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  • 201.
    Dan, Anita
    et al.
    The Swedish Red Cross University College.
    Ringh, Karin
    The Swedish Red Cross University College.
    Nyutexaminerade intensivvårdssjuksköterskors erfarenheter av ett mentorprogram: - En intervjustudie2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intensive care means treat and prevent threatening or manifest failure in one or several organ systems in very sick patients. The transition period, about two years, is critical for the newly hired intensive care nurse that often experience stress and a feeling of being overwhelmed. Mentorship is a sort of guidance where the mentor guide and act as a role-model as well as provide knowledge and advice. About two years ago a mentoring program started in an intensive care unit in a large city area in Sweden. Aim: The purpose of this study is to examine newly graduated intensive care nurses´ experiences after participation in a mentoring program. Method: Focus group interviews were completed and the data were analyzed using qualitative content analysis. Result: The result from the study is presented in four categories. The Mentoring program – aim and structure present general aspects of the program. The transition – from student to a new role as an intensive care nurse present results concerning the first period in the new profession. The Mentorship – the mentee and mentor relationship highlights different aspects of the relationship and The Mentorship Dialogue – to unburden describes the dialogue. Conclusion: The mentoring program is needed and performs an important function but should be structured and individualized. The matching between mentees and mentors are important and the fact that they are colleagues should be borne in mind if problems occur. Clinical matter: A mentoring program can ease the transition but certain circumstances should be taken into consideration.

  • 202.
    Danneholm, Hedvig
    et al.
    The Swedish Red Cross University College.
    Elo, Hanna
    The Swedish Red Cross University College.
    Icke-verbal kommunikation i omvårdnadsrelationen: En litteraturöversikt om patienters upplevelser2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nonverbal communication is defined as all means of communication beyond the spoken word. Previous studies show that patients value nonverbal signals such as eye contact, body language and touch, but also that touch is seldom used as a conscious means of communication. There is also an underrepresentation of research on nonverbal communication among nurses, compared to other professions.

    Aim: The aim of this study was to describe patients’ experiences of nonverbal communication in the nurse-patient relationship.

    Methods: A general literature review of eight scientific studies with a qualitative approach.

    Results: The results consist of five themes; variable nonverbal communication in the nurse-patient relationship, involving the patient, the impact of touch on the patient, the significance of gender on the experience of touch and the patient’s vulnerability. It was important to build a relationship with the patient before using touch. Touch had positive effects on patients, such as making them feel seen, accepted and anchored. The use of nonverbal communication could involve the patients or increase their vulnerability. An issue regarding the gender of the nurses or the patients arose while touching, which could cause sexual excitement for example.

    Conclusions: The results indicate that nurses’ knowledge concerning nonverbal communication and physical touch should be increased. In clinical practice, there is also a need for efforts to give nurses time to reflect on and increase their nonverbal communication.

  • 203.
    Darwich, Nadia
    et al.
    Red Cross University College of Nursing.
    Hansen, Sari
    Red Cross University College of Nursing.
    Synen på egenvård vid diabetes hos personer med olika etniska och kulturella ursprung2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes, especially type 2, is a growing global health problem. Today there is about 220 million people worldwide suffering from diabetes and this figure is estimated to rise to 366 million by the year 2030. Sweden is a multicultural society, which places greater demands for health care to adapt to each individual patient with diabetes. The purpose of this study was to illuminate the perceptions of self-care in diabetes disease in people with different cultural / ethnic origin. The study was conducted as a literature review and ten qualitative research articles were analyzed. The Model for Development of Transcultural Competence was used as a theoretical framework. Results of this study indicate that there are cultural / ethnic differences in perception of self-care in diabetes, particularly in terms of knowledge of diabetes, factors that influence lifestyle changes and self-care activities, religion / faith and the support / lack of support in different relationships. Health professionals' ability to manage cultural differences and maintain transcultural nursing requires that healthcare providers have knowledge of how cultural / ethnic origin may influence the perception of self-care in diabetes. Increased knowledge can provide health care providers safety in their profession, which contributes to a more individualized and safer care.

  • 204.
    Dascon Nadunge, Suganda
    et al.
    The Swedish Red Cross University College.
    Ali Mohammed Ameen, Karmang
    The Swedish Red Cross University College.
    "Mini Nutritional Assessment" och undernärda äldre: En empirisk studie utifrån sjuksköterskans erfarenheter2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Malnutrition is a commonly recurring problem among the elderly population. To be able to identify patients who suffer from malnutrition is an important care responsibility of the nurse. The Mini Nutrition Assessment (MNA) scale is one of many different screening tools which are used for identifying malnutrition or risk for malnutrition among elderly, at an early stage. Aim: To describe nurses`- experiences of using the MNA-scale among the elderly patients. Method: Semi-structured interviews based on questionnaires were conducted with ten professional nurses in two geriatric wards. The data was processed with a qualitative manifest content analysis. Results: Three main categories of results emerged. These were unsure assessment, part of the routine and useful tool. Conclusion: The MNA-scale is an assessment tool that provides good guidance. However, it is necessary to complement the MNA-scale with other factors, for example, with clinical competence that includes the nurse's theoretical foundation, practical experience and common sense to get a safer and more reliable nutrition status. Clinical implication: By using MNA-scale with clinical impressions and competence, nurses can identify malnutrition early stage. This can lead to significant potential for savings in both human suffering and economic resources.

  • 205.
    Davidsson, Hanna
    et al.
    The Swedish Red Cross University College.
    Tångring, Emely
    The Swedish Red Cross University College.
    Omvårdnadsåtgärder och förhållningssätt gentemot personer med demenssjukdom och aggressivt beteende: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Aggressive behaviours from dementia patients is a common symptom that occurs and have various reasons, based on situation, personal background and physical abilities. Aggressive behaviour from people with dementia may often occur during the health professional’s assistance with personal care.  

    Objective: The aim of this study was to describe nursing interventions and approaches in the care of people with dementia who exhibit aggressive behaviour. 

    Method: A study of literature based on twelve qualitative scientific articles was conducted.

    Results: Nursing measures were conducted, by using tools such as communication, personal relationships, professional teamwork but also task-focused care. The attitude towards the patients in the approach was different depending on whether the care interventions were made based on the task or the personal relationship. Nursing interventions were based on health professionals' experience with patients rather than guidelines and recommendations from The National Board of Health and Welfare.

    Conclusion: The study revealed that opposite care strategies were often used. The aggressive reactions from patients were affected by the approach of caregivers but also by the access to a nurse and the relationship between patient and caregiver. The result suggests that more precise guidelines are needed for how and if care staff shall practise caregiving despite resistance from patients living with dementia.

    Clinical significance: Knowledge of approaches and which nursing interventions that were used, can help nurses to better understand and improve their management in care situations, as well as benefit and decrease suffering for dementia patients where aggressive behaviour occurs.  

  • 206.
    de Bourg, Daniel
    et al.
    The Swedish Red Cross University College.
    de Bourg, Ulla
    The Swedish Red Cross University College.
    Palliativ vård i hemmet: Distriktssköterskors erfarenheter av mötet med patienter och dess närstående2012Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: The population in Sweden is getting increasingly older and more elderly people wish to be nursed and to die in their homes. Today many people receive health care within the public palliative health care with support from district nurses. In earlier research within palliative health care at home has above all has the specialized palliative health care been described. Few studies have explored the encounter between district nurses and patients family members within public palliative health care.

    Aim: To describe experiences of the district nurses and their encounter with patients and family members related to palliative health care at home.

    Method: Empiric qualitative study, descriptive design. Semi-structured interviews were carried out with eight district nurses. Interviews lasted between 35 and 45 minutes. The text was transcribed and categorized.

    Result: Six categories were created all related to the encounter: to build confidence, to be present and caring, to be family focused, conditions of the encounter, experiences of frustration and ethical dilemmas, to vacillate between confirmation and setback. It was important to build relations with patients and family members, create confidence. Presence was a condition for a good encounter. The district nurses showed respect to family members who went through a difficult time, family members might have difficulties to handle the situation. The patients needed longer visits and this was prioritized. It was satisfying to be close to the family, to get their confidence. The district nurses sometimes had a feeling of insufficiency, which was hard to accept.

    Conclusion: The experiences of the nurses showed that presence was a condition in order to achieve a good encounter. It was important to build confidence towards the patients and family members. There was an increased need of support and care. No supplementary resources were allocated even though patients in the palliative health care should be prioritized according to the rule of prioritization of Swedish health care.

