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  • 1201.
    Westerlund, Dennis
    et al.
    University of Skövde, School of Health and Education.
    Holmberg, Carl Johan
    University of Skövde, School of Health and Education.
    Gastric Bypass: Den postoperativa vägen mot hälsa2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Obesity has been rapidly increasing and so has the number of Gastric Bypass (GBP) surgeries. Not only was the individuals’ physical health affected negatively, the perceived health took its toll as well. For some individuals GBP was a last resort to a healthy life.

    Aim: The aim of this study is to illustrate what patients perceive increase health in their daily life after Gastric Bypass.

    Method: Five autobiographies were analyzed using a qualitative analysis described by Dahlborg-Lyckhage.

    Result:  The analysis showed the importance of support after GBP. It consisted of three different types: acquaintances, support groups and religion. The surgery was considered a new beginning, with a new “you” and a new healthier lifestyle. Unfortunately the food urges didn’t always disappear. To satisfy the urges some turned to alcohol and drugs. To avoid this kind of behavior patients needed realistic goals to ensure a healthy recovery.

    Discussion: To ensure the patient well-being it was important to ensure the patient has proper support. The nurse should inform the patient about support groups as well as the risks of addiction.

    Conclusion: The result illustrated what GBP patients need in order to obtain health after surgery.

  • 1202.
    Westerlund, Sara
    et al.
    University of Skövde, School of Health and Education.
    Magnusson, Ulrika
    University of Skövde, School of Health and Education.
    Distriktssköterskors erfarenheter av att främja egenvårdsförmågan hos äldre patienter med diabetes typ 2: En kvalitativ intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 2 is a disease which is growing in the society and among elders. Many of these need care in the form of home healthcare. Home healthcare is a care form which is increasing as the hospitals have lesser hospital beds. This increases the demands of home healthcare and its resources. Self-care is a central part within the diabetes-care and when well-functioning it can reduce the risk of diabetes-related complications. Elderly though, have a more difficult time to maintain good self-care abilities due to the natural ageing and other possible diseases.Aim: The aim of this study was to illustrate district-nurses experiences of promoting self-care abilities among elderly patients with diabetes type 2 in home health-care settings. Method: Data were analyzed with an inductive approach by a qualitative content analysis. The data collection was made through interviews with ten district-nurses active in home health-careResults: From the analysis appeared a theme; the importance of enabling small diabetes-related lifestyle changes, and three categories; The elderlies limitations to self-care, Individualized self-care-guidance and Cooperation between different professions with seven subcategories.Conclusion: The study shows that the district-nurses have a supportive role in promoting patients self-care abilities. They cooperate with other professions to provide tools and measures needed for promoting their independency and opportunities for self-care.

  • 1203.
    Westerlund, Sara
    et al.
    University of Skövde, School of Health and Education.
    Söderlind, David
    University of Skövde, School of Health and Education.
    Anhörigvårdares upplevelser vid palliativ hemsjukvård2015Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 1204.
    Westher, Elina
    et al.
    University of Skövde, School of Health and Education.
    Wester, Victoria
    University of Skövde, School of Health and Education.
    Personers erfarenheter av dagligt liv efter en Gastric ByPass-operation: En narrativ analys av bloggar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Obesity is a threat against public health and has grown rapidly the last decades. Many surgeries against obesity are done in Sweden which may reduce disease outcomes as well as providing an improved quality of life. There are different types of obesity surgery where gastric bypass is the most common. Health is connected to self-perception which is important for those who choose to undergo surgery. Self-treatment are used to maintain health in daily life.

    Objective: The aim of this study was to describe people´s experiences of everyday life after a gastric bypass surgery.

    Method: The method used was a narrative analysis of six blogs written by women.

    Result: Three categories emerged from the analysis; adjust to a new daily life, difficulties to live a normal life and co-actors in the continued planning with seven subcategories.

    Conclusion: The study’s results have generated information that can be advantageously used to understand how people who have undergone a gastric bypass surgery experiencing daily life. This knowledge can help nurses to get a deeper understanding of these people, be able to apply patient-centered care and therefore operate good care.

  • 1205.
    Westin, Lars
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Sundler, Annelie Johansson
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. School of Health, Care and Social Welfare, Mälardalens University, Västerås, Sweden.
    Berglund, Mia
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Students' experiences of learning in relation to didactic strategies during the first year of a nursing programme: a qualitative study2015In: BMC Medical Education, ISSN 1472-6920, E-ISSN 1472-6920, Vol. 15, article id 49Article, review/survey (Refereed)
    Abstract [en]

    In university undergraduate nursing programmes, didactic strategies that enable students to learn nursing skills, solve problems and develop reflective and critical thinking and practice are needed. The aim of this study was to explore how different didactic strategies support nursing students’ experiences of learning during the first year of a reconstructed nursing curriculum.

    Methods

    This study employed a qualitative approach. The data were gathered through written narratives that were analysed using qualitative content analysis.

    Results

    Nursing students’ experiences of learning through different didactic strategies, were evident in the text. These perspectives were organised into the following themes: To focus on the patient perspective and paying more attention to others, Learning from discussions and reflections on one’s own learning, Training for the professional role and becoming more courage, and Gaining insights into nursing and increasing one’s self-awareness. The education increased the students’ self-awareness, which helped them to pay greater attention to patients and their relative. During the learning process, the students became more courageous, reflected and discovered their shortcomings.

    Conclusion

    Stated didactic strategies supported a broad base of knowledge on nursing and the professional role of nurses. Educators are challenged to strengthen meaningful learning in nursing and to facilitate the progression of nursing programmes.

