellzén, Per Ove
    Mid-Sweden University, Department of Nursing Sciences, SE- Östersund, Sweden.
    The Talk About the Psychiatric Patient2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 10, p. 756-764Article in journal (Refereed)
    Abstract [en]

    Essential to psychiatric nursing practice and care, verbal handovers and ward rounds are reporting systems for communication that shapes psychiatric staff's ability to recognize, understand, and construct patients, as well as patients’ ability to construct themselves. Given the centrality of such language in psychiatric practice, the aim of this study was to describe how psychiatric staff talk about patients in psychiatric wards, what their talk encompasses, and what consequences it might pose for patient care. Empirical data were collected from audio recordings of staff discussions of patients during nine verbal handovers and three ward rounds in six different general psychiatric wards in mid and southern Sweden. Findings showed that to describe patients’ mood, characteristics, and behavior, nurses used culturally common words and concepts related to three themes—good patients, bad patients, and to stay or be discharged—and six subthemes—looking well, looking poorly, desirable patients, undesirable patients, continuing work, and being discharged. However, since assessments of and decisions about patients’ conditions and care used everyday language and did not involve patients’ participation, opportunities for patients to participate in their own care were rare.

  • 417.
    Ejdersten, Zandra
    University of Gävle, Department of Caring Sciences and Sociology.
    Självskadande kvinnors upplevelse av bemötande i vården2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The purpose of the study was to describe how women with deliberate self-harm behaviour experience they have been treated when conducting health care. The study has a qualitative and descriptive approach and data was collected with snowball sampling. Data was analysed with content analysis and ended up in three theme “Feeling of violation of integrity and autonomy”, “health care staff don´t have the courage to step in and take responsibility” and “ Personal confirmation and validation of feelings”. The results showed that many women with deliberate self-harm behavior feel that they have been badly treated when they conducting health care. Furthermore, the women in this study have experienced that their integrity and autonomy have been violated. In their opinion it was difficult to get adequate treatment. The women also felt that the health care staff had difficulties taking responsibility. On the occasions the women with deliberate self-harm felt that they have been treated satisfactorily, they experienced personal confirmation and a validation of feelings. In other words they felt respectfully treated and in their opinion the health care staff took time to listen. The women in this study consider adequate treatment of proffesionell personell of importance. The conclusion is that many of the women who cut themselves, get unsatisfactorily treated when they conduct health care and that the health care staff need knowledge concerning how to treat women with deliberate self-harm. In addition this study showed that more research is needed regarding how women with deliberate self-harm experience they are treated when conducting health care.

  • 418.
    Ek, Sofia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Holmqvist, Sandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Anestesisjuksköterskans personcentrerade omvårdnadsåtgärder för att lindra oro hos patienter som genomgår regional anestesi2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Anestesisjuksköterskan är den som står i närmast kontakt till patienten under operationen och som främst ska skydda och tillgodose dennes individuella behov. Det är vanligt att patienter som genomgår kirurgi i regional anestesi upplever oro inför och under ingreppet. Både utifrån det aktuella sjukdomstillståndet men även på grund av rädsla för vad som ska ske inne på operationssalen. Syfte: Beskriva hur anestesisjuksköterskan identifierar och lindrar oro ur ett personcentrerat omvårdnadsperspektiv hos patienter som genomgår regional anestesi. Metod: En kvalitativ intervjustudie med kvalitativ innehållsanalys. I studien intervjuades 11 anestesisjuksköterskor som arbetade med planerad och akut operationsverksamhet med varierande ålder och yrkeserfarenhet. Huvudresultat: Anestesisjuksköterskornas erfarenheter visade att tydlig och individanpassad information var viktigt för att kunna arbeta personcentrerat. För att kunna ge individanpassad information var det viktigt att få tid och enskildhet tillsammans med patienten innan operationen. Oro hos patienten identifierades genom att observera fysiska tecken samt att kommunicera med patienten under operationen. Strategier för att lindra oro var närvaro, ögonkontakt, fysisk beröring samt att erbjuda musik och lugnande läkemedel. Slutsats: Studien belyste anestesisjuksköterskors erfarenhet av att arbeta personcentrerat för att identifiera och lindra oro hos patienter under regional anestesi. Det framkom att de ofta saknade tid och enskildhet med patienten som var viktigt för att kunna arbeta personcentrerat. För att identifiera och skatta oro användes inga andra hjälpmedel än anestesisjuksköterskans egen bedömning, det ställdes därmed höga krav på den egna förmågan att läsa av och bemöta patienterna på ett individanpassat sätt.

  • 419.
    Ekendahl, Jonna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Leijon, Emma
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors hantering av arbetsrelaterad stress2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 420.
    Ekholm, Arvid
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Yacob Ghebremicael, Seble
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Patientens erfarenheter av egenvård i samband med hjärtsvikt: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is a common disease in the Swedish population and also a

    common cause of hospitalization. The self-care is an important part of the treatment.

    Lack of self-care can be a contributing factor to the worsening of heart failure, which

    both can lead to unnecessary suffering for the patient and lead to large costs for health

    care

    Aim: The purpose of this study was to describe patients' experiences of self-care

    associated with heart failure and describe the articles included data collection method.

    Method: Descriptive literature. Eleven scientific articles were included. Articles were

    searched using PubMed. Articles with qualitative and quantitative approach included.

    The results were analyzed by processing the articles two tables and mark with paint and

    compiled

    Result: The results of the study show that patients with heart failure often suffer from

    some form of mental illness. Patients with heart failure often have good knowledge of

    self-care. However participates depression or other forms of mental illness to reduced

    adherence to self-care because of reduced initiative.

    Conclusion: Disease heart failure is multidimensional and affects the psyche negatively

    leading to reduced ability in performing self-care. Family support, patient education and

    quick response from health care have been shown to have positive effects on self-care.

    Also contributing a strong family and good economics to better self-care.

