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  • Hermansson, Anna
    et al.
    University of Skövde, School of Health and Education.
    Jonsson Strandell, Charlotta
    University of Skövde, School of Health and Education.
    Faktorer som påverkar hälso- och sjukvårdspersonals följsamhet till riktlinjer vid MRSA på sjukhus: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Transmission of Meticillinresistenta Staphylococcus Aureus has increased in recent years, which places greater demands on health professionals’ adherence to guidelines for infection control. Several studies shows that adherence to guidelines is low which is causing the patient suffering and higher costs for healthcare service.

    Aim: To illuminate factors that influence health professionals’ adherence to guidelines on MRSA in hospital care.

    Method: This literature review is based on qualitative (n=3) quantitative (n=7) and mixed method (n=3) scientific articles.

    Findings: Four categories emerged; knowledge, work environment, organization and negative approach, with nine subcategories.

    Conclusion: To increase adherence to guidelines regarding MRSA, education, communication and information is required continuously. Increased knowledge would improve health professionals’ approach to patients, relatives and employees, which in turns create confidence in their profession. This might also create opportunities to reduce the staffs concerns of being infected or spreading the infection to family members. Healthcare service is facing a great challenge where understaffing, overcrowding and placement of equipment deficiencies. The organization has a significant responsibility to create structure and conditions for an active and committed leadership to improve factors that may affect the spread of MRSA.

  • Aregawi, Lydia
    et al.
    University of Skövde, School of Health and Education.
    Johansson, Wenhong
    University of Skövde, School of Health and Education.
    Patienters upplevelse av att leva med diabetes typ 2: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes is a chronic disease that can affect people of all ages. The disease causes suffering and even can affects patient’s quality of life. Ability for self-care is crucial to avoid the complications associated with diabetes.

    Aim: The study aims to describe patients' experience of living with type 2 diabetes.

    Method: The method chosen was a literature review consisting of 15 qualitative articles.

    Result: The result showed six themes; limitations in everyday life, evokes many emotions, the importance of self-care ability, the importance of knowledge and information, to be strengthened in the meeting with healthcare professionals and the need of support from their surroundings. Life with diabetes means a struggle with the requirements associated with disease management. Patients experience lack of motivation to perform self-care around the changes of living habits and management of disease. Knowledge results in an improved disease management. Patients express their need of information. Support from health professionals and environment facilitates patient’s daily life with diabetes.

    Conclusion: By understanding the experiences of patients living with diabetes, healthcare professionals can identify each individual's needs and expectations, and thereby offer a person-centered care. Health care professionals have a crucial role in promoting patients' ability to manage their illness and experiencing wellness.

  • Schmidt, Bernard
    et al.
    University of Skövde, School of Engineering Science. University of Skövde, The Virtual Systems Research Centre.
    Wang, Lihui
    University of Skövde, School of Engineering Science. University of Skövde, The Virtual Systems Research Centre. KTH Royal Institute of Technology, Stockholm, Sweden.
    Galar, Diego
    University of Skövde, School of Engineering Science. University of Skövde, The Virtual Systems Research Centre.
    Semantic Framework for Predictive Maintenance in a Cloud Environment2017In: 10th CIRP Conference on Intelligent Computation in Manufacturing Engineering - CIRP ICME '16 / [ed] Roberto Teti and Doriana M D'Addona, Elsevier, 2017, Vol. 62, 583-588 p.Conference paper (Refereed)
    Abstract [en]

    Proper maintenance of manufacturing equipment is crucial to ensure productivity and product quality. To improve maintenance decision support, and enable prediction-as-a-service there is a need to provide the context required to differentiate between process and machine degradation. Correlating machine conditions with process and inspection data involves data integration of different types such as condition monitoring, inspection and process data. Moreover, data from a variety of sources can appear in different formats and with different sampling rates. This paper highlights those challenges and presents a semantic framework for data collection, synthesis and knowledge sharing in a Cloud environment for predictive maintenance.

  • Backlund, Per
    et al.
    University of Skövde, The Informatics Research Centre. University of Skövde, School of Informatics.
    Engström, Henrik
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre.
    Johannesson, Mikael
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre.
    Lebram, Mikael
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre.
    Danielsson, Magnus
    Västra Götalandsregionen.
    Andersson Hagiwara, Magnus
    Högskolan i Borås.
    Lundberg, Lars
    Högskolan i Borås.
    Maurin Söderholm, Hanna
    Högskolan i Borås.
    The S.A.R.E.K Simulation Environment: Technical description of a flexible training environment for prehospital care.2017Report (Other academic)
    Abstract [en]

    This report contains a technical description of the result of the S.A.R.E.K (Simulation – Ambulance – Research – Education - Kinship) collaboration project and the Sim2020 project. The projects are collaborations between researchers in healthcare and IT, and prehospital care practitioners, with the aim to design, develop and test a contextualized simulation environment for prehospital care. We built a simulation environment representing the full depth and width of a prehospital care process. Breadth refers to including all phases of a prehospital mission, from dispatch to handover; while depth refers to detailed representations and recreation of artefacts, information and context for each of these phases. This report outlines the details of the overall design, all equipment and practical solutions used to create this.  

    Apart from the installation which is described in this report we have also developed methods and carried out a variety of tests and experiments which are reported elsewhere. The focus of this report is the system and its components.

  • Björnehäll, Elin
    et al.
    University of Skövde, School of Health and Education.
    Nilsson, Johanna
    University of Skövde, School of Health and Education.
    Att leva med ett transplanterat hjärta: Patienters perspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart transplants have been performed since 1967. Today it’s primarily patients with severe heart failure who are considered for the procedure. After the transplant a lifelong immunosuppressive medication for the patients follows, and they need regular check-ups to lower the risk of rejection of the heart. The nurse’s responsibility was for example to give the patients’ and their families’ information about the procedure.

    Aim: The aim was to describe patients’ experiences of living with a transplanted heart.

    Method: A descriptive content analysis was used to analyze seven blogs.

    Results: The first period following the transplant was experienced as difficult. The patients created new relevant goals with help of nurse, family and friends in order to adjust to the new life and lifelong medication. The patients’ experienced how they got a new perspective of life. Because of the gratitude of survival, the patients chose to spread knowledge about organ donation further.

    Conclusion: The heart transplant meant a big adjustment for the patients, to a new life. Feelings like anxiety, resignation and gratitude were now a part of their life. Support from family, friends and nurse was appreciated by the patients in order to get back to a life without a non-functioning heart.

  • Odhe Ydergren, Ann-Christine
    University of Skövde, School of Health and Education. anci.odhe@odhes.com.
    Att sitta fast i ett mörkt svart hål: Upplevelser av att leva med depression2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is described as a widespread disease in Sweden and it is estimated that mental illness will increase. It is important that the nurse obtains knowledge of the patient's experience of living with depression in order to work from a patient's perspective and provide the best possible care.

    Aim: The objective was to describe experiences of patients suffering from depression.

    Method: A qualitative study was conducted using a content analysis based on seven autobiographies.

    Results: The results are presented in four themes; Losing the grip, To experience the context and support and non-support, To find their own ways to deal with depression and loneliness and To receive care can be experienced both positive and negative.

    Conclusion: Depression can be so severe that the patient’s attempting to self-soothe only worsens it. Health professionals, patients and relatives need more information and education to decrease the stigma of depression and increase knowledge about what it is like to live with depression.

  • Gustafsson, Johanna
    et al.
    University of Skövde, School of Health and Education. Flickan94@hotmail.se.
    Karlsson, Karolina
    University of Skövde, School of Health and Education. karolina.k9006@gmail.com.
    Sjuksköterskors upplevelser av pediatrisk palliativ vård och vård vid livets slut: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care for children is a special nursing area and the nurse strongly affects how the child and family experiences palliative care.Palliative care for children is special because the child's parents are often much more actively involved in nursing care than families of adults who are receiving palliative care. For the nurse to provide the best possible care for grieving parents they need excellent skills in communication and knowledge of an appropriate intervention in care at end of life.

    Aim: Nurses' experience of pediatric palliative care and care at end of life.

    Method: The method chosen to answer the purpose of this study is a literature review of scientific articles that have a qualitative perspective.

    Findings: Six themes in the result were revealed; Care process that arouses emotions, Problems with communication and support in health care, Emotions influence in relation to the child and family,When conflicts interfere caring, Feelings of being inadequate and To see the positive in the difficult.

    Conclusion: Nurses need support on many different levels in order to conduct a good palliative care for children. It is important that they receive support from colleagues and the organization and that they have a good knowledge. 

  • Mlakar, Julia
    et al.
    University of Skövde, School of Health and Education.
    Bark, Agnes
    University of Skövde, School of Health and Education.
    Patienten upplevelse av bemötande på akutmottagning: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In todays society many people are seeking care at the emergency department for different reasons. The caregivers are because of the pressured workload, forced to prioritize the patient's medical issues over their psychological needs. Therefor in an urgent situation the patients can perceive the care as insensitive.

    Aim: the aim was to describe patients perception of the interpersonal encounter with caregivers in the emergency department.

    Method: literature study.

    Result: The result shows four overall themes: the first encounter at the emergency department, patient perception of good encounter with caregivers, bad or lack of encounter from the caregivers and the informations meaning for the patients.

    Discussion: In the discussion patients experience of treatment is described in contrast to the concept of life-world. Furthermore the importance of information and how waiting times affect the experience is illustrated.

    Conclusion: Most patients express satisfaction with the response and the information that they receive in the first meeting at the emergency department. However after the acute stage many patients express that the information and treatment doesn’t maintain the same standard as before. 

  • Mabiala, Madalena
    et al.
    University of Skövde, School of Health and Education.
    Shamer, Hawsar
    University of Skövde, School of Health and Education.
    Anorexia Nervosa: Kvinnors upplevelser av att leva med Anorexi2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia nervosa is a psychiatric disorder that primarily affects young women between 15 and 23 years with high mortality. The disease causes eating disorder resulting in significant weight loss.

    Purpose: Purpose of the study was to describe women's experiences of living with anorexia nervosa.

    Method: This study was conducted by qualitative method of analysis of narratives. Data collection was based on four autobiographies written by women who have lived with Anorexia Nervosa.

    Results: The results showed that all women have had different experiences of Anorexia Nervosa. This experiences were divided into three different themes which are clarified with quote. Themes described reflects women's different experiences with anorexia nervosa, which is the elusive ideal of women, the anguished existence and the importance of being in control.

    Conclusion: Anorexia is a complex psychiatric illness that requires an optimum care of preparedness and understanding of health professionals. Nurses strive to prevent suffering and promote health in the care of patients. The study's results contributed to a wider knowledge and understanding of the disease anorexia nervosa for optimal recovery of the patient.

  • Gustavsson, Emmelie
    et al.
    University of Skövde, School of Health and Education.
    Persson, Sara
    University of Skövde, School of Health and Education.
    Att vårda palliativt: Sjuksköterskans upplevelse2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nursing is about upholding patient health despite illness and not least when it comes to palliative care. For the nurse, palliative care intend to improve quality of life and prevent and relieve suffering, which in turn can lead to increased well-being and a feeling of health even though the patient is in the end of life. The nurse can use “the 6S” care model, which aims to make the patient involved in the palliative care, focusing on the patient’s perspective.

    Aim: The purpose of this study is to describe the nurse’s experience of palliative care in the end of life.

    Method: The selected method is a literature review with a content analysis of nine qualitative scientific articles.

    Results: The results show that the nurse feels a need to be present and to be there for the patient. For the nurse, palliative care generates emotions and thoughts, which can be both positive and negative. The nurse experiences a lack in knowledge and clinical experience, which is an obstacle in achieving good palliative care.

    Conclusion: The nurse felt that insufficient knowledge combined with few clinical experiences of palliative care made the nurse feel insufficient and unable to cope with arisen emotions. 

  • Eklind, Louise
    et al.
    University of Skövde, School of Health and Education.
    Holgersson, Mette
    University of Skövde, School of Health and Education.
    När brösten upplevs som ett hot: En studie baserad på självbiografier av kvinnor med bröstcancer2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One of the most common cancers among women in Sweden is breast cancer. The diagnos can be a hard message which can bring worries. It can be treated with surgery were the whole breast or peace’s of the breast is removed or with cytostatic. The nursing role is to see the person with the disease in order to promote health and well-being and to minimize the suffering. Hope is important to experience quality of life and the disease can be influenced by physical and emotional phases where a changed identity is experienced.

    Method: A qualitative method of narratives is used in the study and analysis.

    Aim: To describe womens experiences of living with breast cancer.

    Result: Three themes and six suthemes is shown. (1) Needs in a time of worries; comprises support and safety, managing the different emotionals. (2) A changed self-image; comprises the experiences of physical changes, care and treatment. (3) Uncertainty related to incertitude; existential thoughts, womens fears and worries. The themes are supporting each other and together they shows experiences of living with breast cancer.

    Conclusion: An insight in the experiences can give nurses an opportunity to identify and respond to womens different needs.

  • Bratt, Sofia
    et al.
    University of Skövde, School of Health and Education.
    Mattsson, Kristoffer
    University of Skövde, School of Health and Education.
    Patienters erfarenheter av elektrokonvulsiv terapi: En kvalitativ innehållsanalys av bloggar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: ECT has been a part of psychiatric health care since the 1940’s and is still used today. The treatment is most commonly used with patients suffering from deep depression. Despite the treatment being common, there is little knowledge of the patients’ experiences thereof. The nurses are responsible for the nursing of the patient and for identifying the patients’ needs. Aim: The aim of the study is to describe the experiences of ECT for patients suffering from depression. Method: The study applies a qualitative content analysis in 12 narratives from blogs. Results: Patients are hopeful before the treatment, but at the same time anxious that the treatment will have side effects affecting their lives. ECT helps patients defeat depression, thus sideeffects such as memory disorders and cognitive loss may occur. The patients experience losses in involvement as the information needed to make a decision on ECT is flawed. Conclusion: Patients see a brighter future as ECT has helped them to defeat their depression and suffering. The patients wish that they had been given clearer information regarding the risks and side effects of ECT as the side effects affected their lives. It is therefore important that the nurses cooperate with the patients in order to support their needs and reduce suffering.

  • Glimmerveen, Maj
    et al.
    University of Skövde, School of Health and Education.
    Jansson, Markus
    University of Skövde, School of Health and Education.
    En källa till nya möjligheter eller en källa till oro: Sjuksköterskors upplevelser av att närstående närvarar vid hjärt- och lungräddning på sjukhus - En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Ethical guidelines for cardiac arrest recommend that relatives should be given opportunity to be present during cardiopulmonary resuscitation, if they wish and aren’t a hindrance. Existing research shows that most relatives would attend and that their presence benefits both patient and relative. Despite this, nurse’s attitudes and opinions about present relatives during resuscitation remain fragmented. This places emphasis to merge this fragmented picture into an overall literature review containing nurse’s experiences of this practice. Based on this picture nurses could develop their professional care and help to strengthen people's health processes. Aim: To highlight nurse’s experiences of relatives being present during CPR in hospital. Method: A literature review, based on 14 scientific articles with both qualitative and quantitative approach. The result was compiled through a descriptive synthesis. Results: Is presented in two main themes with three subthemes each. A source of new opportunities illuminates nurse’s experiences of interpersonal relationship in which new perspectives and experiences of making a difference prevail. A source of concern illuminates nurse’s experiences of unwanted memories, aggravating factors and fear of sanctions. Conclusion: Nurses experience that when their experience grew, their concern dampened and it became a source of opportunities having relatives present.

  • Andersson, Millan
    et al.
    University of Skövde, School of Health and Education.
    Grönberg, Frida
    University of Skövde, School of Health and Education.
    Föräldrars upplevda behov av stöd när deras barn lever med diabetes typ 1: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 1 diabetes mainly affects children and the disease is shifting towards younger ages. To suffer from diabetes may involve lifestyle changes, which can be stressful for both the child and the parents. Parents must take great responsibility for the child’s treatment and are therefore in need of support from the surroundings and the nurse to deal with the situation. A good support can mean that parents can integrate diabetes in their daily life, as well as increase the feeling of hope. Aim: To describe parents’ perceived need of support when their child is living with type 1 diabetes. Method: Eleven qualitative articles formed the basis of the literature review and these were analyzed using a qualitative content analysis. The search was conducted in the databases CINAHL, MEDLINE and PubMed. Results: Four themes emerged during the analysis that responded to the parents’ perceived need of support. These were the desire to be understood, not to be judged and accused, the desire for confirmation and to feel security and trust. Conclusion: The need for support was great both from the social surroundings and the diabetes team. The nurse should work from a person-centered approach in order to meet the parents’ individual needs of support.

  • Sand Ekmark, Ida
    et al.
    University of Skövde, School of Health and Education.
    Åkesdotter Bäcklund, Victoria
    University of Skövde, School of Health and Education.
    I livets slutskede vid obotlig sjukdom: En självbiografistudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Death is a normal process from which there are no exceptions. Central aspects of palliative care is to respect the patients autonomy and right to make own decisions. How patients experience their quality of life is strongly associated to their existential wellbeing. It is not possible to ease all suffering, only those parts that are connected to the treatment. To be able to promote a good communication at the end of life is it necessary that it’s encouraging and supportive.

    Aim: The purpose of this thesis was to describe patients reported experiences as their life came to an end.

    Methods: A qualitative study with narrative approach was chosen as method, seven self-biographies were included.

    Results: Four categories emerged: Another perspective on life, The difficulties of being ill, As patient exercise own will, and The desire to retain life-quality with eleven subcategories.

    Conclusions: Another approach to life is obtained when the unimaginable news is notified. The difficultness about being terminally ill was physical symptoms and feelings of guilt. To be seen and their own will was a priority and the desire to preserve the quality of life.

  • Magnusson, Louise
    et al.
    University of Skövde, School of Health and Education.
    Svensson, Frida
    University of Skövde, School of Health and Education.
    Grädden är inte längre lika fluffig som förut: En självbiografistudie av kvinnors erfarenheter av utmattningssyndrom2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today’s society is having increasing demands on individual adaptability. With a significant increase in stress-related illness and increased prevalence of burnout being seen today. Women are affected more often and professions in health care are seen as a risk category. The disease entails an increased illness and suffering for the individual.

    Aim: The aim was to describe women’s experiences of what has been changed in their daily life at burnout.

    Method: An inductive approach was chosen. Seven autobiographies were analysed using qualitative content analysis.

    Results: From the analysis four categories emerged, Difficult to deal with everyday life, Different interaction with the next and select new habits with ten subcategories.

    Conclusion: The study shows that burnout is increasing illness, decreases quality of life and cause a hardship for the individual. It is therefore of great importance to make an effort to reduce stress and prevent the onset of mental illness. The nurse has an important role in supporting the individual to promote health. 

  • Torsson, Mattias
    et al.
    University of Skövde, School of Health and Education.
    Örvell, Emma
    University of Skövde, School of Health and Education.
    Att balansera på en hängbro: Om upplevelsen av att leva med ALS2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Amyotrophic lateral sclerosis is a motor neuron disease that leads to total paralysis of the body's involuntary muscles and death within a few years, while consciousness is retained unaffected throughout the course of the disease. The disease contributes to physical, psychological and existential suffering. In order to offer the right support to the patient, the nurse should have a greater knowledge and understanding of how patients with ALS experience life with their disease.

    Purpose: To describe patients' experiences of living with ALS.

    Method: The study is based on a qualitative approach based on autobiographies that illuminate people's experience of living with ALS. To analyze the autobiographies the authors in the foregoing study used a significance analysis.

    Results: Five themes appeared after analyses which illustrate how individuals can experience life with ALS. It emerged in the results that despite the losses, sadness, uncertainty and suffering the informants could still accept, manage and find meaning in their illness.

    Conclusion: To suffer from ALS causes an existential suffering. It is important as a nurse to provide the right support and personalized information to provide guidance throughout the course of the disease, creating opportunities to promote manageability, meaningfulness and well-being for the patient