Change search
Refine search result
1234567 101 - 150 of 319
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 101.
    Forsén, Emmanuel
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Migrerade somaliers möten med västerländsk sjukvård: uppfattningar, upplevelser och lärdomar: en litteraturstudie2017Independent thesis Advanced level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Background: Persons of Somali origin constitute an important population group in Sweden, and their health needs are of public health interest. Transcultural care and person centered care are two theoretical perspectives that can inform health care staff in caring for patients of different cultural background. Aim: The aim of this study was to examine how migrated Somalis perceive health and experience their encounters with Western health systems; furthermore to examine the existing literature for recommendations on how such encounters can be mitigated. Method: A literature review was conducted, identifying ten studies with qualitative designs which findings were synthesized. Results: Three themes emerged: colliding beliefs on health and illness, various experiences in encountering Western healthcare and helpful practices in the care encounter. Preventive measures were perceived as foreign and spiritual aspects of health as central. Both facilitating and discriminating experiences were described. Mitigating recommendations included involvement in decision making, increased competence in communication and sufficient time to allow for expression of explanatory models and adapted information in consultations. Conclusion: The findings of this study can add to the frame of reference of health staff who apply the principles of person centered care in serving persons of Somali origin.

  • 102.
    Franklin, Elizabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Interkulturella medlarens betydelse för att skapa en personcentrerad vård2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of people seeking asylum in Sweden reached a record level by 2015. Inequalities in the healthcare of migrants can lead to poor health outcomes and an unsatisfactory health meeting. Language translation is considered the minimum that should be offered to ensure the care recipients access to a good, safe and satisfactory care. Culture also has an impact on the recipient's experience of healthcare and consists of much that is unconscious and constantly changing in interaction with the individual's lived experience. Efforts to bridge the gap between migrant healthcare recipients and healthcare providers whom usually belong to a majority population, include the application of culturally competent care and strategies for "culture brokering". These methods do not however consider the lack of insight into the care recipient's cultural frame of reference. An Intercultural Mediator (IM) is themselves a migrant who, based on common denominators such as language, gender and shared experience of being immigrant can act as an intermediary or bridge builder during the healthcare meeting. Mediation can be used to highlight the care recipient's lifeworld story and promote a person-centered care that is not precluded by pre-defined opinions and stereotypes concerning the impact of culture, but instead addresses the person's vulnerability, resources and personal abilities. Aim: The aim of this study is to investigate IM's specific role and how the IM can contribute to a more person-centered care in the context of the healthcare meeting of short duration within in-patient settings. Method: The study is based on ethnography conducted through participatory observation, informal dialogue at a healthcare clinic and hospital in Malta. Results: The results are based on four categories describing IM's role in the creation of person-centered care for migrant care recipients; Being a fellow human, creating a bridge between care recipients and care providers, being a part of the team and balancing power situations and creating cultural awareness. Conclusions: An IM is an important addition to healthcare agencies. IM utilizes the dyadic conversation preceding the healthcare meeting to establish trust and prepare the care recipient for the encounter. During the triadic meeting with the care recipient and caregiver, the IM interprets and ensures that the participants understand each other. The IM's presence creates space for the migrant care recipient to express his needs based on his everyday reality and cultural reference frame. In highlighting the care recipient's story, the IM is able to contribute to a more person-centered healthcare meeting, which may result in a better outcome. However, the lack of organisation of mediation services, lack of cultural awareness amongst care providers as well as exclusion from the healthcare practitioners' community of practice may hinder the effectiveness and stability of mediation services.

  • 103.
    Fransson, Frida
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Psykisk ohälsa hos ungdomar - skolsköterskans arbete: En litteraturstudie2015Independent thesis Advanced level (degree of Master (One Year)), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Background: The proportion of young people with mental health problems increases within the school, which places greater demands on school nurses and their ability to meet these pupils. Upbringing, family social position and living conditions are factors that affect the health of individuals. School nurses are included in student health and has an important role in mental health problems, both in terms of early identification and provide support to students as well as the promotion of health. School nurses are often alone in their profession within the individual school, which places high demands on the ability to work independently, make their own decisions and be confident in their area of expertise. Through their accessibility, the school nurse has a central position to identify and capture pupils with mental health problems and early provide of support to foster students' development and learning.

    Aim: The aim of this study is to describe the school nurse's work with young people's mental health problems within the school. Method: A systematic literature review. Searches conducted in Cinahl, PsycInfo, PsycArticles and ERIC resulted in six articles for review and analysis underlying the results.

    Results: The result presents four themes with related categories that emerged through analysis. These consist of: identification of mental illness, measures in mental health, health promotion of mental health/illness and collaboration around pupils with mental illness. Conclusion: By their position at the school, school nurses constitutes a key figure in identifying mental health problems among pupils through their accessibility, communication skills and the use of screening tools. Prevention and health promotion are important, but the time and the conditions specified for this purpose are lacking.

  • 104.
    Fred, Jenny
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pettersson, Linda
    University West, Department of Health Sciences, Section for nursing - graduate level.
    "De blir ju inte intressanta i sjukvården förrän de har diagnos": En kvalitativ intervjustudie om specialistsjuksköterskors arbete med prediabetes i Primärvård.2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Most people living with prediabetes today are undiagnosed. Primary care is the first line care where the specialist nurse has a key role in promoting health and preventing illness. Type 2 diabetes can be prevented or delayed in people with prediabetes, for example through counseling on diet and exercise. The specialist nurse is the person who often meets people with the increased risk of diabetes and cardiovascular diseases and can, through their efforts, influence the outcome. There are currently no guidelines for their work, not at a national level nor at a regional level. It is therefore of interest to explore this more closely.

    Aim: The aim of this study as to describe how specialist nurses works with prediabetes in primary care in the region of Västra Götaland.

    Method: In this study seven semi structured telephone interviews were held. The data was analysed with qualitative content analysis by Graneheim & Lundman (2004).

    Results: Three categories emerged from the analysis: Routines based on guidelines and subjective assessments, Head of specialist nursing reception, and Opportunities and obstacles to work preventively. The result showed that specialist nurses worked with different routines and strategies to find people with prediabetes, they value the importance of the diagnosis differently and the planning of the nursing care is usually controlled by the specialist nurses own subjective assessment. The specialist nurses conducted a reception where they were responsible for meeting persons identified with prediabetes. The work was done in team collaboration and individual counseling was given. They saw opportunities to improve the work with prediabetes but also had obstacles that could stand in the way of that implementation. Lack of time and that the work with diabetes was more prioritized were the biggest obstacles.

    Conclusion: The result shows that there is a great need for common guidelines that are missing. Guidelines are required to support evidence-based work on issues related to the area of prediabetes. Otherwise, the risk is that the care is controlled by subjective assessments, which does not provide optimal care. Working more intensely and evidence-based with people with prediabetes could lead to fewer people becoming ill in type 2 diabetes and thus being a step in improving public health. If prediabetes was included as preventive health work in the region of Västra Götaland´s compensation system, the work could also be facilitated, since the organization's finances and lack of time are factors that affect the specialist nurses work on prediabetes.

  • 105.
    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.

  • 106.
    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.

  • 107.
    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)
  • 108.
    Gandane, Henriqueta
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Westlye, Martina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sömnprofil och yoga: En randomiserad kontrollerad studie från kriminalvården2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Positive effects of yoga practising on mental health and wellbeing have been shown previously in samples from general, clinical and even inmate populations. However, no studies have investigated the effect of yoga exercise on sleep quality. The present study was conducted as a randomized controlled trial, in several Swedish prisons with the aim to study the effects of 10 weeks yoga on prison inmates' sleep profile.

    Method: The study population included 152 inmates, evenly distributed between yoga and control groups. Those in the yoga groups participated for 10 weeks, once a week in a 90 minutes yoga class, while control group participants were asked to practice free choice of exercise (but not yoga) during the study period. Participants reported their own sleep quality with the help of the Pittsburgh Sleep Quality instrument before and after the 10 weeks long interventions. The study confirmed previous finding about that inmates rate their overall sleep quality as "pretty bad". However, they also rated their sleep hours to be at least seven hours a night which is an acceptable sleep time for an adult. Physical activity (including yoga) significantly shortened the time required to fall asleep and improved sleep quality.

    Results: Yoga specifically, also resulted in significantly improved time in bed, and decreased sleep disturbances. Sleep disturbances significantly decreased in those who exercised yoga compared to those who participated in other physical activities.

    Conclusion: The study concludes that physical activity improves inmates' sleep profile while yoga specifically helps with sleep disturbances.

  • 109.
    Garmy, Pernilla
    et al.
    Kristianstad University, Department of Health Science,Kristianstad, Swede.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level. Kristianstad University, Department of Health Science,Kristianstad, Swede.
    Clausson, Eva K
    Kristianstad University, Department of Health Science,Kristianstad, Swede.
    A qualitative study exploring adolescents' experiences with a school-based mental health program2015In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, article id 1074Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Supporting positive mental health development in adolescents is a major public health concern worldwide. Although several school-based programs aimed at preventing depression have been launched, it is crucial to evaluate these programs and to obtain feedback from participating adolescents. This study aimed to explore adolescents' experiences with a -based cognitive-behavioral depression prevention program.

