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  • 101.
    Abo-azaz, Mari
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Magan, Sahuur
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Måltidsmiljöns utformning och inverkan på patienter med demenssjukdom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is an incurable disease. Dementia can lead to serious symptoms such as language difficulties, dysfunction and behavioral changes. People with dementia need a special and well-suited environment. People with dementia need security in their daily lives, which becomes an important task for the nurse. In nursing work, the nurse will aim to increase the wellbeing of patients. In this case, the environment is designed in the dining room based on the patient's conditions.

    Aim: To describe the design of the meal environment and how it affects people with dementia.

    Method: A literature review has been carried out. Eleven quantitative scientific articles have been used for the study. The articles have been selected from the CINAHL and PubMed databases corresponding to the purpose. The articles have been analyzed with Friberg’s analysis method to be completed as material for the result.

    Results: The result is based on a theme; the environment around the patients when they eat and three subtemes; the importance of music in the meal situation; the importance of lighting in the meal situation; the meaning of a home-like dining room. These describe the various resources required to increase the well-being of patients with dementia.

    Discussion: The meal environment had a major impact on people with dementia. The environment in the dining room was adapted to the patient's requirements. The changing meal environment increased patient wellbeing. The home-like environment, calm background music and sufficient lighting during the meal were of great importance to the patient. The positive effect could contribute to increased calorie intake and decreased negative behavior in patients.

  • 102.
    Abou-Samra, Zarifa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Schizofreni utifrån ett patientperspektive: En litteraturöversikt om patienters subjektiva upplevelser2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Schizophrenia is a serious mental illness that can lead to physical, psychological and social problems for the victim and adversely affects the quality of life of the patient. There is insufficient knowledge in the treatment of people with schizophrenia. Patients' subjective experiences are often neglected although they are of great importance in the care of patients and patient life. A better understanding of the patient's experiences can lead to better treatment and change of negative attitudes, thus making it possible to provide the care and treatment people with schizophrenia need.

    Aim: To describe patients' subjective experiences of living with schizophrenia.

    Method: A literature review based on ten qualitative studies found in the databases: PsycINFO, PubMed and CINAHL. The studies were processed and analyzed with meta synthesis and common themes identified.

    Results: Five main themes were identified: schizophrenia is a complicated disease with severe symptoms, experiences of diagnosis and treatment, severe emotional experiences during childhood, importance of social relations for recovery and good insight and acceptance is the key to recovery.

    Discussion: Patients' subjective experiences differ significantly from the objective observations and the perceptions of healthcare professionals. Changed attitudes towards schizophrenia in society and between healthcare professionals can contribute to empathetic and better treatment, which can promote living conditions for people with schizophrenia. More qualitative research and better education about patients' subjective experiences are needed.

  • 103.
    Abou-Soultan, Nariman
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Abujazar, Ahmed
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Hur personer med schizofreni upplever sin livskvalité: En deskriptiv litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Schizophrenia is a form of psychosis, it is rare but a very serious disease and the lifetime risk of becoming sick is 0.8% in Sweden. People with schizophrenia experience altered perception of reality because of symptoms such as hallucinations and delusions. Many relatives of people with schizophrenia argue that there is a lack of knowledge that leads to distorted view of themselves and the environment. The diagnosis of schizophrenia is based on symptoms, which consequently means that nurses have an important role which should include plenty hospitality, communication and understanding of patients' quality of life.

     

    Aim: The aim of this study is to describe how people with schizophrenia experience their quality of life and to describe the method of selection of the articles included.

     

    Method: The present study has a descriptive design and contains a total of 12 articles with qualitative and quantitative effort. The majority of the articles that have been used has the qualitative approach. Data collection has been conducted via PsycINFO.

     

    Main Results: The diagnosis of schizophrenia contributed to confusion and difficulties to accept their disease. Symptoms and side effects of the medicine were the most conspicuous factors that resulted in the loss. Experiences of stigmatization and rejection by the environment were also a contributing factor for a poorer quality of life. The 12 included articles have mainly used the interviews to reach people's subjective experiences of living with schizophrenia.

     

    Conclusion: Schizophrenia affects people's daily lives and relationships with other people negatively which led to the suffering and poorer quality of life. Knowledge of how people with schizophrenia experience their quality of life is important information for nurses that can lead to greater understanding, better reception, care and treatment.

  • 104.
    Aboutouk, Rana
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Forsberg, Fredrik
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Erfarenheter av egenvård hos personer med diabetes typ 22017Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning

    Bakgrund: Antalet personer med diabetes Mellitus typ 2 växer snabbt i världen. Egenvård krävs för att bromsa progressionen av DMT2 och förhindra eller fördröja komplikationer. Många personer med DMT2 sköter emellertid inte sin egenvård enligt rekommendationer.

    Syftet: Att beskriva erfarenheter av egenvård hos personer med DMT2.

    Metod: Med hjälp av Fribergs femstegsmodell gjordes en litteraturöversikt av elva kvalitativa studier om erfarenheter av egenvård hos personer med DMT2.

    Resultat: Att integrera egenvården i vardagen är en utmaning. Familjen och vårdpersonalen har en nyckelroll och kan utgöra såväl ett hinder som ett stöd för egenvården. Andra personer med diabetes upplevs som ett entydigt positivt stöd. Att acceptera sjukdomen är en förutsättning för att kunna bedriva egenvården. Brist på förståelse och okunskap kring DMT2 utgör ett hinder mot egenvård. Personliga mål och feedback är avgörande för motivationen.

    Slutsatser: Socialt stöd, acceptans av sjukdomen, positiv feedback och individualiserad information upplevs underlätta egenvård.

  • 105.
    Abraha, Genet
    Örebro University, School of Health and Medical Sciences.
    Patienters upplevda livskvalitet efter en överviktsoperation: En litteraturstudie2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 106.
    Abrahamsen Grøndahl, Vigdis
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    There are theoretical and methodological difficulties in measuring the concepts of quality of care and patient satisfaction, and the conditions associated with these concepts. A theoretical framework of patient satisfaction and a theoretical model of quality of care have been used as the theoretical basis in this thesis.

    Aim. The overall aim was to describe and explore relationships between person-related conditions, external objective care conditions, patients’ perceptions of quality of care, and patient satisfaction with care in hospital.

    Methods. Quantitative and qualitative methods were used. In the quantitative study (I-III), 528 patients (83.7%) from eight medical, three surgical and one mixed medical/surgical ward in five hospitals in Norway agreed to participate (10% of total discharges). Data collection was conducted using a questionnaire comprising four instruments: Quality from Patients’ Perspective (QPP); Sense of Coherence scale (SOC); Big Five personality traits – the Single-Item Measures of Personality (SIMP); and Emotional Stress Reaction Questionnaire (ESRQ). In addition, questions regarding socio-demographic data and health conditions were asked, and data from ward statistics were included. Multivariate statistical analysis was carried out (I-III). In the qualitative study 22 informants were interviewed (IV). The interviews were analysed by conventional content analysis.