  • 421.
    Eklund, Emelie
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Norbäck, Veronica
    University of Gävle, Department of Caring Sciences and Sociology.
    Patientens upplevelser under pågående behandling av ätstörningar: En litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of this descriptive literature study was to describe the patients’ experience of the need for social support and the choice of coping strategies during treatment for eating disorders. Further, the authors wanted to describe the relationship with the parents and also to highlight the caring relationship between nurse and patient. Results that came to light, concerning the patients’ experience, were that patients with eating disorders, in a majority of studies, indicated a deficient social network. The authors´ studies point out a need for social support in the convalescence and a need for assistance when it comes to changing coping strategies in stressful situations or events. Furthermore, the authors also intend to seek strategies for successfully changing the dysfunctional eating behaviour. The family should be seen as a resource in the treatment without challenging the patients’ autonomy. Further, the family plays an important role to encourage new patterns of behaviour and to provide support and help during the patients’ treatment. Building a lasting relationship between patient and nurse is a significant part of the nursing care and thus an important step in the recovery process. The nurses´ caring work with this patient group can consist of help for patients to identify strategies for seeking social support in addition to facilitating the communication between the patient and its family. In order to provide these patients the possibility of good nursing care, it requires that nurses have basic knowledge about eating disorders, which the nurses should be prepared for during their education.

  • 422.
    Eklund, Karin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kartläggning av avvikelserapporter inom ett Primärvårdsområde i Mellansverige2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 423.
    Eklund, Karolin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Distriktssköterskornas erfarenheter och reflektioner av telefonrådgivning inom primärvården: en intervjustudie2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Communication is an essential tool for nurses, especially when working with the telephone advice nursing (from here on mentioned as telenursing) that has been developed in recent decades. The aim of the present study was to describe the primary healthcare nurse´s experiences and reflections of telenursing in primary healthcare. Method: The present study was of qualitative approach with a descriptive design. Nine primary healthcare nurses was interviewed using a semi-structured interview guide. Qualitative content analysis was used as data analysis. Results: Primary healthcare nurses experienced telenursing as challenging because there were many different patients of different ages and with different health needs who contacted the telenursing. The informants described working with telenursing as stimulating because they easily were able to help many patients. Primary healthcare nurses also experienced the work stressful. The most difficult thing with telenursing described the primary healthcare nurses as the lack of visualization when assessing the need of care. Other difficulties the primary healthcare nurses described were difficulties in dealing with dissatisfied patients and to ask the right questions. The informants described they were not only the patient's wishes to meet. The primary healthcare center made demands of the primary healthcare nurses when it was lack of doctors’ appointments and because the nurses distributed the work on the healthcare center by the telenursing. The informants described the telenursing important because that is the only way for the patient to get an appointment at the healthcare center. Conclusion: The primary healthcare nurses described working with telenursing in primary healthcare as challenging and difficult with limited opportunities to ensure everyone is satisfied. The primary healthcare nurses working with telenursing in primary healthcare experienced similar difficulties as nurses at the call-centers did. The most difficult thing the primary healthcare nurses experienced with telenursing was that they did not met the patient physically. Primary healthcare nurses also experienced telenursing as important and stimulating.

  • 424.
    Eklund, Maja
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Söderberg, Sandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors fördelning av arbetstid på en onkologisk vårdavdelning: en observationsstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att undersöka hur sjuksköterskors arbetstid fördelas mellan olika arbetsuppgifter på en onkologisk vårdavdelning. Studien genomfördes genom icke deltagande strukturerade observationer efter ett fastställt kategoriseringsschema på en onkologisk vårdavdelning på ett sjukhus i Mellansverige. Fjorton arbetsskift observerades, varav sju dagskift och sju kvällsskift. Huvudresultatet visade att sjuksköterskorna spenderade 33,5% av arbetstiden med direkt patientvård, 44,0% med indirekt patientvård samt 22,5% med andra göromål under samtliga observerade skift. Under dagskift spenderade sjuksköterskorna 33,0% av arbetstiden med direkt patientvård, 41,5% med indirekt patientvård samt 25,5% med andra göromål. Under kvällsskift spenderade sjuksköterskorna 34,0% av arbetstiden med direkt patientvård, 46,5% med indirekt patientvård samt 19,5% med andra göromål. Resultatet visade att ca en tredjedel av arbetstiden spenderades med direkt patientvård. Resultatet indikerade också på att en förbättringspotential fanns, mycket av den indirekta patientvården skulle kunna utföras i närmare anslutning till patienten om en annan arbetsmodell anammades. Då sjuksköterskorna har tid över skulle mindre tid kunna läggas på andra göromål och därmed också öka tiden till direkt eller indirekt patientvård.

  • 425.
    Eklund, Rakel
    et al.
    Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    An integrative review of the literature on how eating disorders among adolescents affect the family as a system - complex structures and relational processes2016In: Mental Health Review Journal, ISSN 1361-9322, E-ISSN 2042-8758, Vol. 21, no 3, p. 213-230Article, review/survey (Refereed)
    Abstract [en]

    Purpose

    The aim of this literature review is to describe how eating disorders among adolescents affect family relationships and the family’s daily living conditions and to describe the family’s experienced need for professional support.

    Design/methodology/approach

    An integrative literature review based on the method of Whittemore and Knafl (2005). 15 articles with both qualitative and quantitative approaches were reviewed.

    Findings

    The results are presented in two main themes: A disharmonic family and The need for input from healthcare professionals. The results are discussed using Callista Roy's adaptation model and the adaptive modes; Group Identity Mode, Role Function and Interdependence.

    Originality/value

    This review article will be of interest to clinical nurses and other professionals who encounter families to clarify how the relationships and roles change within the family. To our knowledge, no integrative review has paid attention to how the relational aspects of the family members, their social roles and role constructions within the family affect daily living.

  • 426.
    Eklund, Sofie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjöström, Madeleine
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Riskfaktorer som kan bidra till psykisk ohälsa hos barn2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental ill health in children has increased steadily over the past 20 years. Good mental health is a prerequisite for children to develop optimally. Globally, about 10-20% of the world's children suffer from mental ill health. There is limited research on what factors can contribute to this increase.