    METHODS: Eighty-nine adolescents aged 13-15 years were divided into 12 focus groups. The focus group interviews were analyzed using qualitative content analysis.

    RESULTS: Three categories and eight subcategories were found to be related to the experience of the school-based program. The first category, intrapersonal strategies, consisted of the subcategories of directed thinking, improved self-confidence, stress management, and positive activities. The second category, interpersonal awareness, consisted of the subcategories of trusting the group and considering others. The third category, structural constraints, consisted of the subcategories of negative framing and emphasis on performance.

    CONCLUSIONS: The school-based mental health program was perceived as beneficial and meaningful on both individual and group levels, but students expressed a desire for a more health-promoting approach.

  • 110.
    Garmy, Pernilla
    et al.
    Kristianstad University, Department of Health Science.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture. University West, Department of Health Sciences, Section for nursing - graduate level.
    Clausson, Eva K
    Kristianstad University, Department of Health Science.
    Supporting positive mental health development in adolescents with a group cognitive intervention2014In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 9, no 1, p. 24-29Article in journal (Refereed)
    Abstract [en]

    Background: Supporting positive mental health development in adolescents is an important school health concern, but there is a need to investigate the suitability of the interventions used. Aim: The aim is to investigate the experiences of school health professionals in conducting a universal school-based programme aimed at preventing depressive symptoms in adolescents. Methods: Twenty-two school health professionals participated in four focus groups. The interviews were analysed using qualitative content analysis. Findings: The overall theme identified in the study consists of‘striking a balance between strictly following the manual and meeting the students’ needs’. Three subthemes emerged: ‘doing good and sowing seeds for the future’, working with insufficient tools, and ‘personal development as a professional and as an individual’. Conclusions: School health professionals conducting the programme found it valuable in a school setting, but considered support from the school administration essential.

  • 111.
    Garmy, Pernilla
    et al.
    Kristianstad University, Department of Health Science.
    Jakobsson, Ulf
    Lund University, Center for Primary Health Care Research, Faculty of Medicine.
    Carlsson, Katarina Steen
    Kristianstad University, Department of Health Science.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Clausson, Eva K.
    Kristianstad University, Department of Health Science.
    Evaluation of a School-Based Program Aimed at Preventing Depressive Symptoms in Adolescents2015In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, no 2, p. 117-125Article in journal (Refereed)
    Abstract [en]

    The aim of this pilot study was to evaluate the implementation of a universal school-based cognitive behavioral program whose target is to prevent depressive symptoms in adolescents. The study had a quasi-experimental design with pretest, posttest, and a 1-year follow-up and provides an illustrative calculation for the implementation costs of the intervention. Sixty-two students (aged 14) and seven tutors participated. A majority of the students and all of the tutors were satisfied with the intervention. The students, both females and males, rated their depressed symptoms as significantly lower after the course; and for the females, this was maintained 1-year postintervention. The implementation costs for the initial 2 years were about US$300 per student. Positive effects of a universal school-based cognitive behavioral intervention aiming at preventing depressive symptoms in adolescents were found, especially among females.

  • 112.
    Garmy, Pernilla
    et al.
    Kristianstad University, School of Health and Society.
    Jakobsson, Ulf
    Lunds universitet.
    Steen Carlsson, Katarina
    Lunds universitet.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society.
    Att förebygga depressiva symtom hos ungdomar: en pilotstudie2014Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: Att främja välmående och psykisk hälsa hos barn och ungdomar är en viktig uppgift för samhället. Psykisk ohälsa, t ex depression och ångest, innebär en försämrad livskvalitet som kan försvåra barnets kognitiva, sociala och känslomässiga funktioner. Att främja en positiv utveckling och förebygga barns och ungas psykiska ohälsa innebär både ett minskat individuellt lidande och minskade samhällskostnader. Förutsättningen är dock att förebyggande åtgärder är effektiva ur såväl hälsomässiga som ekonomiska perspektiv.

    Syfte: Att utvärdera det skolbaserade programmet Disa som syftar till att förebygga depressiva symptom hos ungdomar.Metod:Studien, som har en kvasiexperimentell design, inkluderade pre-test, post-test och ett-års-uppföljning samt en illustrativ beräkning av interventionens implementeringskostnader. I studien deltog 62 elever i årskurs 8, samt 7 Disa-ledare.

    Resultat: En majoritet av eleverna och samtliga ledare var nöjda med interventionen. Eleverna, både flickorna och pojkarna, skattade sina depressiva symtom signifikant lägre efter kursen, och för flickorna bestod denna effekt vid ett-års-uppföljningen. Implementeringskostnaderna för de första två åren var cirka 2000 kr per elev.

    Slutsats: Positiva resultat av det skolbaserade programmet Disa påvisades, särskilt för flickor. Flera elever tyckte att de fått ett nytt sätt att tänka, och att stämningen förbättrades i klassen.

    Svar på frågan "Vad tyckte du om Disa-kursen?""Mycket bra! Bättre stämning i klassen efter det! Mysigt!" – Flicka"Helt okej, märkte ingen skillnad efter. Mådde i och för sig inte dåligt innan heller." – Flicka"Den har varit bra, man har fått ett nytt sätt att tänka på." – Flicka"Intressant och gav perspektiv" – Pojke"Tråkigt" - Pojke"Bra att få tips hur man kan undvika negativa tankar snabbt!" – Pojke

  • 113. Gedda, Birgitta
    et al.
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskans pedagogiska verksamhet: villkor och processer2019In: Pedagogik inom vård och handledning / [ed] Pilhammar Andersson, Ewa, Lund: Studentlitteratur AB, 2019, 3., p. 107-137Chapter in book (Other academic)
  • 114.
    Georgsson, Mattias
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Utah, Department of Biomedical Informatics, Salt Lake City, UT, USA; Blekinge Institute of Technology, Faculty of Computing, Karlskrona, Sweden.
    Staggers, Nancy
    University of Utah, Department of Biomedical Informatics, Salt Lake City, UT, USA; Summit Health Informatics, Salt Lake City, UT, US.
    Årsand, Eirik
    The Norwegian Centre for E-health Research, University Hospital of North Norway, Tromsø, Norway; UiT The Arctic University of Norway, Department of Clinical Medicine, Tromsø, Norway .
    Kushniruk, Andre
    University of Victoria, School of Health Information Science, Victoria, Canada.
    Employing a user-centered cognitive walkthrough to evaluate a mHealth diabetes self-management application: A case study and beginning method validation2019In: Journal of Biomedical Informatics, ISSN 1532-0464, E-ISSN 1532-0480, Vol. 91, article id 103110Article in journal (Refereed)
    Abstract [en]

    Introduction: Self-management of chronic diseases using mobile health (mHealth) systems and applications is becoming common. Current evaluation methods such as formal usability testing can be very costly and time-consuming; others may be more efficient but lack a user focus. We propose an enhanced cognitive walkthrough (CW) method, the user-centered CW (UC-CW), to address identified deficiencies in the original technique and perform a beginning validation with think aloud protocol (TA) to assess its effectiveness, efficiency and user acceptance in a case study with diabetes patient users on a mHealth self-management application. Materials and methods: A total of 12 diabetes patients at University of Utah Health, USA, were divided into UC-CW and think aloud (TA) groups. The UC-CW method included: making the user the main evaluator for detecting usability problems, having a dual domain facilitator, and using three other improved processes: validated task development, higher level tasks and a streamlined evaluation process. Users interacted with the same mHealth application for both methods. Post-evaluation assessments included the NASA RTLX instrument and a set of brief interview questions. Results: Participants had similar demographic characteristics. A total of 26 usability problems were identified with the UC-CW and 20 with TA. Both methods produced similar ratings: severity across all views (UC-CW = 2.7 and TA = 2.6), numbers of problems in the same views (Main View [UC-CW = 11, TA = 10], Carbohydrate Entry View [UC-CW = 4, TA = 3] and List View [UC-CW = 3, TA = 3]) with similar heuristic violations (Match Between the System and Real World [UC-CW = 19, TA = 16], Consistency and Standards [UC-CW = 17, TA = 15], and Recognition Rather than Recall [UC-CW = 13, TA = 10]). Both methods converged on eight usability problems, but the UC-CW group detected five critical issues while the TA group identified two. The UC-CW group identified needed personalized features for patients’ disease needs not identified with TA. UC-CW was more efficient on average time per identified usability problem and on the total evaluation process with patients. NASA RTLX scores indicated that participants experienced the UC-CW half as cognitively demanding. Common themes from interviews indicated the UC-CW as enjoyable and easy to perform while TA was considered somewhat awkward and more cognitively challenging. Conclusions: UC-CW was effective for finding severe, recurring usability problems and it highlighted the need for personalized user features. The method was also efficient and had high user acceptance. These results indicate UC-CW’s utility and user acceptance in evaluating a mHealth self-management application. It provides an additional usability evaluation technique for researchers. © 2019

  • 115.
    Gideonsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Fahlgren, Stina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Specialistutbildade psykiatrisjuksköterskors erfarenheter av att vårda patienter dömda till rättspsykiatrisk öppenvård: En avancerad balansgång mellan vård och samhälle2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Forensic psychiatric is one of the most complex forms of health care. Since 2008 the forensic psychiatric inpatient care may be replaced by forensic psychiatric outpatient care. Aim: The aim was to highlight specialist trained psychiatric nurses' experiences of caring for patients who are sentenced to forensic psychiatric outpatients care. Method: The study was conducted with qualitative approach. Ten semi-structured interviews were conducted with specialist trained psychiatric nurses who worked in the forensic psychiatric outpatient care. The transcriptions were analyzed using qualitative content analysis. Results: The analysis resulted in three categories: "a limited care with discretion", "a new caring role" and "an art to care for mentally ill judged". Together these categories included nine subcategories. The results showed that the forensic psychiatric outpatient care involves a complex balance between health and society, which also was the results theme. Conclusion: Forensic psychiatric care is limited care with discretion. This means that nurses have a given structure to work from. Working in forensic psychiatric outpatient care means a new role for nurses caring. The role is described as rewarding and challenging and nurturing mentally ill convicted is an art in itself. Through experience, the nurses have the knowledge that allows them to create a good relationship with the patients in a calm and casual environment.

  • 116.
    Grundberg, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Olausson, Martina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vilken kompressionsmetod är mest effektiv vid läkning av venösa bensår?: en registerstudie2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Venous leg ulcers involve considerable suffering for patients. Pain, odor and leakage of exudate affects patients physically, mentally and socially. Compression therapy accelerates wound healing. There are various methods of compression therapy, but there is no conclusive answer to which method provides the shortest healing time. Aim: The aim was to find out which compression method that provides the shortest healing time in treatment of venous leg ulcers localized from the leg down to the ankle; short stretch wraps, multi-layer bandaging with high compression, multi-layer bandaging with reduced compression or com-pression hosiery? Method: This was a register study based on data from the quality register RiksSår. Results: The study included 454 patients. 106 patients had been treated with short stretch wraps, 127 with multi-layer bandaging with high compression, 99 with multi-layer bandaging with reduced compression and 122 with compression hosiery. There was a signifi-cant difference in wound healing time between the methods. Wounds treated with compres-sion hosiery had the shortest healing time. These wounds were significantly smaller than the others. Also when wound size was accounted for compression hosiery had the shortest wound healing time together with short stretch wraps. Conclusion: Patient compliance and the sim-plicity of treatment have contributed to these results. Previous studies show that patients pre-fer a compression treatment that is as comfortable as can be and restricts their everyday life as little as possible. This is mainly met by compression hosiery and short stretch wraps. These two have also been proven to be easy to apply regardless of knowledge and experience.

  • 117.
    Grönberg, Jenny
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pehrson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors erfarenheter av stöd efter att en patient fullbordat suicid i öppenvården2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses' who works in outpatient psychiatric care has a significant important role in the care of suicidal patients. When a patient commits suicide it can be extremely painful for the nurse who has worked with the patient and it may cause the nurse a great need for support. The support can help the nurses' cope with the situation and be able to get through it with their own health intact. Aim: The aim of this study was to describe nurses' experiences of support after a patient committed suicide in outpatient psychiatric care. Method: The study was conducted with a descriptive, qualitative design. Ten nurses', who worked in outpatient psychiatric care was interviewed with a semi-structured approach. The transcribed text was analyzed by using qualitative content analysis. Results: Both positive and negative experiences emerged from the analysis that formed three categories "Effective leadership" "Comprehension in the working group" and "Loneliness and lack of support". Together these categories consist in nine subcategories. Conclusion: Support played a major role for the nurses' to cope with the situation when a patient commit suicide. The nurses' who received support state that they have been able to process and get through the situation and emotional crisis in a positive way. Experiences of lack of support were also strong in the study and the results can be inferred how important the support was since it has such a big impact on wellbeing and the nurses' who didn´t received any support still could carry such emotions as guilt, anger, powerlessness and loneliness.

  • 118.
    Gustafsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Skogsberg, Johanna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Det tysta symtomet som tiger still: Sjuksköterskans tankar kring patienters munhälsa i palliativ vård inom kommunal hälso- och sjukvård2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Oral health is important in many aspects of health and oral problems can negatively affect the remaining time in life to patients in palliative care. Still, oral problems are often neglected by health care staff, patients and relatives. An increasing number of patients are today receiving palliative care in their own homes, in need of community health care where the registered nurse is responsible for supporting the health of the patient until death occurs. Research regarding the perspectives of the registered nurses on oral health in patients with palliative care in community health care is very limited.

    Aim To describe the thoughts of registered nurses concerning the oral health of patients with palliative care within community health care.

    Method: Semi-structured interviews with nine registered nurses, with and without specialist degree, with experience from palliative care within community health care were conducted. The thesis used qualitative content analysis.

    Results: Two themes emerged describing the thoughts of the registered nurse: The mouth a part of the patient and Oral health of patients must be paid attention to. Registered nurses consider the mouth their responsibility but describe the mouth as not always treated as part of the body and due to this might end up as a responsibility of no one. The registered nurses exemplified vast numbers of situations where oral health problems have affected the quality of life of the patients with palliative care. Oral health problems are often undetected with reasons found in all levels within the health care organization.

    Conclusion: In order to provide patients with high quality palliative care must undetected oral health problems be detected and treated. To achieve this must oral health be elucidated in the everyday work of the registered nurses as well as on community and national level.

  • 119.
    Gustafsson, Birgitta
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hansson, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att aldrig släppa taget: Distriktssköterskans erfarenhet av att ge stöd till patienter med typ 2 diabetes och allvarlig psykisk ohälsa2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Type 2 diabetes mellitus (T2DM) and serious mental illness involves major public health problems in the world. People with severe mental illness have an increased risk of metabolic abnormalities and obesity, leading to an increased incidence for T2DM. District nurses with advanced training in diabetes care will in their profession give support to lifestyle changes and healthy living habits. Aim The purpose of this study was to illuminate district nurses´ experience of how they can support people with T2DM and serious mental illness.Method A qualitative methodology based on individual interviews analyzed with qualitative content analysis was used. Twelve informants were part of the study. Results The individual meeting with mutual relations and respect for individuals was important. During periods of worsening mental health of the patient, the district nurses provide support and monitoring, adjusted to the patients' ability. The district nurses felt inadequacy and frustration when the patients' physical and mental health were deteriorating. The strategy was to acknowledge progress when small improvements were made and extended contacts with nurses in out-patient psychiatry were requested. Conclusion Support was designed as respectful treatments and individual meetings were prioritized. District nurses' strategies were to guide the patient by positive attitudes according to the individual, and by giving support adapted to the needs of the patient. Despite feelings of insufficiency the district nurses never gave up and conveyed the message to never let go. Cooperation and extended contact with open psychiatry were desirable to exchange knowledge, giving accordance in decisions and messages.

  • 120.
    Gustavsson, Annelie
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Torkar, Linnea
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Relation och kommunikation: Två viktiga hörnpelare för BVC-sköterskan i samtalet med föräldrarna om deras barns övervikt2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today overweight among children between 2-6 years is a growing issue both internationally and nationally, since an overweight can lead to long-term health problems for a child both physically and psychosocial. It is of importance that the district nurses works health promotive and give the parents correct and objective information regarding their child’s weight development. How this is done is therefore of interest to study further.   Aim: The aim of the study was to describe the district nurse conversation with the parents about their child´s overweight.  Method: Semi-structured qualitative interviews were performed with 10 district nurses. Then data was analyzed using content analysis focusing on both manifest and latent content.  Results: The result that emerged was three themes; to create a trust, to consciousness the child’s overweight and to handle the everyday life. It showed that the child´s overweight is a sensitive subject to discuss with the parents and an important part in the health promotive is to make the parents aware about the problem and give support so the parents could take an overall responsibility as parents   Conclusion: Present study shows that a good relationship was needed in order to communicate with the parents about the importance of promotive factors towards overweight.

  • 121.
    Göransson, Elisabet
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Olsson, Agneta
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Smärta i livets slutskede: En registerstudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background For people at the end-of-life, pain is one of the most common symptoms, and many people experience pain management inadequate or insufficient. Previous studies have shown that there are deficiencies in the nurse's assessment of the patient's pain and regularly assessment increases the ability to achieve good pain management. By analyzing and summarizing data from the Swedish register of palliative care it is possible to improve the quality of palliative care.

    Aim The aim was to identify the presence of pain and pain management in palliative care and to illustrate the factors that influence pain. The aim was also to examine to what extent validated tool for pain assessment were used to assess pain and if there were differences in pain management when pain assessment tools were used.

    Method The study was a non-experimental cross-sectional study with a quantitative design consisting of retrospective data from the Swedish register of palliative care. In total 27 863 people in residential care, care home, temporary location, or in their own homes were included.

    Results Pain was present in a total of 71, 4 % of the people during the last week of life and was more common in the age group of adults than in children and the elderly. Pain assessment tools were used in low scale to assess the person's pain. In the study 94, 2 % had an individual on demand prescription of painkillers. In four of five cases the pain was completely alleviated. There was no connection between rated pain and pain relief.

    Conclusion Knowledge of pain being common at the end-of-life, that not everyone gets their pain completely relieved and that pain assessment tools are rarely used, may be the basis for improvement on operational level.

