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  • 1.
    Aaberg, Alma
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Olsson Piittisjärvi, Patricia
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nyutexaminerade sjuksköterskors upplevelser av kliniskt introduktionsår: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ett påtagligt samhällsproblem idag är den rådande brist på legitimerade sjuksköterskor som arbetar inom den svenska sjukvården. I takt med att befolkningen ökar och medelåldern blir allt högre blir vikten av att bibehålla verksamma legitimerade sjuksköterskor allt mer påtaglig. Att komma ut i verksamheten som nyutbildad sjuksköterska kan upplevas som en stor utmaning och första tiden i yrket kan ses som en intensiv och krävande process. För att underlätta transitionen från student till yrkesverksam sjuksköterska har ett introduktionsprogram utformats i syfte att vägleda och stödja de nyblivna sjuksköterskorna.

    Författarnas syfte med studien är att beskriva nyutexaminerade sjuksköterskors upplevelser av ett kliniskt introduktionsår. Examensarbetet grundar sig i en litteraturstudie som utgår från Fribergs analysprocess där tio artiklar granskas och analyseras. Analysen resulterar i fyra identifierade huvudteman med tillhörande tretton subteman som tillsammans sammanfattar upplevelser av kliniskt introduktionsår som nyutexaminerad sjuksköterska. Identifierade huvudteman i arbetet är: ”Möjligheten till att få växa personligt och professionellt”, ”Att vara i rum för reflektion”, ”Att existera i en kravfylld tillvaro” samt ”Vikten av att ha kollegialt stöd inom räckhåll”. Resultatet påvisar flera fördelar med deltagandet i kliniskt introduktionsprogram men även vissa brister identifieras. Resultatet påvisar att upplevelser av krav under övergångsprocessen är återkommande hos de flesta nyutexaminerade sjuksköterskorna som genomgår kliniskt introduktionsår. För att underlätta övergångsprocessen är faktorer så som en stödjande miljö, tillhörighet i personalgruppen och reflektion som verktyg viktiga komponenter. Författarna anser att vidare fördjupning kring upplevelser av ett introduktionsprogram och hur detta introduktionsprogram erfars ur ett sjuksköterskeperspektiv är av stor vikt i syfte att möta sjuksköterskans behov under det första yrkesverksamma året.

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    K2018:90
  • 2.
    Aaberg, Oddveig Reiersdal
    et al.
    Norwegian Univ Sci & Technol, Dept Hlth Sci, Fac Med & Hlth Sci, Teknologivegen 22, N-2815 Gjovik, Norway.;Univ Stavanger, Dept Qual & Hlth Technol, Fac Hlth Sci, Stavanger, Norway.;Univ Agder, Fac Hlth & Sport Sci, Dept Hlth & Nursing Sci, Norway..
    Ballangrud, Randi
    Norwegian Univ Sci & Technol, Dept Hlth Sci, Fac Med & Hlth Sci, Teknologivegen 22, N-2815 Gjovik, Norway..
    Husebo, Sissel Iren Eikeland
    Univ Stavanger, Dept Qual & Hlth Technol, Fac Hlth Sci, Stavanger, Norway.;Stavanger Univ Hosp, Gerd Ragna Bloch Thorsens Gate 8, N-4011 Stavanger, Norway..
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    An interprofessional team training intervention with an implementation phase in a surgical ward: A controlled quasi-experimental study2019In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, p. 1-10Article in journal (Refereed)
    Abstract [en]

    Despite a growing awareness of the importance of interprofessional teamwork in relation to patient safety, many hospital units lack effective teamwork. The aim of this study was to explore if an interprofessional teamwork intervention in a surgical ward changed the healthcare personnel's perceptions of patient safety culture, perceptions of teamwork, and attitudes toward teamwork over 12 months. Healthcare personnel from surgical wards at two hospitals participated in a controlled quasi-experimental study. The intervention consisted of six hours of TeamSTEPPS team training and 12 months for the implementation of teamwork tools and strategies. The data collection was conducted among the healthcare personnel in the intervention group and the control group at baseline and at the end of the 12 month study period. The results within the intervention group showed that there were significantly improved scores in three of 12 patient safety culture dimensions and in three of five perceptions of teamwork dimensions after 12 months. When comparing between groups, significant differences were found in three patient safety culture measures in favor of the intervention group. The results of the study suggest that the teamwork intervention had a positive impact on patient safety culture and teamwork in the surgical ward.

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  • 3.
    Aaberg, Oddveig Reiersdal
    et al.
    University Agder, NOR;Norwegian University of Science & Technology, NOR ; University of Stavanger, NOR..
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Norwegian University of Science & Technology, NOR.
    Husebo, Sissel Iren Eikeland
    University Stavanger, NOR; Stavanger University Hospital, NOR .
    Ballangrud, Randi
    Norwegian University of Science & Technology, NOR.
    A human factors intervention in a hospital-evaluating the outcome of a TeamSTEPPS program in a surgical ward2021In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 21, no 1, article id 114Article in journal (Refereed)
    Abstract [en]

    Background: Patient safety in hospitals is being jeopardized, since too many patients experience adverse events. Most of these adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of this study was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. Systems Engineering Initiative for Patient Safety 2.0 was used as a conceptual framework for the study. Methods: This study had a pre-post design with measurements at baseline and after 6 and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and the study site was selected based on convenience and the leaders' willingness to participate in the project. Survey data from healthcare professionals were used to evaluate the intervention. The organizational outcomes were measured by the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, and professional outcomes were measured by the TeamSTEPPS Teamwork Perceptions Questionnaire and the Collaboration and Satisfaction about Care Decisions in Teams Questionnaire. A paired t-test, a Wilcoxon signed-rank test, a generalized linear mixed model and linear regression analysis were used to analyze the data. Results: After 6 months, improvements were found in organizational outcomes in two patient safety dimensions. After 12 months, improvements were found in both organizational and professional outcomes, and these improvements occurred in three patient safety culture dimensions and in three teamwork dimensions. Furthermore, the results showed that one of the significant improved teamwork dimensions "Mutual Support" was associated with the Patient Safety Grade, after 12 months of intervention. Conclusion: These results demonstrate that the team training program had effect after 12 months of intervention. Future studies with larger sample sizes and stronger study designs are necessary to examine the causal effect of a team training intervention in this context.

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  • 4.
    Aaberg, Oddveig Reiersdal
    et al.
    Norwegian University of Science and Technology, Norway; University of Stavanger, Norway.
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Norwegian University of Science and Technology, Norway.
    Husebo, Sissel Iren Eikeland
    University of Stavanger, Norway; Stavanger University Hospital, Norway.
    Ballangrud, Randi
    Norwegian University of Science and Technology, Norway.
    Collaboration and Satisfaction About Care Decisions in Team questionnaire: Psychometric testing of the Norwegian version, and hospital healthcare personnel perceptions across hospital units2019In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 2, p. 642-650Article in journal (Refereed)
    Abstract [en]

    Aim To translate "The Collaboration and Satisfaction About Care Decisions in Team" questionnaire (CSACD-T) into Norwegian and test it for psychometric properties. The further aim was to describe and compare healthcare personnel's collaboration and satisfaction about team decision-making (TDM) across hospital units. Design A cross-sectional study. Methods The questionnaire was translated into Norwegian. A total of 247 healthcare personnel at two hospitals responded to the questionnaire. An explorative factor analysis was performed to test the factor structure of the questionnaire, while a Cronbach's alpha analysis was used to test for internal consistency. A one-way ANOVA analysis and a Kruskal-Wallis test were applied to test for differences between hospital units. Results The results demonstrate that the Norwegian version of the CSACD-T has promising psychometric properties regarding construct validity and internal consistency. The mean score of the CSACD-T was significantly higher in the maternity ward group than in the emergency room group.

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  • 5.
    Aaby Orellana, Tanja
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Kirkegaard, Betina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Sjuksköterskors upplevelser av att implementera personcentrerad omvårdnad i slutenvården: -         En Empirisk Studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Person-centred care (PCC) is when the person seeking care get’s involved in their care and are seen as more then their illness or ailment. PCC as a concept began in dementia care, but is now the approach that most healthcare institutions strive after. To achieve the improved care that PCC can bring, there is need for a well- planned and clear implementation plan from the management.