    Purpose: To identify and describe risk factors that can contribute to mental ill health in children.

    Method: A descriptive literature study of 13 scientific articles, 12 articles with quantitative approach and 1 article with qualitative approach.

    Main results: The result shows that children who experience mental ill health are affected by various risk factors. Identified risk factors were the structure of the family, the health of the parents, and the parents' education and socio-economic status. Exposure was another significant risk factor. The result shows that these factors have a negative impact on the child's mental health

    Conclusion: Children living in an unfavorable home environment with family conflicts or parents with mental ill health are at risk of developing mental illness themselves. Exposure like bullying and various types of abuse leads to a weak self-image and a significant risk of mental ill health.

  • 427.
    Eklöv, Lisa
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Larsson, Camilla
    University of Gävle, Department of Caring Sciences and Sociology.
    Sjuksköterskans upplevelse av att arbeta i u-land- en intervjustudie2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [sv]

    Syftet med denna studie var att beskriva sjuksköterskors upplevelser av att ha arbetat i u-land genom organisationen Läkare utan gränser. Studien genomfördes som en intervjustudie baserad på semistrukturerade frågor. Fyra sjuksköterskor som under de senaste två åren arbetat i u-land deltog i studien. Resultatet visade att viljan att rädda liv i kombination med spänning och äventyr motiverade sjuksköterskorna att arbeta. Innan uppdragen fick sjuksköterskorna gå en förberedande kurs genom Läkare utan gränser. De tyckte att det var bra att ha yrkeserfarenhet innan uppdragen. Arbetsuppgifterna handlade mycket om att utbilda och handleda lokalbefolkningen samt att organisera arbetet och det stämde inte alltid överrens med sjuksköterskornas förväntningar. Alla upplevde någon form av stress och frustration. Gemensamt var stressupplevelsen av att ha ett stort ansvar. Rädsla för smitta vara inget som förekom bland sjuksköterskorna då de använde sig av basala skyddande medel. Mötet med den nya kulturen och befolkningen upplevdes som både positivt och negativt. I studien framkom positiva upplevelser av att göra någonting för folket ute i världen. Negativa aspekter i volontärarbetet var bristen på resurser, det stora ansvaret och känslan av att inte räcka till. Sjuksköterskorna som deltog i studien rekommenderade intresserade sjuksköterskor att arbeta i u-land. Det är viktigt att som person vara flexibel, ödmjuk och ha människokärlek och man växte som människa.

  • 428.
    Ekman, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Segerqvist, Carolina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenhet av arbetsrelaterad stress2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Det är vanligt att sjuksköterskor har erfarenhet av arbetsrelaterad stress i sitt dagliga arbete, om stressen blir långvarig kan det leda till komplikationer som sömnstörningar och minnessvårigheter. Arbetsgivaren är skyldig att uppmärksamma och motverka arbetsrelaterad stress. Syfte: Syftet med föreliggande litteraturstudie var att beskriva sjuksköterskors erfarenheter av arbetsrelaterad stress samt att beskriva undersökningsgrupperna i utvalda artiklar. Metod: Beskrivande litteraturstudie där åtta artiklar med kvalitativ ansats och två artiklar med mixad metod granskades. Huvudresultat: Resultatet visade att flera sjuksköterskor erfor att brist på personal och begränsat med tid var två betydande anledningarna till arbetsrelaterad stress. Även kommunikationen mellan kollegor och arbetsmiljön var anledningar som påverkade den arbetsrelaterade stressen. Personal och tidsbrist ansågs kunna bero på att sjuksköterskorna utförde flera arbetsuppgifter samtidigt. Flera av deltagarna i utvalda studier hade även erfarenheter av att de utförde arbetsuppgifter som inte ingick i deras roll och ansvarsområde som sjuksköterska. För att förebygga uppkomsten av stress framhölls förkortad arbetstid, vilket på ett positivt sätt påverkade erfarenheterna av arbetsrelaterad stress. Bra relationer till kollegor och att hitta egna copingstrategier för att hantera stressen på arbetet och privat framhölls också som positivt för att minska den arbetsrelaterade stressen. Den metodologiska granskningen visade att det var flest kvinnor i åldern 22 – 61 år som deltog i granskade studier. Slutsats: Personal och tidsbrist har stor påverkan på erfarenheterna av arbetsrelaterad stress. Litteraturstudien visar att förkortad arbetstid är en potentiell lösning på problemet och belyser arbetsgivarens ansvar att aktivt arbeta mot och förebygga uppkomsten av arbetsrelaterad stress.

  • 429.
    Ekman, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Stensson, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Den psykologiska och sociala arbetsmiljön bland distriktssköterskor och sjuksköterskor i primärvård respektive hemsjukvård2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     Background: There is a different in management and organization in primary health care and in municipal home health nursing. This different may effect activities and tasks at work, which in turn can affect the psychological and social work environment of district nurses / nurses. The purpose of this study was to compare any differences in the psychological and social work environment of district nurses/nurses in primary health care and home health nursing. Method: A quantitative, comparative cross-sectional study was conducted and the data was collected with the survey QPSNordic 34+. The survey was administred to 159 participants in primary care and to 148 participants in home health nursing. The survey was answered by (n = 39) district nurses /nurses in primary health care and (n = 39) district nurses/nurses in home health nursing. The result showed significant differences in four out of eleven categories in the psychological and social work environment between the district nurses/nurses in primary care and the district nurses/nurses in home care. Differences were found in "work requirements", "control at work", "work skills" and "stress". In all of these four categories, district nurses/nurses in primary health care estimated their psychological and social work environment lower than the estimation from district nurses/nurses in home health nursing. The conclusion of this study was that district nurses/nurses in primary health care estimate their psychological and social work environment lower in comparison to the district nurses/nurses in home care nursing.

  • 430.
    Ekström, Johanna
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Karttunen, Marie
    University of Gävle, Department of Caring Sciences and Sociology.
    Skolsköterskors roll i arbetet med överviktiga barn i låg- och mellanstadiet2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of the existing study was to describe how school nurses experience the complex of problems about obesity among primary school and middle school children, also to examine which strategies school nurses use to prevent/help these children. Amongst other aims, this study examines how school nurses experience cooperation with parents, teachers and other school nurses within this area. The method used was to interview seven school nurses in primary school and middle school from two school regions in the middle of Sweden. The interviews were recorded on tape and transcribed in verbatim. Sense bearing units were picked out and the material was categorized, which resulted in three main categories with ten subcategorise. The results showed that the seven interviewed school nurses considered that there is a problem with obesity in school children. The school nurses didn’t have any specific strategies to prevent obesity and the guidelines from the school health board were indistinctive, but four of the school nurses were working on preventive strategies on their own hand. All of the school nurses more or less had a strategy for helping obese school children, by meens of talking about nutrition and fysical exercise in health sessions. Four of the school nurses had created their own material. The material was then used to help the children with another way of thinking and change in lifestyle. All seven school nurses considered that a working cooperation with parents, teachers and other school nurses facilitated the work with the obese children.

  • 431.
    Ekström Larsson, Elisabeth
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Backström, Jessica
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans erfarenheter avpreventionsarbete med obesa barn och deras familjer: En beskrivande litteraturstudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The increase in childhood obesity in recent years leads to the question of how a nurse can work on preventions adapted to obese children and their families. This applies to both primary, secondary and tertiary work Aim: The purpose of this literature study is to describe the nurse's prevention work with obese children and their families. The article's data collection method is also described. Method: A descriptive literature study. Databases used were Cinahl and PubMed. The articles that were 12 to the number published between 2007-2017 and resulted in the result. Main result: Nurses felt that prevention work is important as obesity is a major health problem in the world. In many cases, the lack of time was felt, as the work could develop even more. Often motivational conversations were used to strengthen the positive and provide a basis for respect and mood about the child's autonomy. Measuring instruments that were common were BMI. The importance of parental involvement is emphasized in most articles, as the results then improve with the weight loss of children. Instead, parents need support and guidance from nurses to be a good support for the children. Conclusion: Nurses need more support in developing prevention efforts to reduce childhood obesity. This may otherwise be a problem later in life and lead to adulthood in adulthood.

  • 432.
    Ekström, Sandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Rektorers medverkan i elevhälsan: En studie om systematiskt hälsofrämjande arbete i svenska grundskolor2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose: The purpose of this study was to explore the extent of headmasters’ participation in the systematic health promoting work carried out by the student health service.

    Method: A quantitative descriptive cross-sectional survey was used to collect the data. The data collection was preformed using a self-designed web survey, through email addresses to collect data from 200 randomly selected headmasters of primary schools from all over Sweden. Of the 200 selected headmasters, 28% (n = 53) attended, and answered the questionnaire.

     Result: 88 % of the headmasters reported that the student health service conducted a systematic health promoting work. The majority of the headmasters (n=52) reported that the student health service conducts all of the different stages of the systematic work. The response rate was equal regarding headmaster’s participation, often and every time in the different stages; analyze, planning and follow up. The stage implementation showed a divergence from the other stages when 31 % of the headmasters reported that they rarely participate in this stage. The main profession who initiated health promotion work according to the headmasters was student health teams in the schools, consisting school health nurses, headmasters, teachers, pupils and psychologist. 51 % of the headmasters declared that it was on their initiative that the student health service started the health promotion work. Only four headmaster’s named that the student health service conducted health promotion work in the schools. 80 % of the headmasters felt that their participation was important for the student health service to manage a systematic health promoting work in primary school’s settings.

    Conclusions: The headmaster’s initiates, conducts and participates in the systematic health promotion work and with the student health service in the primary schools. Student health teams are placed locally at the schools and were the ones who initiated health promotion work. The student health service was very rarely the ones who initiated health promotion work in schools. This may question if the health promoting work witch is conducted in schools are overall or meets the students' health needs.

  • 433.
    El Madani, Nadia
    University of Gävle, Department of Caring Sciences and Sociology.
    Sjuksköterskors arbetsmiljö inom slutenvård och äldreomsorg: En litteraturstudie2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [sv]

    Abstract

    The aim of this study was to illuminate and collect existing research from the beginning of the 21 st century about nurses work environment in institutional and elderly care in Sweden.

    A literature review was made by analyzing eleven scientific articles. The result showed mainly information about nurses work load. The information dealt with high work demands, too much responsibility, shortage of staff, time press and stress. Furthermore nurses reported a lack of co-operation between staff and management. An important part in nurses’ work was appreciation from colleagues, management, patients and relatives. Nurses even wanted to participate more in decisions about their work situation and demanded higher salaries. Wishes were expressed about more education, possibilities in their professional careers, supervision and personal development. Downsizing of staff and limited resources were believed to lead to decreased quality of care. Only in one study something about physical work environment was mentioned, i.e. worry about chemical or other work environmental problems. In conclusion nurses experienced shortcomings in their work environment and demanded improvements. These shortcomings supposed to lead to decreased quality of care.

    Keywords: nurse, nursing profession, work environment.

  • 434.
    Elcadi, Guilherme H.
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    Tsaklis, Panagiotis
    Alexander Technological Institute of Thessaloniki, Thessaloniki, Greece.
    Blomqvist, Sven
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    Ervasti, Per-Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    W. Söderström, Mikael
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Sports science.
    Forsman, Mikael
    Karolinska Institute, Stockholm, Sweden.
    Richter, Hans
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    A Strong Correlation Between Dorsolateral Prefrontal Cortex And Vastus Lateralis Activity During Running To Fatigue2016In: Medicine and science in sports and exercise, ISSN 0195-9131, Vol. 48, no 5, p. 854-854Article in journal (Refereed)
    Abstract [en]

    Fatigue is a phenomenon of pronounced importance in sports. Recently, there is strong evidence of interplay between the prefrontal cortex and motor output during fatiguing contractions. The dorsolateral prefrontal cortex (DLPC) due to its large involvement in cognitive and motor activities is believed to be involved but this requires physiological clarification. AIM: We investigated the relationship between DLPC activity - responses in oxyhemoglobin (HbO2) and total hemoglobin (HbT) measured by near-infrared spectroscopy (NIRS), and the vastus lateralis muscle (VL) activity - quantified as root-mean-square (RMS) of the EMG signal, during a fatigue protocol.