  • 122.
    Halabi, Jehab O.
    et al.
    National Guard College of Nursing, Jeddah, King Saud bin Abdulaziz University for Health Sciences.
    Abdalrahim, Maysoon S.
    University of Jordan, Department of Clinical Nursing.
    Persson, Gunilla Length
    Sahlgrenska University Hospital, Department of Human Resource Management.
    Hedemalm, Azar
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Lepp, Margret
    University of Gothenburg,, The Sahlgrenska Academy, Institute of Health and Care Sciences.
    The development of a preceptor training program on clinical nursing education in Jordan in collaboration with Sweden2012In: Journal of Continuing Education in Nursing: Continuing Competence for the Future, ISSN 0022-0124, E-ISSN 1938-2472, Vol. 43, no 3, p. 135-144Article in journal (Refereed)
    Abstract [en]

    Background: As part of the Swedish-Jordanian International Collaboration Project, this study developed, implemented, and evaluated a preceptor training program to enhance pedagogical strategies for integration of theory and practice in nursing education in Jordan. Methods: A three-phase program was developed and implemented (2006 to 2007) focusing on experiential learning using drama, case-method, and photo language methods. Data were collected from 12 preceptors in Jordan using questionnaires and interviews. Results: Four themes reflected experiences gained from participating in the program, including bridging the gap between theory and practice, enhancing students' imminent potential, promoting the role of preceptor, and facing challenges in applying pedagogical strategies. Participants noted a positive effect on their personal and professional growth as a preceptor, students' learning process, and the quality of health care. Conclusion: Preceptors perceived that the model program helped to bridge the gap between theory and practice, improved communication and networking, and improved the quality of health care in Jordan. © SLACK Incorporated.

  • 123.
    Hallberg, Kitty
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Knape Regnér, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Specialistsjuksköterskans upplevelser i samband med partnervåld: Våld mot kvinnor2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study is focusing on experiences of advanced practice nurses (APN) working in the primary care or in the community based service who experiencing or have experienced a woman exposed for intimate partner violence (IPV).

    Background of the study describes relevant issues according to the literature search such as shame, power and advanced practice nurse, aiming to IPV.

    Method: Face-to-face interviews were conducted APNs to discover their experiences when giving care to women exposed to IPV. A semi structured interview guide was used in order to capture the narratives and was analyzed according to qualitative content analysis, category and sub category emerged. The finding of the study reveals that APNs have a key role in finding and caring for women who are exposed to IPV. Findings of the study contained that the APNs had a range of personal experiences and emotional ways to handle the exposed woman, the APNs in the study reported emotional reactions such as feeling anger, sadness, empathy, powerless and frustration. It was a clear message that it was important for the APN to make the exposed woman feel safe and create a relationship based care were the woman could talk about her experiences.

    Conclusion: The goals of this study was to gain more understanding for the experiences of the APN facing a woman exposed for IPV and the pain and suffering it creates for women worldwide.

  • 124.
    Hallgren, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Jungqvist, Ulrica
    University West, Department of Health Sciences, Section for nursing - graduate level.
    En jämförelse mellan två vårdcentraler inom två olika socioekonomiska områden avseende typ 2 diabetes: Kvantitativ registerstudie2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background; Type 2 diabetes is the most common form of diabetes. Type 2 diabetes can be prevented or delayed through lifestyle changes. People with type 2 diabetes are usually treated within the primary care. Low income and low education has proven to be a significant risk factor for developing type 2 diabetes. According to The Public Health Agency's factsheet there are socio-economic differences between Angered in northeastern Gothenburg, and Tjörn, located approximately 50 kilometer north of Angered. In both Angered and Tjörn, health care centre is represented by almost the same amount of registered people. Aim; The aim was to compare the two public healthcare centers in the Västra Götalandsregionen 2014, located in areas with different socio-economic conditions, regarding differences in age, sex, BMI, smoking, and physical activity in patients with type 2 diabetes. A further aim was to describe the respective area's treatments for type 2 diabetes. Method; The method is designed as a descriptive correlational study. To compare and obtaining differences between the two groups, Mann Whitney U test where used.Results; A total of 936 people, aged between 18-80 years participated in the study, with 541 participants coming from Närhälsan Angered and 395 from Närhälsan Tjörn. At each healthcare center, a larger number of men than women were diagnosed with type 2 diabetes (p-0,028).The results are represented in both graphs and text and are showing a comparison of chosen variables between two public healthcare centers. The results show that when it comes to age, BMI and physical activity and treatment method there are differences between respective healthcare center. The results show that there was a significant difference when it comes to age (0,00), BMI (0,012) and physical activity (0,033).Conclusion; In Sweden work is done to make diabetes care more equal with focus on cultural adjustment. Therefore, this paper can serve as a basis for further research.

  • 125.
    Hansen, Kristin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Distriktssköterskans möte och omvårdnad till patienter med psykisk ohälsa på vårdcentraler: En kvalitativ intervjustudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Mental ill-health is a growing problem in Sweden. Primary healthcare is facing increasing numbers of patients with mental ill-health. Despite the fact that district nurses are expected to promote health and prevent ill-health, most health centres in western Sweden have no psychiatric nurses. The aim of this study was to explore how district nurses experience meetings with and providing nursing care for patients with mental ill-health in healthcare centres. The study took a qualitative descriptive approach based on eight individual, semistructured interviews with district nurses working in four healthcare centres in western Sweden. The interviews were analysed using qualitative content analysis. The result identified four areas that affect district nurses' experience of the meeting with and providing nursing care for patients with mental health problems: 1) interaction; 2) dialogue; 3) care routines; and 4) knowledge. The result indicates that to promote health, alleviate suffering, and guide and support mental disease patients, district nurses need more knowledge about mental ill-health, need to pay special attention to how their demeanour inspires trust and confidence for the patient, and take a person-centered approach.

  • 126. 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.

  • 127.
    Hansson, Anders
    et al.
    University Health Care Research Centre, Region Örebro County; Örebro University, School of Medical Sciences, Sweden; University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Sweden.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Larsson, Lena G.
    University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Sweden.
    Forsman, Berit
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Flawed communications: Health professionals’ experience of collaboration in the care of frail elderly patients2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 7, p. 680-689Article in journal (Refereed)
    Abstract [en]

    Aims: Frail elderly patients who have multiple illnesses do not fare well in modern health care systems, mainly due to a lack of care planning and flawed communication between health professionals in different care organisations. This is especially noticeable when patients are discharged from hospital. The aim of this study was to explore health care professionals’ experience of obstacles and opportunities for collaboration. Methods: Health professionals were invited to participate in three focus groups, each consisting of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist and a patient or a family member representative. These individual people were then asked to discuss the obstacles and opportunities for communication between themselves and with the patients and their relatives when presented with the case report of a fictitious patient. Content analysis was used to identify categories. Results: Several obstacles were identified for effective communication and care planning: insufficient communication with patients and relatives; delayed collaboration between care-givers; the lack of an adequate responsible person for care planning; and resources not being distributed according to the actual needs of patients. The absence of an overarching responsibility for the patient, beyond organisational borders, was a recurring theme. These obstacles could also be seen as opportunities. Conclusions: Obstacles for collaboration were found on three levels: societal, organisational and individual. As health care professionals are well aware of the problems and also see solutions, management for health care should support employees’ own initiatives for changes that are of benefit in the care of frail elderly patients with multiple illnesses.

  • 128.
    Hansson, Matilda
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hallgren, Lotta
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att färdas på tunn is: Psykiatrisjuksköterskors upplevelser av att vårda suicidnära personer2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The suicidal process that a person goes through is individual and can be difficult to decipher. There are a number of factors and complex interactions that can drive the person to become suicidal. The mental health nurse has the responsibility to protect patients with mental illness and a patient and to become more involved in care planning, through patient-centered care. The interaction between the suicidal person and the nurse is of great importance. Through empathy and understanding, the nurse can get the suicidal person feel validated. Aim: The aim of the study was to examine nurses' experiences of caring for suicidal people in psychiatric outpatient care. Method: Ten interviews were conducted and analyzed using qualitative content analysis. Results: The results showed that the nurses felt emotions like anxiety, fear and doubt that followed the nurse at work and in private life. The study revealed three themes, Travelling on thin ice, Carrying heavy burdens and When the ice cracks. The theme Travelling on thin ice is supported by the categories Self-doubt and the patient and Receive support and remain calm. Carrying heavy burdens is supported by the categories Experiences of stress and Thoughts that come with the home. The theme When the ice cracks is supported by the categories When the unexpected happens and Feelings that concern, upsets and stress. By ventilating and taking support from their colleagues they were able to alleviate their concerns. The nurses could also take negative experiences that the suicidal person told about and transform it into a sense of gratitude in his own life. Conclusion: The meeting with the suicidal person affected the nurses. The study revealed a better understanding of the nurses’ work situation and can serve as a support for the nurses, attendants and doctors who care for suicidal people.