    Clinic signification: More attention should be drawn to the work of the district nurses within the palliative health care in order to ensure equal health care to all individuals at the end of life.

  • 207.
    De Meyere, Siri
    et al.
    The Swedish Red Cross University College.
    Eriksson, Sofia
    The Swedish Red Cross University College.
    Misstro, kamp och systraskap: En studie ur ett feministiskt perspektiv om endometriospatienters möte med vården2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronic gynecological disease with unknown aetiology which affects 10 % of fertile women and it has a profound effect on each part of women’s wellbeing. These women are often subjected to misbelief and dismission from healthcare personnel when they seek help for their pain related symptoms which are often considered “normal”. Feminism can be used as a tool to investigate these problematic issues. Aim: To investigate how women with endometriosis experience the encounter with healthcare personnel. Method: A qualitative content analysis based on six blogs was carried out with the intention to describe womens’ experiences. Result: A total of three themes were found; becoming the expert, the dynamic encounter and the static encounter. Related to these themes, a total of five subthemes were found that described different aspects of the encounter between the women and healthcare personnel. Conclusion: The widespread mistrust that women with endometriosis experience within the healthcare system can be explained by the subordinated position of women in society. This results in the gathering of women in communities as a type of sisterhood. Clinical implication: Nurses frequently come in contact with these women regardless of clinical placement. By improving their knowledge about the disease as well as structural factors, nurses are in position to help these patients receive the healthcare they are entitled to.

  • 208.
    Degerman, Amanda
    et al.
    The Swedish Red Cross University College.
    Lagerström, Fanny
    The Swedish Red Cross University College.
    Bemötande i samband med missfall - Kvinnans perspektiv: En kvantitativ och kvalitativ empirisk studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Miscarriage affects one in four women. Despite the prevalence, research suggests that healthcare professionals do not treat affected women with respect for their personal situation. This leads to negative healthcare experiences for patients, which can in turn contribute to mental illness.

    Aim: The purpose of the thesis was to highlight women's experiences of support from healthcare and relatives in connection with miscarriage.

    Method: The thesis was based on a qualitative and quantitative empirical research method in the form of a summary of 83 survey responses and a content analysis of 20 blog posts.

    Result: The majority of women have experienced insufficient support from both relatives and healthcare. The women have not been offered the care they considered necessary, they were also exposed to poor treatment from the healthcare staff in the form of insensitive comments. The insensitivity of these professionals was linked to the treatment of miscarriage as routine and a failure to consider the individual woman’s perspective.

    Conclusion: Miscarriage causes severe grief for the women who suffer it. Therefore, they need to be treated in a dignified way and receive support from caregivers and others in their environment.

    Suggestions for future research: Further investigation is needed to determine how nurses can improve the experience for women, meet their needs, and increase their well-being. The authors recommend further research to understand how women's partners experience miscarriage.

  • 209.
    Degerstedt Olsson, Josefin
    et al.
    The Swedish Red Cross University College.
    Engman, Emilia
    The Swedish Red Cross University College.
    Den cirkulerande livsstilen: Det roterande skiftarbetets påverkan på sjuksköterskans hälsa och arbetsförmåga2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Since health care is provided 24 hours a day, seven days a week, it requires around the clock staffing, shift work is the most common system. The health care system is already highly strained where personnel quit due to the complexity of shift work. Shift work is associated with disturbed circadian rhythm, lack of sleep and recovery. There are both negative physical and physiological effects due to disturbed circadian rhythm. The nursing profession is a diverse area of work and the main task is to provide a secure and safe patient care. Maintaining a good personal health is of key importance in order to provide patients with good nursing. Aim: To describe nurses experience of shift work and its impact on their health and work performance. Methods: The design of the study was a literature review. The review used twelve articles, which have been examined and described. Results: Four themes were identified and the main findings included that three-shift rotation was associated with negative health impact, however two-shift rotation also gave negative health consequences. Shift systems reduce quality of life and cause negative physical and physiological health. Nurses experienced concern regarding committing fatigue related mistakes at work. Conclusion: Shiftwork can cause health consequences on several levels. Most problematic seems to be the lack of time spent with family and friend. Nurses experience fatigue caused by shift work, which generate consequences at and outside of work. Since this seems to be a global issue it indicates that no individual or cultural association can be made.

  • 210.
    Derland, Kristin
    et al.
    Red Cross University College of Nursing.
    Tägtström, Katja
    Red Cross University College of Nursing.
    Den vårdande relationen i den palliativa vården2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care seeks to prevent and relieve suffering for the terminal patient. It is not only about easing the physical pain, but also to sooth the mental distress of the patient. By initiating and developing a caring relationship with the patient, the carer can help the patient in reaching the best possible quality of life throughout the time he or she has left. This can be a very difficult task, and may be a testing time for all parties involved. The aim of this study was to describe how the caring relationship becomes visible in the care of terminally ill patients. In order to describe the care, a five step analysis of qualitative articles was done. The results identified seven categories; target based care, holistic perspective, trust, guidance, knowledge and experience, honesty and communication, and cooperation. After completingthe analysis, an overall theme was created; interaction. The palliative care emerges through the interaction between carer, patient and relatives. The seven categories are entwined within the interaction.

  • 211.
    Diaz Diaz, Natalia Carmen
    et al.
    The Swedish Red Cross University College.
    Persson- Hjelm, Linda
    The Swedish Red Cross University College.
    Operationssjuksköterskors erfarenheter av optimerad arbetsmodell i förhållande till vanlig elektiv arbetsmodell2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Healthcare organizations strive to increase their efficiency. Studies show that the operating room is one of the departments with the greatest possibility to increase a hospital's efficiency. Their challenge is to perform more surgeries using the existing resources without increasing personnel workload or causing stress. In order to achieve this a new work model has been established by the selected hospital. The aim of this study was to investigate the operation room nurses' experiences of this new work model in relation to a conventional work model. Method A qualitative study was performed, a convenience sample was used and 18 operation room nurses from a hospital in central Sweden took part in a survey. Semi-structured interviews were conducted with an interview guide, a manifest qualitative content analysis was performed. Results Three categories and seven subcategories emerged. The operating room nurses believed that the new work model lead to many advantages and few disadvantages for the staff, patients and the department as a whole. The operating room nurses believed that the increase in staffing combined with a standardization of operation procedures, patients, tasks, operation rooms and material were the main reasons to the advantages with the new work model. Half of the operating room nurses did not prefer one work model over the other, the amount of operating room nurses that did was equal between the two work models. Conclusion A majority of the operation room nurses believed that the new work model lead to a decline in stress and to higher patient safety, but a minority experienced more stress and lower patient safety. 

  • 212.
    Dibb, Megan
    et al.
    The Swedish Red Cross University College.
    von Schoultz, Björn
    The Swedish Red Cross University College.
    Män är muskler, inte sjuksköterskor: Manliga sjuksköterskor upplevelser av förutfattade meningar mot dem2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Preconceptions against health care workers is a phenomenon in health care, especially against male nurses, who are a minority within the nursing profession. Previous research has focused on specific problematic situations that arise in the profession for male nurses, society's view of male nurses and the fact that male nurses are privileged in the workgroup. Literature often mentions various preconceptions about male nurses, despite the lack of research focusing on male nurses' own experiences of prejudice against them.

    Purpose The purpose of this study is to shed light on the preconceptions that male nurses are experiences towards themselves.

    Method Literature review in the form of a descriptive meta-synthesis.

    Results Male nurses experience several preconceptions which are presented in four key concepts: "not accepted as nurses", "muscles, lift assistance and technical skills", "are assumed to be gay" and "are assumed to have sexual intentions towards patients".

    Conclusion Experienced preconceptions can affect male nurses' view of themselves and the professional role, meeting the patient and nursing care. These preconceptions can create conflicts and grievances in the workplace which can disrupt the nurse-patient relationship.

    Clinical Significance By shedding light on the preconceptions that male nurses are experiencing measures can be taken to reduce the ones that affect nursing work negatively.

