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  • 51.
    Lishui,
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Lishui,
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 52.
    Liubin, Zhang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jiafei, Zhao
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    The psychological experiences of adults living with epilepsy: - A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 53.
    Löfmark, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Norway.
    Mårtensson, Gunilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Ugland Vae, Karen Johanne
    Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Norway.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Sweden; Nursing Department, Medicine and Health College, Lishui University, China.
    Lecturers' reflection on the three-part assessment discussions with students and preceptors during clinical practice education: A repeated group discussion study2019In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 36, p. 1-6Article in journal (Refereed)
    Abstract [en]

    Assessment of students' learning and achievement requires active involvement of participating students, preceptors and lecturers. The lecturers have overall responsibility for both the content of the assessment and students' learning. The aim of the present study was to investigate lecturers' reflections on the mid-course discussion and final assessment that are part of nursing students' clinical practice education. The design was descriptive and had a qualitative approach. Repeated group discussions were undertaken with 14 lecturers at two university campuses in Norway. Five categories were identified: preparing for the three-part discussion, creating a collaborative atmosphere, facilitating student learning, verifying student learning, using the assessment tool to create the assessment discussion; one theme emerged: ‘being able to see and justify students’ learning processes'. Lecturers' reflections on both assessment discussions and students' learning proceeded from a clear pedagogical viewpoint.

  • 54.
    Marklund, Angelica
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Undersköterskors erfarenheter av att vårda äldre som inte vill äta: En kvalitativ intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning  Introduktion; Det finns mätningar som visar att 58%, av äldre som bor på särskilt boende, ligger i riskzonen för att bli undernärda. Undersköterskor är en yrkesgrupp som möter äldre som inte vill äta och riskerar att drabbas av undernäring. Varför äldre inte vill äta kan bero på olika anledningar exempelvis vilken mat som serveras, hur och var den serveras. Nutrition är ett icke prioriterat område inom vård- och omsorg av äldre, däremot finns kunskap hos vårdpersonal om att undernäring påverkar kroppen negativt och ett gott nutritionsstatus bidrar till ökad hälsa. Syfte; Syftet med denna studie var att beskriva undersköterskors erfarenheter av att vårda äldre på särskilt boende som inte vill äta. Metod; Studien hade en deskriptiv design med kvalitativ ansats. Semistrukturerade intervjuer genomfördes med sju undersköterskor och data analyserades utifrån en manifest och latent innehållsanalys. Huvudresultat; Det underliggande temat var ”Att vara lyhörd och känna tillit i att vårda äldre i deras hälsa och ohälsa.” Temat bestod av fyra kategorier som var Att vilja äta, Att inte vilja äta, Betydelse av omvårdnad och Utmaningar i arbetet. Slutsats; Det var vanligt förekommande att undersköterskor mötte äldre som inte ville äta. När sådan situation uppstod började undersköterskorna att utreda varför den äldre inte ville äta, därefter utfördes lämpliga åtgärder och insatser. Tillit mellan den äldre och undersköterskan skapade förutsättning för att goda omvårdnads-insatser kunde genomföras.

  • 55.
    Marques, Maria J.
    et al.
    CEDOC, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Portugal.
    Woods, Bob
    Dementia Services Development Centre (DSDC) Wales, Bangor University, United Kingdom.
    Hopper, Louise
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Jelley, Hannah
    Dementia Services Development Centre (DSDC) Wales, Bangor University, United Kingdom.
    Irving, Kate
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Kerpershoek, Liselot
    Department of Psychiatry and Neuropsychology and Alzheimer Centre Limburg, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands.
    Meyer, Gabriele
    Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Bieber, Anja
    Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Stephan, Astrid
    Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Sköldunger, Anders
    Department of Neurobiology, Care sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Sjölund, Britt-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Neurobiology, Care sciences and Society, Karolinska Institutet, Stockholm.
    Selbaek, Geir
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg.; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
    Rosvik, Janne
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg.; Faculty of Medicine, University of Oslo, Oslo.; Centre for Old Age Psychiatric Research, Ottestad, Norway.
    Zanetti, Orazio
    Alzheimer's Research Unit-Memory Clinic, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
    Portolani, Elisa
    Alzheimer's Research Unit-Memory Clinic, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
    de Vugt, Marjolein
    Department of Psychiatry and Neuropsychology and Alzheimer Centre Limburg, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands.
    Verhey, Frans
    Department of Psychiatry and Neuropsychology and Alzheimer Centre Limburg, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands.
    Gonçalves-Pereira, Manuel
    CEDOC, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Portugal.
    Relationship quality and sense of coherence in dementia: results of a European cohort study2019In: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 34, no 5, p. 745-755Article in journal (Refereed)
    Abstract [en]

    Objective: Quality of life of people with dementia and their family carers is strongly influenced by interpersonal issues and personal resources. In this context, relationship quality (RQ) and sense of coherence (SOC) potentially protect and promote health. We aimed to identify what influences RQ in dyads of people with dementia and their carers and to examine differences in their perspectives.

    Methods: Cross-sectional data from the Actifcare cohort study of 451 community-dwelling people with dementia and their primary carers in eight European countries. Comprehensive assessments included the Positive Affect Index (RQ) and the Orientation to Life Questionnaire (SOC).

    Results: Regression analyses revealed that RQ as perceived by people with dementia was associated with carer education, stress and spouse caregiving. RQ as perceived by carers was associated with carer stress, depression, being a spouse, social support, reported neuropsychiatric symptoms of dementia and carer SOC. Neuropsychiatric symptoms and carer stress contributed to discrepancies in RQ ratings within the dyad. The only factor associated with both individual RQ ratings and with discrepancies was carer stress (negative feelings sub-score). No significant differences in the overall perception of RQ were evident between spouses and adult children carers, but RQ determinants differed between the two.