    Aim: To describe the nursing staffs experience of implementing person-centred care as a work procedure in inpatient care.

    Method: An inductive qualitative study where eleven interviews was completed. Eight interviews were strategically chosen and a content analysis was carried out.

    Result: There is hope among the participants that implementation will bring a better and safer care, but also concerns about fear of change among the healthcare staff and increased workloads. Participants experience that PCC will place higher demans on the healthcare staff, especially nurses, regarding time, knowledge and communication skills.

    Conclusion: To provide the best care, there has to be dedicated and competent staff who also have the support and understanding from the management. Despite the obstacles that seem to exist, there is a positive spirit among the nurses in relation to the implementation of person-centred care.  There is hope that person-centred care, among other things, will increase participation that could lead to shorter hospital stays and risk of needing to seek care again short after being discharged from the hospital. Ultimately it provides a better care in the whole for the individual person seeking care.

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    Sjuksköterskors upplevelser av att implementera personcentrerad omvårdnad i slutenvården
  • 6.
    Aadland, Lena
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ekelund, Anna-Karin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Livet efter att ha drabbats av en hjärtinfarkt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Cardiac care has developed during the last years. The lengths of stay for patients who have suffered a myocardial infarction have been shortened thanks to more effective medical treatment. The short period of care means that patients have to absorb a lot of information on limited time and they may have difficulties absorbing everything before they leave the hospital.

    The aim of this study is to highlight how men and women experience and manage their daily lives three to 12 month after a myocardial infarction. The study is literature based including both qualitative and quantitative studies.

    The analysis revealed three themes with subthemes: 1) to no longer be able to rely on the body 2) managing daily life 3) support. It turns out that men and women have numerous emotional experiences and that fatigue plays a big role in their recovery. Men and women deal with their situation differently. Family and friends mean a lot in the rehabilitation and nurses play an important role in supporting those affected and this is an area with a lot of work to develop.

    Conclusion: Nurses need knowledge and understanding of how patients manage and experience their situation after a myocardial infarction, as well as learning the importance of meeting each individual differently, depending on where he or she is in life and what his or her nearest environment look like. A more individualized follow-up and rehabilitation over time need to be developed.

  • 7.
    Aagaard, Hanne
    et al.
    Lovisenberg Diaconal University College, Oslo, Norway.
    Hall, ElisabethO.C.
    Health, Aarhus University, Aarhus, Denmark; Faculty of Health Sciences and Nursing University of Faroe Islands, Torshavn, Faroe Islands.
    Audulv, Åsa
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ludvigsen, Mette S.
    Department of Clinical Medicine - Randers Regional Hospital, Aarhus University, Aarhus, Denmark; Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.
    Westergren, Thomas
    Department of Public Health, University of Stavanger, Norway; Department of Nursing Science, University of Agder, Norway.
    Fegran, Liv
    Department of Nursing Science, University of Agder, Norway.
    Parents’ experiences of transitioning to home with a very-low-birthweight infant: a meta-ethnography2023In: Journal of Neonatal Nursing, ISSN 1355-1841, E-ISSN 1878-089X, Vol. 29, no 3, p. 444-452Article, review/survey (Refereed)
    Abstract [en]

    Medical-technological advances and neurodevelopmental care have improved the survival of extremely- and very-low-birthweight infants born before 32 weeks' gestation. After months in neonatal care, the infants are discharged, and parents exited but full of anxiety. This review is designed as a meta-ethnography, addressing parents' discharge experiences to comprehend the synthesised research, which includes 12 eligible studies. From the analysis, we constructed three themes: ‘approaching discharge with both uncertainty and confidence’; ‘discharge as a longed-for though disordering turning point’; and ‘facing joys, worries and multiple challenges when at home’. The overarching interpretation was ‘discharge as double-edged sword’. We conclude that bringing home very-low-birthweight infants is a joyful event, yet parents also experience discharge as never-endingly worrying, as a time filled with challenges to which parents must adapt and as necessitating continuous support from knowledgeable providers.

  • 8.
    Aagesson, Ingela
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Hammarström, Matilda
    Blekinge Institute of Technology, School of Health Science.
    Vad är det för vits med humor i vården?2006Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    Bakgrund. Skratt och humor inom vården kan minska stress, oro, rädsla och utbrändhet. Humor kan även bygga relationer och lätta upp stämningen. Humor kan användas som kommunikationsmedel mellan människor. Syfte. Syftet med studien var att belysa hur humor i vården påverkar patienter och personal. Metod. Litteraturstudie där sju vetenskapliga artiklar granskades och analyserades med inspiration av Graneheim och Lundmans (2004) analysmodell. Resultat. Studiens resultat påvisade att humor ansågs ha en viktig funktion i vården. Humor hjälpte till att bemästra svåra situationer, att hantera känslor, bidra till välbefinnande och påverka relationen och kommunikationen. Slutsats. Inom vården uppfattades humor vara viktig för både vårdpersonal och patienter. Humor ansågs kunna påverka patienter och vårdpersonal genom att vara en hjälp till att bemästra situationer, bidra till välbefinnande, hantera känslor och underlätta relationen och kommunikationen.

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    FULLTEXT01
  • 9.
    Aahlin, Eirik K
    et al.
    Department of GI and HPB Surgery, University Hospital Northern Norway, Breivika, Tromsø, Norway; Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway .
    von Meyenfeldt, Maarten
    Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands; NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University, Maastricht, The Netherlands.
    Dejong, Cornelius Hc
    Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands; NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University, Maastricht, The Netherlands.
    Ljungqvist, Olle
    Örebro University, School of Medicine, Örebro University, Sweden. Department of Surgery, Örebro University Hospital, Örebro; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
    Fearon, Kenneth C
    Clinical Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK .
    Lobo, Dileep N
    Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research, Biomedical Research Unit, Nottingham University Hospitals, Queen's Medical Centre, Nottingham, UK .
    Demartines, Nicolas
    Hospital of Lausanne (CHUV), Lausanne, Switzerland .
    Revhaug, Arthur
    Department of GI and HPB Surgery, University Hospital Northern Norway, Breivika, Tromsø, Norway; Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway .
    Wigmore, Stephen J
    Clinical Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK .
    Lassen, Kristoffer
    Department of GI and HPB Surgery, University Hospital Northern Norway, Breivika, Tromsø, Norway; Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway .
    Functional recovery is considered the most important target: a survey of dedicated professionals2014In: Perioperative medicine, ISSN 2047-0525, Vol. 3, article id 3:5Article in journal (Refereed)
    Abstract [en]

    Background: The aim of this study was to survey the relative importance of postoperative recovery targets and perioperative care items, as perceived by a large group of international dedicated professionals.

    Methods: A questionnaire with eight postoperative recovery targets and 13 perioperative care items was mailed to participants of the first international Enhanced Recovery After Surgery (ERAS) congress and to authors of papers with a clear relevance to ERAS in abdominal surgery. The responders were divided into categories according to profession and region.

    Results: The recovery targets 'To be completely free of nausea', 'To be independently mobile' and 'To be able to eat and drink as soon as possible' received the highest score irrespective of the responder's profession or region of origin. Equally, the care items 'Optimizing fluid balance', 'Preoperative counselling' and 'Promoting early and scheduled mobilisation' received the highest score across all groups.

    Conclusions: Functional recovery, as in tolerance of food without nausea and regained mobility, was considered the most important target of recovery. There was a consistent uniformity in the way international dedicated professionals scored the relative importance of recovery targets and care items. The relative rating of the perioperative care items was not dependent on the strength of evidence supporting the items.

  • 10.
    Aakre, Nina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Anestesisjuksköterskans uppfattningar av lärande till yrkesprofession: -en fenomenografisk studie.2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Anestesisjuksköterskan arbetar i en komplex vårdmiljö med självständigt ansvar för patientens anestesi under operation och förväntas bedöma och hantera komplexa vårdsituationer. Lärande till yrkesprofession sker delvis under utbildningen till specialistsjuksköterska inom anestesi och delvis inom ramen för det yrkeskollektiv som anestesisjuksköterskan arbetar. För att uppnå kompetens som anestesisjuksköterska krävs vissa komponenter i lärandet till yrkesprofession.

    Syfte: Att beskriva anestesisjuksköterskors uppfattningar av lärandet till yrkesprofession.

    Metod: Studien har en kvalitativ design med fenomenografisk forskningsansats.  Anestesisjuksköterskor från en operationsavdelning i sydöstra Sverige har intervjuats kring temat lärande till yrkesprofession. Intervjumaterialet har analyserats enligt fenomenografisk metod.

    Resultat: Fyra beskrivningskategorier som handlade om lärande till yrkesprofession identifierades. Att lära sig utföra anestesisjukvård, att lära sig tänka och agera som anestesisjuksköterska, att lära sig bemöta patienter och att lära sig samarbeta.

    Slutsats: Resultatet visar att för att lära sig vårda en patient i en anestesikontext krävs vissa komponenter. Det är viktigt att vara medveten om dessa komponenter när studenter eller nyanställda skall lära sig yrkesprofessionen. Genom klinisk träning och teoretisk förankring kan anestesisjuksköterskan lära sig vårda komplexa sjukdomstillstånd där patientens säkerhet och integritet bibehålls.

  • 11.
    Aalhuizen, Therése
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Eriksson, Per
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Språkbarriärer och tolkanvändning i vården ur sjuksköterskans perspektiv: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During 2014 over 200 different languages were spoken in Sweden, and by the end of 2017 approximately 20 % of the population was foreign born. 110 000 healthcare injuries, many of them due to failure in communication were reported by the nursing association (2017). The evident language barriers create a lack of trust and confidence between patient and nurse. To overcome the identified language barriers interpreters have become a necessary tool in order to exchange information and create a trusting relationship between patients and nurses.

    Aim: To explore the nurses experiences and perceptions of existing language barriers and the use of interpreters within healthcare.

    Method: A literature review of fifteen scientific articles. These were identified in the databases PubMed and Cinahl through searches for relevant articles with appropriate keywords.

    Results: Nurses consider language barriers to be the biggest obstacle to good communication, which often lead to misunderstandings and misinterpretations. The identified problem of communication is experienced as time consuming and the nurses perceive more planning to be needed when dealing with patients with a different mother tongue. Furthermore, it presents a severe challenge to maintain good care and establish an understanding of the patient’s story. Nurses prefer to use an interpreter on site, however interpreters by phone are more accessible. More than one underlying cause is linked to nurse’s skepticism to use interpreters. To mention one many nurses doubt the accuracy of the interpretation. Moreover, nurses acknowledge their need of further training and education in the use of interpreters.

    Conclusion: The result identified is based upon nurse’s first hand experiences of language barriers and the use of interpreters. The literature review has provided insightful knowledge and increased the understanding of language barriers and the use of interpreters in health care. The research will be an asset in future careers and provide help in overcoming set problem.

  • 12.
    Aalto, Heidi
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
    Föräldrars upplevelser av omvårdnaden av sitt sent underburna barn på BB: En intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sent underburna barn vårdas ofta på BB-avdelning för fullgångna barn. De har högre frekvens av återinläggningar på sjukhus än fullgångna barn. De flesta studier kring underburna barns vistelse på sjukhus är inte gjorda specifikt på sent underburna barn. Syfte: Syftet är att utforska föräldrars upplevelser av omvårdnaden av sent underburna barn på en BB-avdelning i Sverige. I analysen användes det teoretiska begreppet empowerment. Metod: Studien är deskriptiv med en kvalitativ ansats. Telefonintervjuer användes som datainsamlingsmetod. Fem mammor och två pappor deltog i studien. Intervjuerna analyserades med innehållsanalys. Resultat/Slutsats: Föräldrarna upplevde att personalen antingen förmedlade empowerment eller inte. Omvårdnadsåtgärder kring barnet som gjorde föräldrarna mer delaktiga upplevdes mer positivt och omvårdnadsåtgärder som orsakade en separation mellan föräldrar och barn upplevdes mer negativt. Föräldrarna hade svårt att ifrågasätta personal, även om de upplevde att något kring omvårdnadsåtgärden kändes fel. Omvårdnadsåtgärder, utfördes inte alltid i enlighet med vetenskap och beprövad erfarenhet. Personalen kan utbildas mer i att främja empowerment i föräldrarollen och därmed även öka föräldradelaktigheten i barnets omvårdnad och möjligheten att se varje familjs unika behov. Mer forskning behövs om hur detta ska ske.

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    Uppsats
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    Bilaga 1
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    Bilaga 2
  • 13.
    Aamodt, Ina Thon
    et al.
    Oslo Univ Hosp, Norway; Lovisenberg Diaconal Univ Coll, Norway.
    Lie, Irene
    Oslo Univ Hosp, Norway; Norwegian Univ Sci & Technol, Norway.
    Lycholip, Edita
    Vilnius Univ, Lithuania; Vilnius Univ, Lithuania.
    Strömberg, Anna
    Linköping University, Department of Health, Medicine and Caring Sciences, Division of Nursing Sciences and Reproductive Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart Center, Department of Cardiology in Linköping.
    Jaarsma, Tiny
    Linköping University, Department of Health, Medicine and Caring Sciences, Division of Nursing Sciences and Reproductive Health. Linköping University, Faculty of Medicine and Health Sciences.
    Celutkiene, Jelena
    Vilnius Univ, Lithuania.
    Helleso, Ragnhild
    Univ Oslo, Norway.
    Informal Caregivers Experiences with Performing Telemonitoring in Heart Failure Care at Home-A Qualitative Study2022In: Healthcare, E-ISSN 2227-9032, Vol. 10, no 7, article id 1237Article in journal (Refereed)
    Abstract [en]

    Informal caregivers have an important role in caring for family members at home. Supporting persons with a chronic illness such as heart failure (HF) in managing their self-care is reported to be a challenge and telemonitoring has been suggested to be of support. Aim: to explore informal caregivers experiences with performing non-invasive telemonitoring to support persons with HF at home for 30 days following hospital discharge in Norway and Lithuania. Methods: A qualitative explorative study of informal caregivers performing non-invasive telemonitoring using lung-impedance measurements and short message service (SMS). Data was collected using semi-structured interviews with informal caregivers of persons with HF in NYHA class III-IV in Norway and Lithuania. Results: Nine interviews were conducted with informal caregivers of persons with HF who performed non-invasive telemonitoring at home. A sequential process of three categories emerged from the data: access to support, towards routinizing, and mastering non-invasive telemonitoring. Conclusion: Informal caregivers performed non-invasive telemonitoring for the first time in this study. Their experiences were of a sequential process that included access to support from health care professionals, establishing a routine together, and access to nurses or physicians in HF care as part of mastering. This study highlights involving informal caregivers and persons with HF together in the implementation and future research of telemonitoring in HF care.

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  • 14.
    Aarni, Josephine
    et al.
    Karlstad University.
    Hornström, Linda
    Karlstad University.
    Distriktssköterskans ledarskap i hemsjukvård - ett förtroendefullt samarbete: En litteraturstudie2024Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Within the next few years more people will need home health care in Sweden, and it will become increasingly advanced. This places high demands on district nurses and nursing staff. The district nurse who is responsible for the patient´s healthcare at home delegates more than half of the healthcare tasks to nursing staff. For this to work, not least for the safety of the patient, the district nurse needs to have an effective leadership. Purpose: To describe district nurse´s experiences of leading nursing staff in home health care. Method: The literature review was carried out in a systematic way with the support of Polit and Beck´s key step and had an inductive design. A total of twelve articles were found which were searched in the databases CINAHL, PsycInfo and PubMed. The data was analyzed through a thematic analysis according to Braun and Clark´s description. Results:  The main theme Person-related factors was built up by the following subthemes: Trusting relationship, Cooperation, Communication and Stress and anxiety. The main theme Organization-related factors was built up by the following subthemes: Allocating nursing tasks, Education and competence and Work environment. Conclusion: Feeling trust and having a trusting relationship with the nursing staff, as well as a functioning collaboration, facilitated leadership for the district nurse. There is a need for trained nursing staff and more time need to be set aside for the district nurse for meetings with the nursing staff, this would facilitate the leadership.

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  • 15.
    Aarts, Clara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Greiner, Ted
    Regarding the review article by Erlanson-Albertsson and Zetterström, Acta Paediatr 2005;94:1523-312006In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 95, no 5, p. 623-624Article in journal (Refereed)
  • 16.
    Aaröe, Olivia
    et al.
    Luleå University of Technology, Department of Health, Learning and Technology.
    Ullenius Ekengren, Fanny
    Luleå University of Technology, Department of Health, Learning and Technology.
    Personers upplevelser av att leva med lungfibros: En litteraturstudie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Lungfibros är en kronisk respiratorisk sjukdom som kännetecknas av nedsatt lungfunktion och andningssvårigheter. Det finns otillräckliga resurser i form av stöd för personen som drabbats av lungfibros och sjukdomen missförstås av hälso-och sjukvårdspersonal och samhället. Behandlingen är bristfällig och fokuserar i dagsläget på att förebygga, behandla och lindra symtom för att öka livskvaliteten för personen som är drabbad. Det finns utmaningar med vård som enbart fokuserar på symtomlindring och det finns behov av ytterligare insatser för att uppnå en förbättrad livskvalitet hos den enskilda personen med lungfibros. Syfte: Att beskriva personers upplevelser av att leva med lungfibros. Metod: Litteraturstudie med induktiv ansats där tio vetenskapliga artiklar har analyserats med kvalitativ manifest innehållsanalys. Resultat: Analysen resulterade i fem slutkategorier som beskriver personers upplevelser av att leva med lungfibros: en turbulent resa från symtom till diagnos, att känna en inre och yttre påverkan, en förändring och påverkan i det dagliga livet, att ha behov av stöd och information, och att ha funderingar inför en oviss framtid. Slutsats: För personer som lever med lungfibros och deras närstående är stöd, information och copingstrategier avgörande i det dagliga livet. Sjuksköterskan har en viktig roll gällande kommunikation och den bör vara personcentrerad och anpassad till personens behov och takt. Samtal om livets slutskede är nödvändigt för personer med lungfibros, men brister ofta i vård och omvårdnad av denna patientgrupp. 

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  • 17.
    Aas, Lars
    Sophiahemmet University College.
    Dokumentation av sjuksköterskor hos patienter som försämras innan hjärtstopp på ett stort svenskt universitets sjukhus2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 18.
    Aasa, Agneta
    et al.
    Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
    Hovbäck, Malin
    Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
    Det preoperativa informationssamtalets betydelse för patientens delaktighet i sin vård inom kolorektalkirurgi2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: ERAS (Enhanced Recovery After Surgery) är ett standardiserat multimodalt vårdprogram vid elektiv kolorektalkirurgi, som syftar till snabbare återhämtning och kortare vårdtider genom ett tvärprofessionellt samarbete.  En vecka innan planerad operation träffar sjuksköterskan patienten för ett samtal om vårdförloppet.

     

    Syfte: Att identifiera och beskriva patientens upplevelse av sjuksköterskans ERAS- samtal och dess betydelse för patientens delaktighet i sin vård. 

     

    Metod: Datainsamlingen skedde genom kvalitativa intervjuer. Tolv patienter, nio män och tre kvinnor har intervjuats. De ljudinspelade samtalen har transkriberats ordagrant och analyserats med hjälp av tolkande fenomenologisk analys (Interpretative Phenomenological Analysis).

     

    Resultat: Analysarbetet resulterade i fem olika teman; bli sedd, trygghet, tillit, ansvar samt delaktighet. Alla teman relaterar till varandra och illustrerar en positiv och en negativ sida av den upplevda erfarenheten. Tillsammans bildar en helhet av upplevelsen; ERAS- samtalet och dess betydelse för patientens delaktighet.

     

    Konklusion: Resultatet visar att patienterna känner sig sedda under informationssamtalet. Det är viktigt att bekräfta patienten och knyta an mer till informationssamtalet under vårdtiden för att patienterna ska vara delaktiga och ta eget ansvar. Tilliten till vårdpersonalen har betydelse för att patienterna ska känna trygghet. Studien visar att ERAS- samtalet upplevs strukturerat och individuellt men informationen måste följa patienterna under hela vårdtillfället.

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    magisteruppsats
  • 19.
    Aasa, Malin
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    Berglund, Åsa
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).
    “Det är väl bara att äta”: Sjuksköterskans perspektiv av att vårda tonåringar med anorexia nervosa2024Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 20.
    Aasa, Mari
    et al.
    Sophiahemmet University College.
    Larsson, Marie
    Sophiahemmet University College.
    Upplevelse av rapportering i samband med patientöverföring på en akutklinik2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 21.
    Aasen, Elin M.
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Nilsen, Halvard K.
    Clinic of Cancer and Rehabilitation, Møre og Romsdal Hospital Trust, Aalesund (NOR).
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Helberget, Lindis K.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Kjelsvik, Marianne
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    From open to locked doors - From dependent to independent: Patient narratives of participation in their rehabilitation processes2021In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 30, no 15-16, p. 2320-2330Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: The present study aimed to explore patients' experiences of participating in their rehabilitation process in the context of specialised rehabilitation in Norway.

    BACKGROUND: The rights of patients to participate in their care and treatment is an ideology that underlines newer international and Norwegian public documents. However, there is a gap between policy statements and clinical practice, and a discrepancy between patients' and professionals' statements about patient participation in rehabilitation.

    DESIGN: A qualitative approach with a narrative design.

    METHODS: Eleven patients were individually interviewed to tell their stories about the rehabilitation processes. We utilised narrative analysis with a three-dimensional space narrative structure including temporality, sociality and spatiality. This study followed the COREQ checklist.

    RESULTS: The analysis identified two throughout plots: 'person-centred culture' and 'time', and three plots which constructed how the patients participate in change through the rehabilitation process: (a) dependent-'open doors'; (b) motivation from within; and (c) independence-'locked doors'.

    CONCLUSIONS: Patient participation in rehabilitation was dependent on person-centred cultures in the unit and on different aspects of time. The dialogue and the power balance between the patients and the health personnel changed as the rehabilitation progressed. Motivation for rehabilitation had to come from within patients. The paternalistic ideology did not seem to dominate the specialised rehabilitation unit in the present study.

    RELEVANCE TO CLINICAL PRACTICE: This study gives new insight into how patients participate in change in the rehabilitation process. This can be valuable for healthcare professionals and governments. Insight into how the lack of person-centred focus can harm the rehabilitation process, and a deeper understanding of the meaning of time in the rehabilitation process is essential. These results may provide a stimulus for discussions on how patients might participate in their rehabilitation process.

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    Wiley
  • 22.
    Aasen, Elin Margrethe
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Dahl, Berit Misund
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Ottesen, Aase Marie
    Aalborg University (DNK).
    Strunck, Jeanne
    Aalborg University (DNK).
    Eriksson, Henrik
    Högskolan Väst, Avdelningen för omvårdnad - avancerad nivå.
    Dahlborg, Elisabeth
    Högskolan Väst, Avdelningen för omvårdnad - avancerad nivå.
    Boman, Åse
    Högskolan Väst, Avdelningen för omvårdnad - avancerad nivå.
    Vestgarden, Lisbeth Alnes
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Tengelin, Ellinor
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV). Högskolan Väst, Avdelningen för omvårdnad - avancerad nivå.
    Scandinavian Online Cancer Information as Expressions of Governmentality2023In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 46, p. 293-305Article in journal (Refereed)
    Abstract [en]

    We compared online distributed information provided to patients with cancer in Scandinavian countries through the lens of governmentality. A secondary comparative qualitative analysis was conducted. Discourses in online patient information showed differences in governmentality techniques across the countries: Norway used a paternalist approach, Denmark an educative approach, and Sweden an individualistic approach and expected the patients to make the “right” decisions. Online information for patients with cancer in Denmark and Norway showed high professional and health care system involvement, whereas in Sweden, there was high patient involvement. There was almost no use of the person-centered approach among the online discourses

  • 23.
    Aasen, Elin Margrethe
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Dahl, Berit Misund
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Ottesen, Aase Marie
    Aalborg University (DNK).
    Strunck, Jeanne
    Aalborg University (DNK).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vestgarden, Lisbeth Alnes
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Tengelin, Ellinor
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Health Sciences, Rehabilitation Science, Mid Sweden University.
    Scandinavian Online Cancer Information as Expressions of Governmentality2023In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 46, no 3, p. 293-305Article in journal (Refereed)
    Abstract [en]