  • 213.
    Digné, Björn
    et al.
    The Swedish Red Cross University College.
    Heier, Per
    The Swedish Red Cross University College.
    Besides being bedside: Patientsäkerhet vid patientnära läkemedelshantering inom intensivvård2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients in critical care often falters in multiple organ systems. The environment in critical care is stressful, high-tech and the critical care nurse must always be available. Within the critical care nurses responsibility lays medication management. Previous research has shown that the frequency of incorrectly administrated drugs is higher in critical care than other health care settings, however, there is no previous research on medication management at the bedside in intensive care.

    Aim: The aim of this study is to highlight critical nurses’ experiences of the benefits and risks of medication management bedside.

    Method: A focus group interview was conducted in an intensive care unit in Mid Sweden and a qualitative content analysis, inspired by Granheim and Lundman, was used to analyze the material.

    Results: Distraction, overcrowding, lack of hygiene and the need to show respect to the patient contributed to that the work environment was not optimal. Despite this, critical care nurses were in favor of medication management bedside. Preparing drugs at the bedside gave the critical care nurses an overview that they experienced increased patient safety. Although the participants felt that it took a while to get used to this.

    Conclusion: The results show that bedside medication management is not entirely easy, especially not for the novice critical care nurse. Over time, the critical care nurses got used to the work environment. Preparing drugs at the bedside was perceived as a benefit in terms of patient safety, this because they always could be close to the patient. However, the critical care nurses felt that there were several factors in the work environment that was not optimal.

    Clinical relevance: This study highlights the benefits and risks of medication management at the bedside. The study can form the basis for improvements in patient safety and medication management on the affected ward and also further research on the subject. This is something that is missing at this date.

  • 214.
    Drougge, Felicia
    et al.
    The Swedish Red Cross University College.
    Fransson, Emelie
    The Swedish Red Cross University College.
    Att tala om sexualitet: En litteraturstudie om sjuksköterskors upplevda hinder att integrera patienters sexuella hälsa i omvårdnadsarbetet2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexuality plays a central role in western popular culture. The commercially produced image of human sexuality produces great demands on the individual. As sexual health is closely linked to the perceived well-being, disease or medical treatments may have a major impact on the individual’s health. Despite nurse’s knowledge of this the patient’s sexual health is often excluded from nursing practice. Patients have also communicated a need for their sexual health to be addressed during the hospital stay. Aim: The aim of this study was to elucidate the factors that prevent the nurse to integrate sexual health in nursing practice. And to introduce and discuss the recommendations made by the article-authors. Method: a systematic literature review has been conducted in which ten scientific articles (both qualitative and quantitative) were examined. All articles were published within the last ten years. Results: We used the three main categories: integration, barriers and recommendations. Nurses avoided raising questions about the patient's sexual health, although they considered it their responsibility to pay attention to this aspect of patients' wellbeing. Structural barriers in the workplace and nurses 'own attitudes were found to be the main obstacles for why they chose not to integrate patients' sexual health in nursing practice. The authors advocate further education in sexology and that management will strive for a culture in which patients' sexual health becomes a natural part of nursing care practice. Conclusion: Universities, hospitals and other health institutions should embrace these recommendations in order to facilitate the integration of patients' sexual health in nursing care. Clinical significance: We wish to raise awareness among nurses about the importance of integrating patients' sexual health in nursing practice. We hope that this study can give practicing nurses a chance to dismantle these barriers by working independently to counteract them.

  • 215.
    Dyar, Anna
    et al.
    Karolinska Institutet.
    Lachmann, Hanna
    The Swedish Red Cross University College, Department of Health Sciences. Karolinska Institutet.
    Stenfors, Terese
    Karolinska Institutet.
    Kiessling, Anna
    Karolinska Institutet.
    The learning environment on a student ward: an observational study2019In: Perspectives on medical education, ISSN 2212-2761Article in journal (Other academic)
    Abstract [en]

    INTRODUCTION: Worldwide, a growing number of healthcare students require clinical environments for learning. Some wards have become adapted 'student wards' to meet this demand. Benefits have been reported from the students', supervisors' and patients' perspectives. There is no definition of a student ward, and little research on what the term means. A deeper understanding of the characteristics of student wards is needed to support their use. The aim of this study is to describe what characterises the learning environment on one student ward.

    METHODS: An ethnographic approach was used for an observational study on a student ward in a hospital in Sweden. Student nurses, supervisors and others on the ward were observed. Field notes were thematically analysed.

    RESULTS: Four themes were identified: 'Student-led learning' described students learning by actively performing clinical tasks and taking responsibility for patients and for their own learning. 'Learning together' described peer learning and supervision. 'Staff's approach to learning' described personalised relationships between the students and staff and the build-up of trust, the unified inter-professional approach to teaching, and the supervisors' motivation for teaching and for their own learning. 'Student-dedicated space' described the effect of the student room on the learning environment.

    DISCUSSION AND CONCLUSIONS: This study describes the characteristics of a student ward that centred around a community of practice that shared a view of learning as a priority, allowing staff to provide clinical care without compromising students' learning. This qualitative study at a single centre lays the groundwork for future research into other student wards.

  • 216.
    Díaz, Miguel
    et al.
    The Swedish Red Cross University College, Department of Health Sciences. Manchester Metropolitan University, UK.
    Avila, A
    Manchester Metropolitan University, UK / KU Leuven, Belgium.
    Degens, H
    Manchester Metropolitan University, UK / Lithuanian Sports University, Lithuania.
    Coeckelberghs, E
    KU Leuven, Belgium.
    Vanhees, L
    KU Leuven, Belgium.
    Cornelissen, V
    KU Leuven, Belgium.
    Azzawi, M
    Manchester Metropolitan University, UK.
    Acute resveratrol supplementation in coronary artery disease: towards patient stratification2019In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, p. 1-20Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Resveratrol (RV) is a polyphenol with antioxidant, anti-inflammatory and cardio-protective properties. Our objective was to investigate whether acute supplementation with high doses of RV would improve flow-mediated dilation (FMD) and oxygen consumption (VO2) kinetics in older coronary artery disease (CAD) patients.

    DESIGN: We employed a placebo-controlled, single-blind, crossover design in which ten participants (aged 66.6 ± 7.8 years) received either RV or placebo (330 mg, 3x day-1) during three consecutive days plus additional 330 mg in the morning of the fourth day with a seven-day wash-out period in-between. On the fourth day, FMD of the brachial artery and VO2 on-kinetics were determined. Results; RV improved FMD in patients who had undergone coronary artery bypass grafting (CABG; -1.4 vs. 5.0%; p = 0.004), but not in those who had undergone percutaneous coronary intervention (PCI; 4.2 vs. -0.2%; NS).

    CONCLUSION: Acute high dose supplementation with RV improved FMD in patients after CABG surgery but impaired FMD in patients who underwent PCI. The revascularization method-related differential effects of RV may be due to its direct effects on endothelial-dependent dilator responses. Our findings have important implications for personalized treatment and stratification of older CAD patients.

  • 217.
    Díaz, Miguel
    et al.
    The Swedish Red Cross University College, Department of Health Sciences. Manchester Metropolitan University, Manchester, UK.
    Parikh, Vijay
    Manchester Metropolitan University, Manchester, UK.
    Ismail, Saira
    Manchester Metropolitan University, Manchester, UK.
    Maxamed, Raja
    Manchester Metropolitan University, Manchester, UK.
    Tye, Emily
    Manchester Metropolitan University, Manchester, UK.
    Austin, Clare
    Edge Hill University, Lancashire, UK.
    Dew, Tristan
    Manchester Metropolitan University, Manchester, UK.
    Graf, Brigitte A
    Manchester Metropolitan University, Manchester, UK.
    Vanhees, Luc
    University Leuven, Leuven, Belgium.
    Degens, Hans
    Manchester Metropolitan University, Manchester, UK / Lithuanian Sports University, Kaunas, Lithuania / University of Medicine and Pharmacy of Targu Mures, Romania..
    Azzawi, May
    Manchester Metropolitan University, Manchester, UK.
    Differential effects of resveratrol on the dilator responses of femoral arteries, ex vivo2019In: Nitric oxide, ISSN 1089-8603, E-ISSN 1089-8611, Vol. 92, p. 1-10Article in journal (Refereed)
    Abstract [en]

    Resveratrol is a plant-derived phytoalexin with antioxidant, anti-inflammatory and cardio-protective properties and may be a promising therapeutic intervention strategy in cardiovascular disease. Here, we investigated the acute direct effects of trans-resveratrol (RV), on acetylcholine (ACh)-induced and flow-mediated dilation (FMD) of isolated pressurized femoral arteries of young (4-month-old) and old (26-month-old) mice. Vessel exposure to RV enhanced ACh (0.01-1.0 mM)-induced dilation (p < 0.05), but not FMD (@ 5-10 μL⋅min-1) (p < 0.05) in both young and old mice. After RV incubation, acute nitric oxide (NO) production by cultured endothelial cells was increased in response to 0.01 mM ACh, but reduced by flow (5-10 μL⋅min-1; p < 0.05). In isolated femoral arteries from endothelial nitric oxide synthase knockout (eNOS-/-) mice, RV had no overall effect on flow mediated dilation, but potentiated ACh induced dilation, that was completely abolished by potassium channel blockers, Apamin and Tram 34 (p < 0.01). We demonstrate that the non-metabolised form of RV stimulates ACh-induced dilation via the NO and EDHF pathways, but not FMD by interaction with the cyclo-oxygenase pathway. Our findings have important implications in the use of RV (for both young and aged) under 'normal' non-diseased physiological states.