    METHODS: Four male runners (32±12 yrs) with probes for NIRS over the DLPC and EMG over the VL performed a track running test at a constant speed to fatigue (exhaustion). The running speed was individually determined as the average speed of a 1200-m time trial performed ~3 days prior to testing. For NIRS changes in μmole/L of HbO2 and HbT were computed. The VL EMG-RMS of the contraction of each step was normalized as a percent of a submaximal reference contraction (%RMS), thus removing the non-activity between steps. Data of 10s epochs at 20, 40, 60, 80 and 100% of time for each lap were averaged for analyses. Regression analyses performed with HbO2 and with HbT as dependent variables and %RMS as the independent variable.

    RESULTS: Over time there was an increase in HbO2 and HbT in the DLPC, and in VL-%RMS. Both HbO2 and HbT correlated strongly with EMG-RMS during running to fatigue (see figures below); p<0.001 for both.

    CONCLUSION: The strong relationship between DLPC and VL activities during running to fatigue suggests the involvement of the DLPC in the central processing of fatigue.

  • 435.
    Elemyr, Linda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Ahlberg, Bertil
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskans erfarenheter i vården av patienter med suicidalt beteende.2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund

    Suicidalt beteende även kallad suicidalitet är ett stort globalt hälsoproblem.Begreppet innefattar suicidtankar, suicidförsök och suicid. Var 40:e sekundavlider en människa på grund av suicidalitet någonstans på jorden.

    Syfte

    Syftet var att beskriva sjuksköterskans erfarenheter i vården av patienter med suicidalt beteende samt beskriva undersökningsgruppen i de inkluderade artiklarna.

    Metod

    Föreliggande litteraturstudies resultat inkluderar 12 vetenskapliga artiklar, med både kvantitativ och kvalitativ ansats. Studien har en beskrivande design. Databaser som användes var PubMed, CINAHL och PsycINFO.

    Huvudresultat

    Sjuksköterskorna erfar att omvårdnad av patienter med suicidalt beteende är en komplex situation. Erfarenheterna är att suicidalt beteende väcker känslor som chock besvikelse, frustration, skuld och stress hos sjuksköterskorna. Egna värderingar har en dömande inverkan på patienten. En osäkerhet i omvårdnaden av dessa patienter finns. Fysiska behov prioriteras därför före psykiska. Detta kan kopplas till brist på utbildning, stöd och resurser.

    Slutsatser

    Sjuksköterskors erfarenheter är betydelsefulla för att ge den suicidala patienten bästamöjliga omvårdnad. Sjuksköterskor bör ha en icke dömande inställning och ett holistiskt förhållningssätt. Föreliggande studie vill bidra till en samlad bild av sjuksköterskors erfarenheter i omvårdnaden av denna patientgrupp. Detta för att belysa det stöd och utbildning som sjuksköterskan behöver för att möta patienten professionellt. Men även för att belysa vikten av förståelse och betydelsen av rätt omvårdnad.

  • 436.
    Elfving, Britt
    et al.
    Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.
    Åsell, Malin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
    Bergsten, Charlotte Luning
    Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.
    Alexanderson, Kristina
    Karolinska Inst, Div Insurance Med, Dept Clin Neurosci, Stockholm, Sweden.
    Exploring activity limitations and sick leave among patients with spinal pain participating in multidisciplinary rehabilitation2010In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 32, no 4, p. 292-299Article in journal (Refereed)
    Abstract [en]

    Purpose. To describe limitations in 12 activities at baseline, after multidisciplinary rehabilitation and at a 6-month follow-up for patients with spinal pain and, further, to investigate whether low limitation in any of the activities or in the mean score at baseline might predict increased working time at follow-up. Method. A prospective cohort study of 302 patients, 22- to 63-years old, who participated in multidisciplinary rehabilitation because of chronic neck, thoracic and/or lumbar pain. Data from the Disability Rating Index questionnaire were obtained at baseline, after the 4-week rehabilitation programme, and at the 6-month follow-up. Two subgroups are described: patients who at baseline (1) worked full-time or (2) were on part- or full-time sick leave. Results. The degree of limitation in the 12 activities (items) showed large variations in median scores (7-91). Both subgroups showed significant improvements in most activities after rehabilitation, which remained at the follow-up. Nevertheless, in the sick-leave group, patients who had increased their working time at follow-up (62%) were still very limited in running, heavy work, and lifting heavy objects. In logistic regressions, low limitation in standing bent over a sink at baseline was the only single activity that predicted increased working time at the follow-up: odds ratio (OR) 1.93 (95% CI 1.1-3.5). OR for the mean score was 1.8 (1.0-3.3). Conclusion. A profile of the separate activities demonstrates the large variation in the degree of limitation, which is concealed in a mean score. The single items can be useful when evaluabing interventions. However, to predict increased working time after rehabilitation, the mean score, as well as the activity standing bent over a sink, proved useful.