    Conclusions: In this European sample, carer SOC was associated with carer-reported RQ. RQ determinants differed according to the perspective considered (person with dementia or carer) and carer subgroup. A deeper understanding of RQ and its determinants will help to tailor interventions that address these distinct perspectives and potentially improve dementia outcomes.

  • 56.
    Meiling, Xiang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Hui, Yan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    The use of mindfulness-based-stress-reduction   (MBSR) on  patients with hypertension or heart disease:: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 57.
    Menghua, Ye
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Chengjie, Gao
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Patients’ psychological experience after severe burn injury: - A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 58.
    Mengqi, Zhu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Xiaofang, Li
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Patients’ perceptions of bedside handover2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 59.
    Mengzhen, Xu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Qinyu, Shen
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    The effect of Tai Chi exercise on quality of life and glucose control among patients with type 2 diabetes: - A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 60.
    Ming, Zheng
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Shichen, Zhu
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    The Satisfaction of Community Health Service among Han Nationality in Lishui, China The Satisfaction of Community Health Service among Han Nationality in Lishui, China2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 61.
    Naseri, Fatemeh
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Tofiq, Nwalla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Diabetessköterskors erfarenheter av att arbeta med livsstillsförändringar hos personer med diabetes typ 22019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en folksjukdom som har ökat i hela världen. Diabetessköterskan har en viktig roll att informera personen om sambandet mellan livsstil och diabetes typ 2. Att kunna genomföra livsstilsförändringar är inte alltid lätt. Tidigare studier visade på dålig följsamhet av fysisk aktivitet hos personer med diabetes typ 2. Diabetessköterskan kan hjälpa personer med diabetes genom att stödja och ge information så att det leder till en bättre egenvård hos personer med diabetes typ 2. Syftet med studien var att beskriva diabetessköterskornas erfarenheter av att arbeta med livsstilsförändringar hos personer med diabetes typ 2.  Metod: En beskrivande design med kvalitativ ansats användes. Tio diabetessköterskor från tio hälsocentraler intervjuades. Semistrukturerade intervjuer användes och sedan analyserades intervjuerna med kvalitativ innehållsanalys. Resultat: I studiens resultat framkom att diabetessköterskorna hade vissa svårigheter men samtidigt möjligheter i arbetet med livsstilsförändringar. Faktorer som kunde påverka arbetet med livsstilsförändringar kunde vara fysiska och psykiska hinder hos patienten samt organisatoriska hinder. Samtidigt fanns det möjlighet att hjälpa personer med diabetes typ 2 genom att arbeta personcentrerat, ge dem stöd och använda vissa verktyg såsom motiverande samtal och fysisk aktivitet på recept för att motivera dem till livsstilsförändringar. Slutsats: Diabetessköterskornas erfarenheter av att arbeta med livsstilsförändringar är varierande och är beroende av personens förutsättningar och diabetessjuksköterskans verktyg i sitt arbete. Faktorer som kulturella skillnader, motivation hos personen, sjukdomsinsikt, andra sjukdomar och språksvårigheter kan påverka patientens livsstilsförändringar. För att genomföra livsstilsförändringar hos patienter behövs att kunskapen ökas om diabetes i samhället och tillgång till mer resurser inom vården.   

  • 62.
    Ni, Chen
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Xianjing, Zhang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Self-directed learning ability among undergraduate nursing students in the Sino-Swedish cooperative education: - A Questionnaire study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 63.
    Nicmanis, Janis
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Hjern, Viktoria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Intensivvårds- och anestesisjuksköterskors upplevelser av att vårda organdonator: Empirisk studie med kvalitativ ansats2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund. Intensivvårds- och anestesisjuksköterskor har en viktig roll vid organdonation. Omvårdnadssituationen vid vård av donator utmanar deras professionella kompetens och påverkar dem känslomässigt vilket inverkar på upplevelser av att vårda organdonatorer. Tidigare studier visade att specialistsjuksköterskors attityder och förhållningssätt till organdonation påverkar donationsviljan hos befolkningen.  Syfte. Syftet var att beskriva intensivvårds- och anestesisjuksköterskors upplevelser av att vårda en donator på intensivvårds- och operationsavdelning.  Metod. Studien hade en deskriptiv design med en kvalitativ ansats. Fem intensivvårdssjuksköterskor och fem anestesisjuksköterskor från ett sjukhus i Mellansverige, med erfarenhet av organdonation, inkluderades. Data samlades in genom semi-strukturerade intervjuer. Intervjutexterna analyserades med kvalitativ innehållsanalys.  Huvudresultat. Utifrån det insamlade materialet framträdde tre huvudkategorier och sju underkategorier. Huvudkategorierna var Professionell omvårdnad, Relationer till anhöriga och Samarbete mellan professioner. Specialistsjuksköterskor beskrev vårdandet av donator som en professionell utmaning där de behövde förhålla sig till att donatorn var dödförklarad samtidigt som kroppen behandlades med livsuppehållande insatser. Möten med anhöriga var utmanande och känslomässigt påfrestande. Att vårda yngre donatorer beskrevs som särskilt ansträngande. Samarbetet mellan avdelningarna och med operationsteamet upplevdes som positivt och givande. Återkoppling från det nationella donationscentrumet gjorde att arbetet med donationer kändes meningsfullt. Slutsats. Kommunikation med fokus på teamarbete och samarbete mellan professioner var en viktig faktor för professionellt vårdande. Kontinuerlig kunskap- och kompetensutveckling kring organdonation var av vikt för specialistsjuksköterskors professionella förhållningssätt

  • 64.
    Nyberg, Sandra
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Odén, Karin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Distriktssköterskors och sjuksköterskors erfarenheter av att arbeta inom primärvårdens akutflöde: En intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Primary care faces the challenge of developing an easily accessible and effective health care system to meet the needs of the population and to fulfill the care guarantee. Teamwork with satisfactory communication can provide more efficient work and good results for patients. In Gävleborg County, three healthcare centers have started a joint emergency care, where collaboration in teams should optimize resources.

