Change search
Refine search result
3456789 251 - 300 of 1240
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 251.
    Bäcke, Sanna
    University of Skövde, School of Health and Education.
    Demokrati i förskolans vardag: En analys av förskollärares resonemang om barns delaktighet2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Förskolan kan förstås som en institution för framtidens medborgare. I förskolan ska barnens demokratiska förståelse och kompetens grundläggas för att de i framtiden ska vara en god demokratisk medborgare. Barns delaktighet görs aktuell inom ramen för förskolans demokratiarbete. Forskning visar att det finns svårigheter med att arbeta med barns delaktighet och förskolans demokratiuppdrag är i många fall oreflekterat. Syftet med denna studie har varit att analysera ett antal förskollärares resonemang om barns delaktighet i förskolan och på så sätt nå kunskap om demokrati i förskolans vardag. För att uppnå syftet utformades forskningsfrågor om vilken demokratiförståelse förskollärarna ger uttryck för, vilken demokratisk roll barnen tillskrivs i förskollärarnas resonemang och vad barns delaktighet blir i förskollärarnas resonemang. För att besvara studiens forskningsfrågor skapades case som synliggör barns delaktighet i förskolan. Studiens respondenter fick föra anteckningar om casen utifrån angivna frågor och respondenterna intervjuades. Resultatet har analyserats med hjälp av studiens teoretiska ramverk med fokus på demokrati i relation till utbildning, demokratiska roller som subjekt eller objekt, samt olika förståelser av demokrati. Studiens resultat visar hur demokrati i förskolans vardag är individualistisk och barns delaktighet handlar om att skapa möjligheter och handlingsutrymme för den enskilda individen att göra val och utnyttja sina rättigheter att bestämma om sig själv. Förskollärarnas resonemang skildrar också en fördemokratisk dimension där barnen ska undervisas i demokrati och utveckla demokratiska värderingar. Utifrån studiens resultat kan demokrati i förskolans vardag också förstås som skendemokratisk eftersom barns delaktighet framträder som något som kan ges eller fråntas av pedagogerna.

  • 252.
    Bäckström, Annelie
    et al.
    University of Skövde, School of Health and Education.
    Persson, Ylva
    University of Skövde, School of Health and Education.
    Att tacka nej till erbjuden gruppundervisning: En fenomenografisk intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a patient suffers from long-term illness such as type 2 diabetes, there is a need for knowledge to deal with their illness. Earlier research shows that group education for patients with type 2 diabetes is of significance for, among other things, HbA1c, which in turn reduces the risk of complications. However, the main problem with group education is that not all patients are offered to participate and that a significant percentage of those that are invited to group education sessions decline the offer. Aim: The purpose was to describe perceptions of newly diagnosed patients with type 2 diabetes to refrain from offering group instruction. Method: Nine semi-structured interviews have been analysed by using a phenomenographic approach. The interviews were analysed through seven steps to unveil the perceptions of group education in people with type 2 diabetes which chose to renounce the offered group education. Results: The analysis resulted in two different categories of descriptions seen from a patient perspective: an opportunity to share experiences with others in the same situation but with the risk of “exposing” themselves and their illness in a group with unknown and the form of learning and knowledge is not adapted to the person´s specific needs and is not prioritized when the disease is not perceived as serious. Conclusion: A possible understanding of the result is that group education does not suit everyone but a verity of form of education are required so that the patients can get the education that themselves perceive as giving knowledge, in appropriate time and form.

  • 253.
    Bäckström, Caroline
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Professional and social support for first-time mothers and partners during childbearing2018Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: Expecting a child and becoming a parent is one of life’s major events, during which the parents’ perspective on life and their couple relationship changes. For some parents, childbearing entails a decrease in parental couple relationship quality. The way in which parents are able to cope with childbearing may be connected with their Sense of Coherence; which is a person’s ability to perceive life as comprehensible, manageable and meaningful. For parents’ positive childbearing experiences, professional and social support have been proven to be valuable. However, far from all parents have access to social support; furthermore, professional support does not always meet the needs of expectant parents. Hence, more research is needed to increase knowledge about expectant parents’ experiences of professiona land social support. In addition, more research is needed to explore factors associated with quality of couple relationship among parents during childbearing.

    Aims: The overall aim of the thesis was to explore professional and social support for first-time mothers and partners during childbearing in relation toquality of couple relationship and Sense of Coherence.

    Methods: The study’s designs were explorative, prospective and longitudinal; both qualitative and quantitative methods were used. Specifically, explorative designs, qualitative methods and phenomenographic analysis were used to explore expectant first-time mothers’ (I) and partners’ perceptions of professional support (II). Furthermore, an explorative design, qualitative method and qualitative content analysis were used to explore expectant first-time mothers’ experiences of social support (III). Within Study IV, a prospective longitudinal design, descriptive statistics, non-parametric tests and multiple linear regression analysis were used to evaluate factors associated with quality of couple relationship among first-time mothers and partners, during pregnancy and the first six months of parenthood.

    Results: The overall results of the thesis revealed both similarities and differences between expectant first-time mothers’ and partners’ perceptions of professional support, effects from social support and associated factors with perceived quality of couple relationship. The similarities were; both mothers and partners perceived that professional support could facilitate partner involvement, influence their couple relationship and facilitate contacts with other expectant parents. According to first-time mothers’ experiences, their couple relationship with their partner was also strengthened by social support during pregnancy. Further, the results showed that both first-time mothers’ and partners’ higher perceived couple relationship quality six months after birth, was associated with their higher perceived social support. The results showed also that both mothers and partners perceived their quality of couple relationship to decrease and Sense of Coherence to increase six months after childbirth, compared to the pregnancy. Differences revealed were such as: higher Sense of Coherence was only associated with mothers’ higher perceived quality of couple relationship, and first-time mothers reported perceiving more social support compared to the partners both during pregnancy, first week and six months after childbirth.

    Conclusions: Professional and social support can strengthen first-time mothers and partners both individually and as a couple, in their abilities to cope with childbearing. On the individual basis, the expectant parents could be strengthened through professional and social support that contributed to their understanding and feeling of being prepared for childbirth and parenting, for instance. As a couple, the parents were strengthened by professional support that included the partner’s role, as well as higher perceived social support overall. In contrast, lack of support could have a negative influence on the expectant parents’ feeling of being prepared for childbirth and parenting. Besides this, the results indicates that childbearing has a positive effect on parents’ abilities to cope with life even though their quality of couple relationship decrease. Professionals can use these results in their further understanding about how to offer satisfactory support to first-time mothers and partners during childbearing.

  • 254.
    Bäckström, Caroline
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Stöd till förstagångsföräldrar i samband med barnafödande2018In: Jordemodern, ISSN 0021-7468, Vol. 131, no 1, p. 4-7Article in journal (Other academic)
  • 255.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, Woman, Child (K3), Skövde, Sweden / Jönköping University, School of Health and Welfare, CHILD-Research Group, Jönköping, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Golsäter, Marie H.
    Jönköping University, School of Health and Welfare, CHILD-Research Group, Jönköping, Sweden.
    Thorstensson, Stina A.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    "It's like a puzzle": Pregnant women's perceptions of professional support in midwifery care2016In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 29, no 6, p. e110-e118Article in journal (Refereed)
    Abstract [en]

    ProblemPregnant women are not always satisfied with the professional support they receive during their midwifery care. More knowledge is needed to understand what professional support pregnant women need for childbirth and parenting.

    BackgroundChildbearing and the transition to becoming a parent is a sensitive period in one's life during which one should have the opportunity to receive professional support. Professional support does not always correspond to pregnant women's needs. To understand pregnant women's needs for professional support within midwifery care, it is crucial to further illuminate women's experiences of this support.

    AimTo explore pregnant women's perceptions of professional support in midwifery care.

    MethodsA qualitative study using semi-structured interviews. Fifteen women were interviewed during gestational weeks 36–38. Data was analysed using phenomenography.

    FindingsThe women perceived professional support in midwifery care to be reassuring and emotional, to consist of reliable information, and to be mediated with pedagogical creativity. The professional support facilitated new social contacts, partner involvement and contributed to mental preparedness. The findings of the study were presented in six categories and the category Professional support contributes to mental preparedness was influenced by the five other categories.

    ConclusionPregnant women prepare for childbirth and parenting by using several different types of professional support in midwifery care: a strategy that could be described as piecing together a puzzle. When the women put the puzzle together, each type of professional support works as a valuable piece in the whole puzzle. Through this, professional support could contribute to women's mental preparedness for childbirth and parenting.

  • 256.
    Bäckström, Caroline
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, ‘ Woman, Child ’ (K3) Skövde, Sweden / Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Kåreholt, Ingemar
    Jönköping University, School of Health and Welfare, Aging Research Network – Jönköping (ARN-J), Jönköping, Sweden / Karolinska Institutet and Stockholm University, Aging Research Center, Gävlegatan 16, Stockholm, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Golsäter, Marie
    Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Quality of couple relationship among first-time mothers and partners during pregnancy and the first six months of parenthood2018In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 17, p. 56-64Article in journal (Refereed)
  • 257.
    Bäckström, Caroline
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Larsson, Therese
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Närhälsan Midwifery Unit, Skövde, Sweden.
    Wahlgren, Emma
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde.
    Golsäter, Marie
    Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    ‘It makes you feel like you are not alone’: Expectant first-time mothers’ experiences of social support within the social network, when preparing for childbirth and parenting2017In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, p. 51-57Article in journal (Refereed)
  • 258.
    Bäckström, Caroline
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, Woman, Child (K3), Skövde, Sweden / Jönköping University, School of Health and Welfare, CHILD-research group, Jönköping, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Grimming, Rebecca
    University of Skövde, School of Health and Education. Närhälsan Skaraborg, Young Persons Clinic, Skövde, Sweden.
    Nyblin, Yrsa
    University of Skövde, School of Health and Education. Danderyd Hospital AB, Women’s care, Gynecology ward, Stockholm, Sweden.
    Golsäter, Marie
    Jönköping University, School of Health and Welfare, CHILD-research group, Jönköping, Sweden.
    'To be able to support her, I must feel calm and safe': pregnant women's partners perceptions of professional support during pregnancy2017In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 17, p. 1-11, article id 234Article in journal (Refereed)
    Abstract [en]

    Background: Professional support does not always meet the needs of expectant fathers or co-mothers. The way in which professional support is offered during pregnancy varies internationally, depending on the country. In order to attain a greater understanding of partners' experiences of professional support, it is necessary to further illuminate their perceptions of it. The aim of this study was therefore to explore pregnant women's partners' perceptions of professional support during pregnancy. Methods: Qualitative research design. Partners of pregnant women were interviewed during gestational week 36-38. Individual semi-structured interviews were used to explore the partners' perceptions. The data was analysed using a phenomenographic approach. The study was performed in a county in south-western Sweden; the data collection was conducted from November 2014 to February 2015. Fourteen partners (expectant fathers and co-mothers) of women who were expectant first-time mothers with singleton pregnancies, were interviewed. Results: The findings of the study are presented through four descriptive categories: Ability to absorb adequate information; Possibility to meet and share with other expectant parents; Confirmation of the partner's importance; and Influence on the couple relationship. Using a theoretical assumption of the relationship between the categories showed that the fourth category was influenced by the other three categories. Conclusions: The partners perceived that professional support during pregnancy could influence the couple relationship. The partners' ability to communicate and to experience togetherness with the women increased when the expectant couple received professional support together. The support created also possibilities to meet and share experiences with other expectant parents. In contrast, a lack of support was found to contribute to partners' feelings of unimportance. It was essential that the midwives included the partners by confirming that they were individuals who had different needs for various types of professional support. The partners perceived it easier to absorb information when it was adequate and given with a pedagogic that made the partners become interested and emotionally engaged.

  • 259.
    Bäckström, Linnéa
    et al.
    University of Skövde, School of Health and Education.
    Liljeberg, Victoria
    University of Skövde, School of Health and Education.
    Livet efter döden: Patienters upplevelser av att överleva hjärtstopp2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Approximately 10.000 out-of-hospital cardiac arrest occurs every year in Sweden. Surviving a cardiac arrest leads to a change in the victims life-world.

     Aim: The aim of the study was to describe people's experiences of surviving a cardiac arrest.

     Method: The method used is a literature study in which 11 qualitative scientific articles formed the basis for the result.

     Results: Four main themes emerged: coping with emotional challenges, being in need of support from health care, meeting the existential and living with physical and cognitive changes. Eight sub-themes emerged as well: Emotional stress, emotional support from the surroundings, need to be seen, need for information, thoughts about death and the future, living in a changed life situation, changes and their impact, and reflection on ones living habits.

     Conclusion: It is important for health care professionals to gain knowledge of people's experiences of surviving a cardiac arrest in order to best meet the needs of those affected and provide good health care.

  • 260.
    Bäckström, Lyupka
    University of Skövde, School of Health and Education.
    Tvärkulturella möten inom hälso- och sjukvården: En litteraturöversikt ur patientperspektivet2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Encounters with different people in the healthcare also means encounter between people who have different cultural background, skills and speak different languages. The number of patients that seek healthcare and don’t share same language and culture with their caregiver and vice versa is increasing continuously. Aim: The purpose was to describe the experiences in encounters with Western healthcare for patients with a different cultural background with the purpose to increase the understanding and knowledge that can reduce, alter or ease possible negative effects of these encounters. Method: Literature review with inductive approach was used. Result: Three categories: Communication and communication related aspects, Healthcare and healthcare related aspects and culture and culturally related aspects. Conclusion: The study shows that even though one part of the patients feel that cross-cultural encounters in healthcare are considered to be good, there are also gaps and opportunities for improvements in healthcare communication and culturally adapted healthcare. Inadequacy in culturally adapted communication and healthcare leave patients to feel helpless, frustrated, fearful, vulnerable and ashamed. This, in turn, leads to a reduction in patient confidence and participation in healthcare, which is why it is important to pay attention to.

  • 261.
    Bäckström, Åsa
    et al.
    Swedish School of Sport and Health Sciences, Sweden.
    Quennerstedt, Mikael
    School of Health Sciences, Örebro University, Sweden.
    Maivorsdotter, Ninitha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Meckbach, Jane
    Swedish School of Sport and Health Sciences, Sweden.
    Routes and roots to knowing in Shaun White’s snowboarding road trip: A mycorrhizaic approach to multisensory emplaced learning in exergames2019In: Scandinavian Sport Studies Forum, ISSN 2000-088X, E-ISSN 2000-088X, Vol. 10, p. 251-278Article in journal (Refereed)
    Abstract [en]

    This article explores learning during game-play of a snowboarding video game intrigued by questions raised in the wake of the increasing mediatisation and digitisation of learning. Correspondingly, we answer to calls for more suitable metaphors for learning to cater for the entangled learning processes that changes related to the increase of digital media may infer. Using a short term sensory ethnography approach, we elaborate on the idea of multisensory emplaced learning and propose an organic metaphor – mycorrhiza – to both methodology and learning. Mycorrhiza refers to a symbiotic relationship between fungi and roots of plants in its environment where fungi are the visible effects of the mycorrhiza. The metaphor provides a way to start to unpack sensory, visual and embodied aspects of learning in the complexities of the digital age. By elaborating on the mycorrhizaic concepts fungus, soil, growth, mycelia and symbiosis we show three interrelated ways of moving through this game: (i) a social and cultural route, (ii) a competitive route, and (iii) an experiential route. With help of the metaphor we discern the symbiotic relations between what appeared in our empirical material as visual and other human and non-human aspects of emplacement.

  • 262.
    Bååth, Sandra
    et al.
    University of Skövde, School of Health and Education.
    Hermansson, Emelie
    University of Skövde, School of Health and Education.
    Patienters upplevda livskvalitet efter stroke: En litteraturbaserad studie2018Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Stroke är ett samlingsnamn för hjärninfarkt och hjärnblödning. Vid en stroke får inte hjärnan tillräckligt med syre och cellskador kan då uppstå. Varje år drabbas 100 000 personer i Europa av stroke och det är en av de vanligaste orsakerna till att vuxna får funktionsnedsättningar. Funktionsnedsättningarna kan ha stor inverkan på patienternas vardagliga liv vilket gör att de behöver mycket stöd. Sjuksköterskans ansvar är att ge patienten information och öka patientens förståelse för sjukdomen. Syfte: Syftet är att beskriva patienters upplevda livskvalitet efter att ha drabbats av stroke. Metod: En litteraturbaserad studie som inkluderar 11 artiklar av både kvalitativa och kvantitativa ansatser. Resultat: I resultatet framkom tre kategorier; en förändrad kropp, psykiska och emotionella upplevelser och sociala relationers inverkan. Det framkom att den förändrade kroppen var svår att acceptera och många kände nedstämdhet. Aktiviteter som tidigare varit meningsfulla var svåra att utföra. Relationer förändrades då de upplevde att de inte blev förstådda. Informationen från vården upplevdes bristande. Konklusion: Studien visar att patienter upplever en försämrad livskvalitet efter stroke, vilket kan ge sjuksköterskor ökad förståelse och kunskap hur de kan möta en patient med stroke. Detta kan leda till att livskvaliteten ökar då patienternas behov tydliggörs. 

  • 263.
    Caesar Nilsson, Lina
    et al.
    University of Skövde, School of Health and Education.
    Hag Birkeland, Nicklas
    University of Skövde, School of Health and Education.
    Att leva med schizofreni: En narrativ studie baserad på självbiografier2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 264.
    Caldeborg, Annica
    et al.
    School of Health Science, Örebro University, Örebro, Sweden.
    Maivorsdotter, Ninitha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Öhman, Marie
    School of Health Science, Örebro University, Örebro, Sweden.
    Touching the didactic contract: a student perspective on intergenerational touch in PE2019In: Sport, Education and Society, ISSN 1357-3322, E-ISSN 1470-1243, Vol. 24, no 3, p. 256-268Article in journal (Refereed)
    Abstract [en]

    A growing anxiety around intergenerational touch in educational settings has both emerged and increased in recent years. Previous research reveals that Physical Education (PE) teachers have become more cautious in their approaches to students and they avoid physical contact or other behavior that could be regarded as suspicious [Fletcher, 2013. Touching practice and physical education: Deconstruction of a contemporary moral panic. Sport, Education and Society, 18(5), 694–709. doi:10.1080/ 13573322.2013.774272; Öhman, 2016. Losing touch—teachers’ selfregulation in physical education. European Physical Education Review, 1–14. doi:10.1177/1356336X15622159; Piper, Garratt, & Taylor, 2013. Child abuse, child protection and defensive ‘touch’ in PE teaching and sports coaching. Sport, Education and Society, 18(5), 583–598. doi:10.1080/13573322.2012.735653]. Some also feel anxious about how physical contact might be perceived by the students. The purpose of this article is to investigate physical contact between teachers and students in PE from a student perspective. This is understood through the didactic contract. For this purpose, focus group interviews using photo elicitation have been conducted with upper secondary school students in Sweden. One of the major findings is that intergenerational touch is purpose bound, that is, physical contact is considered relevant if the teacher has a good intention with using physical contact. The main agreements regarding physical contact as purpose bound are the practical learning and emotional aspects, such as learning new techniques, preventing injury, closeness and encouragement. The didactic contract is in these aspects stable and obvious. The main disagreements are when teachers interfere when the students want to feel capable or when teachers interfere when physical contact is not required in the activity. In these aspects the didactic contract is easily breached. It is also evident that personal preference has an impact on how physical contact is perceived. In conclusion, we can say that physical contact in PE is not a question of appropriate or inappropriate touch in general, but rather an agreement between the people involved about what is expected. Consequently, we should not ban intergenerational touch, but rather focus on teachers’ abilities to deal professionally with the didactic contract regarding physical contact.

  • 265.
    Cani, Caroline
    et al.
    University of Skövde, School of Health and Education.
    Sjödin, Ingela
    University of Skövde, School of Health and Education.
    "JAG SKA LÄMNA MIN FAMILJ OCH MIN KROPP. SEN SKA JAG FLYTTA UT I EVIGHETEN, VAD NU DET ÄR?": Kvinnors upplevelser av vad som skapar ökat lidande respektive ökat välbefinnande i det sena palliativa skedet, vid recidiv av bröstcancer. - En litteraturstudie baserad på bloggar2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: Breast cancer is the most common cause of death among middle age women in Sweden. Approximately 8500 women are affected annually and about 1400 women dies every year. Recurrence of cancer can be that all cancer cells failed to be eliminated on the first treatment and instead return in multiplied numbers. Previous research shows that the suffering of cancer patients in the late palliative phase includes the mental, social, existential/spiritual and physical suffering. Previous research also shows that well-being was reached when body and soul was filled with meaningful experiences. It turned out that social and professional support play an important role. PURPOSE The aim is to identify factors that increase the experience of suffering and well-being in the late palliative phase among women with recurrence of breast cancer. METHOD: Narrative method as blogstories. RESULT: Presented in two domains with associated categories. The domain increased suffering resulted in two categories; The feeling of powerlessness of being in the grip of sickness and thoughts that life is about to end. The domain increased well-being resulted in one category, which was named; Getting support- a source of security, recovery, continued lust for life and fighting spirit. CONCLUSION: Women with recurrence of breast cancer who are in the late palliative phase experience increased suffering when the feeling of powerlessness and thoughts of that death is near appears. An experience of increased well being appears when the women gets support from loved ones and from professional health and care workers. Through that support, the women experienced a feeling of security, recovery, continued lust for life and fighting spirit.

  • 266.
    Cappelen, Ane
    et al.
    University of Skövde, School of Health and Education.
    Stridh, Veronica
    University of Skövde, School of Health and Education.
    Förlossningsställningens betydelse för perineala bristningar under utdrivningsskedet: Ett barnmorskeperspektiv2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Perineal tears are common in vaginal delivery. The injury can lead to vaginal pain, which in turn can affect the sexual health negatively. Existing research shows that a birth position can influence both the onset and the degree of rupture, but does not reveal the explanation of why. Aim: Investigate midwives perception of the birth positions significans to perineal tearing during the second stage of labor. Method: The study is based on a phenomenographical research where ten interviews were conducted with midwives from six maternity hospitals in southern and central Sweden. Result: Birth positions is perceived by midwives to relieve pressure on the perineum, avoid prolonged second stage of labor, be crucial to women's body control and contribute to a slow birth, which is perceived to reduce the risk of perineal tearing. The birth position perceived also to be able to increase the pressure against the perineum, reduce women's ability to control their body and contribute to tense muscles in the pelvic floor, which is perceived to increase the risk of perineal tearing. This study also highlights the value of midwives communication with women giving birth during the second stage of labor. This is perceived to be one of the most important factors for the prevention of perineal tearing. Conclusion: Midwives perceive that birth position has different meanings for perineal tearing. Midwives also reason why and how perineal tearing can occur and be prevented related to different birth positions.

  • 267.
    Carli, Annelie
    et al.
    University of Skövde, School of Health and Education.
    Hermansson, Ida
    University of Skövde, School of Health and Education.
    SJUKSKÖTERSKANS MÖTE MED EN PATIENT EFTER SUICIDFÖRSÖK: En litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In recent years, the numbers of suicides and suicide attempts increased. Lifeworld in relation to health and disease is bearing concept in this study, as it´s considered to be of importance for how both the nurse and the patient experienced the meeting after an attempted suicide. In this essay a description of the importance of support for the nurse as much as her/his role towards patient who attempted suicide. Aim: The purpose is to describe nurses´ experiences in meeting with patients after suicide attempt. Method: This study is a literature review. The articles were searched via the databases CINAHL and MEDLINE, which generated a total of 153 hits. Five of these articles were used for the study results. The six rest where found from a free search. Results: The result is introduced throw three different categories, which was divided into seven subcategories. The categories were named as The experience of negative emotions in the meeting, The experience of positive emotions in the meeting and Factors that affect the experiences of the meeting. Discussion: For a nurses´ experiences to be as good as possible in a meeting with patient who attempted suicide, it´s important that the nurses´ own negative impression don´t effects. Reflection is seen as an important accessibility for the nurses’ experience to become good.

  • 268.
    Carlqvist Warnborg, Ylva
    University of Skövde, School of Health and Education.
    KASAM och stress - här och nu: Perspektiv i samtida svensk forskning som använder SOC-skalan som verktyg: en litteraturöversikt2016Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Antonovsky’s sense of coherence (SOC) is a globally used concept. The SOC scale tool exists in at least 15 different versions and is used in many different scientific studies. The aim of this literature review is to describe which perspectives and main results are highlighted in contemporary Swedish research concerning stress that uses the SOC concept and the SOC scale.

    Method: Text and content analysis concerning research focus and perspectives in scientific studies concerning stress and sense of coherence in Sweden in the last five years.

    Results: The SOC scale is used in studies of different designs within many different fields of research. Dominating perspectives in contemporary Swedish research using the SOC scale as a main or complementary tool are the holistic perspective, the individual perspective, the gender perspective and the parental perspective.

    Discussion: The scientific use of the SOC scale reflects the social discussion climate in Sweden of today. The validity and reliability of the SOC scale remain subjects of discussion, as different versions of the SOC scale give different results and different analyzing possibilities.

  • 269.
    Carlsson, Anai
    et al.
    University of Skövde, School of Health and Education.
    Roslund, Rebecca
    University of Skövde, School of Health and Education.
    Samtal om blommor och bin – en het potatis eller helt naturligt?: En kvalitativ studie om hur föräldrar  i Sverige upplever och hanterar att samtal med sina barn om sex, samlevnad och sexualitet2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As a parent, talking about sex, relationship and sexuality might be seen upon as a sensitive matter and is sometimes a difficult subject to raise with your child. Earlier studies show that a good communication in the home environment decreases childrens sexual risk behaviours. Health care personal is lifted as important actors within the sex education for children, adolecents and their parents.

    Aim: The aim of this study was to describe how parents in Sweden experience and handle the conversation about sex, relationship and sexuality with their children.

    Method: A qualitative study with Critical Incident Technique as method was used. The 20 parents who chose to participate in the study got to answer two opened ended questions in a questionnaire.

    Results: The result led to three main areas; “Parents experience and motivation for conversation”, “The affirmative conversation” and last “Elements that influence a negative experience of the conversation”. Parents describe the question being lifted in the home environment in different occations. Parents own experiences effects the content in the conversation and how they interpret the conversation as a whole. An important factor for the conversations to be experienced in a positive way is an open climat and mutual trust between parent and child. Parents describe difficulties in communicating about the subject when the child does not seem receptive and don’t give any respons. When parents felt the lack of positive respons and the children dit not seem adoptive the conversation was described as negative.

    Conclusion: Parents describe the importance of an open climate in the home environment together with mutual trust and respect as essential conditions for a positive experience of the conversation.

