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  • 1.
    Aasen, Elin M.
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Nilsen, Halvard K.
    Clinic of Cancer and Rehabilitation, Møre og Romsdal Hospital Trust, Aalesund (NOR).
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Helberget, Lindis K.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Kjelsvik, Marianne
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    From open to locked doors - From dependent to independent: Patient narratives of participation in their rehabilitation processes2021In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 30, no 15-16, p. 2320-2330Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: The present study aimed to explore patients' experiences of participating in their rehabilitation process in the context of specialised rehabilitation in Norway.

    BACKGROUND: The rights of patients to participate in their care and treatment is an ideology that underlines newer international and Norwegian public documents. However, there is a gap between policy statements and clinical practice, and a discrepancy between patients' and professionals' statements about patient participation in rehabilitation.

    DESIGN: A qualitative approach with a narrative design.

    METHODS: Eleven patients were individually interviewed to tell their stories about the rehabilitation processes. We utilised narrative analysis with a three-dimensional space narrative structure including temporality, sociality and spatiality. This study followed the COREQ checklist.

    RESULTS: The analysis identified two throughout plots: 'person-centred culture' and 'time', and three plots which constructed how the patients participate in change through the rehabilitation process: (a) dependent-'open doors'; (b) motivation from within; and (c) independence-'locked doors'.

    CONCLUSIONS: Patient participation in rehabilitation was dependent on person-centred cultures in the unit and on different aspects of time. The dialogue and the power balance between the patients and the health personnel changed as the rehabilitation progressed. Motivation for rehabilitation had to come from within patients. The paternalistic ideology did not seem to dominate the specialised rehabilitation unit in the present study.

    RELEVANCE TO CLINICAL PRACTICE: This study gives new insight into how patients participate in change in the rehabilitation process. This can be valuable for healthcare professionals and governments. Insight into how the lack of person-centred focus can harm the rehabilitation process, and a deeper understanding of the meaning of time in the rehabilitation process is essential. These results may provide a stimulus for discussions on how patients might participate in their rehabilitation process.

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  • 2.
    Aasen, Elin Margrethe
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Dahl, Berit Misund
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Ottesen, Aase Marie
    Aalborg University (DNK).
    Strunck, Jeanne
    Aalborg University (DNK).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vestgarden, Lisbeth Alnes
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Tengelin, Ellinor
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Health Sciences, Rehabilitation Science, Mid Sweden University.
    Scandinavian Online Cancer Information as Expressions of Governmentality2023In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 46, no 3, p. 293-305Article in journal (Refereed)
    Abstract [en]

    We compared online distributed information provided to patients with cancer in Scandinavian countries through the lens of governmentality. A secondary comparative qualitative analysis was conducted. Discourses in online patient information showed differences in governmentality techniques across the countries: Norway used a paternalist approach, Denmark an educative approach, and Sweden an individualistic approach and expected the patients to make the “right” decisions. Online information for patients with cancer in Denmark and Norway showed high professional and health care system involvement, whereas in Sweden, there was high patient involvement. There was almost no use of the person-centered approach among the online discourses

  • 3.
    Abdallah, Amira
    et al.
    University West, Department of Health Sciences.
    Abdi Goukmahi, Sima
    University West, Department of Health Sciences.
    Ungas sexuella hälsa: En systematisk litteraturöversikt om skolsköterskans samt barn och ungdomars perspektiv2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Good health includes sexual health fulfilled and preserved through respect for the individual's sexual rights. Sexuality has no fixed definition and can be influenced by factors such as biological, social, cultural, and religious. The school nurse has a vital role butlacks the tools and skills to hold conversations about sexual health with children and adolescents. Research shows that the school nurse lacks knowledge, tools and cooperationregarding teaching about sexual health. Other studies show that children and adolescents want school nurses to be more included in sexual and reproductive health education. The aim wasto shed light on sexual health from the perspective of school nurses and children and adolescents. Method: A systematic literature review with an inductive approach was chosen based on Polit and Beck (2020). Eight qualitative studies were analyzed based on qualitative content analysis according to Lundman & Graneheim (2017). The results are presented in three themes: Perspectives on how sexual health is communicated, shared and mediated; Communication in conversations and Obstacles in conversations. Conclusion: The school nurse's work with sexual health continues to be complex and there is a need for knowledge and development in various areas. In addition, children and young people lack up-to-date and adapted information for today's meaning of sexual health and for their level of development. The meeting and conversation about sexual health between the school nurse and children and young people is made possible by adapted spaces for the school nurse's work, maintenance of integrity and confidentiality, choice of attitudes and language in the meeting and the skills of the school nurse. In addition, cultural and religious backgrounds influence children's and young people's perception of sexual health, therefore it is important to give them the opportunity to talk about it.

  • 4.
    Abdel Ahad, Nahla
    et al.
    University West, Department of Health Sciences.
    Lundberg, Sofia
    University West, Department of Health Sciences.
    Att leva med typ 2 diabetes: en scoping review om patienters perspektiv2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes Mellitus is a disease that 537 million adult people lived with in 2021. Themost common type of diabetes is type 2 diabetes (T2D) which is found in 95 percent of those with diabetes. The disease can be defined as a metabolic disorder in the body that leads to the body's cells being unable to satisfy themselves glucose, resulting in glucose accumulating in the blood and producing elevated blood sugar values. Living with T2D means an increased risk of dying. In 2021, the diabetic disease resulted in 6.7 million deaths. There is also a risk of developing diabetes-related complications, both acute and long-term, which can lead to an impaired quality of life. Person-centered care is a central part of health care, by working based on the person's wishes and needs, the person's self-care is improved and strengthened. Performing self-care can reduce both morbidity and mortality, as well as increase health and well-being. Self-care can be, for example, following recommendations on diet and physical activity. However, self-care can be difficult as the result can be seen only in the long term, which causes motivation to drop.

    Aim: The aim of this study was to highlight patients' perspectives of living with type 2 diabetes.

    Method: To answer the purpose of the study, scoping review was used. The method is used to map literature in a particular area. Data was retrieved from three different databases where 21 articles were considered to respond to the purpose of the study and met the inclusion criteria. The articles were then analyzed through a thematic analysis.

    Results: The result revealed four themes and nine sub-themes. The first theme is the importance of self-care, where it turns out that lifestyle change, barriers and digitalization affect self-care management. The second theme is the role of care, where it emerged that knowledge and relationship with health care is considered important for people with T2D. The third theme; social life, describes how people with T2D can be affected both positively and negatively by family and friends. The last theme the impact of the disease on the body and mind, emphasizes how the disease affects the person's well-being. It was clear that many people with T2D experience negative emotions related to the disease, such as worry, shame and frustration.

    Conclusion: The results of the study show that people with T2D can face many challenges in life that affect self-care management and well-being. It is clear that people with T2D experience the disease in different ways and have different needs. This suggests that health care should work to develop the person-centered approach

  • 5.
    Abdi, Fartun
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Khaloufi, Siham
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Faktorer som hindrar sjuksköterskan inom hälso- och sjukvården från att göra en orosanmälan på barn2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It's a fundamental principal to protect children's rights. Through legislation, child abuse has been prohibited in many countries. Nurses working with children has a frontline role in identifying and reporting suspected or known child abuse. Mandatory reporting is one of the nurse's duty, reluctancy to report can lead to misconduct but it also leads to children suffering.

    Aim: The purpose of this degree project was to identify factors preventing nurses from mandatory reporting of children in health care.

    Method: A literature study based on using and analysing nine qualitative articles.

    Results: Three themes emerged in the result. The first theme was knowledge deficit, with two subthemes which were the need of education of signs and symptoms and the other subtheme was insufficient experiences. The second theme was nurses strained work environment with three subthemes. The first subtheme was the lack of routines, the second one miss information and the third one lack of cooperation and communication. The third theme consists of two subthemes, which were the lack of emotional support and the experience of fear. The results showed that nurses due to different factors relinquished from mandatory reporting. 

    Conclusion: The results highlighted that education and training was needed among nurses to gain knowledge on how to safeguard children and establish mandatory reporting. Thus, support from colleagues and managers agencies dealing with child safety was highly valued by nurses. Implementation of education, training and support could improve the cooperation in protecting children.

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  • 6.
    Abdishakur, Ilham
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mohamed, Mona
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av urinvägskateter och kateterassocierad urinvägsinfektion: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Health-related urinary tract infection is increasing every day as patients are treated with urinary catheters. Catheter-associated urinary tract infection does not only cause suffering, prolonged patient care time and increased health care costs, but also overuse of antibiotics. The most common reasons why urinary tract catheters needs to be used are difficulties in empty the bladder and control urinary production. When inserting a catheter into the bladder the recommended method is the aseptic one, and meticulous hygiene routines must be applied. Nurses are responsible for observing early signs of urinary tract infection, documenting and ask how the patient experiences the urinary catheter treatment. Aim: The aim of this study was to illuminate nurses' experiences of urinary catheter and catheter associated urinary tract infection. Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was performed to get a better understanding of nurses 'experiences. Result: The results of the analysis are two main themes: Insufficient handling affects the patient and Varying insight about their own ability and limitations. Conclusions: Lack of communication between physicians and nurses threatens patient safety. Nurses have their own responsibility to manage effectively urinary tract catheters to prevent health-related urinary tract infection. There is a need for increased knowledge about the management of urinary tract catheters and the consequences of a catheter-associated urinary tract infection. Time for training and reflection should be planned in departments. For example, there may be hospital-wide education offered, which could be obligatory.

  • 7.
    Abdulhalim, Zainab
    et al.
    University West, Department of Health Sciences.
    Ibrahim, Linda
    University West, Department of Health Sciences.
    Vuxna individers krigsupplevelse i barndomen: En integrerande sammanställning av kvalitativ forskning -inspirerad av metasyntes2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The experiences of war in childhood can have negative consequences throughout life. War consists of brutal violence against civilians, even though the Fourth Geneva Convention and the UN Convention on the Rights of the Child exist to protect individuals. During war, children also live in unsafe environments, and war brings deterioration and limitations to children's lives. These restrictions can mean that children are not allowed to play and go to school. Good experiences in childhood are important for the brain to develop positively. Due to the unsafe environment, there are risks that the development of the brain will be negative. It can lead to trauma and mental illness.

    Aim: The purpose is to explain the experiences of adult individuals of having lived in war in their childhood. 

    Method: The method that has been used in this study is an integrative compilation of qualitative research inspired by meta-synthesis. By systematically searching for literature, seven articles were found that answered the purpose. The articles were analyzed which resulted in two themes and six sub-themes.

    Results: In the result, two themes and six subthemes are reported. The first theme was "experiences of uncertainty" and the subthemes to it were "fear", "betrayal" and "sorrow". The second theme was “the feeling of not being enough” and the subthemes to it were “helpless”, “abandoned” and “guilt and shame”.

    Conclusion: In this study, war environments have been shown to cause negative feelings in people who have experienced war in their childhood. These negative experiences have a direct connection to children's lack of safety in terms of support and the presence of adults in war environments.

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  • 8.
    Abdulkader, Jasmin
    et al.
    University West, Department of Health Sciences.
    Wehlander, Linnéa
    University West, Department of Health Sciences.
    Vid livets slut: vuxna patienters upplevelser av palliativ vård2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Over 40 million people around the world suffer from incurable illness or injury each year and need palliative care. The patient experience of end-of-life care needs to be illustrated, to make the healthcare better. There is little knowledge about the social, psychological, and existential dimensions of palliative care. Therefore, it is of relevance that the nurse has knowledge about the patient’s experiences, to be able to offer a better care. 

    Aim: The aim of this study was to describe adult patients’ experiences of palliative care. 

    Method: The study was based on a literature study, that had a qualitative approach. Ten scientific articles were searched and selected from databases Cinahl and PubMed, with inclusion criteria's adults, English language, year 2012-2022. The articles were analysed using Friberg’s (2017) five steps process. 

    Results: Three major themes emerged: safety and its impact, the significance of the relationship to healthcare staff, and the impact of palliative care. The patients expressed the value of a good communication with the healthcare staff, to enable feeling safe, seen and understood. Patients better understanding of palliative care resulted in feeling secure. And through receiving practical help, they maintained autonomy and self-determination. 

    Conclusion: This study emphasized that patients' experiences of receiving palliative care is important to uptain a good quality of life. Whereas person-centered care, good communication skills, and good quality of care are central parts. 

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  • 9.
    Abdullahi, Nimo
    et al.
    University West, Department of Health Sciences.
    Belay, Luwam
    University West, Department of Health Sciences.
    Vid livets slut: Sjuksköterskans upplevelse av existentiella samtal med både patienter och deras anhöriga : En litteraturstudie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To work in Palliative Care can be difficult and challenging for nurses, in which they meet existential issues concerning life and death. This requires nurses to meet the patient's relatives to discuss these issues. Nurses have the responsibility to invite patients and their relatives to converse about existential issues.

    Aim: To describe the nurse’s experience of existential conversation with both patients at the end of life and their relatives.

    Method: The study was based on a qualitative literature study with ten scientific articles. The articles were searched from databases Cinahl and PubMed. Friberg’s five-step model was used to analyze the articles.

    Results: Through the analyses, three major themes were formed: The experience of communication in existential conversation described meaningful and important to be attentive and active listening. The experience of vulnerability described the feeling of fear, anxiety and despair and the feeling of inadequacy and powerlessness. The experience of factors that influence existential conservation that described the lack of time and own experience and experienced colleagues who provide better conditions to perform the conversations.

    Conclusion: Nurses experienced different emotions while providing an existential conversation. Conservation about existential needs to alleviate the patients and their relatives' suffering experienced as meaningful. While the feeling of inadequacy and powerlessness to alleviate the patient’s suffering and the feeling of fear, anxiety and despair about their own death and life created negative emotions in nurses that lead them to feel more vulnerable.

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  • 10.
    Abdulle, Hafsa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Abdulazisova, Marijam
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Demens: En familjesjukdom: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a growing health problem that not only affects the individual but also their relatives. Symptoms cause impairment to varying degrees making life difficult for both the individual and their relatives. At first the demented person may be able to cope by himself but often need assistance from family member and healthcare the further down into the disease. Aim: The aim of the study was to describe experiences of being a relative of a person afflicted with dementia, Method: A literature-based study was performed based on ten scientific qualitative studies. Result: Three themes with seven subthemes emerged from the analysis: to get support, a changed relationship and a need for information and education. Conclusion The results showed that a change happens within the relationship to the demented person and that relatives needed support from different places and information and education to manage the changes and their health. The result clearly shows that being a relative to a demented person comes with hardships and changes to one daily life. To be able to withstand the hardships and changes relatives need support throughout the entire disease. They also need information and education about the disease itself but also about death and its process. The nurse has a vital role to support and provide tools for the relative’s wellbeing

  • 11.
    Abrahamsson, Anna-Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Severinkangas, Martin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patienter som riskerar att falla mellan stolarna: En kvalitativ intervjustudie om specialistsjuksköterskans erfarenheter av att vårda patienter med prediabetes inom primärvården2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Prediabetes is a condition where the blood sugar levels are higher than normal but below the level that allows the use of diabetes as diagnosis. If not addressed, there is an increased risk of developing type 2 diabetes, which increases the risk of cardiovascular disease and premature death. The incidence of type 2 diabetes is increasing rapidly worldwide and is expected to affect 592 million people by 2035. Preventing diabetes is therefore of great importance in reducing diabetes-related costs for both the individual and the society.

    Aim: Specialist nurse´s experiences in caring for patients with prediabetes within primary care

    Method: Qualitative interview study with inductive approach where seven semi-structured interviews were conducted. The interviews were transcribed and analyzed with qualitative content analysis.

    Results: From the analysis seven subcategories and three categories emerged, to identify patients with prediabetes, the specialist nurse role and responsibility and we can do more. The specialist nurses described their caring for patients with prediabetes as an important mission considering the health of the patient but also considering the society and health center perspective. The experiences of the specialist nurses showed that efforts for patients with prediabetes had low priority within primary care. By creating clearer guidelines the specialist nurse's perception was that the care towards patient with prediabetes would be better and more equal. They felt that the knowledge and the instruments already exist, but the resources were missing.

    Conclusion: By creating clearer guidelines on the care of patients with prediabetes the experience of health could be strengthened, and the prevalence of type 2 diabetes could be reduced. More directed control of the primary care towards these patients would give more equal care and set a higher priority for prediabetes within the health center.

  • 12.
    Abrahamsson, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Edvardsson, Linnéa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av arbetsrelaterad stress på akutmottagningen: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to the World Health Organization, stress is a threat to global health, where there is an increase in healthcare personnel. Previous studies show that the nurses in the emergency room are extra vulnerable. Internationally, major challenges in modern emergency department are seen as a result of overcrowding and extended stay times.

    Aim: The purpose was to examine the nurse's experiences of stress in work at the emergency department.

    Method: A qualitative literature study was selected to describe nurses' experiences of stress following traumatic events in emergency department. Qualitative studies increase the understanding of the individual's experiences and needs, and how this affects the individual's health.

    Results: The result shows that stress at the emergency department is a common problem. Complex care situations, high workload, lack of experience and conflicts in the working group were factors that lead to stress. Effects on physical and emotional health also emerged. Stress can affect the nurse and the quality of care.

    Conclusion: The nurse at the emergency department is often exposed in a work environment where stress is common. Therefore, it is important for the nurse to receive support from work management and colleagues in order to be able to handle situations that may lead to impaired patient safety as well as the health of the nurse.

  • 13.
    Abrahamsson, Moa
    et al.
    University West, Department of Health Sciences.
    Nilsson, Ann
    University West, Department of Health Sciences.
    Sjuksköterskors erfarenheter av samtal om sexuell hälsa och sexualitet med vuxna patienter: En litteraturöversikt2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual health is an important aspect of people's general experience of health and wellbeing. Conversations about sexual health and sexuality are included in nurses overall nursing responsibilities and can be linked to several areas of competence within nursing. Nurses has a key role in identifying and addressing illness and problems related to sexual health. Despite this, patients express lack of information and dialogues with nurses about sexual health and sexuality. In order to contribute to a good and satisfactory nursing from a holistic perspective and promote patients' health and well-being, it is necessary that nurses include conversations about sexual health and sexuality in their professional practice.

    Aim: The aim of this literature review was to examine nurses' experiences of conversations about sexual health and sexuality with adult patients.Method: The literature review withheld 12 scientific articles of both a qualitative and quantitative approach. The articles underwent a quality review and analysis. Articles have been systematically searched in the databases Cinahl and PubMed/Medline.

    Results: Nurses experiences of conversations about sexual health and sexuality with adult patients are presented under three categories: "Difficult to talk about sexual health and sexuality", "Unfavourable working environment" and "Clear priorities".

    Conclusion: Sexual health and sexuality are topics that many nurses find difficult to raise during conversations with patients. It is necessary for nurses to be self-aware and reflect on their own norms, attitudes and beliefs linked to patients' sexual health and sexuality. Nurses needs additional understanding, of their professional responsibility and knowledge of sexual health, to promote a person-centred care. Furthermore, it is essential that nurses are providedwith conditions such as time, private spaces, and written guidelines/routines in their working environment.

  • 14.
    Abrahamsson, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Härnälv, Matilda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med långvarig smärta vid fibromyalgi: en litteraturbaserad studie om kvinnors upplevelser2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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  • 15.
    Adam, Christina
    et al.
    1 St. Savvas Anticancer Hospital, Athens, Greece.
    Patiraki, Elisabeth
    National and Kapodistrian University of Athens, Athens, Greec.
    Lemonidou, Chryssoula
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Radwin, Laurel
    Research Health Scientist, Center for Health Care Organization and Implementation Research, Boston VA Health Care System, Boston, MA USA.
    Charalambouss, Andreas
    Cyprus University of Technology, Department of Nursing Studies, Limassol, Cyprus and Docent, University of Turku, Department of Nursing Science, Finland.
    Charalambous, Melanie
    Cyprus Ministry of Health, Nursing Services, Educational Sector, Nicosia, Cyprus.
    Berg, Agneta
    University West, Department of Health Sciences, Section for nursing - graduate level. Kristianstad University, Kristianstad.
    Sjövall, Katarina
    Skane University Hospital and Medical faculty, Lund University, Sweden.
    Katajisto, Jouko
    Statistician University of Turku, Department of Mathematics and Statistics, Turku, Finland.
    Stolti, Minna
    University of Turku, Department of Nursing Science, Turku, Finland.
    Suhonen, Riitta
    University of Turku, Department of Nursing Science/Turku University Hospital and City of Turku, Welfare Division, Turku, Finland.
    Quality of nursing care as perceived by cancer patients: A cross-sectional survey in four European countries2017In: Balkan Union of Oncology. Journal, ISSN 1107-0625, Vol. 22, no 3, p. 777-782Article in journal (Refereed)
    Abstract [en]

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

  • 16.
    Adamsson, Jenny
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Malmqvist, Annika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser som påverkar nattsömnen hos patienter med cancerdiagnos: En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: World Health Orginazation (WHO) reported that cancer is the second leading cause of death globally with estimated 9.6 million deaths in 2018. Sleeplessness is a common problem for people with a cancer diagnosis. Humans sleep around eight hours a day which adds up to a third of life. It is the responsibility of nurses to see to the nursing of patients, including sleep. Limited sleep can lead to a greater risk of contracting immunological diseases. In Swedish hospitals there are few guidelines for handling sleeplessness with patients, therefore a study regarding factors influencing sleep negatively is important for the nursing profession.

    Aim: The aim of this study was to describe experiences that influence night sleep for patients with a cancer diagnosis.

    Method: The method for this study is a literature review using quantitative and qualitative articles.

    Results: Among the factors that influence sleep, the most common were pain, urinary and bowel issues, depression, anxiety, social constraints and cancer related loneliness.

    Conclusion: The conclusion of the study is that more guidelines regarding sleep is necessary for the development of nursing.

  • 17.
    Adelbrant, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I väntan på organtransplantation: En tillvaro i skärselden2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Since the first successful organ transplant in 1954 performed by the surgeon Joseph Murray this procedure has become the most effective treatment of organ failure. Although the majority has a positive attitude towards organ transplantation, the supply does not meet demand. As a result of this the patients sometimes must wait years for a new organ and some of them dies while waiting.

    The aim of this study was to describe patients experiences of waiting for an organ transplant and the method used was a literature study.

    Result shows that these patients went through physical, psychological and financial changes during the waiting time. Patients described mixed emotions and different ways of perceiving hope. They long for a "normal" life and the waiting gets harder over time. It's essential for the patients that both they and their next of kin gets repeated and continuously information during the waiting time.

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  • 18.
    Ademaj, Frijeta
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kollqaku, Donika
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Män som offer för våld i nära relationer2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract Men are exposed to violence in close relationships in both same-sex and heterosexual relationships. Men who are exposed to violence stated that they were exposed to psychological violence rather than physical violence. Psychological violence can be about verbal attacks, isolation, jealousy, threats of physical violence, threats of divorce and destruction of personal property. Men who have been subjected to violence by their partner may develop mental illness. Most men find it difficult to say that they are exposed to violence because of society's gender norms which say that the man must be strong, independent and have self-confidence.

    Aim The aim of this study was to describe men’s experiences after being exposed to violence in close relationships.

    Method A literature-based study with systematic searches, in which eight articles were selected.

    Results The results have shown that men who are exposed to violence in close relationships isolated themselves, had suicidal thoughts, low self-esteem, increased fear and mental illness. Men also stated that they did not dare to talk about their situation to others around them. This was mainly because others did not trust them, but it also had to do with society's gender norms.

    Conclusion Men also fall victim to violence in a close relationship and the impact can mean great psychological strain on the man. Isolation, fear, self-esteem, suicidal thoughts and mental illness were identified in the results. The most common consequences after the violence were isolation and fear. When it comes to mental illness, post-traumatic stress disorder was the most common.

  • 19.
    Ademi Salihi, Valjbone
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Buleshkaj, Arjola
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienter med psykisk ohälsa och deras upplevelser av kontakten med vårdpersonal inom hälso- och sjukvård2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is defined differently depending on the context, ranging from symptoms of anxiety and depression to schizophrenia. Mental illness among the population has increased since 1990. A survey done by the Central Bureau of Statistics in Sweden (2006) shows that issues such as anxiety are more common now than before. Twenty-three percent of women aged 16-84 said they had experienced symptoms of anxiety. Thirteen percent of the men aged 16-64 said they had experienced the same. Pre-conceived notions often meet people with mental health issues and there is a stigma surrounding them and their situation.

    Aim: The aim of the study was to examine how patients with mental illness experience their contact with health care professionals in health care.

    Method: The study was designed as a literature based study. Eleven articles were analyzed, nine articles were found by a systematic search and two articles were found in an unsystematic search.

    Results: This study showed two main themes and eight subthemes. The main themes were patients desire to have a good relationship and good interaction with health care professionals. The subthemes were patient confidence in health care professionals, a dedicated staff, patients desire to get person-centered care and to feel involved, to have good continuity in their health care and to have highly available health care professionals around them, to have a good dialogue, be actively listened to, competent health care professionals and being labeled.

    Conclusion: The conclusion is that patients that lack trust, commitment from health care professionals or continuity had bad experiences with the health care system. Patients needed to have a mutual relationship with the health care staff to have a good experience with the health care system.

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  • 20.
    Adhikari, Ayush
    University West, Department of Health Sciences.
    Enhancing Vulnerability Management in Large Organisations through Machine Learning - Based Prioritisation: A Case Study2023Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The number of vulnerabilities is increasing daily, and organisations are flooded by vulnerabilities in their IT environment. The increasing number of vulnerabilities in organisations' IT environments presents a significant challenge, requiring effective identification and prioritisation of critical vulnerabilities. Different techniques exist to this date, such as CVSS scoring or Risk-based scoring from solution providers to perform prioritisation of vulnerabilities. However, large industries with extensive assets often face difficulty in managing and fixing a large pool of vulnerabilities, as traditional techniques tend to classify numerous vulnerabilities as high or critical. This study proposes a machine learning model based on the K-means++clustering technique that leverages vulnerability data and asset financial value assessments to find patterns within vulnerability and group the most critical vulnerabilities. Our study successfully determined a group of the most critical vulnerabilities from a sample dataset of vulnerabilities from one of the large organisations. By considering the financial value of assets, our solution demonstrates a more accurate prioritisation, enabling organisations to allocate resources effectively and address the most critical vulnerabilities first. This study enhances vulnerability management practices in large organisations and serves as a foundation for further research and development in vulnerability prioritisation using machine learning techniques

  • 21.
    Adler, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Askeröd, Therese
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att möta barn och deras föräldrar inom hälso- och sjukvården2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research have shown children to be a large patient group within the health care sector. Nurses, should therefore, have knowledge about how to individually adapt meetings so it will be a positive experience for the child, the parents, and for themselves. Historically, this has not been the case and created immense care suffering for several families.

    Aim: The aim of this study was to illuminate nurses' experiences of meeting children and their parents within the health care sector.

    Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was performed. An analysis of nine scientific articles was carried out. The analysis resulted in three main themes and eight subthemes.

    Results: The main themes were: "To see the child as an individual", "to built trust", and "knowledge and experience are crucial". Knowledge were fundamental for creating a positive meeting.

    Conclusion: By individually adapting communication to the child and the parents, good conditions allowed for a trusting relationship to emerge. Time was needed to create a safe and trusting relationship. However, it did not always exist. With knowledge and experience the nurse could see the child as an individual and adapt the meeting to the child. It was the responsibility of the nurse to gain the necessary knowledge, and to reflect with colleagues was seen as an important source to attain new knowledge.

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  • 22.
    Adolfsson, Per
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lindqvist, Åsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Humor i byggandet av vårdrelationen mellan sjuksköterska och patient: En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Humour has been a part of mankind since ancient time and affects the human being in several ways. Communication is essential in creating a relationship and humour may improve the possibility that a nurse and a patient succeed in building a therapeutic relationship.

    Aim: The aim of this literature review was to illuminate humour in the therapeutic relationship between nurse and patient.

    Method: The method used was a literature review. Systematic searches were conducted in the databases Cinahl and PubMed where eight articles were found, a ninth article was found by a non-systematic search. The articles were then analyzed through Friberg's five-step model for literature reviews.

    Results: Four themes occurred. Humour as a brick in building a bridge in the therapeutic relationship, Experiences and effects of humour in the therapeutic relationship, Barriers and fears when using humour in the therapeutic relationship and Gender and humour in the therapeutic relationship. The result suggests that humour is useful in building a therapeutic relationship and is being used frequently, yet there are times when nurses hesitate to use humour due to the lack of experience. There also occurred a difference in how humour is used due to the gender of the patient.

    Conclusion: Humour is mainly a positive experience in the therapeutic relationship and should be used as it makes communication easier and makes it easier for nurses and patients to bond. The way using humour differs in gender must be considered by the nurse.

  • 23.
    Afzali, Meysam
    et al.
    University West, Department of Health Sciences.
    Eitz, Nathalie
    University West, Department of Health Sciences.
    Patienters upplevelser av egenvård vid diabetes typ 2: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Diabetes type 2 is a public health problem that has increased throughout the world. Around 536.6 million people worldwide are affected by diabetes of which 95 % have diabetes type 2. In Sweden, there are approximately 460 000 people that have the diabetes type 2. Self- care is there for an important part of the treatment. Lifestyle changes are crucial for the health and well-being of individuals with Diabetes type 2, including dietary modifications and increased physical activity. By taking care of oneself through lifestyle changes, the risk of severe complications can be reduced. 

    Aim

    The aim of this study was to describe patients experiences of self- care in diabetes type 2.

    Method

    A literature review based on ten qualitative scientific articles, retrieved from databases PubMed and Cinahl. The literature has been analyzed based on Fribergs five-step analysis, which resulted in two themes and five subthemes. Results the primary factor, self-care is susceptible to emotional influences and concerns regarding the possibility of future complications. Patients perceived changes in physical activity and diet as challenging, influenced by their motivation and cultural background. Support and motivation from healthcare providers, family members, and other social connections can foster self-care. Being well-informed about their condition held significant importance. By exhibiting empathy towards each patient's unique encounter with diabetes, we can empower them to take charge of their own care. 

    Conclusion

    Patients with type 2 diabetes have different experiences and perceptions of self-care. Modified diet and increased physical activity can be both positive and negative experiences. Challenges with physical activity and barriers related to lifestyle and culture affect the implementation of changes. Understanding the importance of lifestyle modifications is crucial for patients' self-care. Social and professional support plays a significant role in helping patients manage these changes. Person-centered care and nursing support are essential for promoting health and self-care in individuals with type 2 diabetes.

  • 24.
    Ahang Lindgren, Mona
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kulldorff, Elsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser av att utbilda nydiagnostiserade patienter med diabetes mellitus typ 1 på sjukhus: En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 1 is a lifelong chronic disease, which means constant contact with health care. Newly diagnosed patients with diabetes mellitus type 1 are admitted to hospital for approximately four days, during which time they and their relatives receive sufficient education to cope with everyday life at home.

    Aim: To illuminate nurses' experiences of educating newly diagnosed patients with diabetes mellitus type 1 in a hospital environment.

    Method: Six qualitative, two quantitative and two mixed-method articles were analysed. The studies took place in a hospital environment where nurses played a vital role in education about type 1 diabetes mellitus.

    Results: Three themes emerged; Continuous staff training, which demonstrated that lack of time was the main reason for not having continuous staff training, Individualizing patient education, which illustrated the importance of individualized education for encouraging both patients and relatives to become more involved in the care and Working in a multi-professional team, which enabled nurses to individualize and take a person-centred approach to patient care.

    Conclusion: Overall, nurses cite lack of time as a common reason for inadequate care as well as the absence of education for both patients and nurses. Individualizing patient education with regard to age, family situation and previous knowledge increases the likelihood of a safe and secure discharge. In order to create safe patient care, multi-professional collaboration is necessary to allow nurses to focus on providing individualized and person-centred care.

  • 25.
    Ahlqvist, Cassandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lopez, Daniel
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att belysa personers erfarenheter av fysisk aktivitet vid depression: En litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Depression is a common mental disorder worldwide, that embrace more than 264 million people. Depression can lead impaired ability to perform everyday tasks such as work and school. Previous research has shown that physical activity can reduce depressive symptoms. The aim of nursing is for the patient to experience health. It can be fulfilled by the nurse supporting and teaching patients to find tools and motivating patients to self-care.

    Aim The aim of this study was to illuminate people's experience of physical activity in case of depression.

    Method A literature review based on the content of eight qualitative studies. Analyzed using a qualitative content analysis based on a five-step model to understand the experiences of depressed individuals.

    Results The findings revealed two main themes and five subthemes. The first theme was motivation has meaning with three subthemes to feel resistance, own and others influence, self-confidence has an impact. The first theme describes factors that either enabled or prevented individuals from performing physical activity. The second theme was contributing to recovery with two subthemes symptoms are alleviated and leads to recovery. The second theme describes that physical activity contributes to the recovery of depression, for example by increasing well-being.

    Conclusion The results of the literature study show that experiences of physical activity are largely positive among individuals with depression, such as improvement of depressive symptoms and increased well-being. In some cases, the depression aggravated, which manifested itself through stress and anxiety. Support from the environment was a factor that could motivate to physical activity.

  • 26.
    Ahlqvist, Clara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lundqvist, Lovisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet efter en brännskada: en litteraturstudie ur ett patientperspektiv2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Burns are a global problem and more people survive today. After a burn injury a long rehabilitation time can wait, both physical and psychological and little is known about the patients' experiences after a burn injury. 

    Aim: The aim of this study is to illuminate patients' experience of life after a burn injury. 

    Method: A method is used to contribute to evidence-based nursing, based on analysis of qualitative research. Data was collected from analyzing eleven scientific articles. 

    Results: Two themes with five sub-themes emerged. Results show that patients' experience increased vulnerability in relation to changes in the skin, the changed appearance and the mental stress. The feeling of pain, itching, stigmatization and anxiety are some of the experiences that create problems in everyday life. They also found that the experience of support and acceptance by the burned was part of the process of returning to life. 

    Conclusion: The result showed that suffering from a burn causes remaining problems after the injury. The patients needed support to be able to accept what happened and return to life.

  • 27.
    Ahlqvist, Malin
    et al.
    University West, Department of Health Sciences.
    Skoglund, Patricia
    University West, Department of Health Sciences.
    Sjuksköterskors upplevelser av att möta våldsutsatta kvinnor inom sjukvården2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Women are exposed to violence in intimate relationships much more than men and this is a global health problem. Nurses have a responsibility to identify violence in intimate relationships and meet these women in a professional way. Previous research indicates a lack of response from nurses towards women who experience violence in close relationships.

    Aim: The aim was to describe nurses´ experiences of meeting abused women in healthcare.

    Method: A literature-based study where eight articles have been analyzed through qualitative design with the support of Friberg's five-step model. 

    Results: The results showed that nurses experience a strong emotional impact in the meeting with the vulnerable women. They were worried about both women and themselves, which affected them privately. They had to suppress their feelings and they experienced professional dilemmas. It also emerged that lack of time and lack of knowledge was an obstacle to asking the vulnerable women the question. When knowledge and experience existed, a feeling of security was created.

    Conclusion: Based on this result, the conclusions can be drawn that nurses need additional knowledge about the topic of violence to feel secure in their professional role to meet and identify the women. It is also clear that nurses need strategies to deal with the emotional impact and to have clear guidelines for how the question of violence should be asked. 

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  • 28.
    Ahlstrand, Inger
    et al.
    Department of Rehabilitation, School of Health and Welfare, Jönköping University, Jönköping (SWE).
    Larsson, Ingrid
    School of Health and Welfare, Halmstad University, Box 823, S-30118, Halmstad (SWE).
    Larsson, Margaretha
    School of Health and Education, University of Skövde, Skövde (SWE).
    Ekman, Aimée
    Department of Social Work, School of Health and Welfare, Jönköping University, Jönköping (SWE).
    Hedén, Lena
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås (SWE).
    Laakso, Katja
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Lindmark, Ulrika
    Department of Health Sciences, Karlstad University, Karlstad; Centre for Oral Health, School of Health and Welfare, Jönköping University, Jönköping (SWE).
    Nunstedt, Håkan
    University West, Department of Health Sciences.
    Oxelmark, Lena
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sundler, Annelie J.
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås (SWE).
    Hallgren, Jenny
    chool of Health and Education, University of Skövde, Skövde (SWE).
    Health-promoting factors among students in higher education within health care and social work: a cross-sectional analysis of baseline data in a multicentre longitudinal study2022In: BMC Public Health, E-ISSN 1471-2458, Vol. 22, no 1, article id 1314Article in journal (Refereed)
    Abstract [en]

    Background: Educational environments are considered important in strengthening students’ health status and knowledge, which are associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach – namely, health promotion. The aim of this study was to describe health-promoting resources and factors among first-semester students in higher education in healthcare and social work. Methods: This cross-sectional study is based on a survey distributed among all students in seven healthcare and social work programmes at six universities in southern Sweden. The survey was carried out in 2018 using a self-reported, web-based questionnaire focussing on general health and well-being, lifestyle factors together with three validated instruments measuring health-promoting factors and processes: the Sense of Coherence (SOC) scale, Salutogenic Health Indicator Scale (SHIS) and Occupational Balance Questionnaire (OBQ). Results: Of 2283 students, 851 (37.3%) completed the survey, of whom 742 (87.1%) were women; 722 (84.8%) were enrolled on healthcare programmes, and 129 (15.2%) were enrolled on social work programmes. Most reported good general health and well-being (88.1% and 83.7%, respectively). The total mean scores for the SOC scale, SHIS and OBQ were, respectively, 59.09 (SD = 11.78), 44.04 (SD = 9.38) and 26.40 (SD = 7.07). Well-being and several healthy lifestyles were related to better general health and higher SOC, SHIS and OBQ scores. Multiple linear and logistic regressions showed that perceived well-being and no sleeping problems significantly predicted higher general health and higher SOC, SHIS and OBQ scores. Being less sedentary and non-smoking habits were significant predictors of higher SOC. Conclusions: Swedish students in higher education within the healthcare and social work sector report good general health and well-being in the first semester, as well as health-promoting resources (i.e. SOC, SHIS and OBQ), and in some aspects, a healthy lifestyle. High-intensity exercise, no sleeping problems and non-smoking seem to be of importance to both general health and health-promotive resources. This study contributes to knowledge about the health promotive characteristics of students in the healthcare and social work fields, which is of importance for planning universities with a salutogenic approach. © 2022, The Author(s).

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  • 29.
    Ahlstrand, Katarina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nordlander, Isabel
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att ha lämnat allt: En litteraturstudie om ensamkommande barns erfarenheter av att vara asylsökande2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During the recent years a great amount of unaccompanied children have arrived to Sweden. They constitute a vulnerable group since they lack the protection of an adult. Previous research shows that they often have traumatic experiences and suffer from mental health problems. Nurses need to be aware of these issues to be able to provide good care for the asylum seeking children. Aim: The aim of this study was to describe the experiences of unaccompanied children seeking asylum. Method: A literature review based on the content of six qualitative studies, four quantitative studies and two studies of mixed method. Results: The findings revealed four main themes; Being a survivor, Almost in safety, Mental vulnerability and Creating a new life. The results show that the children have survived war and persecution and have had to leave their families to search for safety. They have a great fear of being sent back and express a need for support and encouragement. It also appears that many of the children feel lonely and isolated and that a significant part suffer from mental health problems such as Post Traumatic Stress Disorder, depression and anxiety. The children strive to create a new network and to succeed. Conclusion: To be able to help unaccompanied children with traumatic experiences and consequences thereof, it is important for the nurse to build a relation based on trust. It is useful for nurses to engage a life-world perspective, since it includes a holistic view of the children and their lived reality.

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  • 30.
    Ahlström, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vahtera Eliasson, Katarina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Skolsköterskors tillvägagångssätt för att stödja flickor i grundskolan vars vårdnadshavare begränsar deltagande i hälsofrämjande insatser2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background According to the Swedish law "skollagen" the school shall encourage all children’s development and strive to mitigate differences in pupils individual conditions to utilize their education. The role of the school nurse is to proactively prevent illness amongst the pupils. With some girls, absence is high in physical exercises and their presence in other activities that aim for increased health is limited. This absence affects these pupils’ ratings and limits their chances of having physical activities, but it also reduces their possibilities to interact in social activities within and outside school.

    Aim The aim of this study was to describe school nurses’ approach to strengthen girls who are in a situation where their guardians restrict their participation in health promotive activities.

    Method This is a qualitative, descriptive study based on individual semi-structured interviews with nine school nurses. The transcribed interviews were subjected to qualitative content analysis.

    Results The school nurses had an active approach to create a mutual understanding between the girls, their guardians and the school. This was conducted by strengthening of democratic appraisals, finding new ways to reach girls and their guardians and finally building and widening the school nurses’ own competence in the situation.

    Conclusions: The studie shows that school nurses make use of the steering documents that exists within the school system in order to strengthen girls’ equality rights. A prerequisite for the school nurse to influence guardians and girls was to create a good relation for all of them. The school nurses were interested in understanding the family’s situation and their life experiences as well as inform about the core values of the school in order to create mutual understanding and build a foundation for further work based on each family’s situation. In the role of a school nurse it was not found viable to reach results only by informing the guardians and girls. Instead the school nurses tried to reach an open discussion with respect for both parties.

    Only through such a dialogue the school nurses argued that they could reach out and create the right conditions for a positive change to support the girls’ equality rights.

  • 31.
    Ahmed, Huda Taher
    et al.
    University West, Department of Health Sciences.
    Wehlie, Hodan
    University West, Department of Health Sciences.
    Sjuksköterskans erfarenheter av genomförd munvård inom äldreomsorgen: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bad oral health amongst elderly is very common. Diseases have a bad effect on oral health. Not caring for elderly person's oral health affects the ability to speak, eat and smile. Tooth ache,caries, gingivitis, and fungus are a few diseases that can occur due to bad oral health. The patient's suffering is something that can be prevented. Nurses have a responsibility to improve oral health amongst elderly. Therefore, it's a subject that needs to be lifted. The aim of this literature study was to describe nurses' experience of completed oral care within elderly care.

    The chosen method was a literature review with eight qualitative articles that had been reviewed with a quality template. Two main themes and five sub themes emerged. The two main themes were obstacles in nursing and strategies for improvement. The five sub themes were lack of knowledge, lack of time, lack of encounter, interprofessional collaboration and support from management. The care staff prioritized other tasks before oral care because oral care was a task that demanded time, knowledge, and experience. Increased knowledge and understanding of good oral health need to be highlighted because oral health is linked to general health.

  • 32.
    Ahmed, Shani
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Edow, Nasteho
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Närståendes upplevelser av sjuksköterskans stöd i palliativ vård: En litteraturstudie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care aims to improve the quality of life of patients who have life-threatening illnesses. When patients are diagnosed with serious illnesses, it is the intimate parties who are concerned about the patient's health. Intimate parties are the ones to provide care and therefore, they need social and emotional support from the nurses involved.

    Aim: To describe how intimate parties felt about nurses' support during palliative care.

    Method: A qualitative method was chosen as this was appropriate in addressing the aim of the study.

    Results: A literature based study was performed and ten empirical qualitative articles were analysed. The results were processed using the Friberg method of analysis. The result of this literature based study consists of two main categories of Emotional and Practical Support, as well as five subcategories. Intimate parties' sensations of being relieved and receiving tools that made it simpler to care for their loved ones were the focus of the practical help. Emotional support requires providing information as well as being present and supporting intimate parties after the patient has passed away.

    Discussion: A qualitative palliative care and sustained assistance for intimate parties before and after the death of the patient are dependent on intimate parties’ support

    Conclusions: During palliative care, it is crucial for the nurse to support the intimate parties. As a nurse, it is important to consider and respond to the needs of the intimate parties in order to provide them with the support they need in these hard times.

  • 33.
    Ahmeti, Arta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Torvaldsson, Ellinor
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelser av att vårda barn i palliativt skede: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Children in a palliative stage must be cared for based on their individual needs. The nurse must have the ability to prevent suffering, treat the guardians and child with respect, compassion and be able to meet their needs. For the nurse to be able to give the best care, the four cornerstones in palliative care are a fitting guide. These being communication, supporting relatives, relieving symptoms and being able to work in teams.

    Aim: The aim of this study was to describe nurses' experiences of caring for children in a palliative stage.

    Method: This study was literature based on an inductive approach. Ten studies were analyzed using Friberg´s five steps.

    Results: After the analysis two new categories and six subcategories emerged. The main themes were the caring relationship between the child and the guardians and professional challenges in palliative care of children. The nurses perceived the importance of being able to communicate with the guardians and child, as well as being able to cope with their own emotions. Several nurses expressed lack of education.

    Conclusion: The nurses experience shows that they have a tough job with different challenges and tasks. The work is giving but straining and changes need to be made to make it sustainable for the nurses. Better conditions are needed, for example increased education in communication. With the right support, education and coping strategies the ability to provide the right care for the child and guardians is possible

  • 34.
    Ahnlund Bäckman, Marianne
    et al.
    University West, Department of Health Sciences.
    Andersson, Simon
    University West, Department of Health Sciences.
    Patienters erfarenheter av att främja hälsa med livsstilsförändring vid hypertoni: En litteraturstudie2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: 1,3 billion people in the world suffer from hypertension, and it is considered a leading global risk factor for death and disability. Patients who are diagnosed with this condition are recommended to undergo lifestyle changes to reduce the incidence of secondary diseases.

    Aim: The aim of this study was to describe patients experience of lifestyle changes to promote health in hypertension.

    Method: An analysis method with a foundation in qualitative research was used to contibrute to evidence-based nursing. The authors utilized Friberg’s methodology of qualitative studies. This litterature-based study incorporates 10 qualitative articles.

    Results: This study found that patients encounter diverse barriers and factors in their experiences with lifestyle changes, Two themes emerged; 1: ‘Insight into the complexity of lifestyle changes’. Subthemes that emerged in this theme was; ‘Barriers and challenges’, and ‘Social and psykosocial factors’. 2: ‘Breaking old patterns and navigating through challenges’. Subthemes was; ‘Motivation’, Strategies and insights’, and ‘Finding support in one’s enviroment’.

    Conclusion:It is crucial for nurses to possess the necessary competence to structure person- centered lifestyle changes in consultation with patients and their specific conditions. Increased knowledge and education on this subject would likely enhance patients health, preserve their dignity and have a preventive effect against further complications

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  • 35.
    Ahrenkiel, Nina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Northman, Carina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att anmäla eller inte?: sjuksköterskors erfarenheter av att anmäla vid misstanke om barnmisshandel till socialtjänsten2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Each year there are thousands of children abused in Sweden. This can result in lifelong consequences not only for the children, but also for the society. Verified statistics show an increasing number of child abuse in Sweden in recent years. As per Swedish law, nurses are required to report child abuse, but despite the law requirement the studies indicated that reporting is not always done.

    Aim: The aim of this study was to describe nurses' experiences of reporting a suspected child abuse to social services.

    Method: A method to contribute to evidence-based nursing based on analysis of qualitative research was performed to deepen understanding. An analysis of eight qualitative research articles was carried out. The analysis resulted in four main categories and nine sub categories.

    Results: The main categories were: Worksite factors, barriers for not reporting, personal factors caused by the nurse, lack of or poor functioning cooperation with social services.

    Conclusion: This study indicates, that nurses need experience, training, support and information and also clear guidelines and feedback from social services.

  • 36.
    Akhlaghi, Taghi
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kjell, Alexander
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens upplevelse av att leva med trycksår: En litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Pressure ulcer are one of the most common healthcare injuries and is a challenge for healthcare professionals. A pressure ulcer occurs from pressure or shear or a combination of both and it is mainly the elderly who are at risk. Pressure-relieving aids are used to prevent the pressure ulcer. The patient's experience is important in the care in order to prevent the pressure ulcer. Not understanding the patient's experience can lead to missed care and actions which in turn can lead to serious consequences.

    Aim: To describe patient's experiences of living with pressure ulcers.

    Method: A literature study was performed. An analysis of eleven qualitative articles that focused on the patient's experiences of pressure ulcers were conducted.

    Results: Two main themes and six subthemes emerged. The result presents the two main theme: Physical impact and Mental impact. Physical impact describes that pressure ulcers are painful and limit patient's mobility, which leads to becoming dependent on nursing care. Mental impact describes that the pressure ulcer causes the patients to isolate themselves, become dependent of others and lead to feelings of hopelessness.

    Conclusion: Patients experienced that being dependent on others are difficult and they experienced feelings of worthless and incapable. The smell and pain of the pressure ulcer and its wound fluids impairs patient's self-esteem and wellbeing, resulting in social isolation and hopelessness.

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  • 37.
    Akhtar, Mojtaba
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahlström, Emilia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Närståendes upplevelser av sjuksköterskans kommunikation, stöd och bemötande i palliativ vård i hemmet2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care is an approach that aims to increase both the quality of life of patients and related parties, as far as possible, to relieve suffering and promote health at the end of life. Palliative care is based on teamwork, where relatives play an important role. Participation from related parties have a large significant role which is emotionally and physically exhausting. Communication and language is prerequisite understanding the experiences and realities of health and suffering.

    Aim: The purpose of this study was to illuminate the relatives experiences of nurse communication, support and treatment in a palliative care in the home.

    Method: The method is a systematic literature review of the basis of qualitative research, contributing to evidence-based nursing. A total of eight scientific articles have been used on studying closely related experiences.

    Results: The results show that relatives were in need of support from the nurse to participate in care. As well as communication and response from the nurse was important in how relatives experienced support and how this contributed to a good quality of care. The results are divided into two main themes and seven sub-themes.

    Conclusion: Inadequate communication and response from the nurse emerges and this led to the suffering and feeling of abandonment and disappointment among of the relatives. More research is needed on the basis of relatives perspectives because they became more involved in the care. Nurses need to increase their knowledge and understanding of communication and treatment of disease process and the dying process, as this can allow for better care. The relatives felt the support from the nurse as important.

  • 38.
    Akkaya, Melina
    et al.
    University West, Department of Health Sciences.
    Cao, Michelle
    University West, Department of Health Sciences.
    Sjuksköterskors erfarenheter kring hantering av egna känslor vid dödsfall: en litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There are around 90 000 deaths annually in Sweden, it is not unusual for nurses to encounter death in their work. Death can evoke many strong emotions; it is therefore of great importance that nurses’ can cope with their emotions. The aim of this study was to explore nurses' experiences in coping with their own emotions from patient deaths in inpatient care. The study was conducted as a literature-based study based on qualitative research. Ten articles from the databases Cinahl and PubMed, published 2013-2023 in English were included. The articles were analyzed using Friberg’s (2022) five step process. Two main themes were identified: coping strategies in case of death and aspects influencing the coping of emotions. The results showed that nurses coped with their emotions using different coping strategies which could be divided into three subthemes: coping with emotions through practical problem-solving, coping with emotions through distraction and coping with emotions by changing perspective. The results also showed that cultural and religious aspects affected the nurses coping, in both positive and negative ways. Some nurses found ways to cope with their emotions after they had gained experience within the field of deaths, while other nurses didn’t and expressed a feeling of not having enough knowledge about how to cope with their emotions. Therefore, nurses need education on how to cope with their feelings that occur in difficult situations such as deaths. 

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  • 39.
    Aksana, Sukhanava
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wilck, Samuel
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans preoperativa omvårdnadsåtgärder för att lindra patientens oro och ångest: en litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anxiety is a common and unpleasant emotional state that affects many patients while waiting for surgery. Anxiety is described as an undesirable feeling of nervousness caused of a potential threat. It is an uncomfortable state of mind and can elicit physiological responses. Adequate nurse interventions that relieve anxiety improve the patient's condition, which lead to better recovery.

    Aim: The purpose of this study was to describe the preoperative care, that can alleviate the patient's anxiety associated with surgery. Method: The method of study is a literature review of 12 scientific articles, of which 11 quantitative and one qualitative which cover nursing interventions that can alleviate preoperative anxiety. The search took place in the databases PubMed and Cinahl. This study was based on Friberg's model for the literature review.

    Results: Result of the study presents three categories that contain different care interventions to alleviate the patient's preoperative anxiety: auditory, physical, and informational. Six care interventions are described in total. Music and aromatherapy proved to be simple and cost-effective care interventions. Acupuncture, hand massage and heating can be considered more expensive in comparison, because they require additional staff training, equipment and require more time. Person-centred information helps the patient to better understand the upcoming operation, which is seen as a way to promote and protect the patient's well-being. Conclusion: Nurses should understand that it is important to reduce preoperative anxiety in patients. It is equally important that nurses can balance patient care needs and appropriate nursing interventions for each patient. Through active listening and attention to non-verbal signals from patients, nurses understand better the patient's needs and can decide which care interventions can reduce anxiety.

  • 40.
    Aksöz, Josef
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Katarina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    "Vi bygger järnvägen medan vi åker på den": En studie om arbetsrelaterad stress inom socialtjänsten, enheten för ekonomiskt bistånd2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Occupational stress is a growing problem in caring professions, with consequences such as mental and physical ill health for the individual, which in turn can lead to increased long-term sick leave. Research shows that long-term sickness caused by mental illness can be associated with working conditions, where individuals who work in caring professions tend to be more vulnerable.

    Aim: The aim with this study was to illuminate the social workers' experience of occupational stress within the unit of financial aid in the social service.

    Method: A qualitative study was performed where six respondents participated in interviews. Content analysis was used to analyze the interviews. 

    Results: Three themes emerged during the analysis; to feel pressure in the work situation, to feel support and to feel wellbeing. The result shows that workload and lack of time were factors that caused stress at work. A promoting factor was colleagues at work. Social workers experienced the tasks at work as meaningful but could sometimes feel insufficient.

    Conclusion: The findings of this study point out that social workers experience stress at work and it affects their physical and mental health. This study wants to increase knowledge of occupational stress which can be a profit for social workers in the financial aid. Prevention can help social workers to improve their health and wellbeing. New findings in this study point out that social workers highlights the absence from work as a contributing factor to experience stress at work.

  • 41.
    Al Timimi, Amir
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Burman, Kristina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av hög arbetsbelastning i sjukhusmiljö2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nurse’s workload can be affected by the work environment and the type of tasks performed in the workplace. Health issues and work-related suffering can be seen when the workload in considered high.

    Aim: The aim of this study was to illuminate the nurse’s experiences of high workload in hospital environment.

    Method: The design was a qualitative literature study with inductive onset. The data was collected from interviews in articles. The articles were searched systematically in 3 databases: PubMed, Cinahl and PsycInfo. Nine articles were obtained through systematic searches and one article was obtained through a non-systematic search, which made the analysis material consisting of 10 articles. Friberg’s 5-step qualitative analysis was used in this literature study.

    Results: The result was categorized into 3 main categories and 7 sub-categories. The main categories were: To affect the work environment, to distribute work tasks, to understand the consequences of inadequacy. The sub-categories were: To maintain communication and cooperation between staff, to master knowledge, to deal with lack of time, to maintain staffing, to protect nursing measures, to be stressed and frustrated, to feel physical exhaustion.

    Conclusion: High workload for nurses in hospital environment was caused by a non-optimal work environment, high number of patients and high number of work tasks. The nurses experienced deterioration in health due to high workload. 

  • 42.
    Alabaf, Setareh
    et al.
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology,Gothenburg, Sweden.
    Gillberg, Christopher
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology,Gothenburg, Sweden.
    Lundström, Sebastian
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology,Gothenburg, Sweden. Center for Ethics, Law and Mental health (CELAM), Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
    Lichtenstein, Paul
    Karolinska Institute, Department of Medical Epidemiology and Biostatistics, Stockholm, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Råstam, Maria
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Gothenburg, Sweden. Lund University, Department of Clinical Sciences Lund, Child and Adolescent Psychiatry, Lund, Sweden..
    Anckarsäter, Henrik
    University of Gothenburg, Center for Ethics, Law and Mental health (CELAM), Institute of Neuroscience and Physiology, Gothenburg, Sweden.
    Correction to: Physical health in children with neurodevelopmental disorders.2019In: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 49, no 1, p. 96-97Article in journal (Refereed)
    Abstract [en]

    The original version of this article unfortunately contained a mistake in Fig. 2 part labels, the label "d" was incorrectly labelled as "c" and the subsequent labels should be corrected as d, e, and f. The corrected Fig. 2 is given below.

  • 43.
    Alabaf, Setareh
    et al.
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Gothenburg, Sweden.
    Gillberg, Christopher
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Gothenburg, Sweden.
    Lundström, Sebastian
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Gothenburg, Sweden. Center for Ethics, Law and Mental health (CELAM), Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
    Lichtenstein, Paul
    Karolinska Institute, Department of Medical Epidemiology and Biostatistics, Stockholm, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Råstam, Maria
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Gothenburg, Sweden. Lund University, Department of Clinical Sciences Lund, Child and Adolescent Psychiatry, Lund, Sweden.
    Anckarsäter, Henrik
    University of Gothenburg, Center for Ethics, Law and Mental health (CELAM), Institute of Neuroscience and Physiology, Gothenburg, Sweden.
    Physical health in children with neurodevelopmental disorders2019In: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 49, no 1, p. 83-95Article in journal (Refereed)
    Abstract [en]

    With increasing numbers of children being diagnosed with neurodevelopmental disorders (NDDs) attention has been drawn to these children's physical health. We aimed to identify the prevalence of defined physical problems (epilepsy, migraine, asthma, cancer, diabetes, psoriasis, lactose intolerance, celiac disease, diarrhea, constipation, daytime enuresis, encopresis) in a nationwide population of 9- and 12-year-old twins subdivided into those with and without indications of NDDs. Parents of 28,058 twins participated in a well-validated telephone interview regarding their children's mental health and answered questions about their physical problems. The results indicate a high rate of physical problems in children with NDDs, particularly in those with indications of the presence of combinations of several NDDs.

  • 44.
    Al-Ali, Ariana
    et al.
    University West, Department of Health Sciences.
    Ragnestål, Elin
    University West, Department of Health Sciences.
    Sjuksköterskans erfarenheter av att vårda personer som uppvisar beteendemässiga och psykologiska symtom vid demenssjukdom: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The world has an ever-increasing age of the population, something that will not change in the future. Therefore, the proportion of elderly people and dementia will continue to increase. Approximately 90 percent of people diagnosed with dementia exhibit behavioral and psychological symptoms of dementia (BPSD). These symptoms can be difficult for nurses to cope with. Nurses often meet these people in different care contexts and departments. Therefore, it is essential that nurse's experiences of caring for people with dementia come to light.

    Aim: The purpose was to describe the nurse's experiences of caring for people with BPSD. 

    Method: The study was based on a literature study of articles with qualitative methods. The articles were found through systematic literature searches in the databases Cinahl and Pubmed and were from 2013-2023, were peer reviewed and written in the English language. The articles underwent a quality assessment and were analyzed in a five-step process.

    Results: The results were presented in two main themes: Aspects that facilitate care for people with BPSD. Aspects that complicate the care of people with BPSD. This was followed by six subthemes: The importance of person-centeredness and environmental adaptation. The nurses' own emotional reactions. Early identification of symptoms. Difficulties in communicating with people with dementia. Lack of knowledge. Lack of time due to high workload.

    Conclusion: The findings of this study indicate that knowledge, education, the workplace organization, and training were fundamental parts in caring for persons with dementia.

  • 45.
    Albinsson, Isac
    et al.
    University West, Department of Health Sciences.
    Heina, Malin
    University West, Department of Health Sciences.
    Ungdomars erfarenheter av att leva med diabetes mellitus typ 1: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 1 is a metabolic disease and an increasing health problem throughout the world. It’s extremely common among children and adolescents. It’s a complex diagnosis to deal with and treatment of diabetes mellitus type 1 involves daily blood sugar control and insulin injections. 

    Aim: The aim of this study was to describe adolescents’ experiences of living with type 1 diabetes.

    Method: A qualitative literature-based method with an analysis of qualitative research was selected . Nine articles from 2013- 2022 were analyzed and included in the result.

    Results: The analysis resulted in three themes and nine subthemes. The themes that emerged were: (1) A changed life situation that awakens emotions (2) The need for a functioning safety net in the encounter with the outside world (3) Dealing with a new everyday life.

    Conclusion: The results revealed that young people with diabetes mellitus type 1 had a feeling that they needed to adjust their lives to be able to live with the disease. The majority of the adolescents sought independence, as it was their main objective. It was evident that one of the biggest difficulties that the adolescents faced were the feeling of being the one to “stand out”. The surroundings impact on the everyday life were both positive and negative.

  • 46.
    Albinsson, Jenny
    et al.
    University West, Department of Health Sciences.
    Björn, Elin
    University West, Department of Health Sciences.
    Upplevelsen av att vara närstående under covidpandemin.: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The corona pandemic led to visiting restrictions which means that relatives were involuntarily separated from their loved ones, creating suffering for both parties. The nurse has an important social responsibility to see and include relatives in the person-centered care. Aim: To describe the relatives’ experience of being close during the corona pandemic. Method: A qualitative literature-based study. The articles were searched in the CINAHL and PubMed databases, which after analysis according to Friberg’s 5-step model resulted in tenselected articles which constitute the result. Results: The literature-based study resulted in 3 themes; Powerlessness and frustration during the corona pandemic, Loss and grief in time of COVID-19, Feeling of gratitude and dignity during the pandemic and 8 sub-themes; Fear of loved ones, Separation and bereavement, Lack of time affected the communication, Lost identity, Limited farewell, Lost time at the end of life, Having trust in care staff, Being confirmed as a relative. Relatives experienced a loss of contact with care during the corona pandemic. The nurse's empathic ability was important and made a difference, especially in cases of death. The next of kin wants to be recognized by the nurse as the significant part they are in their loved ones' lives and the person-centered care.Conclusion: The relatives' experience of being able to participate and be present in their loved one's care is something the nurse should consider and encourage as an important part of the person-centered care.

  • 47.
    Aldegren, Emelie
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Pettersson, Maria
    University West, Department of Health Sciences, Nursing Programme.
    Cancer förändrar allt!: Kvinnans upplevelse av bröstcancer2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One of ten women in Sweden will at some point in her life get breast cancer. In today's society, more women than ever before suffer from breast cancer, but the chance of survival increases. As a nurse, it is important to have knowledge about the woman's experiences of breast cancer in order to provide as optimal and individualized care possible.

    Aim: The aim of the study was to elucidate how the woman experience the first time with breast cancer.

    Method: A literature-based method is used to bring out the woman´s experiences of getting breast cancer. The results of the studies were analyzed using a qualitative content analysis consists of five steps. The analysis resulted in four themes and twelve subthemes.

    Results: The results showed that the woman are in great need of support, feeling anxiety and fear, experiencing an altered self-image, and that treatment hinders.

    Conclusion: The conclusion showed that regardless of the situation, it was important for the woman that someone always was there for them as support. An important aspect was the need for information to reduce fear and anxiety. Breast cancer affecting the whole of the woman's lives and she strove to reclaim as much as possible of her previous life. This could be difficult because of fatigue and other major changes the woman experienced after the treatments, both physically and mentally.

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  • 48.
    Alenklint, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wadstedt, Ann-Sofie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans kunskapsbehov inför mötet med den palliativa patienten: En litteraturöversikt ur ett sjuksköterskeperspektiv2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Knowledge of how the nurse relates to the palliative patient and how the nurses hould respond to palliative care situations is the basis for equal and fair care. Attention was paid to the variation in the treatment of the nurses towards the patients. The observation raised the question of what is required for nurses to feel comfortable in their competence and treatment.

    Aim: The purpose is to describe the nurse's knowledge in palliative care for the patient to receive a dignified ending.

    Method: The method chosen is a literature review to describe the knowledge in the problem area. The motivation of the chosen method is governed by the purpose and issues we have chosen. Literature overview means creating an overview of a limited topic but also compiling existing knowledge within the subject. In our case, nurses need knowledge in palliative care. In a literature review both quantitative and qualitative articles are used.

    Results: The results are divided into categories and subcategories and highlight that there is a need for knowledge in the nurse to feel confident in her professional profession in the care of palliative patients. The nurse's shortcomings can lead to the patient being cared for in palliative care not receiving a dignified death. The results address the desire for a palliative care course in nursing education and that attitudes are affected by the nurse's own feeling of fear and ignorance.

    Conclusion: The results of the study show that the nurse does not have sufficient knowledge of palliative care, which affects the quality of nursing. Cooperation with colleagues and support for each other is important for care and for the nurse to feel secure in her professional role. There are negative feelings in the nurse with a lack of knowledge and experience, which can negatively affect the nursing, which can create suffering for the patient and affect the end of life. Attitudes are affected by lack of knowledge but can also affect the patient's suffering.

  • 49.
    Alexandersson, Caroline
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vince, Cassandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Våld i nära relation: En litteraturstudie om sjuksköterskans upplevelser av att bemöta utsatta kvinnor.2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One third of all women in the world are exposed to violence, it is a global public health problem. Violence in a close relationship can be problematic to detect because signs of violence can appear in several different ways. The nurse area of expertise has a significant role when it comes to identifying women exposed to violence in order to be able to promote health. The nurse's response can be a crucial part of whether the woman dares to talk about her exposure to violence.

    Aim: The aim of the study was to describe the nurse's experiences of dealing with women who have been subjected to violence in a close relationship

    Method: A literature study based on a qualitative method where eight articles were analyzed with Friberg's five-step model.

    Results: The results of the literature study draw attention to factors that affect the nurse in the meeting with the woman exposed to violence in a close relationship. The results were divided into two main themes and five sub-themes 

    Conclusion: The meeting with the woman who is exposed to violence in a close relationship is experienced as complicated. Nurses need more knowledge, support and clear guidelines to feel confident in meeting the women. To be able to break preconceived notions and normsabout violence in close relationships, a broader awareness in society is needed.

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  • 50.
    Alfaro Guzman, Elaisis
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Prado Castro, Karen
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskans upplevelse av teamarbete på vårdcentralen2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background; The nurse often works in teams with other professional groups. Communication is a key factor for the collaboration in a well functioning team. The system theory is a useful to apply within teamwork at the health center, to better gain understanding of the roles and responsibilities of the team members. Studies show that there is a need to set aside time for team meetings and that the current lack of time in the health center has a negative impact on teamwork and patient safety. Therefore it is important to explore the nurse's experience of teamwork.

    Aim; Nurse's experience of teamwork in primary care.

    Method; A qualitative content analysis was used to analyse the data collection, where semi structured interviews were applied to elucidate the purpose of the study. The number of informants interviewed was 11 from four different health centers in four different municipalities.

    Result; Three categories emerged from the experience of teamwork at the health center. These were described as competence that provides security and that the work structure facilitates the team's workload and that there were impediments in the work. The result showed that the nurse felt that, with the right skills, the nurse could provide security to colleagues, patient and their relatives. An impediment was lack of time to conduct team meetings. This made it a challenge to plan for the patient's continued care. Despite this, the nurse did her best to prevent the patient from being adversely affected. It turned out that when the nurse structured up the day's work, the workload is facilitated and errands that arose got solved more quickly.

    Conclusions; The barriers in the development of the teamwork mentioned are lack of time and resources. In order to develop teamwork, additional communication tools are needed to facilitate communication within the team.

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