  • 1206.
    Westman, Jolin
    University of Skövde, School of Health and Education.
    Skiftarbetes inverkan på sjuksköterskors hälsa: En litteraturstudie2016Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Introduction Shift work affects the circadian rhythm. Working night shift can, for instance, result in a disrupted circadian rhythm, which can have adverse effects on health. Nurses are a particularly vulnerable group in health care since they often work shifts.

     

    Purpose The purpose of this study was to explore how nurses are affected by shift work and what effects of shift work can have on nurses' health.

     

    Method The work was carried out as a literature review with a systematic approach, in which 10 scientific articles were selected from the databases; Academic Search Elite, CINAHL and MEDLINE. The articles were examined, analyzed, results were summarized and conclusions were drawn.

     

    Results Many nurses, often regardless of the type of shift work they have, suffer from insomnia, fatigue and gastrointestinal problems. Short rest between shifts and workload is mentioned in several articles as cause to the problems.

     

    Discussion Short rest between shifts can be a major contributing factor to the problems, circadian rhythm and shift work itself may not affect health as much as short rest and too little time for recovery in between shifts.

  • 1207.
    Wetterström Stålarm, Maria
    University of Skövde, School of Health and Education.
    Jag nöjer mig med godkänt: En studie om elevers mål mot betyget A eller E2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study is based on examining why some students “settle for E”. Why do some students choose to strive for the grade E and others for A in the context of theoretical exams? Four students at a vocational upper secondary school program have been interviewed in this qualitative study to understand which motivational aspects that can influence students in their studies. The results show that students value the ratings differently, one student has doubts about the ability to perform an A, and students are influenced by their classmates’ motivation to study. The discussion pointed out the value of feedback and that students rather should be encouraged for their efforts rather than for their personal characteristics.

  • 1208.
    Widell, Karin
    et al.
    University of Skövde, School of Health and Education.
    Hanna, Tornblad
    University of Skövde, School of Health and Education.
    "Education is the key of life": A Minor Field Study about the discourses of parental involvement in two Tanzanian primary schools2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Tanzania, the enrolment in school is high but the students’ performance is in general low. Parents are seen as important agents to provide students with opportunities to succeed in school. It is therefore of interest to investigate what is being said about parental involvement (PI) in the Tanzanian school. The aim with this study is to identify and analyse common assumptions about PI in the context of the Tanzanian primary school. We had the opportunity to travel to Tanzania for eight weeks to investigate this. Qualitative semi-structured interviews with eight parents and two teachers about PI were carried out in two rural villages. Questions to the parents about their perception of education were furthermore asked in order to achieve a background for their statements about PI. The study is based on a discourse analytical approach, meaning that the result was obtained through identifying discourses by analysing the respondents’ statements. The analysis resulted in five discourses: Education for the future, PI as a resource, PI as pressures from teachers, PI as a lack of education and PI as paying attention to children’s education. The contents which fill the discourses are discussed in relation to the context of the study as well as perception of the relationship between home and school. The parents in this study value education highly and their involvement is mostly about contributing with financial support. Yet, the teachers are demanding a higher involvement from parents. The low socioeconomic background is a barrier for many parents to become involved. A conscious effort, aimed at getting parents more involved, is needed in order to increase the children’s academic performance.

  • 1209.
    Wigholm, Anne-Marie
    et al.
    University of Skövde, School of Health and Education.
    Österlund, Felicia
    University of Skövde, School of Health and Education.
    Kvinnors upplevelser av övervikt och fetmas påverkan på deras vardag: - en analys av bloggar skrivna av kvinnor.2015Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Title:                                   Women's experiences of overweight and obesity's affects on                                  their the daily life - an analysis of blogs written by women.

    Authors:                            Wigholm, Ann-Marie; Österlund, Felicia

    Department:                      Nursing school of health and education, University of Skövde

    Course:                              Degree of Bachelor of Science in Nursing, Thesis in Nursing Care, 15 hp

    Supervisor:                        Lund, Annelise, Tilly

    Examiner:                          Brovall, Maria

    Pages:                                 23

    Date:                                  150422

    Keywords:                         Healt, obesity, overweight, suffering, unhealth

     

     

    Background: Overweight and obesity have increased and become a public health problem in the society. The problem can lead to suffering by the individual, both physically and mentally. In order to maintain good health and avoid overweight and obesity a healthy lifestyle has great importance. The nurse has an important role to support and motivate the patient to achieve physical and mental well-being. Aim: To illustrate women's experience of overweight and obesity's affects on their daily lives. Method: A qualitative method according to Lundman and Hällgren- Graneheim of blog texts written by women has been used. Results: In the result three categories could be identified, who described how women were affected in their daily lives. Which were "Encumbrance on the own body in the everyday life", "Impressions from the environment" and "The ever-changing self-esteem." The theme that appeared was "Physical and psychological impact in the everyday life", beacause all of the women showed different degrees of mental illness. Discussion: Women with overweight and obesity felt differently treated in the environment, their daily life was affected in such a way that their physical and mental well-being deteriorated . Conclusion: The women had a reduced physical and mental well-being, therefore, resources should be put in to increased knowledge of nurses regarding communication and mental illness.

  • 1210.
    Wingbro-Carlsson, Gunilla
    et al.
    University of Skövde, School of Health and Education.
    Matsson, Lena
    University of Skövde, School of Health and Education.
    Skolsköterskors hälsofrämjande arbete för barn med ADHD2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Attention Deficit / Hyperactivity Disorder (ADHD) is an attention deficit hyperactivity disorder that affects approximately 3-5 percent of school-age children. The school has an important influence on children's lives and there is a correlation between students' mental health and school performance. School nurses have an important role as health promoters, especially when children with ADHD are at increased risk of ill health and risky behavior.