  • 270.
    Carlsson, Ann-Catrine
    et al.
    University of Skövde, School of Health and Education.
    Larsson, Eva
    University of Skövde, School of Health and Education.
    Elevers tankar om skolsköterskans roll i skolan.2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The school nurse is a part of the student health team with the mission to preserve and promote health, prevent illness, early detection of disease, and reduce the consequences of injury or illness.

     

    Purpose: The purpose of this thesis is to investigate how students view the role of the school nurse in a school environment.

     

    Method: The chosen research strategy is a qualitative method. A test group of 18 students between the ages of 15 and 18 answered questions by email. The analysis method that was selected allowed relatively free movement between different analytical concepts. The result is presented in three themes.

     

    Results: The students in the test group describe confidence in school nurses. The students believe that they can speak freely with the nurse and trust in student/nurse confidentiality. The overall accessibility of the school nurse varies greatly between institutions. The placement of the school nurse’s office is of significance to the students. Two factors that prevent students from seeking help from the school nurse are when teachers do not allow the students to leave the classroom during lessons and during breaks when the line is long or she is not physically present. The test group is very satisfied with the information they received regarding the vaccination and the process around it. The also received information from a health talk that they found valuable.

     

    Conclusion: The role of the school nurse is complex. It ranges from being a person the students can trust and talk to, to being an advisor. Accessibility is of great importance to allow a good relationship to be built between the school nurse and students.

  • 271.
    Carlsson, Ewa
    et al.
    University of Skövde, School of Health and Education.
    Sätherberg, Jennie
    University of Skövde, School of Health and Education.
    Skolsköterskans upplevelse av att samtala med föräldrar om elevens övervikt2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The school nurse´s work in the field of student health care is to offer health promotion and disease prevention efforts to protect the wellbeing of students. Students with overweight in early age are in risk of having health issues and psychosocial problems later in life. It is important that communication between school nurse, student and parents works well so they can achieve a common goal.

    Purpose: To study the school nurse's experience of talking with parents about the student's overweight.

    Method: A qualitative mail interview study with an inductive approach was made. Eight school nurses participated in the study.

    Result: In the results, four meaning themes described the school nurse's experiences of talking with parents about the student's overweight. The school nurses described that unless the trust and good communication with the parents existed, it was difficult to reach the goal of a lifestyle change for the student.

    Conclusion: Through the conversations with the parents, the school nurse had the opportunity to establish a good relationship and build up a trustworthy collaboration with students and parents. The school nurse also had the task of trying to reach the parents who had a negative attitude. Some important aspects that the school nurse considered was to convey security, show knowledge and allow students and parents to participate in the student´s health improvement.

  • 272.
    Carlsson, Ida
    University of Skövde, School of Health and Education.
    Förstagångsmammors upplevelse av genomgången föräldrautbildning2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 273.
    Carlsson, Ingvor
    University of Skövde, School of Health and Education.
    Dockan i förskolans praktik skapar kommunikativa värden för barn igenom delaktighet och inflytande2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The study's purpose was to investigate the knowledge that helped to develop the ability to analyze the doll performance, however, use both as tools and as aids in the social practice and further develop the commitment to children's learning. The research questions guided the study: - What communicative values, the use of dolls in the preschool educational activities? - What communication challenges and cultural situations, reveals the use of the dock in kindergarten when the children were offered participation and influence?

     

    The use of the doll created an opportunity to develop communication and interaction with the children, doll and educators in early childhood education. This ethnographic field study consisted of data collection of video recordings, photos and interviews with educators. The data was analyzed in relation to the study objectives and research questions. The results showed that the communication with the doll in activities and interaction situations developed in pace with a change in the educators' focus. This was made visible to teachers in their performance with the doll as mediating tools which afforded the children to communicate and encouraged participation. Thereby, the children developed the ability to take initiative when they trained their communication skills together with the doll. The children's awareness of language and vocabulary was shown in the use of language. It was made visible in the children's identity development as emotional actions and thoughts used in everyday situations, both with the educators and their own dolls which clearly affected the children who did not previously communicate to a great extent. Furthermore, the analysis showed that the children have a greater opportunity to speak in groups and common activities. The use of the doll had through various interactive situations strengthened their linguistic ability. The doll on the preschool created a pleasurable learning and thus gained a communicative value.

  • 274.
    Carlsson, Samuel
    University of Skövde, School of Health and Education.
    Ett flippat klassrum: från ett yrkeslärarperspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study is to investigate how vocational teachers who teach industrial engineering education reflect around, flipped classroom as a teaching method. The method used in the study has been qualitative and three vocational teachers have been interviewed. Previous research on flipped classrooms and different learning styles forms the basis for the analysis.The result showed that flipped classrooms have many positive effects for both teachers and students. For many students, learning time is many times less compared with traditional teaching. Many teachers mix traditional classroom with flipped classroom and the variation allows students to learn new things more easily.My conclusion was that flipped classrooms are a popular teaching method of both teachers and students, but it is time-consuming for the teachers at the beginning and that there will be a change for the students who are expected to be more prepared before a lesson starts. The teacher and the students working with flipped classrooms must more or less be technically motivated for the model to work.

  • 275.
    Carlén, Urban
    et al.
    Department of Social and Behavioural Studies, University West, Trollhättan, Sweden.
    Maivorsdotter, Ninitha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Exploring the role of digital tools in running: The meaning-making of user-generated data in a social networking site2016In: Qualitative Research in Sport, Exercise and Health, ISSN 2159-676X, E-ISSN 2159-6778, Vol. 9, no 1, p. 18-32Article in journal (Refereed)
    Abstract [en]

    The aim of the study is to examine how runners make meaning of digital tools in the dialogues published on a social networking site (SNS) created by and for runners who choose to run alone. The study explores the digital data generated by the runners using global positioning systems, such as how many kilometres have been covered, the average pace, the geographical location, the total climb, health information related to pulse rate and the number of calories burned. Some runners share this kind of data when publishing postings on the SNS. The empirical data consists of published postings of visual graphs and photographs with comments in threads retrieved from the online archives. A transactional approach and practical epistemology analysis are employed to focus on and analyse the meaning-making processes that are located in the social practices that the runners create when participating online. The participants make meaning of digital tools (such as sport watches and associated apps) by: (1) sharing details about their running performances, (2) signalling their presence in the social network of lone runners and (3) planning running events. Digital information is primarily used to reinforce the runners’ identity formation. The meaning-making of digital tools thus becomes a way of highlighting an individual’s social affinity to a runners’ collective. Surprisingly, lone runners do not use the performance-related feedback and health information offered by the digital tools to enhance their running progress when participating in the SNS.

  • 276.
    Carlén, Urban
    et al.
    University West, Trollhättan, Sweden.
    Maivorsdotter, Ninitha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Understanding athletes' online participation: A ticket to qualitative research on online arenas2018In: Digital qualitative research in sport and physical activity / [ed] Andrea Bundon, London: Routledge, 2018, p. 59-79Chapter in book (Other academic)
  • 277.
    Cartemo, Maria
    et al.
    University of Skövde, School of Health and Education.
    Göransson, Maria
    University of Skövde, School of Health and Education.
    DISTRIKTSSKÖTERSKORS UPPFATTNING OM ATT MOTIVERA PATIENTER TILL LIVSSTILSFÖRÄNDRINGAR GENOM ATT FÖRSKRIVA FYSISK AKTIVITET PÅ RECEPT2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 278.
    Cederqvist, Axel
    et al.
    University of Skövde, School of Health and Education.
    Sundberg, Viktor
    University of Skövde, School of Health and Education.
    Patienters upplevelser av att leva med hjärtsvikt: En litteraturbaserad studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is a common condition that causes symptoms like shortness of breath, fatigue and palpitations. Heart failure can be caused by several reasons which ischemic heart disease and hypertension are the most common. To specify the degree of heart failure, New York Heart Associaton Functional Classification (NYHA I-IV), is used. Suffering can occur during illness. Suffering of disease, suffering of life and suffering of care are three varieties of suffering. Self-care is an important factor in order to maintain health and wellbeing. Patients with heart failure usually have regular contact with medical services. Aim: To describe patients' experiences of living with heart failure. Method: A literature-based study that is based on 13 scientific articles. Results: Patients experienced physical and mental limitations in daily life. They had to change the way of life and their social role was diminished. Patients sometimes experienced care negatives, they described the lack of information and support. The future was experienced uncertain for the patients. Conclusion: Patients' social roles are reduced, daily activities become more difficult to implement and confidence is reduced. It is important to strengthen the patient's self-confidence. Nurses have a responsibility to reduce suffering and enhance patients' ability to engage in self-care.

  • 279.
    Cederqvist, Elin
    et al.
    University of Skövde, School of Health and Education.
    Karlsson, Julia
    University of Skövde, School of Health and Education.
    Erfarenheter av att leva med anorexia nervosa: En litteraturbaserad studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    during the last decades anorexia nervosa has had a rising incidence in Sweden as well as in other countries. The disorder may sometimes be difficult to understand due to its multifaceted nature of experienced pros and cons. Furthermore, reluctance toward treatment is frequent among people suffering from anorexia nervosa and treatment for eating disorders have rather high drop-out rates. Aim: The aim of this study was to highlight experiences of living with anorexia nervosa. Method: A literature based study consisting of nine qualitative research articles. Results: Three categories emerged from the analysis; the ambivalence between good and evil, varying emotions and other people are influenced and influences the person with four subcategories. Conclusion: Emphasis on achieving increased knowledge of the lived experiences of anorexia nervosa to enhance understanding for its complexity, might enable nurses’ support-providing to enlarge the patient’s motivation to recovery.

  • 280.
    Cederqvist, Elin
    et al.
    University of Skövde, School of Health and Education.
    Torsson, Mattias
    University of Skövde, School of Health and Education.
    Propofols väg till patienten: Anestesisjuksköterskors följsamhet till och uppfattningar av aseptiska hygienrutiner vid iordningställande och administrering av propofol2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: previous research shows evidence of multiple risks while administering drugs in an anesthetic context which lead to in iatrogenic contamination and health-care related infections. This leads to increased patient suffering, prolonged hospitalization, and increased health-care costs. Partly, this is caused by risk factors which are considered reasonably easy to prevent, preventative by compliance to basic hygiene routines. Within anesthetic care there is broad usage and increased prevalence of propofol-based intravenous anesthesia. Propofol has a predisposition for microbiological growth which means that it is sensitive to contamination, and should be handled aseptically. Aim: examine nurse anesthetists’ compliance to and perceptions of aseptic hygiene routines when preparing and administering propofol. Method: prospective quantitative cross-sectional study with a deductive approach. In this study, 22 nurse anesthetists were observed and were later asked in a questionnaire, to estimate their own perceptions of aseptic conduct while handling propofol. Result: the result demonstrates lack of adherence both in basic hygiene routines and aseptic handling of propofol. Conclusion: lack of adherence to aseptic routines concludes a risk for iatrogenic infections thus leading to patient suffering.

  • 281.
    Cederström, Emma
    et al.
    University of Skövde, School of Health and Education.
    Kindström, Josefine
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av att möta patienter med autismspektrumtillstånd: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Autism spectrum disorder (ASD) is a collective name for many neuropsychiatric disabilities. Understanding, routines and a lack of overall perception characterize the diagnosis. Communication and knowledge about ASD is something that fails in meeting with these patients. Therefore, knowledge of ASD and how these patients experience the meeting with care are significant in promoting nursing and their health. Aim: To describe the nurses experience of meeting patients diagnosed with ASD. Methods: A literature review with qualitative and quantitative approach based on ten scientific articles. Results: The analysis revealed two themes; adaptation and preparation in the meeting as well as the importance of knowledge and competence in the meeting, with four sub-men. Conclusion: The nurse should be engaged in the patient and it´s situation in the meeting and have a good dialogue with close associates and work in teams to find the right approaches in the meeting. It´s important that the nurse has knowledge and education about ASD and the various communication aids that are considered to be one of the promotional factors.

  • 282.
    Chang, Angela Y.
    et al.
    Univ Washington, Inst Hlth Metr & Evaluat, Seattle, USA.
    Dalal, Koustuv
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Dieleman, Joseph L.
    Univ Washington, Inst Hlth Metr & Evaluat, Seattle, USA / Univ Washington, Dept Hlth Metr Sci, Seattle, USA.
    Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–20502019In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 393, no 10187, p. 2233-2260Article, review/survey (Refereed)
    Abstract [en]

    Background Comprehensive and comparable estimates of health spending in each country are a key input for health policy and planning, and are necessary to support the achievement of national and international health goals. Previous studies have tracked past and projected future health spending until 2040 and shown that, with economic development, countries tend to spend more on health per capita, with a decreasing share of spending from development assistance and out-of-pocket sources. We aimed to characterise the past, present, and predicted future of global health spending, with an emphasis on equity in spending across countries. Methods We estimated domestic health spending for 195 countries and territories from 1995 to 2016, split into three categories-government, out-of-pocket, and prepaid private health spending-and estimated development assistance for health (DAH) from 1990 to 2018. We estimated future scenarios of health spending using an ensemble of linear mixed-effects models with time series specifications to project domestic health spending from 2017 through 2050 and DAH from 2019 through 2050. Data were extracted from a broad set of sources tracking health spending and revenue, and were standardised and converted to inflation-adjusted 2018 US dollars. Incomplete or low-quality data were modelled and uncertainty was estimated, leading to a complete data series of total, government, prepaid private, and out-of-pocket health spending, and DAH. Estimates are reported in 2018 US dollars, 2018 purchasing-power parity-adjusted dollars, and as a percentage of gross domestic product. We used demographic decomposition methods to assess a set of factors associated with changes in government health spending between 1995 and 2016 and to examine evidence to support the theory of the health financing transition. We projected two alternative future scenarios based on higher government health spending to assess the potential ability of governments to generate more resources for health. Findings Between 1995 and 2016, health spending grew at a rate of 4.00% (95% uncertainty interval 3.89-4.12) annually, although it grew slower in per capita terms (2.72% [2.61-2.84]) and increased by less than $ 1 per capita over this period in 22 of 195 countries. The highest annual growth rates in per capita health spending were observed in upper-middle-income countries (5.55% [5.18-5.95]), mainly due to growth in government health spending, and in lower-middle-income countries (3.71% [3.10-4.34]), mainly from DAH. Health spending globally reached $ 8.0 trillion (7.8-8.1) in 2016 (comprising 8.6% [8.4-8.7] of the global economy and $ 10.3 trillion [10.1-10.6] in purchasing-power parity-adjusted dollars), with a per capita spending of US$ 5252 (5184-5319) in high-income countries, $ 491 (461-524) in upper-middle-income countries, $ 81 (74-89) in lower-middle-income countries, and $ 40 (38-43) in low-income countries. In 2016, 0.4% (0.3-0.4) of health spending globally was in low-income countries, despite these countries comprising 10.0% of the global population. In 2018, the largest proportion of DAH targeted HIV/AIDS ($ 9.5 billion, 24.3% of total DAH), although spending on other infectious diseases (excluding tuberculosis and malaria) grew fastest from 2010 to 2018 (6.27% per year). The leading sources of DAH were the USA and private philanthropy (excluding corporate donations and the Bill & Melinda Gates Foundation). For the first time, we included estimates of China's contribution to DAH ($ 644.7 million in 2018). Globally, health spending is projected to increase to $ 15.0 trillion (14.0-16.0) by 2050 (reaching 9.4% [7.6-11.3] of the global economy and $ 21.3 trillion [19.8-23.1] in purchasing-power parity-adjusted dollars), but at a lower growth rate of 1.84% (1.68-2.02) annually, and with continuing disparities in spending between countries. In 2050, we estimate that 0.6% (0.6-0.7) of health spending will occur in currently low-income countries, despite these countries comprising an estimated 15.7% of the global population by 2050. The ratio between per capita health spending in high-income and low-income countries was 130.2 (122.9-136.9) in 2016 and is projected to remain at similar levels in 2050 (125.9 [113.7-138.1]). The decomposition analysis identified governments' increased prioritisation of the health sector and economic development as the strongest factors associated with increases in government health spending globally. Future government health spending scenarios suggest that, with greater prioritisation of the health sector and increased government spending, health spending per capita could more than double, with greater impacts in countries that currently have the lowest levels of government health spending. Interpretation Financing for global health has increased steadily over the past two decades and is projected to continue increasing in the future, although at a slower pace of growth and with persistent disparities in per-capita health spending between countries. Out-of-pocket spending is projected to remain substantial outside of high-income countries. Many low-income countries are expected to remain dependent on development assistance, although with greater government spending, larger investments in health are feasible. In the absence of sustained new investments in health, increasing efficiency in health spending is essential to meet global health targets.

  • 283.
    Chardi, Emma
    et al.
    University of Skövde, School of Health and Education.
    Nilsson, My
    University of Skövde, School of Health and Education.
    Sociala mediers inverkan på ungdomars självbild: En litteraturöversikt2016Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Introduction The majority of young people use social media to communicate with their friends through photos, chats and forums or to find information. Advertisement and content in social media often portrays gender stereotypes. Many young people feel pressured to live up to the stereotypes and uploads beautified images to mimic ideals. The aim of the study was to describe how the content in social media could influence the self-image of adolescents aged 13-25. Method Scientific articles were found in the databases CINAHL and PubMed. The articles were thematized and five themes emerged through a literature review. Results The five themes that emerged were the effect Peer pressure, Social comparison, Drive for thinness, Training and Food related content had on the self-image among adolescents. Peer pressure could lead to body dissatisfaction. The drive for thinness dominated among girls while the most dominating ideal for boys were a muscular body. Failure to live up to the ideals could lead to depressive symptoms and eating disorders. Discussion Consuming ideal images of men and women could lead to an unrealistic pressure on themselves but it could also serve as motivation.

  • 284.
    Chaudhari, Aditi
    et al.
    University of Gothenburg.
    Ejeskär, Katarina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Wettergren, Yvonne
    University of Gothenburg, Sahlgrenska University Hospital/Östra.
    Kahn, Ronald
    Joslin Diabetes Center and Harvard Medical School, United States.
    Rotter Sopasakis, Victoria
    University of Gothenburg / Joslin Diabetes Center and Harvard Medical School, United states.
    Hepatic deletion of p110α and p85α results in insulin resistance despite sustained IRS1-associated phosphatidylinositol kinase activity2017In: F1000 Research, E-ISSN 2046-1402, Vol. 6, article id 1600Article in journal (Refereed)
    Abstract [en]

    Background: Class IA phosphatidylinositol-4,5-bisphosphate 3-kinase (PI3K) is an integral mediator of insulin signaling. The p110 catalytic and p85 regulatory subunits of PI3K are the products of separate genes, and while they come together to make the active heterodimer, they have opposing roles in insulin signaling and action. Deletion of hepatic p110α results in an impaired insulin signal and severe insulin resistance, whereas deletion of hepatic p85α results in improved insulin sensitivity due to sustained levels of phosphatidylinositol (3,4,5)-trisphosphate. Here, we created mice with combined hepatic deletion of p110α and p85α (L-DKO) to study the impact on insulin signaling and whole body glucose homeostasis.Methods: Six-week old male flox control and L-DKO mice were studied over a period of 18 weeks, during which weight and glucose levels were monitored, and glucose tolerance tests, insulin tolerance test and pyruvate tolerance test were performed. Fasting insulin, insulin signaling mediators, PI3K activity and insulin receptor substrate (IRS)1-associated phosphatidylinositol kinase activity were examined at 10 weeks. Liver, muscle and white adipose tissue weight was recorded at 10 weeks and 25 weeks.Results: The L-DKO mice showed a blunted insulin signal downstream of PI3K, developed markedly impaired glucose tolerance, hyperinsulinemia and had decreased liver and adipose tissue weights. Surprisingly, however, these mice displayed normal hepatic glucose production, normal insulin tolerance, and intact IRS1-associated phosphatidylinositol kinase activity without compensatory upregulated signaling of other classes of PI3K.Conclusions: The data demonstrate an unexpectedly overall mild metabolic phenotype of the L-DKO mice, suggesting that lipid kinases other than PI3Ks might partially compensate for the loss of p110α/p85α by signaling through other nodes than Akt/Protein Kinase B.

  • 285.
    Chaudhari, Aditi
    et al.
    Wallenberg Laboratory, Department of Molecular and Clinical Medicine, University of Gothenburg, Sweden.
    Krumlinde, Daniel
    Wallenberg Laboratory, Department of Molecular and Clinical Medicine, University of Gothenburg, Sweden / Scientific Solutions, Stockholm, Sweden.
    Lundqvist, Annika
    Wallenberg Laboratory, Department of Molecular and Clinical Medicine, University of Gothenburg, Sweden.
    Akyurek, Levent M
    Department of Medical Chemistry and Cell Biology, University of Gothenburg, Sweden.
    Bandaru, Sashidhar
    Department of Medical Chemistry and Cell Biology, University of Gothenburg, Sweden.
    Skalen, Kristina
    Wallenberg Laboratory, Department of Molecular and Clinical Medicine, University of Gothenburg, Sweden.
    Stahlman, Marcus
    Wallenberg Laboratory, Department of Molecular and Clinical Medicine, University of Gothenburg, Sweden.
    Boren, Jan
    Wallenberg Laboratory, Department of Molecular and Clinical Medicine, University of Gothenburg, Sweden.
    Wettergren, Yvonne
    Department of Surgery, University of Gothenburg, Sweden.
    Ejeskär, Katarina
    University of Skövde, School of Health and Education. University of Skövde, The Systems Biology Research Centre. Department of Medical and Clinical Genetics, University of Gothenburg, Sweden.
    Sopasakis, Victoria Rotter
    Wallenberg Laboratory, Department of Molecular and Clinical Medicine, University of Gothenburg, Sweden.
    p110 alpha Hot Spot Mutations E545K and H1047R Exert Metabolic Reprogramming Independently of p110 alpha Kinase Activity2015In: Molecular and Cellular Biology, ISSN 0270-7306, Vol. 35, no 19, p. 3258-3273Article in journal (Refereed)
    Abstract [en]

    The phosphatidylinositol-4,5-bisphosphate 3-kinase (PI3K) catalytic subunit p110α is the most frequently mutated kinase in human cancer, and the hot spot mutations E542K, E545K, and H1047R are the most common mutations in p110α. Very little is known about the metabolic consequences of the hot spot mutations of p110α in vivo. In this study, we used adenoviral gene transfer in mice to investigate the effects of the E545K and H1047R mutations on hepatic and whole-body glucose metabolism. We show that hepatic expression of these hot spot mutations results in rapid hepatic steatosis, paradoxically accompanied by increased glucose tolerance, and marked glycogen accumulation. In contrast, wild-type p110α expression does not lead to hepatic accumulation of lipids or glycogen despite similar degrees of upregulated glycolysis and expression of lipogenic genes. The reprogrammed metabolism of the E545K and H1047R p110α mutants was surprisingly not dependent on altered p110α lipid kinase activity.

  • 286.
    Cheng, Lan
    et al.
    Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany / Faculty of Mathematics and Computer Science, University of Bremen, Germany.
    Pohlabeln, Hermann
    Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
    Ahrens, Wolfgang
    Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany / Faculty of Mathematics and Computer Science, University of Bremen, Germany.
    Russo, Paola
    Institute of Food Sciences, National Research Council, Avellino, Italy.
    Veidebaum, Toomas
    Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia.
    Chadjigeorgiou, Charalambos
    Research and Education Institute of Child Health, Strovolos, Cyprus.
    Molnár, Dénes
    Department of Pediatrics, Medical School, University of Pécs, Hungary.
    Eiben, Gabriele
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    De Henauw, Stefaan
    Department of Public Health, Ghent University, Belgium.
    Moreno, Luis
    GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), University of Zaragoza, Spain.
    Page, Angie
    Centre for Exercise, Nutrition & Health Sciences, University of Bristol, Bristol, United Kingdom.
    Hebestreit, Antje
    Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
    Sex differences in the longitudinal associations between body composition and bone stiffness index in European children and adolescents2020In: Bone, ISSN 8756-3282, E-ISSN 1873-2763, Vol. 131, article id 115162Article in journal (Refereed)
    Abstract [en]

    Fat mass (FM) and fat free mass (FFM) may influence bone health differentially. However, existing evidences on associations between FM, FFM and bone health are inconsistent and vary according to sex and maturity. The present study aims to evaluate longitudinal associations between FM, FFM and bone stiffness index (SI) among European children and adolescents with 6 years follow-up. A sample of 2468 children from the IDEFICS/I.Family was included, with repeated measurements of SI using calcaneal quantitative ultrasound, body composition using skinfold thickness, sedentary behaviors and physical activity using self-administrated questionnaires. Regression coefficients (β) and 99%-confidence intervals (99% CI) were calculated by sex-specified generalized linear mixed effects models to analyze the longitudinal associations between FM and FFM z-scores (zFM and zFFM) and SI percentiles, and to explore the possible interactions between zFM, zFFM and maturity. Baseline zFFM was observed to predict the change in SI percentiles in both boys (β = 4.57, 99% CI: 1.36, 7.78) and girls (β = 3.42, 99% CI: 0.05, 6.79) after 2 years. Moreover, baseline zFFM (β = 8.72, 99% CI: 3.18, 14.27 in boys and β = 5.89, 99% CI: 0.34, 11.44 in girls) and the change in zFFM (β = 6.58, 99% CI: 0.83, 12.34 in boys and β = 4.81, 99% CI: -0.41, 10.02 in girls) were positively associated with the change in SI percentiles after 6 years. In contrast, a negative association was observed between the change in zFM and SI percentiles in boys after 6 years (β = -3.70, 99% CI: -6.99, -0.42). Besides, an interaction was observed between the change in zFM and menarche on the change in SI percentiles in girls at 6 years follow-up (p = .009), suggesting a negative association before menarche while a positive association after menarche. Our findings support the existing evidences for a positive relationship between FFM and SI during growth. Furthermore, long-term FM gain was inversely associated with SI in boys, whereas opposing associations were observed across menarche in girls. 

  • 287.
    Choulagai, Bishnu P.
    et al.
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Aryal, Umesh Raj
    Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
    Shrestha, Binjwala
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Vaidya, Abhinav
    Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
    Onta, Sharad
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
    Petzold, Max
    Health Metrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
    Krettek, Alexandra
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
    Jhaukhel-Duwakot Health Demographic Surveillance Site, Nepal: 2012 follow-up survey and use of skilled birth attendants2015In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 8, article id 29396Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Estimates of disease burden in Nepal are based on cross-sectional studies that provide inadequate epidemiological information to support public health decisions. This study compares the health and demographic indicators at the end of 2012 in the Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS) with the baseline conducted at the end of 2010. We also report on the use of skilled birth attendants (SBAs) and associated factors in the JD-HDSS at the follow-up point.

    DESIGN: We used a structured questionnaire to survey 3,505 households in the JD-HDSS, Bhaktapur, Nepal. To investigate the use of SBAs, we interviewed 434 women who had delivered a baby within the prior 2 years. We compared demographic and health indicators at baseline and follow-up and assessed the association of SBA services with background variables.

    RESULTS: Due to rising in-migration, the total population and number of households in the JD-HDSS increased (13,669 and 2,712 in 2010 vs. 16,918 and 3,505 in 2012). Self-reported morbidity decreased (11.1% vs. 7.1%, respectively), whereas accidents and injuries increased (2.9% vs. 6.5% of overall morbidity, respectively). At follow-up, the proportion of institutional delivery (93.1%) exceeded the national average (36%). Women who accessed antenatal care and used transport (e.g. bus, taxi, motorcycle) to reach a health facility were more likely to access institutional delivery.

    CONCLUSIONS: High in-migration increased the total population and number of households in the JD-HDSS, a peri-urban area where most health indicators exceed the national average. Major morbidity conditions (respiratory diseases, fever, gastrointestinal problems, and bone and joint problems) remain unchanged. Further investigation of reasons for increased proportion of accidents and injuries are recommended for their timely prevention. More than 90% of our respondents received adequate antenatal care and used institutional delivery, but only 13.2% accessed adequate postnatal care. Availability of transport and use of antenatal care was associated positively with institutional delivery.

  • 288.
    Choulagai, Bishnu P.
    et al.
    Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden / Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Nepal Public Health Foundation, Kathmandu, Nepal.
    Onta, Sharad
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Nepal Public Health Foundation, Kathmandu, Nepal.
    Subedi, Narayan
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Nepal Public Health Foundation, Kathmandu, Nepal.
    Bhatta, Dharma N.
    Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand.
    Shrestha, Binjwala
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
    Petzold, Max
    Health Metrics, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, / School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
    Krettek, Alexandra
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden / Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
    A cluster-randomized evaluation of an intervention to increase skilled birth attendant utilization in mid- and far-western Nepal2017In: Health Policy and Planning, ISSN 0268-1080, E-ISSN 1460-2237, Vol. 32, no 8, p. 1092-1101Article in journal (Refereed)
    Abstract [en]

    Skilled birth attendant (SBA) utilization is low in remote and rural areas of Nepal. We designed and implemented an evaluation to assess the effectiveness of a five-component intervention that addressed previously identified barriers to SBA services in mid- and far-western Nepal. We randomly and equally allocated 36 village development committees with low SBA utilization among 1-year intervention and control groups. The eligible participants for the survey were women that had delivered a baby within the past 12 months preceding the survey. Implementation was administered by trained health volunteers, youth groups, mothers' groups and health facility management committee members. Post-intervention, we used difference-in-differences and mixed-effects regression models to assess and analyse any increase in the utilization of skilled birth care and antenatal care (ANC) services. All analyses were done by intention to treat. Our trial registration number was ISRCTN78892490 (http://www.isrctn.com/ISRCTN78892490). Interviewees included 1746 and 2098 eligible women in the intervention and control groups, respectively. The 1-year intervention was effective in increasing the use of skilled birth care services (OR = 1.57; CI 1.19-2.08); however, the intervention had no effect on the utilization of ANC services. Expanding the intervention with modifications, e.g. mobilizing more active and stable community groups, ensuring adequate human resources and improving quality of services as well as longer or repeated interventions will help achieve greater effect in increasing the utilization of SBA.

  • 289.
    Claeson, Josefine
    et al.
    University of Skövde, School of Health and Education.
    Arvidsson, Emelie
    University of Skövde, School of Health and Education.
    I väntan på att det nya livet ska börja: En kvalitativ studie om patienters upplevelser av att vänta på ett nytt hjärta2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 290.
    Claesson, Stina
    et al.
    University of Skövde, School of Health and Education.
    Gustafsson, Emelie
    University of Skövde, School of Health and Education.
    Kvinnors upplevelser av sin kroppsbild ochsin sexualitet då de till följd av bröstcancer genomgått mastektomi2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common cancer in women. Its treatments affect women's body image and sexuality, which affects the well-being and intimacy with other people. For a nurse to help and support these women, it is important to examine how women experience these changes. Purpose: To highlight breast cancer affected women's experiences of their body image and sexuality after a mastectomy and the side effects that follows. Method: Literature-based study with output in qualitative studies based on 17 scientific articles which were analyzed. Results: The results revealed three themes: Experiences of altered body image, Experiences of altered sexuality and Experiences of nurses' communicative and supportive ability regarding sexual needs, with seven additional subthemes. Conclusion: A good relationship with one’s body image and one’s sexuality is an essential factor for experiencing well-being and quality of life. Nurses should keep this in mind and work more informative and support breast cancer affected women in their struggle to maintain their identity and promote their health.

  • 291.
    Coelho, Rita
    University of Skövde, School of Health and Education.
    Cross-cultural analysis of Death perception2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study aims to gain a deeper understanding of the culturally-specific meanings of death, manifested in personal stories presented in social media. Content analysis is used to analyse 140 posts, in three languages and from authors from 12 national affiliations. Death descriptions often includes a profound sadness, sense of loss and gratitude for the time shared with the deceased, who is considered to be a hero. Traditional mourning rituals blend with new trends, such as celebrations of life and live-streams from the funeral. In the present study the national affiliation of the blogger seems to have only a small effect on the rituals, values and symbols. Individual needs of grieving the dead person must be taken into account when providing social and psychological support.

  • 292.
    Coelho Serra, Carolina
    University of Skövde, School of Health and Education.
    Western Blot protocol for expression pattern and activation status of foxo transcription factors evaluation2018Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The unconventional Myosin-1c (MYO1C) is located in a region of recurrent losses distal to tumor protein 53 (TP53) and has been proposed as a prominent tumour suppressor gene. Lowered expression of MYO1C is reported in endometrial cancer (EC). Earlier studies suggested a negative correlation between MYO1C protein level and activation of P13K/AKT signalling and cell proliferation. PI3K/AKT signaling pathway is known to play a critical role in cell proliferation and survival by regulation of the Forkhead Box O (FOXO) transcription factors. FOXOs have a critical role in cellular events such as cell differentiation, proliferation, survival, apoptosis and angiogenesis. FOXO proteins may have tumour suppressor characteristics since the loss of FOXO activities through hyperphosphorylation and/or lowered expression disable the ability of the cell to arrest at key cell cycle checkpoints and induction of apoptosis. Hence, FOXO proteins are suggested to be involved in the control of tumour growth through engaging with pro-apoptotic pathways as well as by blocking cell cycle progression.

    This study was designed to analyze the expression levels of both active and inactive (phosphorylated forms) of FOXO proteins as correlated to MYO1C expression in a panel of clinical endometrial cancer samples. The overall objectives of the project were to set up Western blot protocols for the analysis of FOXO protein expression in EC samples, to investigate whether there is a correlation between levels of FOXO proteins and EC stages, and finally to examine for the potential correlation between inactive form of FOXO and MYO1C expression in these samples. Due to technical problems, in terms of protein expression correlation studies the results generated in this study were deemed inconclusive and no significant conclusions can be made. However, several troubleshooting approaches for Western blot analysis of FOXO proteins were practiced, which are presented in this paper that shall be useful for further research in the field.

  • 293.
    Coelho Serra, Carolina
    University of Skövde, School of Health and Education.
    Western Blot protocol for expression pattern and activation status of foxo transcription factors evaluation2018Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The unconventional Myosin-1c (MYO1C) is located in a region of recurrent losses distal to tumor protein 53 (TP53) and has been proposed as a prominent tumour suppressor gene. Lowered expression of MYO1C is reported in endometrial cancer (EC). Earlier studies suggested a negative correlation between MYO1C protein level and activation of P13K/AKT signalling and cell proliferation. PI3K/AKT signaling pathway is known to play a critical role in cell proliferation and survival by regulation of the Forkhead Box O (FOXO) transcription factors. FOXOs have a critical role in cellular events such as cell differentiation, proliferation, survival, apoptosis and angiogenesis. FOXO proteins may have tumour suppressor characteristics since the loss of FOXO activities through hyperphosphorylation and/or lowered expression disable the ability of the cell to arrest at key cell cycle checkpoints and induction of apoptosis. Hence, FOXO proteins are suggested to be involved in the control of tumour growth through engaging with pro-apoptotic pathways as well as by blocking cell cycle progression.

    This study was designed to analyze the expression levels of both active and inactive (phosphorylated forms) of FOXO proteins as correlated to MYO1C expression in a panel of clinical endometrial cancer samples. The overall objectives of the project were to set up Western blot protocols for the analysis of FOXO protein expression in EC samples, to investigate whether there is a correlation between levels of FOXO proteins and EC stages, and finally to examine for the potential correlation between inactive form of FOXO and MYO1C expression in these samples. Due to technical problems, in terms of protein expression correlation studies the results generated in this study were deemed inconclusive and no significant conclusions can be made. However, several troubleshooting approaches for Western blot analysis of FOXO proteins were practiced, which are presented in this paper that shall be useful for further research in the field.

  • 294.
    Cort, Leon
    et al.
    University of Skövde, School of Health and Education.
    Hellström, Jonas
    University of Skövde, School of Health and Education.
    Ålder och studier som bestämningsfaktorer till reflexivitet: En kvantitativ studie som undersöker huruvida ålder och antalet tagna högskolepoäng är avgörande för studenters utvecklande av reflexivt tänk2014Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
  • 295.
    Curtin, Alicia
    et al.
    Department of Family Medicine, Memorial Hospital of Rhode Island, Pawtucket, RI, USA.
    Martins, Diane C.
    University of Rhode Island, College of Nursing, Kingston, RI, USA.
    Gillsjö, Catharina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Schwartz-Barcott, Donna
    University of Rhode Island, College of Nursing, Kingston, RI, USA.
    Ageing out of place: The meaning of home among hispanic older persons living in the United States2017In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 12, no 3, article id e12150Article in journal (Refereed)
    Abstract [en]

    Aim

    To explore the meaning of home among older Hispanic immigrants who are “aging out of place.”

    Background

    Emerging evidence supports the concept of older persons ageing in place. Nurse researchers have demonstrated that older person who age in place have better physical, psychological and cognitive outcomes. Less, however, is known about older persons who are “aging out of place,” meaning out of their country of origin. With the growth of home health care, there is a need to understand the older immigrants' meaning of home when ageing out of their country of origin.

    Design and Method

    An inductive, qualitative descriptive research design was used. Seventeen Hispanic participants, ranging in age from 65 to 83 years were interviewed using a semi-structured interview protocol.

    Findings

    Two major finding of the study focused on participants' descriptions of home in their country of origin and in the USA. The majority of participants described their home in their native country as the community, countryside or town (pueblo) and in the U.S.A. as family. The level of social isolation and loneliness among participants was evident.

    Conclusions

    Older Hispanic immigrants who are “aging out of place” integrate their past experiences of sense of place in their native country with their present experiences of home in the USA. The need to understand the role of the community and the family in the provision of nursing care in the home may be more important than the physical structure or setting in which it is delivered. Further intra- and cross-national studies are needed to provide a framework for understanding the issues of ageing and immigration globally.

    Implications for Practice

    Gerontological nurses need to recognise the complexity of family relationships for older Hispanic persons who are ageing out of place of origin and their risk of depression, social isolation, and loneliness.

  • 296.
    Dahl, Amanda
    University of Skövde, School of Health and Education.
    Hundar i utbildningssyfte för främjande av elevers läslust eller läsutveckling samt för att underlätta inlärning för barn med särskilda behov2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: This literature study will examine how reading- and/or therapy dogs can promote children´s motivation to read and develop their reading skills. In many countries, primarily in USA and Canada, dog based education is an accepted tool in schools. 

    Aim:  The aim of the thesis is via a literature study explore whether students improve their reading ability and motivation to read with use of a dog. Also, the aim is to explore if dogs can facilitate learning to read for children with special needs.  

    Method: This thesis presents the results of 15 articles. The results have been categorized according to different themes and are presented in a table and in the current text. 

    Results: According to the studies there a positive development regarding reading ability, pronunciation and comprehension of the children who read out loud for a dog could be detected. The children experience higher joy, motivation and pleasure to read if a dog is present. Even children with special needs benefit from dog based therapy. 

    Discussion: This literature study supports previous research and the conclusion is that children who reads for dogs can develop their reading ability and increase the motivation to read.  

  • 297.
    Dahlberg, Erika
    et al.
    University of Skövde, School of Health and Education. University of Skövde, School of Health Sciences.
    Sandberg, Patrik
    University of Skövde, School of Health and Education. University of Skövde, School of Health Sciences.
    Kombinera två tjänster: En kvalitativ innehållsanalys om anestessjuksköterskors erfarenheter av kombinationstjänst mellen en operationsavdelning och ambulanssjukvård2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 298.
    Dahlborg, Emelie
    et al.
    University of Skövde, School of Health and Education.
    Beka, Pajtim
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av att vårda patienter i palliativt skede: En litteraturbaserad studie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, about 100,000 die every year, a large part of which is in need of palliative care. Palliative care is about the fact that suffering is reduced and the quality of life is promoted by symptom relief and not providing life-sustaining care. Nurses have the overall responsibility for the care of the patient, and spends most time with the patient. The nurse sees the individual and not just the patient and his or her disease, it is the nurse's responsibility to form a relationship with the patient. In order for the care to be individualized, it is required that the nurse is responsive and open to the patient's needs. Aim: To describe nurses' experiences of nursing patients in palliative stages. Method: A literature-based study where the data material contained 8 scientific articles with qualitative approach. Results:  From the analysis four categories emerged; being compliant in the conversation, meet the needs of the patient, collaboration about the patient, involve relatives as an active part with nine subcategories Conclusion: It emerged that nurses' experiences varied and that the lack of knowledge was a problem that needed to be developed.

  • 299.
    Dahlgren, Malin
    et al.
    University of Skövde, School of Health and Education. högskola Skövde.
    Johansson, Jessica
    University of Skövde, School of Health and Education. högskola Skövde.
    Vårdpersonalens följsamhet till basala hygienrutiner: en kvantitativ studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Healthcare-associated infections (HAI) are one of the leading health damage in the world and described provides immense suffering to the patient. Basic hygiene began to develop early in the 1800s and is today the main arrangements for reducing HAI. Nurses and other health care workers has an obligation to comply with laws, regulations and guidelines so that the care of patients become safe. Objective: To investigate the health care workers’ adherence to basic hygiene routines. Method: A quantitative retrospective longitudinal study based on observations of health care workers and point prevalence surveys of HAI. Results: Showed a higher adherence to basic hygiene among health professionals in the medical clinic. Medical clinic had a significant improvement in adherence to basic hygiene. Both clinics had a lower adherence to hand disinfection before a patient contact than afterwards. Students had higher adherence than nurses and doctors. Medical clinic had at most 5 (n = 43, 11.6%) patients with a HAI and surgery clinic had at most 9 (n = 63, 14.3%) patients. Discussion: Past research shows that there is less adherence to hand disinfection before a patient contact then afterwards, which is also shown in the result. Previous research also mentions possible causes of a low adherence and tool to create a higher adherence to basic hygiene.

  • 300.
    Dahl-Halvarsson, Martin
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Olive, Montse
    Institut Investigació Biomèdica de Bellvitge – Hospital de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain.
    Pokrzywa, Malgorzata
    University of Gothenburg, Gothenburg, Sweden.
    Ejeskär, Katarina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Palmer, Ruth H.
    University of Gothenburg, Gothenburg, Sweden.
    Uv, Anne Elisabeth
    University of Gothenburg, Gothenburg, Sweden.
    Tajsharghi, Homa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Drosophila model of myosin myopathy rescued by overexpression of a TRIM-protein family member2018In: Proceedings of the National Academy of Sciences of the United States of America, ISSN 0027-8424, E-ISSN 1091-6490, Vol. 115, no 28, p. E6566-E6575Article in journal (Refereed)
    Abstract [en]

    Myosin is a molecular motor indispensable for body movement and heart contractility. Apart from pure cardiomyopathy, mutations in MYH7 encoding slow/β-cardiac myosin heavy chain also cause skeletal muscle disease with or without cardiac involvement. Mutations within the α-helical rod domain of MYH7are mainly associated with Laing distal myopathy. To investigate the mechanisms underlying the pathology of the recurrent causative MYH7 mutation (K1729del), we have developed a Drosophila melanogaster model of Laing distal myopathy by genomic engineering of the Drosophila Mhc locus. Homozygous MhcK1728del animals die during larval/pupal stages, and both homozygous and heterozygous larvae display reduced muscle function. Flies expressing only MhcK1728del in indirect flight and jump muscles, and heterozygous MhcK1728del animals, were flightless, with reduced movement and decreased lifespan. Sarcomeres of MhcK1728del mutant indirect flight muscles and larval body wall muscles were disrupted with clearly disorganized muscle filaments. Homozygous MhcK1728del larvae also demonstrated structural and functional impairments in heart muscle, which were not observed in heterozygous animals, indicating a dose-dependent effect of the mutated allele. The impaired jump and flight ability and the myopathy of indirect flight and leg muscles associated with MhcK1728del were fully suppressed by expression of Abba/Thin, an E3-ligase that is essential for maintaining sarcomere integrity. This model of Laing distal myopathy in Drosophila recapitulates certain morphological phenotypic features seen in Laing distal myopathy patients with the recurrent K1729del mutation. Our observations that Abba/Thin modulates these phenotypes suggest that manipulation of Abba/Thin activity levels may be beneficial in Laing distal myopathy.

3456789 251 - 300 of 1240
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf