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  • 51. Bratteby, L-E
    et al.
    Samuelson, Gösta
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Tid ägnad olika aktivitetstyper hos ungdomar med varierande grad av fysisk aktivetet1997Conference paper (Other academic)
  • 52.
    Brauer, Josefin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pettersson, Lisa
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Skolsköterskors erfarenheter av att samtala med barn med övervikt: Det krävs fingertoppskänsla2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Almost every fifth child in Sweden has overweight or obesity. In school all children meets the school nurse and through their work they can support and guide children with overweight, and they have a great opportunity to help these children. Working with children with overweight is seen as a demanding part of the school nurses work, among other things because of lack of knowledge in how conversations with children with overweight should take place. Aim: The aim of the study is to describe School nurses experiences of bringing a conversation to children with overweight. Method: A qualitative method was used. Ten school nurses were interviewed with semistructured questions. The material from those interviews were analyzed with a qualitative content analysis according to Graneheim and Lundman (2004). Result: The analysis of the material resulted in three categories: To create the conditions for a successful conversation, To meet challenges, Using strategies in the conversation. During the work, a theme has emerged: dialogue that requires compliance. School nurses considered that children with overweight were a difficult and emotional topic to talk about. The School nurses experienced difficulties when the pupils lacked of motivation and when support from the parents was missing. Even lack of time and how the conversations were best adapted to each individual pupil were further challenges for the school nurses. To be compliant in the conversation and building a bond was seen as a major part of getting a positive conversation and a good continuing work with these children. Conclusion: School nurses experiences of having a dialogue with children with overweight shows that it is a complex and sensitive topic. Difficulties considered to be cooperation with the parents and to work with children who has a lack of motivation. Differences also emerged about how school nurses work with templates.

  • 53.
    Brink, Eva
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Fredriksson-Larsson, Ulla
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lång, Marianne
    Department of Cardiology, NU Hospital Group, Trollhättan, Sweden.
    Cliffordson, Christina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Development of a Tool for Assessment of Post-Myocardial Infarction Fatigue2018In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 08, no 11, p. 811-822Article in journal (Refereed)
    Abstract [en]

    Introduction: After treatment for myocardial infarction (MI) quite a few persons will experience different symptoms, including fatigue, during the recovery phase. The aim of the present study was to construct the multidimensional Post-Myocardial Infarction Fatigue (PMIF) scale, based on empirical data gathered in coronary heart disease contexts. Methods: The construction of the post-MI fatigue scale was conducted in seven steps, ending in a psychometric evaluation of the internal structure of the scale, using confirmatory factor analysis, as well as testing of convergent and discriminant validity, using correlational analysis, in a sample of 141 persons treated for MI. Results: The results showed that the PMIF scale represents three dimensions: physical, cognitive and emotional fatigue. It was also found that the scale is suitable for summing the items to obtain a total score representing a post-MI global fatigue dimension. Conclusion: The PMIF is a brief and easily completed scale for identifying persons experiencing post-MI fatigue. Early identification of fatigue, together with health behavior support, might prevent progression toward a more severe state of fatigue.

  • 54.
    Böhn, Veronica
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Emanuelsson, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Regnsbågsfamiljers erfarenheter av möten på BVC2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Within child health care, staff meets more and more same sex partnership. Changes in legislation have made it possible for same sex couples to become parents through artificial insemination, surrogacy and adoption.

    Aim: The aim of the study was to illuminate how HBQ families experienced the encounter with a nurse or physician within child health care. Our aim has been to focus on HBQ fathers’ parent ship, as we haven’t been able to find any previous research within this area.

    Method: A qualitative interview study with a content analysis was conducted and resulted in six themes.

    Result: The overall results showed that the informants had a positive experience and that they felt confidence and trust for their child care nurse and that they felt accepted as being a same-sex-parents. Negative aspects in the study were: To feel lack of knowledge around the family constellation, to feel lack of respect from child care nurse, to feel excluded and to feel anxiety before the encounters with nurses or physicians within healthcare.

    Conclusion: Conclusion of our study is that all parents want to be seen, and to be included in topics concerning their child and being seen as a family.

  • 55.
    Carlbo, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Persic Claesson, Hanna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nurses' experiences in using physical activity as complementary treatment in patients with schizophrenia2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Schizophrenia is a common disease with a high risk of comorbidity in both psychiatric and somatic diseases. Physical activity is proven effective in decreasing symptoms of schizophrenia and increasing overall health. Still it is not a natural part of the care in persons with schizophrenia. Aim: The aim of this study is to describe nurses' experience in using physical activity as complementary treatment in patients with schizophrenia. Method: Three focus groups with 12 participants were conducted. Qualitative content analysis was used to analyze data. Results: An uncertainty of the benefits was expressed through continuous query of questioning the result of physical activity. Nurses also expressed that physical activity was commonly used but questioned, in caring for persons with schizophrenia. However, it was perceived as a non-evidence based form of intervention and was used with uncertainty of the effects. Conclusion: The uncertainty of the benefits of physical activity is evident in nursing staff and pose a resistance to implement physical activity as a complementary treatment in schizophrenia. A new awareness of evidence based nursing is suggested to promote a wider and more offensive care to reduce patient vulnerability in persons with schizophrenia.

  • 56.
    Carlsson, Michaela
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Henriksson, Sofia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    BHV-sjuksköterskors arbete för att motverka stress hos föräldrar2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The demands and norms of modern society cause increasing stress levels amongst the population where parents of young children have proven to be a particularly vulnerable group. Research indicates that parents with high stress levels often have a negative impact on the whole family, including their children as well, who then might present signs of a lower physical health and difficulties concentrating. Aim: The purpose of the study was to describe Child Health Care (CHC) nurses’ work to reduce stress among parents. Method: Eight semi-structured interviews based on a convenience sampling were conducted and analyzed according to qualitative content analysis. Results: The analysis identified three categories: ”Using Oneself as an Asset”, ”Strengthen the Parents” and ”Working in a Whole Family Approach”. Conclusion: The CHC nurses worked with a salutogenic perspective using multiple approaches when helping parents reduce stress. It was prominent that the conversation was of importance when meeting the parents and having good counseling skills seemed to be one of the most important areas to master. One area where more focus on stress reduction could be beneficial is as part of the education offered in parent groups and this would be a way of better emphasizing the occurrence of stress and the importance of useful stress management strategies.

  • 57.
    Caruana, Maryanne
    et al.
    Department of Cardiology, Mater Dei Hospital, Birkirkara Bypass, Msida, MSD 2090, Malta.
    Apers, Silke
    University of Leuven, Department of Public Health and Primary Care, KU Leuven - 3000, Leuven, Belgium.
    Kovacs, Adrienne H
    Oregon Health & Science University, Portland,Knight Cardiovascular Institute, OR, USA..
    Luyckx, Koen
    University of Leuven, School Psychology and Child and Adolescent Development, KU Leuven - 3000, Leuven, Belgium.
    Thomet, Corina
    Center for Congenital Heart Disease, University Hospital Bern, Bern, Switzerland..
    Budts, Werner
    University of Leuven, Division of Congenital and Structural Cardiology, University Hospitals Leuven, KU Leuven - 3000, Leuven, Belgium..
    Sluman, Maayke
    Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands..
    Eriksen, Katrine
    Oslo University Hospital, Rikshospitalet, Oslo, Norway.
    Dellborg, Mikael
    The Sahlgrenska Academy at University of Gothenburg,Institute of Medicine, Gothenburg, Sweden..
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Johansson, Bengt
    Umeå University, Department of Clinical Medicine and Public Health, Umeå, Sweden..
    Soufi, Alexandra
    Hospital Louis Pradel, Lyon, France.
    Callus, Edward
    Clinical Psychology Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy..
    Moons, Philip
    University of Leuven, Department of Public Health and Primary Care, KU Leuven - 3000, Leuven, Belgium..
    Grech, Victor
    University of Malta Medical School, Department of Paediatrics, MSD 2090, Msida, Malta..
    Red Flags for Maltese Adults with Congenital Heart Disease: Poorer Dental Care and Less Sports Participation Compared to Other European Patients-An APPROACH-IS Substudy.2017In: Pediatric Cardiology, ISSN 0172-0643, E-ISSN 1432-1971, Vol. 38, no 5, p. 965-973Article in journal (Refereed)
    Abstract [en]

    Studies in recent years have explored lifestyle habits and health-risk behaviours in adult congenital heart disease (ACHD) patients when compared to controls. The aim of this study was to investigate differences in lifestyle habits between Maltese and other European ACHD patients. Data on alcohol consumption, cigarette smoking, substance misuse, dental care and physical activity collected in 2013-2015 during "Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease-International Study" (APPROACH-IS) were analysed. Responses from 119 Maltese participants were compared to those of 1616 participants from Belgium, France, Italy, Norway, Sweden, Switzerland and the Netherlands. Significantly fewer Maltese patients with simple (Maltese 84.1% vs. European 97.5%, p < 0.001) and moderately complex CHD (Maltese 83.6% vs. European 97.4%, p < 0.001) brushed their teeth daily. Only 67.2% of Maltese with moderately complex disease had dental reviews in the previous year compared to 80.3% of Europeans (p = 0.02). Maltese patients with simple (Maltese 31.8% vs. European 56.1%, p = 0.002) and moderately complex lesions (Maltese 30.0% vs. European 59.2%, p < 0.001) performed less regular sport activities. Comparison by country showed Maltese patients to have significantly poorer tooth brushing and sports participation than patients from any other participating country. Alcohol consumption, cigarette smoking and substance misuse were not significantly different. This study highlights lifestyle aspects that Maltese ACHD patients need to improve on, which might not be evident upon comparing patients to non-CHD controls. These findings should also caution researchers against considering behaviours among patients in one country as necessarily representative of patients on the larger scale.

  • 58.
    Celinder, Anna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hovering between hope and despair: Healthcare workers' experiences of children's health in Cambodia2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Cambodia is one of the poorest countries in Asia and children here are vulnerable. Suffering is a substantial part of life and children become prohibited from attaining their developmental potential. The whole environment affects the children's health in different grades. "Convention on the Right of the Child" declare that all children have the same right to the best health possible. Good health among children in Cambodia are a crucial issue for the future development of the country. The aim of this study was to illuminate healthcare worker´s experiences of children's health in Cambodia. The method was a qualitative interview study. The data was collected through interviews with seven health-care workers in Cambodia. The data was subjected to qualitative content analyse. The result shows the fact that children can die, the power of tradition and absence of parental influence all have a negative effect on children´s health. There were also experiences of improvements for the children´s health. The challenges brought feelings of despair but there were also feelings of hope when the healthcare workers experienced opportunities for the children to obtain health. The conclusion was that healthcare workers were hovering between hope and despair towards the health of the Cambodian children.

  • 59.
    Charalambous, Andreas
    et al.
    Cyprus University of Technology, Nursing, Limassol, Limassol, Cyprus.
    Radwin, Laurel
    Veteran Administration Medical Center, Manchester, New Hampshire, United States.
    Stolt, Minna
    University of Turku, Nursing, Turku, Finland, .
    Katajisto, Jouko
    University of Turku, Mathematics and Statistics, Turku, Finland.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level. Kristianstad University, Kristianstad.
    Lemonido, Chryssoula
    National and Kapodistrian University of Athens, Nursing, Athens, Greece,.
    Patiraki, Elisabeth
    National and Kapodistrian University of Athens, Nursing, Athens, Greece,.
    Sjovall, Katarina
    Lund University, Department of Health Sciences and Skåne University Hospital, Lund, Sweden.
    Suhonen, Riitta
    University of Turku, Nursing, Turku, Finland.
    Hospitalized Cancer Patients' Perceptions of Individualized Nursing Care in Four European Countries2015In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 38, no 4S, article id 0-160Article in journal (Refereed)
    Abstract [en]

    As patients are different, only one way of delivering care is neither appropriate nor efficient. Care needs to be tailored according to individual characteristics in more general and extents to include individualized nursing care. Individualized care has a positive impact on patient outcomes and is therefore worth of studies and implementation in clinical practice. The aim of this study was to describe and compare hospitalized cancer patients' perceptions of individualized care, controlled by their socio-demographic characteristics, in four European countries. The quality of individualized nursing care was represented by hospitalized patients' perceptions of the (1) nurses' support of individuality and (2) receipt of individuality as measured by the two-part Individualized Care Scale (ICS). Patients' socio-demographic characteristicsincluded education, age, gender, type of hospital admission, previous hospitalization, and hospital length of stay. Data (n=599) were collected in Cyprus (n=150), Finland (n=158), Greece (n=150) and Sweden (n=141). Multivariate analysis of variance models were constructed. The main effect of country on perceptions of individualized care was analyzed using socio-demographic characteristics as covariates. The level of support of individuality was reported as moderate and receipt of individuality on care as good. The assessments were generally the highest by the respondents in Sweden and the lowest in Greece. Shortcomings in the individualized nursing care were found based on patients' assessments. This study revealed some between-country differences in patients' perceptions of care individualization, controlled by the sample characteristics, and allows the researcher to further analyze the possible reasons for these differences whether conceptual, differences due to the education, clinical practice or organization of nursing care and services

  • 60.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Social Science.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Janlöv, Ann-Christin
    Kristianstad University, School of Health and Social Science.
    Challenges of Documenting Schoolchildren’s Psychosocial Health: A Qualitative Study2015In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, no 3, p. 205-211Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore school nurses’ experience of challenges related to documenting schoolchildren’s psychosocial health in Sweden. Six focus group discussions were carried out. Areas for discussions included questions about situations, especially challenging to document as well as what constrains and/or facilitates documenting psychosocial health problem issues. Qualitative content analysis was used for interpreting the data. The analysis resulted in one overarching theme: having to do one’s duty and being afraid of doing wrong; and three subthemes: uncertainty related to one’s own ability, concerns related to future consequences, and strategies to handle the documentation. School nurses relying on their intuition and using a structured documentation model may increase the opportunities for a reliable documentation. To further develop their professional skills with regular, clinical supervision can be of great importance. This in turn may increase contributions to research and development for the benefit of schoolchildren’s psychosocial health.

  • 61.
    Cullberg, Lena
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hur distriktssköterskans förskrivningsrätt används på vårdcentraler2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Prescribing rights were introduced for district nurses in 1994. A follow-up by the National Board of health and welfare in 2004 showed that the prescribing right was not used to its full potential. It has now passed 10 years since this follow-up and it would therefore be interesting to examine developments in this area as it can be seen as an advantage for the patient if the district nurse integrate concepts of nursing care and curative, where prescription is a part.

    Aim: The aim of the study was to investigate how the nurse at the Health Center uses her prescribing right of medicines.

    Method: The study was conducted with quantitative method in which questionnaires were used. A total of 130 questionnaires were sent out to all health centres of Fyrbodal. Response rate was 79,3% and failure1%.

    Results: There was no sigificant difference in the frequency of prescribing medicine and number of years in the profession. All district nurses were using their prescription right. The majority of study participants believe that there are benefits of having prescribing right, but that the number of drugs that may be prescribed is too limited.

    Conclusion: All district nurses in this study uses their prescribing right of medicines, but in varying degrees. The majority of study participants believe that there are benefits of having prescribing right, but that the number of drugs that may be prescribed is too limited.

  • 62.
    Dabbaghi, Leila
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Karlberg, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Distriktssköterskans upplevelse av sårvårdens komplexitet: en kvalitativ litteraturstudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Difficult to slow healing wounds are a common public health problem that increases with age due to impaired wound healing ability, often in combination with comorbidity. Wound care is a resource-intensive, costly process for society and implies great suffering for the patient. A large proportion of wounds are handled by district nurses. Knowledge gaps, lack of national treating guidelines and an unclear division of responsibility make wound care a complex and challenging task with sole responsibility for the district nurses that leads to overwhelming feelings of isolation and frustration. In order to deliver optimal wound care and take a holistic approach, collaboration and an in-depth knowledge and expertise in the area are required. Aim: The aim of this literature review is to describe district nurses´ experience of caring for and treating individuals with hard-to-heal wounds. Method: A systematic review of the literature, in which the results of eight scientific studies were synthesized to a new understanding after systematic search, quality assessment and critical review. Results: In the district nurses´ strive to see the whole patient, it was necessaryto feel in control of the situation, which was dependent on several factors such as competence, continuity, cooperation and communication. In order to maintain a holistic approach, district nurses required self-knowledge and the ability to understand and confirm the patient. Organizational barriers, physical barriers and in some cases the treatment itself could lead to district nurses not feeling in control of the situation, sometimes resulting in frustration, feelings of powerlessness, and a sense of being alone with the responsibility. Conclusion: Wound care needs quality assurance through increased knowledge and collaboration. Furthermore, evidence-based national guidelines would be valuable.

  • 63.
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att bli sjuksköterska: en introduktion till yrke och ämne2019Collection (editor) (Other academic)
  • 64.
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    I backspegeln: en historisk återblick2019In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg, Elisabeth, Lund: Studentlitteratur AB, 2019, 3., p. 43-68Chapter in book (Other academic)
  • 65.
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskan, vem är det?2019In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 23-42Chapter in book (Other academic)
  • 66.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att bli sjuksköterska: en introduktion till yrke och ämne2010Collection (editor) (Other academic)
  • 67.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att bli sjuksköterska: en introduktion till yrke och ämne2014Collection (editor) (Other academic)
  • 68.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. Faculty of Medicine and Health Sciences, Department of Health Science Aalesund, NTNU, Norway .
    Brink, Eva
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lindahl, Berit
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Sweden.
    A Theoretical Framework for Emancipatory Nursing With a Focus on Environment and Persons' Own and Shared Lifeworld2018In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 41, no 4, p. 340-350Article in journal (Refereed)
    Abstract [en]

    By giving a brief overview of the metaconcepts in nursing, with a focus on environment, we sketch a theoretical framework for an emancipatory perspective in nursing care practice. To meet the requirements of equality in care and treatment, we have in our theoretical framework added a critical lifeworld perspective to the antioppressive practice, to meet requirements of equity in health care encounter. The proposed model of emancipatory nursing goes from overall ideological structures to ontological aspects of the everyday world. Based on the model, nurses could identify what kind of theoretical critical knowledge and thinking they require to conduct equal care and encounter the person behind the patient role.

  • 69.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Health care systems in transition: Equality, access and health literacy in three Scandinavian welfare states.: “The Emperor’s new clothes”: discourse analysis on how the patient is constructed in the new Swedish Patient Act2017Conference paper (Refereed)
    Abstract [en]

    The Swedish welfare debate increasingly focuses on market liberal notions and its healthcare perspective aims for more patient-centered care. This article examines the new Swedish Patient Act describing and analyzing how the patient is constructed in government documents. This study takes a Foucauldian discourse analysis approach following Willig’s analysis guide. The act contains an entitlement discourse for patients and a requirement discourse for healthcare personnel. These two discourses are governed by a values-based healthcare discourse. Neo-liberal ideology, in the form of New Public Management discourse, focusing on the value of efficiency and competition, is given a hegemonic position as laws and regulations are used to strengthen it. The new Swedish Patient Act seems to further strengthen this development. The Act underlines the increased entitlement for patients, but it is not legally binding as it offers patients only indirect entitlement to influence and control their care. To safeguard the patient’s entitlement under the Patient Act, healthcare personnel should be made aware of the contents of the Act, so that they can contribute to the creation of systems and working methods that facilitate respect of the Act’s provisions in daily healthcare work.

  • 70.
    Dahlin, Sanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Jessica
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patienters upplevelser efter sin njurtransplantation: Att bidra till evidensbaserad omvårdnad med grund i analys av kvalitativ forskning2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Kidney failure require for certain, method of treatment by dialysis. Dialysis require a lot of time from the patients life. For some patient are kidney transplantation the last way out to recover. After a kidney transplantation patients need to take medications for a lifetime, so they don’t get a rejection of the new kidney.

    Aim: The aim of this study was to describe patients' experiences of life after a kidney transplant.

    Method: A literature review based on 9 articles with a qualitative approach.

    Results: After analysis two themes emerged; Emotional roller coaster and New me. It showed that patients who has been transplant are having mixed experiences of the life after transplantation. For example, some patient´s felt fear of rejection for the new organ and some felt hope for a new life, and fear of going back to dialysis. Some patient´s felt gratefulness to the people how were willing to donate a kidney for them, and they felt hope for a better life.

    Conclusion: People who have undergone a kidney transplant, are having both mental, physical and emotional strain

  • 71.
    Dahlkvist, Eva
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Delaktighet i geriatrisk vård: en kvalitativ intervjustudie om närståendes delaktighet2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: With the new Patient care laws' entry the care is in need of creating the conditions for their relatives ' involvement in patient care. In support of this, this study was carried out in order to take advantage of their relatives ' experiences of participation on a geriatric ward. This is a part in the quality of operations and as a basis for work of improvement.

    Aim: The study of related party experiences of participation at a geriatric Department. Method: Qualitative research method with inductive approach. Semi-structured interviews were conducted with nine related to patients, who have been admitted on a geriatric ward. The interviews were analyzed using qualitative content analysis.

    Findings: The analysis of the collected data appeared three categories; experiences of involvement in a safe environment, experiences of communication and medical contact and related resource in health care, which finally resulted in a theme: the interaction of care sets the stage but also constitute barriers to the participation of close relatives. The main findings were that related experience participation when they are given the opportunity to take part of the information while getting a hearing for questions and comments. Related felt secure with care when they felt that the patient was seen and well looked after. Not to be seen or where the interaction with the professional team burst was obstacles to perceived involvement. Related would be involved and care must take advantage of their relatives ' knowledge of the patient as well as their desire for participation.

    Conclusion: Related parties are involved in the patient's care. They have broad knowledge of the patient and should be leveraged as a resource in health care. The interpersonal process requires an interaction in which the professional team with the patient and next of kin are working together in order to achieve good results for the patient's benefit. To communicate and maintain a continuous dialogue with related parties are important aspects and that the related individual is seen and verified, a requirement for the related to experience participation. The results of the study supports earlier research of related parties ' experiences of participation, however, was the focus of this study a specific geriatric ward. More research on the subject with a focus on their relatives ' experiences are needed.

  • 72.
    Danielsson, Marie
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Teliander Trostensson, Annika
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Upplevelser av vardagliga, psykosociala situationer hos personer med ADHD2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background ADHD is a neuro-psychiatric disability which includes concentration difficulties, difficulty in maintaining attention and lack of impulse control. People with ADHD often experience difficulties in school as well as working life and they often have major difficulties in social interaction.  Aim The aim of the study was to describe how persons with ADHD experience their everyday, psychosocial situation.   Method By searching the Internet through the search engine Google.com we found blogs written by persons with ADHD. The texts were then analyzed using qualitative content analysis.   Results  The analysis resulted in three main categories; unstable functions and relationships, thought and action and coping strategies. Conclusion Persons with ADHD experience different difficulties in their daily life, which imply different limitations for them. They have insight into their disabilities and have different strategies how to cope with them. The psychiatric nurse needs to explore how the patient takes care of herself, and the nurse must be   open to the fact that the patient’s life situation changes over time and she therefore needs to make new assessments on a regular basis.

  • 73.
    Dautovic, Alma
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Edell, Camilla
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors erfarenheter av preventiva åtgärder för att minska risken för fotsår hos personer med diabetes mellitus typ II: en kvalitativ intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Studies show that the future of health care is person-centeredness and nurses should meet people in a health-oriented perspective. Self-care should be adapted to the person with diabetes and nurses should take differences in views regarding health and disease into account. Aim: The aim of this study was to describe nurses' experiences of preventive measures to reduce the risk of foot ulcers in people with diabetes mellitus type II. Method: Ten qualitative semi-structured interviews were conducted. The material was transcribed and analyzed using qualitative content analysis.

    Results: The results are presented in two categories: expectations on the nurse and support to the person with diabetes. Expectations of the nurses was to strive to see the person behind diabetes and to focus on the measurable. They must strive to meet the individual where it is located and strive for good relationships. It is through good relationships that self-care advice can be more easily implemented and foot ulcers prevented, this is presented in the subcategory self-care, which is located below main category support to person with diabetes. This is to reduce suffering for the individuals and avoid high costs for the society. Nurses had good intentions with their care and teaching. The nurses saw advantage in motivating groups by reaching out to several people at the same time and offer them the opportunity to exchange experiences. Nurses felt that they had the ability to turn to instances and contacts with partners is obvious in diabetes care today. Conclusion: The results of this study show that nurses in primary care can help prevent foot ulcers through living up to the expectations placed on them by seeing the person behind diabetes and to offer its wide expertise, motivation work, self-care and cooperation with partners.

  • 74.
    Dauzhuk, Kristina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Annerstedt, Christine
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Förstagångsföräldrars upplevelser av BHV-sjuksköterskans första hembesök: en kvalitativ intervjustudie2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND Most mothers in Sweden appreciate the home visit they receive from the child health care nurse, a few days after being back home from the maternity ward. Despite that, the number of home visit is decreasing, mostly due to lack of time, too long distance and also due to the parents decline a home visit. Yet the home visit is a great opportunity for the child health care nurse to establish trust and support for the first-time parents and also to create a trustful relationship. AIM The aim of this study was to illustrate first-time parent’s experiences of the first home visit by the child health care nurse. METHOD A qualitative approach were used by the authors in order to perform nine semi-structured interviews. It was conducted with an inductive approach. The data were analyzed using qualitative content analysis. RESULTS The result is presented in two categories and twelve subcategories. The first category describes the ambivalence before the first home visit.The second category illustrate the child health care nurse’s professional behavior. The home visit can be seen as a first step in the creation of a trustful relationship between the parent and the child health care nurse. CONCLUSION By creating a trustful relationship and by answering to the firstparent’s individual need of support during the home visit, the child health care nurse can contribute to increase parents nursing of the infant. The support benefit therefore both the infant as the first-time parents.

  • 75.
    Davidsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Tellström, Emeli
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Främjande av den sköra äldres delaktighet i palliativ vård vid livets slutskede på geriatrisk akutvårdsavdelning: Ur ett sjuksköterskeperspektiv2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The care of older people is complex and are affected by several medical conditions and involve a large number of different caregivers that need to cooperate. Flexibility and mutual trust are required for the collaboration to work. Older people have the right to participate and receive good palliative care at the end of life regardless of where they are and which caregivers is responsible. The nurse has a significant role to play in promoting the older patient's participation in his or her end of life care.

    Aim: The aim of the study was to describe how nurses facilitate participation for frail older people in end of life care in geriatric emergency wards.

    Method: The data collection consisted of three semi structured focus group interviews where a total of ten nurses participated. The analysis was conducted with qualitative content analysis.

    Results: The results revealed three main categories and eight subcategories. The categories that emerged were; Collaboration, Responsiveness to the patient's will and Surrounding environmental factors.

    Conclusion: To promote the older patient's participation in care at the end of life, it is important that the patient's desires is reflected in the care. It is crucial that all parties involved have a common vision to meet the wishes of the older people.

  • 76.
    Detlín, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    En god och säker omvårdnad: En intervjustudie med fokus på nyutbildade sjuksköterskors erfarenheter av omvårdnadsarbetet inom sjukhusvården2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study focuses on newly graduated nurses' possibilities to develop good and safe nursing in hospital care, influenced by organizational preconditions. The study also concerns on how newly graduated nurses learn and develop their profession and what responsibility they have according to their profession.

    The aim of this study was to find out what newly graduated nurses experiences of and possibilities to give good and safe care.

    Seven nurses were interviewed in this qualitative study. The interviews were analyzed through a qualitative content analysis, which gave six categories that structures the result.

    The result showed that newly graduated nurses need to have knowledge and develop experience to give a good and safe care. Colleagues play an important role throughout the learning period. The nurses claimed that they need to be in the direct care of the patient to be able to see the needs the patients might have. The study has also shown that organizational aspects as lack of time, work related stress and high demands, that the nurses don´t yet have the capacity to meet, is a risk both for the patients care but also for the nurse´s professional development and health.

    To sum up the study, the result shows that new graduated nurses need time and support to develop as experts in nursing, but also for providing a good and safe care. Colleagues play an important role when newly graduated nurses develop their own expert knowledge. Organizational aspects as work-related stress and high demands affect both the learning process and the good and safe care negatively.

  • 77.
    Ebbesson, Alexandra
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Widlund, Matilda
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Omvårdnadspersonalens erfarenheter av att arbeta inom psykiatrisk vård2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Psychiatric care has through the history been facing a negative reputation as well as the view of mental health. Personnel working in psychiatric care are also often negatively described and are far from flattering. Psychiatric nursing is not considered to be an attractive choice for nurses or nursing students, as previous research shows. Aim: The purpose of this study was to describe nursing staff i.e. nurses and assistant nurses experiences of working in psychiatric care. Method: The study was based on individual semi-structured interviews with 14 nursing staff in psychiatric inpatient care. Qualitative content analysis was conducted as analytical method. Results: The result showed that the nursing staff looked at their work as a unique workplace. Teamwork was emphasized as valuable and important factor for them staying. Furthermore, work was described as an ongoing learning. The result also showed that they faced multifaceted challenges to handle in their work. Where prejudices and ideas from the surrounding caused reactions. Difficulties in the work were described, such as consequences of time and resource shortages. Also difficulties with collaboration with care neighbors and municipalities that created frustration. Conclusion: It was clear that the gap between psychiatric care and society is felt to be too big. Increased cooperation between different actors is required to provide good care on equal terms. Another important conclusion is the need for more psychiatric content in nursing education. Due to that mental illness occurs everywhere in health care, but also in order to promote the recruitment of nurses to psychiatric care.

  • 78.
    Ek, Sofia
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johannesson, Evelina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Distriktssköterskors erfarenheter av att arbeta med patienter med övervikt och fetma2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Overweight and obesity is a still growing problem for public health. A change in lifestyle through change of diet and increased physical activity is fundamental in treatment for permanent weight loss. The district nurse has a central role in health promotion and the work involves using methods to support and motivate these patients.

    The aim of the study was to illustrate the district nurse´s experiences in the course of action in the treatment of patients suffering from overweight or obesity.

    Eight district nurses and nurses working in primary health care were interviewed. The data was analyzed using a qualitative content analysis with an inductive approach.

    In the analysis of the data material, the theme that emerged was to emanate from the person. Four categories emerged; Get to know the patient, educating and advising the patient, individualized methods and also impeding and helping factors for success, with eleven subcategories.

    The district nurse has a central and significant role in the work with patients who are overweight or obese. The work consists of continuous contact with the patients, knowledge communication and methods for lifestyle changes. The central part, however, is to emanate from the person and to adjust the work according to the patient´s level of motivation. The involvement of the patient's relatives is seen as a prerequisite for the patient to succeed. The work is considered time consuming and knowledge-intensive but at the same time exciting and challenging.

  • 79.
    Eklund, Annika
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Kliniskt basår för nyutexaminerade sjuksköterskor inom Västra Götalandsregionen: en utvärderingsrapport2018Report (Other academic)
    Abstract [sv]

    Newly graduate nurses (NGN) transition between basic education and work in a complex health care practice, as well as their intention of leaving the profession during the first year of work and how this can be prevented, is a global concern. NGN experience difficulties integrating workplace environment, expectations, and educational experiences. This is an evaluation study of a one-year transition program, which was implemented as a project during 2016-17, at six hospitals in Sweden.

    An explorative research design was used and data consist of focus group and individual interviews with NGNs, interviews with first-line managers, observations of simulation training, and survey material from the hospitals. Data was analyzed using thematic analysis. Results show an overarching structure for all hospitals in the region, the NGNs are engaged in the following learning activities; introduction at the ward and a senior RN as preceptor, lectures and/or simulations, change of ward, process-oriented reflection seminars and mentorship.

    The different learning activities contribute to the overall learning in different ways. Continuous supervision and structured reflection are central to NGNs professional learning. Organizational conditions create prerequisites for learning during the transition program and a change of ward is a particular challenge to get organized. The results, also provides a deeper understanding of the foundational components in NGNs early development of expertise, security as professionals, and essential knowledge for bridging the practices of the first cycle program and healthcare practice at hospitals.

  • 80.
    Ekner, Agnes
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Tagarani, Saya
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Kvinnors upplevelse av att leva med urininkontinens efter vaginal förlossning: En studie med kvalitativ innehållsanalys2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Urinary incontinence (UI) is an involuntary urinary leakage that affects the individual’s social life and quality of life. Urinary incontinence may occur in both sexes, but it is more common in women than men. Women may suffer from UI after vaginal delivery. Although UI causes a lot of suffering for women, there are few who seek help. In order for health professionals to be able to help and support these women, it is important to have knowledge and understanding of how UI affects women’s world of living. Aim: The aim of the study was to describe women’s experience of living with urinary incontinence after vaginal delivery. Method: Semi-structured qualitative interviews were performed with ten women with urinary incontinence after vaginal delivery. Qualitative content analysis was used for the analysis which resulted in seven categories. Results: The results show how UI affects women in daily life and how they handle the situation in the best way. The women experienced mixed feelings about the meeting with healthcare professionals. Seven categories emerged: How to handle urinary incontinence that is seen as a normal state, Experiencing limitations in life, To hide or share experiences with others, Urinary incontinence affects relationships, Urinary incontinence affects sex life, Meeting healthcare professionals and Experiencing urinary incontinence treatments. Conclusion: Women may suffer from urinary incontinence after vaginal delivery. They find it difficult to talk to others about this sensitive subject, which indicates that they are suffering in silence. Healthcare professionals and district nurses have an important role to catch, help and take these women's UI trouble seriously.

  • 81.
    Emilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Treatment adherence in Asthma and Attention Deficit Hyperactivity Disorder (ADHD), Personality traits, Beliefs about medication and Illness perception2017Doctoral thesis, comprehensive summary (Other academic)
  • 82.
    Emilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Berndtsson, Ina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gustafsson, Per A
    Linköping University, Department of Clinical and Experimental Medicine and Department of Child and Adolescent Psychiatry, Center for Social and Affective Neuroscience, Linköping , Sweden..
    Horne, Robert
    University College London, Centre for Behavioural Medicine, UCL School of Pharmacy, London , UK.
    Marteinsdottir, Ina
    Linnæus University, Department of Medicine and Optometry Faculty of Health and Life Sciences, , Kalmar , Sweden.
    Reliability and validation of Swedish translation of Beliefs about Medication Specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with attention-deficit hyperactivity disorder.2019In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725Article in journal (Refereed)
    Abstract [en]

    Objectives: The purpose of this study was to assess the reliability and validity of Swedish translations of the Beliefs about Medicines Questionnaire-Specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with ADHD. Methods: Forward and backward translations of the BMQ-Specific and B-IPQ scales to Swedish were conducted and reviewed by adolescents with ADHD and professionals. The validity and reliability of both questionnaires were investigated in a cross-sectional study of 101 adolescents (13-17 years) on a long-term prescription of ADHD medication recruited from two child and adolescent psychiatric outpatient clinics in Sweden. Results: Regarding the BMQ-Specific, principal component analysis (PCA) loadings confirmed the previously defined components of Specific-Necessity and Specific-Concern. The PCA for B-IPQ revealed two components, the first one, B-IPQ Consequences, captured questions regarding perceptions of the implication of having ADHD (items 1, 2, 5, 6 and 8) and the second one, B-IPQ-Control, the perceptions of the capability to manage the ADHD disorder (items 3, 4 and 7). The Cronbach alpha coefficients for BMQ-Specific-Necessity scale was α = 0.80, for BMQ-Specific-Concern scale α = 0.75, B-IPQ Consequences α = 0.74 and for B-IPQ-Control α = 0.44. Conclusions: The present results prove the Swedish translation of BMQ-Specific and B-IPQ to be valid and reliable for utilization in adolescents with ADHD. The PCA confirmed the original components for BMQ-Specific and the recent findings of two main B-IPQ components describing emotional and cognitive implications versus the capability for self-care maintenance of ADHD.

  • 83.
    Emilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Divison of Informatics.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, Kristina
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Berndtsson, Ina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pedagogical challenges in nurse education: A Case Study Focusing on the Completion Rate in Theoretical Education at a Swedish University2014Conference paper (Refereed)
  • 84.
    Emilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gustafsson, P.A.
    Department of Clinical and Experimental Medicine and Department of Child and Adolescent Psychiatry, Center for Social and Affective Neuroscience, Linköping University.
    Öhnström, G.
    Department of Clinical and Experimental Medicine and Department of Child and Adolescent Psychiatry, Center for Social and Affective Neuroscience, Linköping University.
    Marteinsdottir, I.
    Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience, Linköping University.
    Beliefs regarding medication and side effects influence treatment adherence in adolescents with attention deficit hyperactivity disorder2016In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, p. 1-13Article in journal (Refereed)
    Abstract [en]

    Adherence to attention deficit hyperactivity disorder (ADHD) treatment is important because, when untreated, it may have serious consequences with lifelong effects. In the case of adolescents on long-term medicine prescription, more knowledge is needed regarding adherence and factors influencing adherence, which was the purpose of this study. Adolescents (n = 101) on ADHD medication ≥6 months were administrated questionnaires at amonitoring appointment: Medication Adherence Report Scale (MARS), beliefs about medicines (BMQ) and the Brief Illness Perception Questionnaire (B-IPQ). Adherencewas high, the mean value was 88% of the maximum MARS score, and correlated positively with the "BMQ necessity-concerns differential" but negatively with "BMQ concerns"and "BMQ-side effects". Adolescents with more belief in the necessity of the medication, less concerns and less experience of side effects tended to be more adherent to medication prescription ("intentional non-adherence"),while "unintentional non-adherence" (forgetfulness) was associated with how much they perceived that their ADHD affected their lives. In a multiple regression model, the variance of MARS total (R2 = 0.21) and “intentional nonadherence” (R2 = 0.24) was explained by the “BMQ-necessity–concern differential” and “BMQ-experienced side effects”. The variance of “unintentional non-adherence” (R2 = 0.12) was explained by the “BMQ-necessity–concern differential” and “B-IPQ-consequences of ADHD”. In conclusion, adolescents on long-term medication reported good adherence, mainly influenced by more beliefs in the necessity versus concerns of the medications, less experienced side effects and more perceived consequences of ADHD. BMQ could be useful to identify risks of low adherence, which should be counteracted by partially gender-specific interventions.

  • 85.
    Engblom, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Karlsson, Linda
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Aspekter av betydelse för sjuksköterskors möjlighet att utföra basala hygienrutiner inom kommunal hemsjukvård riktad mot ordinärt boende: En intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year 65 000 people are exposed with a health care-associated infection. Health care personals lack of compliance to hygiene routines are one cause. Today it is more common with health care in the patients' home if they no longer need to be in hospital care or if they are physically incapable to go to the primary care center.

    Aim: The aim of this study was to describe aspects of importance regarding nurses' possibilities to conduct basic hygiene routines in patients' home.

    Method: This study was based on individual interviews with eight nurses and two district nurses. The interviews have been analyzed with qualitative content analysis with an inductive approach to describe and understand the nurses experience with basic hygiene routines.

    Results: The home environment had a significant meaning to how well the informants could follow the hygiene routines, i.e. if it was a dirty or a clean household. Materials such as gloves, apron and hand disinfectant were usually placed in the hallway which was strategically good placement for the hand disinfectant but not for the gloves or apron because it was too far away from the patient and the place where the patient got his/her care. Sometimes the material in the patients' home was all out. Several of the informants described that they had a bag witch among other things contained gloves, apron and hand disinfectant so that they would never run out.

    Conclusion: To have someone's home as a working environment is a complex situation because even though it is your work environment you are still a guest in the patients' homes. To demand storage and sanitation in patients' homes can be hard and require good communication.

  • 86.
    Engelbrektsson, Sanna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Westberg, Lina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    BVC-sjuksköterskors erfarenheter av arbetet med asylsökande familjer2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aims and objectives: To describe District nurses' experiences working with asylum-seeking families in childcare centers.  Background: The number of people seeking asylum in Sweden has increased during the past years and reached it' s peak in 2015 when a total of 163.000 asylum-seekers arrived in the country. The situation meant an increased strain on the Swedish healthcare system partly due to the law-regulated right of all children to receive equal healthcare. Previous studies have shown that refugee-children is a vulnerable group often with an increased need of healthcare. Studies has also shown that offering healthcare to people of different cultural and national heritage than your own can be demanding. Design: A qualitative study using semi-structured interviews and content analysis. The study is a part of the examination work of the District nursing program at West University of Sweden.  Methods: 10 District nurses in the region of Västra Götaland in the western part of Sweden completed individual interviews and the data were analyzed using content analysis.  Results: The data-analysis identified four main categories: The individual needs of the asylum-seeking family, flexible work, communicative challenges and cultural challenges.  Conclusion: The District nurses found the increase and changes of their working situation to be demanding. Adapting to language, - and cultural differences were resource consuming and the ability to work healthpromoting with the asylum-seeking families were challenging due to their strained life situation. In order to cope became the feeling of meaningfulness in the job-assignment and ability to have flexibility and familyorientated approach in their work crucial. District nurses' work with these families must be studied in greater depth to identify the changes in the present asylum-situation and further locate areas within the District nurses' work in need of improvement to secure the care of this vulnerable group.

  • 87.
    Engström, Cecilia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Kvinnors upplevelse av sin kropp efter första graviditeten och förlossningen2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Historien visar att kroppsidealet ändras över tid och att kroppsidealen styrs av den kultur som vi lever i. I dagens samhälle är det viktigt att ha kontroll över sin kropp och över kroppens funktioner. Om dessa förutsättningar förändras kan individen uppleva ett misslyckande och som att tryggheten försvinner. När kroppen förändras, till exempel i samband med en graviditet, kan det medföra mycket nya känslor hos kvinnan.

    Syfte och metod: Syftet med den här studien är att beskriva kvinnors upplevelser av sin kropp efter första graviditeten och förlossningen. Kvalitativ innehållsanalys valdes för att kunna beskriva och tolka kvinnornas upplevelser av sin kropp. Åtta kvinnor har intervjuats och materialet har bearbetats enligt Granehiem och Lundmans beskrivning av den kvalitativa innehållsanalysen.

    Resultat: Alla kvinnorna i studien beskriver att kroppen har förändrats på olika sätt. Några av kvinnorna upplevde inga besvär av förändringen medan andra upplevde att kroppens förändringar var svår. De upplevde bland annat att kroppen hindrade dem från att göra saker som de hade kunnat göra innan graviditeten.

    Konklusion: Kvinnor behöver stöd under graviditeten för att kunna förbereda sig på de kroppsliga förändringar som kan uppstå i samband med en graviditet och förlossning. Uppföljning efter förlossningen bör ske via BVC.

  • 88.
    Enocsson Karlsson, Ingrid
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Andersson, Matilda
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Åldrandet utifrån de äldres perspektiv2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Being older means increased vulnerability to age-related illness and is also linked to changes both socially and psychologically. The district nurse´s task is to look at the complexity of aging and to promote health for good aging. Aim: The purpose of the study was to investigate older people's experience of their own aging. Method: The study has a qualitative design with an inductive approach. Data has been collected by interviews of elderly people, 70 years or more. Totally 9 elderly people did participate. The interviews were analysed by the method of qualitative content analysis. Results: The maintaining in the analysis resulted in four categories and nine subcategories; `To live here and now`, with the subcategories `age is just a number` and `joy of life`; `To get the reward after the effort` with the subcategories `More time` and `Nice with life experience`; `The desire to be independent` with the subcategories `The will to be strong` and `The will to take care of yourself`; `To be reminded of aging` with the subcategories `The body`s change`, `Losses` and `Heaven around the corner`. Conclusion: Aging can be as exciting as being young and the aging is mostly positive. If the district nurse can see the elderly as an individual with an own personality and not only as old it’s a good start for preventing good aging. When the elderly gets reminded of their age, the nurse should pay attention to that and support them in finding new ways in life.

  • 89.
    Ericson, Eva
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Omvårdnad som främjar hälsa och lindrar lidande för patienter med självskadebeteende2016Independent thesis Advanced level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Då specialistsjuksköterskor sannolikt tillhör en av de yrkesgrupper som oftast kommer i kontakt med självskadebeteende behövs kunskap om det komplexa problemet. Syfte: Var att beskriva en omvårdnad som främjar hälsa och lindrar lidande för patienter med självskadebeteende. Metod: Datainsamlingen utfördes genom en systematisk litteraturstudie. Författaren har sökt, granskat och sammanställt sju vetenskapliga artiklar inom området omvårdnad av patienter med självskadebeteende. Artiklarna har kvalitetsgranskats och graderats utifrån evidensgrad för att sedan analyseras med en kvalitativ innehållsanalys. Resultat: Ökad kunskap om självskadebeteendets funktion minskade negativa uppfattningar och bidrog till ett mer hjälpsamt förhållningssätt. När specialistsjuksköterskan såg patienten som en människa förmedlades en vilja att förstå. Genom att lyssna till patientens berättelse utformades en personcentrerad omvårdnad, som bland annat innefattade att förebygga, att visa empati samt att förmedla hopp. Slutsats: Kulturen som ligger till grund för nutida värderingar behöver förändras för att specialistsjuksköterskan ska ha möjlighet att implementera en evidensbaserad omvårdnad.

  • 90.
    Eriksson, Annelie
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Wårlén, Annika
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att skydda barn mot passiv rökning: En svensk studie med fokus på barnhälsovårdssjuksköterskans hälsoarbete2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Tobacco smoking is incomparable the most unhealthy product legally available and is individual the largest cause to sickness, suffering and heath in the west world. Passive smoking can cause the same health problems as active smoking does. Children are more vulnerable to tobacco smoke because there high respiratory rate. Small children’s immune system is in development, the tobacco smoke can affect this process and increases the risk for allergy. Passive smoking can also increase the risk for respiratory and ear infections and developing in a higher extent asthma. It is important part of the Child Health Care Nurse (CHCN) work to speak about passive smoking to parents. The purpose of this study was to illuminate the CHCN experience of health work focusing on passive smoking to parents who smokes.

    Method: In this interview study a qualitative content analysis with inductive approach was conducted. CHCN who worked in health care and family care centers in north/ northwest of Sweden, was asked to participate. Nine CHCN were interviewed. The interviews were performed with semi-structured questions.

    Results: The analysis present that CHCN give information about how passive smoking can affect small children. CHCNs give equivalent information concerning tobacco smoke deleterious effect to the smoking parent’s irrespective of culture, ethnicity and socio-economic belonging. The CHCNs also described that it could be difficult to give information to the parent’s and at the same time not cause feelings as guilt and shame. None of the CHCN offered

    a stop smoking conversation to the parents who wanted to quit smoking. Instead they mediated contact to a smoke-weaning nurse.

    Concussion: All the CHCNs gave information about passive smoking and it´s negative affect on children. The CHCN described that it could be difficult sometimes to give information and at the same time not aggrieve the parents.

  • 91.
    Eriksson, Annelie
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Wårlén, Annika
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att skydda barn mot passiv rökning: en svensk studie med fokus på barnhälsovårdssjuksköterskans hälsoarbete2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Tobacco smoking is incomparable the most unhealthy product legally available and is individual the largest cause to sickness, suffering and heath in the west world. Passive smoking can cause the same health problems as active smoking does. Children are more vulnerable to tobacco smoke because there high respiratory rate. Small children's immune system is in development, the tobacco smoke can affect this process and increases the risk for allergy. Passive smoking can also increase the risk for respiratory and ear infections and developing in a higher extent asthma. It is important part of the Child Health Care Nurse (CHCN) work to speak about passive smoking to parents. The purpose of this study was to illuminate the CHCN experience of health work focusing on passive smoking to parents who smokes. Method: In this interview study a qualitative content analysis with inductive approach was conducted. CHCN who worked in health care and family care centers in north/ northwest of Sweden, was asked to participate. Nine CHCN were interviewed. The interviews were performed with semi-structured questions. Results: The analysis present that CHCN give information about how passive smoking can affect small children. CHCNs give equivalent information concerning tobacco smoke deleterious effect to the smoking parent's irrespective of culture, ethnicity and socio-economic belonging. The CHCNs also described that it could be difficult to give information to the parent's and at the same time not cause feelings as guilt and shame. None of the CHCN offered a stop smoking conversation to the parents who wanted to quit smoking. Instead they mediated contact to a smoke-weaning nurse. Concussion: All the CHCNs gave information about passive smoking and it´s negative affect on children. The CHCN described that it could be difficult sometimes to give information and at the same time not aggrieve the parents.

  • 92.
    Eriksson, Monica
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lycke, Liselott
    University West, Department of Engineering Science.
    Tano, Ingrid
    University West, Department of Engineering Science, Division of Mathematics, Computer and Surveying Engineering.
    Aronsson, Gunnar
    Stockholms universitet, Stockholm, Sverige.
    ARK: modell för att systematiskt arbeta med hållbart arbetsliv inom universitet och högskola (UoH)2018In: FALF 2018 - program och abstraktbok / [ed] Per Lindberg, Gävle: University Press , 2018, p. 123-123Conference paper (Refereed)
    Abstract [sv]

    Bakgrund

    Hållbart arbetsliv är idag ledord för arbetslivets förändrade villkor. Inom UoH i Sverige fanns i slutet av 2017 omkring 75 000 anställda varav ca 35 000 inom forskning och undervisning (UKÄ, 2017). Det är en sektor med stor betydelse för samhällsutvecklingen i Sverige. Arbetsmiljön inom sektorn ställer särskilda krav på personalen. Förvånansvärt få studier har gjorts i Sverige om arbetsmiljön för personal inom UoH. Med förebild från Norge implementeras nu för första gången i Sverige en forskningsbaserad (krav-resurs-modellen) och sektorsspecifik ny modell för att systematiskt arbeta med arbetsmiljön, den s.k. Ark-modellen (arbeidsmiljø- og klimaundersøkelser, se figur) vid Högskolan Väst. Arbetsmiljöverkets föreskrift 2015:4 betonar den organisatoriska och sociala arbetsmiljön, vilket väl tillgodoses i denna modell.

    Syfte

    Att systematiskt och långsiktigt arbeta med arbetsmiljön ur ett främjande, förebyggande och rehabiliterande perspektiv på såväl individ- som organisatorisk nivå för att utveckla förhållanden som bidrar till ett hållbart arbetsliv.

    Metod

    Genom KIWEST (Knowledge Intensive Work Environment Survey Target) kartläggs arbetsmiljön utifrån 28 olika dimensioner. Kategorier som belyses är t.ex. sociala, uppgiftsbaserade och organisatoriska resurser samt jobbkrav och tillhörighet till jobbet. Organisatoriska förhållanden mäts med FaktaARK 1 medan genomförda insatser mäts med FaktaARK 2.

    Resultat

    KIWEST sändes till all personal med 20 % anställning eller mer. Utav 539 tillfrågade personer svarade 376, vilket ger en svarsfrekvens på 69,8 %. Resultatet visar att specifikt för sektorn är upplevelsen av tidspress samtidigt som arbetet upplevs som meningsfullt och viktigt. Nu följer analyser, planering, genomförande och utvärdering av insatser på olika nivåer inom högskolan. KIWEST-formuläret sänds till personalen med 3-års intervall. I förbättringsarbetet ingår även att granska och utvärdera genomförandet, därvid ingår även metodutveckling. Förbättringsarbetet sätts in i ett större organisatoriskt perspektiv och är en naturlig del i kvalitetssäkringsprocessen och ledningssystemet. ARK-processen förväntas bidra till teoriutveckling av krav- och resursmodellen samt öka kunskapen om arbetsmiljön inom UoH.

  • 93.
    Farfa Samuelsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Stode, Ulrica
    University West, Department of Health Sciences, Section for nursing - graduate level.
    "Att höra men inte se": Specialistsjuksköterskans upplevelser av telefonrådgivning på vårdcentral2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Telephone counseling at Community health centers has emerged during the past 50 years, as a consequence of the development in society as well as within the healthcare. Nurse specialists' telephone counseling require a high level of competence in many areas of expertise.

    Aim: To investigate what influence the nurse specialists' experiences of telephone counseling.

    Method: Nurses and nurse specialists who were active at a Community health center were asked to anonymously answer a few questions through a closed Facebook-group. We received 95 complete answered questionnaires. All informants were women in ages between 23 and 62 with experiences of telephone counseling from less than a year to 24 years.

    Results: The informants described the telephone counseling as both meaningful and developing. Most of the time they met patients who were friendly and grateful, but sometimes they also faced anger and frustration from the ones calling. Many contacts could have been handled by someone else with less experience and formal competence. Quite a few experienced challenges in the communication, as for example when the specialist nurse could not see the person calling or when the person had difficulties with the language. Technical solutions were suggested to overcome the absence of visual contact. The time for each call was limited, which could be as a stress-factor, since the specialist nurse, in short time and without visual contact with the patient, had to make a decision on appropriate action. Further education and mentoring in telephone counseling were asked for, as well as more options to consult with colleagues. Improvements regarding the occupational health were also suggested.

    Conclusion: Communication with patients and colleagues is of great importance for the nurse specialist's experiences of telephone counseling. The organization has the opportunity to improve the conditions for occupational health as well as provide education and mentoring.

  • 94.
    Ferm, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Karlberg, Felicia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hur sjuksköterskorna upplever mötet när föräldrar tvekar eller avstår vaccinering av sina barn2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One of the most beneficial and cost-effective lifesavers for children today, are vaccines. The vaccines whom are in use worldwide, are very safe and well tested. Countries, such as Sweden, has high covering statistics with approximately 98 % of the child population being vaccinated.  Despite this, a rise amongst parents whom are hesitant towards the benefits of the vaccines has been noticed, and some refrain in total. Few interview studies have been made in Scandinavia regarding why parents are hesitant, and none to be found in Sweden. The aim of the study was to describe how the child health nurse experiences the meeting with parents whom are hesitant or refrain from vaccinating their children. Method: A total of 12 child health nurses were interviewed in this study. All participating nurses had to have met with hesitant or refraining parents. Data were analysed using the qualitative content analysis. Result: The findings showed that there is not just one reason for parents to be hesitant or refrain vaccination of their children. Multiple factors arose from the interviews, and 11 subcategories formed 3 categories; Anxiety and fear, Parents reasons for their decision and  Nurses professional responsible for being knowledgeable.  Conclusion: The meeting between the nurse and the parents whom are hesitant or refrain from vaccinating their children, are not easy to handle. The findings in this study could help the child health care nurse in understanding the complexity of these meetings better.

  • 95.
    Flensner, Gullvi
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Det vetenskapliga ämnet2019In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 103-129Chapter in book (Other academic)
  • 96.
    Flensner, Gullvi
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vem är patienten?2019In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 133-147Chapter in book (Other academic)
  • 97.
    Flensner, Gullvi
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Faculty of Nursing and Health Sciences, Bodø, Norge.
    A pathway towards reconciliation and wellbeing: A spouse's experiences of living with a partner diagnosed with early-onset dementia2018In: Nordisk sygeplejeforskning, ISSN 1892-2678, E-ISSN 1892-2686, Vol. 8, no 02, p. 136-149Article in journal (Refereed)
    Abstract [en]

    When someone falls ill with dementia it affects the whole family. Therefore, the aim of thisqualitative single case study was to increase understanding of one female spouse´s experiencesof living with a husband/partner diagnosed with early-onset dementia before the ageof 40 years. Two open-ended interviews with the female spouse were performed sixmonths apart and analysed for narrative structure and themes. The single case is describedin the form of a story and organised along a time line comprising four phases; «Somethingis wrong», «Becoming aware of what is wrong», «Life is restricted» and «Towards reconciliation».Healthcare professionals should meet spouses with respect, listen to them and providepractical support, thus giving them the opportunity to rest, obtain respite and time ontheir own to enable reconciliation and wellbeing.

  • 98.
    Fogleman, Nicholas D.
    et al.
    Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
    Apers, Silke
    KU Leuven Department of Public Health and Primary Care, Leuven, Belgium.
    Moons, Philip
    KU Leuven Department of Public Health and Primary Care, Leuven, Belgium.
    Morrison, Stacey
    Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
    Wittekind, Samuel G.
    Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
    Tomlin, Martha
    Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
    Gosney, Kathy
    Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
    Sluman, Maayke A.
    Academic Medical Center, Department of Cardiology, Amsterdam, the Netherlands.
    Johansson, Bengt
    University Hospital of Umeå, Umeå, Sweden.
    Enomoto, Junko
    Department of Adult Congenital Heart Disease, Chiba Cardiovascular Center, Chiba, Japan.
    Dellborg, Mikael
    The Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Lu, Chun-Wei
    Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
    Subramanyan, Raghavan
    Frontier Lifeline Hospital, Dr. K. M. Cherian Heart Foundation, Chennai, India..
    Luyckx, Koen
    School Psychology and Child and Adolescent Development, KU Leuven, Leuven, Belgium.
    Budts, Werner
    Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium.
    Jackson, Jamie
    Columbus Ohio Adult Congenital Heart Disease Program, Nationwide Children's Hospital, The Ohio State College of Medicine, Columbus, OH.
    Kovacs, Adrienne
    Toronto Congenital Cardiac Centre for Adults, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada.
    Soufi, Alexandra
    Hospital Louis Pradel, Lyon, France.
    Eriksen, Katrine
    Oslo University Hospital, Rikshospitalet, Oslo, Norway.
    Thomet, Corina
    Center for Congenital Heart Disease, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Callus, Edward
    Clinical Psychology Services IRCCS Policlinico San Donato, Milan, Italy.
    Fernandes, Susan M.
    Stanford Hospital and Clinics, Stanford, CA.
    Caruana, Maryanne
    Department of Cardiology, Mater Dei Hospital, Msida, Malta.
    Cook, Stephen C.
    Adult Congenital Heart Disease Center, Heart Institute, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
    Mackie, Andrew S.
    University of Alberta, Edmonton, Alberta, Canada.
    White, Kamila S.
    Washington University and Barnes Jewish Heart & Vascular Center, and University of Missouri, Saint Louis, MO.
    Khairy, Paul
    Congenital Heart Center, Montreal Heart Institute, Montreal, Quebec, Canada.
    Kutty, Shelby
    University of Nebraska Medical Center/Children's Hospital and Medical Center, Omaha, NE.
    Veldtman, Gruschen
    Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
    Regional variation in quality of life in patients with a Fontan circulation: A multinational perspective2017In: American Heart Journal, ISSN 0002-8703, E-ISSN 1097-6744, Vol. 193, no Supplement C, p. 55-62Article in journal (Refereed)
    Abstract [en]

    BackgroundImpaired quality of life (QOL) is associated with congenital heart disease (CHD) and country of residence; however, few studies have compared QOL in patients with differing complexities of CHD across regional populations. The current study examined regional variation in QOL outcomes in a large multinational sample of patients with a Fontan relative to patients with atrial septal defects (ASDs) and ventricular septal defects (VSDs).MethodsFrom the Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease—International Study (APPROACH-IS), 405 patients (163 Fontan and 242 ASD/VSD) across Asia, Europe, and North America provided consent for access to their medical records and completed a survey evaluating QOL (0 to 100 linear analog scale). Primary CHD diagnosis, disease complexity, surgical history, and documented history of mood and anxiety disorders were recorded. Differences in QOL, medical complications, and mood and anxiety disorders between Fontan and ASD/VSD patients, and across geographic regions, were examined using analysis of covariance. Hierarchical regression analyses were conducted to identify variables associated with the QOL ratings.ResultsPatients with a Fontan reported significantly lower QOL, and greater medical complications and mood and anxiety disorders relative to patients with ASD/VSD. Inpatient cardiac admissions, mood disorders, and anxiety disorders were associated with lower QOL among patients with a Fontan, and mood disorders were associated with lower QOL among patients with ASD/VSD. Regional differences for QOL were not observed in patients with a Fontan; however, significant differences were identified in patients with ASD/VSD.ConclusionsRegional variation of QOL is commonplace in adults with CHD; however, it appears affected by greater disease burden. Among patients with a Fontan, regional variation of QOL is lost. Specific attempts to screen for QOL and mood and anxiety disorders among CHD patients may improve the care of patients with the greatest disease burden.

  • 99.
    Forsgren Gebring, Susanne
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Christensson, Tanja
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hedemalm, Azar
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Evaluation of the case method in nursing education2014In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, no 2, p. 164-169Article in journal (Refereed)
    Abstract [en]

    The case based learning (CBL) is a problem-based learning which engaging students and presenting them with learning-related and cognitive challenges. The purpose of the study was to elucidate nursing students experiences of the CBL as an educational tool in order to find out if it supports their learning. Qualitative content analysis was used and performed on the statements from nursing students’ course evaluations. Students perceived the CBL as an approach combining theory with practice which provides an overview of upcoming profession. Students gain adequate knowledge about patient care in reality and thereby enabling them to obtain a holistic understanding of patients health problems. Reflections related to case seminars widen students perspectives, improve their capacity for cooperation and help them to achieve long-lasting knowledge. This learning method offers nursing students an opportunity to enhance their judgment and critical thinking skills by applying theory in practice. Students gain adequate knowledge about patient care which may benefit patient care due to students acting professionally in their future role.

  • 100.
    Forsman, Berit
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sköra äldre patienters erfarenheter av akut återinläggning på sjukhus: Webbkollen - återinskrivna2016Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: Frail elderly is described as multi diseased, vulnerable, in need of medication and hospital care. The group of patients is a growing part of the population in the western world. Theories of patient centered care, health literacy and hand over problems are also described in the background. Aim: to describe a group of frail elderly patients experiences of hospital readmission and identify possible organizational flaws. Method: Qualitative data was collected from 20 patients during their second visit at the hospital and a content analysis was performed.

    Results: Findings were; experiences of ill being ever since the first hospitalization period due to not being well enough, being sent home to quickly or relatives not being strong enough to handle the situation. Experiences of not being informed or being informed in a noisy surrounding about the given care, and how to rehab when returning home. Findings also described situations of misunderstanding related to informant´s present medication and finally a need for appropriate discharge calls for the frail elderly patient. Conclusion: The results highlight a need to act according to the patient´s legal rights to be informed and participate in the decision-making. An implementation of patient centered care can make it possible. An increased number of nursing specialists in the elderly care might also lead to improved continuity and give support to the frail elderly.

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