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  • 101.
    Bergh, Ingrid
    University of Skövde, School of Life Sciences.
    Pain in the elderly: rating scales, prevalence and verbal expression of pain and pain relief2003Doctoral thesis, comprehensive summary (Other academic)
  • 102.
    Bergh, Ingrid H. E.
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Johansson, Anna
    Univ Hosp Örebro, Dept Obstet, Örebro, Sweden.
    Bratt, Annelie
    Skaraborgs Hosp, Dept Obstet & Gynecol, Skövde, Sweden.
    Ekström, Anette
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Assessment and documentation of women's labour pain: A cross-sectional study in Swedish delivery wards2015In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 28, no 2, p. E14-E18Article in journal (Refereed)
    Abstract [en]

    Background: A woman's pain during labour plays a dominant role in childbirth. The midwife's role is to assess the degree of pain experienced during labour. When professionals respond to labour pain with acknowledgement and understanding, the woman's sense of control and empowerment is increased, which could contribute to a positive experience of childbirth. The aim of this study is to describe how labour pain in Swedish delivery wards is assessed and documented. Methods: This quantitative descriptive study was designed as a national survey performed through telephone interviews with the representatives of 34 delivery wards in Sweden. Results and conclusion: The majority of the participating delivery wards assessed and documented women's labour pain, but in an unstructured manner. The wards differed in how the assessments and documentation were performed. In addition, almost all the delivery wards that participated in the survey lacked guidelines for the assessment and documentation of the degree of pain during labour. The findings also showed that the issue of labour pain was sometimes discussed in the delivery wards, but not in a structured or consistent way. (C) 2015 Australian College of Midwives. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.

  • 103.
    Bergh, Ingrid
    et al.
    University of Skövde, Department of Health Sciences. Avdelningen för geriatrik, Göteborgs universitet.
    Sjöström, Björn
    University of Skövde, Department of Health Sciences.
    Steen, Bertil
    Avdelningen för geriatrik, Göteborgs universitet.
    Smärta hos äldre: Skattningsskalor – förekomst och verbala uttryck för smärta och smärtlindring2003In: Incitament: för en hälso- & sjukvård i förvandling, ISSN 1103-503X, Vol. 12, no 7, p. 642-644Article in journal (Other (popular science, discussion, etc.))
    Abstract [en]

    Smärta är inte en del av det normala åldrandet, men många äldre drabbas av sjukdomar som leder till smärta. Smärta är en subjektiv sensorisk och emotionell obehagsupplevelse med faktisk eller potentiell vävnadsskada. Varje person upplever smärta på sitt sätt och denna uppfattning får avgörande betydelse för hur hälso- och sjukvårdspersonal kan förhålla sig till människor med smärta.

    Utgångspunkten för denna avhandling var att studera smärtförekomst bland äldre och att evaluera användandet av smärtskalor. Våra resultat visar att skattningsskalor kan vara till hjälp.

    Artikeln baserad på Ingrid Berghs avhandling: Pain in the elderly - Rating scales, prevalence and verbal expression of pain relief

  • 104.
    Bergkvist, Krister
    et al.
    University of Skövde, School of Life Sciences.
    Lundberg, Pär
    University of Skövde, School of Life Sciences.
    Icke-farmakologiska Smärtlindrande Omvårdnadsåtgärder Inom Prehospital Akutsjukvård: En Kvalitativ Beskrivning av olika tillvägagångssätt2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    One of the most common complaints of patient’s in need of prehospital emergency care is pain of some sort. Since November 1 2005 a big portion of the ambulance personnel is no longer allowed to administer drugs of any kind. Hence it is reasonable to assume that pain treatment nowadays is carried out with both pharmacological and non-pharmacological methods. Therefore the authors saw an interest in investigating how the ambulance personnel look at the concept of, and treatment of pain.

    The aim of this study was to, with focus on non-pharmacological measures, describe how Swedish ambulance personnel treat the patient in pain.

    The study was conducted with 5 interviews with ambulance personnel. The interviews were transcribed verbatim and analyzed. The analysis revealed four main themes with a number of sub themes. The theme opinions of pain disclose the informant’s view of pain as an individual phenomenon and what changes the patients perception of pain. Refuting and behavior in tending patients describes the informant’s opinions that a calm refuting and a good relationship with the patient could divert the patient’s thoughts about the pain. Assessment and treatment describes the need for individual adaptation when treating patients in pain. Combination therapy is successful revealed the informants thoughts that a combination of both pharmacological and non-pharmacological gives the best result.

  • 105.
    Berglund, Mia
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Andersson, Susanne
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Kjellsdotter, Anna
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Att drabbas av långvarig sjukdom2017In: Vägen till patientens värld och personcentrerad vård: Att bli lyssnad på och förstådd / [ed] Karin Dahlberg, Inger Ekman, Stockholm: Liber, 2017, 1, p. 93-116Chapter in book (Refereed)
  • 106.
    Berglund, Mia
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Gillsjö, Catharina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Reflekterande KRAFT-givande samtal2017In: Vägen till patientens värld och personcentrerad vård: Att bli lyssnad på och förstådd / [ed] Karin Dahlberg, Inger Ekman, Stockholm: Liber, 2017, 1, p. 317-334Chapter in book (Refereed)
  • 107.
    Berglund, Mia
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Gillsjö, Catharina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. College of Nursing, University of Rhode Island, USA.
    Svanström, Rune
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Keys to person-centred care to persons living with dementia: Experiences from an educational program in Sweden2019In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 18, no 7-8, p. 2695-2709Article in journal (Refereed)
    Abstract [en]

    Growing old entails an increased risk of disabilities and illnesses such as dementia. The orientation in Sweden on national level is that individuals remain in their own homes if desired and receive person-centred home care. The aim of this study was to describe the experience of an educational program and its influence on daily provision of care to persons with dementia. A lifeworld approach was used. Data were collected through group interviews with care providers in the context of home. The findings are presented in five themes: Increased knowledge about dementia and treatment, Relationship-building in order to provide good care, Open and flexible approach conveys calm, Continuity and flexibility are cornerstones in the care and Perceived improvements. This person-centred educational intervention resulted in a care that was based on each individual’s personality, preferences and priorities in life. Education given with continuity over time is key to improving provision of care to person with dementia.

  • 108.
    Berglund, Mia
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Nässén, Kristina
    Academy of Care, Working Life and Social Welfare, University of Borås, Borås, Sweden.
    Gillsjö, Catharina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. College of Nursing, University of Rhode Island, Kingston, USA.
    Fluctuation between Powerlessness and Sense of Meaning: A Qualitative Study of Health Care Professionals’ Experiences of Providing Health Care to Older Adults with Long-Term Musculoskeletal Pain2015In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, article id 96Article in journal (Refereed)
    Abstract [en]

    Background: There is an increasing number of older adults living with long-term musculoskeletal pain and related disabilities. These problems are frequently unrecognized, underreported, and inadequately treated. Since many older adults desire to remain at home for as long as possible, it is important that individualized and holistically tailored care is provided in these settings. However, there is a complexity in providing care in this context.

    The aim of this study was to describe health care professionals’ experiences of providing health care to older adults living with long-term musculoskeletal pain at home.

    Methods: The phenomenon, “To provide health care to older adults living with long-term musculoskeletal pain at home”, was studied using reflective lifeworld research (RLR) which is based on phenomenological epistemology. Ten health care providers (nurse, physiotherapists, and occupational therapists) were interviewed and data was analysed.

    Results: The health care professional’s emotions fluctuated between powerlessness and meaningfulness. Needs, opportunities, understanding and respect had to be balanced in the striving to do good in the provision of health care in differing situations. Caring for older adults with long-term pain required courage to remain in the encounter despite feelings of insecurity and uncertainty about the direction of the dialogue. The essence of caring for older adults with long-term pain consisted of the following constituents: Sense of powerlessness; striving to provide good health care; and understanding and respect.

    Conclusions: The findings indicated that the health care professionals strived to do good and to provide health care that was holistic and sensitive to the older adults’ needs. A significant sense of powerlessness in the situation was experienced by the health care professionals. These findings address and support the need to develop methods that can be used to guide health care providers who support older adults in the context of their homes.

  • 109.
    Berglund, Mia
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Nässén, Kristina
    Academy of Care, Working Life and Social Welfare, University of Borås, Sweden.
    Hedén, Lena
    Academy of Care, Working Life and Social Welfare, University of Borås, Sweden.
    Gillsjö, Catharina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Older Adults' Experiences of Reflective STRENGTH-Giving Dialogues: An Interview Study2016In: Journal of Gerontology & Geriatric Research, ISSN 2167-7182, Vol. 5, no 3, article id 1000304Article in journal (Refereed)
    Abstract [en]

    Background: A major health problem that frequently accompanies old age is long-term pain, but pain must be acknowledged by older adults and health care providers. Interventions are needed to alleviate pain and suffering’ while holistically providing health care that promotes wellbeing. The intervention project, Reflective STRENGTHGiving Dialogues© (STRENGTH) was implemented to increase health and wellbeing among community dwelling older adults living with long-term musculoskeletal pain at home.

    Aim: The aim of this study was to describe the older adults’ experiences of the intervention Reflective STRENGTH-Giving Dialogue.

    Method: A life world hermeneutic approach was used in collection and analysis of data. Twenty community dwelling older adults participated were interviewed in their homes after the intervention.

    Findings: The findings consisted of five themes and showed that the older adults experienced the Reflective STRENGTH-Giving Dialogues as a continuous and trusting relationship that alleviates the pain and breaks the loneliness. They expressed it as a new way to talk about life with pain. The dialogues supported reflection and memory and resulted in a transition in orientation in life.

    Conclusion: The Reflective STRENGTH-Giving Dialogues helped the older adults to increase their intellectual, emotional, and physical engagement in daily living. The dialogues facilitated a transition in orientation from past to present, to the future, and from obstacles to opportunities. The dialogues were oriented towards enjoyments, meaning, courage and strength in life as a whole which promoted the older adults’ sense of well-being and vitality. The dialogues also facilitated carrying out small and large life projects. The Reflective STRENGTH-Giving Dialogues created a deepened caring relationship that contributed to an increased sense of security, strength and courage, all of which enhanced the potential for better health and wellbeing.

  • 110.
    Bergman, Johanna
    et al.
    University of Skövde, School of Health and Education.
    Simonsen, Lene-Therese
    University of Skövde, School of Health and Education.
    Kvinnors upplevelser av att leva med urininkontinens: en litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Urinary incontinence is a common problem among women where prevalence increases with age. There are three types of urinary incontinence: urge, stress and mixed urinary incontinence. Existing treatment methods focus on decreasing suffering. Urinary incontinence in women affects their well-being, increases suffering and decreases autonomy.

    Aim: To describe women’s experiences living with urinary incontinence

    Method: General literature review, where ten articles were basis for the result.

    Results: Women generally experience that their daily lives are affected and changed by living with urinary incontinence. They describe how they create their own strategies to recapture control over their daily lives. Living with urinary incontinence causes impaired well-being because of the experience of shame and embarrassment which affect their relationships and social life with others.

    Conclusion: To cope with everyday life, the women create their own strategies, which include always being aware of where the nearest toilet is or to bring extra clothes when leaving home. The strategies mean that women experience reduced stress and worry about urinary leakage. Involuntary urinary retention affects women physically and mentally, which means that it is important that healthcare professionals have good knowledge and insight into the life of patients with urinary incontinence living daily.

  • 111.
    Bergquist, Marie
    et al.
    University of Skövde, School of Health and Education.
    Larsson, Sanna
    University of Skövde, School of Health and Education.
    Skolsköterskans arbete med sex- och samlevnadsundervisning2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research has shown that it is varies in the methods and the contents in the sexual- and interpersonal relation education. Students consider the sexual education need to improve. School nurses work to promote sexual health. It’s important to understand how school nurses work with education on sexuality- and interpersonal relations. Purpose: Describe how school nurses work with sex and social education. Method: Nine e-mail interviews were conducted. School nurses working with adolescents ages 12-18. Data analyzed with a qualitative meaning. Results: Demonstrated five themes; Knowledge and competence contribute to security with the sexual- and interpersonal relation education; Supportive environment and time for the school nurse´s work on the sexual- and interpersonal relation education; The school nurse´s diversity in teaching structure is adapted to the students’ knowledge; Teaching immigrants and refugees new students requires more preparation; The school nurse´s treatment and approach is important for questions about HBTQ. Conclusion: Difficulty for school nurses in their work is the lack of time, which implies limited teaching. The cooperation of teaching is perceived as positive and desirable. The sexual- and interpersonal relation education is of importance to the students. Challenge of teaching students from other cultures, school nurses lacking in deeper knowledge. 

  • 112.
    Bergqvist, Johan
    et al.
    University of Skövde, School of Health and Education.
    Stenman Josefsson, Märta
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av att vårda personer med demens på akutvårdsavdelningar: En litteraturbaserad studie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The diagnoses of dementia increases in line with the aging population of the earth. Symptoms vary between different dementia diagnoses and for some, a diagnosis might be a relief and confirmation of what’s really going on for both the patient and their relatives. Person centered care aims to empower a person's self-esteem and involvement in their own care. It urges healthcare professionals to look beyond the diagnosis of the patient, which makes this the form of care advocated for patients with dementia. Despite the fact that long waiting times is an acknowledged problem, nurses are still obliged to pursue nursing on equal standardse. Aim: The aim was to acknowledge nurses' experiences of caring for patients with dementia in acute care settings Method: A literature-based study with nine qualitative articles were chosen. Results: The analysis identified three main categories; lack of knowledge, structural deficiencies and relatives as a co-actor of the caring process, and eight subcategories. Conclusion: Dedication and education are central aspects regarding the care of patients with dementia. It becomes apparent that regardless of context, caring for patients with dementia is often mired in complexity. Nurses claim that lack of time and education combined with structural deficiencies constitutes an obstacle for nurses providing what they would consider sufficient care. These deficiencies may also negatively affect attitudes and perceptions and consequently the care of patients with dementia can be stigmatized.

  • 113.
    Bergqvist, Lisen
    et al.
    University of Skövde, School of Health and Education.
    Johansson, Sofie
    University of Skövde, School of Health and Education.
    ATT BLI FÅNGE I SIN EGEN KROPP: En litteraturstudie om patienters upplevelser av välbefinnande vid ALS2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 114.
    Bergström, Evelyn
    et al.
    University of Skövde, School of Life Sciences.
    Bega, Arijana
    University of Skövde, School of Life Sciences.
    Upplevelser av att leva med lungcancer: En litteraturbaserad studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Lung cancer is a disease with poor prognosis, with many people that falls ill each year. It is a disease which leads to numerous and severe symptoms that create much suffering. Aim: The aim of this study was to describe patients' experiences of living with lung cancer in daily life. Methods: A literature study was conducted with a qualitative approach. Twelve scientific articles were reviewed and analyzed according to a model for a literature study. Results: Six categories were identified: live with uncertainty, stigma and guilt, experience of disease-related symptoms, a changed self-esteem, to get support and be confirmed and thrown between hope and despair. Discussion: There was a need for patients to live as independent as possible, social support and the support from health professionals was crucial for them to cope with it. Support overall was important for patients to be able to handle most situations. By acquiring knowledge about patients' with lung cancers experiences the nurse can be a better support for the patient in order to alleviate patients suffering.

  • 115.
    Bergström, Henrik
    et al.
    University of Skövde, School of Health and Education.
    Hammar, Andreas
    University of Skövde, School of Health and Education.
    ANHÖRIGAS UPPLEVDA SITUATION NÄR EN NÄRSTÅENDE VÅRDAS PÅ EN INTENSIVVÅRDSAVDELNING: -En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The intensive care unit is a department where critically and acute sick patients are being treated. The department has specialized routines, equipment to treat and screening. Nurses on a intensive care unit are responsible for the treatment of patients as well as the leadership of the workforce. The nurses are also responsible to acknowledge the patient’s relatives. Therefore, it is of great importance for the nurses to understand relatives’ experiences in this situation, to be able to give treatment of good quality to relatives too. Aim: To describe the experience of relatives to patients who are being treated at the intensive care unit. Method: A literature review of scientific articles with a qualitative standpoint, aimed towards the experiences of relatives to intensive care unit patients. Results: Relatives experienced that a lot of factors affected them negatively. Routines, equipment and treatment were experienced as unfamiliar and confusing. The situation made it hard for the relatives to experience being close to the patient. Relatives experienced that good communication and information made the situation positive. Relatives experienced that being a part and having a say in the patients’ treatment were important. Conclusion: To be a relative at the intensive care unit can feel unfamiliar and differ from other kinds of departments. There are rules, equipment and situations that makes it difficult for the relatives to see the context of the situation. It is of great importance that the healthcare is attentive and give the relatives the possibility to understand the context.

  • 116.
    Bernanker Lundaahl, Sara
    et al.
    University of Skövde, School of Health and Education.
    Klint Carlander, Anna-Karin
    University of Skövde, School of Health and Education.
    Ungdomars syn på sex- och samlevnadsundervisningen i skolan2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sex och samlevnad är en av många faktorer som har betydelse för hälsa och välbefinnande hos såväl vuxna som ungdomar. Alla elever har rätt att få sex- och samlevnadsundervisning i skolan. I arbetet med att stärka ungdomars förmåga att göra medvetna och ansvarstagande val som rör sexualitet och relationer är sex- och samlevnadsundervisningen en viktig del.

    Syfte: Att beskriva hur förstaårselever på gymnasiet upplever den sex- och samlevnadsundervisning som de hade i högstadiet.

    Metod: Studien genomfördes med kvalitativ metod med induktiv ansats och data analyserades med innehållsanalys. Fyra fokusgrupper genomfördes med totalt 20 deltagare. 

    Resultat: Analysen resulterade i tre kategorier; Eleverna beskriver att sex- och samlevnadsundervisning är av stor betydelse, Att ha erfarenhet av en undervisning som upplevs bristfällig samt elevernas önskemål om förändring i undervisningen.

    Slutsats: Ungdomarna upplever att sex- och samlevnadsundervisning är viktig men att undervisningen i detta ämne också har brister. Det finns behov av att lyssna på och respektera unga människors åsikter gällande undervisningen i sex- och samlevnad. Detta för att anpassa undervisningen utifrån ungdomars livsvärld och deras behov och därmed bidra med betydelsefull kunskap i ämnet. Skolsköterskors omvårdnadsperspektiv kan tänkas bidra till den öppenhet och följsamhet för individens unika behov vilket efterfrågas av deltagarna. 

  • 117.
    Bernvik, Erika
    et al.
    University of Skövde, School of Health and Education.
    Jakobsson van Stam, Ebba
    University of Skövde, School of Health and Education.
    Blivande förstagångspappors förväntningar inför förlossningen2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Childbirth is part of the transition to parenthood. The transition is eased by support from midwives. It’s within the midwives area of responsibility to offer support to parents. Childbirth experiences are affected by received support and expectations of labour. Fathers’ childbirth experiences affect their well-being and parenting.

    Aim: Describe expecting first-time fathers’ expectations of the labour.

    Method: Qualitative individual semi-structured interviews with six expecting first-time fathers, whose women were in gestational week 29 to 35. The interviews were analyzed using qualitative content analysis.

    Results: Expecting fathers’ find it hard to imagine what will happen during childbirth. They expect that after the delivery they will be able to have a quiet moment alone with their families to adjust to their new life-situation. Besides this, fathers expect that they will have an important supportive role during childbirth. Midwives are expected to support both the labouring mother and the father during childbirth.

    Conclusion: Midwives should support parental couples based on their individual needs of support. Support to expecting fathers enables them to be supportive during childbirth. First-time fathers expects support to be important during childbirth to create a feeling of security for themselves.

  • 118.
    Bernvik, Erika
    et al.
    University of Skövde, School of Health and Education.
    Jakobsson van Stam, Ebba
    University of Skövde, School of Health and Education.
    Kvinnors upplevelse av lidande relaterat till cytostatikabehandlingen vid bröstcancer: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common cancer among women and a common treatment is chemotherapy, which comes with side effects. Suffering can be categorized in three different forms. Ethical principles are used to motivate choice of treatment. Aim: To describe women's experience of suffering related to chemotherapy during breast cancer. Method: The study is a literature review based on qualitative research. Eleven articles were reviewed and summarized by using Friberg (2012). Results: Women with breast cancer experience suffering when undergoing chemotherapy. They feel loss of their identity when their looks changes. People around them treat them differently and they are not able to do the same things as before in the role of mother, wife, friend and colleague. Suffering also consists of physical symptoms related to the treatment and the illness period, but some of the symptoms do not go away after treatment. Discussion: Physical side effects lead to psychological side effects as women experiences loss of identity, guilt and shame. Health care professionals have an important role in informing and to counter women in a good way to reduce suffering. Chemotherapy leads to suffering due to the illness and treatment, but it is also related to their existence. 

  • 119.
    Birgersson, Elsa
    et al.
    University of Skövde, School of Health and Education.
    Lundberg, Sofia
    University of Skövde, School of Health and Education.
    Unga svenska kvinnors erfarenheter av att leva med Anorexia Nervosa: En självbiografistudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia nervosa (AN) means a will-controlled weight loss and there is often a low disease insight. AN has the highest mortality rate among mental illnesses, and the number of people who are cared for because of the disease have tripled since the 1990s. Knowledge of young womens expirence of AN are needed to be able to in a deeper level understand and help young women living with the disease. Purpose: To describe young Swedish women's experiences of living with Anorexia nervosa. Method: The data were analysed using qualitative content analysis. The data material consists of five autobiographies. Results: The analysis revealed three categories; the influence on self- esteem, difficulties in the relationship with family and friends and the disease regulates everyday life with six subcategories. Conclusion: Young women with AN have a need of control that causes a social inhibition and anxiety. These women need confirmation from both their environment and health care that they have a disease.

  • 120.
    Birgersson, Sara
    et al.
    University of Skövde, School of Life Sciences.
    Ljunggren, Madelen
    University of Skövde, School of Life Sciences.
    ETT SÅRAT HJÄRTA: Upplevelser av hälsa och välbefinnande i vardagen efter en hjärtinfarkt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Approximately 100 people suffer from heart attacks in Sweden every day, showing that myocardial infarction is a major problem in society. In implementing good health care it is important for health professionals to create an overall picture of these patients' experiences of health and wellbeing in their daily life. The purpose of this study is therefore to emphasize patients' experiences of health and wellbeing in daily life after a heart attack, with Katie Eriksson's health positions as theoretical base. A qualitative study based on seven autobiographies was conducted. Analysis of the data revealed seven major categories, showing the patients' experiences  the daily life after a heart attack: Feeling of insecurity, A stressful life situation, A lifelong disease, Striving for a normal daily life, The need for support and information, Lifestyle changes and A second chance. To get a picture of the experiences of health and wellbeing in these different situations, each category was added to Katie Eriksson's health positions. The findings show that all four health positions are represented in the daily life of patients' suffering from a heart attack. Patients are more likely to experience health and wellbeing as time passes after the heart attack.

     

  • 121.
    Birtic, Martin
    et al.
    University of Skövde, School of Life Sciences.
    Olsson, Emma
    University of Skövde, School of Life Sciences.
    Sjuksköterskan och patienten med schizofreni: En vårdande relation2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Patienter som har diagnosen schizofreni är inte unikt samlade inom den psykiatriska vården utan finns inom alla vårdspecialiteter. En viktig del av omvårdnadsarbetet hos de sjuksköterskor vilka möter dessa patienter är etablerandet av en vårdande relation med dem. Det är i denna relation som omvårdnaden tillämpas. Syftet med studien var att sammanställa och belysa forskning som beskriver sjuksköterskans vårdrelation med en patient som har diagnosen schizofreni. I en systematisk litteraturstudie granskades och analyserades åtta vetenskapliga artiklar vilket resulterade i tre huvudteman relaterade till vårdrelationen: ´etablera en vårdande relation´, ´främjar utvecklingen av vårdrelationen´ samt ´hämmar utvecklingen av vårdrelationen´. Innehållet i dessa teman framhäver att vårdrelationen är ett komplex fenomen bestående av många aspekter. Genom en förståelse utav dessa aspekters proportioner samt påverkan kan de utav sjuksköterskor ägnas medvetna åtgärder i syfte att stärka relationen till patienten och öka kvaliteten på omvårdnaden.

  • 122.
    Bisholt, Birgitta
    et al.
    Department of Health Sciences, Karlstad University, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Borås, Sweden.
    Johansson Sundler, Annelie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Gustafsson, Margareta
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Nursing students' assessment of the learning environment in different clinical settings2014In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, no 3, p. 304-310Article in journal (Refereed)
    Abstract [en]

    Introduction: Nursing students perform their clinical practice in different types of clinical settings. The clinical learning environment is important for students to be able to achieve desired learning outcomes. Knowledge is lacking about the learning environment in different clinical settings. Aim: The aim was to compare the learning environment in different clinical settings from the perspective of the nursing students. Design: A cross-sectional study with comparative design was conducted. Method: Data was collected from 185 nursing students at three universities by means of a questionnaire involving the Clinical Learning Environment, Supervision and Nurse Teacher (CLES + T) evaluation scale. An open-ended question was added in order to ascertain reasons for dissatisfaction with the clinical placement. Results: The nursing students' satisfaction with the placement did not differ between clinical settings. However, those with clinical placement in hospital departments agreed more strongly that sufficient meaningful learning situations occurred and that learning situations were multi-dimensional. Some students reported that the character of the clinical setting made it difficult to achieve the learning objectives. Conclusion: In the planning of the clinical placement, attention must be paid to whether the setting offers the student a meaningful learning situation where the appropriate learning outcome may be achieved. © 2013 Elsevier Ltd. All rights reserved.

  • 123.
    Biörck-Markusson, Linda
    et al.
    University of Skövde, School of Health and Education.
    Mokhayer, Zohreh
    University of Skövde, School of Health and Education.
    Att vårdas i slutenvård för anorexia nervosa: Patienters upplevelser2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are different types of eating disorders. Among these are anorexia nervosa the most serious. It is mostly young women who develop the disease, but also young men can become ill. Anorexia nervosa affects patient´s body image negatively, which results in the patient starving him- or herself and/or exercising frenetically. Aim: The aim was to describe patients with anorexia nervosa experiences of care during hospitalization. Method: A literature review with qualitative approach was chosen as the method to answer the aim of the study. Results: It emerged five themes from the analysis. These are; “The importance of a good relationship”, “An objectified care”, “The importance of support”, “The feeling of being monitored” and “The importance of experiencing participation”. These themes describe patients' experiences of care in hospitalization. Conclusion: The patients experienced the care to be both positive and negative. It was of great importance to the patients if they experienced a good relationship with the nurses. In order to overcome the disease, it was important that patients felt involved in their own care. For the patients to recover from anorexia nervosa, the patients needed to be treated like individuals and not like the stereotype of the disease.

  • 124.
    Bjurkvist, Sara
    et al.
    University of Skövde, School of Health and Education.
    Tydén, Teija
    University of Skövde, School of Health and Education.
    Stressprevention hos skolbarn: Skolsköterskors förebyggande insatser2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

     

    Title: Prevention of stress in school children – School nurses preventive interventions

    Author: Bjurkvist Sara; Tydén Teija

    Department: School of Health and Education, University of Skövde

    Course: Master Degree project in Nursing, OM854A, 15ECTs

    Supervisor: Larsson Margaretha

    Examinator: Thorstensson Stina

    Pages: 21

    Keywords: School nurses, stress, prevention, nursing, children

    -------------------------------------------------------------------------------------------------------------

     

    Background:  Stress is a common health problem in society. Children are as exposed to stress as adults but have a lack of ability to cope with it, compared to adults. School nurses meet children in their daily life and have opportunity to prevent stress in several interventions.

    Aim: The aim of this study was to examine how school nurses work stress preventive in children.

    Method: A qualitative research method was selected for the study. The result emerged through qualitative content analysis. Ten school nurses from various schools in Sweden were interviewed, using e-mail survey.

    Results: Four major categories and four subcategories emerged during the analysis. Major categories were: to be available, create manageability, to relieve recovery, and cooperation.

    Conclusion: School nurses work stress preventive in children, but experience lack of time as a blocking element to perform the work fully. Therefore valuable support to children can be lost. School nurses need to clarify their work and profession to enable prevention against stress in children.

  • 125.
    Björk, Helén
    University of Skövde, School of Life Sciences.
    Att kommunicera trygghet i omvårdnaden av barn: en litteraturstudie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses´ have the responsibility to make sure that children are treated according to childrens rights, and to interact with them. The background present a study where children experience that nurses doesn’t listen to them. Children are vulnerable because they are inferior to both parents and nurses because of their advantage in age and knowledge. That’s why it’s important for nurses to give children an opportunity to participate in decisionmaking, to make them feel included, respected and listened to as individuals. In that way nurses can communicate security. The aim of this study is to describe how nurses communicate security in nursing care with children. The study is a literature review made as a metasynthesis. Qualitative studies were chosen to be able to get the experiences of children, parents and nurses. The result from the analysis shows that through talking, creating an individualized relationship, being receptive to and using a symbolic language all are prerequisites to communicate security. A prerequisite to be able to do this is for nurses to take their time. The interest for this subject among nurses is discussed and the author experience it to be relevant to all nurses, not just children’s nurses because all nurses can meet children in their work. Conclusion: Giving the child time, letting the child participate, being receptive, create a relaionship with the child and give individualized information, to talk to the child and use symbolic language as a complement while talking. These are ways of communicating security in nursing with children.

  • 126.
    Björk, Madeleine
    et al.
    University of Skövde, School of Health and Education.
    Nyström, Eva
    University of Skövde, School of Health and Education.
    Livet med borderline en berg och dalbana: En kvalitativ studie av bloggar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Living with a diagnosis like borderline can make everyday life problematic and contribute to less well-being for these people. Borderline affects the individual's lifeworld and his or her's health experience.There is a noticeable increase in this patient group in various healthcare contexts. Aim: The aim of the study was to describe women's experiences of living with borderline. Method: A qualitative content analysis with inductive approach. Data were collected from six blogs. Results: From the analysis of the data emerged four categories; Be different, an inner chaos, Different interactions with others, Feelings that swim over and Targeted turn in life with nine subcategories. Conclusion: This study has contributed more knowledge about people's experiences of living with borderline. People with borderline experience strong feelings that affect their lives, interaction with other people is affected by the negative. These people need support from both related and professional healthcare professionals to get the help needed for future hopes.

  • 127.
    Björk, Maria
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. CHILD Research Group, Department of Nursing Science, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Sundler, Annelie J.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
    Hallström, Inger
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Hammarlund, Kina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Like being covered in a wet and dark blanket: Parents' lived experiences of losing a child to cancer2016In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 25, p. 40-45Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim of this study was to illuminate parents' lived experiences of losing a child to cancer. Method: Interviews and a narrative about parents' experiences of losing a child to cancer were gathered from six parents of children whom had participated in a longitudinal study across the child's illness trajectory. The analysis of the data was inspired by van Manen's hermeneutic phenomenological approach. Results: One essential theme emerged: Like being covered in a wet and dark blanket, as well as six related themes: Feeling conflicting emotions, Preparing for the moment of death, Continuing parenting after death, Recollecting and sharing memories, Working through the sorrow and New perspectives in life. Conclusion: There is a need for good palliative care. If not, there is a risk that the parent will perseverate and blame themselves for not being a good parent during the suffering child's last time in life. Meetings with the parents six months and two years after the child's death might facilitate healing through the grief process. 

  • 128.
    Björklund, Terese
    et al.
    University of Skövde, School of Life Sciences.
    Andersson, Emelie
    University of Skövde, School of Life Sciences.
    attityder gentemot patienter med fetma ur patient- och sjuksköterskeperspektivet: en litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Fetma är en växande folksjukdom. Den ökade förekomsten av fetma leder till attsjukvården i större utsträckning kommer att möta patienter med fetma. Syftet med studienvar att ur ett patient- och sjuksköterskeperspektiv belysa vilka attityder sjuksköterskan hargentemot vuxna patienter med fetma. En litteraturöversikt har använts för att sammanställatidigare forskning som berör sjuksköterskans attityder mot patienter med fetma. Studienomfattar sju vetenskapliga artiklar som resulterat i två huvudteman med tillhörandeunderteman som redovisar resultatet inom ämnet. Resultatet visar att negativa attityder motvuxna patienter med fetma förekommer bland sjuksköterskor. Förutfattade meningar finnsangående fetman och dess orsaker, patienterna ses som mindre socialt accepterade ochmindre attraktiva. Orsaken till fetma beror enligt sjuksköterskan på individens arv ochegna val. Studien pekar även på det känsliga ämnet och att sjuksköterskan känner obehag isin relation till patienten. Hennes egen kroppsuppfattning påverkar vilken inställning honhar inför mötet med patienten, detta skapar en frustration hos sjuksköterskan som försvårarrelationen mellan sjuksköterska och patient. En frustration uppstår även i förtroendet tillpatienten då sjuksköterskan är rädd att förolämpa patienten vid motivationen tillviktnedgång.

  • 129.
    Björkner, Linda
    et al.
    University of Skövde, School of Health and Education.
    Cehic, Sanela
    University of Skövde, School of Health and Education.
    När kroppen sviker: Patienters erfarenheter av dagligt liv med kronisk njursvikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Kronisk njursvikt är ett växande folkhälsoproblem. Sjukdomen är allvarlig och bidrar till ökat lidande då den medför omfattande symtom, begränsar livsvärlden och kräver livsstilsförändringar. Behandlingen är komplex. För att sjuksköterskan ska kunna ge god vård och stärka välbefinnande hos patienter behöver hen ha förståelse för patienters erfarenheter av livet med kronisk njursvikt. Syfte: Att beskriva patienters erfarenheter av dagligt liv med kronisk njursvikt. Metod: Litteraturbaserad metod som bygger på kvalitativa studier. Resultat: Ur analysen framkom tre huvudteman: Identifiera sig med sjukdomen, support från omgivningen och förändrad självbild med sex underteman. Konklusion: Kronisk njursvikt leder till både fysiska och psykiska förändringar, vilket resulterar i ett sjukdom- och livslidande för patienter och en annan livsvärld att förhålla sig till än innan sjukdomen.

  • 130.
    Björkén, Anette
    et al.
    University of Skövde, School of Life Sciences.
    Norman, Maria
    University of Skövde, School of Life Sciences.
    Att belysa sjuksköterskors omhändertagande av patienter som drabbats av aneurysm2008Independent thesis Basic level (degree of Bachelor)Student thesis
  • 131.
    Björling, Emanuel
    et al.
    University of Skövde, School of Health and Education.
    Cagius, Sanna
    University of Skövde, School of Health and Education.
    Varje sekund är ett liv: En studie om patienters upplevelse av att befinna sig i livets slutskede2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Everyone knows for sure that we will once die. When someone approaches the end of life, problems of mental, physical, social and existential nature arise. Death can be met in different ways and how that meeting will be is individual. The patient goes through different phases along the way, resulting in suffering and questioning of life. Purpose: To highlight the patient's experience of being in the end of life. Method: The study is a qualitative narrative literature study based on autobiography, which reflect the experiences of being in the end of life. Result: Patients in the end of life have a need to seek the meaning of why the disease has affected them. They argue about existence and how the upcoming death affects them and their relatives. Patients describe the feeling of setback when the condition deteriorates after a period of improvement. They think about what is actually important in life and how sorrow is handled. Conclusion: It is an important topic to address when relatively little material is available. More research is needed to better provide patients with the care they need.

  • 132.
    Björnberg, Jimmy
    et al.
    University of Skövde, School of Health and Education.
    Shatri, Adelina
    University of Skövde, School of Health and Education.
    Leva med depression: En studie av självbiografier2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Depression är en allvarlig sjukdom och en av våra vanligaste folksjukdomar. Den är mångfasetterad och upplevs olika hos alla individer. Sjukdomen påverkar känslor, tankar och förmågan till vardagliga aktiviteter. Sjukdomen är stigmatiserad i samhället, där okunskap råder kring symtom och upplevelser. Okunskap medför ett stort lidande för den drabbade individen och risk för förlängd vårdtid eller fel diagnos finns. Syfte: Syftet är att belysa upplevelsen av att leva med depression. Metod: Kvalitativ metod med en analys av narrativer för analysering av fem självbiografier. Resultat: Upplevelser av depression delas in i olika kategorier som återspeglar upplevelser beroende på vart i depressionen individen befinner sig. ”Vägen ner i djupet” skildrar början på depressionen, där kognitiva processer och funktioner försämras. ”Att hamna på botten” skildrar det mörkaste av depressionen där ångest, panikattacker och tankar kring suicid infinner sig. Slutligen skildrar ”Vägen tillbaka till hälsa” återvändandet till hälsa och tillfrisknandet. Konklusion: Depression orsakar ett stort lidande hos den drabbade och tankar, känslor och handlingar är svåra att kontrollera. De starka känslor som depressionen bär med sig begränsar individen i vardagen och kan leda till social isolering. För att tillfriskna från depression krävs rätt behandling och acceptans för sjukdomen.

  • 133.
    Blanck, Jonna
    et al.
    University of Skövde, School of Life Sciences.
    Johansson, Malin
    University of Skövde, School of Life Sciences.
    Wahlström, Sanna
    University of Skövde, School of Life Sciences.
    Sjuksköterskans roll i omvårdnaden av patienter med suicidala tankar2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses have an important role caring with the suicidal patient as they often are the first to encounter these individuals. In order to develop their skills, nurses need to understand the complexity of the problem around the thoughts of wanting to die. The purpose of the study was to compile and elucidate research that describes how nurses can provide care to suicidal patients. The method used was a literature review. The results were divided into seven themes that can guide the nurse in the work: to be there, give time and listen, to recognize and assess risk factors, working in a team, to be attentive to own attitudes, to give hope, to be able to process their feelings, increased knowledge of the causes of suicide. Even though the study is not deep-going, it can serve as guidance for both the work with the patient and how nurses themselves can process their feelings and experiences, which is considered important in the work with an often mental demanding group of patients.

  • 134.
    Blinzinger, Jonna
    et al.
    University of Skövde, School of Health and Education.
    Åström, Jennie
    University of Skövde, School of Health and Education.
    Patienters upplevelse av att leva med tarmstomi: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The gastrointestinal tract is an important part for an individual to experience physical and psychological health. Inflammatory bowel diseases and cancer in the intestine are factors that can lead to an intestinal stoma. An intestinal stoma can be permanent or temporary and involve different parts of the intestinal. With an intestinal stoma comes a responsibility which includes self-care and care of the intestinal stoma for the patient. The intestinal stoma entails bodily changes where support and teaching increase the understanding of the new body. Aim: The aim of this study was to describe patients experience of living with an intestinal stoma. Method: This study is a literature review which is based on qualitative and quantitative articles. Results: The results of this study are presented in four areas: Social cohabitation- for better or worse, Limitations in everyday life, Acceptance of the intestinal stoma and The meeting with medical care. Conclusion: Patients experience to live with an intestinal stoma can both be positive and negative. The acceptance of the new life situation includes the patient’s relationship to the nurse, friends and family. Patients acceptance to the intestinal stoma is crucial for how the body perceives and effects the psychological health.

  • 135.
    Blom, Malin
    et al.
    University of Skövde, School of Health and Education.
    Färnestav, Alexandra
    University of Skövde, School of Health and Education.
    Förutsättningar för sjuksköterskor att ge god palliativ vård: en kvalitativ litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care should relieve suffering and promote well-being of patients suffering from a fatal disease. Palliative care is divided into two phases and there are differences between countries and cultures. Most nurses meet patients in palliative stages during their professional career and need to be able to see the whole person behind the patient for the relationship to be caring.

    Aim: To illuminate the prerequisites for nurses to provide good palliative care.

    Method: Literature review with inductive design and qualitative method. The analysis consists of eleven quality-reviewed articles. Based on the analysis, a new entirety was found which formed the result.

    Result: Four prerequisites emerge (1) Education and knowledge: continuous education in communication, improvement work and caring for patients with severe dementia. (2) Good relations and good cooperation: with good relations and good cooperation between healthcare professionals, patients and relatives palliative care becomes good and effective. (3) Open and honest communication: when communication works care becomes safer and the patient avoids unnecessary suffering (4) Clear documentation: the patient's needs, actions performed by healthcare professionals and their evaluation must be clearly documented.

    Conclusion: Nurses need continuous education, the communication needs to work to create good relations and the documentation needs development.

  • 136.
    Blomberg, Karin
    et al.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Bisholt, Birgitta
    Department of Nursing, Karlstad University, Karlstad, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Borås, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Johansson Sundler, Annelie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Gustafsson, Margareta
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Swedish nursing students' experience of stress during clinical practice in relation to clinical setting characteristics and the organisation of the clinical education2014In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 15-16, p. 2264-2271Article in journal (Refereed)
  • 137.
    Blomberg, Karin
    et al.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Isaksson, Ann-Kristin
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Allvin, Renée
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden / Clinical Skills Centre, Örebro University Hospital, Örebro, Sweden.
    Bisholt, Birgitta
    Department of Nursing, Karlstad University, Karlstad, Sweden.
    Ewertsson, Mona
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Borås, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Sundler, Annelie Johansson
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Gustafsson, Margareta
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Work stress among newly graduated nurses in relation to workplace and clinical group supervision2016In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, no 1, p. 80-87Article in journal (Refereed)
  • 138.
    Blomberg, Karin
    et al.
    Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden / Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
    Sundberg, Kay
    Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
    Browall, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
    Isaksson, Ann-Kristin
    Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Nyman, Maria Hälleberg
    Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Langius-Eklöf, Ann
    Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
    Symptoms and self-care strategies during and six months after radiotherapy for prostate cancer - Scoping the perspectives of patients, professionals and literature2016In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 21, p. 139-145Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Under-diagnosed and uncontrolled symptoms in patients with prostate cancer during radiotherapy can have a negative impact on the individual's quality of life. An opportunity for patients to report their symptoms systematically, communicate these symptoms to cancer nurses and to receive self-care advice via an application in an Information and Communication Technology-platform could overcome this risk. The content in the application must precisely capture symptoms that are significant to both patients and health care professionals. Therefore, the aim of the study was to map and describe symptoms and self-care strategies identified by patients with prostate cancer undergoing radiotherapy, by health care professionals caring for these patients, and in the literature.

    METHODS: The study combines data from interviews with patients (n = 8) and health care professionals (n = 10) and a scoping review of the literature (n = 26) focusing on the period during and up to 6 months after radiotherapy.

    RESULTS: There was a concordance between the patients, health care professionals, and the literature on symptoms during and after radiotherapy. Urinary symptoms, bowel problems, pain, sexual problems, fatigue, anxiety, depression, cognitive impairment and irregular symptoms were commonly described during the initial treatment period. Self-care strategies were rarely described in all three of the sources.

    CONCLUSIONS: The results show which symptoms to regularly assess using an Information and Communication Technology-platform for patients with newly-diagnosed prostate cancer during radiotherapy. The next step is to evaluate the efficacy of using the platform and the accuracy of the selected symptoms and self-care advice included in a smartphone application.

  • 139.
    Blomqvist, Katarina
    et al.
    University of Skövde, School of Health and Education.
    Gustavsson Cederström, Louise
    University of Skövde, School of Health and Education.
    Att leva med diabetes typ 2 ur ett genusperspektiv: En kvantitativ studie2017Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 2 is classified as a public disease and may take time to detect due to the progressively deterioration of insulin secretion. Genetic factors and lifestyle factors have a strong influence over the development of the disease. Having type 2 diabetes can lead to strong emotional experiences. Meeting every patient with type 2 diabetes from a gender perspective is of great importance. Objective: The purpose was to describe patients' experiences of living with type 2 diabetes from a gender perspective. Method: A prospective cross-sectional study has been conducted with collected data from 3 different health- care centers in southern Sweden, where both men (n = 17) and women (n = 10) participated. Result: The women felt more uncomfortable in social relationships with others, due to their diabetes. In spite of that, the women estimated themselves higher than men on experienced co-existence with others today. Knowledge of diet and exercise was estimated higher by women. The men felt more depressed by their treatment plan and felt more alone in their diabetes than women. Conclusion: Diabetes type 2 can be a life-changing disease. Social relationships can be important for finding support in the disease but also creating a sense of being disturbed in social contexts. Knowledge of self-care is important in preventing future complications and premature death.

  • 140.
    Blomsterberg, Emma
    et al.
    University of Skövde, School of Health and Education.
    Carlsson, Emma
    University of Skövde, School of Health and Education.
    Mödrars upplevelser av känslor och relationen till sina barn vid matning med modersmjölksersättning2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is common for mothers not to breastfeed today, still it is of low value by society. The research available about these mothers´ experiences of connection to their children, is limited. A district nurse should be able to support motherhood in different manners, for example by practical knowledge and in a way, that identifies mothers’ experiences about not breastfeeding. 

    Aim: The purpose of this study was to describe how mothers who give formula milk to their infants, experience feelings and the relationship to their infants. 

    Method: Ten interviews with mothers were conducted. Qualitative content analysis with an inductive approach and a deductive approach was used. The inductive part consisted of open questions and the MIRF-scale was used in the deductive part. 

    Results: Eight subcategories and three main categories emerged. The categories resulted in a theme: “Experiences of creating a parenting roll and how the relationship with the children varied and developed emotionally over time.” 

    Conclusion: The mothers expressed strong, mostly positive feelings towards their children. Mothers who tried to breastfeed and could not continue, were particularly vulnerable and in need of support. Feeling inadequate as a mother because of not being able to breastfeed, could affect the mother´s mental health negatively and cause delayed maternal feelings.      

  • 141.
    Blomén, Alice
    et al.
    University of Skövde, School of Health and Education.
    Gustafsson, Linnéa
    University of Skövde, School of Health and Education.
    Mitt spruckna hjärta: En litteraturbaserad studie av individers upplevelser av det dagliga livet efter en hjärtinfarkt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction affects people all over the world and can result in death. After the myocardial infarction the individuals initiate their recovery. The individuals have to cope with lifestyle changes and at the same time dealing with the crisis that they are in. Aim: To describe individual's experiences of the daily life after a myocardial infarction. Method: A literature based study including twelve qualitative articles. Results: The individuals daily life drasticly changed after the myocardial infarction and all obstacles were not as easy to overcome.Three themes emerged from the analysis; New reality to relate to, A second chance and Help to rocery, with eight subthemes. Conclusion: Myocardial infarction is a disease that affects the whole individual. The individuals need to work with physical as well as psychic aspects of their well-being during the recovery. The nurse is a support during the hospital stay that helps the patient return to the home and their daily life. However the health care needs to take responsibility for the need of information that the individuals require more seriously.

  • 142.
    Bodare, Linnea
    University of Skövde, School of Health and Education.
    Vad händer när sjuksköterskor mår dåligt? Sjuksköterskors upplevelser av arbetsmiljön: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    BAKGRUND: Sjuksköterskor bär ansvaret över patienters omvårdnad och säkerhet. Arbetsmiljön är direkt kopplad till sjuksköterskors tillfredställelse över arbetet. När sjuksköterskor tappar kontrollen över arbetet riskeras patientsäkerheten. SYFTE: Att belysa sjuksköterskors upplevelser av arbetsmiljön och hur den inverkar på arbetet inom somatisk slutenvård. METOD: En litteraturöversikt baserad på sex kvalitativa artiklar och fem kvantitativa artiklar. RESULTAT: Fem teman uppkom under analysprocessen; En jämställd relation med läkare tillåter sjuksköterskor att tillämpa sin kompetens, Stödjande relationer och tid för kompetensutveckling, Att få sina röster hörda och att få delta i beslut, Möjlighet att tillämpa sitt omvårdnadskunnande, samt Försämring av hälsan. DISKUSSION: Ungefär varannan sjuksköterska är missnöjd över sin arbetsmiljö vilket innefattar underbemanning och icke-stödjande relationer. Detta leder till en ohälsosam arbetsbelastning som skapar stress. När sjuksköterskor inte har kontroll påverkas patienters omvårdnad vilket gör att sjuksköterskor upplever att de utfört ett dåligt arbete. KONKLUSION: Kvalitativ omvårdnad uppnås genom en god arbetsmiljö. Sjuksköterskor och sjukhusledningen behöver därför införa åtgärder för att motverka en dålig arbetsmiljö.

  • 143.
    Bodén, Emma
    et al.
    University of Skövde, School of Life Sciences.
    Wendel, Carina
    University of Skövde, School of Life Sciences.
    Endometrios hos unga kvinnor: upplevelser av skolhälsovården2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Endometriosis, a disease that gives symptoms like dysmenorrhea or abnormal bleedings during menstruation, often appears during the early adolescent and several years passes from onset of the symptoms to the point of diagnosis. The women with this diagnose often describes the feeling of not being understood, even during their adolescence. The disease may appear with troubles for the women that gives effects upon physical, mental and social impact which can be seen. The aim was to investigate what kind of support the women had got from there school nurse during junior high school and high school to affect the quality of life. A method of a quantitative study with qualitative influences was used. The respondents were found through the Swedish Endometriosis Associations youth section. A questionnaire was sent out to 59 women and 24 responded. The result showed that few of the women were satisfied with the support they received during their time in school. Almost all the women expressed that there was a lack of knowledge, support and understanding from the school nurse. Consequently, the women were not satisfied with the health care encounter. Lack of understanding and knowledge was found even at social advice and guidance centres for young people and physicians. The availability of the school nurses varied between different schools. The resources should be used to give knowledge to school nurses and the adolescents to improve the adolescents quality of life.

  • 144.
    Bogered, Emma
    et al.
    University of Skövde, School of Health and Education.
    Ivehag, Elin
    University of Skövde, School of Health and Education.
    Sjuksköterskors kommunikation med patienter som har svårt med språket i det land som de kommer till: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In today's society, it is common for people to move from one country to another. Nurses encounter people who have a different language and cultural background who have difficulty understanding the language of the country they come to. Communication barriers can arise due to language shortages and can therefore lead to a negative impact on the patient's health and life world. Aim: Describe nurses' experiences of communication in the meeting with patients with a different language and cultural background who have difficulty with the language of the country they come to. Method: A literature-based study analyzing 10 qualitative articles. Result: Four subjects were identified from the analysis: Time effects communication, Need for intercultural competence, Strategies for overcoming communication barriers and Importance of use of interpreters. Nurses need help from communication strategies and interpreters to improve communication in the healthcare meeting. Nurses demonstrate that time and attendance are needed to form a respectful and credible relationship that positively affects communication. The need for intercultural competence creates a better idea of ​​how patients with different cultures and languages ​​benefit the communication. Conclusion: Being present, giving time and creating trust and security for the patient were important for nurses but there was no time for this. Nurses can use their body language and an interpreter as a help to overcome communication barriers with patients who have difficulty with the language of the country they come to.

  • 145.
    Bolin, Ingalena
    et al.
    University of Skövde, School of Health and Education.
    Caldana, Ulrika
    University of Skövde, School of Health and Education.
    En för alltid förändrad tillvaro: En litteraturöversikt som belyser hur det är att leva med positivt BRCA2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cancer rates are increasing and the predisposition for breast and ovarian cancer (HBOC) and prostate cancer due to BRCA mutations is documented. By highlighting the impact emotional awareness of living with the heritable cancer risk nurses may have the possibility to support those affected. Aim: To create knowledge about how to live with positive BRCA and the result produces an augmented reality in health care. Method: A literature review based on 14 qualitative articles read through CINAHL. Results: The result is presented in three themes and eight subthemes. The theme On hold for cancer highlights how women and men suffer medical and psychological implications from being diagnosed with positive BRCA. It also highlights the impact of change in health and the impact for the future prospect. The theme Struggle against cancer describes strategies for improving the diagnosis, the choice between surveillance and preventive surgery and the loss of something important. The theme On the road towards support and understanding tells the story about finding support or being left on your own finding strategies for better health. Conclusion: BRCA-positive patient are able through the listening ear of nurses find the much-needed counseling for management of the high risk of developing cancer.

  • 146.
    Bolling, Jessica Maria
    University of Skövde, School of Life Sciences.
    BVC-sjuksköterskors upplevelser av arbetet med omsorgssviktande familjer2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Many children in Sweden are exposed to maltreatment. Among the purposes of the Child health care (CHC) are to decrease mortality, infirmity and handicaps among mothers and their children, and to decrease hurtful strains for parents and their children. CHC-nurses get critizism for not reporting child maltreatment in high enough numbers to the Social service. The aim of this study was to chart how CHC-nurses finds their work with families suffering from maltreatment. Ten CHC-nurses were interviewed with semistructured interviews. The study has a qualitative approach and the interviews were analysed with the help of content analysis. In the result it appears that CHC-nurses experiences working with families suffering from maltreatment is very emotional. The support from collegues, psychlogists and co-operation with Mother Health Care, pre-school and Social Service is valuable. It’s hard to judge which who are exposed to maltreatment because the definition is unclear. There’s a wish to be able to help more families without needing to report to the Social service. The prevented work by the CHC agains maltreatment should get a more prominent clear position in CHC’s standard program for the entire family.

  • 147.
    Borell, Magdalena
    et al.
    University of Skövde, School of Life Sciences.
    Tranberg, Sofie
    University of Skövde, School of Life Sciences.
    Attityder från vårdpersonal i omvårdnaden av överviktiga patienter: En litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses and doctors play a major role in the care of obese patients and that this population receive the same treatment under the same conditions as patients who are not overweight. Within healthcare, there may be negative attitudes that patients with high BMI are lazy and undisciplined. Our purpose was twofold. The first part seeks to describe if there were negative attitudes of health professionals towards obese patients. The second part of the purpose was to describe the obese patient´s experiences of health professionals´ attitudes. This was a literature survey to compile the research situation. 14 articles were analyzed and put in the result, they were both quantitative and qualitative studies. Two themes were produced, to these eight sub-themes emerged. Health-care workers' attitudes were found to be influenced by a number of factors. This led to some extent that patients avoided seeking medical care. The results showed that health professionals were aware that there were negative attitudes towards overweight patients. Despite this, many overweight patients’ experienceed disparaging attitudes when visiting health professionals. Health professionals had a number of negative attitudes. It was found that patients were affected by these attitudes, whether they are their own experience or they do occur.

  • 148.
    Botonjic, Elvira
    et al.
    University of Skövde, School of Health and Education.
    Richardson, Tanja
    University of Skövde, School of Health and Education.
    Distriktssköterskors uppfattningar om vad som motiverar patienter med övervikt eller fetma till livsstilsförändring2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity is a growing concern that causes health problems. These conditions are often due to unhealthy dietary habits and lack of exercise. A change in lifestyle is needed to stop this negative development. In order for the patient to become motivated for a lifestyle change requires support and guidance from the district nurse. Aim: The aim of the study was to illuminate district nurses’ perceptions of what motivates patients with overweight or obesity to a change in lifestyle. Method: A qualitative approach with a phenomenographic method was used. Ten interviews were performed with district nurses in primary health care. Results: Four description categories emerged from the analysis: have the patient reflect, to build trust, to increase the patient’s understanding and the patient’s experience of not feeling well with 11 perceptions. Conclusion: The results could contribute in developing and improving the district nurse’s possibilities for giving adequate support and guidance to patients with overweight or obesity in need of a lifestyle change. This is enabled by building trust which requires listening to the patient and respecting their choices. Also making the patient’s lifestyle visible through their own reflections of it enhances the possibilities to give support and guidance.

  • 149.
    Bramstång, Malin
    et al.
    University of Skövde, School of Health and Education.
    Lagergren, Sofia
    University of Skövde, School of Health and Education.
    Huden blev min fiende: En kvalitativ litteraturöversikt ur ett patientperspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:Malignt melanom är den femte vanligaste cancerdiagnosen i Sverige. En kändriskfaktor är solens ultravioletta strålning. Prognosen för överlevnad ökar genom tidig upptäckt, detär därför viktigt att arbetaförebyggande. Sjuksköterskan har till uppgift att erbjuda patienter en god vård som är personcentrerad. Detta kan förhindra lidande och öka livskvalitén hos patienterna.Syfte:Examensarbetets syfte var att beskriva patientersupplevelser av att leva med malignt melanom. Metod:En litteraturöversikt baserad på10 kvalitativa artiklar. Resultat:Malignt melanom rör upp många känslor, det är en cancerdiagnos och cancer är starkt kopplat till döden. Patienterna upplevde att deras oro inte var berättigad, då deras omgivning inte var införstådda i allvaret med sjukdomen. När patienternas förväntningar inte motsvara resultatet efter kirurgi skapade detta ett lidande. De var i stort behov av stöd för att finna strategier till ett fortsatt liv. Konklusion:Malignt melanom påverkar hela människan, patienterna behöver stöd för att öka deras livskvalité.

  • 150.
    Brandel, Marie
    et al.
    University of Skövde, School of Life Sciences.
    Brühn-Wahlström, Emma
    University of Skövde, School of Life Sciences.
    Sjuksköterskors upplevelser av att kommunicera med närstående vid palliativ vård på somatiska vårdavdelningar: En intervjustudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care is a total care at a time when the disease is no longer responsive to curative treatment. Palliative care is available at home, at hospice, palliative units or in hospitals. In year 2003 almost 35 000 people of 80 000 people died at Swedish hospitals. In the palliative care nurses are caring for both patients and relatives. Relatives need individual support and want more information and involvement in the care. Nurse’s experiences of communications can sometimes be difficult and stressful. The aim of the study was to describe nurse’s experiences of communication with relatives in palliative care on somatic wards. A qualitative method was used, and eight nurses at three different medical wards have been interviewed. Four themes were found in the result of the nurse’s experiences of communication, to create relations, to be honest, to give support and to become touched. The conclusion showed that the nurses are concerned to show dignity in the communication to relatives. Communication between nurses and doctors needs to be improved because the nurses shouldn’t be limited in the communication to the relatives.

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