    Aim: The aim of the this study was to describe district nurses and nurses' experiences of working in the emergency care of primary care.

    Method: The study had a qualitative approach and a descriptive design. Data were collected using semi-structured interviews and was analyzed with qualitative content analysis.

    Main result: The interviews resulted in three categories: The teamwork in the emergency care, Changes with a new way of working and Challenges in working with the emergency care. The categories describe district nurses 'and nurses' experiences of a team-based approach where collaboration and accessibility facilitate work and make it effective. The categories also describe challenges in working with the emergency care that led to difficulties in work and shortcomings for the patient.

    Conclusion: District nurses and nurses in the present study described that the work in primary emergency care was an effective teamwork with satisfactory cooperation and communication between professions. Advantages of the method were accessibility to get advice and support from others and not to be alone. Challenges and difficulties emerged in the work that affected both the working group and the patients. The result in the study give an insight into a common approach of emergency care in the primary care based on the experience of district nurses and nurses. The result in the study can hopefully lead to development and improvement of working methods within emergency care in the primary care.

  • 65.
    Olofsson, Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Vi är ju knappast en "Cosby-familj" ...: En tolkande metasyntes om ensamstående mammors utmaningar i vardagen.2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The ”Cosby-family” is viewed as a standard for family formation, but reality shows that families led by a single parent, especially mothers, are a family form that is steadily increasing in societys. At the same time, the research shows that it is a vulnerable group in society with more general health problems. The statistics emphasize that being a single mother is negative for women's health. A more complex picture of the single mothers' experience of their everyday life can be an important prerequisite for the district nurse in the meeting with these women.

    Aim: The purpose of this literature review was to identify the experiences of everyday life's challenges as a single mother.

    Method: A literature study that included 12 studies with a qualitative approach.  The analysis of data was carried out based on Evans interpretive data synthesis.

    Results: For the single mother, the everyday demands were a stressfactor. What mainly stressed her was her financial situation and that all the responsibility lay solely on her, that there was no one to share the demands and feelings with. This gave a feeling of fatigue and exhaustion that gave the mothers a sense of ill-health both physically and mentally. The main factor of well-being of the selected group was when they interacted with others, their social network. In the examined studies, a sense of pride came out for their accomplishments and the motherhood itself was highlighted as a rewarding and strengthening role.

    Conclusion: The review showed the importance of a social context, to have a social network regardless of it´s size. It had great positive effects on the mother's wellbeing.

  • 66.
    Persson, Amanda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science.
    Pihl Kugge, Emil
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science.
    Makars upplevelser av hur livet påverkas av att leva ihop med en person med demens2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 67.
    Persson, Carl
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Region Gävleborg.
    Adielsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Region Gävleborg.
    Anestesisjuksköterskors upplevelser av att vårda patienter under sekundärtransport: En kvalitativ studie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: The nurse anesthetist is responsible for the patient care during interhospital transport in Sweden and therefore has an important role. Current research describes how nurse anesthetists’ often experience difficulties in their work, in the forms of inadequate communication and the challenges of out-of-hospital patient care. When it comes to nurse anesthetists’ experiences of patient care, however, there is a lack of research in the area of interhospital transport, which thus deserves further attention.

    Purpose: The purpose of the study was to describe nurse anesthetists’ experiences of caring for patients during interhospital transports.

    Method: The study was conducted according to a descriptive design using a qualitative approach. Semi-structured interviews were conducted with ten nurse anesthetists’ at two hospitals located in the middle part of Sweden to collect data. A qualitative content analysis was used to transcribe and analyze the interviews.

    Result: The study results were divided into four categories: To be one step ahead, Profession and responsibility, Patient care during specific circumstances and Teamwork with eight subcategories. These subcategories were; To have a plan of action, To be prepared, Responsibility and personal development, Work experience and competence, To care for young patients, Patient care in ambulance, Support from colleagues and Communication and information.

    Conclusion: To have a plan of action, previous work experience, communication and support from colleagues were factors that affected the nurse anesthetists’ experiences of caring for patients during interhospital transport. These factors were decisive for whether the nurse anesthetists’ experienced caring as positive or negative. The study results indicate that there is a need for clear routines as well as team-based training sessions for every professional involved within interhospital transport.

    Keywords: experiences, interhospital transport, nurse anesthetist

  • 68.
    Pettersson, Lovisa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Johansson, Annelie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Vård av barn på sjukhus- Familjens erfarenheter: En beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: När ett barn blir sjukt och beroende av sjukhusvård har familjen en mycket betydelsefull och ibland ovärderlig roll i vårdandet. Att som barn vara inneliggande på sjukhus kan upplevas som en stor omställning för barnet och dess familj. När barn vårdas på sjukhus är det viktigt som sjuksköterska att se till barnens specifika behov samt undervisa och stödja familjen. Syfte: Att beskriva familjens erfarenheter av att ha ett barn inneliggande på sjukhus. Metod: En beskrivande litteraturstudie på tolv artiklar med kvalitativ ansats har gjorts. Huvudresultat: Föräldrar upplevde det som en svår situation att ha barn inneliggande på sjukhus och beskrev det som viktigt att få vara en del av vårdandet av barnet. Dock upplevde pappor att de kom i bakgrunden av mammorna. Oro är något som de flesta familjer upplevde när ett barn blev inneliggande på sjukhus och många gånger uppskattades det att få träffa andra föräldrar i samma situation för att dela erfarenheter med varandra. Även syskon upplevde det som en svår situation när ett barn var inneliggande på sjukhus. De ville gärna vara till stöd för det sjuka syskonet men ofta kände de sig ofta bortglömda och utanför i familjen. Slutsats: Föräldrar och syskon upplevde situationen med att ha ett barn inneliggande på sjukhus som påfrestande. Syskon kände sig bortglömda i familjen och pappor upplevde sig komma i bakgrunden av mammorna i vårdandet av det sjuka barnet. Det är viktigt som sjuksköterska att se alla parter i en familj som olika individer med olika behov. För att familjer ska få en förbättrad upplevelse av sin sjukhusvistelse behövs ökad kunskap inom området.