  • 129.
    Hassel, Cathrine
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lilja, Inger
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors erfarenheter av mötet med flyktingar som lider av psykisk ohälsa2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Meeting refugees is often a part of the nurse's daily work. The health center is the first instance to receive help with different kind of problems with health, physical problems but also mental problems. They may occur due to the difficult events and traumas these people may have experienced. There are great demands on the nurse's ability to understand and meet these persons in a constructive and dignified manner. This study aims to increase knowledge of the nurse's experiences of both successful and less successful meetings. We hope that this will generate insight into the nurse's perception of the meetings and subsequently lead to optimized care for this patient group. Aim: Current sub-study has the purpose of describing nurses' experiences of meeting with refugees who are suffering from mental problems. Method: The method used was qualitative based on critical incident technology. The data collection consisted of stories from eight nurses, all active at health centers in various locations in the Västra Götalandregion. Based on the purpose of the study, the meaning units were then divided into subcategories, categories and themes. Results: The result shows that the nurses experience vulnerability by feeling insecure and inadequate. There is a great deal of experience and expertise, but the time aspect creates insecurity and makes them unable to fully utilize their competences. Conclusion: There is a great deal of experience and expertise among the nurses, but the lack of time and the experience of being insufficient meant that there was an uncertainty among the nurses. The experience of not having time to prepare the meeting was perceived negatively and became an obstacle in trying to create security. When the experienced nurse had time to prepare the meeting, the meeting could be “the good meeting”, both for the nurse and the refugee.

  • 130.
    Haukrogh, Anneli
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Strand, Victoria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    När vården ändrar riktning: Kommunsjuksköterskans upplevelse av brytpunktssamtal med den äldre patienten i livets slutskede2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, approximately 90,000 persons die annually and 80 per cents of these needs palliative care. Many of these patients needs help from the municipal home care. To adjust care from curative to palliative, the doctor need to have an end-of-life discussion. The municipal home care nurse has a significant role in combining these discussions and to plan further care.

    Aim: The aim of the study was to explore nurses' experiences in end-of-life discussion in elderly palliative patients.

    Method: Eight qualitative interviews were conducted. Qualitative content analysis was used to analyze the text.

    Results: The analyze resulted in three themes: Responsibility to initiate an end-of-life discussion,participation at end-of-life discussion and structures for continued care after end-of-life discus-sion.

    Conclusion: In the end-of-life discussion, the nurse has a prominent role, but it is not emphasized in the national guidelines. The nurse experiences a big responsibility to initiate the end-of-life discussion but she also experiences participation when she works like a mediator between patients and other professions. By preparing structures to facilitate the continued care after the end-of-life discussion the nurse feels a manageability.

  • 131.
    Hedemalm, Azar
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Vård av patient med utländsk härkomst som har hjärtsjukdom2012In: Kardiologisk omvårdnad / [ed] Fridlund, Bengt; Malm, Dan; Mårtensson, Jan, Lund: Studentlitteratur AB, 2012, 2, p. 303-322Chapter in book (Other academic)
  • 132.
    Henriksson, Viktor
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Intensivvårdssjuksköterskans omvårdnadsåtgärder vid förebyggande av intensivvårdsdelirium: En litteraturöversikt2019Independent thesis Advanced level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Background: Delirium is a frequent complication in the intensive care unit. Delirium is a cognitive impairment that increases morbidity, mortality, suffering and society costs. The intensive care unit-delirium has been well known for several of decades, yet poorly assessed and managed. Studies show that presence of delirium in the intensive care unit is 30-80% of all the patients.

    The Aim of this study was to examine the caring actions of critical care nurses to prevent delirium in the intensive care unit.

    Method: Systematic literature overview.

    The Results show that quiet environment, mobilization, orientation and sensory stimulations are important factors to prevent delirium in the intensive care unit.

    Conclusion: despite the well known caring actions to prevent delirium in the intensive care unit the frequency does not seems to decrease. Its not yet known why it does not seem to decrease, but possible factors are bad compliance by nursing staff, poor education or lack of time.

  • 133.
    Hjalmarsson, Caroline
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors erfarenheter av patienters delaktighet inom barn- och ungdomspsykiatrisk öppenvård2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Working as a nurse in children and adolescent psychiatric outpatient care is a complex task when the nurse needs to relate to both the parent´s and children's participation. Making children and adolescents involved in child and adolescent psychiatry requires high demands on the nurse when the patient is under 18 and the parents have the right to make decisions on the patient care. The research shows that health outcomes are getting better and the patient becomes more satisfied if they are more involved. Aim: This study aims to describe nurses’ experiences of patient involvement in child and adolescent psychiatric outpatient care. Methods: A qualitative methodology and design were chosen where five nurses who worked in child and adolescent psychiatric outpatient care were individually interviewed. The interviews were recorded, transcribed and subjected to qualitative content analysis. Results: Based on qualitative content analysis, two domains, obstacles and opportunities, and seven categories were formed. The categories highlighted shared opinions, resource shortage in health care, unsatisfactory care relationship, acute cases, creating a good alliance, not having a hidden agenda and involving the parents. Conclusion: The study shows the challenges in contact with children and adolescents and their parents in psychiatric outpatient care. Many nurses highlighted the obstacles and ethical dilemmas in the contact with children, adolescents and their parents in psychiatric outpatient care.

  • 134.
    Hjelm, Michaela
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Karlsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sårläkningstid hos äldre patienter med diabetes och fotsår: fokus på omläggningsmaterial.2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes is a growing public health problem that can lead to serious complications for the pa-tient such as foot ulcers and amputations. For affected patients the foot ulcers causes suffer-ing, pain and impaired health. The foot ulcers also contribute to major costs to the society and affects healthcare resources hard. A large part of the district nurse's work consists of wound care. Therefore it is important that the district nurse possess adequate knowledge of wound dressings to promote wound healing and thereby shorten the wound healing time. The aim of the study was to examine the wound healing time due to treatment with antiseptic or non-antiseptic dressings in elderly patients with diabetes and foot ulcers. The method used was a quantitative register study with a retrospective and descriptive design. Patients included in the study were 241 men and women aged ≥ 65 years with diabetes and healed foot ulcers. Men were represented by 68 % (n=164) and women by 32 % (n=77). The results showed no signif-icant difference in wound healing time due to treatment with antiseptic or non-antiseptic dressings. The most common non-antiseptic dressing used was polyurethane foam and the most common antiseptic dressing used was silver dressing. More research to compare wound healing time between non-antiseptic and antiseptic dressings in elderly patients with diabetes and foot ulcers are needed. District nurses need to increase their knowledge within different dressings and its positive and negative effects.

  • 135.
    Hjelström, Therese
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lindskog, Stina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Föräldrars kännedom om skolsköterskans hälsofrämjande arbete.: en enkätstudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The school nurse's main task is to work with health education and preventive measures. In collaboration with the parents, they can jointly promote good health for the child. When the parents feel involved in the child's health and schooling and have a good communication with the school nurse, the prerequisites are that the child achieves the school goals.

    Aim The aim of the study was to describe parents' knowledge of the school nurse's health promotion work.

    Method The study was conducted with the help of a web-based survey using a quantitative approach, focusing on parents with children in primary school age. The questionnaire was shared via social media and then analyzed using descriptive statistics.

    Results There were 121 participants who answered the questionnaire, of which 86% were women. The result shows that 58% of the parents did not know how many days the school nurse was present. The parents put value on and rated the health talks, emergency interventions and vaccinations highly. Half of the parents received feedback on what emerged during the health conversation occurred. Theme days were considered as a good complement for increased health promoting knowledge.

    Conclusion The school nurse has a core and overall health responsibility for students in primary school. The health promotion work is about strengthening the student's own ability to promote, upkeep and maintain health. Parents value the school nurse's health promotion work highly, and showed sincere interest in being involved in the child's health development. In addition, they also expressed a desire for the school nurse to be more accessible.

  • 136.
    Hjärtinge, Charlotte
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Hoffman, Johanna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Shakespeare är en man, Boye en kvinna: en kvalitativ studie om normkritik i litteraturundervisningen2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Dagens samhälle är mer heterogent än någonsin på grund av globaliseringen. Identitet och olikhet är några av det globaliserade samhällets främsta problemställningar. Olika grupper har under det senaste seklet fått kämpa hårt för att bli accepterade som en del av samhället och för att uppnå likhet inför lagen. Skolan som en social och kulturell mötesplats har därför ett viktigt ansvar att se varje elevs behov och förutsättningar.

    Syfte: Syftet med denna uppsats är att undersöka hur svensklärare på gymnasienivå förhåller sig till normkritiska perspektiv i svenskundervisningen i allmänhet och litteraturundervisningen i synnerhet. En central fråga är hur lärarna beskriver att de tillämpar normkritik i undervisningen.

    Metod: Studien är kvalitativ i sin utformning med halvstrukturerad intervju och ostrukturerad observation som metod.

    Resultat: Ett resultat är att lärarens emotiva och kognitiva faktorer såsom subjektiva tankar, reflektioner och handlingar får stor betydelse för hur normkritiska perspektiv tar plats i undervisningen. När det gäller normkritiska perspektiv visar analysen exempel på när det kritiska granskandet begränsas till en förenklad genusdebatt mellan manligt och kvinnligt och som till och med förstärkt och reproducerat normer. Men vi har även sett exempel på en mycket normmedveten och reflekterande undervisning.