  • 437.
    Elfving, Britt
    et al.
    Section of Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Åsell, Malin
    University of Gävle, Centre for Musculoskeletal Research.
    Ropponen, Annina
    Section of Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Institute of Biomedicine, Department of Physiology/Ergonomics, University of Kuopio, Kuopio, Finland.
    Alexanderson, Kristina
    Section of Personal Injury Prevention, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
    What factors predict full or partial return to work among sickness absentees with spinal pain participating in rehabilitation?2009In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 31, no 16, p. 1318-1327Article in journal (Refereed)
    Abstract [en]

    Purpose. To identify the factors that predict full or partial return to work among long-term (>= 90 days) sickness absentees due to spinal pain who begin a multidisciplinary rehabilitation programme. Method. In a prospective cohort study, 312 patients with neck, thoracic and/or lumbar pain, aged 20-64, participated in a 4-week multidisciplinary rehabilitation programme in Sweden. Questionnaire data at inclusion were used. Factors included in logistic regressions were as follows: age, gender, type of work, pain location, pain intensity (visual analogue scale), activity limitations [Disability Rating Index (DRI)], health-related quality of life (SF-36), pain-related fear of movement (Tampa Scale of Kinesiophobia), motivation (Self Motivation Inventory), sickness absence at baseline and number of sick-leave days during the previous 2 years. Outcome factor was increased versus not increased working time at follow-up 6 months later. Results. Most patients (68%) reported two or three pain locations. At baseline, 56% were full-time sickness absent and 23% at follow-up; 61% had increased their working time. Predictors for increased working time were age below 40 years, low activity limitation (DRI < 50), low SF-36 bodily pain (>30) and high SF-36 social functioning (>60). Number of sick-leave days during the previous 2 years (md 360; range 90-730) had no influence. Conclusions. Even patients with long previous sick leave can increase working time after a multidisciplinary rehabilitation programme, especially if they are younger, have lower levels of activity limitations and pain and better social functioning. To include information on part-time work is useful when evaluating work ability following rehabilitation programmes.

  • 438.
    Elg, Denise
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Fältström, Agnes
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelser av arbetsrelaterad stress2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 439.
    Eliasson, Malin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Nilsson, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ammande mödrars erfarenheter av stöd i samband med amning: En beskrivande litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Mothers are breastfeeding at all times more or less. Attitudes from family and current culture can make mother ambivalent to breastfeeding their child. Problems may arise which may result in the mother refraining from breastfeeding. There are many benefits of breastfeeding both for the child and for the mother. The nurse can promote breastfeeding and contribute until mothers get more support to breastfeeding their children.                 

    Aim: To describe breastfeeding mothers experiences of breastfeeding support and to describe the selected articles study-group.                                      

    Method: A descriptive literature review based on ten scientific articles. The articles were retrieved from databases Med Line/PubMed and Cinahl through the University of Gävle. 

    Results: The outcome of the literature study describes mothers' experiences of breastfeeding support in different situations, both positive and negative. The different themes that emerged was, Mixed pre-delivery reactions, Demand for expert support and social support, and Get a good deal of attention, Insecurity and frustration, as well as Appreciation and dissatisfaction with practical tips. Mothers experienced preparations for breastfeeding as useful, but breastfeeding was not always presented in a realistic and honest way. Both prim parous and multiparous desired professional support. If the healthcare staff was responding to the needs of the single mother, evaluated supportive and non-judging as positive breastfeeding support. Contradictory messages created confusion and uncertainty. Practical support was especially appreciated initially. Hard-hearted healthcare professionals in the practical support made mothers feel dissatisfied.The mother´s in the literature study was of different ages, both prim parous and multiparous, who had born vaginally or with caesarean sections. Three continents were represented as Europe, Oceania and North America.                                                                                                                    

    Conclusion: The importance of professionally good breastfeeding support is a prerequisite for more mothers to feel safer when breastfeeding. A good preparation, practical support and that the information presented in a realistic, honest, consistent way and is based on the mother as an individual way make more mother´s breastfeed their children. This can lead to more mothers and children taking advantage of the benefits that breastfeeding involves.    

    Keywords: Breastfeeding, problems, support, health care- professionals, qualitative,nursing.

  • 440.
    Elofsson, Bianca
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Gonzalez, Evelyn
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Närståendes erfarenheter och behov av stöd inom palliativ vård i hemmet: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is becoming increasingly common in health care that relatives have a significant role in palliative care at home. Some patients receiving care in a palliative phase choose to pass away at home, which implies that relatives need to take on a great responsibility for the patient's care. Aim: To describe the experiences and needs of relatives that provide support from the nurse in palliative care at home. Additionally the aim was to examine the method of data collection of all articles included in the thesis. Methodology: The applied methodology is a literature study of descriptive character based on fourteen scientific articles, searched and found on the Cinahl and PubMed databases, as well as through manual research. Result: Relatives provide care around the clock, resulting in limitations in their own daily activities and ignoring their own needs. The nurse’s support was portrayed both as deficient and satisfactory. Support to the relative in terms of relief facilitated the role for the relative as nurturers and reduced feelings of tiredness, demand, loneliness, and isolation. Decent availability and a good relationship with the nurse could reduce feelings of insecurity and fear with the relative. For the nurse to give the right information and communication to the relative could facilitate for the relative, and reduce feelings of confusion and frustration as well as the burden of the care. To get good bereavement support in the form of phone calls, letters and home visits could strengthen the entire family. Conclusions: Relatives need for various forms of support from nurses during and after the palliative care. Emotional support, bereavement support, accessibility, good relationship with nurses, information, and communication are essential for maintaining well-being of the caregiving relative.

  • 441.
    Elsrud, Alexandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Distriktssköterskors erfarenheter och upplevelser av att arbeta med tobaksavvänjning i grupp2014Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tobaksbruk är förknippat med ohälsa, stor risk finns att drabbas av följdsjukdomar. Syftet var att beskriva distriktssköterskors erfarenheter och upplevelser av att arbeta med tobaksavväjning i grupp. En studie med kvalitativ ansats och deskriptiv design har gjorts. Åtta distriktssköterskor som arbetar med tobaksavväjning i grupp har intervjuats. Materialet har analyserats med hjälp av kvalitativ innehållsanalys. I resultatets första kategori ”Viktigt med tydliga arbetsrutiner vid tobaksavvänjning i grupp” beskrevs exempelvis arbetsrutiner såsom att hemuppgifter gavs mellan grupptillfällena, tobaksstoppdatum planerades och uppföljningar gjordes. Dock beskrevs svårigheter att rekrytera deltagare till tobaksavvänjningsgrupperna, vilket innebar att personerna hänvisades till individuell tobaksavväjning. Det rapporterades vara psykiskt påfrestande att leda grupper om deltagare hade psykisk ohälsa och komplexa sociala problem. Andra kategorin ”Möjligheter och svårigheter vid gruppbehandling” beskrev att motiverande samtal användes och deltagarnas motivation ansågs avgörande för tobaksstoppet. Tobaksavväjningen uppgavs fungera när distriktssköterskan inte ”föreläste” utan uppmuntrade alla till att bli hörda, så att erfarenheter delades och stöd gavs åt varandra. Distriktssköterskorna upplevde arbetet stimulerande men även frustrerande, möjligheter till stöd av tobakssamordnare eller kollegor fanns, dock saknades stöd av läkare. Önskvärt enligt distriktssköterskorna vore att vara två som genomförde gruppträffarna tillsammans, ha tillräckligt med administrativ tid samt ha tid för fortbildning. Slutsatsen är att distriktssköterskorna arbetade efter tydliga arbetsrutiner. De upplevde både möjligheter och svårigheter med att genomföra gruppbehandling. Dock behövs mer fokus läggas på att rekrytera personer till grupperna så att grupper inte behöver ställas in, samt att ökad möjlighet till vidareutveckling av tobaksavvänjnings arbete i grupp bör ges till distriktssköterskorna. 

