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  • 401.
    Gustafsson, Sofie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Liv, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskans attityder samt kvinnans upplevelser vid en inducerad abort: en litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose; The purpose of this study is to describe the nurse´s attitude towards induced abortion and how the concerned woman experiences the induced abortion.

    Method; The study is of literature nature and takes on a descriptive approach. The study is based upon 15 scientific articles found via Cinahl, Medline/Pubmed and manual search.

    Results; No clear attitude towards abortions was found among the nurses. Some nurses reported a positive attitude and considered it to be a woman´s right, hence they should support their choice. On the other hand negative attitudes were also revealed where nurses acknowledged a judgmental attitude towards the woman’s choice. An abortion performed later during the pregnancy did give raise to a more negative attitude compared to an early abortion. The concerned women described a sense of unpreparedness regarding the decisions they face in conjunction with the abortion. Furthermore, the women experiences lack of information regarding the baby´s appearance. Women who feel supported during the process of the abortion have more easily adapted to the situation and therefore experienced less negative emotions.

    Summary; Women who are going through an abortion needs professional support as they are in the middle of a very emotional and exposed situation. Hence it is of importance that the nurse reflects over her own attitude towards abortion and the concerned woman.

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    examensarbete_liv_gustafsson
  • 402.
    Gustafsson, Therese
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hillman, Caroline
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnors upplevelser av att drabbas av missfall samt bemötande av vårdpersonal: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Miscarriage is also called spontaneous abortion and occurs in about 20 percent of all pregnancies. The majority of miscarriages occur before 12 weeks of pregnancy and the main causes are chromosomal abnormalities or damage to the fertilized egg.

    Aim: The purpose of this study was to describe women's experiences when they suffer a miscarriage and treatment from the medical staff during miscarriage. And to describe the data collection methods used in the included articles.

    Methods: A descriptive literature study based on 12 scientific articles with a qualitative approach. The CINAHL database was used for the article search and the keywords that was used were: Miscarriage and Experience.

    Main results: The result described the women who had suffered from a miscarriage experienced physical and mental pain.The miscarriage was described as a loss and crushed ambitions for the future. Emotions such as shame and guilt were common. Miscarriage was seen as a traumatic experience for the affected woman. Experiences as loneliness and omission were common, and that the women’s physical and mental pain was overlooked by the medical staff. Lack of empathy and compassion affected the women negatively. If themedical staff confirmed the grief it helped the women with their physical and emotional needs. Perceptions and feelings of security occurred when the women had a prior relationship to the obstetrician, who then knew their history and background. The data collection method used in all articles were individual audio recorded interviews.

    Conclusion: The conclusion to be drawn from this study is that the women who suffered miscarriages was affected both physically and mentally. The response and relevant information from the nursing staff has a major impact on how women perceive their situation when they have suffered a miscarriage.

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    fulltext
  • 403.
    Gustafsson, Victoria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Holmberg, Malin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Nyutexaminerade sjuksköterskors upplevelser av sin första tid som yrkesverksam: En beskrivande litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nursing profession is a multi-faceted profession in which the first time as a newly qualified nurse is important. There is a correlation between a good start in the profession and that newly graduated nurses stay in the profession. It is very important that graduated nurses remain in the profession to maintain continuity and experience, as this components leading to increased patient safety.

    Aim: To describe newly graduated nurses first experience as a registered nurse and to describe the included articles study-group. Method: A descriptive literature review based on twelve scientific articles. The articles were retrieved from databases CINAHL and PubMed through the University of Gävle. Results: The results of this study described the experiences of newly graduated nurses in their transition to professional. To obtain a satisfactory transition to the new profession, many details must be considered. Topics that emerged most clearly were the workplace induction, supervision, colleagues and the new professional role. Newly graduated nurses experienced workplace introduction as both positive and negative. How the supervision was experienced depended on the supervisor's professional experience and that the experience was described as significant for the development of skills. If the newly graduated nurses were integrated and accepted in a good way of new colleagues, the professional confidence increased. The newly qualified nurses experienced difficulties in dealing with their new professional role because of lack of knowledge and clinical experience. The total number of participants in the study were 396 and four continents were represented, such as Europe, Asia, Oceania and North America. Conclusion: The importance of a good workplace introduction and first time in the profession can’t be emphasized enough. Newly graduated nurses described that it was imperative that they got the support they needed and that they were permitted to be novices in their profession to have a solid foundation to stand on. Support for the newly graduated nurses should be an integrated part of healthcare.

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    fulltext
  • 404.
    Gustavsson, Karin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Larsson, Elin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Att förebygga undernäring hos äldre patienter på sjukhus: En litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Äldre patienter som har risk för undernäring eller är undernärda är vanligt förekommande på svenska sjukhus. Syftet med denna litteraturstudie var att beskriva vad sjuksköterskan kan göra för att förebygga undernäring hos äldre patienter (65+) på sjukhus. En beskrivande litteraturstudie genomfördes där författarna granskade elva vetenskapliga artiklar. Artiklarna söktes i databaserna PubMed och Mosby´s index. Resultatet i studien visade att det finns flera olika mätmetoder för att upptäcka undernäring eller risk för undernäring hos äldre patienter inneliggande på sjukhus. Sjuksköterskan kunde vara uppmärksam på olika riskfaktorer för undernäring. För att förebygga alternativt åtgärda undernäring eller risk för undernäring kunde sjuksköterskan använda sig av vårdplaner avseende nutrition. Dialog och samarbete mellan olika yrkeskategorier var viktigt och det var av värde om sjuksköterskan hade kunskap och intresse om nutritionsfrågor. Sjuksköterskan kunde även ge näringsdrycker, anpassa kosten och se över måltidssituationen för patienterna. Slutsatsen av denna studie var att sjuksköterskan kunde ta hjälp av olika mätmetoder, använda sin kliniska blick och erfarenhet och sedan sätta in olika omvårdnadsåtgärder för att upptäcka och förebygga undernäring eller risk för undernäring hos äldre patienter på sjukhus.

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    Undernäring hos äldre
  • 405.
    Göransson, Moa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Lindén, Julia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Föräldrars erfarenheter av att leva med ett barn med cancer2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract: Background: The most common cause of death for children aged 1-14 is childhood cancer. There is about a third who suffers from leukemia, a third who suffers from brain tumors and the last part constitutes the rest of the diagnoses. It is important to know how to respond parents 'thoughts and feelings about living with a child with cancer, since caregivers must individually the care of the child to their parents' needs. Aim: The aim of this study is to describe parents experience ́s to live with a child with cancer. Method: A literature study based on 11 articles with qualitative approach with the keywords: child, childhood cancer, cancer, family experiences, parents’ experiences and pediatric. The Cinahl database was used to search for articles. Main result: It has been consistent in the result that parents experienced anxiety, depression, anger and lack of sleep. Life is affected by parents after the children’s cancer diagnosis as there is a lack of everyday routines and normality. At a cancer diagnosis, the parents had a hard time seeing a future with the cancer sick child, which shows that the parents longing for the moment the child is cured. Conclusion: It became clear that parents of children with cancer experienced an initial need for support and the importance of getting the right information. Parents isolate themselves from their surroundings but can find other parents in the hospital with the same experience.

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    fulltext
  • 406.
    Göthberg Meiton, Sandra
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Olsson, Gisela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Upplevelser av symtom och omvårdnadsbehov i det vardagliga livet hos personer med multipel skleros: en deskriptiv litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Multiple sclerosis (MS) is an autoimmune inflammatory disease with individually  varying symptoms. Each person with MS has their own care needs, depending on which symptoms he/she experiences. The person live with MS the rest of his/her life and new symptoms occur regularly. Aim: The purpose of this study was to describe how people with MS experience how symptoms and care needs affect their everyday lives and to describe the included articles sample method. Method: Descriptive literature review. Articles were searched out through Cinahl and via manual searches. A total of 11 scientific articles emerged, 10 qualitative and 1 withmixed approach, which was included in the study. Main results: The MS disease symptoms and care needs had a great impact on people's everyday lives and autonomy . The symptoms that had the greatest impact was fatigue and problems with the ability to move. No aspect of daily life was unaffected and in addition to the symptoms, care needs was an obstacle. The lack of energy and to be reliant on others so the daily life would work, was a big problem. They had a strongdesire to do more than they could and they did not want to feel disabled. It appeared that the articles chosen similar selection methods to answer their aim. Conclusion: MS is a disease that affects the person's everyday life in many ways, above all, the ability to live as before and the feeling of autonomy. They had to prioritize what was most important to them.