  • 218.
    Ebertz, Fredrik
    et al.
    The Swedish Red Cross University College.
    Rommel, Olof
    The Swedish Red Cross University College.
    Det är ju ändå en människa som vi vårdar!: Synen på den missbrukande patienten inom psykiatrisk omvårdnad2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: International research shows that there exist judgmental attitudes among nursing staff towards patients with drug and alcohol addiction. The patients as a group are assigned negative properties such as being aggressive, manipulative and dangerous, and caring for these patients have a lower status than the care of other patients. Corresponding studies of how it looks in a Swedish context have not been identified and thus there’s a gap in knowledge.

    Aim: The aim of the study was to describe the nurses’ view of patients with substance misuse problems in psychiatric care.

    Method: The study was conducted as an empirical interview study with a qualitative approach. A focus group interview was conducted with four active nurses as participants. The focus group interview was analyzed using a qualitative content analysis.

    Results: The analysis resulted in eight categories out of the collected data: contact by winning strategy, the self-selected absence of contact, the inhibitory care environment, the human being in its entirety, the reduction of the individual by care culture, destiny, the vicious cycle and frustration.

    Conclusion: The study shows that nurses within psychiatric care have a humanistic view of man as a basis for caring for patients with substance misuse problems. This view of man is hindered by frustration that arises in relation to the patients, that the patients are reduced to objects and the environment in which the nurse and the patient interact. This, in turn, leads to a more naturalistic view of man.

    Clinical significance: To expand the knowledge regarding the view of the patient with substance misuse problems in psychiatric care. The knowledge will be usable to decrease the distinction between theory and practice regarding how the humanistic view of man can be practically applied to psychiatric care.

  • 219.
    Eckerström, Joachim
    et al.
    The Swedish Red Cross University College, Department of Health Sciences. Karolinska Institutet, Stockholm County Council.
    Allenius, Emelie
    Stockholm County Council.
    Helleman, Marjolein
    Hanze University of Applied Sciences, Groningen, Netherlands.
    Flyckt, Lena
    Karolinska Institutet.
    Perseius, Kent-Inge
    The Swedish Red Cross University College. Karolinska Institutet.
    Omerov, Pernilla
    Ersta Sköndal Bräcke University College.
    Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practice2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, article id 1667133Article in journal (Refereed)
    Abstract [en]

    Purpose: Emotional instability and self-harm pose major problems for society and health care. There are effective interventions in outpatient care, but when patients need inpatient care, nurses often struggle meeting their patient’s needs. Brief admission (BA) is a newly implemented crisis intervention and novel form of inpatient care. The aim of this study is to describe nurses’ experiences working with BA related to patients with emotional instability and self-harm.

    Methods: Eight nurses were interviewed according to a semi-structured interview guide. The data was analysed using qualitative content analysis.

    Results: Four main categories emerged regarding nurses’ experiences with BA: provides security and continuity, fosters caring relationships, shifts focus towards patient’s health and empowers the patient. The nurse’s role shifted from “handling problems” to establishing caring relationships with a focus on the person’s health and possibilities for recovering instead of psychiatric symptoms.

    Conclusions: Previous studies on patients’ perspective of BA describe positive experiences such as increased autonomy and participation in the healthcare process. This study supports those findings, albeit from the perspective of nurses. Our findings suggest that BA may reduce work-related stress experienced by nurses while caring for persons with emotional instability and self-harm. BA may also support nurses in their ability to provide more meaningful and constructive psychiatric inpatient care.

  • 220.
    Efraimsson, Eva Österlund
    et al.
    Karolinska Institutet / Centre for Clinical Research, Dalarna, Falun / Dalarna County Council / Dalarna University.
    Klang, Birgitta
    The Swedish Red Cross University College. Karolinska Institutet.
    Ehrenberg, Anna
    Dalarna University.
    Larsson, Kjell
    Karolinska Institutet.
    Fossum, Bjöörn
    Södersjukhuset, Karolinska Institutet / Sophiahemmet University.
    Olai, Lena
    Centre for Clinical Research, Dalarna, Falun / Dalarna University / Uppsala University.
    Nurses' and patients' communication in smoking cessation at nurse-led COPD clinics in primary health care2015In: European clinical respiratory journal, ISSN 2001-8525, Vol. 2Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Smokers with chronic obstructive pulmonary disease (COPD) have high nicotine dependence making it difficult to quit smoking. Motivational interviewing (MI) is a method that is used in stimulating motivation and behavioral changes.

    OBJECTIVE: To describe smoking cessation communication between patients and registered nurses trained in MI in COPD nurse-led clinics in Swedish primary health care.

    METHODS: A prospective observational study with structured quantitative content analyses of the communication between six nurses with basic education in MI and 13 patients in non-smoking consultations.

    RESULTS: Only to a small extent did nurses' evoke patients' reasons for change, stimulate collaboration, and support patients' autonomy. Nurses provided information, asked closed questions, and made simple reflections. Patients' communication was mainly neutral and focusing on reasons for and against smoking. It was uncommon for patients to be committed and take steps toward smoking cessation.

    CONCLUSION: The nurses did not adhere to the principles of MI in smoking cessation, and the patients focused to a limited extent on how to quit smoking.

    PRACTICE IMPLICATIONS: To make patients more active, the nurses need more education and continuous training in motivational communication.

  • 221.
    Egertz Baer, Stina
    et al.
    The Swedish Red Cross University College.
    Eriksson, Sara
    The Swedish Red Cross University College.
    Beröring som stöd i sökandet efter identitet2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to elucidate the meaning of physical touch for young people with lack of health. The method was a literature overview where the results of fifteen scientific articles were analysed. The result four themes emerged from the result: regain health, wellbeing, bonding relationships, and difficult encounters. The discussion was based on findings and Erik H Eriksson theory. Conclusions The meaning of touch was that youngsters in their development and their quest for identity could be helped to overcome the fragmentation of their identity by recovering from a life of illness and gain a life with enhanced wellbeing. Touch can also strengthening the sense of themselves, self-esteem and identity by building positive relationship with themselves and others. Young people who lack basic trust to people in their surroundings experience difficulties to embrace touch. The meaning of touch, when used correctly, had the ability to create basic allegiance and wellbeing.

  • 222.
    Ehrenberg, A.
    et al.
    Department of Social Medicine, Uppsala University.
    Ehnfors, M.
    Department of Caring Sciences, Örebro University.
    Thorell-Ekstrand, Ingrid
    The Swedish Red Cross University College.
    The VIPS model - Implementation and validity in different areas of nursing care1997In: Nursing Informatics: The Impact of Nursing Knowledge on Health Care Informatics / [ed] U. Gerdin, M. Tallberg, P. Wainwright, Amsterdam: IOS Press, 1997, p. 408-410Conference paper (Refereed)
  • 223.
    Ehrenberg, Anna
    et al.
    Uppsala University.
    Ehnfors, Margareta
    Örebro University.
    Thorell Ekstrand, Ingrid
    Red Cross University College of Nursing.
    Nursing documentation in patient records: Experience of the use of the VIPS model1996In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 24, no 4, p. 853-867Article in journal (Refereed)
    Abstract [en]

    The VIPS model for the documentation of nursing care in patient records was scientifically developed and published in 1991, with the aim of supporting the systematic documentation of nursing care and promoting individualized care. As the model seemed to be accepted and used in many parts of Sweden, a study was conducted in order to gather further information on the validity of the model, to describe the clinical and educational experience of its use and to refine it. Experience of the use of the model was gathered from a review of the scientific papers and other reports on it, from questionnaires addressed to nurses (n = 514), from comments by key informants, and from interviews with faculty members at all the nursing schools in the country. The findings showed that an intense process of change and development was occurring regarding nursing documentation. However, there were limitations in the use of the entire nursing process, especially in the specification of patient problems and the formulation of nursing diagnoses and nursing interventions. The keywords (Swedish spelling) of the VIPS model had good content validity in different areas of nursing care. The findings also indicated the need for further elaboration and revision of some of the keywords. A revised version of the VIPS model based on these findings is presented.

  • 224.
    Ehrenkrona, Mathilda
    The Swedish Red Cross University College.
    Hungrig, hemlös och hållplats himlen: Barriärer och strategier för att uppnå en god palliativ omvårdnad för hemlösa2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Homelessness often results in a significant impact on both quality of life and life expectancy. At the same time, the group's access to health and medical care including palliative care is limited. Aim: The aim of the study was to map and describe the barriers and strategies that exist for people who are in acute homelessness to get a good palliative care. Method: A general literature study with eleven articles recruited via the databases Pubmed and Academic Search Premier. Qualitative articles were included and reviewed on the basis of a content analysis. Results:Three overall themes were identified; talks about death, social network and the healthcare staff's experiences as well as relation to healthcare staff. Based on these overall barriers, several subthemes emerged. Several possible strategies exist, such as empathic treatment, person-centered care, and strengthening of the individual's autonomy. Conclusion: The study shows that people in acute homelessness face several barriers to get a good palliative care. These barriers can be reduced through increased training for nurses on how social determinants affect health and nursing, but also a holistic, empathically person-centered approach can improve the palliative care for the acute homeless. Clinical significance: Knowledge from this study can be applied by nurses in palliative care, but also by other care units where homeless people are in. 

  • 225.
    Ejlertsson, Daniel
    et al.
    The Swedish Red Cross University College.
    Odelstrand, Kennet
    The Swedish Red Cross University College.
    Schizofreni och Quality of Life: Vilka faktorer påverkar Quality of Life hos personer med schizofreni i öppenvården? En litteraturöversikt.2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: Schizophrenia is a serious psychiatric illness, which entails great suffering for the person afflicted. The illness may cause symptoms such as hallucinations, a distorted sense of reality, apathy and reclusiveness; in effect causing the schizophrenic patient to evaluate his or her Quality of Life as being lower than the average persons.

    PURPOSE: The purpose of the literature review, was to highlight which factors affect Quality of Life, for schizophrenic patients in outpatient care.

    METHOD: The study was carried out as a literature review. Ten scientific articles, well suited for the purpose of this paper, were critically reviewed and structurally analyzed.

    RESULT: The identified factors, influencing Quality of Life for patients suffering from schizophrenia, were divided into three main categories, synonymous with Antonovsky's concept of KASAM: comprehensibility, manageability and meaningfulness. Furthermore, seven concepts were identified as constituting subcategories: positive symptoms, the psychosocial situation, maintaining control of ones everyday life, physical health and support from health facilities and exuberance and optimism. In summary, the articles studied show that the three main categories identify areas, in which the patients are low functioning. The seven sub-categories in their turn identify areas that directly or indirectly affect the patients' Quality of Life.

    CONCLUSION: The nurse can improve Quality of Life in individuals diagnosed with schizophrenia, either on her own, or in collaboration with other professionals in the health care sector. This can be achieved through motivational talks, but also through coordinated efforts between various social actors.

    CLINICAL SIGNIFICANCE: Patients suffering from schizophrenia, perceive exclusion in the social arena, a lack of pursuit and/or employment and general isolation as factors negatively affecting their lives. Thus the ability of caregivers, to meet the perceived problems and needs of the patient, is paramount when striving for a positive outcome of treatment.

     

  • 226.
    Ekdahl, Susanne
    et al.
    Nyckeln Competence Center for Pedagogics in Healthcare, Kalmar County Hospital.
    Idvall, Ewa
    Department of Care Science, Faculty of Health and Society, Malmö University, Department of Intensive Care and Perioperative Medicine, Skåne University Hospital.
    Perseius, Kent-Inge
    Red Cross University College of Nursing. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Family skills training in dialectical behaviour therapy: The experience of the significant others2014In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 28, no 4, p. 235-241Article in journal (Refereed)
    Abstract [en]

    Aim: The aim was to describe significant others’ experiences of dialectical behaviour therapy- family skills training (DBT-FST), their life situation before and after DBT-FST, and measurement of their levels of anxiety and depressive symptoms. Methods: The study had a descriptive mixed method design. Data were collected with free text questionnaires (n= 44), group interviews (n= 53) and the HAD scale (n= 52) and analysed by qualitative content analysis and descriptive and inferential statistics. Results: The results show that life before DBT-FST was a struggle. DBT-FST gave hope for the future and provided strategies, helpful in daily life. For the subgroup without symptoms of anxiety and depression before DBT-FST, anxiety increased significantly. For the subgroup with symptoms of anxiety and depression the symptoms decreased significantly. This indicates, despite increased anxiety for one group, that DBT-FST is a beneficial intervention and most beneficial for those with the highest anxiety- and depressive symptoms.

  • 227.
    Ekelund, Anna
    et al.
    The Swedish Red Cross University College.
    Sporrong, Eve
    The Swedish Red Cross University College.
    Bedömning av den sederade patienten: Komfort och lindring som utmaning för intensivvårdssjuksköterskor2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund

    Sedering, delirium, agitation och smärta är viktiga områden inom intensivvård. Studier har visat på goda resultat vid bedömning av sederade patienter med validerade mätinstrument. Intensivvårdssjuksköterskan möter den sederade patienten dagligen i sitt arbete och ska enligt kompetensbeskrivningen ta hand om kritiskt sjuka patienter med svikt i ett eller i flera organ och utifrån patientens individuella behov förebygga, behandla, lindra och utvärdera omvårdnadsåtgärder. Den komplexa vården ställer stora krav på kunskap, kompetens och interprofessionellt omhändertagande på individnivå.

    Syfte

    Syftet med studien var att beskriva intensivvårdssjuksköterskors erfarenheter av teamarbete och bedömning av sederade patienter med validerade mätinstrument. Metod Kvalitativa individuella intervjuer valdes som metod för att besvara studiens syfte. Sju intensivvårdssjuksköterskor intervjuades och analyserades med kvalitativ innehållsanalys. Deltagarna i studien var intensivvårdssjuksköterskor i åldrarna 33-59 år med 1-21 års erfarenhet av intensivvård. Fem av deltagarna var kvinnor och två var män.

    Resultat

    Resultatet presenterades under kategorierna: Kunskap om bedömning av den sederade patienten och Teamarbete kring den sederade patienten och styrks av citat. Resultatet i studien visar på en bred kunskap och kompetens inom området. Flera exempel på god vård, teamarbete och professionellt förhållningssätt beskrevs. Det framkom dock en del brister och flera av deltagarna kände frustration över exempelvis teamarbete. Det belystes att kunskapsnivån om validerade mätinstrument var ojämn samt viljan med att använda dem inte alltid fanns.

    Slutsats

    Mer utbildning samt en tydligare motivering och uppmuntran till varför alla instrument används önskades. Ett område som återkom var svårigheterna och utmaningarna med ett effektivt teamarbete.

  • 228.
    Eklund, Angela
    et al.
    The Swedish Red Cross University College.
    Åkerblad, Johanna
    The Swedish Red Cross University College.
    ”Jag ropade ut efter hjälp. Men de frågade aldrig… och jag berättade aldrig för dem”: Våldsutsatta kvinnors upplevelser av bemötandet i hälso- och sjukvården2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intimate partner violence is a big public health issue. Health care professionals play a unique and important role in the contact with battered women. As these women seek help in many different care settings, they become a part of health care professionals’ everyday work. Aim: To describe why battered women experience the response in health care as inadequate, and by that identify how the response can be improved. Method: A literature review based on ten qualitative articles from which three main themes were identified: To create a safe environment, Communication and Competence. Result: Battered women experienced that the response in health care was insufficient. They experienced that health care professionals did not listen or care enough about their problems, and felt that they did not get enough time. The women wished that the question about intimate partner violence had been asked more frequently in health care. Conclusion: Health care professionals should ask about intimate partner violence more frequently in order to identify more battered women. The women need to feel that they are seen and heard when they encounter health care professionals and therefore it is important to give them time and look beyond their physical needs of care. It is also important that written information is easily available to let the women know where they can turn for help. Clinical implication: The results showed that there is a need for further education of health care professionals regarding intimate partner violence. National guidelines should be created as a support for health care professionals in their attempts to offer help.

  • 229.
    Eklund, Gabriella
    Red Cross University College of Nursing.
    Från teori till praktik: sjuksköterskestudenters tankar kring omvårdnadsvetenskap2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nursing as the character topic in nursing education is founded on the metaparadigm consisting of the concepts of human, health, environment, and nursing. This metaparadigm serve as the basis for nursing scientific theories, conceptual models, and finally the clinical profession. Whether the science is to be known as nursing science or caring science is as yet no consensus about, nor whether nursing or caring should be used as a term for the regard of knowledge and competence of the nurse. This disagreement leads to a conceptual confusion among students. Furthermore, the students perceive a difference between theory and practice. Aim: The study's purpose was to describe the nursing students’ thoughts on nursing science and how they experience that this science appears in the nurses’ field of activities. Design: The study was made with a qualitative methodological approach, and is based on interviews with five nursing students in the last semester. The interviews were analyzed with a qualitative content analysis whose focus is on finding similarities and differences in a text content. Results: The results of the study paints to some extent a complex filled image with difficulties for students to explicitly explain and define nursing science, but the results has also painted a picture of a science that is regarded as both important and valuable. Conclusion: Further work is needed to clarify the basic substance of the science and make it easier for students to fully utilize the value of nursing science.

  • 230.
    Eklund, Sanna
    et al.
    The Swedish Red Cross University College.
    Caceres, Patricio
    The Swedish Red Cross University College.
    Hur patienter med cancer upplever vården: En studie utifrån bloggar2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. The essential part in health care is the meeting between health care professionals and the patient. Today there is dissatisfaction with care among patients diagnosed with cancer. Therefore it is important that health professionals have the knowledge and are aware of what a diagnosed cancer patient experience as good and bad at the meeting with care. Aim. This paper aims to describe, based on blogs, how cancer diagnosed patients experience healthcare. Method. The analytical method used is qualitative content analysis. The data was collected through four blogs, which were published on the Internet. The analysis resulted in two domains, nine categories and three subcategories. Results. The outcome of the meeting with healthcare can make a big difference in how patients experience their disease. Bad experiences of healthcare can lead to cancers diagnosed patients experience distrust for the health professionals. And also motivational deficiency to defeat their disease. Good experiences of healthcare can give the patient more motivation and confidence for the health professionals. Healthcare is therefore an important part of the treatment in cancer care. This is continually highlighted in the blogs that were included in the study. Conclusion. When blog authors experienced a sense of context, the overall experience became manageable and they were able to fully exploit its inherent power to manage their disease. Clinical significance. The study results can be used to provide a deeper understanding for the nursing staff about cancer diagnosed patients' experiences of nursing care in Sweden.

  • 231.
    Ekvall, Klara
    Red Cross University College of Nursing.
    Nursing care for patients with burns in Tanzania2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Burns are common in low- and middle income countrie ssuch asTarzania and firerelated deaths are numerous in Africa compared to high income countries in Europe. The nurse's primary professional responsibility is to require nursing care to people. Nursing care for burned patients is important and demands knowledge. Nurses in Tanzania experience difficulties in their daily work in terms of heavy workload and lack of material. Transcultural nursing aims to see care, health and illness from a cultural perspective and the goal is to provide competent care to people in different cultures. The purpose of the study was to illuminate how nurses in Tanzania take care of patients with burns.The study was implemented at the hospital Kilimanjaro Christian Medical Centre in Moshi,Tanzania. A qualitative method was used;participating observations of nine nurses were carried out. The field notes were analyzed by content analysis and gradually two themes appeared; preventing infections and meeting the patient.The conclusion was that nursing care meant collaboration with the relatives, a calm and low stress atmosphere and concems about the patients' integrity. Difficulties experienced in the nurse's daily work were lack of time and material, but despite this the nurses wanted to improve the care of the burned patients in order to reduce the risk of infection. An interesting finding was that normally no contact was created between the nurse and the patient. Overall the lasting impression was that nursing care must be seen and understood in the cultural context.

  • 232.
    El Abdouni, Sarah
    The Swedish Red Cross University College.
    Att vårda kvinnor utsatta för våld: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Violence against women is a global health problem, of which 35% of all women in the world sometime during their lifetime has experienced. The nurse has a significant part in the encounter with women exposed to violence due to the nurses responsability of identification and providing of a tailor-made nursing. An inadequate healthcare leads to nurses who discredit themselves and patients who feel unsafe to disclose the violence. If the nurse doesn’t identify battered women there is a risk that she stays in the abusing relationship and in worst case, dies.

    Aim: Was to describe obstructive and enabling factors for identifying women who were exposed to domestic violence.

    Method: A litterature study was applied based on ten articles that were of both quantitative and qualitative approach.

    Results: Identified challenges were the lack of knowledge, feelings and attitudes of healthcare professionals and organizational deficiencies. The importance of identification and the important care relationship were identified as opportunities for the discovery of women subjected to violence. Both challenges and opportunities had links to the nurse's knowledge, attitude, identification, treatment and responsibility.

    Conclusion: The conclusion suggests that insufficient knowledge is the basis for both organizational deficiencies but also feelings and attitudes among healthcare personnel, this was also the area that was most in need of development. Better identification strategies and a meaningful relationship to the patients turned out having positive effects on nurses approach, which could lead to more disclosures from women.

  • 233.
    Elisabeth, Wimo
    The Swedish Red Cross University College.
    Kritiskt sjuka barns delaktighet: En studie om sjuksköterskans omvårdnad på BIVA2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 234.
    Elmberg, Susanne
    et al.
    The Swedish Red Cross University College.
    Käller, Barbro
    The Swedish Red Cross University College.
    Operationssjuksköterskors och kirurgers uppfattning om samarbete i operationslaget2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Errors in the operating room (OR) may have major consequences. According to the Swedish National Board of Health and Welfare and WHO, communication and coordination are the most common cause of harm to patients. Studies in the US have shown that the OR is the most common site in hospitals for adverse events to occur. Differences in perceptions of teamwork exist in the OR, with physicians rating the teamwork with others as good, and at the same time, nurses perceive teamwork as poor. Nurses often describe good collaboration as having their work respected, and physicians often describe god collaboration as having nurses who anticipate their needs and follow instructions. The aim of this study was to investigate Swedish nurses’ and physicians’ perception of teamwork. Operating room personnel, 25 nurses and 42 physicians where surveyed using a questionnaire. The most substantial difference where shown in the perception of who should be in charge of the team. To increase the likelihood of success when implementing the World Health Organization’s Surgical Safety Checklist, leaders should anticipate that differences in perception between members of different professions must be overcome if teamwork is to be improved.

  • 235.
    Englund, Åsa
    et al.
    The Swedish Red Cross University College.
    Lust, Linnea
    The Swedish Red Cross University College.
    Att leva med Multipel Skleros: En litteraturstudie om att hantera vardagen2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Multiple sclerosis [MS] is a neurological chronic disease that affects the central nervous system. There are different forms of the disease which have events that are somewhat different from each other but have some common symptoms such as fatigue, balance problems, stiffness and incontinence. Approximately 17, 000 Swedish people are diagnosed with multiple sclerosis, and effects more women than men. Purpose: The aim of this study is to illustrate how Multiple sclerosis affects individuals in the daily life and how a nurse can help with the caring. Method: A literature review based on eleven qualitative scientific studies that has been analysed and compiled into a result. Results: It is important for individuals with MS to be considered the same person as before the diagnosis and not being treated differently. The need for independence conflicts with the need for support and help from friends and family.It is important for individuals diagnosed with MS to accept the diseases to be able to focus on the future. Conclusion: Individuals with MS have a greater possibility to manage everyday life with help and support from their environment and have a positive attitude to life. Clinical Significance: This study can increase nurses understanding for how individuals with MS experience their life situation, which can results in a better care.

  • 236.
    Engström, Lina
    et al.
    The Swedish Red Cross University College.
    Ångell, Adam
    The Swedish Red Cross University College.
    Patienters upplevelse av omvårdnaden på akutmottagning: En litteraturöversikt2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In an emergency care unit the patient‟s vital functions must be given a priority which could lead to dissatisfaction, uncertainty and insecurity as a consequence from lack of information or communication.

    Aim: Describe patients‟ experience of the care in emergency care setting.

    Method: A systematic review of the literature with a qualitative content analysis was conducted on ten scientific articles.

    Result: Three categories with sub-categories were identified; communication, the personal encounter and organized method of working. Communication was perceived to have the greatest potential to influence the outcome of the patient experience of the nursing care. Other factors of great importance were that the staff had a patient centered view with a clear life-world perspective.

    Conclusions: If the patients‟ psychosocial needs are attended, the opportunity of a positive experience of the nursing care is increased. The result implies that standardized care plans could be developed in order to attend the psychosocial needs of the patient in acute care setting.

  • 237.
    Engvall, Mikael
    The Swedish Red Cross University College.
    BARNPERSPEKTIV VID UTFORMNING AV REGIONAL KATASTROFMEDICINSK BEREDSKAP I SVERIGE: EN NATIONELL STUDIE BLAND REGIONALA BEREDSKAPSSAMORDNARE2012Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Introduction: Children are often among the victims in major incidents and have specific needs that separate them from adults in these situations. Healthcare personnel often find events including children more demanding than events only affecting adults. The health care, thus, has to integrate child aspects in all phases of disaster planning. International reports suggest that planning for disaster medical preparedness often fails to consider the special needs of children, but there is a lack of Swedish research in this field. Objective: To investigate if the child perspective is considered in regional disaster medical planning in Sweden. Method: A questionnaire was sent to the 21 regional disaster planning officers in Sweden. Results: All of the regional disaster planning officers in Sweden participated in the study (n=21). 16 of 20 participants claimed that child aspects can be integrated in disaster preparedness to a large extent. However, 19 of 21 planners indicated that disaster preparedness is adjusted to the needs of children only to a small extent. Participation of pediatric personnel in disaster medical planning was seen as an important step to ensure optimal preparedness for events including children. 20 of 21 planners stated that this is the case only to a small extent. Participants claimed that risk and vulnerability analysis (18 of 21) and quality assurance (17 of 18) reflects the needs of children to a small extent. Six of 21 participants claimed that pediatric aspects were integrated in regional disaster medical plans. Conclusion: The child perspective is considered only to a small extent in regional disaster medical planning in Sweden. This study indicates the need to highlight and develop the disaster medical capability with focus on the special needs of the pediatric population.

  • 238.
    Ensjö, Joel
    et al.
    The Swedish Red Cross University College.
    Sundblad, Jenny
    The Swedish Red Cross University College.
    Ska du inte bli läkare istället?: En intervjustudie med manliga sjuksköterskestudenter2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Since the 1950's the nursing education in Sweden has been open to both sexes, but men are still a minority among the students in the nursing schools. Men still account for less than 15 percent of the students in the nursing programs in Sweden. Although efforts have been made to increase the proportion of men, the proportion has been relatively constant since the beginning of the 2000s. Aim: To describe how male nursing students experience being a minority at their education. Method: An empirical interview study with semistructured questions was conducted with nine male nursing students. A content analysis was conducted. Result: Three categories emerged from the analysis: they are meet with unexpected surprise from the people around them, others having expectations of them making physically heavy or technical tasks, or expectations that they want to become something else and gaining advantages over their female fellow students; they get more attention. Conclusion: Male nursing students considered themselves differently treated because they were men. Men who train themselves to become nurses are breaking society's expectations of how a nurse should be. Implications: The result may form the basis for further studies on how male students at the nursing program experience their education. 

  • 239.
    Ergardt, Niklas
    et al.
    The Swedish Red Cross University College.
    Stenström-Kyobe, Clara
    The Swedish Red Cross University College.
    Nursing panorama of patients with musculoskeletal injuries in Uganda using NANDA and NIC: An observational study2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Road traffic accidents are on the rise in low income countries and have a large socioeconomic impact on Uganda. In Uganda, the nurse-patient ratio is 50-100 patients per nurse which is higher than in Sweden, and the patients’ next-of-kin are involved to assist with nursing care. Victims of road traffic accidents demand a lot of nursing care but contextual limitations give patients different opportunities for recovery. A common nursing language, as NANDA and NIC, aim to make communication more efficient; ease work for the staff and make the care better for the patients. Setting: The study was conducted at Mulago Hospital in Kampala, Uganda. Method: Participant observation was used when observing the nursing care of 24 patients. Field notes were analyzed using manifest content analysis. Aim: The aim of this study was to identify the nursing panorama of patients with musculoskeletal injuries in their context. Result: The ratio between the ten most common diagnosis and interventions showed to be 222:59. The diagnostic span and the range of interventions varied according to if staff or next-of-kin performed the nursing of the patients. Conclusion: Using NANDA and NIC, revealed the next-of-kin in the study being responsible for nursing diagnoses and interventions.

  • 240.
    Ericson, Andreas
    et al.
    The Swedish Red Cross University College.
    Karlsson, Hannes
    The Swedish Red Cross University College.
    Ett skratt är den kortaste vägen mellan två människor: Betydelsen av humor i omvårdnaden2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Humour has long been seen as something beneficial and has during the recent decades become a subject for increased research, despite this it appears that there is not enough evidens to implement humour as a tool in today´s care, despite it´s health promoting effects humour is assigned.

    Aim: The aim of this study was to highlight the importance of humour in nursing.

    Method: A literature review where the materials from ten qualitative studies were analyzed.

    Results: The results are presented in five themes: Humour is a tool to mediate messages, humour builds good relations, humour as therapeutic play, humour is a tool to maintain the good patient persona and when used humour did not give the desired results. The results prove that humour is a effective instrument to strengthen and create social relations and also that humour has a health promoting effect, but also that humour has to be used with caution as it can damage a social relation if used incorrectly.

    Clinical significance: Humour is a good instrument to improve the nurse patient relationship and to promote good health in today´s care. There though a need for more research on the subject humour to strengthen its validity as a good instrument.

    Conclusion: Humour is useful to both patients and nursing staff which can be used for many purposes within care.

  • 241.
    Ericson, Anna
    et al.
    Red Cross University College of Nursing.
    Ousi, Zahra
    Red Cross University College of Nursing.
    MI- metodens effekter på alkoholkonsumtion: en litteraturstudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Since the mid-1990s alcohol consumption in Sweden has increased from eight liter pure alcohol per person and year, to approximately 10,5 liter per person and year. Each year in Sweden 6000 persons die from causes that relates to alcohol consumption. A majority of the Swedish population consumes alcohol moderately. However, some persons develop a destructive drinking habit that can result in addiction. Today 10-15% of the Swedish population estimates having developed an unhealthy consumption of alcohol. MI (Motivational interviewing) is a method that is used to motivate persons to change their lives by individual motivational improvement. Aim: The purpose of this study is to describe the effects of MI (Motivational interviewing) on people's alcohol consumption. Design: This study is a literature review. Result: MI had a positive effect that decreased alcohol consumption among all target groups. MI has positive effects on decreasing negative consequences of alcohol and cease alcohol consumption. Nonetheless, our results show that MI is not necessarily better than any other research method of comparison. Conclusion: The results indicate that MI is an effective method to be used to change lifestyles of individuals with dangerous alcohol consumption. 

  • 242.
    Ericsson, Cecilia
    et al.
    The Swedish Red Cross University College.
    Ögren, Marlene
    The Swedish Red Cross University College.
    Att möjliggöra säker sexuell och reproduktiv hälsa: - En observationsstudie med etnografisk ansats2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Everyone has fundamental rights just of being human. The right to health is one of these, which includes safe sexual and reproductive health. In the Georgian breakaway region Abkhazia, all the people can’t claim the right to health. Gali district, near the border to the rest of Georgia, is considered as a low priority area. Domestic violence is common in the region and women’s positions are described as extra vulnerable. In Abkhazia several non-governmental organizations operates to incorporate people's basic rights. Avangard is one of them, and they’re working with women’s sexual and reproductive health in Gali district. Aim: The aim of this study was to illuminate how the staff of a non-governmental organization incorporate safe sexual and reproductive health for women in Gali, Abkhazia. Method: An empirical study using a qualitative method, based on participant observations with ethnographic approach. The data were processed through content analysis, which ended up in categories and themes. Results: The presented findings are collected in three themes, including total six categories: Competence – Educated staff and Engagement, Context - Training in sexual and reproductive health and gynecological care, Resources - Environment and Materials. Conclusion: The study illuminated how several components incorporated safe sexual and reproductive health. By local and educated staff, Avangard created opportunities that made the work possible, despite some obstacles. Implications for practice: This study may contribute to an increased understanding of how fundamental rights in sexual and reproductive health can be made possible. Furthermore, there is a hope that nurses should reflect on women's situations worldwide, to improve the sexual and reproductive health.

  • 243.
    Ericsson, Ingrid
    et al.
    The Swedish Red Cross University College.
    Milton, Camilla
    The Swedish Red Cross University College.
    "Vore det inte lättare om du fortsatte vara kille?": En intervjustudie om transsexuellas upplevelser av vårdpersonalens bemötande2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Transsexualism is a gender identity disorder, which means that an individual identifies him-/herself with the opposite sex, and this often involves a desire to correct their gender to the experienced one. With this desire, transsexuals often come in contact with health care and because of this it is necessary that care givers are knowledgeable and professional within the encounter.

    Aim: The aim of this study was to enlighten transsexual’s experience with the encounter from care givers during the gender reassignment.

    Method: The study was formed by a qualitative design and collection of data consisted in interviewing six transsexual individuals. Collected data was analyzed through a qualitative analysis of the context.

    Results: The participants experienced a good encounter when the meeting and conversation was imbued with knowledge and professionalism, and when the staff had the patient’s life-world in mind by having an understanding and affirmative attitude. When the personnel instead lacked of knowledge and occurred uncomprehending, the participants experienced vulnerability because they needed to persuade and adapt to the staff in order to get the required care.

    Conclusion: The result of the study illustrates that the encounter of health care personnel in many ways affect transsexual patients’ journey through the gender reassignment. It is therefore of great significance to acknowledge the experiences of transsexual patients’ to, in the best way possible, assure an adequate encounter.

    Clinical significance: The enlightenment of transsexual’s experiences of encounters could tribute to an increased consciousness of transsexualism and the health care needs of transsexuals, to offer better future health care.

  • 244.
    Eriksson, Anneli
    et al.
    Department of Public Health Sciences, Health system and policy, Karolinska Institute.
    Ohlsén, Ylva Kristina
    The Swedish Red Cross University College, Department of Technology and Welfare.
    Garfield, Richard
    ERRB, Centers for Disease Control, Atlanta, Georgia, USA.
    von Schreeb, Johan
    Department of Public Health Sciences, Health System and Policy, Karolinska Institute.
    Who Is Worst Off?: Developing a Severity-scoring Model of Complex Emergency Affected Countries in Order to Ensure Needs Based Funding2015In: PLOS Currents, ISSN 2157-3999, E-ISSN 2157-3999, no November 3Article in journal (Refereed)
    Abstract [en]

    Background: Disasters affect close to 400 million people each year. Complex Emergencies (CE) are a category of disaster that affects nearly half of the 400 million and often last for several years. To support the people affected by CE, humanitarian assistance is provided with the aim of saving lives and alleviating suffering. It is widely agreed that funding for this assistance should be needs-based. However, to date, there is no model or set of indicators that quantify and compare needs from one CE to another. In an effort to support needs-based and transparent funding of humanitarian assistance, the aim of this study is to develop a model that distinguishes between levels of severity among countries affected by CE.

    Methods: In this study, severity serves as a predictor for level of need. The study focuses on two components of severity: vulnerability and exposure. In a literature and Internet search we identified indicators that characterize vulnerability and exposure to CE. Among the more than 100 indicators identified, a core set of six was selected in an expert ratings exercise. Selection was made based on indicator availability and their ability to characterize preexisting or underlying vulnerabilities (four indicators) or to quantify exposure to a CE (two indicators). CE from 50 countries were then scored using a 3-tiered score (Low-Moderate, High, Critical). 

    Results: The developed model builds on the logic of the Utstein template. It scores severity based on the readily available value of four vulnerability and four exposure indicators. These are 1) GNI per capita, PPP, 2) Under-five mortality rate, per 1 000 live births, 3) Adult literacy rate, % of people ages 15 and above, 4) Underweight, % of population under 5 years, and 5) number of persons and proportion of population affected, and 6) number of uprooted persons and proportion of population uprooted.

    Conclusion: The model can be used to derive support for transparent, needs-based funding of humanitarian assistance. Further research is needed to determine its validity, the robustness of indicators and to what extent levels of scoring relate to CE outcome.

  • 245.
    Eriksson, Cecilia
    et al.
    The Swedish Red Cross University College.
    Eriksson, Linn
    The Swedish Red Cross University College.
    Inequities in health care: lessons from New Zealand: A qualitative interview study about the cultural safety theory2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: According to the World Health Organisation, the indigenous Māori are reportedly the most marginalised ethnic group with the poorest health status in New Zealand. Cultural safety theory is a part of nursing programmes in New Zealand with the aim to reduce inequities within the health care system. AIM: The aim of this study is to illuminate nurses’ views about the cultural safety theory in relation to inequities within the health care system in New Zealand. METHOD: A qualitative empirical approach based on semi-structured indepth interviews was applied. Six interviews were conducted and data was analysed using Graneheim and Lundmans manifest content analysis. RESULTS: Two categories were identified and became representative as a result, Nursing Strategies and Working with Challenges. CONCLUSION: The findings in this study suggest that nurses’ have an overall positive attitude towards working with cultural safety theory and believe the theory to be an opportunity to change attitudes, and be a potential tool to reduce inequities within the health care system. CLINICAL RELEVANCE: Illuminating nurses’ perspectives about cultural safety can contribute to a better understanding of working with different cultures and hopefully reduce inequities within the health care system.

  • 246.
    Eriksson, Christopher
    et al.
    The Swedish Red Cross University College.
    Kim Evaldsson, Esther
    The Swedish Red Cross University College.
    Livskvalitet hos personer med svårläkta bensår: Upplevelsen av att leva med svårläkta bensår2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When caring for people with chronic leg ulcer there is a risk that the attention of the caregiver is laid towards the leg ulcer and the subjective feelings of this person are in the background. Therefore it is of importance to illuminate peoples experience with a holistic perspective. Previous research in the field has shown that the quality of life is affected in a negative way and the pain has proven to be a significant factor. Purpose: To illuminate person‟s experience of living with a chronic leg ulcer from a quality of life perspective. Method: A review based on 10 articles with qualitative approach. The material was analyzed with a deductive method from the World Health Organization. These domains are: physical domain, psychological domain, level of independence, social relationships, environment and spirituality/religion/personal beliefs. Results: Study findings showed that chronic leg ulcers affected quality of life in all domains except within the domain Spirituality, religion and personal beliefs Conclusion: People had similar experience when living with a chronic leg ulcer. They experience a loss in quality of life due to the chronic leg ulcer and pain was a notable finding that affected almost every domain. Clinical importance: The finding in this study shows the importance of using a holistic perspective in caring-situation.

  • 247.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Health Sciences.
    Det subversiva arvet: Global Omvårdnad och relationer till vetenskapliga doktriner – en personlig betraktelse2018Conference paper (Other academic)
  • 248.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Health Sciences.
    Förutsättningar för omvårdnad: genus2019In: Omvårdnadens grunder: perspektiv och förhållningsätt / [ed] Febe Friberg & Joakim Öhlén, Lund: Studentlitteratur AB, 2019, 3, p. 337-357Chapter in book (Other academic)
  • 249.
    Eriksson, Henrik
    The Swedish Red Cross University College, Department of Health Sciences.
    Intimitetens villkor i vårdandet2017In: Genusperspektiv på vård och omvårdnad / [ed] Helén Strömberg & Henrik Eriksson, Lund: Studentlitteratur AB, 2017, 3, p. 71-86Chapter in book (Other academic)
  • 250.
    Eriksson, Henrik
    Red Cross University College of Nursing.
    Maskuliniteter: Vårdande män - om mod, maskulinitet och genusyrsel2013In: Genusyrsel & normuppror: En antologi om vård, värderingar och jämställda löner / [ed] Maria Ejd, Stockholm: Vårdförbundet , 2013, p. 73-88Chapter in book (Other academic)
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