    Main findings. Patients’ perceptions of quality of care and patient satisfaction ranged from lower to higher depending on whether all patients or groups of patients were studied. The combination of person-related and external objective care conditions explained 55% of patients’ perceptions of quality of care (I). 54.7% of the variance in patient satisfaction was explained, and the person-related conditions had the strongest impact, explaining 51.7% (II). Three clusters of patients were identified regarding their scores on patient satisfaction and patients’ perceptions of quality of care (III). One group consisted of patients who were most satisfied and had the best perceptions of quality of care, a second group of patients who were less satisfied and had better perceptions, and a third group of patients who were less satisfied and had the worst perceptions. The qualitative study revealed four categories of importance for patients’ satisfaction: desire to regain health, need to be met in a professional way as a unique person, perspective on life, and need to have balance between privacy and companionship (IV).

    Conclusions. Patients’ perceptions of quality of care and patient satisfaction are two different concepts. The person-related conditions seem to be the strongest predictors of patients’ perceptions of quality of care and patient satisfaction. Registered nurses need to be aware of this when planning and conducting nursing care. There is a need of guidelines for handling over‑occupancy, and of procedures for emergency admissions on the wards. The number of registered nurses on the wards needs to be considered. Healthcare personnel must do their utmost to provide the patients with person‑centred care.

  • 107.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Appelgren, Jari
    Karlstad University, Faculty of Economic Sciences, Communication and IT, Department of Economics and Statistics.
    Wilde Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Exploring patient satisfaction predictors in relation to a theoretical model2013In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 26, no 1, p. 37-54Article in journal (Refereed)
  • 108.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Predictors of patients' satisfaction - basis for quality improvement work in hospital2010Conference paper (Refereed)
  • 109.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Appelgren, Jari
    Karlstad University, Faculty of Economic Sciences, Communication and IT, Department of Economics and Statistics.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Quality of care from patients' perspective: impact of the combination of person-related and external objective care conditions2011In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 17/18, p. 2540-2551Article in journal (Refereed)
    Abstract [en]

    Aims and objectives. To describe patients' perceptions of quality of care and to explore combinations of person-related and external objective care conditions as potential predictors of these perceptions. Background. Several studies have examined various single factors of person-related and external objective care conditions in relation to quality of care. None of these has included the effect of over-occupancy on patients' perception of quality of care. Furthermore, little is known about how combinations of different factors are related to each other and to the perception of quality of care using multivariate analysis. Design. A cross-sectional design. Method. A total of 528 patients (83·7%) from 12 medical, surgical or medical-surgical wards in five hospitals in Norway participated. Perceptions of quality of care and person-related conditions were measured with the 'Quality from Patient's Perspective' instrument. Data on external objective care conditions was collected from ward statistics provided by head nurses. Multivariate general linear modelling was used ( p < 0·05). Results. The combination of person-related and external objective care conditions revealed five factors that predict patients' perception of quality of care. Three of these are person-related conditions: sex, age and self-reported psychological well-being and two of them are external objective care conditions: RNs (headcount) on the wards and frequency of over-occupancy. These five factors explained 55% of the model. Patients rated the quality of care high. Conclusions. Sex, age, psychological well-being, frequency of over-occupancy and the number of RNs are important factors that must be emphasised if patients are to perceive the quality of care as high. Relevance to clinical practice. Head nurses and healthcare authorities must continually prepare the wards for over-occupancy and they must consider the number of RNs working on the wards.

  • 110.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Quality of care from patient's perspective - how is it affected by the hospital's organisation and structure of nursing care?2009Conference paper (Refereed)
  • 111.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Östfold university Norway.
    Persenius, Mona
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bååth, Carina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Helgesen, Ann Karin
    Östfold university, Norway.
    The use of life stories and its influence on persons with dementia, their relatives and staff: a systematic mixed studies review2017In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, article id 28Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Dementia is an important predictor of nursing home admissions. Due to progressive dementia symptoms, over time it becomes difficult for persons with dementia to communicate their wishes and participate in decisions concerning their everyday lives. Their well-being, sense of dignity, integrity and personhood are at risk. The persons' life stories have been highlighted as particularly important in dementia care and are referred to as seeing the person beyond the dementia. The aim of this study was to explore and describe the use of life stories and its influence on persons with dementia living in nursing homes, their relatives and staff.

    METHODS: A systematic mixed studies review was conducted. The literature searches were performed in the following databases: CINAHL, PubMed and PsycINFO and the Cochrane library, as well as by hand searching references in the studies included. An updated search was performed eight months after the first search. Data was synthesised inspired by integrative analysis.

    RESULTS: Three studies using quantitative design and two studies (presented in three papers) using qualitative design representing research from 2006 to 2015 were included in the review. Life stories generally had a positive influence on the persons with dementia, their relatives, and staff. The use of life stories might contribute to 'Maintenance of the person with dementia as a whole person rather than a demented patient'. On the other hand, enabling persons with dementia to tell their own story could be a challenge. For the staff it could be challenging when sensitive information emerged uninvited. Involving relatives could also be difficult as to whose story were uncovered.

    CONCLUSIONS: The use of person's life story might be of significance, but there is not enough evidence to make any statement about its importance as the research is scarce. Studies, including randomised controlled trials, are needed to measure the impact of life story work on the physiological and psychological aspects of persons with dementia, and also how it influences their relatives and staff.

  • 112.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    A pattern approach to analysing patients’ satisfaction and quality of care perceptions in hospital2011In: The International Journal of Person Centered Medicine, ISSN 2043-7730, E-ISSN 2043-7749, Vol. 1, no 4, p. 766-775Article in journal (Refereed)
  • 113.
    Abrahamsen Grøndahl, Vigdis
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wilde Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Karlsson, Ingela
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Hall-Lord, Marie-Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Patients' experiences of care quality and satisfaction satisfaction during hospital stay: a qualitative study2013In: European Journal for Person Centered Healthcare, ISSN 2052-5656, Vol. 1, no 1, p. 185-192Article in journal (Refereed)
    Abstract [en]

    Rationale, aim and objectives: Patients experiencing high care quality and satisfied patients are more likely to follow treatments. Patient satisfaction is an important contributor to physical and mental health-related quality of life. Research emphasises the need to further study satisfaction from the patients’ perspective. The aim was to describe patients’ experiences of care quality and the relation to their satisfaction during hospital stay. 

    Methods: A qualitative descriptive design was used. Interviews were conducted with 22 patients discharged from hospital. Data was analysed by conventional content analysis.

    Results: Four categories and seven subcategories describing patients’ experiences of care quality and the relation to their satisfaction emerged. Desire to regain health comprised waiting for treatment, being cured, having hopes of being cured and described the treatment and health outcome of hospitalisation. Need to be met in a professional way as a unique person comprised receiving personalized knowledge, receiving healthcare by competent healthcare personnel and described the way patients need to be met by healthcare personnel. Need to be involved comprised taking responsibility for own health, leaving responsibility for own health and concerned the patients’ way of handling hospitalisation. Need to have balance between privacy and companionship concerned the relationship to fellow patients.

    Conclusions: Health condition is of great importance to patients’ experiences of quality of care and their satisfaction in relation to hospital stay. The healthcare personnel need to be aware that seriously ill patients may never be completely satisfied. Furthermore, healthcare personnel must do their utmost to provide the patients with person-centered care.  Hospital managers must consider the design of wards with respect to such matters as multiple-bed versus single-bed rooms and heads of nursing must carefully plan each patient’s accommodation.

  • 114. Abrahamsson, A
    et al.
    Springett, J
    Karlsson, L
    Ottosson, T
    University of Borås, School of Education and Behavioural Science.
    Some Lessons from Swedish Midwives' Experiences of Approaching Women Smoker in Antenatal Care2005In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 21, no 4, p. 335-345Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to describe the qualitatively different ways in which midwives make sense of how to approach women smokers. DESIGN, SETTING AND PARTICIPANTS: a more person-centred national project 'Smoke-free pregnancy' has been in progress in Sweden since 1992. Using a phenomenographic approach, 24 midwives who have been regularly working in antenatal care were interviewed about addressing smoking during pregnancy. FINDINGS: four different story types of how the midwives made sense of their experiences in addressing smoking in pregnancy were identified: 'avoiding', 'informing', 'friend-making', 'co-operating'. KEY CONCLUSION: the midwives' story types about how they approached women who smoke illustrated the difficulties of changing from being an expert who gives information and advice to being an expert on how to enable a woman in finding out why she smoked and how to stop smoking. IMPLICATIONS FOR PRACTICE: health education about smoking that is built on co-operation and dialogue was seen by the midwives as a productive way of working. The starting point should be the lay perspective of a woman, which means that her thoughts about smoking cessation are given the space to grow while she talks.

  • 115.
    Abrahamsson, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Forskningsmiljön Arbete i skolan (AiS).
    "Det var inte så lätt som vi trodde": tvärsektoriell samverkan på en familjecentral2007In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 84, no 6, p. 529-540Article in journal (Refereed)
    Abstract [en]

    Intersectorial cooperation is commonly regarded as a desirable development in order to achieve increased efficiency and quality, and to reduce redundancies. In this report the experiences are presented from a project where nurses, midwives, preschool teacher and social worker integrated their activities around families and children. The results show that although all involved personnel were confident that the integration was favorable, they all experienced tensions, due to flaws in administrative and managerial procedures, perverse economic incentives, differences in professional background and organizational culture and personal preferences. This study indicates that integrative policies need to be followed by determined implementation.

  • 116.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, Department of Health Sciences.
    Lindskov, Cecilia
    Kristianstad University, Department of Health Sciences.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Darin, Marianne
    Jörnrud, Carina
    Lennartsson, Ingela
    Mattson, Stina
    Sigurdsson, Marie
    Särnblad, Pia
    Tillawi, Ulrica
    Familjehuset Näsby: en utvärdering för utveckling2007Report (Other (popular science, discussion, etc.))
  • 117.
    Abrahamsson, Amanda
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sörlin, Anna
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att vara förälder till ett barn med Diabetes typ 1: En kvalitativ litteraturstudie som beskriver föräldraras självupplevda erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Title: Being a parent of a child with type 1 diabetes

    Background: Type 1 diabetes is a common chronic childhood disease. The prevalence is increasing in several countries worldwide. Type 1 diabetes require a lifelong treatment. There is a risk of complications unless the blood sugar is maintained at normal levels.

    Aim: To describe parents self-perceived experiences of living with children with type 1 diabetes.

    Method: A literature study was conducted. The article search was done in PubMed and CINAHL databases. The results of ten qualitative studies were reviewed, analyzed and compiled. 

    Result: The result is presented in four main categories: Entering a new parent role, relate to a new everyday situation, the need for support and take and give responsibility.

    Conclusion: Parents are constantly exposed to challenges and adaptations in their daily lives. Transferring responsibility of the child was hard for the parents because of distrust and concern. Through the nurses encouragement and support about parents self-care ability, parent could be helped to feel safe about their children's daily care.

     

     

     

  • 118.
    Abrahamsson, Angela
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Hansson, Eva-Lena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
    Att beskriva personers upplevelse av sin livssituation efter att ha genomgått en gastric bypass operation ur ett fysiskt, psykiskt och socialt perspektiv: Litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Obesity is now a growing problem in the world and as a result, several do gastric bypass surgery for weight loss. It is important that the experiences from a physical, mental and social approach is illuminated to provide a better understanding and to help them to right direction.

    Aim: To describe the experience situation of life a one person after doing a gastric bypass surgery from a physical, psychological and social perspective.

    Method: A descriptive study of eleven scientific articles.

    Results: After a gastric bypass, the people have a more positive attitude towards life according the three perspectives. They experienced that they fit into society and could participate in the social and physical context in a better way than before. Sometime after the surgery, the participants experienced that they were back into the old habits which gave them a worse quality of life. They ment that the operation was a tool but the hard part remained and they expected a challenge, as some managed better than others.

    Conclusions: It is important to give people good support, and information to enable them to preserve their new lifestyle. They are making a great mental effort, therefore they are indeed of psychotherapy and guidence to find a suitable copingstrategy to handle different situations.

  • 119.
    Abrahamsson, Anna
    et al.
    Örebro University, School of Health Sciences.
    Aldegren, Sandra
    Örebro University, School of Health Sciences.
    Kan musik pre- och intraoperativt lindra patientens postoperativa smärta? -en litteraturstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 120.
    Abrahamsson, Anna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Lundin, Martina
    Halmstad University, School of Social and Health Sciences (HOS).
    Malm, Caroline
    Halmstad University, School of Social and Health Sciences (HOS).
    Patientupplevelser i palliativ vård2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care is something most nurses are dealing with during their working lives. The purpose of this study was to illuminate the experiences of nursing care from a patient perspective. Nine articles were selected for review, from the articles six themes revealed: Experiences of; nursing relationships, communication and information, the care environment, symptom control, accessibility and self-determination. The result showed that a relationship of trust and communication created good nursing care. Lack of communication could also occur. A good nurse was perceived as someone who listened and had broad knowledge. Patients wanted to be involved in their care and treatment.

     

     

     

  • 121.
    Abrahamsson, Annika
    et al.
    University of Skövde, School of Life Sciences.
    Gredevik-Heinebrün, Eva
    University of Skövde, School of Life Sciences.
    Kommunikation mellan sjuksköterskor och omvårdnadspersonal - en enkätstudie ur omvårdnadspersonalens perspektiv på korttidsboende2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     

    Background: Communication is a fundamental necessity for patient security within the healthcare organization. Earlier research within the subject is largely centred around the communication between nurses and patients or nurses and physicians. Research studying communication between nurses and healthcare personnel exist to a much smaller extent.

    Aim: To explore communication with nurses within short-time residences from the perspective of the healthcare personnel and describe experiences of communication between nurses and healthcare personnel in the caring of patients at short-time residences.

    Method: Questionnaire

    Results: The results show that the healthcare personnel hold both good and bad experiences of communication with the nurses. According to the healthcare personnel, the communication is vital to provide good treatment for the patients, but also since certain workgroups function in teams. There is existing routines for communication, and the healthcare personnel experience that these routines functions well. On the contrary there is obscurity concerning routines in acute situations. Preferably, and most often, the communication is verbal. The healthcare personnel sometimes feel that the communication with the nurses is insufficient, but also found some information to be unnecessary.

  • 122.
    Abrahamsson, Cathrine
    et al.
    Kristianstad University, School of Health and Society.
    Hägg, Jennie
    Kristianstad University, School of Health and Society.
    Bemötande vid långvarig ryggsmärta: patienters upplevelser av möten med vårdpersonal - en litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:Cirka 80 procent av Sveriges befolkning kommer någon gång i livet att drabbas av ryggsmärta. Ryggsmärta är en av de största anledningarna till att patienterna söker vård vilket ställer stora krav på sjukvårdspersonalen. Syfte: Syftet med studien var att beskriva hur patienter med långvarig ryggsmärta upplever möten med vårdpersonal. Metod: Under litteraturstudiens gång har elva vetenskapliga artiklar analyserats och sammanställts. Detta resulterade i två presenterade kategorier. Resultat: Att känna sig delaktig i sin egen vård visade sig vara viktigt för patienterna. När vårdpersonalen lyssnade på patienterna och accepterade dem som experter på deras egen smärta kände de sig mer delaktiga. Patienternas känsla av misstro berodde på att de kände sig betraktade som hypokondriker och lögnare. De önskade också att få tillbringa tillräckligt med tid med sin vårdpersonal. Slutsats: Det är viktigt att vårdpersonalen tillåter patienter att vara delaktiga i sin vård. Genom att erbjuda patienterna tillräckligt mycket tid för samtal om deras smärta blir det möjligt att skapa en förståelse för det individuella lidandet och att minska misstron.

  • 123.
    Abrahamsson, Emeli
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Paulsson Prytz, Alexandra
    Halmstad University, School of Social and Health Sciences (HOS).
    Omvårdnad av patienter med demens: - orsaker till etiska svårigheter2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    People with dementia is a category of patients that nurses often meet. The disease affects the cognitive functions and because of that there may appear frequent ethical difficulties in nursing. Therefore the purpose of this study was to highlight the causes of ethical difficulties within professional nursing care of patients with dementia. The study was conducted as a literature review and the results consisted of five themes: lack of knowledge, lack of time and resources, restricted physical care environment, threatened autonomy, dignity and integrity and lack of communication. Health personnel’s lack of knowledge about dementia caused difficulties in identifying the various symptoms and because of that perform a professional nursing care. As a consequence of lack of time and resources, the patients were limited more than necessary. In a hospital environment patients were at risk of becoming over-stimulated due to stimuli from many directions. Since dementia may affect the ability to communicate, there were difficulties in preserving patients autonomy, dignity and integrity. The conclusion is that good knowledge about the disease is required and an adaption of the physical and psychological environment. More research is needed about the impact of time and lack of resources regarding patients with dementia, because of today’s great savings and staff reductions in health care. There is a lack of health personnel with knowledge about dementia and educations have to be developed to meet the needs that arise in the organizations.

  • 124.
    Abrahamsson, Emy-Lisa
    et al.
    Sophiahemmet University College.
    Cederlöf, Lina
    Sophiahemmet University College.
    Bipolär sjukdom: närståendes upplevelse och behov av stöd2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 125.
    Abrahamsson, Fanny
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Elmersson Björklund, Sara
    Ersta Sköndal University College, Department of Health Care Sciences.
    När smärtan är ständigt närvarande: En litteraturstudie om upplevelsen av att leva med långvarig smärta2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic pain is common in the Swedish population. The pain experience is individual and influenced by the many dimensions of life. Chronic pain is difficult to cure and relieve, it causes suffering. To relieve suffering and promote health for these people is an important but not always easy task for the nurse. Therefore, it is necessary to have insight in the experiences related to living with chronic pain. Aim: The aim of this study was to describe the experience of living with chronic pain. Methods: A literature review was used. The study is based on ten qualitative articles that have been investigated and analyzed with influence by Forsberg and Wengström (2013) and Friberg (2012). The scientific evidence is from the databases CINAHL and PubMed and is published year 2000-2013. Results: Three main themes with subthemes represent the result. The first main theme, Feeling that life is limited, describes the negative changes that the pain creates concerning physical, psychological and social aspects. The second main theme, Efforts to overcome the chronic pain, shows that varying strategies are used to overcome the chronic pain. In the third main theme, The struggle to be trusted in their suffering, the invisible pain appears as problematic, suspicion in touch with both family and caregivers occur. Discussions: The result is related to Eriksson´s nursing theory of suffering. The suffering of illness, the suffering of life and the suffering of care is discussed. Attempts to relieve pain as well as adaptation of life patterns and the ability of reconciliation are illuminated. Loneliness and separation is discussed as well as the importance of having time and space to suffer. The role of the fellow people in the suffering, and how the suffering of care may be eased is mentioned as well.

  • 126.
    Abrahamsson, Ida
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Thomée, Rebecca
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    När sjuksköterskan möter transpersoner i vårdande kontext: Sjuksköterskans bemötande – en litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund och problemformulering: Transpersoner är historiskt sett en utsatt grupp som avviker från normer och strukturer i samhället. Genom förnyade och nystiftade lagar arbetas det i Sverige för att transpersoner ska få den vård som krävs för en god hälsa. Utan god hälsa och vård kan lidande uppstå i form av skam och otrygghet. Kunskap är en förutsättning för god vård. Syfte: Syftet med studien är att belysa sjuksköterskans bemötande av transpersoner i vårdande kontext genom att beskriva sjuksköterskans attityder gentemot och kunskap om personer med transidentitet. Metod: För att få en uppfattning om rådande forskning gjordes en litteraturstudie där innehållet strukturerades för att kunna urskilja subkategorier och därefter huvudkategorier. Artiklarna som analyserades var både kvalitativa och kvantitativa.

    Resultat: Tre kategorier representerade studiens resultat och var följande: ”kunskap och förståelse”, ”attityder” samt ”bemötande”. Det framkom en omfattande okunskap om transpersoner hos sjuksköterskor. Attityderna varierade men var ganska genomgående ifrågasättande och negativa. Sjuksköterskor var ofta påverkade av normer, medvetet eller omedvetet, vilket tog sig uttryck genom ett diskriminerande, auktoritärt och stigmatiserande bemötande. Kategorierna visade sig ha tydliga samband, klinisk kunskap kunde exempelvis kopplas till mer positiva attityder. Det fanns därtill ofta en vilja hos sjuksköterskan att ge en god vård. Diskussion: Sjuksköterskans kunskap kan innebära skillnaden mellan god och diskriminerande vård. Utbildning om transpersoner brister vid många universitet, vilket speglas i en utbredd okunskap. Det är viktigt att teamarbete främjas för att en kompetent vård ska främjas. Diskriminering och stigmatisering kan motverkas genom att arbetsledare och sjuksköterskor tar sitt professionella ansvar.

  • 127.
    Abrahamsson, Janna
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Holmgren, Maria
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    En strimma hopp i mörkret: En litteraturstudie om lidande och välbefinnande i samband med depression2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 128.
    Abrahamsson, Jenny
    et al.
    Örebro University, School of Health Sciences.
    Gustafsson, Madelene
    Örebro University, School of Health Sciences.
    Smärtlindrande metoder vid nålrelaterade procedurer på barn –en litteraturstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 129.
    Abrahamsson, Josefin
    et al.
    Sophiahemmet University College.
    Hovi, Annastiina
    Sophiahemmet University College.
    Hjälp till självhjälp: en kvalitativ intervjustudie om patientens egenvård och motivation ur diabetessjuksköterskeperspektiv2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 130.
    Abrahamsson, Karin
    Kristianstad University, School of Health and Society.
    Rygg och nackvärk, före, under och efter reflexologisk behandling.2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    People with back- and neck pain are common in primary care. Lot of patients don´t get the help needed. Meanwhile the public´s interest in Complementary Alternative Medicine (CAM) is growing. Need was identified to in the Healthcare system increase the knowledge about CAM´s options of treatment. The aim of this study was describing peoples experiences associated with back-and neck pain and reflexological treatment. The method was qualitative approach with semistructured interviews that analysed with contentanalysis. Sample included seven clients soughted reflexological treatment for back-and/or neck pain, wich identified through three flexologists in South Sweden. In The result the category Everyday life was identified with subcategories Pain and ache, Attempts to adapt and also Seek care and treatment. In the category Physically and mentally sensations subcategories Personal treatment, Zone pain, Increasing of circulation and also relaxation was identified. In the category Change in everyday life subcategories Symptom relief, Help to self-help and also work and sports were observed. Conclusion is that Reflexological treatment relief pain for people with back- and neck pain, it also provides chance for relaxation, better sleep, be able to work and to get new energy. More research about reflexological treatment is needed.

  • 131.
    Abrahamsson, Linda
    et al.
    Örebro University, School of Health Sciences.
    Redlund, Victoria
    Örebro University, School of Health Sciences.
    Sjuksköterskans upplevelse av treskiftarbete utifrån ett biopsykosocialt perspektiv. En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 132.
    Abrahamsson, Linnéa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ljungdahl Ristare, Martin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att vara man i ett kvinnodominerat yrke: Manliga vårdares upplevelser av att bemöta kvinnor i situationer som kan upplevas intima och de hanteringsstrategier som används2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Throughout history, the healthcare has been dominated primarily by female caregivers. There are areas for men in nursing which can be considered as taboo. These areas can often be related to intimate care of the opposite sex. Men do primarily work in technical positions in healthcare, for example as a radiographer. At present there is a knowledge gap regarding male radiographers’ intimate care of the opposite sex.

    Aim: Illuminate male caregivers' experiences of dealing with women in situations that can be experienced intimate in Western culture, and management strategies used.

    Method: Nine quality controlled qualitative studies were used in the result. These studies have been analysed by means of qualitative content analysis. The outcome resulted in two domains divided into three categories each, illuminating the experiences and handling strategies for how male caregivers perform and experiences giving intimate care to female patients.

    Results: Male caregivers’ express concern about sexual charges. They also experience prejudice and feel placed in stereotypical compartments that may affect their work with intimate care. To protect themselves they use methods such as communication, breaking the ice or taking help of female colleagues. Several male caregivers describe shortcomings in their education to learn how to handle intimate care.

    Conclusion: Further research is needed in the field of gender in healthcare and radiography linked to the male caregivers’ perspective of providing care. 

  • 133.
    Abrahamsson, Margareta
    et al.
    Halmstad University, School of Health and Welfare.
    Lucchesi, Anna
    Halmstad University, School of Health and Welfare.
    Anestesisjuksköterskans upplevelse av att delta vid plötsligt hjärtstopp på sjukhus2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden every year about 3000 patients are affected by sudden cardiac arrest in a hospital setting. Sudden cardiac arrest is one of the most stressful situations for hospital staff to handle. Earlier research has mainly focused on the medical and biophysical aspects of cardiac resuscitation. The subjective experience and feelings of those performing the resuscitation are seldom described. The aim of the study was to describe the nurse an esthetists’ experience of participation in sudden cardiac arrest resuscitation in a hospital setting. Data collection was done through focus group interviews involving five participants and indepth interviews with two participants. Data analysis was systematically performed according to Graneheim & Lundmans qualitative content analysis. The result showed three categories with respective subcategories. The following categories emerged: The given role, Teamwork and Reflection related to cardiac arrest. The given role was perceived as safe, satisfying and filled with demands. A defined leadership and good communication were described as important factors in ensuring clear direction, goals and teamwork.         

    The participants experienced a need for feedback and felt debriefing was of the utmost importance. This study can lead to future areas of improvement including further discussion and follow up of sudden cardiac arrest in hospital settings. Further research in this area and across professional borders is needed.

  • 134.
    Abrahamsson, Marie
    et al.
    Sophiahemmet University College.
    Bergström, Carina
    Sophiahemmet University College.
    Nationellt vårdprogram "Omvårdnad vid bröstcancer 2011" Vårdprogrammets spridning, användbarhet samt plan för implementering: en enkätundersökning2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Under de senaste decennierna har ett paradigmskifte skett inom omvårdnad, från att ha varit ett intuitionsbaserat område till att vara evidensbaserat. Detta innebär att den enskilda sjuksköterskan integrerar de bästa tillgängliga externa bevisen för att i samråd med patienten fatta beslut om olika omvårdnadsinsatser.

    Flera studier visar dock att det är en låg användning av forskningsresultat bland sjuksköterskor i den kliniska vardagen och att införande av evidensbaserad omvårdnad i organisationer är en komplicerad och ofta långsam process.

    Avsikten med evidensbaserade vårdprogram är att samordna vårdinsatser så att alla patienter i landet skall få en likvärdig vård som är den bästa med hänsyn till tillgängliga resurser.

    I juli 2011 kom det första nationella vårdprogrammet inom cancerområdet som enbart fokuserar på omvårdnad, Nationellt vårdprogram "Omvårdnad vid bröstcancer 2011". Detta vårdprogram har med hjälp av landets Onkologiska centra skickats ut till enheter i hela Sverige som behandlar patienter med bröstcancer.

    Syftet med denna studie var att belysa spridningen och användbarheten av det nationella vårdprogrammet "Omvårdnad vid bröstcancer 2011" samt om det fanns en plan för implementering.