    We compared online distributed information provided to patients with cancer in Scandinavian countries through the lens of governmentality. A secondary comparative qualitative analysis was conducted. Discourses in online patient information showed differences in governmentality techniques across the countries: Norway used a paternalist approach, Denmark an educative approach, and Sweden an individualistic approach and expected the patients to make the “right” decisions. Online information for patients with cancer in Denmark and Norway showed high professional and health care system involvement, whereas in Sweden, there was high patient involvement. There was almost no use of the person-centered approach among the online discourses

  • 24.
    Aaskoven, Mette
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Hietala, Ulrika
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Föräldrars upplevelse av att ha ett barn med diabetes typ 12019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Typ 1 diabetes är en sjukdom som mer än 500 000 barn och unga under 17 år lever med och kräver livslång behandling. För barnens föräldrar innebär detta en omställning i det dagliga livet och i deras föräldraskap. Föräldrarna kan ha behov av stöttning från vårdpersonal. Syfte: Att beskriva föräldrars upplevelse av att ha ett barn med typ 1 diabetes. Metod: Kvalitativ manifest innehållsanalys användes som analysmetod och 12 vetenskapliga artiklar med kvalitativ ansats ingick i resultatet. Analysen resulterade i fem slutgiltiga kategorier. Resultat: Föräldrar till ett barn med typ 1 diabetes kan uppleva att diagnosen förändrar livet. Vardagen styrs av kontroll och planering vilket leder till många känslor som är svåra att hantera. Föräldrarna behöver tillgänglighet från vårdpersonal och andra för att känna trygghet och för att kunna hantera livet med ett barn med diabetes typ 1. Slutsatser: För att sjuksköterskan ska kunna ge en god omvårdnad är det av betydelse att hen kan relatera till både patienter och anhöriga. Sjukvården har en viktig roll att genom stor tillgänglighet och uppbackning vara ett stöd och därmed vara en trygghet för familjerna i vardagen. Denna studies resultat kan ge en ökad förståelse för föräldrars upplevelse av att ha barn med diabetes typ 1. Det behövs mer kunskap inom området för att sjuksköterskor ska kunna bemöta och stötta familjerna vilket kan leda till förbättrad omvårdnad.

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  • 25.
    Aass, Lisbeth Kjelsrud
    et al.
    Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
    Moen, Øyfrid Larsen
    Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
    Skundberg-Kletthagen, Hege
    Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
    Lundqvist, Lars-Olov
    Örebro University, School of Health Sciences. University Health Care Research Center.
    Schröder, Agneta
    Örebro University, School of Health Sciences. Örebro University Hospital. Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway; Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
    Family support and quality of community mental health care: Perspectives from families living with mental illness2022In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 31, no 7-8, p. 935-948Article in journal (Refereed)
    Abstract [en]

    Aim and objectives: Describe patients' and family members' perceptions of family support from nurses and other mental healthcare professionals, and quality of care in community mental healthcare service. Further, compare the perceptions of patients and family members.

    Background: While patients value family involvement, family members feel unprepared and lack the necessary skills to be supportive. Since healthcare professionals predominantly focus on patients, they may fail to understand the complex needs of families. Family perceived support and quality of community mental health care may vary across patients and family members.

    Design and methods: Cross-sectional study with patients suffering from mental illness and family members in community mental healthcare services in Norway. Altogether 86 participants, of whom 33 patients and 33 family members had a family relationship-paired samples. Participants filled in the translated version of the Iceland Family Perceived Support Questionnaire (FPSQ-N) and Quality in Psychiatric Care-Community Out-Patient (QPC-COP) and Community Out-Patient Next of Kin (QPC-COPNK). STROBE checklist was used.

    Results: Family members scored family perceived support and quality of community mental health care lower than patients. Family members feel the loss of support. Patient and family members found the Patient-healthcare professionals' relationship to be of high quality, while family members gave low score to being respected and invited to take part in care by nurses and other mental healthcare professionals.

    Conclusion: Family members' unmet need of support highlights the need for nurses and other community mental healthcare professionals to assess complex family needs and to intervene. Barriers to collaboration exist, and family members need to be respected and invited into community mental health care. Relevance to clinical practice Contributes knowledge of how to meet the family's needs and provides a basis for further care and treatment development in similar contexts nationally and internationally.

  • 26.
    Aass, Lisbeth Kjelsrud
    et al.
    Norwegian University of Science and Technology, Gjøvik, Norway.
    Skundberg-Kletthagen, Hege
    Norwegian University of Science and Technology, Gjøvik, Norway.
    Schröder, Agneta
    Örebro University, School of Health Sciences. Örebro University Hospital. Norwegian University of Science and Technology, Gjøvik, Norway; Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Sweden.
    Moen, Øyfrid Larsen
    Norwegian University of Science and Technology, Gjøvik, Norway.
    Young Adults and Their Families Living With Mental Illness: Evaluation of the Usefulness of Family-Centered Support Conversations in Community Mental Health care Settings2020In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 26, no 4, p. 302-314Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to evaluate the usefulness of Family-Centered Support Conversations (FCSC) offered in community mental health care in Norway to young adults and their families experiencing mental illness. The FCSC is a family nursing intervention based on the Calgary Family Assessment and Intervention Models and the Illness Beliefs Model and is focused on how family members can be supportive to each other, how to identify strengths and resources of the family, and how to share and reflect on the experiences of everyday life together while living with mental illness. Interviews were conducted with young adults and their family members in Norway who had received the FCSC intervention and were analyzed using phenomenography. Two descriptive categories were identified: "Facilitating the sharing of reflections about everyday life" and "Possibility of change in everyday life." The family nursing conversations about family structure and function in the context of mental illness allowed families to find new meanings and possibilities in everyday life. Health care professionals can play an important role in facilitating a safe environment for young adults and their families to talk openly about the experience of living with and managing mental illness.

  • 27.
    Aastrup, Minna
    et al.
    University of Skövde, School of Life Sciences.
    Bergström, Tyra
    University of Skövde, School of Life Sciences.
    Sjuksköterskans postoperativa omhändertagande av patienter som genomgått generell narkos.2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Studies have shown that the care should be adapted to the individual patient. The postoperative patient has a special need for information. The postoperative needs are ranked different by nurses and patients. Nurses find that competent caregivers, pain relief and the treatment should be a high priority. Patients feel that competent caregivers, communication and a good care are the most important needs that they have in the postoperative setting. The aim of this study is to describe nurses postoperative care of patients who has undergone a general anesthesia and who is treated at surgical ward. The study has a qualitative approach. The data has been collected through semistructural interviews. Six nurses’ have been interviewed. This study shows that information is an important aspect in the patients care. It is important to inform the patient about what is going to happen and what has happened, the patient should also inform the nurse about their condition. There should also be a communication between the different caregivers. Is it also essential that the nurses are attentive to the patient’s pain. Collaboration between caregivers and between the nurse and patient is vital for a good care. The care should be adapted to the individual needs of the patients.

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  • 28.
    Aav, Christoffer
    et al.
    Swedish Red Cross University.
    Norgren, Erik
    Swedish Red Cross University.
    Sökandet Efter Trygghet: HBTQ+ Flyktingars Upplevelser av Vårdmöten Efter Migration2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of forced migrants is increasing globally. The health and human rights of lesbian, gay, transgender, queer people and other people with diverse sexuality and gender identities [LGBTQ+], are challenged, as well as those of migrants and refugees. Forced migrants self-identifying as LGBTQ+ are exposed to severe violence and health-related burdens during and after their migration. Nurses are responsible to ensure universal and person-centred healthcare.

    Aim: The aim of this study was to synthesise qualitative research exploring post-migration experiences of healthcare encounters between LGBTQIA+ forced migrants and health professionals, based on the perspectives of both parts.

    Method: Literature review of qualitative empirical research. Structured searches were performed in four databases and eight scientific reports were included following screening. Methodological quality was appraised and the results in the reports were analysed using qualitative metasynthesis.

    Results: All reports were appraised to have high methodological quality. Safety and security were essential for LGBTQIA+ migrants’ experience of healthcare encounters. LGBTIA+ migrants experienced barriers to healthcare as well as discriminatory attitudes in healthcare systems post migration. Knowledge and understanding of LGBTQIA+ migrants were important to create safe and dignified healthcare encounters.

    Conclusion: More research about this group is needed in a variety of geographic regions and different clinical settings. Reflective practice and affirming care can create safer healthcare encounters for LGBTQIA+ migrants.

  • 29.
    Abadi, Mahnour
    et al.
    Swedish Red Cross University.
    Akter, Mst Tohmina
    Swedish Red Cross University.
    Sjuksköterskors erfarenheter av att stödja patienter med diabetes typ 2 till egenvård inom primärvården: En allmän litteraturstudie2024Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes is an increasingly prevalent public health issue characterized by a progressive disease course. It is attributed to various factors, including lifestyle, reduced physical activity, and genetics. Enhanced knowledge among primary care nurses can enable patients to implement lifestyle changes effectively.

    Aim: The purpose was to describe nurses’ experiences of supporting patients with type 2 diabetes to selfcare in primary health care settings.

    Method: This study employs a general literature review methodology with qualitative approaches, drawing on 10 scientific articles.

    Results: The analysis identified two main categories: communication as well as knowledge and motivation. These categories were crucial from the nurse´s side to achieve self-care in the patient. Different experiences emerged from nurse´s side to achieve motivation and communication.

    Conclusion: Type 2 diabetes is a growing public health concern. A significant barrier to effective management is the lack of knowledge among both nurses and patients. There is a critical need for competent nurses in primary care to motivate patients towards lifestyle modification and self-care.

  • 30.
    Abasi, Shaimaa
    Halmstad University, School of Health and Welfare.
    Patienters upplevelser av att leva med en ileostomi: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of people with a stoma increases for every year. Various diseases and causes can lead to an ileostomy, whether it is temporary or permanent. The nurse has a responsibility for patients with ileostomy by providing high quality nursing care, education and information. Aim: The aim was to highlight patient’s experiences with having an ileostomy. Method: The implementation of the literature study took place with an inductive approach. Result articles with both qualitative and quantitative methods were used to form the result. Various themes were formed which were divided into categories. Results: The result formed three categories that highlighted patients' experiences of an ileostomy: “The impact of ostomy on physical well-being”, “The impact of ostomy on psychological well-being” and “The impact of ostomy on social well-being”. The ileostomy had a major impact on patients' lives and the ability to adapt to it could look different from individual to individual. The patients felt that it was important to have emotional support from relatives and healthcare professionals. Conclusion: Patients with an ileostomy need constant follow-up by healthcare professionals. Support and information can help patients manage and adapt easier to their ileostomy.

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  • 31.
    Abassi, Farzad
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av att skapa samt upprätthålla delaktighet i samband med vård av personer med psykossjukdom: en intervjustudie2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Enligt personcentrerad vård skall patienten ses som en jämlik part och vara delaktig under hela vårdprocessen. Centrala delar i personcentrerad vård är det omfattande perspektivet som ser patientens hela situation, patientens egen förståelse och egna erfarenhet av situationen och deltagandet i beslutfattande. Studier visar att arbetssättet personcentrerad vård bidrar till ökad delaktighet inom den psykiatriska vården och leder till känslor av trygghet och tillit hos patienter.

    Syfte: Syftet med denna intervjustudie var att beskriva sjuksköterskors erfarenheter av att skapa samt upprätthålla patientdelaktighet i vård av personer med psykossjukdom.

    Metod: Semistrukturerade intervjuer gjordes i denna studie med tio sjuksköterskor verksamma inom psykiatrisk vård i två verksamheter inom sjukvårdsområden i Stockholm. Kvalitativ innehållsanalys valdes som metod vid analysen av materialet.

    Resultat: Resultatet visar på att patientdelaktighet är viktig då det leder till gynnsamma effekter för både personal och patienter och kan leda till mer effektiva och kortare vårdtider.

    Diskussion: Ramverket för McCormack och McCances (2006) teori om personcentrerad vård och tidigare forskning om patientdeltagande i psykiatrisk vård har hjälpt författaren att diskutera resultat som erhållits i denna intervjustudie.

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  • 32.
    Abassi, Farzad
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Leites, Rafael
    Ersta Sköndal University College, Department of Health Care Sciences.
    Den icke-verbala kommunikationens betydelse för sjuksköterskans omvårdnadsarbete2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 33.
    Abate, Dawit
    Sophiahemmet University College.
    Stress och dess påverkan på sjuksköterskans omvårdnadsrelation2002Independent thesis Basic level (degree of Bachelor), 5 credits / 7,5 HE creditsStudent thesis
  • 34.
    Abay, Selamawit
    et al.
    Örebro University, School of Health Sciences.
    Segerdahl, Anna
    Örebro University, School of Health Sciences.
    Kommunikation mellan vårdpersonaloch patienter med afasi till följd av strokeEn litteraturstudie2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
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    Kommunikation mellan vårdpersonal och patienter med afasi till följd av stroke En litteraturstudie
  • 35.
    Abbas, Maisaa
    et al.
    Luleå University of Technology, Department of Health Sciences.
    Andersson, Elisa
    Luleå University of Technology, Department of Health Sciences.
    Personers upplevelser av att överleva ett hjärtstopp - ett litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Hjärtstopp drabbar cirka 10 000 personer årligen i Sverige. Antalet personer som överlever ett hjärtstopp har ökat stadigt de sista åren, men fortfarande är det den vanligaste orsaken till plötslig död utanför sjukhus. För de personen som överlever innebär det att livet plötsligt förändras och fokus i det dagliga livet blir på händelsen och dess konsekvenser. Syftet med denna litteraturstudie var att beskriva de drabbades upplevelser av ett hjärtstopp. En kvalitativ design användes och nio vetenskapliga studier analyserades systematiskt med innehållsanalys. Analysen resulterade i fem kategorier: Att känna oro, att få ett nytt livsperspektiv, att kroppsliga begränsningar leder till känslor av rädsla och maktlöshet, att känna tacksamhet men vara i behov av stödsamtal, att vara i behov av information. Resultatet visade att personer som överlevt ett hjärtstopp hade många frågor och funderingar kring det inträffade men upplevde att de fick bristande information från sjukvården. Känslor som otrygghet, ångest och osäkerhet var vanligt samt oro inför framtiden. Resultatet från denna litteraturstudie kan användas för att öka kunskapen om hur personerna mår psykiskt och fysiskt, samt vilka behov de har för att hantera livet. Det behövs mer omvårdnadsforskning inom området med fokus på sjuksköterskors upplevelser av att vårda de drabbade personerna. Målet är att skapa trygghet hos sjukvårdspersonal så att de kan stötta dessa personer på bästa sätt och främja en läkning hos dem och anhöriga.

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  • 36.
    Abbas, Sahar
    et al.
    University of Skövde, School of Life Sciences.
    Rydholm, Tuija
    University of Skövde, School of Life Sciences.
    Barnmorskans stategier för att skapa ett positivt möte med kvinnan2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det första mötet mellan barnmorskan och kvinnan är nyckeln till en positiv upplevelse av förlossningen. Dagens förlossningsvård strävar efter att varje förlossning ska bli en unik händelse för kvinnan. Barnmorskans ansvar med bakomliggande strategier är att se till att det här första mötet blir ett lyckat möte. Syftet med denna studie var att belysa vilka strategier barnmorskan har för att skapa ett positivt första möte, där kvinnan är i ett aktivt värkarbete. Metoden som användes var intervjuer som analyserades med kvalitativ innehållsanalys. Sex barnmorskor vilka arbetar inom förlossningsvård i ett län i Västsverige deltog i studien. De svarade på fyra öppna frågor hur de skapar ett positivt första möte med kvinnan. Barnmorskornas strategier beskrivs i huvudtemat Närvarande och Lyhörd med kategorierna: Kvinnan i fokus, Skapa trygghetskänsla och Skapa delaktighet. Det framkom även hur viktigt dialogen mellan barnmorskan och kvinnan är för att sedan utveckla en relation och skapa ett positivt första möte.

  • 37.
    Abbasghomi, Amir
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Olsson, Markus
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Svårt sjuka barn i prehospital miljö: -        En intervjustudie om ambulanssjuksköterskans upplevelse av att vårda svårt sjuka eller skadade barn prehospitalt2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 38.
    Abbay, Yonas Afewerki
    University of Skövde, School of Health and Education.
    Patienters upplevelser av egenvård vid typ 2-diabetes2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund – Typ 2 diabetes mellitus är en av Värdens folksjukdomar som kraftigt ökar nedåt i åldrarna, med förändring i näringsvanor och stillasittande livsstil. Människor med typ 2 diabetes har stora risker att utveckla mikro- och makrovaskulära komplikationer och detta ökar behandlingskostnader och förkortar personens livslängd. Behandlingen för sjukdomen kräver att personen gör ett antal livsstilsförändringar i bland annat kost och motion. Syfte - syfte av denna studie är att beskriva patienters upplevelser av egenvård vid typ-2 diabetes. Metod - Denna studie genomfördes som en litteraturöversikt baserad på vetenskapliga artiklar med kvalitativ design. Resultat - analysen resulterade i olika upplevelser av egenvård och dessa har kategoriserats i huvudkategorier med underkategorier: 1) Att anpassa sig till de nya levnadsvanorna: Ny kosthållning och Nya motionsvanor, 2) Behöv av stöd; Stöd från närstående och Stöd från sjuksköterska, 3) Att lära sig nya levnadsvanor. Patienterna upplevde en förändrad livsstil på grund av de omständigheter diabetes gav. Information, motivation och färdigheter var tre viktiga faktorer för att patienterna skulle göra livstilförändring för att egenvård ska lyckas. Diskussion - Patienten själv och relationen till sjuksköterskan är huvudpunkter som påverkar patientens livstilförändringsprocessen för att egenvården ska lyckas. Sjuksköterskan gör allt för att uppnå maximalt stöd för patienten.

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  • 39.
    Abdallah, Amira
    et al.
    University West, Department of Health Sciences.
    Abdi Goukmahi, Sima
    University West, Department of Health Sciences.
    Ungas sexuella hälsa: En systematisk litteraturöversikt om skolsköterskans samt barn och ungdomars perspektiv2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Good health includes sexual health fulfilled and preserved through respect for the individual's sexual rights. Sexuality has no fixed definition and can be influenced by factors such as biological, social, cultural, and religious. The school nurse has a vital role butlacks the tools and skills to hold conversations about sexual health with children and adolescents. Research shows that the school nurse lacks knowledge, tools and cooperationregarding teaching about sexual health. Other studies show that children and adolescents want school nurses to be more included in sexual and reproductive health education. The aim wasto shed light on sexual health from the perspective of school nurses and children and adolescents. Method: A systematic literature review with an inductive approach was chosen based on Polit and Beck (2020). Eight qualitative studies were analyzed based on qualitative content analysis according to Lundman & Graneheim (2017). The results are presented in three themes: Perspectives on how sexual health is communicated, shared and mediated; Communication in conversations and Obstacles in conversations. Conclusion: The school nurse's work with sexual health continues to be complex and there is a need for knowledge and development in various areas. In addition, children and young people lack up-to-date and adapted information for today's meaning of sexual health and for their level of development. The meeting and conversation about sexual health between the school nurse and children and young people is made possible by adapted spaces for the school nurse's work, maintenance of integrity and confidentiality, choice of attitudes and language in the meeting and the skills of the school nurse. In addition, cultural and religious backgrounds influence children's and young people's perception of sexual health, therefore it is important to give them the opportunity to talk about it.

  • 40.
    Abdalle Hussein, Suaado
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Moreira, Melissa Silva
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Äldre personers och anhörigas upplevelser av besök på akutmottagningar: en litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background.  Older people currently constitute the largest patient group visiting emergency departments worldwide and are often accompanied by carers and/or relatives. The aging part of the population is increasing which leads to a greater strain on the health care system. While emergency departments offer acute care services to the general population, they are not well suited for the particular needs of older people and their relatives. Being aware of the issues older people and their relatives face during visits to the emergency department can help to deliver better suited care for this growing part of the population.  Aim. The aim of this literature review is to investigate older peoples’ and relatives’ experiences of visiting emergency departments.  Methods. The method of this study is a literature review of 14 articles from Australia, Europe, North America and South America. The databases used to find the articles were CINAHL and PubMed. Results. Results were divided into positive and negative themes. The six negative themes that emerged were: Lack of communication; Lack of patient involvement; Long waiting times; Lack of attentiveness; Inadequate physical environment and inadequate management of needs and symptoms. The positive theme that emerged was that emergency departments as reliable and easily accessible health care facilities. Conclusions. Older people and their relatives see their emergency department experience as mostly negative, exposing a need for better communication practices, positive person-centred interactions between health care staff and patients as well as their relatives and changes to the physical environment and health care system of the emergency department.

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  • 41.
    Abdel Ahad, Nahla
    et al.
    University West, Department of Health Sciences.
    Lundberg, Sofia
    University West, Department of Health Sciences.
    Att leva med typ 2 diabetes: en scoping review om patienters perspektiv2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes Mellitus is a disease that 537 million adult people lived with in 2021. Themost common type of diabetes is type 2 diabetes (T2D) which is found in 95 percent of those with diabetes. The disease can be defined as a metabolic disorder in the body that leads to the body's cells being unable to satisfy themselves glucose, resulting in glucose accumulating in the blood and producing elevated blood sugar values. Living with T2D means an increased risk of dying. In 2021, the diabetic disease resulted in 6.7 million deaths. There is also a risk of developing diabetes-related complications, both acute and long-term, which can lead to an impaired quality of life. Person-centered care is a central part of health care, by working based on the person's wishes and needs, the person's self-care is improved and strengthened. Performing self-care can reduce both morbidity and mortality, as well as increase health and well-being. Self-care can be, for example, following recommendations on diet and physical activity. However, self-care can be difficult as the result can be seen only in the long term, which causes motivation to drop.

    Aim: The aim of this study was to highlight patients' perspectives of living with type 2 diabetes.

    Method: To answer the purpose of the study, scoping review was used. The method is used to map literature in a particular area. Data was retrieved from three different databases where 21 articles were considered to respond to the purpose of the study and met the inclusion criteria. The articles were then analyzed through a thematic analysis.

    Results: The result revealed four themes and nine sub-themes. The first theme is the importance of self-care, where it turns out that lifestyle change, barriers and digitalization affect self-care management. The second theme is the role of care, where it emerged that knowledge and relationship with health care is considered important for people with T2D. The third theme; social life, describes how people with T2D can be affected both positively and negatively by family and friends. The last theme the impact of the disease on the body and mind, emphasizes how the disease affects the person's well-being. It was clear that many people with T2D experience negative emotions related to the disease, such as worry, shame and frustration.

    Conclusion: The results of the study show that people with T2D can face many challenges in life that affect self-care management and well-being. It is clear that people with T2D experience the disease in different ways and have different needs. This suggests that health care should work to develop the person-centered approach

  • 42.
    Abdel Ghani, Rania Mahmoud
    et al.
    Faculty of Nursing, Cairo University.
    Berggren, Vanja
    Kristianstad University, School of Health and Society.
    Parturient needs during labor: Egyptian women’s perspective toward childbirth experience, a step toward an excellence in clinical practice2011In: Journal of Basic and Applied Scientific Research, ISSN 2090-4304, Vol. 1, no 12, p. 2935-2943Article in journal (Refereed)
    Abstract [en]

    Background:

    Every woman giving birth has expectations. Identifying women’s expectations, wishes, needs and fears enable the health care provider(s) to work toward a common goal of safe and positive childbirth experience.

    Aim:

    The aim was to determine women’s preferences and needs during labor.

    Design:

    Analytic- cross sectional study.

    Setting:

    El Kasr- Aini, - Cairo- University Maternity Hospitals.

    Sample:

    A random sample of 400 women were recruited in the present study with the following criteria; age ranged between 20-30 years old, can read and write, primigravida, nulliparous woman with singleton low risk pregnancies, in the third trimester, up to 37 weeks of gestational age, no previous abortion and free from any medical complains.

    Procedure:

    Data collection took place in the antenatal clinic, each interview administrated questionnaire took a time between 10-15 minutes. Mothers completed the questionnaire in the antenatal clinics during their waiting for medical examination.

    Results:

    Twenty two need requirements emerged from the women's perspective. The highest ranked needs for parturient women during labor are; maintaining privacy through all procedures of 86.5%, accessibility of nurses demonstrate empathy of 67.5%, availability to ventilate and expressing fear and anxiety of 57.5%, quick response to request of 67.5%, frequent monitoring of 52.8%, accessibility of caring medical staff of 47.2% and short delivery of 52.8%.

    Conclusion:

    Despite good general coverage of labor care among women, there were clear variations in the type of management given to them or needed by them. This study confirms that different factors predict the multidimensionality of childbirth satisfaction.

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  • 43.
    Abdelnur, Sofia
    Sophiahemmet University College.
    Omhändertagande av patienter med panikångest: en forskningsöversikt2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 44.
    Abdelrazek, Fathya
    et al.
    Faculty of Nursing, Suez Canal University, Port-Said, Egypt.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Aly, Magda
    Faculty of Nursing, Suez Canal University, Port-Said, Egypt.
    El-Sabour, Mona Abd
    Faculty of Nursing, Suez Canal University, Port-Said, Egypt.
    Ibrahim, Naglaa
    Faculty of Nursing, Suez Canal University, Port-Said, Egypt.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Leadership and management skills of first-line managers of elderly care and their work environment2010In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 18, no 6, p. 736-745Article in journal (Refereed)
    Abstract [en]

    Aim To study the leadership and management skills of first-line managers (FLMs) of elderly care and their work environment in Egypt and Sweden. Background FLMs in Egypt and Sweden are directly responsible for staff and quality of care. However, FLMs in Sweden, in elderly care, have smaller units/organizations to manage than do their colleagues in Egypt. Furthermore, family care of the elderly has been the norm in Egypt, but in recent years institutional care has increased, whereas in Sweden, residential living homes have existed for a longer period. Methods A convenience sample of FLMs, 49 from Egypt and 49 from Sweden, answered a questionnaire measuring leadership and management skills, structural and psychological empowerment, job satisfaction and psychosomatic health. Results In both countries, FLMs' perceptions of their leadership and management skills and psychological empowerment were quite high, whereas scores for job satisfaction and psychosomatic health were lower. FLMs had higher values in several factors/study variables in Egypt compared with in Sweden. Conclusion and implications The work environment, both in Egypt and Sweden, needs to be improved to increase FLMs' job satisfaction and decrease stress. The cultural differences and levels of management have an effect on the differences between the two countries.

  • 45.
    Abdi Ahmed, Mumin
    et al.
    University of Skövde, School of Health Sciences.
    Jakobsson, Nicole
    University of Skövde, School of Health Sciences.
    Faktorer som påverkar sjuksköterskans beslutsfattande i akutsjukvården: En litteraturöversikt2024Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Emergency care is a crucial aspect of healthcare that patients seek out to obtain assistance. Nurses who encounter these patients must make important and life-changing decisions in a variety of situations where life and death hang in the balance.

    Aim: Highlight the factors that influence the nurse’s decision-making in emergency care.

    Method: This study is a literature review with quantitative and qualitative studies. 10 articles were selected to compile a result.

    Findings: The study produced three themes: Nurse professional attributes, environment, and ethical dilemmas. Alongside eight categories.

    Conclusion: Evidence-based knowledge is essential for the nurse's decision-making ability. Supported by experience and a person-centered approach that promotes patient integrity and values.

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  • 46.
    Abdi Ali, Ibrahim
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jägerud, Lina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Den äldre patientens upplevelse av delaktighet vid vård i hemmet2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I dagens globala samhälle lever allt fler människor längre och i flera länder har det setts en ökning i den äldre populationen. Det kan innebära att allt fler äldre patienter kommer att vårdas i hemmet. Det är viktigt att vården som ges fokuserar på att göra den äldre patienten delaktiga. När delaktigheten inte sker fullt ut kan den äldre patienten förlora förmågan att påverka vården vilket riskerar leda till en minskad känsla av välbefinnande och ett vårdlidande kan uppstå. Syfte: Syftet med litteraturstudien är att belysa den äldre patientens upplevelse av delaktighet vid vård i hemmet. Metod: Studien är en litteraturöversikt där tio kvalitativa vetenskapliga artiklar granskats. Artiklarna söktes via databaserna Cinahl och Medline Resultat: Resultatet presenteras i två huvudteman och sju underteman. Upplevelse av förtroendefulla möten och känsla av självständighet med underteman: Betydelsefulla relationer, Att vara närvarande i kommunikationen, Inte vilja vara till besvär, Möjlighet att påverka, Kunskapens betydelse, självbestämmande och Att inte bli lyssnad på. Resultatet visade att en upplevelse av förtroende i mötet var viktigt för den äldre patientens delaktighet. Vidare visade resultaten att en känsla av självständighet var centralt för den äldre patientens upplevelse av delaktighet. När självständigheten begränsades gav det upphov till känslor av lidande och minskad delaktighet hos den äldre patienten. Slutsatser: Ovan nämnda huvudteman visades vara viktiga delar i upplevelsen av delaktighet hos äldre patienter som vårdas i hemmet. 

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  • 47.
    Abdi Botan, Hawo
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Bezabih Assefa, Malefia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors upplevelser av språkbarriärer i vården: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Språkbarriärer är en utmaning inom hälso- och sjukvården. Sjuksköterskors professionella ansvar är att förmedla korrekt, lämplig och tillräcklig information till patienten. Det har visat sig att sjuksköterskor haft svårighet att tillgodose en personcentrerad och säker vård när språkbarriärer förelåg. 

     

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  • 48.
    Abdi, Fartun
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Khaloufi, Siham
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Faktorer som hindrar sjuksköterskan inom hälso- och sjukvården från att göra en orosanmälan på barn2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It's a fundamental principal to protect children's rights. Through legislation, child abuse has been prohibited in many countries. Nurses working with children has a frontline role in identifying and reporting suspected or known child abuse. Mandatory reporting is one of the nurse's duty, reluctancy to report can lead to misconduct but it also leads to children suffering.

    Aim: The purpose of this degree project was to identify factors preventing nurses from mandatory reporting of children in health care.

    Method: A literature study based on using and analysing nine qualitative articles.

    Results: Three themes emerged in the result. The first theme was knowledge deficit, with two subthemes which were the need of education of signs and symptoms and the other subtheme was insufficient experiences. The second theme was nurses strained work environment with three subthemes. The first subtheme was the lack of routines, the second one miss information and the third one lack of cooperation and communication. The third theme consists of two subthemes, which were the lack of emotional support and the experience of fear. The results showed that nurses due to different factors relinquished from mandatory reporting. 

    Conclusion: The results highlighted that education and training was needed among nurses to gain knowledge on how to safeguard children and establish mandatory reporting. Thus, support from colleagues and managers agencies dealing with child safety was highly valued by nurses. Implementation of education, training and support could improve the cooperation in protecting children.

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  • 49.
    Abdi Ismail, Ifrah
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Zewdie Vedberg, Sara
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienters upplevelser av att använda tolk inom hälso- och sjukvården2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     

    Introduction: Migration has increased significantly in recent decades. This leads to difficulties in applying care on equal terms to patients who don’t have their mother tongue in the country in which they are located, which requires the involvement of a third party who is an interpreter to facilitate communication between healthcare professionals and patients.

    Aim: the purpose is to investigate patients' experiences of using an interpreter in communication in health care.

     

    Method: A general literature study based on scientific qualitative articles. Data collection was performed in the databases CINAHL and PubMed. Twelve selected quality articles were reviewed based on the SBU quality review template (2012).

     

     

    Results: Patients' experiences of interpreter use in health care vary. The results analysis is presented in five categories; Equal care, Concerns about misunderstandings and lack of trust, non-formal interpreters, professionalism of the interpreter, Satisfaction with telephone interpreter / video interpreter and physical presence.

     

    Conclusion: The availability of authorized interpreters was perceived as crucial in order to receive equal care. However, the participants felt that there was a shortage of authorized interpreters and information about the availability of authorized interpreters. Patients described positive as well as negative aspects of interpreting. The negative experience towards the authorized interpreter was described as that there were dialect differences that led to misunderstandings, lack of trust in the interpreter's translation ability and the interpreter's way of being objective and neutral in his assignment. This resulted in patients choosing to use informal interpreters, including family members who lacked medical language skills. Which in turn led to difficulties in achieving patient participation and person-centered care.

     

    Keywords

    Interpreters, patients' experiences, migrants, communication difficulties, health care.

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  • 50.
    Abdi, Nawal
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Englund, Charlotte
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Stöd efter en hjärtinfarkt: - Patientens erfarenheter2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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