  • 442.
    Elversson, Josefin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Kvinnors syn på hälsa2011Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna undersökning var att se hur kvinnor i olika åldrar uppfattade begreppet hälsa ochvad de ansåg att de kunde göra för att främja hälsa, och om det fanns några speciella hinder till attfrämja hälsa. Denna studie genomfördes med en kvalitativ ansats. Sammanlagt deltog 12 kvinnormed ett åldersspann på 22 – 65 år. Dessa personer var uppdelade i två fokusgrupper med 5respektive 7 personer i varje grupp. Till en början skulle det vara tre stycken fokusgrupper men pågrund av bortfall blev det tillslut två stycken.Resultatet analyserades genom ett fenomenografiskt sätt där det som var mest relevant för studienplockades ut. Resultatet visar att hälsa för dessa kvinnor var något väldigt brett och att det är mångaolika faktorer som kan påverka vår hälsa. De olika faktorerna som kom på tal var: kost, motion,känsla av meningsfullhet, inre välmående och sociala kontakter. Det som grupperna hade mestgemensamt när de diskuterade begreppet hälsa var att kosten och motionen har en stor betydelse förvår hälsa. Det huvudsakliga som deltagarna gjorde för att främja sin egen hälsa var därför tänka påvad de åt och motionera så mycket de hade tid för. Just tiden ansåg dessa kvinnor vara ett hinder tillatt främja hälsa och de ansåg att den fysiska aktiviteten var det som de valde bort först när tidenblev för knapp för att hinna med allt.

  • 443.
    Elverstig, Ebba
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Söder, Evelina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Nyutexaminerade sjuksköterskors upplevelser och hantering av arbetsrelaterad stress under det första året i yrket: En intervjustudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nursing profession involves a high workload and can thus lead to a perceived work related stress. Newly graduated nurses are particularly susceptible to this type of stress because of their lack of experience in their professional capacity. To develop strategies for managing stress is therefore important for the nurse’s wellbeing. Aim: The aim of the present study was to describe how recently graduated nurses experience and cope with work related stress during the first year in the profession. Method: The study had a qualitative approach with descriptive design. In this study eight nurses participated who graduated in January, alternatively, in June 2014, and were employed at four different somatic wards situated in central Sweden. Data were collected using semistructured interviews and were analyzed with manifest qualitative content analysis. Main Findings: The results showed that work related stress was caused by a combination of the recently graduated nurse’s internal demands, feelings and ambient external influences. How nurses handled work related stress was individual and varied depending on the situation. To find the support and enlist the help of colleagues, to reduce their own requirements and to develop an approach that suits the individual was found to be effective strategies for stress management. Conclusion: The conclusion was that the recently graduated nurses experienced several types of stress during the first year in the profession. The ability to evolve, learn to be kind to yourself and that the colleagues were available to provide assistance and support were prerequisites for managing the stress.

  • 444.
    Elving, Sara
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Hallstensson, Helena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personers upplevelser av omvårdnad efter ett suicidförsök2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 7000 people in Sweden try to take their lives every year. This number is expected to rise. The primary risk factors for suicide are past suicide attempts and mental illness. The stigmatized approach in society makes people feel ashamed of suicidal thoughts. Many people that completed a suicide had an earlier healthcare contact. Suicide can by that fact be prevented. Nursing's attitude should be based on a non-judicial approach and make it clear that both time and interest are present. Nursing should be based on a holistic perspective where the individual's unique needs are put in focus. The nurse should be helpful with support both mentally, physically, existentially and socially. Experiences of people who survived a suicide attempt will be a guiding tool for the nurse in the design of nursing care for this patient group.

    Aim: To describe people's experiences of nursing after a suicide attempt.

    Methods: A descriptive literature review containing ten studies with a qualitative approach was used.

    Main results: Continuity and accessibility in the healthcare and also involvement of family and friends were aspects that emerged as positive for the nursing experience. Commitment and good communication from the healthcare professionals was also considered significant for a positive experience. Lack of continuity and accessibility in the healthcare as well as experiences of losing control emerged as negative aspects of nursing experience. What also appeared to be negative for the experience was when the healthcare professionals showed a lack of knowledge or communication or had a stigmatized approach of suicide.

    Conclusion: In the caring of people after a suicide attempt, the nurse is the main tool herself. More education and time would be a good tool for nurses in helping people who survived a suicide attempt in their recovery process.

  • 445.
    Emil, Söderström
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science.
    Ska jag säga ja eller nej till droger?2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study has been to examine what attitudes young adults have on drugs by problematizing what influence education might have on potential drug use. Furthermore, the study wants to scrutinize how primary schools use Alcohol, Narcotics. Doping, Tobacco teaching (ANDT).

     

    The method used for acquiring empirical data constituted of two focus groups with a total of ten young adults and a survey with twelve primary school principals. The conversations from the focus groups were recorded, transcribed and analyzed thematically which resulted in four different themes.

     

    The results demonstrate that the respondents have shaped their attitudes on drugs through their parents during their upbringing. Furthermore, the results display how attitudes on drugs might be influenced by peer pressure. However, teaching in school did not show any correlation to the respondents’ attitudes.

     

    The conclusion of the study is that knowledge about drugs in general might result in a better understanding about the consequences, for instance how drug use damages the body and might create an addiction. The study shows that the attitudes among young adults are shaped under influence of several factors and arenas, but that further research on the topic is still needed for the public health.

  • 446.
    Emilsson, Carl-Fredrik
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ziyara, Fatma
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Upplevelser av att vara anhörig till en person med cancersjukdom: en litteraturstudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In 2014, 60 524 patients with malignant tumours were registered in the Swedish Cancer Registry. The distribution of malignant tumours was 52 percent for men and 48 percent for women. Relatives play an important role in the life of a person with cancer, and these families are facing major changes in everyday life. Nurses have an important role to give support to these affected families.

    Purpose: The purpose of this study was to describe family members’ experiences of being a relative of a person with cancer and to describe research groups in the included studies.

    Method: A literature review with descriptive design based on 13 qualitative scientific studies. The material was analysed and divided into subject headings.

    Main Results: The results displayed that relatives of people with cancer are living in a family with major changes of their roles and in everyday life. Relatives could experience anxiety and concerns about life situation and helplessness. It was important for family members to keep the family together for their own sake and for the person with cancer. The experience of healthcare professionals varied among these family members.

    Conclusion: Relatives are affected in many ways. Facing challenges is everyday life for these relatives, and help from friends, family and health professionals are important for family members with a person with cancer. It is relevant with information in just the right amount and that the nurse is showing empathy towards relatives. Finally, it’s relevant that the nurse also sees the whole family and not just the person with cancer.

  • 447.
    Emnehult, Lina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Landsem, Jonna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans erfarenheter av att möta transpersoner: en litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A transgender person is a person who does not identify themselves as the gender assigned at birth but more as the opposite gender, as both man and woman or as neither of them. The process undergoing sex reassignment is social as well as medical and legal. The nurse should strive to treat all patients equally.

    Aim: The purpose of this study was to describe nurses experience in meeting transgender persons and to conduct a methodological review of the included articles.

    Method: This is a literature review with a descriptive design in which the result is based on eight qualitative and one quantitative article. These were collected from the databases Cinahl and Medline through PubMed. In the research of the articles there emerged two themes with five subheadings. The methodological aspect is study group.

    Results: The nurses expressed low knowledge about transgender people and therefore was uncertain how to meet and nurse them. Most nurses felt fear of discriminating despite the intention to treat these people with respect and dignity. The number of nurses who participated in the studies of the included articles was 400. The studies were performed in the United States, Canada and Australia.

    Conclusion: Inadequate knowledge and fear of making mistakes affect the nurse in the care of transgender persons. More research is needed to increase understanding for all health care professional and to provide better conditions for equal treatment of transgender persons and to provide better support for those undergoing gender sex reassignment treatment.

  • 448.
    Endahl, Ann-Louise
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Linder, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Patienters fysiska och psykiska symtom av fasta i väntan på operation: en litteraturstudie : sjuksköterskans möjlighet att befrämja patientens hälsa2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrunden till denna litteraturstudie var att tidigare forskning påvisat att framtagna riktlinjer gällande preoperativ fasta inför planerade operationer ej efterlevs optimalt. Syftet var att beskriva vuxna patienters fysiska och psykiska symtom vid fasta i väntan på planerad operation, hur sjuksköterskan kan främja patientens hälsa under den preoperativa tiden samt beskriva de ingående studiernas urvals- och datainsamlingsmetod. Metoden som användes var en beskrivande litteraturstudie där artiklar söktes via PubMed (Medline) och Cinahl. Där påfanns 17 artiklar som utgjorde grunden till studien. I resultatet framkom att patienter som fastar i väntan på planerade operationer visar på fysiska symtom som törst, hunger och illamående samt psykiska symtom som oro och ångest. Den övergripande omvårdnadsåtgärden för att förebygga dessa symtom vid fasta i väntan på planerad operation var att administrera patienten kolhydratrik dryck fram till två timmar innan operation. Vidare framkom sjuksköterskans viktiga roll att beakta detta och främja för ökad hälsa för patienter i väntan på planerade operationer. Slutsatsen visar på att det behövs kontinuerliga uppdateringar och spetsutbildningar samt utökat samarbete mellan de olika professionerna och klinikerna för att vårdpersonal skall bli medvetna om detta problemområde. Bättre förutsättningar skapas då för såväl patienterna som vårdpersonal inom den planerade operationsverksamheten.

  • 449.
    Enebrink, Maria
    University of Gävle, Faculty of Health and Occupational Studies.
    Föräldrars upplevelser av att leva med ett barn som har astma: En kvalitativ studie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 450.
    Engberg, Sandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science.
    Stärka barnens integritet: En kvalitativ studie om hur förskolan arbetar med att stärka barnens integritet och förebygga sexuella kränkningar mot barn2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    2440 cases of sexual child abuse was reported in 2015 in Sweden that is about one out of five children. Research shows that prevention strategies that focus on strengthening children’s integrity have proven effective for helping children recognize abusive behaviors as well as gain confidence to disclose.

       The aim of this study is to investigate and describe the preschools role in strengthening children’s integrity to prevent child abuse, and describe how the work is done. The study has a qualitative approach with mix of semi-structured and unstructured interviews, called a qualitative interview form. This study used a purposive selection, four informants with management position within preschool were interviewed. The interviews were recorded and then transcribed, which will serve as a database for analysis.  For this study a content analysis was chosen.

       The results showed that the preschool work aims to strengthen children’s integrity, but that the pre-schools do not use any specific strategies to strengthen children’s integrity with the aim of preventing child abuse.

    The conclusion showed that the preschool does not work consciously to prevent sexual child abuse, instead they are focusing in strengthening children’s integrity and values.

6789101112 401 - 450 of 2364
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf