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  • 101.
    Forsman, Berit
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Forsgren Gebring, Susanne
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Nurses working with Manchester triage: The impact of nursing experience on patient safety2012In: Australasian Emergency Nursing Journal, ISSN 1574-6267, Vol. 15, no 2, p. 100-107Article in journal (Refereed)
    Abstract [en]

    Background

    There is in Sweden an ongoing debate about the extent to which the practice of triage contributes to patient safety. This paper reports the findings of a study of nurses’ perceptions of the impact of experience and safety of the Manchester Triage System (MTS) within emergency departments in Western Sweden.

    Methods

    Data was collected from 74 triage nurses using a questionnaire containing 37 short form questions of Likert-type, analyzed descriptively and measured the covariance. Data was also collected with two open questions by using the critical incident technique and content analysis.

    Results

    The results described that the combination of the MTS method, the nurses’ experience and organizational factors accounted for 65% of patient safety. The study indicated that nurses’ experience contributed to higher patient safety than the model itself. A standardized assessment model, like MTS, can rarely capture all possible symptoms, as it will always be constrained by a limited number of keywords and taxonomies. It cannot completely replace the skills an experienced nurse develops over many years in the profession.

    Conclusions

    The present study highlights the value of triage nurse's experience. The participants considered experience to contribute to patient safety in emergency departments. A standardized triage model should be considered as additional support to the skills an experienced nurse develops.

  • 102.
    Fransson, Jessica
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johansson, Hanna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskors upplevelse av att ge omvårdnad i telefonrådgivning: En litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The nurse is expected, as a professional, to adopt a holistic perspective, and holism is seen as the base from which the nurse practices her work. At the same time nursing in telephone advice service is an activity that is increasing and a nursing form that most nurses manages.

    Aim:

    To explore nurses experiences of nursing through telephone advice service.

    Method:

    A literature study, with a qualitative approach based on ten articles. Systematic searches resulted in nine articles. One article was found in an unsystematic search. All articles were analyzed according to an analyzing model presented by Friberg.

    Results:

    The result identified six categories. Categories identified are: difficulties in assessing, decision support system - support or obstacles, power structures in the work, communication difficulties, being an advisor and influence of the working environment.

    Conclusion:

    The remote nature of nursing in telephone advice service means a different kind of circumstances for nursing. Both possibilities and difficulties were experienced by the nurses in six identified categories. The meeting between nurse and caller was seen as a core issue, because of the vocal as a single mean of communication. Also the time pressure of the calls was experienced as a stressing factor. Some nurses expressed possibilities due to this kind of nursing, while others were concerned of not fulfilling the responsibilities of the nursing profession.

  • 103.
    Fredriksson-Larsson, Ulla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Fatigue two months after MI and its relationships with other concurrent symptoms, sleep quality and coping strategiesArticle in journal (Refereed)
  • 104.
    Fredriksson-Larsson, Ulla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    I've lost the person I used to be-Experiences of the consequences of fatigue following myocardial infarction2013In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8, p. 20836-Article in journal (Refereed)
    Abstract [en]

    Fatigue has been found to be the most frequent and bothersome symptom after myocardial infarction (MI), influencing health-related quality of life negatively. Moreover, fatigue after MI has been described as incomprehensible due to its unpredictable occurrence and lack of relationship to physical effort. The aim of this study is therefore to explore persons' experiences of consequences of fatigue and their strategies for dealing with it 2 months after MI. In total, 18 informants, aged 42-75 years, participated in the study. Interviews were conducted and analysed using constructivist grounded theory methodology. Grounded in the data, the main consequence of fatigue, as illustrated in the core category, was: I've lost the person I used to be. It indicates a sense of reduced ability to manage daily life due to experiences of fatigue. The core category was developed from the four categories: involuntary thoughts, certainties replaced with question marks, driving with the handbrake on and just being is enough. Furthermore, attempts to relieve fatigue were limited. These findings indicate that patients with symptoms of fatigue should be supported in developing relief strategies, for example, rest and sleep hygiene as well as physical activity. In conclusion, the results show that fatigue can be understood in light of the concepts "comprehensibility" and "manageability." They also indicate that, working from a person-centered perspective, health-care professionals can support patients experiencing post-MI fatigue by giving them opportunities to straighten out the question marks and by inviting them to discuss involuntary thoughts and feelings of being restricted in their daily life functioning.

  • 105.
    Fredriksson-Larsson, Ulla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden. 3Centre for Person-Centred Care, University of Gothenburg, Gothenburg, Sweden..
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Karlson, Björn W
    AstraZeneca, Mölndal, Sweden.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University of Gothenburg, Institute of Health and Care Sciences.
    Fatigue two months after myocardial infarction and its relationships with other concurrent symptoms, sleep quality and coping strategies.2015In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 15-16, p. 2192-2200Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To explore fatigue levels two months after myocardial infarction and examine the associations with other concurrent symptoms, sleep quality and coping strategies.

    BACKGROUND: Fatigue has been found to be the most frequent and bothersome symptom after myocardial infarction, influencing health-related quality of life negatively.

    DESIGN: The present study was explorative and cross-sectional. The focus was on fatigue two months postmyocardial infarction, complemented with a comparative analysis of fatigue dimension levels.

    METHODS: The sample included 142 persons (mean age 63 years), treated for myocardial infarction, who responded to a questionnaire package measuring fatigue, depression, health complaints (symptoms), sleep quality and coping strategies.

    RESULTS: The main results showed that a global fatigue score two months postmyocardial infarction was associated with concurrent symptoms, such as breathlessness and stress, and coping strategies such as change in values, intrusion and isolation. In comparisons of present fatigue dimension levels (general fatigue, physical fatigue, reduced activity and mental fatigue) two months postmyocardial infarction with baseline measurements (first week in hospital), the results showed that levels of fatigue dimensions had decreased. In comparisons with levels of fatigue four months postmyocardial infarction in a reference group, we found lower levels of fatigue two months postmyocardial infarction.

    CONCLUSION: The present findings indicated that postmyocardial infarction fatigue is lowest two months postmyocardial infarction. This may thus be the right time to identify persons experiencing postmyocardial infarction fatigue, as timely fatigue relief support may prevent progression into a state of higher levels of fatigue.

    RELEVANCE TO CLINIC PRACTICE: Measuring fatigue two months postmyocardial infarction would enable healthcare professionals to identify persons experiencing fatigue and to introduce fatigue relief support. Tailored rehabilitation support should include stress management and breathlessness relief support. If maladaptive use of the coping strategies isolation and intrusion is observed, these strategies could be discussed together with the patient.

  • 106.
    Fredriksson-Larsson, Ulla
    et al.
    Univ Gothenburg, Ctr Person Cent Care, Inst Hlth & Care Sci,.
    Brink, Eva
    Univ Gothenburg, Ctr Person Cent Care, Inst Hlth & Care Sci,.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Associations between fatigue, symptom experiences and sleep quality after myocardial infarction2014In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 13, no 1 suppl, p. S15-S15Article in journal (Refereed)
  • 107.
    Fredriksson-Larsson, Ulla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Falk, Kristin
    Lundgren-Nilsson, Åsa
    Univ Gothenburg, Inst Neurosci & Physiol, Ctr Person Centred Care.
    Psychometric analysis of the Multidimensional Fatigue Inventory in a sample of persons treated for myocardial infarction2015In: Journal of Nursing Measurement, ISSN 1061-3749, E-ISSN 1945-7049, Vol. 23, no 1, p. 154-167Article in journal (Refereed)
  • 108.
    Fredriksson-Larsson, Ulla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden..
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden..
    Jonsdottir, Ingibjörg H.
    University of Gothenburg, Institute of Stress Medicine, Sahlgrenska Academy, , Gothenburg, Sweden..
    Grankvist, Gunne
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    The single-item measure of stress symptoms after myocardial infarction and its association with fatigue.2015In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, p. 345-353Article in journal (Refereed)
    Abstract [en]

    Surviving a myocardial infarction (MI) can be a stressful event entailing challenges in daily life during the recovery period. Experiencing fatigue symptoms post-MI has been described as bothersome and occurs in nearly half of patients four months and two years after MI. The aetiology of fatigue disorder is unclear, but research has shown that fatigue plays an important role in the relationship between stress and perceived poor health. Previous findings indicate that having access to an easily administered stress measurement is worthwhile both in the clinic and in research. The single-item measure of stress symptoms has not been validated in persons treated for MI. The aim was to validate the single-item measure of stress symptoms and to explore its association with fatigue in a sample of persons treated for MI. Methods: 142 respondents completed the questionnaires of the Multidimensional Fatigue Inventory-20, the single-item measure of stress symptoms and the Perceived Stress Scale-10 (PPS-10) two months post-MI. Correlation analysis and t-tests were used to validate the single-item stress measure and its association with post-MI fatigue. Results: The convergent validity of the single-item measure of stress symptoms was confirmed. In analyses of relations between stress and fatigue, it was found that the single-item stress measure was strongly associated with both the global fatigue score and all four fatigue dimension scores (general, physical and mental fatigue as well as reduced activity). Conclusion: The single-item measure of stress symptoms was found to be a valid measure of post-MI stress. Also, the measure was useful in assessing associations between stress and fatigue and could therefore indicate that post-MI fatigue experiences should be further explored in full using multidimensional fatigue assessmen

  • 109.
    Fredriksson-Larsson, Ulla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Lundgren-Nilsson, A.
    Univ Gothenburg, Inst Neurosci & Physiol, Ctr Person Centred Care.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Alsen, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Brink, E.
    Univ Gothenburg, Inst Hlth & Care Sci, Ctr Person Centred Care.
    Measuring fatigue with the multidimensional fatigue inventory (MFI-20) in persons treated for myocardial infarction2012In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 11, no 1suppl, p. S50-S50Article in journal (Refereed)
  • 110.
    Friberg, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Strömsnäs, Cassandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Behandlingsalternativ för personer med ätstörningsproblematik: En litteraturstudie2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background.

    An eating disorder is a serious mental illness that affects the whole body, mentally and physically. Women are more likely to develop an eating disorder than men. The largest diagnostic group is the EDNOS group (Eating Disorders Not Otherwise Specified) which includes BED (Binge Eating Disorder). This study focuses on the two other diagnostic groups, Anorexia Nervosa (self-starvation) and Bulimia Nervosa (binging and self-induced purging).

    Aim

    This study’s aim is to describe treatment options for people with eating disorders.

    Method

    An examination of articles was conducted. Articles were retrieved from data bases andanalysed.

    Results

    The findings were divided into themes and subthemes. Four themes were found, psychotherapeutic treatment, psychopharmacological treatment,treatment with alternative methods and the importance of a therapeutic relationship.The result shows that there are several treatment methods for an eating disorder and that the caregiver has a major part in the recovery.

    Conclusion

    No universal treatment was found so it’s important to adapt the treatment to the person’s needs. It’s also important to remember to not insult or wound the person. As a caregiver it’s necessary to remember to see beyond the disorder and see the person behind it in order to build a therapeutic relationship

  • 111.
    Gamnis, Emma
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Skogman, Birgitta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Min diabetes styr inte mig! Ungdomars erfarenheter av att leva med diabetes typ 1: En kvalitativ litteraturbaserad studie.2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes is a lifelong disease and it can be complicated for adolescents to handle. As a nurse you must strive to see the youth that you have in front of you, with his or hers individual needs. The aim of this study was to illustrate adolescent's experiences of their life situation with diabetes type 1. An analysis of ten qualitative studies was conducted. The analysis resulted in five themes and thirteen sub-themes.

    The result showed that acceptance of the disease is crucial for being able to care for the disease. The adolescent needs to integrate the diabetes in to their daily life. Two important things for the adolescents were that they didn't want to get generalised in healthcare or be treated differently by the society. To be able to care for oneself and to not be ostracized both adolescents and people in their environment need to have knowledge about diabetes. To be able to take charge and be in control over ones one body was important for the adolescent but also to receive support. Parents played a supportive key roll but support did also come from siblings, friends, partners and other peers with diabetes. To live with diabetes during your teens is like walking on a narrow line, you can easily tilt too much or too little to one side. If you keep your balance then you can cross and get on with your life.

  • 112.
    Gautam, Kalpana
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Olsson, Mariola
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att leva med stomi: ett patientperspektiv2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stoma is about living as normal as you can day by day. But complications that come after stoma is affecting the patient's quality of life. Many researches are being done to reduce the complications and to improve the quality of life. Patient experience is important to understand and to help them in self-care processes and to improve quality of life.

    Aim: The purpose of this study was to describe patients' perceptions of quality of life after ostomy operation.

    Method: Systematic literature review was used where nine articles, qualitative and quantitative were chosen depending upon the aim. Articles were carefully analyzed by authors and compared the similarities and differences to fin out themes and subthemes.

    Results: Every individual can be affected in many ways after a stoma, which leads to change in life quality. Experiences of individual were different to the different aspect of life. Three themes followed by subthemes were found out which were physical experiences, psychological experi-ences, and difficulties with intimate relations.

    Conclusion: Nurses need to inform patients about to live with a stoma more widely, which help to reduce anxiety and depression, to plan about their daily life and to adjust in a new life.

  • 113.
    Gedda, Hanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Krantz, Karolina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Individers erfarenhet av icke farmakologisk behandling vid långvarig smärta: En litteraturöversikt2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of this study was to highlighting the experiences of individuals of non-pharmacological treatment for chronic pain.

    Method: The study was designed as a literature review with aim to review and

    compile the articles results. This study has been based on a systematic literature search of supplementing out of an unsystematic search were 11 articles were found.

    Results: The participants in the studies had experienced a good effect out of non-pharmacological treatments for their pain and a improved quality of life. Based on participants´ experiences of treatment two categories occurred: body awareness and relaxation. Body awareness arose through treatments like yoga, mindfulness meditation and CBT. Relaxation occurred through treatments, like music, heat, massage and meditation.

    Conclusion: This study highlights how non-pharmacological treatments is experienced by individuals with chronic pain and two key areas have been identified. This study thereby contributes with important knowledge for nurses in their nursing with individuals suffering from chronic pain.

     

  • 114.
    Gill, Rajveer
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Åhgren, Johanna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnors upplevelser av bröstcancer: En biografistudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common type of cancer for women and every day about 20 women are stricken in Sweden. When women are diagnosed breast cancer, they experience among other fears and concerns about the disease and also about treatment. In order to provide good care and nursing care during the patient's illness nurses must have a good understanding of how patients perceive their situation.

    Aim: To describe women's experiences of breast cancer.

    Method: Four biographical books were analyzed with a qualitative method to match the aim of the study.

    Result: At the first suspicion that it might be breast cancer, many of the women will react with denial. When it was told they experienced a fear of dying. The family had a very big importance for coping against the disease. During the period of illness, it was also important to the patients that they got a good care relationship so that they could feel safe and supported. There was a strong will to live and defeat the disease. Something that women experienced as laborious was their appearance changed in that they lost their hair and they had surgery to remove a breast.

    Conclusion: In the women's illness with breast cancer many emotions occur, both positive and negative. It is important for nurses to have an understanding of what emotions these women experiences in order to help women during their illness and provide good care

  • 115.
    Glaffey, Gisela
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kokonis, Panayiota
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ungdomars upplevelser av att leva med övervikt eller fetma: en litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Obesity is currently one of the biggest public health challenges and greater food intake together with less activity leads to the fact that more children and young people get affected by it. Obesity leads not only to the occurrence of various diseases later in life and presence of obesity in adulthood, but also to negative consequences in social life, mental health problems and physical limitations

  • 116.
    Gleby, Karolin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Gustafsson, Hanna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vårdande arbete i anstaltsmiljö: Kriminalvårdares syn på vårdandet av klienter med psykisk ohälsa2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background - Mental illness is a major problem within prison settings. Inadequate and insufficient mental health care contributes to prisoners' mental illness. Proximity to the prisoner, a respectful attitude and good relations between prison officers and prisoners are some factors that promote mental health.

    Aim - The aim was to describe prison officers' view of their caring work with prisoners with mental illness in a prison environment.

    Method - An empirical study was made using qualitative interviews with eight prison officers. The interviews were analysed and thematised with a content analysis. Ethical implications have been considered during the study.

    Results - The results revealed that the prison officers considered it important to build relationships and pay attention to the prisoner, but that the institutional environment and lack of resources was described as difficulties while working. Balancing security and building relationships were also considered as difficult. Despite these factors, the prison officers experienced that they managed to create good relationships and a good atmosphere with the prisoners in the prison environment. Conclusion - Despite similarities in what previous research defines as care and how the prison officers are working with the prisoners with mental illness, they did not define their work methods as caring. The study implicated that an awareness of the definition of caring helps to improve prison officers' caring work within prison settings

  • 117.
    Gloméus, Matilda
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Hagberg, Erica
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att förlora en del av sig själv: anhörigas upplevelser av palliativ vård i hemmet2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The need for palliative care is increasing both in Sweden and in rest of the world. Palliative care aims to relieve suffering and improve well-being for both the patient with an incurable disease and his or hers family in the end of life. The close relatives have a significant role in the care of their critically ill family member, when the patient is cared for at home. The nurse has a responsibility to make the families involved and to meet their needs of physical and psychological support.

    Aim:

    To describe relative's experiences of palliative home care.

    Method:

    A literature review based on eight qualitative scientific articles was performed.

    Results:

    Three main themes were found to describe the relatives' experiences of palliative home care. First, A source of strength with subthemes security and gratitude. The second theme was To be responsible, with subthemes insecurity and vulnerability and at last A life adjustment with the subthemes limitation and powerlessness. Conclusion: Being a close relative of a seriously ill family member with incurable disease in need of palliative home care is a major life adjustment. In order to maintain wellness and prevent unnecessary suffering nurses should use their expertise to meet the needs of the relatives in palliative home care.

  • 118.
    Granström, Frida
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att separeras från livet: Patienters upplevelser av existentiellt lidande i palliativt skede - En litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Living with an incurable disease means facing existential challenges that the person must relate to. Being in a palliative phase also means that the person undergoes a lot of changes which often causes suffering. Suffering in palliative care is seen as multidimensional, something that affects the whole person, which is why a holistic view is a central part of palliative care. Aim: The aim of this literature study was to describe patient's experiences of existential suffering in the palliative phase. Method: A literature study based on ten qualitative articles. Results: Four main themes were found; experiences of a changed life-situation, experiences of loneliness, experiences of meaningless and experiences of loss. Conclusion: The study shows, from an existential point of view that coping and handling with an imminent death is complex and difficult in several ways. Patients in palliative care are a vulnerable patient group whose existential suffering may be enhanced by the way health professionals provide care. The study also shows a need for further research in this area aiming to support health care professionals to alleviate existential suffering.

  • 119.
    Griffth, Kristina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Föräldrars upplevelser av bemötande vid vården av cancersjuka barn: Litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Parents having to live with the experience of a child with a cancer diagnose are facing a lot of personal distress. For nurses to be able to support the family it is important to have knowledge and understanding of the reactions that the parents may have.

    Aim:

    The aim of this study was to illuminate parents' experiences of care encounters associated with the care of their children with cancer.

    Methods:

    This study was made as a literature review by an analysis of eight qualitative articles.

    Result:

    The result showed that experiences of parents to children diagnosed with cancer can be presented in four themes. These are: a sense of security, shame, loneliness and hope.

    Conclusion:

    The study enlightens how parents to children with cancer experience the care they receive. It also shows the importance of information in all areas, disease, treatment, prognosis and routines, to the parents. It highlights the parents' need for support.

  • 120.
    Gustafsson, Birgitta
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hansson, Malin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskans stöd till patienter med prediabetes: identifieras och prioriteras de2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Pre-diabetes involves an increased risk to develop type 2 diabetes. There is a risk that patients with pre-diabetes develop type 2 diabetes within a few years unless lifestyle changes are made. Aim: To describe how the nurse can motivate and support patients with pre-diabetes to perform a lifestyle change. Method: Qualitative approach. Interview where data where analysed with a manifest qualitative content analysis. Six nurses are part of the study. Results: The result shows difficulties for nurses to discover patients with pre-diabetes, and the knowledge of blood sugar levels that implies pre-diabetes varies. Screening of increased blood sugar was not performed regularly. Insight and knowledge about pre-diabetes state resulted in increased motivation. The nurses considered that individual advice and support for life style changes are important. The nurses witnessed that time and resources were insufficient at follow-up, which resulted that pre-diabetes where not prioritised enough. Structural and health care programs for identification and follow-up where missing according to the nurses to be able to support and motivate patients with pre-diabetes to a better health. Conclusion: Fear to develop type 2 diabetes mellitus motivates a change. Information and insight of pre-diabetes, leads to reflection about lifestyle changes. Individual support is emphasized, but even group education is seen as a method to motivate and support lifestyle changes. Health care programs and guidelines for screening at health centre can influence that pre-diabetes patients are identified and preventive actions can be taken to promote health.

  • 121.
    Gustafsson, Ellinor
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Svensson, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Omvårdnad av barn – utifrån ett föräldraperspektiv: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A large proportion of the Swedish population consists of children. Even if the health of those is relatively good, they need sometimes seek medical care. Today, family members are always welcome to participate in their children's care.

    Because parents play a vital role in the care of children, it is important that they are pleased with the care. If the parents are pleased, they can in turn transfer the positive feelings to their child

  • 122.
    Gustavsson, Matilda
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Olausson, Therese
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av maktaspekter inom den psykiatriska tvångsvården: en litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients in compulsory psychiatric care often feel powerlessness and a defective participation. A good treatment from the caregivers with empathy, feeling and respect can help the patients to be motivated to participate in their care. The alliance between patients and caregivers can make a good base in the care process. It can also help patients to decide to change their lives. Aim: To describe patients' experience of power aspects in compulsory psychiatric care. Method: A literature review with qualitative articles. Nine articles were analyzed to find similarities and differences. It resulted in three themes and eight subthemes. Results: The first theme described patients' experiences of participation, being limited and the feelings about their lack of control and not being informed. The second theme described patients' experience of the social interaction in compulsory psychiatric care, alliance, treatment from the staff and their superior power positions. The third theme described the care environment influence of the patients' circumstance of life and feeling of safeness. It also described the battle within oneself. Conclusion: The study reveals that many patients have experienced a lack of participation, information and control. Patients felt powerless compared to the staff by the way they acted and treated them. Many have been treated with defective empathy and respect. They described feelings of being treated like a unworthy and not successful human. It revealed that many patients wanted a better alliance with the caregivers. They also wanted to be more participated and informed about their care

  • 123.
    Göransson, Nina
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lyrstrand, Mimmi
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Någon annan tar hand om det bättre än jag -: Sjuksköterskors syn på barriärer till varför sexuell hälsa inte tas upp i vården2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Sexual health is affected by disease, dysfunction and disability but can also be experienced in spite of illness. To get a deeper knowledge of what the nurse does for the patients the background is written with the support of the holistic care and Katie Eriksson theoretical perspectives health and suffering.

    Aim

    The aim of this study is to describe the factors to why nurses do not prioritize patients' sexual health in the nursing care.

    Method

    A literature review based on nine qualitative and quantitative studies focusing on the barriers perceived by the nurses to address sexual health.

    Result

    The result of this study showed that the barriers were many. Factors related to nurses unwillingness to talk to patients about sexuality and sexual health were difficulties in nurses' psychosocial work environment and lacking competence concerning sexual health. The fact that sexuality is a sensitive subject, factors related to the patient and that it was someone else's responsibility to raise the topic were other factors that made it difficult.

    Conclusion

    We conclude that a stressed workplace where there is a lack of time and stress along with a poor education and uncertainty leads to no grasp of the subject and the problem slides between health professionals. Patients' sexual health remains untreated. If sexual health is not involved in the nursing care increases the risk for larger problems and that the patients are exposed to unnecessary suffering.

  • 124.
    Götlind, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Williamsson, Cecilia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att "våga vårda" en döende patient: En litteraturbaserad studie om sjuksköterskans förutsättningar att vårda en patient i livets slutskede2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The world's aging population affects the need for palliative care which is underdeveloped worldwide. This increasing population makes influences to the professional way of nursing as palliative care is more about improving the quality of life rather than to cure. To participate in the meeting with death along with a patient can often be associated with fear and anxiety for both parties. This means that nurses need to be well prepared to provide professional care. Aim: The aim was to illuminate nurses' prerequisites for caring about a person in the end-of-life.

    Method

    :

    A literature review of eleven studies with qualitative approach. Chosen articles were conducted thorough several times and the main findings were compared to identify similarities and differences which generated in themes and subthemes.

    Results

    : Prerequisites for nurses providing care for patients in a palliative phase emerged into three themes, confidence in the own knowledge, a functional working team and the own psychological strength. Knowledge, experiences, organizational structures, team support, strategies, values and the own health were conductive for feeling confident with your professional role as a nurse.

    Conclusion

    :

    To ensure good end-of life care and preventing as well as promoting your own health as a nurse, certain prerequisites are needed for professional nursing. The results emerged into three themes and our conclusion is that a nurse needs all three for giving professional care to the patient. If there are lacks of prerequisites the caring will be incomplete.

  • 125.
    Götlind, Ulrika
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskans möte med barn med autismspektrumtillstånd2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The number of children with an autism spectrum disorder (ASD) has increased over the years. When encountering the health care system children with ASD needs special treatment and therefore there is a need for more knowledge of how these children can be treated in an optimal way.

    Aim:

    The aim of this study was to illuminate the encounter between the nurse and the child with ASD.

    Method:

    The method used was a literature review, with searches performed in the database cinahl and PubMed. Eight articles were reviewed and analyzed according to the method described by Friberg.

    Results:

    The result is presented by one overall theme; requirement for teamwork, built up from two themes; promote participation and to create trust. In order to promote participation it showed that the child needs to be prepared before the encounter with the healthcare system and the parents assistance is of high importance since it affects the child's ability to participate. Participation is also encouraged by derivation, rewarding and by strengthening the child. Trust is created by continuity where the knowledge and attitude of the nurse is of great importance.

    Conclusion:

    The literature review showed that there are several requirements for teamwork, in which these children needs to be promoted and where trust is essential for wanting to participate.

  • 126.
    Haglund, Joel
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Flygård, Marcus
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Namibiska sjuksköterskors erfarenhet av att arbeta med utländska sjuksköterskor: Deras uppfattning av hur utbutet påverkar patientvården, fördelar och nackdelar2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background As there is a critical shortage of healthcare personnel in Namibia that goes parallel with the global picture, many expatriate nurses come to Namibia. To our knowledge few studies have been made on the experience of Namibian registered nurses working with expatriate registered nurses, and their perception of the exchange.

    Aim The aim of this study was to describe Namibian registered nurses’ experiences of the work exchange with expatriate registered nurses related to patient care.

    Method Qualitative interviews were conducted with ten registered Namibian nurses working at two units in a public hospital in Windhoek, Namibia. The data were categorised into different themes through a content analysis

    Results Three main themes with seven sub-themes were identified in the analysis of the transcribed interviews. The categories were; Difficulties from the exchange, Benefits from the exchange and Conditions for a good cooperation.

    Conclusion This study reveals that the Namibian nurses experienced benefits and difficulties related to the cooperation. The participants experienced that the expatriate nurses benefits the healthcare through solving the acute shortage of staff and also through knowledge exchange. Difficulties mentioned are language barriers and culture differences, which may compromise the safety of the patients

  • 127.
    Hagström, Elin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Bragisson, Nathalie
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Känner mig orättvist behandlad av livet: Att levamed Diabetes Mellitus Typ 22015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 2 (DMT2) is increasing and is predicted to be the seventh most common cause of death in 2030. Obesity, unhealthy food and lack of physical activity is the reason that DMT2 is diagnosed in younger ages.

    Aim: The purpose of this study was to illuminate adults experience to live with DMT2.

    Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was performed to get a better understanding about the life situation for people with DMT2. An analysis of ten qualitative studies was conducted. The analysis resulted in three themes and six sub-themes.

    Results: The result showed that people with DMT2 felt that they couldn´t live like everyone else because of the disease. They lived in denial and had a feeling of powerlessness caused by the disease. To take control of the disease they needed support from their environment.

    Conclusion: The conclusion of this study was that it can be hard to accept and live with DMT2. Knowledge and information from the nurse was important to get confident to handle DMT2 in daily life.

  • 128.
    Hagström, Emma
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Berggren, Malin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser efter att ha överlevt ett hjärtstopp: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Each year, 10,000 people suffer from sudden cardiac arrest in Sweden. 500 people survive each year. Over the past two decades there has been an increase in the amount of surviving thanks to a large part of the population trained in CPR. The aim of the study was to describe patients' experiences after having survived a cardiac arrest.

    Method:A literature review where eleven scientific articles were reviewed according to Friberg (2012).

    Results:Surviving a Cardiac Arrest puts the physical, mental and social life to a head. The quality of life of all participants is lower after a cardiac arrest. Depression, anxiety and cognitive problems such as memory loss and concentration problems were seen as hardest time after the arrest. Women experience lower quality of life and poorer cognitive ability while men experience a lower level of participation in society. Conclusion: Despite the fact that the period immediately following a cardiac arrest is tough so do the patients experience a good quality of life after a few years. The importances of good aftercare are important for this patient group continued quality of life. There are many treatment options such as implanted defibrillator, and balloon angioplasty. The nurse has an important role in the after-care by creating an interpersonal relationship with the patient, when many participants reported the importance of having someone to share their thoughts and feelings with

  • 129.
    Hallgren, Johanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Muuna, Nancy
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att leva med ett splittrat inre: En litteraturbaserad studie om hur personer med anorexia nervosa upplever sitt tillstånd2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia nervosa (AN) is a serious and complex form of eating disorder that causes physical and mental suffering, as well as it is a growing social problem. How the disease manifests itself is individually, but most often it occurs together with other psychiatric disorders. It becomes very important for the nurse to have knowledge of anorexia nervosa because the disease can be fatal without treatment.

    Aim: The purpose of the study is to describe people's experiences of anorexia nervosa.

    Method: A literature-based study using qualitative content analysis was used as a method. A five-step analysis of Friberg (2012) was used.

    Results: The findings that emerged from the analysis shows that they can be applied to the nursing profession. These findings formed four main themes: control, the battle be-tween two worlds, understanding and the quest for the perfect self.

    Conclusion: The nurse must, among other things have an understanding of the underly-ing causes of anorexia nervosa to be able to treat people with AN, both physically and mentally. To recover requires the individual to have an understanding of their condi-tion and its underlying causes.

  • 130.
    Hallén, Rebecca
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Persson, Sofia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Bältesläggningens effekter på den vårdande relationen inom rättspsykiatrin: En kvalitativ empirisk studie ur vårdpersonalens perspektiv2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Physical restraint is an intrusive coercion made against the patient's will. It can make both health care workers and patients feel uncomfortable and harm the caring relationship. The core of a caring relationship is to preserve the patient's dignity, convey hope and health promotion within the patient. Aim: It describes from a health care workers perspective how physical restraint impacts the caring relationship between health care workers and patients in forensic psychiatric care. Method: This study was based on a qualitative design. Eight nurses and carers were interviewed within forensic psychiatric care. Qualitative content analysis was used to analyse the data. Results: Three themes were found from the results, these were: conditions for a caring relationship, conditions about physical restraint and physical restraints opportunities and barriers on the caring relationship. Health care workers described the professional approach, alliance and participation as key factors in a caring relationship. After physical restraint was used the caring relationship could be damaged for some time and therefore affect the continuing work on the patient's health process. Some health care workers consider physical restraints had a positive effect on a caring relationship, if trust was built and the patient felt that the health care workers were supportive in difficult situations. Conclusion: The caring relationship is mostly impacted shortly after physical restraint. Follow-up talks are an important part in the health care workers efforts to maintain the caring relationship with the patient

  • 131.
    Handin, Lina
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kiuru-Bolk, Isabella
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kampen mot tankarna: Att leva med Anorexia Nervosa. En studie baserad på självbiografier2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 132. Hansson, Anders
    et al.
    Larsson, Lena G
    Närhälsan, FoU Primärvård, Västra Götalandsregionen och NU-akademin.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ahlström, Britt Hedman
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Forsman, Berit
    University West, Department of Health Sciences, Section for nursing - graduate level. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vem tar bollen?: går vården för de mest sjuka äldre att förbättra?2016Report (Other academic)
    Abstract [sv]

    Bakgrund Flera svenska rapporter visar att de mest sjuka äldre ofta far illa på grund av bristande samordning och oklar ansvarsfördelning mellan olika behandlingsinstanser. Primärvården, hemtjänsten och den kommunala hemsjukvården anses i otillräcklig omfattning ta över ansvaret efter utskrivningen av de sjuka äldre från sjukhuset. Svenska erfarenheter stämmer väl med vad man funnit i flera internationella studier: sjukvården är illa rustad för att möta de mest sjuka äldres komplexa behov av vård och omsorg.

  • 133.
    Hansson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Girnus, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskans erfarenheter kring att göra barn med cancersjukdom delaktiga i sin egen vård och behandling: En litteraturbaserad studie med grund i kvalitativ forskning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Every year 250 children in Sweden are diagnosed with cancer. For these children a long hospitalization usually starts. Many of these children think it is important for them to participate in their own care. They want information about their disease and treatment, and the nurses have a major role in this. Aim The aim of this study was to highlight the nurse's experiences about getting hospitalized children with cancer to participate in their own care and treatment. Method The chosen method was a literature review based on eight articles with a qualitative approach. Results The main finding was that information is a head part to make it possible for the children to participate. Even a good relationship has to be established between the nurse and the child. The nurse has to know the child's limitations to know what the child can or can not do. On the way to get the child to participate the nurse faced many obstacles such as limited time. Conclusion As a nurse today you can meet children with a cancer diagnose in your daily work. Therefor it is important for the nurse to know how to make the children participating in their own care. Positive effects of this are that the children feel safe and time is usually saved in the caring process.

  • 134.
    Hedberg, Pernilla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Karlsson, Cecilia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Upplevelsen av att leva med trycksår: En litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Pressure ulcers is a common phenomenon in health care. Most nurses meet people who suffers from pressure wounds in their work life. Patient’s experiences are complex. It’s important for health care professionals to understand what it feels like and have the knowledge about the impact that pressure ulcers have on the patient’s daily life.

    Aim To describe patient’s experience of living with a pressure ulcer.

    Method The used method was a literature study based on qualitative articles. Ten scientific articles was selected, read, studied and analyzed according to Friberg’s (2006) analyzing model.

    Results The results contains four themes:" to live with constant pain", "changing processes", "loss of independence" and "to accept the life situation". Within these four themes 13 subthemes were created.

    Conclusion Pain experience means great suffering for the patient. Analgesics were found to not always be effective. Emotional changes injured person's self-image. Physical and mental limitations caused problems in daily life. In order to handle their situation, the patient needed more information about the healing process of the wound.

    Keywords Experience, pressure ulcer, qualitative analysis, quality of life, wound care.

  • 135.
    Hedlund, Sofia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sandberg, Madelene
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att leva med kronisk hjärtsvikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden about 200 000 people are suffering from heart failure. Heart failure is the most common reason for hospitalization for patients over 65 years of age. These patients have an increased risk for premature death and less quality of life. Heart failure is a chronic and progressive condition and it is important to recognize the symptoms at an early stage. Nurses should be able to identify, observe and estimate early signs of exacerbation of the disease.

    Aim: The aim of this study was to emphasize how women with heart failure experience their daily life. Method: The method used was a literature-based study with basis in the analysis of qualitative research. The study was based on ten scientific publications.

    Results: Patients with heart failure experience limitations in daily life because of their physical ability is affected. Fatigue is a big part of these patients´ life. They often feel isolated and lonely when they can´t keep up daily activities. Anxiety about death is also common. Conclusion: The patients need more information and education about their condition in order to be able to handle their daily life. Many patients need help and support to process their thoughts of death.

  • 136.
    Hedman Ahlström, Britt
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Focus on Every-day Life: Internet-based Support and Coaching for Young Adults with Neuropsychiatric Disorders  - A Chat-log Analysis2011In: Stanford program. IV. World Congress on Social Media and Web 2.0 in Medicine, Health and Biomedical research. Medicine 2.0 at Stanford university, 2011, p. 27-28Conference paper (Refereed)
    Abstract [en]

    A FOCUS ON EVERY DAY LIFE: INTERNET-BASED SUPPORT AND COACHING FOR YOUNG ADULTS WITH NEUROPSYCHIATRIC DISORDERS - A CHAT LOG ANALYSIS

    eCoaching

    Background Few studies conducting qualitative research regarding treatment, daily living, and need of support for young adults with neuropsychiatric disorders such as ADHD, autism spectrum conditions, and Tourette’s disorder have been published. The objective of this study is to describe how young adults with neuropsychiatric disorders function and manage their everyday life based on chat log analysis.

    Methods This study is part of a larger intervention project, NP Young Coaching, a structured internet-based support and coaching program for young adults with neuropsychiatric disorders. Twelve young adults between age 15 and 25 years were included in the study. They received coaching during eight weeks over the internet (chat and e-mail) twice a week. The texts composed in the chat sessions constituted the data for the analysis, and the 12 chat logs consisted of 445 pages. Qualitative content analysis was conducted in NVivo 9. The text was divided into meaning units. All the meaning units were labelled with codes which were compared regarding differences and similarities, and thereafter sorted into subthemes and themes.

    Results Two themes became visible: ‘ways of functioning in everyday life’ with the subthemes; ‘difficult things’, ‘stress and rest’ and ‘when feelings and thoughts are a concern’, and the theme ‘ways of managing everyday life’ with the subthemes; ‘decide and carry out’ and ‘making choices for life’. The young adults described their ways of functioning which showed that they were dealing with difficult things such as being treated unfairly, feeling offended by teachers and peers and being undeservedly accused for behaving egoistically. They also experienced hard words from teasing siblings, friends and parents, which was a source of sorrow.

    The young adults described that their feelings of stress were caused by being too busy and feeling too unfocused in social situations. Tiredness was the starting point of feeling stressed and led to guilt for not getting things done. The young adults were drained of energy and had serious sleeping problems. Feelings and thoughts were a concern when they were dissatisfied with their bodies, felt obsessive, and felt anxious. Feelings of discomfort were described as a consequence of losing control in personal emotional downturns. Ways of managing everyday life included decisions to plan and following those plans. To enable that, control was important as well as time management. The young adults made choices for life and wanted to succeed. They had high expectations of themselves, and strove for high scores and described distinct ideas about what would be their future profession.

    Conclusions This study led to a more in-depth knowledge about these young adults’ everyday lives through support and coaching over the Internet, and showed their ability to use the chat for expressing what every-day life meant to them. The implications of the findings are that by using e-coaching for this population, new opportunities are available for health care professionals to acknowledge these young adults’ problems, and online coaching could facilitate the contact between the young adult and the medical and healthcare service.

  • 137.
    Hedman Ahlström, Britt
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Skärsäter, Ingela
    Sahlgrenska Academy, University of Gothenburg.
    Danielson, Ella
    Department of Health Sciences, Mid Sweden University, Östersund.
    Children's view of a major depression affecting a parent in the family2011In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 32, no 9, p. 560-567Article in journal (Refereed)
    Abstract [en]

    This study aims to elucidate, from the children's perspective, the meaning for family life of a parent suffering a major depression disorder. Eight children and young adults were interviewed. Phenomenological-hermeneutic analysis generated two themes: (1) "Being a rescuing observer" with the subthemes, "Being attentive" and "Being considerate," and (2) "Being a frustrated observer" with the subthemes, "feeling discomfort" and "being out of it." Children's lives alternate between responsibility and loneliness as they wait for reciprocity in family life to return to normal. Children need support in order to manage their sense of responsibility and loneliness adequately.

  • 138.
    Hedman Ahlström, Britt
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Wentz, Elisabet
    Gillbergcentrum, Göteborgs universitet.
    Focus on Every-day Life: Internet-based Support and Coaching for Young Adults with Neuropsychiatric Disorders  - A Chat-log Analysis2012In: Programme and Abstract Book Horatio: 2nd European Festival of Psychiatric nursing - in Stockholm 2012: Vision, Knowledge and Practice in Psychiatric and Mental Health Nursing. 20-23 September, Stockholm, Sweden / [ed] Patrik Dahlqvist Jönsson, 2012Conference paper (Refereed)
    Abstract [en]

    BackgroundFew studies conducting qualitative research regarding treatment, daily living, and need of support for young adults with neuropsychiatric disorders such as ADHD, autism spectrum conditions, and Tourette’s disorder have been published. The objective of this study is to describe how young adults with neuropsychiatric disorders function and manage their everyday life based on chat log analysis. MethodsThis study is part of a larger intervention project, NP Young Coaching, a structured internet-based support and coaching program for young adults with neuropsychiatric disorders. Twelve young adults between age 15 and 25 years were included in the study. They received coaching during eight weeks over the internet (chat and e-mail) twice a week. The texts composed in the chat sessions constituted the data for the analysis, and the 12 chat logs consisted of 445 pages. Qualitative content analysis was conducted in NVivo 9. The text was divided into meaning units. All the meaning units were labelled with codes which were compared regarding differences and similarities, and thereafter sorted into subthemes and themes.ResultsTwo themes became visible: ‘ways of functioning in everyday life’ with the subthemes; ‘difficult things’, ‘stress and rest’ and ‘when feelings and thoughts are a concern’, and the theme ‘ways of managing everyday life’ with the subthemes; ‘decide and carry out’ and ‘making choices for life’. The young adults described their ways of functioning which showed that they were dealing with difficult things such as being treated unfairly, feeling offended by teachers and peers and being undeservedly accused for behaving egoistically.They also experienced hard words from teasing siblings, friends and parents, which was a source of sorrow. The young adults described that their feelings of stress were caused by being too busy and feeling too unfocused in social situations. Tiredness was the starting point of feeling stressed and leading to guilt for not getting things done. The young adults were drained of energy and had serious sleeping problems. Feelings and thoughts were a concern when they were dissatisfied with the body, felt obsessive, and anxious. Feelings of discomfort were described as a consequence of losing control in personal emotional downturns. Ways of managing everyday life included decisions to plan and following those plans. To enable that, control was important as well as managing time. The young adults made choices for life and wanted to succeed. They had high expectations of themselves, and strove for high scores and described distinct ideas about what would be their future profession. ConclusionsThis study led to a more in-depth knowledge about these young adults’ everyday lives through support and coaching over the Internet, and showed their ability to use the chat for expressing what every-day life meant to them. The implications of the findings are that by using e-coaching for this population, new opportunities are available for health care professionals to acknowledge these young adults’ problems, and online coaching could facilitate the contact between the young adult and the medical and healthcare service.

  • 139.
    Hedvall, Caroline
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Berglund, Lucas
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Mäns upplevelser av livskvalitet efter radikal prostatektomi: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background 

    Radical prostatectomy is a common treatment for prostate cancer. However, it can lead to side effects affecting quality of life in men both physical and psychological.

    Aim -

    The purpose is to highlight men's perceptions of quality of life after radical prostatectomy due to prostate cancer.

    Method -

    A literature review done on nine scientific articles from various countries. The literature review used both qualitative and quantitative articles.

    Results -

    Sexual dysfunction and urinary incontinence were the side effects that most men felt affected the quality of life negatively. The information was perceived inadequate. It was either poorly planned or did not occur.

    Conclusion -

    Men are in need of information both before and after surgery as radical prostatectomy will bring changes that affect men's quality of life. Medical professionals need to ask about intimate issues as patients do not always dare to raise these voluntarily

  • 140.
    Hellberg, Helena
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johansson, Christina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att återhämta sig efter dagkirurgi: En litteraturstudie om patienterfarenheter2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Nowadays, a major part of all operations is performed through ambulatory surgery, both in Sweden and in the rest of the world. To undergo a surgery in ambulatory settings means that patients are operated and leave the hospital on the same day. Today, when many operations are performed in ambulatory surgery the professional nursing care is moved to the patient and his relatives. What are the experiences of patients during recovery at home after an ambulatory surgery?

    Aim

    The aim of this study was to describe patients´ experiences of recovery at home after an ambulatory surgery.

    Method

    A literature review of teen studies performed with both qualitative and quantitative research approaches.

    Results

    Two themes and six subthemes emerged. The two themes were: "Feel of their body" and "To manage the day". After ambulatory surgery pain and fatigue often describes as usual problem. The fatigue is so obvious that it affects their daily activities. Patients describe a great need for help from relatives for up to a week. The relatives need for physical and mental support.

    Conclusion

    In several studies, fatigue is described as prolonged, and as affecting the possibility to return to daily activities. Patients and caregivers need to be informed about that fatigue can follow an operation, a knowledge and awareness that can reduce wasted anxiety.

  • 141.
    Holm, Anne Lise
    et al.
    Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud and Vestfold University College, Kongsberg.
    Lyberg, Anne
    Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud and Vestfold University College, Kongsberg.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud and Vestfold University College, Kongsberg.
    Cutcliffe, John
    School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa .
    Severinsson, Elisabeth
    Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud and Vestfold University College, Kongsberg.
    Shadows from the past: The situated meaning of being suicidal among depressed older people living in the community2014In: Crisis, ISSN 0227-5910, E-ISSN 2151-2396, Vol. 35, no 4, p. 253-260Article in journal (Refereed)
    Abstract [en]

    Background: Most depressed older people in a suicidal state have mixed feelings, where the wish to live and the wish to die wage a battle. Aims: To explore and describe depressed older people’s experiences of being suicidal and their search for meaning. Method: Data were collected from 29 participants resident in the Rogaland and Vestfold districts of Norway, by means of individual interviews, after which a thematic analysis was performed. Results: For the participants in this study, the lived experiences of the situated meaning of survival after being suicidal comprised a main theme—”shadows from the past”—and two themes—”feeling that something inside is broken” and ”a struggle to catch the light.” Conclusion: Mental health-care professionals might be able to reduce the risk of suicide and perturbation by helping depressed older people to explore, resolve, and ultimately come to terms with their unresolved historical issues. Additional valuable strategies in primary care settings include encountering patients frequently, monitoring adherence to care plans, and providing support to address the source of emotional pain and distress. 

  • 142.
    Holm, Anne Lise
    et al.
    Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud and Vestfold University College, Kongsberg.
    Lyberg, Anne
    Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud and Vestfold University College, Kongsberg.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud and Vestfold University College, Kongsberg.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Severinsson, Elisabeth
    Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud and Vestfold University College, Kongsberg.
    Going around in a Circle: A Norwegian Study of Suicidal Experiences in Old Age2014In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, article id 734635Article in journal (Refereed)
    Abstract [en]

    Depression has repeatedly been found to be a risk factor for completed suicide, particularly when coupled with a pervasive sense of hopelessness. The aim of this study was to evaluate depressed older persons’ suicidal experiences. Data were collected by means of individual in-depth interviews with nine informants living in two districts of Norway. A hermeneutic analysis was performed. Onemain theme: Going around in a circle and two themes: being alone without meaning in life and struggling to achieve reconciliation emerged from the analysis. An important implication for mental healthcare practice is the need to develop a person’s ability to shape and take control of her/his life. The healthcare organisation must be committed to a plan that sets out strategies enabling suicidal individuals to avoid the negative experience of meaninglessness. It was concluded that suicidal depressed elderly persons need helpto escape from their desperate situation. More research is urgently required in order to prevent suicide in depressed elderly persons whose emotional pain is unbearable.

  • 143.
    Holmér, Alexander
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Wästerlund, Helena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hur hanterar sjuksköterskor stress i arbetet?: En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nursing profession involves meetings and situations which can be stressful. The work environment can cause additional stress in the form of time pressure, lack of support from colleagues, management or disgruntled family members and patients. This places the nurse in a position that requires a sharpened ability to handle stress. It can become overwhelming and unmanageable and cause a serious threat to the nurse's health and wellbeing. To handle stress the nurses uses different coping strategies.

    Aim: The aim of the review was to gain a better understanding of how nurses deal with occupational stress.

    Method: A systematic literature overview study based on eleven articles, including both qualitative and quantitative studies.

    Results: Nurses deal with stress in different ways based on their own resources. The results were divided in to seven themes: Seeking social support for emotional expression, Planning and problem solving to reduce stress, Setting boundaries to alleviate stress, Create time and space for recovery, Create time for reflection and guidance, Manage what cannot be affected and Creating distance in order to gain perspective.

    Conclusion: Perceived stress differs wide between nurses. A great responsibility therefore rests on the nurse herself to learn to manage her stress. The employer can create supportive conditions but the nurse must learn to master their own stress.

  • 144.
    Honarduost, Tara
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Bujak, Agnieszka
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patientens upplevelser av möjligheter och hinder för delaktighet i vården: En litteraturbaserad studie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background According to the Health Care Act [HSL] (SFS 1982:763), the goal of health care is health and care on equal terms for the entire population. The patient has the right to be informed and to be involved in the care. Nurse has a part in creating the patient autonomy.

    Aim The purpose of this study was to describe patient experiences of possibilities and barriers to participation in health care.

    Method A qualitative literature based study in the subject of nursing. Article search was performed in library databases: Cinahl, PubMed and Academic Search Elite. Eight qualitative articles were analyzed.

    Results Two categories were found: Possibilities for participation; Barriers to participation with sub-categories. The main findings were two important factors; how the mutual trust between the nurse and the patient helps the patient to become involved in their care; and how relevant and appropriate information promotes patient involvement in their care.

    Conclusion Important factors are information and treatment. In order to reduce society's costs and patient suffering nurses should give information in a proper way i.e. it should be appropriate and relevant. The information should be both written and orally. More research needs to find out what hinders and promotes patient participation in order to give the nurses strategies to help the patients become involved in their care

  • 145.
    Hossein-Chi, Mahrouyeh
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ríos-Mondaca, Alejandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskans kommunikation med patienten med afasi: en litteraturöversikt2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Communication allows people to gain understanding of themselves and their surroundings, which is a prerequisite for good health. The nurse may in her communication help patients develop a feeling that they are not alone in their situation. If the patients cannot express themselves and make themselves understood, it can lead the patients to feel left out which emphasizes the suffering at having aphasia. Aim: The aim of this study was to identify the components which affect nurse’s communication with patients with aphasia. Analysis method: A literature review was made based on eleven scientific articles in which similarities were pointed out. Results: The result of this study is presented in three main categories: Time, Environment and Strategies. Eighth subcategory emerged: Knowledge and patient under Time; Physical and psychosocial under Environment; and Verbal, Nonverbal, Augmentative and Alternative Communication (AAC) and Individual Care under Strategies. Conclusion: This study reveals how nurses can provide the opportunity for patients to increase self-confidence. The result suggests that a person-centered communication care plan as a basic instrument to facilitate patient and caregiver interaction is needed.

  • 146.
    Hue Eriksson, Karin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kalkan, Gülfidan
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Det är bara ett litet stick. Nålfobi hos ungdomar och vuxna: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Adolescents and adults suffering from needle phobia have an unreasonable fear of needles that leads to negative experiences if they do not get the support they need. Negative experiences lead to patients avoiding health care, or these experiences affect important aspects of life. The suffering that a patient experiences may be obvious to some, but others hide it, and then it will be more difficult to detect. The nurse's role is to recognize the suffering and its different reactions in order to alleviate and prevent unnecessary suffering of the patient. AimThe purpose of this study was to describe about young people's and adults' experiences of having needle phobias. Method A literature review methodology, using eight quantitative articles and one qualitative article relevant for the aim of study.The analysis was done by comparing the similarities and differences from the result's content.Afterwards the most important parts in the result was coded to build categories and themes. Results Patients with needle phobias experience many different physical reactions such aspain, vasovagal reaction and other reactions during venipuncture, injections or just by seeing a needle. Long waiting times worsened the experience and strengthened the response. Patients experience more anxiety and fear because of their previous negative experiences and because of the medical environment. Experiences and reactions differ between ages, gender and level of education. Conclusion Patients with needle phobias have different experiences and reactions vary from person to person. Nurses on care institutions need more knowledge about patient'sexperiencesof needle phobias to better support and ease the suffering that afflicts the patients.

  • 147.
    Hultgren, Sofia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lindberg, Natalie
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att leva med ett förändrat utseende: Till följd av behandling av cancer2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Cancer is a genetic term for several diseases. A challenge people face is the effect of the treatment. Most nurses have or will encounter a situation where patients´ appearance has changed. In these kind of situations the body image is important. Through a model that Price has developed we can understand the importance of the body image. The model consists of three components: body ideal, body reality and body presentation.

    Aim:

    The aim of the study was to describe patients' experience to live with an altered appearance.

    Method:

    The literature review is based on analysis of qualitative data. Ten articles were included and analyzed by the authors. The articles were summarized and complied into a new result.

    Results:

    The results are based on five themes that shows patients' experience of living with an altered appearance. Patients used different strategies to hide their altered appearance. They also felt that they were treated differently and that people around them tended to behave

    differently. The patients didn't recognize themselves after treatment for cancer and felt that they had lost a part of themselves. The patients also felt that the nurses avoided to talk about the altered appearance.

    Conclusion:

    The results are based on equivalent experiences and perceptions of living with an altered appearance. Patients' experiences are strongly related to their personality. The patients needed nurses to be supportive. Many of the patients felt that the nurses didn't support them enough. The conclusion is that the aid is an important function of the nurse who can help patients to better manage a change like this.

  • 148.
    Huremovic, Viktorija
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Tobin, Antonia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Faktorer som påverkar den mentala hälsan och utvecklingen hos familjehemsbarn2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Foster care can be an alternative if a child cannot stay in their biological family. Many children in foster care do not have a good mental health because of their situation and earlier experiences. John Bowlby's attachment theory provides an explanation of mental health and development in children. It is important for children to have at least one person to attach to. Aim: The aim of this study was to investigate factors that affect the mental health and development of children in foster homes. Method: In this literature review nine qualitative and quantitative articles were analyzed, which resulted in three themes. Results: The first theme deals with how important the foster parents are. How they act and how they support their foster children affect the children's mental health. The second theme describes the importance of stability in the foster home and the last theme describes the effect that continuity of school and other activities have on the mental health and development of the foster children. Conclusion: Children in foster care need homes where they can attach to their foster parents. It is important for the children to have and feel stability in one foster home and that they are not forced to move to new foster homes. Continuity in school and activities has an important role in making them involved in family and it is critical that they can keep contact with friends and other people who are involved in their activities

  • 149.
    Höglund, Frida
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Dahlgren, Frida
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att genomföra livsstilsförändringar vid Diabetes mellitus typ 2: Sjuksköterskor och patienters perspektiv2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes mellitus type 2 is a rapidly increasing disease worldwide. The disease is connected to lifestyle. Making lifestyle changes is hard. When suffering from Diabetes mellitus type 2 it is necessary to live healthy to prevent secondary diseases. Lifestyle changes includes for example changing dietary habits, become psychically active or losing weight. The aim of this study was to gain knowledge about different perspectives of lifestyle changes from both patients and nurses. This qualitative study was conducted as a literature study through analysis of relevant scientific articles. The results show that both patients and nurses experience difficulties managing lifestyle changes. Social support is important for the patient to succeed in making a change. It is important that there is a mutual interaction between the patient and the nurse for the patient to succeed to make a lifestyle change. This literature study shows that there is a need for more knowledge about preventing and managing this disease from a caring perspective. The nurse play an important role in the treatment of patients suffering from diabetes mellitus type 2. It is therefore important that the nurse has the knowledge needed to motivate and support patients to make a lifestyle change.

  • 150.
    Idengren, Camilla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johannesson, Evelina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ett tyst rop på hjälp: en litteraturstudie om hur sjuksköterskan kan identifiera barnmisshandel2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Corporal punishment has been banned in Sweden since 1979. Child abuse is known to exist in all cultures and social classes in our society. Therefore the nurse must be aware of this working with children.

    Aim: The aim of this study was to describe how nurses' can identify signs and symptoms of child abuse.

    Method: A literature review of ten articles containing six quantitative and four qualitative studies published between the years of 2000 and 2012. A content analysis was performed where similarities emerged in themes and subthemes.

    Results: The findings were signs and symptoms which concerns physical, psychological and social behaviors seen in child abuse. Additional findings were; an insecurity and lack of knowledge among nurses working with children. Experienced nurses believed to be more confident than less experienced nurses in identifying abused children and adolescents. 

    Conclusion: Nurses' ought to have a holistic and ethical approach towards evaluating child abuse. It's important to have in mind that child abuse appears in great variety in physical, physiological and social aspects. Nurses' expressed the need of clearer guidelines in how to identify child abuse and common risk factors.

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