  • 69.
    Pärnils, Therese
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Styverts, Izabella
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Hur personer med multipel skleros anpassar och hanterar sin livssituation: En beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Multipel skleros (MS) är en kronisk sjukdom i det centrala nervsystemet. Unga vuxna och personer i arbetsdriftig ålder drabbas främst av MS och i Sverige är det sedan 1998 omkring 16 400 personer som fått diagnosen. Sjukdomen utgör en stor påfrestning på psykiskt, fysiskt och psykosociala aspekter, i och med att förmågan att röra sig bryts ner och till slut invalidiserar personen. Det är därför av stor vikt att ge dessa personer fungerande strategier så att de kan hantera sin nya livssituation. Syfte: Att beskriva hur personer med MS anpassar sig och hanterar sin livssituation. Metod: En litteraturstudie som baseras på 12 vetenskapliga artiklar. Resultat: Huvudresultatet har visat att personer som lever med MS har behovet av olika strategier och verktyg för att kunna hantera sin livssituation och dess anpassning. Beskedet av att få diagnosen MS innebär en känslomässig berg-och-dalbana för individerna. Nedsatt rörelseförmåga, försämrad självkänsla samt negativ inverkan på arbete och relationer är något som förekom hos dessa personer. Slutsats: Att diagnostiseras med MS har visat ge inverkan på personens livssituation avseende psykiskt, fysiskt och utifrån psykosociala aspekter och hur de anpassar sig och hanterar situationen. Det finns ett ökat behov av kunskap och förståelse hos sjuksköterskan vid hantering och bemötande hos personer med MS. Detta behövs för att kunna främja personens välmående och för att förbättra dennes livssituation.

  • 70.
    Rasmussen, Hege
    et al.
    Clinic for Mental Health and Substance Abuse, Nord-Trøndelag Hospital Trust, Namsos Hospital, Norway; Department of Mental Health, Norwegian University of Science and Technology, Norway.
    Hellzen, Ove
    Mid Sweden University, Mid Sweden University, Sweden.
    Stordal, Eystein
    Clinic for Mental Health and Substance Abuse, Nord-Trøndelag Hospital Trust, Namsos Hospital, Norway; Department of Mental Health, Norwegian University of Science and Technology, Norway.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Family caregivers experiences of the pre-diagnostic stage in frontotemporal dementia2019In: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 40, no 3, p. 246-251Article in journal (Refereed)
    Abstract [en]

    Frontotemporal dementia (FTD) is a neurodegenerative disease with symptoms that differs from other dementias. Commonly early symptoms in FTD are changes in personality and behavior, which can be interpreted as psychiatric disease. The delay in FTD diagnosis contributes to the burden of family caregivers. Therefore, it is important to have more knowledge about the pre-diagnostic stage. In this qualitative interview study, we explored fourteen family caregiver's experiences of the pre-diagnostic stage of frontotemporal dementia (FTD). Our findings suggest that the family caregivers experienced the pre-diagnostic stage of FTD as changes in the interpersonal relationship with their loved one. These changes were often subtle and difficult for family caregivers to explain to others. The findings from our study illuminate the importance of medical staff paying attention when a next of kin is concerned about subtle changes in a loved one. The findings also illuminate that awareness of FTD should be raised.

  • 71.
    Rubensson, Anton
    et al.
    Inpatient Care Unit for Patients with Bipolar Disorder, Section for Affective Disorders, Northern Stockholm Psychiatry, Stockholm, Sweden.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    A document analysis of how the concept of health is incorporated in care plans when using the nursing diagnosis classification system (NANDA-I) in relation to individuals with bipolar disorder2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed)
    Abstract [en]

    Introduction: Nursing diagnosis classification systems have been developed to help nurses identify problems and patient needs. However, the question of how classification systems have adopted the concept of health has been given little attention. Aim: The aim was to explore and analyse which perspectives on health are incorporated into the NANDA-I-based care plans of individuals with bipolar disorder. Methods: A document analysis was used to systematically review and analyse care plans based on nursing diagnosis classification system. Thematic analysis was used as an analytic tool. Findings: The results are presented in three themes: (i) health as strengths; (ii) health as satisfaction; and (iii) health as behaviour and functionality. Discussion: We discuss how health is deeply embedded in nursing diagnosis classification system-based care plans. The care plans correspond to the holistic perspective, as they acknowledge the existence of health even during illness. Further, health is viewed as nonstatic and discussed from the perspective of person-centred care. 

  • 72.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Stabilitet, rytm och rörelser: att konstruera vårdande i intensiv psykiatri2019In: Vårdande vid psykisk ohälsa: på avancerad nivå / [ed] Lena Wiklund Gustin, Studentlitteratur , 2019, 3, p. 411-432Chapter in book (Other academic)
  • 73.
    Sellberg, Fanny
    et al.
    Department of Public Health Sciences (PHS), Karolinska Institutet, Stockholm, Sweden.
    Possmark, Sofie
    Department of Public Health Sciences (PHS), Karolinska Institutet, Stockholm, Sweden.
    Willmer, Mikaela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Tynelius, Per
    Department of Public Health Sciences (PHS), Karolinska Institutet, Stockholm, Sweden; Centre for Epidemiology and Community Medicine, Stockholm County Council, Stockholm, Sweden.
    Persson, Margareta
    Department of Nursing, Umeå University, Umeå, Sweden.
    Berglind, Daniel
    Department of Public Health Sciences (PHS), Karolinska Institutet, Stockholm, Sweden.
    Meeting physical activity recommendations is associated with health-related quality of life in women before and after Roux-en-Y gastric bypass surgery2019In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 28, no 6, p. 1497-1507Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Meeting physical activity (PA) recommendations is positively associated with health-related quality of life (HRQoL), but it is still unclear whether PA (specifically objectively measured) is associated with HRQoL in bariatric surgery candidates, both before and after surgery. Thus, the aim of this study was to examine the cross-sectional association between meeting objectively measured PA recommendations and HRQoL before and after Roux-en-Y gastric bypass (RYGB) surgery.

    METHODS: Sixty-six women undergoing RYGB with pre-surgery and 62 women with post-surgery valid PA and HRQoL data were included from the control group of a RCT study aiming at improving HRQoL and PA post-RYGB surgery. Measures before and 12 months after RYGB included the Short Form Health Survey (SF-36) and objectively measured PA, sedentary time (ST), and step counts with GT3X+ accelerometers. Multiple linear regression models were used to analyze the associations between PA and HRQoL.

    RESULTS: Participants who engaged in more than 150 min of moderate to vigorous PA (MVPA)/week (PA recommendations) had considerably higher SF-36 scores (HRQoL) than those who did not, both pre and 12-month post-surgery, with greatest difference in the subscale bodily pain, 15.5 (p = 0.021) higher score (higher scores means less pain) pre-surgery and a 19.7 (p = 0.004) higher score post-surgery. Higher LPA and step counts and lower ST also showed positive associations in some of the subscales of SF-36.

    CONCLUSIONS: Meeting the PA recommendations and overall engaging in more PA was associated with higher HRQoL, pre-, and post-RYGB surgery, highlighting the importance of PA both pre- and post-surgery.

  • 74.
    Shuangyan, Chu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jianru, Huang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Professional identity of the second year undergraduate nursing students: a comparative study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 75.
    Silén, Marit
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. 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 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 Caring Sciences, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Nursing Department, Medicine and Health College, Lishui University, China.
    Relationships between structural and psychological empowerment, mediated by person-centred processes and thriving for nursing home staff2019In: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 40, no 1, p. 67-71Article in journal (Refereed)
    Abstract [en]

    Person-centred care has been shown to have positive outcomes for patients and for staff. However, the complexity of the link between structural conditions, work in a person-centred manner and outcomes for staff is insufficiently described. We tested the relationship between structural empowerment and psychological empowerment, as mediated by nursing home staff members’ self-ratings of working in a person-centred manner, the person-centred climate and thriving. Questionnaires were distributed to staff working in 12 nursing homes in Sweden. A serial mediation model was tested. The results showed that higher access to structural empowerment was related to higher psychological empowerment mediated by staff working in a more person-centred manner, improved person-centred climate, and improved staff ratings of thriving. These results point to the importance of strengthening the preconditions for staff to work in a person-centred manner and nursing home managers play an important role in this.

  • 76.
    Silén, Marit
    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.
    Svantesson, Mia
    Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
    Impact of clinical ethics support on daily practice-First-line managers' experiences in the Euro-MCD project2019In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834Article in journal (Refereed)
    Abstract [en]

    AIM: To explore first-line managers' experiences of what Moral Case Deliberation has meant for daily practice, to describe perceptions of context influence and responsibility to manage ethically difficult situations.

    BACKGROUND: In order to find measures to evaluate Moral Case Deliberation, the European Moral Case Deliberation Outcome instrument was developed and is now in the stage of revision. For this, there is a need of several perspectives, one of them being the managerial bird-eye perspective.

    METHOD: Eleven first-line managers at workplaces, participating in the European Moral Case Deliberation Outcome instrument project, were interviewed and thematic analysis was applied.

    RESULTS: Managers' experiences were interpreted as enhanced ethical climate: a closer-knit and more emotionally mature team, morally strengthened individuals, as well as ethics leaving its marks on everyday work and morally grounded actions. Despite organizational barriers, they felt inspired to continue ethics work.

    CONCLUSION AND IMPLICATIONS: This study confirmed, but also added ethical climate aspects, such as morally grounded actions. Furthermore, adding ethical climate as a construct in the European Moral Case Deliberation Outcome instrument should be considered. First-line managers need clear directives from their managers that ethics work needs to be prioritized for the good of both the staff and the patients.

  • 77.
    Siqi, Lei
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jin, Yan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Nurses’ experiences of end-of-life care:: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 78.
    Stenberg, Jenny
    et al.
    Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
    Melin, Jan
    Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
    Lindberg, Magnus
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Furuland, Hans
    Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
    Brain natriuretic peptide reflects individual variation in hydration status in hemodialysis patients2019In: Hemodialysis International, ISSN 1492-7535, E-ISSN 1542-4758, Vol. 23, no 3, p. 402-413Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Fluid management in hemodialysis patients is a controversial topic. Brain natriuretic peptide (BNP) is secreted from the heart in response to volume overload, and may be a marker of overhydration in hemodialysis patients. Our aim was to investigate the correlation between BNP and overhydration in a cohort of hemodialysis patients, and to find out whether BNP and overhydration correlate in repeated measurements within individuals with elevated BNP.

    METHODS: The study was prospective, observational, and had a cross-sectional part and a longitudinal follow-up. The distribution of BNP was investigated in a cohort of 64 hemodialysis patients. Blood samples and bioimpedance spectroscopy measurements were performed before midweek dialysis. Subsequently, 11 study participants with elevated BNP concentrations (>500 pg/mL) were assessed in another nine dialysis sessions each. These individuals also had their cardiac function and heart rate variability (HRV) examined.

    FINDINGS: BNP was above 500 pg/mL in 38% of the participants, and correlated positively with overhydration (rs = 0.381), inflammation and malnutrition, but not with systolic blood pressure. In comparison to participants with BNP below 500 pg/mL, participants with elevated BNP were older, had lower muscle strength, lower bodyweight and lower levels of hemoglobin and albumin. Echocardiography revealed cardiac anomalies in all 11 participants in the longitudinal follow-up, and HRV, as measured by SDNN, was pathologically low. In repeated measurements, the between-individuals variation of BNP in relation to overhydration was greater (SD = 0.581) than the within-person variation (SD = 0.285).

    DISCUSSION: BNP correlates positively to overhydration, malnutrition, and inflammation. In a subgroup of patients with elevated BNP, who are mainly elderly and frail, BNP reflects individual variation in hydration status, and hence seems to be a modifiable marker of overhydration. These data suggest that BNP is best applied for measuring changes in hydration status within an individual over time.

  • 79.
    Stephan, Astrid
    et al.
    Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Bieber, Anja
    Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Hopper, Louise
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Joyce, Rachael
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Irving, Kate
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Zanetti, Orazio
    Alzheimer Unit, Brescia (BS), Italy.
    Portolani, Elisa
    Alzheimer Unit, Brescia (BS), Italy.
    Kerpershoek, Liselot
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Verhey, Frans
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    de Vugt, Marjolein
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Wolfs, Claire
    Alzheimer Center Limburg, Maastricht University, Maastricht, The Netherlands.
    Eriksen, Siren
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway.
    Røsvik, Janne
    Department of Geriatric Medicine, Oslo University Hospital, Aldring og Helse, Oslo, Norway.
    Marques, Maria J.
    Chronic Diseases Research Center, Nova Medical School | Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portuga.
    Gonçalves-Pereira, Manuel
    Chronic Diseases Research Center, Nova Medical School | Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portuga.
    Sjölund, Britt-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science.
    Jelley, Hannah
    Dementia Services Development Centre Wales, Bangor University, Bangor, UK.
    Woods, Bob
    Dementia Services Development Centre Wales, Bangor University, Bangor, UK.
    Meyer, Gabriele
    Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Broda, A. (Contributor)
    Bartoszek, G. (Contributor)
    Orrell, M. (Contributor)
    Wimo, A. (Contributor)
    Sköldunger, A. (Contributor)
    Engedal, K. (Contributor)
    Selbæk, G. (Contributor)
    Michelet, M. (Contributor)
    Irving, K. (Contributor)
    Conceição Balsinha, M. (Contributor)
    Bárrios, H. (Contributor)
    Machado, A. (Contributor)
    Barriers and facilitators to the access to and use of formal dementia care: findings of a focus group study with people with dementia, informal carers and health and social care professionals in eight European countries2018In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 18, no 1, article id 131Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: People with dementia and informal carers often access formal care late in the process of dementia. The barriers and facilitators to service use from the perspectives of different stakeholders involved are not well understood. Thus, we aimed to explore the barriers and facilitators of access to and utilisation of formal care from the perspectives of people with dementia, their informal carers and health and social care professionals.

    METHOD: Focus groups with people with dementia, informal carers and professionals were conducted in eight European countries. Recruitment targeted people with dementia, informal carers with experience of formal care and professionals involved in providing (access to) formal care. Qualitative content analysis using open coding was used on a national level. Cross-national synthesis was based on the translated national reports.

    RESULTS: Overall, 55 focus groups with 261 participants were conducted, involving 51 people with dementia, 96 informal carers and 114 professionals. Sixteen categories describing barriers and facilitators were identified, referring to three global themes: Aspects related to 1) individuals involved, 2) the system or 3) overarching aspects. The attitudes and beliefs of people with dementia and their carers may have a major impact, and they often serve as barriers. Formal care was perceived as a threat to the individual independence of people with dementia and was thus avoided as long as possible. A healthcare professional serving as a constant key contact person could be an essential facilitator to overcome these barriers. Contact should be initiated proactively, as early as possible, and a trusting and consistent relationship needs to be established. Beyond that, the findings largely confirm former research and show that barriers to accessing and using formal care still exist across Europe despite a number of national and European initiatives.

    CONCLUSION: Further investigations are needed to elaborate how the concept of a key contact person could be integrated with existing case management approaches and how the independence and autonomy of people with dementia can be strengthened when formal care needs to be accessed and used. These may be meaningful facilitators regarding enhanced access to formal care for people with dementia and their families.

  • 80.
    Strömberg, Annika
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Hagerman, Heidi
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    First-line managers dealing with different management approaches2019In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887Article in journal (Refereed)
    Abstract [en]

    Purpose – The purpose of this paper is to contribute new knowledge about how first line managers (FLMs) in elderly care perceive their situation, with a focus on differences in management approaches at the intersection of the central and local parts of the organization.

    Design/methodology/approach – The present study has a qualitative approach and is part of a larger project on FLMs in elderly care. The results presented here are based on a secondary analysis of 15 of the totalof 28 interviews carried out in the project.

    Findings – Themain results are twofold: the majority of FLMs perceived differences in management approaches between local and central management; the differences caused some struggle because FLMs perceived that the management system did not support the differences. The two main aspects that caused the FLMs to struggle were differences in the foci of the management levels and difficulties in influencing the conditions ofmanagement.

    Originality/value – The results contribute to the debate on what aspects are important to sustainable management of elderly care. It is common knowledge that FLMs have a complex position, intermediate to the central, upper level management and their subordinates at the local level – levels with different foci and interests. The study contributes new knowledge about what these differences consist of and the dilemmas they cause and offers suggestions as to what can be done to reduce both energy waste and the risk of low job satisfaction.

  • 81.
    Sundbom Thunander, Lena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Hedborg, Kerstin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Association between prescribed antidepressants and other prescribed drugs differ by gender: a nationwide register-based study in Sweden2019In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 73, no 1, p. 73-79Article, review/survey (Refereed)
    Abstract [en]

    Background: People with depression are prescribed more drugs than people in general,partly due to comorbidity with other conditions. However, little research has been done on depression-related drug use from a gender perspective.

    Aim: Examine the association between antidepressants, other types of prescribed drugs, and polypharmacy, by gender.

    Methods: Data on drugs dispensed October to December 2016 to all Swedish citizens aged 18-84 years were collected from the Swedish prescribed drug register. Logistic regression analyses were performed to examine the associations between antidepressantsand other drugs, by gender.

    Results: For both men and women, associations were found between antidepressants and drugs for alimentary tract problems, respiratory problems, blood, nervous system, analgesics, and polypharmacy. However, for women, but not men, associations were alsofound for drugs for diabetes, musculoskeletal problems, dermatological problems, and systemic hormones. 

    Conclusions: Associations were found between antidepressants and many other types of drugs for both men and women; indicating comorbidity between depression and other conditions.Further, several of the associations between antidepressants and other drugs were found to be specific among women. Whether this indicates that men and women differ in comorbidity between depression and other conditions cannot be concluded based on this cross-sectional study. However, comorbidity impairs the possibility of recovery; in the somatic condition as well as the depression. Thus,physicians need to be aware of that the association between antidepressants and other types of drugs are more common among women than men.

  • 82.
    Svensson, Therese
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Zaring, Malin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Sjuksköterskors/distritssköterskors reflektioner kring MI som samtalsmodell2019Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Medellivslängden i Sverige ökar, trots detta måste levnadsfaktorer som påverkar människans hälsa lyftas fram. Övervikt, fetma, för lite fysisk aktivitet, rökning och dålig kosthållning är alla faktorer som kan leda till sämre hälsa. I sjuksköterskans/distriktssköterskans arbetsuppgifter ingår det att jobba preventivt, att möta och vårda patienter till bättre hälsa. Motiverande samtal är en strukturerad personcentrerad samtalsteknik menad att främja beteendeförändringar angående olika livsstilsförändringar.  Syfte: Syftet med föreliggande studie var att beskriva sjuksköterskors/distriktsköterskors reflektioner kring att använda samtalsmodellen Motiverande samtal. Metod: Semistrukturerade intervjuer med elva sjuksköterskor/distriktssköterskor. Konventionell innehållsanalys användes för att analysera resultatet.                                                                Huvudresultat: Syftet med föreliggande studie har varit att beskriva SSK/DSK reflektioner kring att använda samtalsmodellen Motiverande samtal. Resultatet i studien har kommit fram till att majoriteten av deltagarna upplever sig använda Motiverande samtal frekvent, dock saknar majoriteten av dem utbildning. Flera av deltagarna uttrycker att de har försökt ta till sig vissa delar av samtalsmodellen. Deltagarna var osäker på om Motiverande samtal passade in på arbetsplatsen men att försök till att använda delar av det gjordes ändå, en av deltagarna upplevde att det generellt gjordes en väldigt stor grej av Motiverande samtal, då det är något sjuksköterskor/distriktssköterskor gör dagligen. Majoriteten påtalade om bristen på tid till uppföljning med patienten som en orsak att Motiverande samtal inte fungerade som önskat. Flera deltagare menade då att modellen faller om tid inte finns till att följa upp något som påbörjats. Slutsats: Studien har visat att det behövs mer utbildning/fortbildning för att användaren ska känna sig mer säker på att utöva Motiverande samtal

  • 83.
    Söderblom, John
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Moon-On, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Unga vuxnas erfarenheter av att leva med cancer.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cancer affects people in all parts of life, the frequency increases among the elderly, but children and young adults are also affected. Young adults are a definition of individuals aged 18-30. This age range is often lined by major changes in the individual’s life. Education, jobs and relationships are factors that develop the identity and this development can be affected by the disease. Broader knowledge of individuals' experiences can facilitate the nurse's work in promoting health and reducing suffering for the individuals.

    Purpose: To describe young adults' experiences of living with cancer.

    Method: Literature study with descriptive design based on ten qualitative- and two quantitative scientific articles.

    Main Results: Participants experienced identity changes in connection with the disease and these changes affected self-image and quality of life. Social relations were affected by the disease, which could be strengthened or impaired. Social support was important, both from healthcare professionals and relatives. Participants dealt with the disease using various coping strategies. In health care, a need for better information and more competent staff was described. The participants wanted several changes in the hospital environment, these included interior design, more activities and to be cared for with individuals of equal age.

    Conclusion: Young adults' experiences of cancer indicate that identity problems often arise as a result of the disease. As a nurse, it is important to consider the needs of the patient and the relatives. It is important that nurses who work with these people have good knowledge of the disease and about the treatment to be able to provide adequate care and information. The hospital environment in which these people are cared for should be adapted so that equal-aged individuals are cared for together. Professionals around the nurse should be used extensively, such as priests, counsellors and support groups.

  • 84.
    Voraroon, Supaporn
    et al.
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Boromarajonani College of Nursing, Suphanburi, Thailand.
    Hellzen, Ove
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science.
    Meebunmak, Yaowaluck
    Boromarajonani College of Nursing, Ratchaburi, Thailand.
    Devik, Siri Andreassen
    Centre for Care Research Mid-Norway, Steinkjer, Norway.
    The impact of shareholding networks for facilitating care in rural Thailand.2019In: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984Article in journal (Refereed)
    Abstract [en]

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

  • 85.
    Wang, Xiaoyu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Tingting, Dong
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Women’s experiences of gestational diabetes mellitus: A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 86.
    Wei, Na
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Zheng, Simin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    The satisfaction of community health service among female and male She Minority in Lishui, China:: A cross-sectional comparative study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 87.
    Wiitavaara, Birgitta
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.
    Rissén, Dag
    Region Gävleborg.
    Högberg, Hans
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Nilsson, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Uppsala universitet.
    Psychometric testing of a short form questionnaire for measurement of health experiences among people with musculoskeletal disorders undergoing multimodal rehabilitation2019In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 5, article id e025103Article in journal (Refereed)
    Abstract [en]

    Aim

    The aim of present study was to assess if a previously suggested short-form questionnaire tested among women with non-specific neck-shoulder pain is suitable also for use among men and women with non-specific musculoskeletal disorders in any part of the body, by testing its construct validity by a confirmatory factor analysis. If not, the secondary aim was to investigate the evolving factor structure when performing an explorative factor analysis of data in the expanded sample.

    Methods

    Questionnaire data was collected in three different contexts, in primary care via eight different multimodal rehabilitation teams, in specialised care via two different specialist care centres. The sample consisted of 116 participants, male (n=29) and female (n=87) with non-specific musculoskeletal disorders.

    Data was analysed using confirmatory and exploratory factor analysis and a visual comparison between the result of the Principal Component Analysis in present study, and the results attained in a previous study with a similar aim and design.

    Results

    The confirmatory factor analyses did not end up in a model with acceptable measures for validity. Three models were tested, none of them met the criterion for an acceptable model and the goodness-of-fit statistics were not fully acceptable. The exploratory factor analysis had an only partly comparable result, compared to previous study.

    Conclusion

    The results of present study did not prove the suggested short form questionnaire to be suitable for evaluation of symptoms among men and women with non-specific musculoskeletal disorders in any part of the body. Further studies including larger samples are recommended.

  • 88.
    Wijk, Katarina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health Science and Psychology, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research. Centre for Research and Development, Region Gävleborg/Uppsala University, Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Åberg Jönsson, Fredrik
    Centre for Research and Development, Region Gävleborg/Uppsala University, Gävle, Sweden.
    Lindberg, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Centre for Research and Development, Region Gävleborg/Uppsala University, Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Perceived enabling factors and barriers for the implementation of improvements in health care in order to achieve patient-centred care: A case report from Sweden2019In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753Article in journal (Refereed)
    Abstract [en]

    Abstract Rationale, aim, and objectives More knowledge is needed regarding the complex factors and perceptions that enable the implementation of change in health care. The study aimed to examine the enabling factors and barriers encountered in the implementation of improvements in health care in order to achieve patient-centred care (PCC) and to study if there was a correlation in the extent the improvements were perceived to be implemented and the preconditions that were considered to affect them. Methods Using a mixed method design, data were gathered via a questionnaire and individual interviews with health care personnel, clinic managers, and first-line managers. The data collection and analyses were based on the framework for Promoting Action on Research Implementation in Health Services (PARiHS). Correlations between PCC improvements and preconditions for improvements were performed. Results A high level of involvement, knowledge, and adequate resources were considered important to achieve an implementation of PCC with joint responsibility. Leadership and management need to be explicit and promote continuous follow-up and feedback. Preconditions for improvement had a linear correlation with the perceived level of implementation. Knowledge-related preconditions had greatest impact on implementation. Conclusions The PARiHS framework was appropriate to use since the three components of evidence, context, and facilitation present different important preconditions in the implementation process. Evidence was the highest rated contributor since evidence-based practices in health care are necessary. It is vital that the important role of the context and facilitators is acknowledged in the implementation process to enable a successful implementation of change. There is a need to incorporate a clear strategy involving all levels in the organization. Furthermore, leaders play an important role in the implementation by facilitating communication and support and by having trust in facilitators and health care personnel. The results are applicable to other interventions implementing change in health care.

  • 89.
    Wu, Meng
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Zhou, Jiawei
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    The utilization of community health service among She minority in Lishui, China: A cross-sectional questionnaire study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 90.
    Xinyu, Fang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Wenjie, Yang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Experience of family caregivers caring for person with dementia: – A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 91.
    Xiuqun, Wang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Yuru, Yang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Persons’ experience before and after amputation: A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 92.
    Xueli, Mei
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Xuemei, Yang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    The quality of life in persons with stoma after enterostomy: with stoma after enterostomy - A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 93.
    Xueni, Zhang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Yeqing, Lu
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Experiences of bereavement from suicide: - A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 94.
    Yang, Liyun
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Dai, Jingjing
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    The utilization of community health service among Han nationality in Lishui,China:: A cross-sectional questionnaire study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 95.
    Yanhan, Jin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Yilan, Ling
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Women’s experience of postpartum depression: : A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 96.
    Yi, Fu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Qunzhan, Zhang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    The Effect of life review on depression and depressive symptoms in adults: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 97.
    Yi, Wu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Xia, Mao
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    How registered nurses can work to support the middle aged and aged adults suffering from sleep disorders2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 98.
    Yi, Xing
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Chen, Zhang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Patient’s Experiences of Having Lung Cancer: -  A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 99.
    Yilin, Ding
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Zhou, Zhou
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Lishui University, China.
    Women’s experience of living with cervical cancer: – A descriptive  review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 100.
    Ying, Zhang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Jamin, Wang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Registered nurses’ perceptions of nursing bedside handover2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
123 51 - 100 of 105
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