    Den metod som användes var en enkätundersökning. Inklusionskriteriet var chefsjuksköterskor på de 60 kliniker i Sverige som 2008-2009 rapporterade in till det nationella kvalitetsregistret för bröstcancer. Totalt skickades 122 enkäter ut och svarsfrekvensen var 58 procent.

    I resultatet framkom det att 55 av 71 (77 procent) tillfrågade chefsjuksköterskor ansåg att evidensbaserade vårdprogram har stor betydelse för omvårdnaden vid cancersjukdom och 12 (17 procent) ansåg att det hade delvis betydelse. I Stockholm-Gotland regionen kände sju av åtta (88 procent) chefsjuksköterskor till vårdprogrammet. I västra regionen var det fem av 11 (45 procent) av chefsjuksköterskorna som hade kännedom om vårdprogrammet. Majoriteten av de chefsjuksköterskor som svarat på hur de vill att vårdprogrammet skall användas på deras enhet, uppger att det kommer att användas som en handbok i det dagliga arbetet. Hela eller delar av vårdprogrammet kommer att implementeras i verksamheten och det kommer även att användas som introduktionsmaterial till nyanställd personal.

    Slutsatsen av denna studie var att majoriteten av de chefsjuksköterskor som svarade på enkäten ansåg att evidensbaserade vårdprogram har stor eller delvis stor betydelse för omvårdnaden vid cancersjukdom och i stort sett alla chefsjuksköterskor (98 procent) som kände till vårdprogrammet "omvårdnad vid bröstcancer 2011" ansåg att vårdprogrammet hade fungerat/kommer att fungera som ett stort stöd i omvårdnadsarbetet med personer med bröstcancer.

  • 135.
    Abrahamsson, Marléne
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Viklund, Mikael
    Personers upplevelse av att leva med diabetesfotsår: En litteraturstudie2016Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Peoples experience of living with diabetic foot ulcers

    Abstract

    Background: Foot ulcers related to diabetes is a global problem. These ulcers can be difficult to heal and very painful for the affected person. Risk for infections and amputations are high. Diabetic foot ulcers can change the affected person’s life world.

    Aim: The purpose of the literature study was to illustrate people's experiences of living with diabetic foot ulcers.

    Method: A literature study based on twelve articles with qualitative approach. The results from respective article has been reviewed, analyzed and compiled. The databases that were used was CINAHL, PubMed, MEDLINE och PsycINFO.

    Result: The analyze resulted in two categories and a total of five subcategories. The categories were: Lost autonomy and Emotional suffering.

    Conclusion: The experience of living with diabetic foot ulcers varies between individuals, but common to many is that they suffer in different ways and that the quality of life deteriorate. The nurse can be a cause of the suffering, but also a hopeful mainstay. To provide person-centered care and see the whole individual is a prerequisite for good nursing care.

    Keywords: Diabetic foot ulcers, experience, suffering.

  • 136.
    Abrahamsson, Mirjam
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Furufalk, Helena
    Umeå University, Faculty of Medicine, Department of Nursing.
    Jämställdhet är...en alldeles för stor fråga: Barnmorskors uppfattningar om unga mäns ansvarstagande, delaktighet och möjlighet till råd och stöd, vid oönskade eller oplanerade graviditeter.2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Objective: The aim of this study was to investigate midwives perceptions about young men’s responsibility and participation in case of unwanted and unplanned pregnancies and their ideas of support aimed at men, from an equality standpoint.

    Design: Semi-structured interviews with seven midwives in the north of Sweden. The interviews were analyzed with a qualitative content-analysis and from a Critical theory-perspective. It resulted in eleven sub-categories, four categories and one theme.

    Result: Four categories as follows, The excluded young men, shows midwives attitudes regarding that young women, the society and sexual and reproductive healthcare tends to exclude young men when it comes to men´s issues. It is a woman’s world: The midwives saw that their primary work was all about the women, where pregnancy and contraceptives overall was a woman´s matter, in which only women made the decisions. Young men acts according to the masculinity norms of the society: The young men were perceived as rarely looking for support and help with their reproductive and sexual health and were often perceived as having an immature approach to sex. Long way until the sexual and reproductive health is equal: Sex education for young men took place in large groups and was - according to the midwives, often focusing on the wrong things. Sex education needs to start early on and preferably with the support of parents. The midwives had the knowledge requested by young men, but were not routinely sharing it. The theme: Equal responsibility for reproduction no reality in practice includes all categories.

    Conclusion: Young men are considered important in theory but not in practice. The young men are perceived as absent from unplanned pregnancies. With their great knowledge within sexual and reproductive healthcare, midwives are considered ideal working with this group.

  • 137.
    Abrahamsson, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Härnälv, Matilda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med långvarig smärta vid fibromyalgi: en litteraturbaserad studie om kvinnors upplevelser2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Fibromyalgia is a chronic disease that is difficult to treat and diagnose. The illness is of unknown etiology. The majority of the ill is women. Aim: The aim of this study was to describe women ́s experiences of living with long term pain associated with fibromyalgia. Method: A literature -based study was performed. The database Cinahl was used in the search process. This study includes 11 qualitative articles that have been analysed by a review template. The analysis resulted in two categories "experiences of a changed me" and "experiences of social life" with six subcategories. Results: The consequences of fibromyalgia were that the family life, spare time, social life and working life changed in different ways. The articles also showed that women with fibromyalgia did not receive the understanding they needed from their families or the environment. Conclusion: Women with fibromyalgia feel that they do not get understanding from the outside world. It is important that health care professionals understand and acknowledge these individuals' subjective experiences so that they can give professional care and support.

  • 138.
    Abrahamsson, Pia-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Kron, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare.
    "Det känns som att man blir betraktad som en andra klassens medborgare”: Hur patienter med allvarlig psykisk ohälsa erfar den somatiska vården och psykiatrisjuksköterskans erfarenheter av ansvar för fysisk hälsa i psykiatrisk vård2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tidigare forskning talar om förutfattade meningar, okunskap, rädsla m.m. hos somatisk vårdpersonal och om patienter som känner sig avskrivna från den somatiska vården med att det är den psykiska ohälsan som är orsak till de fysiska symtomen. Psykiatrins vårdpersonal upplever problem med att vårda den fysiska hälsan hos patienten, då deras specialitet är den psykiska hälsan.  Syftet med denna studie är att beskriva hur patienter med allvarlig psykisk ohälsa erfar den somatiska vården och psykiatrisjuksköterskans erfarenheter av ansvar relaterat till psykiatripatienternas fysiska hälsa. Studien bygger på nio semistrukturerade intervjuer, varav fem intervjuer med patienter och fyra intervjuer med psykiatrisjuksköterskor. Intervjuerna har analyserats utifrån en kvalitativ innehållsanalys. Resultatet visar att patienterna känner sig sedda som sin psykiska sjukdom och upplever sig inte vara lika mycket värda som övriga patienter i den somatiska sjukvården. Psykiatrisjuksköterskorna erfar att det finns många svårigheter både teoretiskt och praktiskt för dem att ta hand om patienternas fysiska hälsa. Slutsatsen är att fördomar upplevs som tyngande för patienterna och orsakar med tiden mer psykisk ohälsa och större risker för deras fysiska hälsa. För sjuksköterskan är det en konst att skilja på vilket som tillhör psykiatriska vårdens ansvar och vad som är ämnat för den somatiska vården.

  • 139.
    Abrahamsson, Sanne
    Kristianstad University, School of Health and Society.
    Socialtjänsten och mödrahälsovårdens arbete och samarbete kring gravida risk- och/eller missbrukare2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim with my study is to highlight, illuminate and examine the social and maternal health care motivational work of pregnant women with a risk or abuse of alcohol and / or drugs, and what actions can be considered for these women. In addition, the aim is to explore how social services and maternity care might interact in this type of case. The aim is to convey the subjective experience of each of the interviewees. For the purposes of this study, I have chosen to use the qualitative research method. I have interviewed social workers in individual and family care, and midwives. Study interview results show that pregnant misusers priority for both maternity care and social services. By the AUDIT, conducted by the maternal health care, shows that the woman has a risk and / or abuse woman offered a variety of activities that may be in the form of talks, drug testing and treatment. Cooperation is the key to success in this motivational work, and it's mainly collaboration between social services, maternal health and child health care. Cooperation seems to work fine, but could be improved with more time and more staff.

  • 140.
    Abramsson, Veronica
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Selander, Malena
    Blekinge Institute of Technology, School of Health Science.
    Palliativ vård2005Independent thesis Basic level (degree of Bachelor)Student thesis
    Abstract [sv]

    I dagens samhälle drabbas många människor av cancer, där flertalet av de drabbade lider av smärta. En liten del av Danmarks cancerpatienter har möjligheten att avsluta sitt liv på Hospice. Syftet med studien var att genom fyra intervjuer belysa danska sjuksköterskors upplevelser av att vårda cancerpatienter med smärta på Hospice. Studien är fenomenologiskt inriktad. Teoretikern som användes i studien ar Katie Eriksson. Hon framhäver att kroppslig smärta på grund av sjukdom kan vara outhärdlig och skapa en ångest inför sjukdom till en själslig och andlig död. Som metod i studien användes innehållsanalys, där intervjuerna analyserades och sammanställdes. Resultatet i studien tyder på att sjuksköterskor upplever närvaro som en väsentlig del av vården med smärtpåverkade cancerpatienter. Analysen visar att närvaro innefattar närhet, beröring samt kommunikation.

  • 141.
    Abrego Szabo, Leyden
    et al.
    Kristianstad University College, School of Health and Society.
    Bengtsson, Marie
    Kristianstad University College, School of Health and Society.
    Svensson, Anette
    Kristianstad University College, School of Health and Society.
    Anhörigvårdares behov av utbildning och information: Vid vård av en familjemedlem med stroke2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Allt fler personer som haft stroke vårdas i hemmet med stöd från sin familj. Anhörigvårdare upplever att de ”kastas in” i rollen som vårdare och är dåligt förberedda och informerade om den nya situationen. Syfte: Syftet var att beskriva anhörigvårdares behov av utbildning och information vid vård av en familjemedlem med stroke. Metod: En allmän litteraturöversikt genomfördes och baserades på 16 vetenskapliga artiklar. Resultat: Anhörigvårdare hade behov av utbildning och information om sjukdomen stroke, dess orsak, riskfaktorer och behandling samt utbildning i basal omvårdnad för att kunna vårda sina anhöriga i hemmet. Dessutom behövde de utbildning och information om stöd och service från samhället bland annat om hur de kunde bli avlastade i sin vårdarroll. De behövde även information om tillgänglig vårdkoordinator/kontaktsjuksköterska och anhörig/patientförening att vända sig till för information och stöd. Slutsats: Anhöriga behöver involveras mer i vården och därmed ses som en samarbetspartner. Med hjälp av familjesamtal kan distriktssköterskan ta reda på familjens individuella behov av utbildning och information. Författarna föreslår ett utbildnings/informationsprogram för anhöriga för att på så vis undvika att de upplever att de ”kastas in” i vårdarrollen.

  • 142.
    Abshir, Hamdiya
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Användning av information och kommunikationsteknologi för att främja egenvård på distans för patienter med diabetes typ 2 En litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Diabetes Mellitus is a chronic disease that is linked to suffering

    and lack of quality of life. Self-care is essential to reduce the negative

    consequences. Less than half of all patients achieve good self-care. Some of the

    reasons are limited knowledge of diabetes and poor self-care compliance. The

    introduction of ICT in diabetes care was started to improve clinical outcomes and

    quality of life for patients with diabetes type 2. Aim: To describe how information

    and communication technology can promote self-care in distance for patients with

    diabetes mellitus type 2. Methods: Literature study, in which the articles were

    searched in CINAHL, PubMed and Web of Science. Articles included were 15

    articles with a quantitative, qualitative and mixed method. Results: The results

    showed that information and communication technology such as internet,

    computer and mobile phone-based self-care program promoted self-care in patients

    with diabetes type 2 by increasing knowledge, awareness, motivation and

    improving lifestyle change. Conclusion: Information and communication

    technology can facilitate the daily challenges for patients with type 2 diabetes

    because it covers the knowledge gap and increases patient awareness and

    motivation for self-care.

  • 143.
    Abshir, Layla
    et al.
    Blekinge Institute of Technology, School of Health Science.
    Pettersson, Malin
    Blekinge Institute of Technology, School of Health Science.
    Att vårda personer med fetma: Vårdpersonalens erfarenheter2013Student thesis
    Abstract [sv]

    Bakgrund: Fetma betraktas som ett folkhälsoproblem i många delar av världen och det blir allt vanligare att personer med fetma söker sjukvård. Tidigare forskning har visat att det kan vara en utmaning för vårdpersonalen att erbjuda patienter med fetma en god och säker vård. Dessa utmaningar måste uppmärksammas så att vårdandet för dessa patienter kan förbättras samt förhindra skador på patienter och personal. Syfte: Syftet med studien var att beskriva vårdpersonalens erfarenheter av att vårda personer med fetma. Metod: Det gjordes en litteraturstudie med kvalitativ ansats som baserades på sju vetenskapliga artiklar. Analysen genomfördes utifrån Graneheim och Lundmans tolkning av innehållsanalys. Resultat: Analysen resulterade i två kategorier och fyra undekategorier. Den ena kategorin var Hinder i omgivningen med underkategorierna Utrustningens otillräcklighet och Begränsningar i miljön. Den andra kategorin var Konsekvenser för vårdpersonalen och hade underkategorierna Risk för arbetsskada och Behov av mer personal och tid. Slutsats: Det framkom i studien att utrustning och fysisk miljö visade sig vara otillräcklig och risken för skada på både personal och patient ökade i samband med vårdanet av personer med fetma. Framtida forskning borde fokusera på hur vårdandet av personer med fetma kan förbättras.