  • 137.
    Hofbrink, Carolina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Jidetoft Thoresson, Sofie
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Skolsköterskans arbete med barns sömnvanor: En kvalitativ intervjustudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The sleeping habits amongst children have changed and bad sleeping habits often have a negative impact on the health. The school nurse have the opportunity to early identify the risk of illness amongst children as well as promoting health and offer support in good sleeping habits. Aim: To describe the school nurse experience of sleeping habits amongst children between the age 10 -16 years. Methods: Nine school nurses from three different municipalities´ were interviewed using semi-structured questions. A qualitative content analysis with an inductive approach was exercised. Results: The school nurse described that the majority of all children generally had good sleeping habits, although they had changed in recent years. They could see a connection between lifestyle, sleep and health. The school nurse worked on identifying children with sleeping disorders and to offer them support. The school nurse experienced that the general knowledge about sleep needed improving amongst both children and guardians´. Through good relationships with children and their guardians´ the school nurse could offer both support and useful tools in the working process. A fluctuation within the school nurses´ health promoting work was discovered and was restricted by the lack of cooperation and time. The majority of the organisations lacked common routines in health promoting work. The school nurses´ had a wish to develop health promotion further to counteract bad sleeping habits and to give the children best possible conditions to stay healthy. Conclusion: The rapid development of our society along with changed lifestyles create challenges and have an impact on children's sleeping habits. Children and their guardians´ need to widen their general knowledge about sleep and health. Extended health promotion work is demanded to be able to meet the requirements needed. A well organised student health with clear described routines and effective cooperation with educators are believed to be a success in health promotion.

  • 138.
    Holbein, Christina E.
    et al.
    Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
    Fogleman, Nicholas D.
    Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
    Hommel, Kevin
    Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
    Apers, Silke
    KU Leuven, Leuven, Belgium.
    Rassart, Jessica
    KU Leuven, Leuven, Belgium.
    Moons, Philip
    KU Leuven, Leuven, Belgium & University of Gothenburg, Gothenburg, Sweden..
    Luyckx, Koen
    KU Leuven, Leuven, Belgium.
    Sluman, Maayke A.
    Amsterdam Medical Center, Amsterdam, The Netherlands.
    Enomoto, Junko
    Chiba Cardiovascular Center, Chiba, Japan.
    Johansson, Bengt
    Umeå University, Umeå, Sweden.
    Yang, Hsiao-Ling
    National Taiwan University, Taipei, Taiwan.
    Dellborg, Mikael
    University of Gothenburg, Gothenburg, Sweden.
    Subramanyan, Raghavan
    Frontier Lifeline Hospital, Dr. K. M. Cherian Heart Foundation, Chennai, India..
    Jackson, Jamie L.
    Nationwide Children's Hospital, Columbus, Ohio, USA.
    Budts, Werner
    University Hospitals Leuven and Department of Cardiovascular Sciences, Leuven, Belgium..
    Kovacs, Adrienne H.
    Oregon Health & Science University, Portland, Oregon, USA.
    Morrison, Stacey
    Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
    Tomlin, Martha
    Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
    Gosney, Kathy
    Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
    Soufi, Alexandra
    Hospital Louis Pradel, Lyon, France.
    Eriksen, Katrine
    Oslo University Hospital, Oslo, Norway.
    Thomet, Corina
    KU Leuven, Leuven, Belgium.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Gothenburg, Sweden.
    Alday, Luis
    Hospital de Niños, Córdoba, Argentina.
    Callus, Edward
    IRCCS Policlinico San Donato Hospital, Milan, Italy.
    Fernandes, Susan M
    Stanford University, Palo Alto, California, USA.
    Caruana, Maryanne
    Mater Dei Hospital, Msida, Malta.
    Menahem, Samuel
    Monash Medical Center, Melbourne, Australia.
    Cook, Stephen C.
    Helen DeVos Children's Hospital, Grand Rapids, Michigan, USA.
    Rempel, Gwen R.
    University of Alberta, Edmonton, Canada.
    White, Kamila
    Washington University and Barnes Jewish Heart & Vascular Center, University of Missouri, Saint Louis, Missouri, USA.
    Khairy, Paul
    Montreal Heart Institute, Montreal, Canada.
    Kutty, Shelby
    Children's Hospital & Medical Center, Omaha, Nebraska, USA.
    Veldtman, Gruschen
    Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
    A multinational observational investigation of illness perceptions and quality of life among patients with a Fontan circulation2018In: Congenital Heart Disease, ISSN 1747-079X, E-ISSN 1747-0803, Vol. 13, no 3, p. 392-400Article in journal (Refereed)
    Abstract [en]

    Objective First, to compare QOL and illness perceptions between patients with a Fontan circulation and patients with anatomically simple defects (ie, atrial septal defects [ASD] or ventricular septal defects [VSD]). Second, to explore illness perceptions as a mediator of the association between congenital heart disease (CHD) diagnosis and QOL. Design Cross-sectional observational study. Setting Twenty-four cardiology centers from 15 countries across five continents. Patients Four hundred thirty-five adult patients with congenital heart disease (177 Fontan and 258 ASD/VSD) ages 18-83 years. Outcome Measures QOL and illness perceptions were assessed by the Satisfaction With Life Scale and the Brief Illness Perceptions Questionnaire, respectively. Results Patients with a Fontan circulation reported lower QOL (Wald Z = −3.59, p = <.001) and more negative perceptions of their CHD (Wald Z = −7.66, p < .001) compared with patients with ASD/VSD. After controlling for demographics, anxiety, depressive symptoms, and New York Heart Association functional class, path analyses revealed a significant mediation model, αβ = 0.15, p = .002, 95% CI = 0.06-0.25, such that CHD diagnosis was indirectly related to QOL through illness perceptions. Conclusions The Fontan sample’s more negative perceptions of CHD were likely a reflection of life with a more complex defect. Illness perceptions appear to account for unique differences in QOL between groups of varying CHD complexity. Psychosocial screening and interventions may be important treatment components for patients with CHD, particularly those with Fontan circulations.

  • 139.
    Holbein, Christina E
    et al.
    Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
    Veldtman, Gruschen R
    King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
    Moons, Philip
    KU Leuven – University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium; University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden; University of Cape Town, Department of Paediatrics and Child Health, Cape Town, South Africa.
    Kovacs, Adrienne H
    University of Toronto, Peter Munk Cardiac Centre, University Health Network,Toronto, Canada; Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon, USA.
    Luyckx, Koen
    KU Leuven - University of Leuven, School Psychology and Development in Context, Leuven, Belgium ;UNIBS, University of the Free State Bloemfontein, Bloemfontein, South Africa.
    Apers, Silke
    KU Leuven – University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium.
    Chidambarathanu, Shanti
    Pediatric Cardiology, Frontier Lifeline Hospital (Dr. K. M. Cherian Heart Foundation), Chennai, India.
    Soufi, Alexandra
    Department of Congenital Heart Disease, Louis Pradel Hospital, Hospices civils de Lyon, Lyon, France.
    Eriksen, Katrine
    Adult Congenital Heart Disease Center, Oslo University Hospital - Rikshospitalet, Oslo, Norway.
    Jackson, Jamie L
    Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, Ohio, USA.
    Enomoto, Junko
    Department of Adult Congenital Heart Disease, Chiba Cardiovascular Center, Chiba, Japan.
    Fernandes, Susan M
    Stanford University School of Medicine, Department of Pediatrics and Medicine, Division of Pediatric Cardiology and Cardiovascular Medicine, Palo Alto, California, USA.
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine,Umeå, Sweden.
    Alday, Luis
    Division of Cardiology, Hospital de Niños, Córdoba, Argentina.
    Dellborg, Mikael
    Adult Congenital Heart Unit, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden; The Sahlgrenska Academy at University of Gothenburg, Institute of Medicine, Gothenburg, Sweden .
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Menahem, Samuel
    Monash Heart, Monash Medical Centre, Monash University, Melbourne, Australia.
    Caruana, Maryanne
    Department of Cardiology, Mater Dei Hospital, Birkirkara, Malta.
    Kutty, Shelby
    University of Nebraska Medical Center/ Children's Hospital and Medical Center, Adult Congenital Heart Disease Center, Omaha, Nebraska.
    Mackie, Andrew S
    University of Alberta, Division of Cardiology, Stollery Children's Hospital,Edmonton, Canada.
    Thomet, Corina
    University of Bern, Center for Congenital Heart Disease, Department of Cardiology, Inselspital - Bern University Hospital, Bern, Switzerland.
    Budts, Werner
    Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium; KU Leuven - University of Leuven, KU Leuven Department of Cardiovascular Sciences, Leuven, Belgium.
    White, Kamila
    Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
    Sluman, Maayke A
    Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA: KU Leuven – University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium.
    Callus, Edward
    Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden .
    Cook, Stephen C
    Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; University of Cape Town, Cape Town, Department of Paediatrics and Child Health, South Africa .
    Khairy, Paul
    Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; University of Toronto, Peter Munk Cardiac Centre, University Health Network, Toronto, Canada.
    Cedars, Ari
    Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; Oregon Health & Science University, Knight Cardiovascular Institute, Portland, Oregon.
    Perceived Health Mediates Effects of Physical Activity on Quality of Life in Patients With a Fontan Circulation2019In: American Journal of Cardiology, ISSN 0002-9149, E-ISSN 1879-1913, Vol. 124, no 1, p. 144-150Article in journal (Refereed)
    Abstract [en]

    Patients with a Fontan circulation are at risk of a sedentary lifestyle. Given the direct relationship between physical activity and health, promotion of physical activity has the potential to improve outcomes, including quality of life (QOL). This study aimed to describe self-reported physical activity levels in adult Fontan patients and examine associations between physical activity, perceived health status and QOL. The sample consisted of 177 Fontan patients (Mage = 27.5 ± 7.6 years, 52% male) who reported their physical activity, perceived health status, and QOL as part of the cross-sectional Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease - International Study. Descriptive statistics and univariate analyses of variance with planned contrasts were computed to describe physical activity characteristics. Mediation analyses tested whether perceived health status variables mediated the association between physical activity and QOL. Forty-six percent of patients were sedentary while only 40% met international physical activity guidelines. Higher physical activity was associated with younger age, lower NYHA class, higher perceived general health, and greater QOL. Patients who commuted by walking and engaged in sports reported better perceived health and QOL. Mediation analyses revealed that perceived general health but not NYHA functional class mediated the association between physical activity and QOL (αβ = 0.22, 95% confidence interval = 0.04 to 0.49). In conclusion, Fontan patients likely benefit from regular physical activity, having both higher perceived general health and functional capacity; greater perceived health status may contribute to enhanced QOL. In conclusion, these data support the pivotal role of regular physical activity for Fontan patients.

  • 140.
    Holgersson, Ida
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Distraktion som smärtlindring vid venpunktion på barn: en systematisk litteraturöversikt2018Independent thesis Advanced level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Background: Despite increased knowledge of pain relief in children during the recent decades, children are still exposed of many painful procedures in healthcare without sufficient painrelief. This may cause the child pain and anxiety as at a later stage leads to them avoiding or refusing these procedures completely. This can lead to an unvaccinated population and long expensive care time related to an unwillingness to undergo treatments. Painrelief during venipuncture in children today is oftenly given as a topical anesthesia. It is an expensive method and it also comes with side effects and takes time to use. Distraction is a painreliefing method commonly used in todays healthcare. It is a quick and simple method without side effects wich has proven to be effective in the past during painful procedures in children.

    Aim: Examine the painreliefing effect of distraction during venipuncture in children.

    Methods: A systematic literature review of papers published from 2007 to 2017 were conducted in the databases PubMed, CINAHL. Studies that examined the painrelifing effects of distraction in children undergoing venipuncture were included. These studies were then assessed in quality by the author of this study. Seven of the studies were finally included in this review. They were compiled in a tabel regarding contence and quality.

    Results: Three of five studies implicate that distraction during venipuncture in children has a painrelieving effect. Three of five studies noticed a lower level of anxiety when distraction was used during venipuncture in children.

    Conclusions: The studies included indicates that distraction as painrelief during venipuncture in children is effective. They also indicate that the use of distraction reduces there anxiety during the procedure. Concluded distraction during venipuncture in children may be effective. However, the evidence of this study is low due to the small size of the scientific material existed. Further studies is recommended to determine the effect of distraction during venipuncture in children.

  • 141.
    Holmgren, Daniel
    et al.
    Department of Pediatrics, Skaraborg Hospital, Skövde, Sweden / Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden .
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Wekell, Per
    Department of Pediatrics, NU-Hospital Group, Uddevalla, Sweden / Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
    Combining learning for educators and participants in a paediatric CPD programme2019In: BMC Medical Education, ISSN 1472-6920, E-ISSN 1472-6920, Vol. 19, no 1, article id 28Article in journal (Refereed)
    Abstract [en]

    Background: Most continuing professional development (CPD) programmes do not include an educational training module. In our country, educational practice in the areas of CPD and continuing medical education relies traditionally on conventional lectures. This is in sharp contrast to the educational research that clearly demonstrates that educational programmes emphasising adult learning methods have greater potential to change physicians'clinical practice. To investigate whether lecture-oriented educators were prepared to change their educational practice towards principles of adult learning, we decided to combine learning for educators and participants in a paediatric CPD programme.The aim of the study was to investigate educators' reflections on their learning and educational practice after they have undergone an educational skills component integrated in the implementation of a CPD learning module for paediatricians and evaluate the results from the participants' perspective.

    Methods: The objectives of the educational skills component of the learning module were developed according to adult learning theories. The learning objectives for the CPD learning module were based on a pre-course needs assessment. Evaluations were made using questionnaires.

    Results: Seven of 10 participants in the educational skills component of the learning module and all the participants, 13 paediatricians and 14 nurses, who participated in the learning module, answered the questionnaires.The results of this pilot study show that educators whose main experience of teaching was based on lectures were strengthened in their practice; they defined their competence and were prepared to move towards adult learning principles. The participants in the learning module expressed a high degree of satisfaction.

    Conclusions: We conclude that it is feasible to combine learning for educators and participants in a paediatric CPD programme and that lecture-oriented educators are prepared to change their educational practice towards principles of adult learning.

  • 142.
    Holmén, Grazyna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Brandt, Thomas
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors erfarenheter av att vårda suicidnära patienter inom psykiatrisk öppenvård2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year, about 800,000 people die in the world through suicide, making it an international public health problem. The underlying cause is mainly different forms of mental illness. People suffering from depression, bipolar disorder, schizophrenia, psychosis, post-traumatic stress disorder or substance abuse are at most suicide risk. This means a great personal suffering and great socio-economic costs for society. It is crucial that suicide-close persons are offered adequate nursing care, and that nurses working with them have specialist competence and in-depth knowledge of the subject. Nurses experience the work as demanding, complex and responsible as they independently assess the risk of suicide and take measures to ensure the care of patients with suicide.

    Aim: The aim of the study was to describe the nurses´ experiences of caring for suicidal patients in psychiatric outpatient care.

    Method: The study was based on interviews with nine nurses who described their experience of caring for suicidal patients in psychiatric outpatient care. Qualitative content analysis with an inductive approach was used as a method.

    Results: The analysis showed different experiences that could be divided into three categories; Create a safe caring relationship, An alliance as the foundation for development and change and Manage the responsibility for the patient's life and safety. In the first two categories, experiences of describing, based on a person-centered approach, building safe caring relationships and creating an alliance with the patient are described. It was emphasized that the patient's participation was a prerequisite for jointly developing strategies for problem solving and for starting up constructive health processes. Under the last category, experiences of how the nurses interacted with colleagues, how they dealt with concerns about patient safety and the importance of the experience-based knowledge emerged.

    Conclusion: It takes a holistic, salutogenic and person-centered way to reach and nurture suicidal patients. Good quality of care and sustainable care can only be designed in collaboration with the patient. This requires that the nurse possesses qualities such as empathy, patience and a personal maturity to show humility before every person she meets.

  • 143.
    Hoppe, Michael
    et al.
    Department of Gastroenterology and Hepatology , Clinical Nutrition Unit , Sahlgrenska University Hospital , Gothenburg , Sweden.
    Hulthén, Lena
    University of Gothenburg , Department of Internal Medicine and Clinical Nutrition , Sahlgrenska Academy , Gothenburg , Sweden.
    Samuelson, Gösta
    University West, Department of Health Sciences, Section for nursing - graduate level. Uppsala University , Department of Clinical Sciences/Clinical Physiology , Uppsala , Sweden..
    Is cord blood hepcidin influenced by the low-grade acute-phase response occurring during delivery?: A small-scale longitudinal study2019In: The Journal of Maternal-Fetal & Neonatal Medicine, ISSN 1476-7058, E-ISSN 1476-4954, Vol. 32, no 13, p. 2166-2172Article in journal (Refereed)
    Abstract [en]

    AIM: To measure serum hepcidin in late pregnancy and in cord blood, and to analyze relationship between hepcidin, interleukin-6 and biomarkers of fetal iron status.

    MATERIALS AND METHODS: Data from 15 uncomplicated singleton pregnancies were analyzed longitudinally in trimester 3 (T3) and at birth.

    RESULTS: In T3, S-ferritin (median 14 µg/L) and transferrin (median 4.0 g/L) indicated low iron status, whereas the median soluble transferrin receptor (sTfR) was 4.0 mg/L, ie within the reference interval. Median T3 S-hepcidin was 7.8 ng/mL. Later on in cord blood, ferritin concentration (180 µg/L) were significantly higher, transferrin concentration (1.8 g/L) were significantly lower, and both sTfR (4.7 mg/L) and S-hepcidin concentrations (30.5 ng/mL) were significantly higher than maternal T3 concentrations. At the same time, cord blood interleukin-6 indicated an activated acute-phase reaction. In T3, after logarithmic transformation, there was a significant correlation between S-hepcidin and both S-ferritin (r = 0.691) and sTfR (r = -0.825). There was also a significant correlation between S-ferritin and both sTfR (r = -0.729) and transferrin (r = 0.549) in T3.

    CONCLUSIONS: Although S-ferritin, S-hepcidin, and sTfR were correlated during pregnancy, these relationships were not apparent in umbilical cord blood. Further, cord blood interleukin-6 indicated an activated acute-phase response, and sTfR, which is known to be unaffected by inflammation, indicated a low iron status in cord blood. Thus, instead of representing an enhanced iron status, the data appear to suggest that hepcidin and ferritin in cord blood may be influenced by the low-grade acute-phase response that occurs during delivery.

  • 144.
    Hrybanova, Yana
    University West, Department of Health Sciences, Section for nursing - graduate level.
    First-time fathers' experiences of professional support from child health nurses2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. Nowadays, in Sweden, fathers are expected to be active in their father role and to share caring responsibilities for their children equally with mothers. This active role of the father in the family can be challenging, especially for the first-time fathers. Child health nurses' support is an important factor for the fathers to manage difficulties of their fathership. It is important to provide the support, corresponding to the fathers needs and expectations of parental support in order to empower fathers to be confident caregivers. The Father Perceived Professional Support scale can be used in nursing practice to better understand the father's needs of professional support.

    Aim. The aim of the study is to describe first-time fathers' experiences of the professional support offered by child health nurses and to validate the instrument: "Father-Perceived-Professionals-Support scale (FaPPS scale)".

    Method. A qualitative design with inductive and deductive approaches was used in conduction of the study. Twelve first time fathers participated in the semi-structured interviews of the study thereafter grading the FaPPS scale items and commenting on them.

    Result. Fathers experienced nurses' support positively when nurses provided useful practical information and stimulated them to be involved practically and emotionally in care of their children. Fathers lacked nurses' commitment and nurses' support to be adapted to their needs as well as to be available for them. Some fathers also experienced inequality in nurses' treatment. However, the fathers also perceived the mothers to be in a greater need of nurses' support and they also wished to be advised about how to support the mother. Fathers expect nurses to actively offer support to them and supervise them in a childcare. Fathers also expressed that they would like to meet the parents in the same situations in parental groups.

    Conclusion. Nurses' support to the first -time fathers should be more available for fathers and more adapted to their father role. When meeting fathers' needs of support, the nurses need to be aware of their supportive skills. The FaPPS scale can be used both in research and clinical practice, though still needing development.

  • 145.
    Hrybanova, Yana
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ekström, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Thorstensson, Stina
    School of Health and Education, University of Skövde, Sweden.
    First-time fathers' experiences of professional support from child health nurses2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Nowadays, in Sweden, fathers are expected to be active in their father role and to share caring responsibilities for their children equally with mothers. This active role of a father in a family can be challenging, especially for the first-time fathers. Child health nurses’ support is an important factor for fathers to become confident caregivers. The Father Perceived Professional Supportscale (FaPPS scale) can be used in nursing practice for better understanding father’s needs of professional support. The aim of this study was to describe first-timefathers’ experiences of the professional support received from child health nurses and to validate the instrument:‘FaPPS scale’. A qualitative design, with inductive and deductive approaches, was used in this study.Twelve first-time fathers participated in the semi-structuredinterviews, thereafter grading the FaPPS scaleitems and commenting on them. The fathersexperienced nurses’ support positively when nursesprovided practical information and stimulated them to be involved in care of their children. In contrast, thes upport was experienced negatively because of nurses’ lack of commitment, availability and adaptation to the fathers’ individual needs. The fathers also felt inequality between the support received by fathers and by mothers. Although some fathers perceived it as negative, others considered it fair, believing that mothers needed more support. In addition, fathers expect nurses to actively offer support to them and supervise them in childcare. The fathers also needed meeting other parents, for example in parental groups.This study also indicates that FaPPS scale can be used both in research and clinical practice, though still needing further development.

  • 146.
    Huusko, Linda
    et al.
    Narhälsan Skövde Women’s Health Clinic, Skövde, Sweden.
    Sjöberg, S.
    Women’s Health Clinic, Umeå, Sweden.
    Ekström, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Skövde, School of Health and Education,Skövde, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education,Skövde, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education,Skövde, Sweden.
    First-Time Fathers´ Experience of Support from Midwives in Maternity Clinics: An Interview Study2018In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, article id 9618036Article in journal (Refereed)
    Abstract [en]

    Background.

    Research shows that first-time fathers want to take part in preparation for birth and parenthood but they describe being excluded by health professionals. Aim. The aim of this study was to illustrate first-time fathers' experiences of support from midwives in maternity clinics as a step in the validation of "The Father Perceived-Professional-Support" (The FaPPS) scale.

    Methods.

    A qualitative content analysis with an inductive and deductive approach was used; seven first-time fathers were strategically selected and interviewed. In the inductive part the following open question was asked: "How did you perceive the support from the antenatal midwife/midwives?" In the deductive part, the fathers were asked to respond to the FaPPS scale, in order to receive their thoughts and understanding of the scale, inspired by the "Think-aloud" method. Findings. The inductive results showed two main categories: Experience of not knowing what support they needed and Experience of being excluded. The fathers found support from other fathers in parental education classes, but they lack time to discuss. Overall it seems as if the fathers answered both from their own perspective and from the mothers' perspective. This was not evident in the deductive results. The FaPPs scale should therefore include professionals' ability to strengthen social support from other first-time fathers and professionals' ability to offer support to the mother.

    Conclusion and Clinical Implications.

    The fathers experienced exclusion both by themselves and also by midwives. Midwives should offer both parents the opportunity to pose questions. It is important for expectant fathers that time for discussion is planned in parental education classes. The FaPPS scale is useful but needs further development. Parts of our result are in line with earlier research, for decades; therefore it is necessary to focus more on support for fathers.

  • 147.
    Hällgren Graneheim, Ulla
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lindgren, Britt-Marie
    Umeå University, Department of Nursing, Umeå, Sweden.
    Lundman, Berit
    Umeå University, Department of Nursing, Umeå, Sweden.
    Methodological challenges in qualitative content analysis: A discussion paper.2017In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 56, p. 29-34Article in journal (Refereed)
    Abstract [en]

    This discussion paper is aimed to map content analysis in the qualitative paradigm and explore common methodological challenges. We discuss phenomenological descriptions of manifest content and hermeneutical interpretations of latent content. We demonstrate inductive, deductive, and abductive approaches to qualitative content analysis, and elaborate on the level of abstraction and degree of interpretation used in constructing categories, descriptive themes, and themes of meaning. With increased abstraction and interpretation comes an increased challenge to demonstrate the credibility and authenticity of the analysis. A key issue is to show the logic in how categories and themes are abstracted, interpreted, and connected to the aim and to each other. Qualitative content analysis is an autonomous method and can be used at varying levels of abstraction and interpretation.

  • 148.
    Hällgren Graneheim, Ulla
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Åström, Sture
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Until Death Do Us Part: Adult Relatives' Experiences of Everyday Life Close to Persons with Mental Ill-Health2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 8, p. 602-608Article in journal (Refereed)
    Abstract [en]

    This study illuminates adult relatives' experiences of everyday life close to a person with mental ill-health. The study was based on nine diaries and four narrative interviews with relatives of people with mental ill-health. Data were subjected to qualitative content analysis. The participants experienced everyday life as a constant fight, for better and for worse, with psychiatric care. They were fighting for the mentally ill person's right to care; sometimes they felt resigned, but yet they had a confidence in the care. Their mission in life was to sacrifice themselves, meaning that they felt indispensable and became lonely and socially isolated. They considered their mission to last until death set them apart because they were keeping a family secret, and had great worries about the future. We conclude that relatives experience a two-folded stigma in living close to a person with mental ill-health and in becoming lonely and socially isolated.

  • 149.
    Högfors, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, Liselott
    University West, Department of Health Sciences, Section for nursing - graduate level.
    En begreppsanalys av begreppet lidande2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BackgroundIn advanced homecare specialist nurses often encounters patients who are suffering in their final stage of life. The concept suffering can have different dimensions. The aim of this study is to reveal the concept of suffering on order to get a deeper understanding of patients suffering in end of life care.

    Aim The aim is to unveil the concept of suffering in order to get a deeper understanding of the patient's suffering in end of life care.

    Method The concept analysis method developed by Koort and the content analysis developed by Graneheim & Lundman was used.

    Results The concept of suffering reveal several dimensins of the concept suffering. The concepts that were considered meaningsful in end of life context was tolerate, endure and agony. The result of the analysis from the biography was withheld a end of life context and was interpreted using a content analysis. The resultat of testanalysis show that the dimensions tolerate, endure and agony formed a line of argument through the autobiography and formed the main theme of suffering.

    Conclusion To be in the final stages of life usually means a great deal of suffering for the patient. As seen in this study the concept of suffering portrays so many different dimensions; body, soul and spirit. These different dimensions will be an important tool for the specialist nurse when whom is to alleviate the suffering of patients in end of life.

  • 150.
    Jacobsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Svensson, Eva
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att identifiera föräldrar som "mår dåligt" och skapa stöd för familjen: En kvalitativ studie med fokus på BVC-sjuksköterskans arbete med postpartumdepressioner2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Title: To identify parents who "feel bad" and create support for the family. A study focusing on the child health nurse working with postpartum depression Background: Postpartum depression (PPD) affects about 13% of new mothers. It's common that fathers develop PPD as well if the mothers has suffered from it. The child health care nurse should work with the hole family with the little child´s best interest in focus. If the family´s wellbeing is not good it could have a negative impact on the child and the connection could be disturbed. In Sweden new mothers are screened for PPD.Aim: The aim of the study was to illustrate child health care nurses work to identify and support families where as someone suffered of PPD. Method: The study was based on interviews with child health care nurses. The text was processed and analyzed with qualitative content analysis. Results: The study resulted in two categories: To identify parents who´s wellbeing is not good and To create support for the family. Conclusion: Child health care nurses experiences PPD as unusual, no one had identified any fathers with PPD. To support a family affected of PPD it was important to find their own resources to overcome the problem. Family center and vicinity to other care givers were important for the child healthcare nurse in her work to support the family

1234567 101 - 150 of 319
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf