Digitala Vetenskapliga Arkivet

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  • 1.
    Alander, Malin Emma Johanna
    et al.
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR).
    Klaeson, Kicki
    University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Oncology, Skaraborgs Hospital, Lidköping, Sweden.
    Nyqvist, Hanna
    Slottsovalen Nursing Home, Värmdö, Sweden.
    Olausson, Sandra
    Health care center Sylte, Trollhättan, Sweden.
    Lived experiences and caring needs in young adults diagnosed with cancer2021In: Nursing Forum, ISSN 0029-6473, Vol. 56, no 4, p. 781-790Article in journal (Refereed)
    Abstract [en]

    Aims and Objectives: To explore the lived experience of young adults diagnosed with cancer and to increase our understanding of how to help them with their caring needs. Background: Being diagnosed with cancer is normally related with an existential crisis. This indicates that the individual cannot avoid thoughts of death, loneliness, guilt, and meaninglessness. In person-centered care, the caretaker should have a holistic view of the person. Professionals must meet the patient´s different needs to strengthen health and well-being for the diagnosed. This approach encourages the traditionally passive patient to become an active consumer who works in partnership with the healthcare provider. Design: For this study, a content analysis of narratives was conducted, targeting age groups of 20–29 to take part of young adults' experiences. Methods: Qualitative analysis of narratives and followed checklist (e.g., COREQ). Results: During the analyzing phase, two main themes emerged: Interactions with Professionals and Cancer Voyager. In the results, both positive and negative feelings regarding encounters and support received from the professionals were described, this affected the young adults' well-being and their ability to participate during treatments. The young adults felt as being on a journey with no control over which direction the road may take. Conclusion: Outcome of the result shows the importance of making the young adult, one in a team. When working in a person-centered way, patients gain control by owning their own responsibility during treatments. Implications for Nursing Practice: There is a need in nursing education to address existential matters, to make nursing students ready to be approach but such questions in their professional work. Also, we believe that the experienced nurse must be given means to feel confident to handle questions about existential matters. By developing skills in the area of e-Health, collaboration through support groups, and last but not least switching to patient-centered care, we can offer effective and evidence-based care tailored for this population. 

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  • 2.
    Klaeson, Kicki
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborgs Hospital, Department of Oncology, Skövde, Sweden.
    Berglund, Mia
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Gustavsson, Susanne
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    The character of nursing students' critical reflection at the end of their education2017In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 7, no 5, p. 55-61Article in journal (Refereed)
    Abstract [en]

    Background: In nursing education, theoretical and practical knowledge are intertwined and integrated in the prospective nurses’ lifeworld. To enable this, and to develop a critical reflective approach, students should adopt a critical attitude. This study aims to gain a deeper understanding of the character of prospective nurses’ critical reflection.

    Methods: This is a descriptive qualitative study. Data were gathered using written narratives, individual and focus group interviews. Qualitative content analysis was employed.

    Results: Three themes were identified: being open to changes, distancing oneself, and challenging one’s understanding. In the first theme, students’ critical reflection was expressed through an openness to changes of self-perception and openness to professional development during the education. In the second theme, critical reflection was identified as variations on distancetaking.

    Inserting distance from a direct experience makes the experience easier to process, understand and relate to the learner’s concept of nursing. In the third theme, courage to question what was taken for granted is identified as a necessity to challenging self-understanding and willingness to engage in uncertainty.

    Conclusions: It would appear that the academic part of training, with the possibility of reflection in small groups, provides students with conceptual tools for reflective learning as well as giving them the opportunity to relate critically to professional practice and to the professional nurse role.

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  • 3.
    Klaeson, Kicki
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Oncology Department, Skaraborgs hospital, Sweden.
    Hovlin, Lina
    Home care, Skara Municipality, Skara, Sweden.
    Guvå, Hanna
    Psychiatric Department, Skaraborgs hospital, Sweden.
    Kjellsdotter, Anna
    University of Skövde, Health and Education. University of Skövde, School of Health and Education.
    Sexual Health in Primary Healthcare: A Qualitative Study of Nurses' Experiences2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 11-12, p. 1545-1554Article in journal (Refereed)
    Abstract [en]

    Aim and objectives: To illuminate nurses’ experiences and opportunities to discuss sexual health with patients in primary healthcare.

    Background: Sexual health is a concept associated with many taboos and research shows that nurses feel uncomfortable talking to patients about sexual health and therefore avoid it. This avoidance forms a barrier between patient and nurse which prevents nurses from giving satisfactory healthcare to patients.

    Design: A qualitative descriptive design.

    Method: Semi-structured interviews were conducted with nine nurses in primary healthcare in Sweden. Data were analysed by using qualitative content analysis.

    Results: During the analysis phase, five subcategories and two main categories were identified. The two main categories were: “Factors that influence nurses’ opportunities to talk to patients about sexual health” and “Nurses’ experiences of talking to patients about sexual health”. Social norms in society were an obstacle for health professionals’ opportunities to feel comfortable and act professionally. The nurses’ personal attitude and knowledge were of great significance in determining if they brought up the topic of sexual health or not. The nurses found it easier to bring up the topic of sexual health with middle-aged men with for example diabetes. One reason for this is that they found it easier to talk to male patients. A further reason is the fact that they had received training in discussing matters of sexual health in relation to diabetes and other conditions affecting sexual health.

    Conclusion: Nurses in primary care express the necessity of additional education and knowledge on the subject of sexual health. The healthcare organization must be reformed to put focus on sexual health.

    Relevance for clinical practiceGuidelines for addressing the topic of sexual health must be implemented to establish conditions that will increase nurse's knowledge and provide them with the necessary tools for discussing sexual health with patients.

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  • 4.
    Klaeson, Kicki
    et al.
    University of Skövde, School of Life Sciences.
    Sandell, Kerstin
    Department for Gender Studies, Lund University, Sweden.
    Berterö, Carina M.
    Faculty of Health Sciences, Linköping University, Sweden.
    Talking About Sexuality: Desire, Virility, and Intimacy in the Context of Prostate Cancer Associations2013In: American Journal of Men's Health, ISSN 1557-9883, E-ISSN 1557-9891, Vol. 7, no 1, p. 42-53Article in journal (Refereed)
    Abstract [en]

    Prostate cancer and its outcomes are a real threat for health and well-being for men living in the Western world. The number of men with a diagnosis of prostate cancer, before the age of 65 years, has increased in recent decades. The aim of this study was to explore how some of these Swedish men experienced and talked about their sexuality. Four focus group discussions were performed in the context of associations for prostate cancer. Using qualitative content analysis, it was identified how the diagnosis was a threat to their male identity; the men's vulnerability as a group in society was made explicit. Their sexuality was diminished by their illness experiences. These experiences were difficult to share and talk about with others and therefore connected with silence and sorrow. As a result of this, the informants often played a passive role when or if they discussed issues related to sexuality with someone in the health care organizations. The possibility of voluntarily joining a cancer association was probably highly beneficial for these men. During the sessions, several men expressed the opinion that "it is always great to talk.".

  • 5.
    Odh, Ida
    et al.
    Home Care, Götene County, Hällekis, Sweden.
    Löfving, Martina
    Infection Ward, Skaraborgs Hospital, Skövde, Sweden.
    Klaeson, Kicki
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Oncology Department, Skaraborgs Hospital, Skövde, Sweden.
    Existential challenges in young people living with a cancer diagnosis2016In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 24, p. 54-60Article in journal (Refereed)
    Abstract [en]

    Purpose: In Sweden, approximately 500 people between the ages of 15 and 39 are diagnosed with cancer each year. When someone is diagnosed with a life-threatening disease, existential issues are easily triggered. Young adults are in a developmental phase of life and are exposed to an extra amount of pressure. The Internet and social media are a daily part of the life of young adults and the use of blogs is common. The aim of this study was to elucidate the theoretical framework of Yalom and his four 'givens' expressed in blogs written by young adults living with various cancer diagnoses in Sweden. Method: This study used a qualitative method in which written stories from six public blogs were analysed using qualitative content analysis. Results: The findings offer valuable in-depth knowledge about the existential issues in this population. The results can be described as a journey with several existential challenges and with death as an impending threat. The bloggers' awareness of their mortality was described as creating a sense of loss and existential loneliness. Conclusions: This study shows that young adults are empowered by the writing of blogs and that blogs can play an important part in increasing wellbeing and a sense of coherence within this population. 

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