  • 144.
    Abyan, Luul
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Gustavsson, Ellinor
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Unga vuxnas upplevelser av att leva med diabetes typ-12016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Summary

    Background: Diabetes type-1 is an autoimmune disease and one of the most common chronic diseases in Sweden. Diabetes type-1 can be developed at any age, but usually appears during childhood and adolescence. Living with the disease implicates being responsible for their self-care.

    Aim: The aim of the study was to describe the young adult’s experiences of living with diabetes type-1, based on Orem’s self-care deficit nursing theory.

    Method: This study is a qualitative study with deductive approach. The study is based on three blogs. Orem’s self-care deficit nursing theory was used in this study.

    Results: The relationship with family and other diabetics are perceived to be a great support and can serve as an aid in self-care. Self-care can be difficult to achieve and sometimes they can experience that planning and structure be in vain. According to the individuals, it is important not to let the disease limit the social life. There is a major ignorance of diabetes type-1 in the society which leads to insecurity and lack of trust. Despite an environment of supportive people, individuals with diabetes type-1 can experience loneliness.

    Conclusion: An insight of young adult’s experiences of living with diabetes type-1 is important for the nurse because of the ability to reduce conflicts between nurse and patient and thereby improve conditions for a successful self-care.

  • 145.
    Acevedo Vargas, José-Miguel
    et al.
    Sophiahemmet University College.
    Drakenhed, Helena
    Sophiahemmet University College.
    Omvårdnad och hantering av centrala venösa accesser2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 146.
    Acici, Bahriye
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Gräsvik, Susanne
    Ersta Sköndal University College, Department of Health Care Sciences.
    Välbefinnande hos cancerpatienter inom palliativ vård2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 147.
    Acin, Helin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jonasson, Hanna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fysisk aktivitet vid fatigue: En litteraturöversikt om fysisk aktivitet och dess påverkan på fatigue hos kvinnor med bröstcancer2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common form of cancer that affects women. Many women experience side effects from breast cancer treatments. One of the most common side effects is fatigue that can be perceived in different dimensions. The nurse has an important role by informing, supporting and motivating the patient to perform self-care activities before, during and after breast cancer treatment.

    Aim: Illustrate different forms of physical activity and its effect on fatigue in women undergoing breast cancer treatment.

    Method: A literature review has been conducted where eleven quantitative studies were selected. The databases used were PubMed, MEDLINE with Full Text and ProQuest Nursing & Allied Health Database. The articles have been reviewed, discussed and summarized in order to distinguish between similarities and differences.

    Results: It was found that physical activity, in various forms, had an effect to reduce fatigue. The result led to a main heading: Physical activity’s effect on fatigue with three subheadings: Aerobic physical activity, Combination of aerobic and muscle strengthening physical activity and Walking as physical activity.

    Discussion: Four parts emerged from the result: The physical activity’s planning and structure, Barriers to perform physical activity, Positive experiences of physical activity and Nurse’s supportive function. The content has been discussed in conjunction with Dorothea E. Orem’s self-care theory and new applied qualitative data.

  • 148.
    Adam, Christina
    et al.
    1 St. Savvas Anticancer Hospital, Athens, Greece.
    Patiraki, Elisabeth
    National and Kapodistrian University of Athens, Athens, Greec.
    Lemonidou, Chryssoula
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Radwin, Laurel
    Research Health Scientist, Center for Health Care Organization and Implementation Research, Boston VA Health Care System, Boston, MA USA.
    Charalambouss, Andreas
    Cyprus University of Technology, Department of Nursing Studies, Limassol, Cyprus and Docent, University of Turku, Department of Nursing Science, Finland.
    Charalambous, Melanie
    Cyprus Ministry of Health, Nursing Services, Educational Sector, Nicosia, Cyprus.
    Berg, Agneta
    University West, Department of Health Sciences, Section for nursing - graduate level. Kristianstad University, Kristianstad.
    Sjövall, Katarina
    Skane University Hospital and Medical faculty, Lund University, Sweden.
    Katajisto, Jouko
    Statistician University of Turku, Department of Mathematics and Statistics, Turku, Finland.
    Stolti, Minna
    University of Turku, Department of Nursing Science, Turku, Finland.
    Suhonen, Riitta
    University of Turku, Department of Nursing Science/Turku University Hospital and City of Turku, Welfare Division, Turku, Finland.
    Quality of nursing care as perceived by cancer patients: A cross-sectional survey in four European countries2017In: Balkan Union of Oncology. Journal, ISSN 1107-0625, Vol. 22, no 3, p. 777-782Article in journal (Refereed)
    Abstract [en]

    Purpose: To explore and compare cancer patients’ perceptions on the quality of nursing care in four European countries. Methods: Data were collected in Cyprus, Finland, Greece and Sweden. The sample comprised 596 hospitalized cancer patients. The quality of nursing care was measured using the “Oncology Patients’ Perceptions of the Quality of Nursing Care Scale” (OPPQNCS). Patient characteristics were also collected. Analysis of variance was used to examine the effects of country on the perceptions of the quality of nursing care. Results: Patients’ age ranged from 18 to 86 years, and 58% were male. The comparison of cancer patients’ perceptions regarding the quality of nursing care between the four countries showed a statistically significant difference in the total OPPQNCS scores (p <0.001) as well as in the subscales responsiveness (p <0.001), individualization (p<0.001), co ordination (p<0.001) and proficiency (p<0.001). The Cronbach’s alpha coefficient for the OPPQNCS ranged between 0.89 and 0.95. A multivariate analysis of variance for the OPPQNCS controlled by respondents’ demographic characteristics revealed that only the patient’s country was significantly related with the patients’ perceptions of quality care. Conclusion: Quality of nursing care as perceived by cancer patients was high, but differed between the four countries. The impact of the clinical status of cancer patients on the quality of nursing care and managerial factors such as staffing/nursing care delivery models that influence the ability of nurses to offer high quality care should also be explored by more focused studies.

  • 149.
    Adam, Linnea
    et al.
    Örebro University, School of Health and Medical Sciences.
    Saied, Morsal
    Familjefokuserad omvårdnad: Barn med kroniska sjukdomar2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 150.
    Adam, Mariana
    University of Skövde, School of Life Sciences.
    Varför väljer studenter att påbörja en sjuksköterskeutbildning?: en enkätstudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to investigate why nursing students choose to start a nurse education and what perception they have about the profession? The design of the study was quantitative with a descriptive design. Data was collected from the new nursing students (n= 34) at a University, fall term 2010 using a questionnaire. The result showed that students choose nurse education for various reasons. The most common reason for the choice was to get an opportunity to continue their education within the nursing profession and for those students who have worked in health care chose the nurse education to continue as a nurse. Whatever the reason students have the will to help other people a major reason for the choice of nursing. The students felt that a nurse should be empathetic, wise, attentive, and thorough and open- minded in their professional capacity. The students thought that the most common tasks for a nurse are documentation, physical care, emotional care and medical technical tasks.

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