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    Upplevelser av symtom och omvårdnadsbehov i det vardagliga livet hos personer med multipel skleros
  • 407.
    Göthe, Therese
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Roininen, Mia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Frågar man inget, får man inget veta: Sjuksköterskors erfarenheter av att fråga kvinnor om våld i nära relation: En deskriptiv litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The proportion of women in the world who are victims of intimate partner violence by a man is estimated between 15-71 %. The violence can take the form of physical, psychological and sexual impact and neglect. Nurses can meet these women in all health care settings.

    Aim: To describe nurses’ experiences of inquiring women about intimate partner violence in the health care setting. Also, to describe the study sample of the studies.

    Method: A descriptive literature review was conducted. 12 scientific articles were included. Nine of them were qualitative, two of them were quantitative and one was a mixed method.

    Main result: Nurses did not routinely inquire women about intimate partner violence, it was mainly conducted when the women had visible physical injuries. Knowledge was an important facilitator for the nurse to inquire about intimate partner violence. Many considered it as their role to inquire, while others believed the opposite. Nurses experienced barriers to inquireabout intimate partner violence. Nurses were emotionally affected by the meeting with the abused women. All studies reported the number of participant in their studies. The majority of the participants were women. However, not all studies specified genderof the participants or the number of years in the profession.

    Conclusion: Knowledge can be a motivating factor, while the lack of knowledge can be a barrier. The nurse’s experiences of inquiring about intimate partner violence brings an emotional impact on the nurse. It is important that there is sufficient knowledge and support regarding intimate partner violence in the health care setting to meet both the woman’s and the nurse’s needs.

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    fulltext
  • 408.
    Göthlund, Matilda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Jannati, Sara
    University of Gävle, Faculty of Health and Occupational Studies.
    Estetik som ett hälsofrämjande redskap inom vården: en litteraturstudie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim was to describe what the literature said about how the aesthetic elements of the healthcare can promote health.

    Method: The data was collected from the databases Cinahl and Discovery and via full text search, which resulted in 16 articles.

    Results: The articles address important issues regarding how aesthetics can be used as a supplement or substitute for a variety of drugs such as analgesic drugs, sedatives and anxiolytics. Convalescence could be reduced simply by ensuring that there was a window with a view and sunlight. Aesthetics could affect the mental state, alleviate depression, fear and anxiety and increase feelings of happiness and wellbeing. The absence of natural light could worsen the patient's condition. Aesthetics was also able to give coping strategies, for example to children who have not yet developed their own.

    Conclusion: Aesthetics can be a potent tool that should not be overlooked in healthcare. If you seek a holistic approach and to see the whole person and not just the illness, you should have an aesthetic awareness and knowledge of its effects on man.

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    Estetik som ett hälsofrämjande redskap inom vården
  • 409.
    Gümüs, Alaa Salam
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Patienters upplevelser av att leva med långvarig smärta ur psykosocialt perspektiv samt sjukvårdens bemötande: en litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic pain is defined as pain that has not gone over 3-6 months. Pain is an individual experience that cannot be objectively measured, but that experience knows how intense it is, and pain duration.

    Aim: The aim of this literature review was to describe patient's experiences of living with chronic pain from a psychosocial perspective. The aim was also to describe the data collection methods of scientific articles have used.

    Method: This literature review has a descriptive design. This literature review study's results are based on 12 scientific articles that have been found through the database CINAHL and PubMed.

    Result: The compilation of the included articles led to perceptions of emotional impact on patients' lives as a major suffering and negative thoughts about the future. Pain was felt also that the social constraints of working life, loss of identity and social relationships. Patients experienced a negative attitude of medical staff.

    Conclusion: Experiences of pain affect patients psychologically and socially. Pain has led to the emotional impact and led to social constraints in both working life and relationship to family, friends and children. Experience of healthcare professionals experienced negative treatment of patients where the pain is not taken seriously. This in turn affected the receive any treatment or medication. The author of this literature review means that based on present literature studies results are deficiencies in health care, this in turn may help to increase medical knowledge of these patients experience chronic pain as well as to cope with the in a dignified and respectful manner, believing the pain and to extend helping hand to patients

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    fulltext
  • 410.
    Hag, Linnéa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Larsson, Sigrid
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Kvinnors erfarenheter av vardagen efter en hjärtinfarkt: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction is the most common cause of death in Sweden and is usually caused by a blood clot that formed from a plaque rupture in one of the coronary arteries. The risk of suffering a heart attack increases with age, but also factors such as diabetes, hereditary predisposition, stress, smoking, high blood pressure and obesity are risk factors for developing the disease. Men are affected more often by heart diseases than women, and women's symptoms at onset can sometimes be diffuse to make a diagnosis. The nurse need to be able to meet the basic needs of people with heart disease that requires good skills. The goal is to promote health and well-being of the patient and to prevent illness and relieve suffering. Aim: The aim of this study was to describe how women experiences the everyday life after a heart attack. Furthermore, the aim was to describe the articles included data collection method. Method: A descriptive literature of ten scientific articles. Main Results: The results reflect how the women on a physical and emotional way are affected by the myocardial infarction. They feel a fear that they will suffer a heart attack again and they need to do some lifestyle changes. The support and help from the family, is important for them such as touch and intimate relationships and its significant part in the recovery of women. Conclusion: After myocardial infarction have been related to a major significant role in the recovery process. To maintain a good self-care, it is important that women receive help from skilled health professionals. As a nurse, it is important to have knowledge about women's experiences and about the disease

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    fulltext
  • 411.
    Hagberg, Jeanette
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Jern, Ann-Christine
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Kvinnors livskvalitet vid endometrios: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a gynaecological disease that affects a large number of women throughout the world. These women are often treated by the lack of knowledge, distrust and normalizing attitudes. That causes delay in diagnosis care and treatment, which creates unnecessary suffering. Nurses have an important function in the treatment of these women by supporting the woman, create a good alliance and provide relevant information.

    Aim: The aim of the study was to describe women's experiences of quality of life in endometriosis and to examine and describe the articles included data collection methods.

    Method: Literature study has a descriptive design. Data were collected through Medline / PubMed and CINAHL and twelve articles were found, all with qualitative approach. These articles were the basis for this study.

    Results: Endometriosis results in a greatly reduced quality of life that affects their partner, relationship and social life, such as work, school and hobbies. A lack of knowledge in health-care leads to normalization and delayed diagnosis that creates unnecessary suffering for these women. Many of the women created their own strategies to deal with their symptoms in daily life. All twelve articles with descriptive design have collected data by interviewing women about their experiences of living with endometriosis.

    Conclusion: Endometriosis affects significantly the women's daily lives, and all the relationships, in a negative way. Their health is affected physically, psychologically and socially with the result that they get their quality of life greatly reduced. Significant financial savings can be made by increased knowledge in the field and diagnosis at an earlier stage. Suffering from Endometriosis would be reduced, and the quality of life for those women’s will significantly increase.

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    fulltext
  • 412.
    Hagerman, Heidi
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Uppsala, Sweden.
    Working Life Among First-Line Managers and Their Subordinates in Elderly Care: an Empowerment Perspective2019Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The aim of this thesis was to study the working life of first-line managers and their subordinates in elderly care from an empowerment perspective. Methods: Paper I and II used a qualitative approach, and semi-structured interviews were conducted with 14 male and 14 female first-line managers. Data were analyzed using qualitative content analysis. Paper III and IV used a quantitative approach with a longitudinal, correlational and multilevel design. 78 first-line managers and 1398 subordinates filled in the questionnaire at T1 and 56 first-line managers and 769 subordinates at T2. Data were analyzed using descriptive statistics, multivariate analyses (III & IV) and multilevel modelling (IV). Results: In Paper I and II, the first-line managers reported having a challenging and complex work situation. Although the first-line managers sometimes expressed a need for better access to structural empowerment in terms of information, resources and support, they experienced psychological empowerment in their work. In Paper III, the results indicated that the more access the first-line managers had to structural empowerment over time, the more likely they were to feel psychologically empowered over time, resulting in lower ratings of their stress symptoms and higher ratings of their own self-rated leadership-management performance over time. Another finding in Paper III was the influence the number of subordinates per first-line manager had on the first-line managers’ ratings of structural empowerment and the subordinates’ ratings of structural empowerment and stress symptoms. In Paper IV, the results indicate that the more access the first-line managers had to structural empowerment at T1, the more access the subordinates had to structural empowerment at T2, and the higher the subordinates rated their first-line manager’s leadership-management performance at T2, when controlling for psychological empowerment. Conclusions: The working life of first-line managers in elderly care is complex and challenging, and they seem to need better access to structural empowerment (Paper I-IV). However, although deficiencies in access to structural empowerment were reported, the first-line managers experienced their work as a positive challenge (Paper 1) and felt that, though the work was not easy, it was worth it (Paper II).