     

    Aim: The aim of this study was to describe the school nurses´ experiences of working with measures for children with ADHD.

     

    Method: The study was conducted using a qualitative method. The study is based on telephone interviews with eight school nurses, which have been analyzed using qualitative content analysis.

     

    Results: Five categories emerged from the analysis, which describes the school nurses´ experiences of working with various measures for children with ADHD; Working together through dialogue, to adapt the school environment, provide guidance and advice to parents and children, to observe and implement controls and to work specifically with health promotion.

     

    Conclusion: School nurses have experience of different types of measures for children with ADHD. They stressed in particular the importance of paying attention to children with ADHD and regular health discussions.

  • 1211.
    Winter, Kristoffer
    et al.
    University of Skövde, School of Health and Education.
    Millton, Ludvig
    University of Skövde, School of Health and Education.
    Att leva med hjärtsvikt: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is a common illness, especially among elderly people. The illness is classified using the New York Heart Association Functional Classification (NYHA) and is treated using a variety of different treatment regimes. Person centered care is important to facilitate high standard care and promote the intrinsic value of the individual. Nurses and relatives play an important role in caring for people with heart failure. Aim: To describe how people over 18 years of age experience living with heart failure. Method: A review of the literature based on 15 scientific articles. Results: People experience fatigue and breathlessness as the most prominent symptoms. Breathlessness is in many cases initially difficult to attribute to heart failure and is a source of anxiety. Fatigue is experienced as a physical tiredness that leads to feelings of hopelessness. People feel misunderstood by people around them on how much fatigue affects their daily lives. Heart failure leads to physical limitations and affects daily activities negatively. This leads to feelings of limitations, poor self-image, reduced quality of live and loneliness. Conclusion: Heart failure affects people on many different levels. People experience breathlessness and fatigue to be the more difficult symptoms of heart failure and it being limiting on daily activities.

  • 1212.
    Wongsala, Manothai
    et al.
    Mälardalen University, Sweden.
    Anbäcken, Els-Marie
    Mälardalen University, Sweden.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Perspectives of Health, Participation and Security among Older Adults in Northeastern Thailand2018Conference paper (Other academic)
  • 1213.
    Wongsala, Manothai
    et al.
    Mälardalen University, Sweden.
    Anbäcken, Els-Marie
    Mälardalen University, Sweden.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Manasatchakun, Pornpun
    Boromarajonani College of Nursing Chaing Mai, Thailand.
    Rungkawatt, Vilaiporn
    Boromarajonani College of Nursing Nakhonratchasima, Thailand.
    "Lomwong Saansook": A Group Meeting Using PDSA Wheel to Improve Health, Participation and Security among Thai Older Adults2019In: iHSEP2019 Conference Abstract Book: International Conference on Advancement in Health Sciences Education and Professions (iHSEP2019): Synergy and Reform for Better Health, Ministry of Public Health, Thailand , 2019Conference paper (Refereed)
    Abstract [en]

    Background In general, activities to promote well being among the elderly in Thailand are not selfinitiated Therefore, older people need to be encouraged to find out how to manage their daily life and activities This study applied the concept of the PDSA wheel Plan Do Study Act in order to enhance their wellbeingThe activity called Lomwong SaansookThai wordsLSmeetings implemented among older adults aged 60 and above The PDSA concepts are used to encourage participants to plan a goal, do it by themselves, and use the group dynamic with other participants in studying evaluating to improve the activities Topics of meetings included health issues, participation, and security related to the active aging concepts Objective To describe older adults¶ perceptions of changes and improvement in their daily lives after participating in LSmeetings Methodology This qualitative study employed the phenomenography method using focus group interviews which were conducted two weeks after four LSmeetings with 15 participants They were divided into two focus groups contained seven and eight participants including males and females Data were collected by field notetaking and video recordingData were analyzed by the multistage coding process to identify themes of description Results The participants described their perceptions of changes and improvements by five themes, including not familiar but possible with supporting, behaviors improving, meaningful knowledge needs, learn with each other, and success factors DiscussionConclusion Thai older people in this area had difficulties to make goals of lifestyle changes by themselves, but it was possible with the support of the moderator As a result, their healthrelated behaviors had improved The examples of a lifestyle change were improvements in fooddrink intake, exercise, and saving money; however, the causes of changing behaviors were not confirmed clearly The important factors of changing behaviors were meaningful new knowledge, group process, support from the moderator, and good relationships with health personnelAccording to the results of this study, it can be concluded that the meeting using the PDSA wheel may be able to use as a guideline providing sustainable activities for Thai older people to encourage improving individual implementation of lifestyle changes, in order to enhance their wellbeing.

  • 1214.
    Wongsala, Manothai
    et al.
    Mälardalen University, Sweden.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Anbäcken, Els-Marie
    Mälardalen University, Sweden.
    Lomwong Saansook: Improving Health, Participation and Security among Thai Older Adults Using PDSA Wheel2019Conference paper (Refereed)
  • 1215.
    Wullimann, David
    University of Skövde, School of Health and Education.
    Discovery of candidate biomarkers for purification of atrial and ventricular cardiomyocytes derived from human pluripotent stemcells: Version 22017Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
  • 1216.
    Yarandpour, Golbarg
    University of Skövde, School of Health and Education.
    Hur påverkas unga kvinnor av Influencers på Instagram: En kvalitativ studie om unga kvinnors upplevelser av att följa Influencers på Instagram2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    For young adult’s age 18-25 years, Instagram is a popular social network. With the expansion of social media, a new kind of commercial role- model has been created, the so- called Influencers. Based on the understanding and interpretation of previous research, this study will look into what impact the social network phenomena Instagram-Influencers have on young girls’ self-perception and identity. The purpose of this study is to answer the following questions: How do young women experience the social network Instagram and its Influencers? How is the identity of young women affected by the Influencers on the social media Instagram? In what way do young women experience that their identity is being shaped, in those cases it has an impact? To study this, qualitative interviews are used and conducted with six different active female users, between ages 18-25. The collected data were analyzed with a thematic inductive approach. The result is linked to three main themes; Instagram's importance, being an Influencer, Influencers and their impact on their followers, as well as the subcategory: Identity online and identity offline. In my analyzation, the conclusion is, that there is a clear link between an increased digital interaction and social comparison, and their effect on identity and self-perception. The respondents believe that the Influencers display a misleading view of reality. The followers get the impression that the content is filtered and only highlights flattering topics, and that the purpose with this is to enforce and emphasize the value of the Influencers’ statements. Similarly, the respondents themselves are affected to construct images of happiness, but in reality – offline- the feeling of loneliness and sadness occurs. The end discussion addresses the clear link between increased digital interactions and the sense of social comparison, the need for conformity and role-limiting behavior.

  • 1217.
    Yngman-Uhlin, Pia
    et al.
    Associate Professor and a Research and Development Supervisor, Department of Research and Development Unit, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Kjellsdotter, Anna
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Uhlin, F.
    Edéll-Gustafsson, U.
    Sleep Quality, Fatigue, and Health-Related Quality of Life in Patients on Initial Peritoneal Dialysis and Multiple Modalities after Two Years: A Prospective Study2019In: Nephrology Nursing Journal : Journal of The American Nephrology Nurses Association, ISSN 1526-744X, E-ISSN 2163-5390, Vol. 46, no 6, p. 615-649Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to investigate changes in sleep quality, fatigue, mental health, and health-related quality of life (HRQoL) over a two-year period among patients undergoing peritoneal dialysis treatment at home. We further explored the extent to which sleep quality, fatigue, and mental health predicted health-related quality of life outcomes. This prospective study included 55 patients. Sleep parameters changed over two years, independently of treatment. Sleep variables at baseline, to some extent, predicted sleep quality after two years. Daytime sleepiness can be a long-term problem. Findings indicate improvements in nocturnal sleep over a two-year time period, independently of dialysis treatment. In contrast, fatigue remained unchanged over the same time period. Transplantation seems to generally benefit the outcome of HRQoL. Strategies to improve sleep and HRQoL may include systematic risk factor modification and efforts to optimise symptomatic treatment. 

  • 1218.
    Zaar, Lina
    et al.
    University of Skövde, School of Health and Education.
    Eklind, Sandra
    University of Skövde, School of Health and Education.
    ”Skräm inte mammor i onödan”: Svenska dagstidningars bild av förlossning och förlossningsvård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Graviditet och förlossning är ett känsligt tillstånd för blivande föräldrapar, vilket medför att de är lättpåverkade av olika informationskällor. Berättelser om graviditet och förlossning i massmedia är efterfrågade och förlossningsvården är ett aktuellt ämne, både medialt och politiskt. Tidningar behöver ofta locka med uppseendeväckande rubriker för att skapa intresse. Barnmorskans roll är att främja den normala graviditeten och förlossningen samt skapa trygghet och tillit hos föräldraparet. För att kunna vägleda blivande föräldrar behöver barnmorskan ha vetskap om hur förlossning och förlossningsvård framställs i massmedia. Syfte: Att beskriva hur förlossning och förlossningsvård framställs i de fyra största svenska dagstidningarna. Metod: Kvalitativ innehållsanalys med induktiv ansats användes. Datainsamling i databasen Mediearkivet utmynnade i 177 artiklar, som låg till grund för analysen. Resultat: Analysen resulterade i ett tema: Förlossning och förlossningsvård framställs oftast riskfylld, dramatisk och stressande, men sällan naturlig och stärkande. Centralt fynd var att den normala förlossningen inte fick utrymme i artiklarna. Dramatiska händelser samt en bild av att förlossningsvården är i kris var framträdande. Konklusion: Massmedia ger inte utrymme för den normala förlossningen, utan framhäver de exceptionella händelserna, vilket skapar oro och rädsla hos föräldrapar. Därmed måste barnmorskan arbeta för att sprida en mer verklighetsförankrad bild av förlossning.

  • 1219.
    Zare, Zahra
    et al.
    Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Iran.
    Sadeghi-Bazargani, Homayoun
    Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Iran.
    Ranjbar, Fatemeh
    Research Center of Psychiatry and Behavioral sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
    Stark Ekman, Diana
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Farahbakhsh, Mostafa
    Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
    Maghsoudi, Hemmat
    Department of Surgery, Sina Burn Center, Tabriz University of Medical Sciences, Iran.
    Ekman, Robert
    Department of Architecture and Civil Engineering, Chalmers University of Technology, Gothenburg, Sweden.
    Nasiri, Farideh
    Sociologist at Tabriz University of Medical Sciences, Iran.
    Psychometric Properties of a New Instrument for Assessing Irrational Thoughts in Burn Victims (Scale of Irrational Thoughts After Burn Injuries)2017In: Journal of Burn Care & Research, ISSN 1559-047X, E-ISSN 1559-0488, Vol. 38, no 5, p. e834-e841Article in journal (Refereed)
    Abstract [en]

    The objective of this study was to develop and evaluate a scale for assessing irrational thoughts among burned patients. The present study was mixed (qualitative-methodologic) which was performed in several stages such as investigating similar or related scales, interviewing with patients and psychologists. Content validity was calculated by modified KAPPA basis on relevance and clarity. The reliability of the scale was measured using internal consistency and the test-retest method. To determine the construct validity, exploratory factor analysis approach using maximum likelihood extraction with varimax rotation was conducted. A total of 329 burned patients were recruited from Tehran, Tabriz, and Kermanshah provinces of Iran. Modified kappa scores were 0.80 and 0.91 for relevance and clarity of the items included in scale. The Cronbach alpha for overall scale, subscale 1, and subscale 2 were 0.89, 0.88, and 0.8, respectively. Test-retest reliability was also acceptable (intraclass correlation coefficient = 0.80). The best solution from the maximum likelihood analysis of the 39 items of the scale revealed two factors corresponding to the two subscales with 14 items that subscale 1 (self-acceptance) consisted of 10 statements accounting for 60% of the variance (eigenvalue = 5.04) and subscale 2 (distastefulness and pity) consisted of four statements accounting for 40% of the variance (eigenvalue = 1.53). The scale reflects acceptable levels of validity and reliability in assessing the irrational thoughts among Iranian patients. Moreover, the testing populations of both patients with burned faces and patients with other burned body parts indicates that the scale may also be applicable for patients' burn disfigurements on any part of their bodies.

  • 1220.
    Zare, Zahra
    et al.
    Tabriz University of Medical Sciences, Tabriz, Iran.
    Sadeghi-Bazargani, Homayoun
    Tabriz University of Medical Sciences, Tabriz, Iran.
    Stark Ekman, Diana
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ranjbar, Fatemeh
    Tabriz University of Medical Sciences, Tabriz, Iran.
    Ekman, Robert
    Chalmers University of Technology, Göteborg, Sweden.
    Farahbakhsh, Mostafa
    Tabriz University of Medical Sciences, Tabriz, Iran.
    Maghsoudi, Hemmat
    Tabriz University of Medical Sciences, Tabriz, Iran.
    Cognitive Distortions as Trauma-Specific Irrational Beliefs Among Burn Patients2019In: Journal of Burn Care & Research, ISSN 1559-047X, E-ISSN 1559-0488, Vol. 40, no 3, p. 361-367Article in journal (Refereed)
    Abstract [en]

    Burn injuries are most certainly stressful events, particularly when permanent disfigurement is a result. This situation can lead to the onset of irrational beliefs which can in turn lead to long-term psychological problems such as depression, anxiety, shame, guilt, posttraumatic stress, etc. The objective of this study is to explore the irrational beliefs among burn patients and its correlates in an Iranian sample. This cross-sectional study included 329 patients who had experienced disfigurement, as result of burn injuries. In order to assess irrational beliefs, a Scale for Irrational Thoughts after Burning was used. To identify correlated variables with irrational beliefs, both bivariate and multivariate analysis methods were conducted. In multivariate linear regression, forward strategy was used for building the model. The results of bivariate analysis showed that the location of the burn on bodies (body parts generally exposed in social environment or parts culturally perceived as sensitive areas of body), marital status, urbanities, age group, geographical areas, etiology of burning, and intent of injury had significant relationships with irrational beliefs (P < .05). Using forward linear regression, gender, marital status, geographical areas, etiology of burning, body burn by location (body parts generally exposed in social environment or parts culturally perceived as sensitive areas of body), and intent of injury had significant correlation with irrational beliefs. The models predicted 15.5% (P < .001) of irrational beliefs. Considering to irrational beliefs and development of facilities for screening is necessary. Moreover, consultation with mental health experts after burn injuries is highly recommended. 

  • 1221.
    Zaytoun, Maria
    University of Skövde, School of Health and Education. mariazaytoun@hotmail.com.
    Sjuksköterskors erfarenheter av att vårda och bemöta äldre med demenssjukdom: En litteraturbaserad studie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a common disease and is among the leading causes of disability amongst elderly people. Dementia disease can lead to personality changes, memory disorders, confusion and communication difficulties, amongst other things. These symptoms demand nurses to adapt their way of nursing and treating to offer the best possible care. Aim: The aim with a literature-based study is to describe nurses’ experiences with nursing and treating elderly with dementia disease. Method: In the following study a total of 10 articles of qualitative nature have been reviewed and analyzed in a structured manner. Result: The following four themes have been identified regarding the studied articles; The caring creates a variety of emotions, the importance of having prerequisites, knowledge about the individual behind the disease and the importance of being able to communicate and interact. Conclusion and clinical implications: Good treatment is a prerequisite for good care. To treat elderly with dementia the right preconditions like, time, a person-centered approach, knowledge about the disease and communication skills are necessary. The result can contribute to an increased understanding of nurses by describing other nurses' actual experiences of how nursing and treatment of elderly with dementia disease can be seen in practice.   

  • 1222.
    Ährlund-Richter, Andreas
    University of Skövde, School of Health and Education. Forskargrupp: Tina Dalianis, KI.
    Oral and genital human papillomavirus (HPV) prevalence in young women and men attending a youth clinic in Stockholm, Sweden: A follow up study after the introduction of HPV vaccination2017Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background and Aim: In 2010 HPV vaccination was subsidized in Sweden and in 2012 a national vaccination program against HPV16, 18, 6 and 11 was launched for girls ages 10-12 years. In parallel was a catch-up vaccination program for young women. To investigate base line HPV cervical and oral prevalence in non-vaccinated youth two studies were performed at a youth clinic in Stockholm 2008-2011. This project initiated 2013 aimed to follow HPV prevalence in youth since the previous studies, in the same population.  

    Materials and Methods: 117 women, of which 73% were HPV catch-up vaccinated donated 93 cervical samples and 117 oral samples, and 54 unvaccinated men donated 54 oral samples and 47 urinary samples. All samples were tested for 27 HPV types with a PCR based system and the data was compared to that obtained in 2008-2011. The categorical Fishers exact test was used for statistical analysis due to HPV-positive samples being n< 5 for certain types. 

    Results and Conclusion: HPV16 cervical prevalence was significantly lower in the HPV vaccinated women compared to unvaccinated women (7% and 27% respectively, p=0.033) in the 2013 group. For HPV18 and HPV6 there was a significantly lower prevalence in the 2013 vaccinated group compared to the 2008-2010 unvaccinated group (1.5% vs. 10% respectively, p=0.021 and 1.5% vs. 8% respectively, p=0.048). Overall oral HPV prevalence for both genders, was lower in the 2013 group compared to that of 2009-2011, (2.3% and 9.1% respectively, p=0.005). Male urinary prevalence was low (6%) and not efficient to follow changes in specific HPV types. The data indicate that HPV catch-up vaccination was gradually exhibiting an effect, with significant decrease of cervical HPV16 prevalence.

  • 1223.
    Åberg, Cecilia
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Att lära i den verksamhetsförlagda delen av utbildningen2015In: Reflektion i lärande och vård - en utmaning för sjuksköterskan / [ed] Mia Berglund, Margaretha Ekebergh, Lund: Studentlitteratur AB, 2015, 1, p. 145-162Chapter in book (Refereed)
  • 1224.
    Åberg, Malin
    et al.
    University of Skövde, School of Health and Education.
    Joelsson, Josefine
    University of Skövde, School of Health and Education.
    Kvinnliga patienters upplevelse under pågående behandling av bröstcancer.: En kvalitativ studie av bloggar2016Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 1225.
    Ådemark, Ulrika
    et al.
    University of Skövde, School of Health and Education.
    Persson, Lisa
    University of Skövde, School of Health and Education.
    BVC-sjuksköterskors erfarenheter av att möta föräldrar när barnet har övervikt eller fetma2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A Child health care nurse has a unique opportunity to identify children at risk of becoming overweight or obese. During consultation with parents, one of the most important tasks of nurses is to effectively communicate ways to benefit the child's health. Overweight and obesity are well known risk factors for chronic health conditions and decreased general health later in life, thus making the implementation of health promotion and preventative measures early in life vital.

    Aim: To evaluate the experiences of Child health care nurses after consultation with parents of overweight or obese children.

    Method: Interviews with nine Child health care nurses working with children's health were performed.An inductive approach was applied where data was analyzed with qualitative content analysis.

    Result: Four main categories emerged from the analysis; Family situation affects the consultation, Giving necessary guidance, Pedagogic strategy and Problems in communication, and nine subcategories.

    Conclusion: This study reveals that Child health care nurses identify trust as a major factor in consultations with parents. Trust is important for the nurse to be able to support and guide parents concerning weight issues of their children. The nurse must keep the family situation and surrounding factors influencing the meeting in mind.

  • 1226.
    Åhlfeldt, Rose-Mharie
    et al.
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre.
    Andersén, Annelie
    University of Skövde, School of Health and Education.
    Eriksson, Nomie
    University of Skövde, School of Business. University of Skövde, Enterprises for the Future.
    Nohlberg, Marcus
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre.
    Bergström, Erik
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre.
    Fischer Hübner, Simone
    Karlstads universitet.
    Kompetensbehov och kompetensförsörjning inom informationssäkerhet från ett samhällsperspektiv2015Report (Other academic)
    Abstract [sv]

    På uppdrag av Myndigheten för samhällsskydd och beredskap (MSB) har en studie genomförts med syftet att komplettera resultatet från en tidigare genomförd förstudie (Åhlfeldt m.fl., 2014) med en analys av kompetensförsörjning och kompetensbehov på informations­säkerhetsområdet från ett samhällsperspektiv. Arbetet har genomförts av forskare från två lärosäten, Högskolan i Skövde och Karlstad Universitet, samt inom tre forskningsdiscipliner: pedagogik, informationssäkerhet och företagsekonomi.

    Uppdraget har varit att besvara följande frågeställningar:

    • Vilka är kompetensbehoven för att ha en god och balanserad informationssäkerhet som bidrar till samhällets informationssäkerhet?
      • Samtida kompetensbehov (nuläget)
      • Framtida kompetensbehov
      • Hur ska nödvändig kompetens erhållas och på vem ligger ansvaret?
      • Utifrån ovanstående frågeställningar, vilka är de viktigaste framgångsfaktorerna?

    Arbetet har genomförts i form av fokusgrupper med representanter från myndigheter och företag som har en nära verksamhetskoppling till samhällets informationssäkerhet och som är viktiga för att samhällets informationssäkerhet ska fungera.

    Resultatet visar att det finns stora brister avseende informationssäkerhetskompetens på alla nivåer i samhället. Tre tydliga områden pekas ut 1) nationellt - ökat behov av starkare styrning och ledning samt kravställning 2) organisation - ökat behov av kompetens från ledning till medarbetare men med starkt fokus på kompetenshöjande åtgärder på ledningsnivå samt vid upphandling och 3) medborgarperspektivet där framförallt skolområdet lyfts fram som ett viktigt insatsområde för kompetenshöjande åtgärder.

    För att uppnå nödvändig kompetens krävs utbildningsinsatser på alla ovan angivna områden. Dels utbildningar på akademisk nivå för informationssäkerhetsexperter men även övriga utbildningar inom t ex juridik och ekonomi. Även yrkesverksamma på organisationsnivå behöver riktade kompetenshöjande åtgärder som sätter informationssäkerhet i fokus utifrån organisationens verksamhetsbehov, allt ifrån ledningsnivå till medarbetarnivå.

    Resultatet visar även att ansvaret för samhällets kompetensförsörjning för informationssäkerhet ligger även den på alla ovan nämnda tre områden men med tydlig betoning på nationell nivå. Här betonas behovet av nationella krav för att medvetandegöra och lyfta informations­säkerheten i samhällsviktig verksamhet för att nå så många medborgare som möjligt.  

    Förslag på framtida arbete avseende utveckling av metoder för framtida studier av kompetensförsörjningen pekar främst på metoder för att angripa bristen på helhetssyn samt kompetensförsörjning för management och medborgare.

  • 1227.
    Åhlfeldt, Rose-Mharie
    et al.
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre.
    Fischer Hübner, Simone
    Karlstad University.
    Carlén, Urban
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Andersén, Annelie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Eriksson, Nomie
    University of Skövde, School of Business. University of Skövde, Enterprises for the Future.
    Björck, Fredrik
    Stockholms Universitet.
    Nohlberg, Marcus
    University of Skövde, School of Informatics. University of Skövde, The Informatics Research Centre.
    Förstudie kompetensbehov informationssäkerhet2014Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    På uppdrag av Myndigheten för samhällsskydd och beredskap (MSB) har en förstudie genomförts med syftet att sammanställa forskningsresultat om kompetenshöjande åtgärder inom informationssäkerhetsområdet för att kartlägga utbildningsbehov och identifierade nyttoeffekter. Arbetet har genomförts av forskare från tre olika lärosäten, Högskolan Skövde, Karlstad Universitet och Stockholms Universitet, samt inom tre forskningsdiscipliner nämligen pedagogik, informationssäkerhet och företagsekonomi.

    Förstudien har haft i uppdrag att besvara följande frågeställningar:

    • Hur definieras kompetens?

    • Hur mäter man kompetens?

    • Hur skiljer sig olika typer av utbildningsinsatser avseende nyttoeffekter? Vilka erfarenheter,

      utvärderingar förklaringsfaktorer kan identifieras?

    • Hur och i vilken utsträckning tillgodogörs olika typer av utbildningar?

    • Vad kännetecknar framgångsrika utbildningsinsatser?

      Resultatet visar att kompetensbegreppet är svårdefinierat och det finns ingen tydlig definition av begreppet. Ett försök till en sammanfattande beskrivning av kompetensbegreppet utifrån granskningen är att kompetens innebär en viss uppsättning kunskaper, färdigheter, etik och attityder i en viss kontext. Kompetens innefattar både egenskaper och intentioner där egenskap inkluderar kunskap och färdighet, och intentioner innefattar etik och attityder. Allt måste dock relatera till en kontext och alltid ses i sitt sammanhang.

      Ytterst få studier har fokus på mätning av kompetens både generellt och inom informationssäkerhetsområdet. De studier som genomfört någon form av mätning mäter främst kompetens utifrån det akademiska fältet och då i första hand utifrån ett kunskapsperspektiv. Forskning av mätning på yrkesverksamma är minimal inom de sökområden som granskats i denna förstudie.

      Avseende kompetensbehov, nyttoeffekter, erfarenheter och framgångsfaktorer visar granskningen att framgångsfaktorer generellt är när utbildningsinsatserna för yrkesverksamma har ett praktiknära fokus. Motivationen och engagemanget hos de som går en utbildning är av avgörande betydelse. Det går inte direkt att avgöra vilka utbildningstyper eller aktiviteter som är av störst betydelse utan granskningen visar att en kombination av olika utbildningsformer och aktiviteter är att föredra. Vidare är dialog och diskussion i den dagliga verksamheten av stor betydelse för att bygga upp en hållbar säkerhetskultur i organisationen. Den s k tysta kunskapen ska inte underskattas utan behöver tas i beaktande och stödjas.

      Ytterligare är ledningens engagemang, delaktighet och stöd för utbildningens genomförande av avgörande betydelse om en utbildning ska uppnå en tydlig effekt i verksamheten.

      Granskningen visar att det finns behov av ytterligare forskning avseende kompetensbehov och på vilket sätt olika utbildningsinsatser ger effekt i organisationer. Förslag på ett diskussionsunderlag för framtida arbete har tagits fram. Förslagen innefattar bl a behov av kompetensanalyser, metoder och verktyg för att mäta utbildningseffekter, riktade kompetenshöjande insatser för managementnivån, longitudinella studier för uppföljning av effekter samt utveckling av metoder och verktyg för ett situerat lärande.

    Granskningen har genomförts inom olika disciplinområden vilket har uppfattats mycket positivt av de deltagande forskarna. Eftersom informationssäkerhet är ett interdisciplinärt område krävs också att bredare perspektiv och ytterligare discipliner bör ingå i framtida fördjupade analyser i området. Exempel på tillkommande discipliner är beteendevetenskap, psykologi och juridik. Behovet av kompetens inom informationssäkerhetsområdet lär inte minska i framtiden och ytterligare forskning behövs för att rätt utbildning ska nå rätt person vid rätt tidpunkt och på rätt plats.

    Skövde i mars 2014

  • 1228.
    Ålrud, Josefin
    et al.
    University of Skövde, School of Health and Education.
    Andersson, Andina
    University of Skövde, School of Health and Education.
    På barnens initiativ- en kvalitativ studie om matematik på förskolans utegård2014Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to investigate and analyze how preschool teachers use preschool yard in their work with mathematics. The method that was selected to collect data was qualitative interviews and observations. The result shows that preschool teachers work with mathematics mainly occurs through use of mathematics concept to term what the children are doing and by challenging them by asking questions that can develop thechildren´s activities. Some preschool teachers mention that they work in an exploratory manner with problem solving.Some preschool teachers also create learning opportunities by providing the children with materials or by working with planned activities on the preschool yard involving mathematics. The result shows that the preschool teachers only see benefits with working with mathematics on the preschool yard and that their attitudes affect how this work is done. The conclusion is that preschool teachers have an important role in how work with mathematics on the preschool yard appears. This makes it interesting that the result still shows that the work with mathematics on the preschool yard occurs primarily on initiatives from the children.

  • 1229.
    Åman Svensson, Mattias
    University of Skövde, School of Health and Education. mattias.aman.svensson@gmail.com.
    Att behandla depression hos äldre: en global utmaning2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The older population makes up the largest group of people struck by mental depression. Meanwhile it is also the most rapidly increasing population group suffering from depression. There is a lack of research in this field and there are indications that older people do not respond to treatment in the same way as the younger population. The aim of this literature review is to examine methods of treatment for depression in the elderly population.Method: A systematic literature review with thematic content analysis of quantitative data.Results: Fifteen articles were included. The analysis resulted in four themes: Physical activity, Therapy, Social interaction, Medical treatment. Conclusion: There are indications of treatments with good effect, but it is difficult to identify possible clinical implications due to heterogeneity within the study population. More studies in the field focusing on subgroups are needed.

  • 1230.
    Öberg, Isabella
    University of Skövde, School of Health and Education.
    Copingstrategier för sjuksköterskor i mötet med döden inom vården: En kvalitativ litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1231.
    Öhlin, Linnéa
    et al.
    University of Skövde, School of Health and Education.
    Kjellén, Malin
    University of Skövde, School of Health and Education.
    ”DET HÄR ÄR JAG FÖR ALLTID”: En kvalitativ studie baserad på bloggar skrivna av människor som lever med hiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The human immunodeficiency virus (HIV) is a cause of chronic disease discovered in America in the 1980s. People living with HIV have since the discovery of the disease been exposed to discrimination, stigmatization and exclusion. Today effective treatment enables people with HIV to live a life without reduced lifespan. Purpose: The aim of the study is to describe people's experience of living with HIV in Sweden. Method: Narrative method based on qualitative data in form of blogs written by people living with HIV. Google database from google LLC was searched for relevant material. Result: The notification of HIV causes feelings of shock, fear and anxiety of death. Concurrent with the shocking message, a considerable need to converse occurs. However, many people also experience a fear of rejection when they tell others that they are HIV positive. This fear also have a negative impact on their sex life, since many of the them prefer to refrain from sexual relations rather than telling about the virus. Despite these difficulties, people living with HIV create strategies that make life manageable, and express a gratitude for lessons learned since exposure. Conclusion: The toughest challenge for people living with HIV is to deal with the prejudices and stigmatization by people in their surrounding.

  • 1232.
    Österlind, Jane
    et al.
    Ersta Sköndal University College and Ersta Hospital, Palliative Research Centre, Stockholm, Sweden / Ersta Sköndal University College, Department of Health Care Sciences, Stockholm, Sweden.
    Prahl, Charlotte
    Ersta Sköndal University College and Ersta Hospital, Palliative Research Centre, Stockholm, Sweden / Ersta Sköndal University College, Department of Health Care Sciences, Stockholm, Sweden.
    Westin, Lars
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Strang, Susann
    Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences, Sweden / Angered Hospital, Sweden.
    Bergh, Ingrid
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Henoch, Ingela
    Ersta Sköndal University College and Ersta Hospital, Palliative Research Centre, Stockholm, Sweden / Angered Hospital, Sweden / University of Gothenburg Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Sweden.
    Hammarlund, Kina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ek, Kristina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Nursing students' perceptions of caring for dying people, after one year in nursing school2016In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 41, p. 12-16Article in journal (Refereed)
    Abstract [en]

    Aim: To describe Swedish nursing students' perceptions of caring for dying people after the first year of a three year in a nursing programme at three university nursing schools in Sweden. Methods: Interviews (n = 17) were undertaken with nursing students at the end of their first year. A phenomenographic approach was used to design and structure the analysis of the nursing students' perceptions. Results: The analysis resulted in five categories: 1) from abstract to reality, 2) from scary to natural, 3) increased knowledge can give bad conscience, 4) time limits versus fear of end-of-life conversations, and 5) meeting with relatives. Conclusion: Nursing students need to be prepared both theoretically and within practice to encounter death and dying and to care for dying persons. By combining their theoretical knowledge of dying and death with their own encounters of death and dying people in practice, the students can be supported to develop an understanding of dying and death as a natural part of life rather than something frightening. 

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