  • 413.
    Hagerman, Heidi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Male first-line managers’ experiences of the work situation in elderly care: an empowerment perspective2015In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 23, no 6, p. 695-704Article in journal (Refereed)
    Abstract [en]

    Aim

    To describe male first-line managers' experiences of their work situation in elderly care.

    Background

    First-line managers' work is challenging. However, less attention has been paid to male managers' work situation in health care. Knowledge is needed to empower male managers.

    Method

    Fourteen male first-line managers were interviewed. The interview text was subjected to qualitative content analysis.

    Result

    Work situations were described as complex and challenging; challenges were the driving force. They talked about ‘Being on one's own but not feeling left alone’, ‘Having freedom within set boundaries’, ‘Feeling a sense of satisfaction and stimulation’, ‘Feeling a sense of frustration’ and ‘Having a feeling of dejection and resignation’.

    Conclusion

    Although the male managers report deficiencies in the support structure, they largely experience their work as a positive challenge.

    Implications for nursing management

    To meet increasing challenges, male first-line managers need better access to supportive structural conditions. Better access to resources is needed in particular, allowing managers to be more visible for staff and to work with development and quality issues instead of administrative tasks. Regarding organisational changes and the scrutiny of management and the media, they lack and thus need support and information from superiors.

  • 414.
    Hagerman, Heidi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Wadensten, Barbro
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Male first-line managers experiences of the work situation in elderly care: An empowerment perspective2018Conference paper (Refereed)
  • 415.
    Hagerman, Heidi
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Nursing Department, Medicine and Health College, Lishui University, Lishui, China .
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    How do first-line managers in elderly care experience their work situation from a structural and psychological empowerment perspective?: An interview study2019In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, no 6, p. 1208-1215Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    The work situation for first-line managers in elderly care is complex and challenging. Little is known about these managers' work situation from a structural and psychological empowerment perspective.

    AIM:

    To describe first-line managers' experiences of their work situation in elderly care from a structural and psychological empowerment perspective.

    METHOD:

    Interviews from 14 female first-line managers were analysed using qualitative content analysis.

    RESULTS:

    The theme described the managers' work situation as "It's not easy, but it's worth it." In the four subthemes, the managers described their work in terms of "Enjoying a meaningful job," "A complex and demanding responsibility that allows great authority within set boundaries," "Supported by other persons, organisational preconditions and confidence in their own abilities" and "Lacking organisational preconditions, but developing strategies for dealing with the situations."

    CONCLUSION:

    The managers described having various amounts of access to structural empowerment and experienced a feeling of meaning, competence, self-determination and impact, that is, psychological empowerment in their work.

    IMPLICATIONS FOR NURSING MANAGEMENT:

    It is vital that first-line managers have access to organisational support. Therefore, upper management and first-line managers need to engage in continuous dialogue to customize the support given to each first-line manager.

  • 416.
    Haglund, Sarah
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Lindgren, Sarah
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Sjukvårdspersonals följsamhet till hygienrutiner inom akutsjukvård2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Healthcare-associated infections (HAIs) are a major problem that affects patients treated in emergency care every year. If healthcare personnel follow the hygiene guidelines, HAIs can be reduced. In Sweden, Basic hygiene routines (basala hygienrutiner) are usually used as guidelines for hygiene in health care. Nationally, World Health Organization (WHO) guidelines are used in 5 steps to help healthcare professionals follow the hygiene guidelines. Working in emergency care means that healthcare personnel are faced with pressure and quick action in decisions in emergency situations. Unfortunately, adherence to hygiene routines is often given priority for a variety of reasons.  Aim: The aim of this literature study was to describe the compliance of healthcare professionals to hygiene routines in emergency care.  Method: A descriptive literature study with results based on 12 scientific articles. The literature search was performed in the MedLine database via PubMed.  Main result: The result showed that healthcare personnel in emergency care had low adherence to hygiene routines. The adherence to performing hygiene routines according to regulations after the medical staff had tended to a patient proved to be the step that was best followed. Adherence to hygiene routines before patient contact as well as prior to routine was found to be lower. The results differ between different occupational categories and depending on whether the health care professionals estimated themselves or were observed.  Conclusion: Adherence of healthcare personnel to hygiene routines in emergency care was low. When introducing interventions and training, the staff's compliance with hygiene routines increased. By highlighting the importance of good adherence to hygiene routines to avoid HAIs, patients' suffering and additional costs in healthcare can be reduced

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  • 417.
    Haglund, Ulrika
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hermansson, Emmy
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Beröringens betydelse vid vård och omsorg av personer med demenssjukdom-en litteraturstadie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To investigate the role of physical touch in the care of people with dementia. The aim was also to examine the quality of the selection method and non-response sample of the included articles.

    Method: A descriptive literature study based on 13 scientific articles with qualitative and quantitative approach. The literature research was made in the databases PubMed, Medline, Cinahl and Psycinfo.

    Main Results: In people with dementia, physical touch contributes to peace and quiet. During and after treatment many falls asleep, which is a sign of relaxation and that contributes to a better quality of full sleep. Physical contact also contributes to the improvement of everyday pain.People with behavioral symptoms should be given physical touch gently, during communication and observation and everyone's individual needs must be taken care of. A physical action gives comfort in the form of confirmation. It creates feelings of thoughtfulness and pleasure for example.Oxytocin, that is important for the wellbeing, gets released by human touch.

    Conclusion: The majorities of the included articles are based on people with dementia and the results appear to show a positive reaction of touch on several factors.

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  • 418.
    Haglöf Bolinder, Martina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Löfström Danielsson, Martina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Sjuksköterskors attityder och erfarenheter av att möta personer som har ett substansmissbruk: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden it´s estimated that 29,500 people have developed a problematic drug abuse. Drugs affect the parts of the brain that affect feelings of desire and pleasure. Drugs are addictive, harmful to health and affects the whole person. The society’s stigma against people who have substance abuse can lead to alienation, inferiority and reduced tendency to seek hospital treatment.

    Aim: The aim of this literature review were to describe nurses' attitudes and their experience of meeting people who have a substance use disorder and to describe the selected articles method of data collection.

    Method: A literature study with descriptive design. Eleven articles was included in the study, 4 questionnaire, 1 questionnaire with an open question and 6 interviews. The search of the articles were carried out in the databases Cinahl and Pubmed.

    Findings: Nurses have different attitudes about the cause of substance use, some considered it to be because of lack of responsibility and others because of life circumstances. Nurses described people who have a substance use disorder as manipulative, violent and demanding, which was based on previous experiences. Other nurses had a more holistic approach and saw the person behind the substance use. Honesty and straightforwardness were important factors in meeting people with substance use disorder. Education and previous experience were important to the nurse's attitudes and experience.

    Conclusion: Experience, humanity and education played a major part in the interaction between the nurse and the person who has a substance use disorder. Where there is lack of education and experience feelings of distrust and frustration lead to rejection. Positive attitudes were linked to the nurse's ability to have a holistic approach and openness toward people who have a substance use disorder.

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  • 419.
    Halin, Thomas
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Selerup, Kristian
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Patienters livskvalité och erfarenheter av att leva med implanterbar cardioverterdefibrillator (ICD): En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Behandling med implanterbar cardioverter defibrillator (ICD) kan ges iprimärt- eller sekundärt syfte. ICD: n har till uppgift att upptäcka och behandlaallvarliga rytmrubbningar och vid behov avge en stöt/stötar. Patienter som lever med enICD kan få svårt att acceptera sina nya liv samt att deras livssituation kan påverkas.Sjuksköterskan har en viktig roll att individanpassa omvårdnaden för dessa patienter.Syfte: Syftet var att beskriva patienters livskvalité och erfarenheter av att leva medimplanterbar cardioverter defibrillator (ICD). Syftet var också att beskriva urval ochundersökningsgrupp i de inkluderade artiklarna.Metod: En deskriptiv litteraturstudie där 11 vetenskapliga artiklar inkluderades varavsex kvalitativa, fyra kvantitativa och en artikel hade mixad metod. Artiklarna har sökts idatabasen Pubmed med begränsning på 6 år.Resultat: Patienter som lever med en ICD beskriver en oro och rädsla för att ICD: n skaavge stötar. Erfarenhet som patienter betonar är att diskussion om avaktivering av ICD ilivets slutskede ansågs vara bristfällig eller helt utesluten. Då livskvalitén påverkas ochpatienterna beskrev sig bli begränsade i vardagen så kan coping vara ett verktyg för attfinna lösningar. Tio av resultatartiklarna angav tydligt urvalsmetoden. Samtligaredogjorde för antalet deltagare och hur många som var män respektive kvinnor.Medelåldern på deltagarna redovisades tydligt i alla artiklarna.Slutsats: Livskvalitén har visats påverkad hos patienter med en ICD, även oro ochrädslor för stötar. Sjuksköterskan bör ha ett holistiskt synsätt för att se hela patientenoch dennes behov.

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  • 420.
    Hall, Sarah
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Wallner, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hur vuxna personer med ADHD hanterar och upplever sitt dagliga liv med fokus på familje- och arbetsliv: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is defined as a neuropsychiatric disability which means significant difficulty in getting a functional day. The main symptoms often manifest themselves as attention problems, poor impulse control and hyperactivity. Most will be diagnosed in early childhood, the problems are often persisting into adulthood and research suggests certain heredity.

    Aim: To describe how adults with ADHD manage and experience their daily life with a focus on family and work and to report on the data collection method used in the selected articles.

    Method: Literature study was conducted with descriptive design, consisting of eleven scientific articles. The articles are from the University of Gävle library databases: Scopus, PsycINFO, CINAHL and PubMed. Five central categories were found when the included articles were reviewed and collected literature results of the study.

    Results: It was found that individuals with ADHD experience the symptoms complicate family and work situations, but can contribute to increased creativity. To manage the symptoms, the individuals switched work and/or partners often. Prescribed drugs reported to contribute to increased focus. Self-medication with illegal drugs are common to suppress the symptoms. Data collection methods included in the articles comprised in the majority of semi-structured interviews.

    Conclusion: The results showed that individuals with ADHD consistently experienced similar symptoms, those perceived as negative as they affected the everyday life with difficulty in functioning relationships in family and working life. Increased knowledge in this area is of great importance when the nurse can help the patient to find an equilibrium in their lives. The knowledge gap in the field is great and the need for further research are significant.

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  • 421.
    Hallberg, Catharina
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Edwall, Gustav
    University of Gävle, Department of Caring Sciences and Sociology.
    Sjuksköterskestudenters uppfattningar av betydelsefulla omvårdnadsbeteenden för att ge patienter en god omvårdnad.2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Abstract

    The aim with the study was to describe and to compare nurse students' views about important

    caring behaviors in order to give good caring. An empirical comparative study was

    implemented on a college in the middle of Sweden. Nurse students in the beginning and at the

    end of their education sorted and prioritized 50 caring behaviors (CARE-Q). The result showed

    that the students' description of important caring behaviors has many similarities. However, the

    result also showed that there were significant differences between the student-groups where the

    students at the beginning of their education rated several caring behavior as significant more

    important than the students in the end of their education. The findings showed that there were

    significant differences in 7 caring behaviors. “Gets to know the patient as an individual

    person”, “Volunteers to do “little” things for the patient, e.g., brings a cup of coffee, a paper

    etc.”, “Offers reasonable alternatives to the patient, such as choice of appointment times, bath

    times etc.”, “Is cheerful”, “Introduces herself/himself and tells the patient what he/she does”,

    “Touches the patient when he/she needs comfort”, “Knows when to call the doctor”. The result

    showed on that there was not any significant difference between the study-groups in CARE-Q

    different dimensions. Conclusion; In those cases where differences were found between the

    student groups these most often concerned caring behavior of human nature, i e. the more

    fundamental in the nurse trade's area of responsibility and that students at beginning of their

    education assessed these as more important in order to provide good care.

    Keywords: Nursing student, Caring behavior, Perceptions, CARE-Q.

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  • 422.
    Hallin, Karin
    et al.
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Bäckström, Britt
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Häggström, Marie
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Kristiansen, Lisbeth
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    High-fidelity simulation: Assessment of student nurses' team achievements of clinical judgment2016In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 19, p. 12-18Article in journal (Refereed)
    Abstract [en]

    Nursing educators have the challenge of preparing nursing students to handle complex patient care situations in real life, but much remains unknown about the ability to make clinical judgments. In this study, high-fidelity simulation (HFS) was used at a Swedish university to find answers about pre-licensure nursing students' success in clinical judgment in terms of team ability and relationships with theoretical achievements, and personal and scenario circumstances. The matrix Lasater Clinical Judgment Rubric (LCJR) was used to analyze and score the students' ability in teams to notice, interpret and respond to complex care situations. Overall, the results showed the student teams in their first meeting with HFS in a complex care situation achieved low clinical judgment points; most teams were in the stages of Beginning and Developing. For attaining high team achievements the majority of the students in the team should theoretically be "high performance". Being observers and having HFS experience before nursing education was significant too. However, age, health care experience, and assistant nurse degrees were of secondary importance. Further research at universities regionally, nationally, and internationally is needed.

  • 423.
    Hallin, Karin
    et al.
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Häggström, Marie
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Bäckström, Britt
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Kristiansen, Lisbeth
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Correlations between Clinical Judgement and Learning Style Preferences of Nursing Students in the Simulation Room2016In: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 8, no 6Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Health care educators account for variables affecting patient safety and are responsible for developing the highly complex process of education planning. Clinical judgement is a multidimensional process, which may be affected by learning styles. The aim was to explore three specific hypotheses to test correlations between nursing students’ team achievements in clinical judgement and emotional, sociological and physiological learning style preferences.

    METHODS: A descriptive cross-sectional study was conducted with Swedish university nursing students in 2012-2013. Convenience sampling was used with 60 teams with 173 nursing students in the final semester of a three-year Bachelor of Science in nursing programme. Data collection included questionnaires of personal characteristics, learning style preferences, determined by the Dunn and Dunn Productivity Environmental Preference Survey, and videotaped complex nursing simulation scenarios. Comparison with Lasater Clinical Judgement Rubric and Non-parametric analyses were performed.

    RESULTS: Three significant correlations were found between the team achievements and the students’ learning style preferences: significant negative correlation with ‘Structure’ and ‘Kinesthetic’ at the individual level, and positive correlation with the ‘Tactile’ variable. No significant correlations with students’ ‘Motivation’, ‘Persistence’, ‘Wish to learn alone’ and ‘Wish for an authoritative person present’ were seen.

    DISCUSSION & CONCLUSION: There were multiple complex interactions between the tested learning style preferences and the team achievements of clinical judgement in the simulation room, which provides important information for the becoming nurses. Several factors may have influenced the results that should be acknowledged when designing further research. We suggest conducting mixed methods to determine further relationships between team achievements, learning style preferences, cognitive learning outcomes and group processes.

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  • 424.
    Hall-Larsson, Åsa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Pettersson, Lotta
    University of Gävle, Faculty of Health and Occupational Studies.
    Anhörigvårdarens upplevelse av sin egen livskvalitet. En kvalitativ intervjustudie.2010Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 425.
    Hallqvist, Carola
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Gustavsson, Nina
    University of Gävle, Department of Caring Sciences and Sociology.
    Hur föräldrar till barn med läpp- käk- och gomspalt upplever beskedet samt bemötande från vårdpersonal: -en litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The aim of this study was to, from scientific articles, illustrate how parents with children born suffering from cleft lip and palate (CLP) reacted when informed of their childs diagnosis, how they experienced the first time period after the birth and the attitude and support from the caregivers. The 15 scientific articles used were found in Medline. Parents with children with CLP are at first in a vulnerable situation beacuse of their many questions and need of support. The result of this study showed that an important factor for the well-being of the parents was profound information and support from well-educated personnel which not only focused on the malformation of the child but also their health. During the hospitalization the caregivers should observe the possible needs the parents could have and how they could be involved in the care of their own child. Further, the result found that prenatal diagnosis had a positiv affect on the parents experience when having a child with cleft lip and palate. The result also proved that the caregivers attitude and their selection of words towards the parents was very important of how the parents experienced the situation. Another important aspect for the parents experience was the possibilty of contact with psychologist and other parents with children with CLP.

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  • 426.
    Hallqvist, Linda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Lovén, Marléne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Föräldrars hantering av sorgen efter att ha förlorat ett barn2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Varje år förlorar ett stort antal föräldrar sina barn i sjukdom, olyckor och våldsbrott. Sorgen som drabbar föräldrarna är förödande och livet blir svårt att hantera. Trots att stora sorger skapar starkare band inom familjen så kommer de föräldrar som har barn kvar i livet att få mindre tid till sin egen sorgebearbetning.

    Syfte: Att beskriva hur föräldrar hanterar sorgen efter att de förlorat ett barn.

    Metod: Beskrivande litteraturstudie som grundats på tolv studier med varierande ansatser.  

    Resultat: Det framkommer olika sätt för föräldrarna att hantera sorgen på. Som till exempel att träffa andra som är i samma situation och att prata om barnet. Trots att det väcktes starka känslor så upplevdes den fortsatta kontakten med sjukhuset som betydelsefull. De flesta föräldrarna beskrev att de fått ett nytt perspektiv på livet.  Relationer inom familjen visade sig stärkas på grund av sorgen man delar, dock beskrev föräldrarna det som en utmaning att handskas med syskonens sorg samtidigt som de själv sörjde. Många av föräldrarna menar att förlusten med tiden gjort de starkare och att de upplever det lättare att handskas med andra svårigheter i livet. Föreliggande litteraturstudie beskriver även vilken datainsamlingsmetod som användes i de inkluderade artiklarna.

    Slutsats: Förlusten av ett barn hanterades på olika sätt beroende på hur föräldrarnas livssituation såg ut. Viktiga saker för föräldrarna var till exempel att hålla minnet av barnet levande, träffa andra som har varit med om samma förlust samt hålla sig sysselsatta. Efter en förlust av ett barn så ändras föräldrarnas värderingar av livet. För att underlätta mötet med dessa sörjande föräldrar så är det viktigt att sjuksköterskan bär på kunskap om hur han/hon ska agera. Ett bra bemötande kan lindra föräldrarnas lidande och på så vis främja för föräldrarnas hälsa och välbefinnande.

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  • 427.
    Halvorsen, Alexander
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Preoperativ oro hos barn: Anestesisjuksköterskors erfarenhet att bemöta och lindra oro hos barn : intervjustudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction To prepare a child for anesthesia put the nurses in a complex situation. The child is worried about the unknow that is going to happen and therefore the nurse needs to reduce the child’s level of anxiety and worry. The parents are supposed to comfort the child and together with the nurse they should help the child to manage the difficult situation. Aim: Describe the anesthesia nurses experience in addressing and reducing anxiety in children who are about to undergo anesthesia. Method:A qualitative interview study of 8 nurses with different age and work experience where included and interviewed. Result: Based on the experience of the nurses it showed that the most important thing where to create comfort, use distractions and the ability to use their previous professional experience. To be able to cooperate with the parents, create a relationship with the child as well as excellent preoperative preparation seemed to create comfort in both the child and the parents. The nurses used distracting strategies to transfer the negative anxiety to something more positive.  Since there are no written guidelines of how to comfort children about to undergo anesthesia the nurses had to use and incorporate their previous experience as an anesthesia nurse. The nurses mentioned that it is crucial to be able to sense and evaluate the situation and then act based on the conclusion. The most important thing was to adapt and conform to the need of the child and not rush the process. Conclusion: The study highlighted the experience of the nurse’s preoperative care. The result showed that the nurses experienced difficulty to care for worried children as well as the complex situation they were presented with. Sometimes worried parents made the situation more complex for the anesthesia nurse since they were not able to cooperate and work together. However, the corporation could be improved if the anesthesia nurse and the parent had the same goal and a joint way of handling the situation. The anesthesia nurse were required to have high professional competence, advanced humility as well the ability to make sure that the child  is comfortable and relaxed.

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  • 428.
    Hamad, Arazo
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Rasoul, Louzan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Hur vuxna personer upplever att det är att leva med en obotlig cancersjukdom och hur det påverkar deras livskvalitet2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige diagnostiserades ca 60 000 personer med cancer under år 2016 och många av dessa erhåller palliativ vård eftersom cancersjukdomen för vissa förblir obotlig. En person som insjuknar i en obotlig cancersjukdom får en förändrad livskvalitet och upplevelsen av sjukdomen varierar beroende på sjukdomsstadiet. Syfte: Syftet med den här litteraturstudie var att beskriva hur vuxna personer upplevde att det var att leva med en obotlig cancersjukdom och hur det påverkade deras livskvalitet. Metod: En beskrivande litteraturstudie som grundar resultatet på elva vetenskapliga artiklar framtagna via databasen MedLine via PubMed. Resultat: Resultatet visar att cancerdrabbade personer upplever förändringar i det psykiska och fysiska måendet, vilket ledde till att de socialt isolerade sig på grund av problemen och symtomen sjukdomen medför. Stöd från anhöriga samt sjukvården var betydelsefullt och viktigt. Livskvaliteten påverkades negativt hos majoriteten av personerna med en obotlig cancersjukdom. Slutsats: Personers upplever förändringar och påverkan på livskvaliteten olika under sjukdomens olika stadier och därför är det viktigt att rätt individanpassad vård bedrivs.

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  • 429.
    Hammarström-Rooth, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Mang Son, Nian Lun Cing
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Personers erfarenheter av att leva med försämrad talfunktion på grund av afasi eller dysartri2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Communication is about mediate information between individuals. Speech difficulties can occur as a result of aphasia or dysarthria. Dysarthria means that articulation is affected due to paralysis in speech muscles while aphasia is due to an injury in the brain's speech center. In order to achieve good nursing of people with speech difficulties, it was important for the individual to feel seen and heard. Great emphasis was then placed on the nurse and her ability to perceive what the person with aphasia wants to convey both verbally and non-verbally. It was therefore important to pay attention to people's experiences of living with speech difficulties. Aim: The aim of this literature study was to describe people's experiences of living with impaired speech function due to aphasia or dysarthria. Method: A descriptive literature study where 12 scientific articles were the basis for the result. All articles were of a qualitative approach. Main result: The result has shown that the life situation has changed for people with speech difficulties, they were affected emotionally negatively and forced to find new strategies and ways of dealing with their speech difficulties. The view of the future was very individual. People with speech difficulties experience both positive and negative changes in relationships with family, friends and the environment. In contact with health care, people with speech difficulties have experienced both positive and negative experiences. Conclusion: Good encounters and good relationships with health care professionals has played an important role in the recovery process for people with speech difficulties, therefore the nurse should be aware of this in order to be able to create the best conditions for the patient.

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  • 430.
    Hamrebjörk, Frida
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Fagerberg, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Erfarenheter av att vara närstående till personer med Huntingtons sjukdom: en beskrivande litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Huntington’s disease (HD) is a genetic neurological disease. It affects the brains nerve cells. Symptoms include involuntary spasms, inability to swallow and difficulty putting together sentences. In the latter stages of the disease patients become completely dependent on help with everyday chores like getting out of bed, using the bathroom and showering. It’s very common for close family and relatives to become carers to the patients. Purpose: The aim of the study was to research the effects HD has on immediate family and carers of an HD patient, furthermore to describe the included scientific articles study group. Method: The study is a descriptive literature study based on 11 scientific articles. The databases used for research are: PubMed and Cinahl Results: Related parties that were partners to people with HD adapted themselves to the new conditions and considered, fairly quickly if they wanted to become a caregiver or if they wanted a divorce. Children of parents with HD had no choice and had to take a lot of adult responsibilities at home. With the progression of the disease, caring became heavier and relatives put their own lives "on hold". Concerns for the future were handled by denying or preparing. Understanding and the support was received from people in similar situations. Healthcare today know little about the disease and related parties' needs, which damaged confidence.

    Conclusion: Related parties and family caregivers experienced a big change in life when the disease got worse. They worried and were stressed about the future and their relationship to the patient changed with time. They often met ignorance about the disease. Adapted information and support along the way was something related parties desired, but rarely experienced. All time and emotions were spent, taking care of and worry about the sick. The fear of the children carrying the gene were constantly recurring.

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  • 431.
    Hamrèn, Julia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Heijel, Therese
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelse av kommunikation med närstående i palliativ vård - en kvalitativ intervjustudie.2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Studier visade att närstående upplevde kommunikation från sjuksköterskan som viktigt stöd i palliativ vård. Närstående beskrev dock i flera studier att kommunikationen från sjuksköterskan ofta var bristfällig och otillräcklig. Syftet med föreliggande intervjustudie var att få djupare förståelse för samt beskriva sjuksköterskors upplevelse av kommunikation med närstående i palliativa vård. Studiens metod hade en beskrivande design med kvalitativ ansats. Deltagare rekryterades från två olika vårdavdelningar, på ett sjukhus i Mellansverige. Undersökningsgruppen bestod av sju sjuksköterskor som valdes genom ett kriterieurval. Data samlades in via semistrukturerade intervjuer och analyserades genom en manifest kvalitativ innehållsanalys. Resultatet visade att sjuksköterskorna upplevde kommunikationen med närstående som viktig. De upplevde en skiftande kommunikation, för det mesta fungerade den bra men ibland fungerade den inte alls. Sjuksköterskorna menade att behovet av kommunikation var stort. Det upplevdes viktigt att läsa av närståendes individuella behov och samtidigt respektera deras integritet. Ärlighet, närhet, tid och förståelse beskrevs som viktiga komponenter för god kommunikation med närstående. Sjuksköterskorna upplevde att kommunikation vid språkförbristningar, via tolk och med barn kunde bli en utmaning. Trots svår och utmanande kommunikation var det enligt sjuksköterskorna viktigt att alltid göra sitt bästa. Slutsats, närstående är unika individer och kommunikationen beskrivs därför som individuell. Kärnan till bra kommunikation är att möta närstående där de befinner sig, kommunikation ska vila på en stabil grund. Kommunikationen med närstående kan vara svår och utmanande, det är viktigt att inte backa utan istället ta ett steg framåt och våga kommunicera.

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    Examensarbete
  • 432.
    Hansen, Julia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Löfqvist, Martina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Barn och ungdomars upplevelser av att vara inneliggande på sjukhus2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year approximately 10 000 children and adolescents are given care at the hospital. The majority of children under the age of 18 are treated at special pediatric units. The aim and the primary goal with child care in Sweden is to promote the development and well- being of all children by identifying problems in its health, development and social environment, and addressing these problems to prevent ill health. Aim: The aim of the present literature study was to describe how children and adolescents experiences hospitalization and also to describe the articles choice of research groups. Mehtod: A literature study with a descriptive design. The present study is based on ten scientific articles that describe children's experiences of being in the hospital. The article searches were made via Cinahl and Medline via PubMed, where only english language was used as a restriction. The authors have reviewed the articles multiple times as well as reviewed and compared the articles' research groups. Main result: Children were found to have different experiences of being in a hospital. The majority of the children experienced hospitalization more positive when there were good communication, a good environment where there was an opportunity for activities, good relationships with healthcare staff and also space for relatives to attend. To get a better understanding of their illness or hospital stay, the children expressed that they wanted to participate in the care and they did not like when the healthcare staff spoke over their heads. The presence of family and close relatives made the children feel more confident, also good relationships with healthcare professionals made the children feel less lonely.Conclusion: Children's experiences are affected by several factors. Previous research shows that parents feel fear and concern about having their children hospitalized. It is important for the nurse and other healthcare professionals to know this in order to meet both children and their close relatives in a way that supports the whole family's experiences.

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  • 433.
    Hansson, Carina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jonsson, Hanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hur personer med knäartros upplever det dagliga livet2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 434.
    Hansson, Erica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Forselius, Jenny
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Upplevelser av att utföra egenvård hos personer som har Diabetes typ 2: Beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en vanlig kronisk sjukdom som ökar över hela världenoch kan ge svåra komplikationer vid brist på egenvård. Med hjälp av goda levnadsvanoroch fysisk aktivitet kan sena komplikationer förebyggas.Syfte: Att beskriva personers upplevelser av att utföra egenvård vid diabetes typ 2.Metod: En beskrivande litteraturstudie som har baserats på 13 stycken vetenskapligaartiklar. Artiklarna hittades i databaserna PubMed och Cinahl och var av kvalitativansats och skulle besvara studiens syfte och frågeställning.Resultat: Kunskap, förståelse, motivation och stöd ansåg som viktiga faktorer vidutförandet av egenvårdsrutiner vid diabetes typ 2, dock ansåg många det vara svårt attupprätthålla dem. Med en större förståelse var det lättare att reglera sinablodsockervärden med hjälp av diet och fysisk aktivitet. Det är av stor betydelse hursjuksköterskan förmedlar sin information till patienten.Slutsats: För att kunna göra en livsstilsförändring gällande egenvårdsrutiner var detviktigt att acceptera sin sjukdom diabetes typ 2. Personer med diabetes typ 2 har behovav stöd och motivation från sjuksköterskan för att upprätthålla utförandet avegenvårdsrutiner. Kunskap var viktigt för att kunna hantera sin sjukdom och förebyggasena komplikationer. Det är viktig som sjuksköterska att vara lyhörd och visa individenrespekt samt låta hen vara självbestämmande.

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  • 435.
    Hansson, Eva
    University of Gävle, Department of Caring Sciences and Sociology.
    Livskvalitet efter hjärtstopp2008Independent thesis Advanced level (degree of Magister), 10 points / 15 hpStudent thesis
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    FULLTEXT01
  • 436.
    Hansson, Frida
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelser av att arbeta och hantera situationer med patienter i palliativ vård: En deskriptiv litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care means that the patient suffer from an incurable disease and is sometimes described as end-of-life care.

    The aim of the study was to describe the nurses experience in working with adult patients in need of palliative care, describe how nurses handle difficult situations that can arise while working with adult patients in the later stage of palliative care, as well as review selection method and the sample of the chosen articles.

    The method is a literature review with a descriptive design.

    The result showed that the nurses experienced a deeper relation with the patient than that of the normal nurse-patient relation. It is important with a good communication with the patient, something that the nurses strived towards. The feelings nurses expressed where a sense of powerlessness, frustration, pride and a sense of fulfilment. The largest experienced responsibility was that the patient should be allowed to die with dignity in a peaceful manner. The nurses’ ability to leave the work at the workplace was an important strategy for the nurses when it comes to their wellbeing. Meeting with the patients made the nurses contemplate over existential questions.

    The conclusions are that the chosen nursing theory matches the nurses’ experiences of palliative care and that the nurses practice their care based on the definition of palliative care and the four cornerstones of palliative care.

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    Sjuksköterskors upplevelser av att arbeta och hantera situationer med patienter i palliativ vård
  • 437.
    Hansson, Hilda
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Simonsson, Madeleine
    University of Gävle, Department of Caring Sciences and Sociology.
    Behandlingsmetoder mot övervikt och fetma hos barn2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Overweight and obesity among children and adolescents is increasing. Diseases which earlier occurred exclusively among adults are now also observed among children. There is an urgent need for new treatments that can change this negative trend. The aim of this study was to describe existing treatments for obesity among children in the age of 6-12 and the effect of those treatments. This descriptive literature study is based on 17 research articles published between 2000 and 2007 from different parts in the world. The treatments found in the studies could be categorised as follows: treatment with only physical activity, multidisciplinary treatment, multidisciplinary treatment with family participation, behavioural program with support from parents and alternative medicine treatments. No significant pattern could be observed for the effects of the different treatments. Similar treatments showed different effects, which makes the data difficult to interpret. Good results among the studied treatments were however, often obtained using multidisciplinary programs. Moreover it was shown that support from parents had a positive effect. It is of major importance to adjust the treatment to each individual and to construct the program in such a way that the effect reside also after completion of the treatment.

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    FULLTEXT01
  • 438.
    Hansson, Jennifer
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Haaranen, Jessica
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Unga kvinnors erfarenhet av omvårdnaden vid Anorexia nervosa: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Anorexia nervosa är en ätstörning där personerna har en förvrängd kroppsuppfattning och en intensiv rädsla för att gå upp i vikt. Detta leder till att personen använder olika metoder för att få en så låg kroppsvikt som möjligt. Sjukdomen debuterar ofta i tonåren och påverkar främst kvinnor.

    Syfte: Att beskriva unga kvinnors (12-25år) erfarenheter av omvårdnaden med Anorexia nervosa samt granska de inkluderade artiklarnas datainsamlingsmetod.

    Metod: Designen för litteraturstudien var deskriptiv och tio kvalitativa vetenskapliga artiklar inkluderades i resultatet. För att hitta dessa användes databaserna Cinahl, Medline och Scopus.

    Huvudresultat: I föreliggande studie har det visat sig att en god vårdrelation bidrar till trygghet och motivation till att tillfriskna. Det finns både negativa och positiva aspekter med att vårdas i grupp. Patienterna kunde hitta stöd hos varandra men samtidigt uppstod det ofta konkurrens mellan dem. Att ha strikta restriktioner i behandlingen upplevdes som något positivt hos vissa medan det skapade frustration hos andra. Många patienter ansåg att för mycket fokus låg på den fysiska återhämtningen medans det psykologiska stödet saknades.

    Slutsats: Tillit, respekt och förtroende behövs för att upprätthålla en god vårdrelation. En individualisering av vården behövs för att öka förutsättningarna för en optimal omvårdnad. Då Anorexia nervosa i grunden är ett psykiskt problem bör hela personen behandlas annars är risken för återfall stor. Det är även viktigt med information och adekvata motiveringar till de strikta metoderna i behandlingen.

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  • 439.
    Hansson, Lars
    et al.
    University of Gävle, Department of Caring Sciences and Sociology.
    Granqvist-Westling, Christina
    University of Gävle, Department of Caring Sciences and Sociology.
    Hjärt- och lungräddning eller inte - en etisk konflikt inom prehospital sjulvård2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Abstract

    The aim of this study was to describe exsisting research about the ethical conflicts, faced by paramedics surrounding the decision makeing in CPR and to determine the influence that prehospital CPR guidelines have on ethical issues regarding CPR. A litterature rewiew was conducted by analyzing thirteen scientific articles.The result showed that ethical conflicts appeared whithin paramedics decision, wheter to start or whithheld CPR in situations described by the litterature as patients that have a terminal illness or in elderly terminally ill patients. Sometimes paramedics violated the patients autonomi, when performing CPR despite the precense of a DNR wish from the patient and the patients family. The main reason that such situations occured was indistinct legalisation in prehospital CPR guidelines in USA and Canada.

    The opposite situation also occured,were the paramedics initiated CPR in order to honour the wishes from the patients relatives. Overall paramedics showed a will to respect the patients autonomi in the CPR question. Paramedics in the Northen America supported prehospital guidlines statues allowing them to withheld CPR,under cirumstances initiating CPR in terminally ill and elder terminally ill patients.

    Keywords : Ethics, Emergency medical services, CPR, CPR guidelines and Emergency medical technicians.

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    FULLTEXT01
  • 440.
    Hanyi, Yang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Yu, Xu
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Registered nurses’ Work to Promote Mother’s Self-efficacy of Breastfeeding2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 441.
    Haraldsson, Elin
    University of Gävle, Department of Caring Sciences and Sociology.
    Distriktssköterskors upplevelser av att arbeta med palliativa patienter i hemmet2008Independent thesis Advanced level (degree of Magister), 10 points / 15 hpStudent thesis
    Abstract [en]

    Abstract

    The aim of the study was to describe district nurses’ work with palliative patients in home care and their experience of the work. The study had a descriptive design and ten district nurses from five different health care centres in the Middle of Sweden participated in the study. Data were collected with semi-structured interviews and analysed with qualitative content analysis. The results are presented from the categories, which formed two themes. The theme “To balance between the prevailing situation and to plan the end – to lie ahead. emerged from the categories To see the patient’s life situation and to perform nursing interventions, To structure the work, To support and have contact with relatives, To experience developmental and educational needs and To be professional in one’s approach and describes the district nurses’ experience of caring for palliative patients. The district nurses’ efforts at the patients home were intensified as the disease progressed, the contact with the relatives and other caregivers were described as good. The theme “To experience stimulation and strain” emerged from the categories To be professional in one’s approach and To experience and handle one’s own feelings and describes the district nurses’ feelings about caring for palliative patients. The district nurses experienced their work as important and valuable; however it was also experienced as trying with several palliative patients at the same time and extra tough when the patients where younger.

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    FULLTEXT01
  • 442.
    Hardy, Jennifer
    et al.
    Faculty of Health Sciences, School of Nursing and Human Movement, Australian Catholic University.
    Lindqvist, Ragny
    Kristofferzon, Marja-Leena
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Dahlberg, Ola
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för medicinsk vetenskap.
    The current status of nursing informatics in undergraduate nursing programs: Comparative case studies between Sweden and Australia1997In: Nursing informatics: The impact of nursing knowledge on health care informatics / [ed] Gerdin U, Tallberg M & Wainwright P, Amsterdam: IOS Press , 1997, p. 132-136Conference paper (Refereed)
  • 443.
    Hardy, Jenny
    et al.
    Faculty of Health Sciences, School of Nursing and Human Movement, Australian Catholic University, Australia.
    Lindqvist, Ragny
    Kristofferzon, Marja-Leena
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Dahlberg, Ola
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för medicinsk vetenskap.
    The current status of nursing informatics in undergraduate nursing programs: comparative case studies between Sweden and Australia1997In: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 46, p. 132-136Article in journal (Refereed)
    Abstract [en]

    During the last ten years, the inclusion of education in health information systems has assumed an important role in graduate programs for health professionals. More recently, attention has focused on undergraduate programs. Throughout the world schools of nursing, organisations and associations are addressing the issue of educational offerings in nursing informatics. This paper reports on the status of nursing informatics at undergraduate level. Nurse academics from Gavle and Lund in Sweden, and from Melbourne and Sydney in Australia, took part in a survey of the respective nursing courses. The purpose of the study was to identify and describe examples of types of nursing informatics courses in Australia and Sweden A convenient sample of academics were approached and interviewed The results of the survey illustrate, in the schools surveyed, the slow emergence of nursing informatics into nursing curricula.

  • 444.
    Hedberg, Ida
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Ullberg, Emma
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personer med typ 2 diabetes upplevelser av mötet med sjuksköterskan: Litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Abstrakt

    Bakgrund: Diabetes typ 2 är en folksjukdom som innebär en nedsatt produktion av insulin samt insulinresistens. Diabetes typ 2 drabbar idag personer i nästan alla åldrar. En orsak till att drabbas kan vara en ohälsosam livsstil. Att sjuksköterskan arbetar utifrån ett personcentrerat förhållningssätt ökar patientdelaktigheten samt motivationen till en förändrad livsstil hos personer med diabetes typ 2.

    Syfte: Att beskriva personer med typ 2 diabetes upplevelser av mötet med sjuksköterskan samt beskriva hur undersökningsgrupperna i artiklarna ser ut.

    Frågeställning: Hur upplever personer med diabetes typ 2 mötet med sjuksköterskan? Metodologisk frågeställning: Hur beskrivs undersökningsgrupperna i artiklarna?

    Metod: En beskrivande litteraturstudie. Tio vetenskapliga studier har granskats och sammanställts, varav åtta studier av kvalitativ ansats samt två mixade studier.

    Huvudresultat:

    Att se personen ur ett helhetsperspektiv ansågs vara en viktig aspekt för att skapa en god relation mellan sjuksköterska och patient. Kommunikation och bemötande som anpassas efter individens förutsättningar upplever personer med typ 2 diabetes ger en känsla av delaktighet och förståelse för den fortsatta vården.

    Slutsats:

    Relationen mellan sjuksköterska och patient med diabetes typ 2 upplevdes tillfredställande då sjuksköterskan använde sig av ett holistiskt synsätt med fokus på personcentrerad vård. Brister mellan patient och sjuksköterska upplevdes där kommunikation, stöd och rådgivning felade samt ignorerades. De personer som upplevde dessa brister hos sjuksköterskan hade sämre förutsättningar att klara egenvården och levde med en rädsla för eventuella komplikationer.

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  • 445.
    Hedberg, Sofie
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Bergström, Malin
    Sjuksköterskors erfarenheter av arbetsmiljöns betydelse för patientsäkerheten: En deskriptiv litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
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    Examensarbete Sofie och Malin
  • 446.
    Hedberg, Viktoria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Linderstam, Catherine
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Beskriva och jämföra den psykosociala arbetsmiljön hos ambulanspersonal i en region i mellan Sverige: Utifrån Distriktssköterskans profession2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The psychosocial work environment is important for the individual. Creating workplaces with a satisfactory working environment is both difficult and challenging, but with knowledge and trained staff good working environments can be created and health promotion for the staff.

    Aim: To describe and compare how ambulance staff estimated their psychosocial work environment and whether there was a difference in estimation between men and women within an operation area in a healthcare region.

    Method: A descriptive and comparative study with quantitative approach.

    Main results: The result showed that factors such as work demands, control at work, role expectations, predictability, social interactions, leadership, communication, organization culture/climate, group work and skills at work, centrality of work, interactions between work and private life/stress were factors that included the affected psychosocial work environment. There were no significant differences between men and women in the described areas of work level, social and organizational level and individual level.   

    Conclusion: The district nurse´s preventive work can provide workplaces with health promotion knowledge regarding the psychosocial work environment. Attention and maintaining factors in the workplace that make it a good healthy workplace is important. The feeling of feeling a context is important for both individual and group.      

     

     

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  • 447.
    Hedblom, Kristoffer
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Sund, Frida
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Många resurser - ändå ensam: Hur nyutexaminerade sjuksköterskor i Sverige upplever och hanterar påfrestningar under första året i yrket: En kvalitativ intervjustudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att beskriva vilka påfrestningar sjuksköterskor i Sverige upplever under första året i yrket, samt hur de hanterar dessa påfrestningar. En intervjustudie med kvalitativ ansats genomfördes med åtta nyutexaminerade sjuksköterskor från två sjukhus i Mellansverige. Data analyserades med hjälp av manifest och latent kvalitativ innehållsanalys. Huvudresultatet påvisade att sjuksköterskorna upplevde många olika påfrestningar under första året som sjuksköterska. De var oförberedda på många aspekter av arbetet, de kände ofta en tidsbrist och de var rädda för att ta plats. Känslan av att vara oförberedd var den största påfrestningen. Kollegornas stöd var den viktigaste faktorn för att hantera detta, men även annat stöd både på och utanför arbetsplatsen spelade stor roll. Sjuksköterskorna arbetade även mycket med att själva acceptera och anpassa sig till den nya situationen, och de använde även metoder för att ta kontroll och fokusera på det värdefulla i arbetet. Sjuksköterskornas upplevelser kunde sammanfattas under temat Många resurser – ändå ensam. De strategier sjuksköterskorna använde för att hantera påfrestningarna kan sorteras in under komponenterna Begriplighet, Hanterbarhet och Meningsfullhet i Aaron Antonovskys teori om Känsla av Sammanhang. Som slutsats konstateras att såväl sjuksköterskeutbildningen som arbetsplatserna kan utvecklas för att bättre tillgodose de behovsjuksköterskor har under första året i yrket.

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  • 448.
    Hedenborg Högqvist, Elin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Westerlund, Frida
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Följsamhet i läkemedelsordination vid hypertoni: med koppling till Orems egenvårdteori – en deskriptiv litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Hypertoni är ett stort och utbrett hälsoproblem världen över. Det krävs följsamhet i läkemedelsbehandlingen för att minska risk för hjärt- och kärlsjukdomar, stroke samt renala sjukdomar. Omvårdnadsteoretikern Orem har sin teoretiska grund i egenvården. Enligt Orem är relationen mellan sjuksköterskan och patienten avgörande om sjuksköterskan skall kunna hjälpa patienten. Syfte: Syftet är att med utgångspunkt från Orems egenvårdsteori sammanställa aktuell forskning rörande faktorer som förbättrar följsamhet till läkemedelsbehandling hos patienter med hypertoni. Metod: En litteraturstudie gjordes. Sökorden som användes var patient compliance, medication adherence, hypertension och antihypertension agents. 15 artiklar inkluderas, samtliga analyserades med innehållsanalys. Resultat: Huvudresultatet visade att nyckeln till god läkemedelsföljsamhet är kunskap, information och socioekonomisk trygghet. Regelbundna samtal och hälsokontroller gav patienten tid att ta upp frågor om läkemedlet vilket främjar följsamheten. Socioekonomiska aspekter spelade dock roll för hur ordinationerna följdes. Låginkomsttagare och lågutbildade personer hade generellt en sämre följsamhet än de som hade det bättre ställt. De som hade sämre följsamhet angav glömska som den primära orsaken. Många var oroliga för biverkningar som kunde inträffa vilket ofta berodde på otillräcklig kunskap om läkemedlet. Slutsats: Information om läkemedlet och behandlingen är oerhört viktigt för ett gott resultat, att se till att patienten är införstådd men eventuella komplikationer och biverkningar som kan inträffa.

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    Följsamhet i läkemedelsordination vid hypertoni
  • 449.
    Hedenström, Hanna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies.
    Hedin, Malin
    University of Gävle, Faculty of Health and Occupational Studies.
    Upplevelser av att vara förälder till ett överviktigt barn - Hinder och strategier: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose: To describe parents' experiences of having an overweight child, as well as to describe the experienced obstacles faced and strategies used to achieve a healthier life style. The purpose is also to examine the quality of the examined articles' in regards to their data gathering methods. Method: This was a descriptive literature study. Fifteen academic articles were chosen based on the study's purpose and then reviewed and compiled. Findings: The parents experienced strong concern for their overweight children's health. Several parents felt it difficult to talk with their children about weight. The largest concerns amongst parents were related to their child's mental health. The parents that contacted the school or health care practitioners in order to ask for help regarding their child’s weight issues felt that they were not taken seriously and felt blamed for their child's weight issues. However, there were also positive experiences in which the child received individualized physical and mental support. The parents experienced obstacles such as; financial issues, lack of time, lack of interest in physical activities, and a lack of knowledge in regards to a healthy life style. Conclusion: Parents of overweight children often experienced concern and guilt. They found it difficult to support their child in living healthy. Because of this, the parents were often in need of support as well as education, individualized counseling and help to encourage a healthier life style for their child.

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  • 450.
    Hedlund, Emily
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Jansson, Sofia
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Personer med fetmas upplevelse av livskvalitet: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During the period of 1980 to 2014, the global prevalence of obesity has more than doubled. The societal development is seen to have a negative influence on obesity since the consumption of caloric food has increased while the degree of physical activity has decreased. Obesity is classified as an endemic disease and can cause sequelae such as coronary-artery disease, type 2 diabetes and cancer.

     

    Aim: The aim of the literature study was to describe obese adults' experience of quality of life and to examine the articles' quality with focus on their data collection method.

     

    Method: A literature study with a descriptive design comprised of 12 articles, ten of which has a quantitative design and two whom have a qualitative design.

     

    Main results: Obesity is a condition which is seen to negatively impact quality of life. A prevalence increase in psychiatric illness in the form of anxiety and depression has also been observed. Persons with obesity experienced discrimination and stigmatization more often than normal weight individuals, and discrimination negatively impacted their psychiatric well-being, quality of life and life satisfaction. They also experienced restrictions in their daily lives and a negative impact on their social relationships, including less support from their surroundings and social isolation.

     

    Conclusions: Research shows that the quality of life is negatively affected in obese persons. They experience discrimination, stigmatization and impacted social relationships more often, and are affected in greater occurrence by anxiety and depression than those with normal weight. Through respectful treatment, understanding and consideration the risk of discrimination and stigmatization can be diminished, and their autonomy and trust for the healthcare service be strengthened.

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    Personer med fetmas upplevelse av livskvalitet
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