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  • 151.
    Brolund, Frida
    et al.
    University of Skövde, School of Life Sciences.
    Abrahamsson, Maud
    University of Skövde, School of Life Sciences.
    Pappors upplevelser av att vårda sitt barn på en neonatalavdelning.2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden, about 90 000 children per year are born and about 10% of these need to be taken care in neonatal intensive care unit. The causes can be many, but the most common reason is that the children who suffer, are prematurely born and are extra vulnerable due to their immaturity. The purpose of the study was to find out the father's experience of caring for their child in a neonatal intensive care unit. A qualitative research using content analysis method was chosen. Seven fathers who had to provide care of their child in a neonatal department were interviewed with a question "How you did your experience to take care for your child at a neonatal department?" The results were divided into three categories such as "like to create ties to their child," "sense of inadequacy" and "need to feel safe" with its sub-categories. The study revealed that the father thinks that it is important to be close to the child and would like to take responsibility for the health care. They were very satisfied with the care and had trust in the caregivers, but felt that they would have had more support. The fathers also experienced frustration of the wish to be in several places simultaneously. In this study, the authors hope to raise awareness to promote a personalized support for a better care of the newborn baby.

  • 152.
    Browall, Maria
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden.
    Brandberg, Yvonne
    Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
    Nasic, Salmir
    Research and Development Centre, Skaraborg Hospital, Skövde, Sweden.
    Rydberg, Per
    Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
    Bergh, Jonas
    Radiumhemmet and Cancer Centre Karolinska, Karolinska University Hospital, Stockholm, Sweden.
    Rydén, Andreas
    Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
    Xie, Hanjing
    Radiumhemmet and Cancer Centre Karolinska, Karolinska University Hospital, Stockholm, Sweden.
    Eriksson, Irene
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Wengström, Yvonne
    Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden / Radiumhemmet and Cancer Centre Karolinska, Karolinska University Hospital, Stockholm, Sweden.
    A prospective exploration of symptom burden clusters in women with breast cancer during chemotherapy treatment2017In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 25, no 5, p. 1423-1429Article in journal (Refereed)
    Abstract [en]

    Purpose

    The aim was to prospectively map symptom clusters in patients with stage I–IIIa breast cancer during standard chemotherapy treatment in a randomised study.

    Methods

    Participants completed the Memorial Symptom Assessment Scale (MSAS) at baseline, day 12 after the first and third cycle of FEC 75 or FEC 100, and day 12 after the last cycle of Taxotere. Cut-off values for symptom scores, a mean value based on each individual reporting a symptom including occurrence, frequency, severity and distress for inclusion in analysis, were determined.

    Results

    The symptom burden cluster analysis was conducted in two steps and included symptoms with high frequency and high levels of distress. The factor analysis revealed three symptom clusters; physical, gastro (phys/gastro) and emotional, with core symptoms that remained stable over time. The most prevalent symptoms for the total sample during all cycles were as follows: lack of energy (range between 48 and 90%), feeling sad (48–79%), difficulty sleeping (54–78%), difficulty concentrating (53–74%), worrying (54–74%) and pain (29–67%).

    Conclusion

    In summary, we have prospectively established that symptom clusters remain stable over time with a basis of core symptoms. This knowledge will aid in the development of effective core symptom-focused interventions to minimise symptom burden for patients treated with chemotherapy for breast cancer.

  • 153.
    Browall, Maria
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden.
    Forsberg, Christina
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden.
    Wengström, Yvonne
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden / Karolinska University Hospital, Breast and Sarcoma Unit, Radiumhemmet, Sweden.
    Assessing patient outcomes and cost effectiveness of nurse-led follow-up for women with breast cancer: have relevant and sensitive evaluation measures been used?2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 13-14, p. 1770-1786Article, review/survey (Refereed)
    Abstract [en]

    Aim

    To explore how interventions using nurse-led follow-up in breast cancer care have been evaluated with a focus on patient outcomes and cost effectiveness.

    Background

    As part of the advancement of breast care, nurse-led follow-up is increasingly used as an alternative to routine hospital follow-up in outpatient clinics. There is evidence suggesting that patients appear to be satisfied with the nurse-led follow-up, but there is a lack of evidence of whether this perception equates to patients’ satisfaction with the model of physician-led follow-up.

    Design

    Systematic review.

    Method

    Three databases were searched, and 29 RCT were initially screened. Finally, 13 articles were critically appraised. Searches included articles between 2005 and 2013. The quality of appraisal assessment was inspired by the GRADE system.

    Results

    The results show that there are many different instruments used when evaluating nurse-led follow up which makes it difficult to compare the studies. Several of the studies used QoL as an outcome measure; this is a broad concept that includes several aspects ranging from social role and psychosocial issues to symptoms and therefore difficult to use as an outcome measure. Only two of the studies made any cost-effective analyses and the results are hard to interpret.

    Conclusions

    Nurse-led follow-up can potentially result in better continuity of care and the availability of more time to provide psychosocial support and address patients’ information needs. However, more well-conducted research is needed before equivalence to physician-led follow-up can be assessed in terms of survival, recurrence, patient well-being and cost-effectiveness.

  • 154.
    Browall, Maria
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Karolinska Institute, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden.
    Henoch, Ingela
    University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden / University of Gothenburg Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Sweden.
    Melin-Johansson, Christina
    Mid Sweden University, Department of Nursing, Östersund, Sweden.
    Strang, Susann
    University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden.
    Danielson, Ella
    University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden / Mid Sweden University, Department of Nursing, Östersund, Sweden.
    Existential encounters: Nurses' descriptions of critical incidents in end-of-life cancer care2014In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 18, no 6, p. 636-644Article in journal (Refereed)
    Abstract [en]

    Nurses working with cancer patients in end of life care need to be prepared to encounter patients' psychosocial and spiritual distress. Aim: The aim of this study was to describe nurses' experiences of existential situations when caring for patients severely affected by cancer. Methods and sample: Nurses (registered and enrolled) from three urban in-patient hospices, an oncology clinic and a surgery clinic and a palliative homecare team were, prior to the start of a training program, invited to write down their experiences of a critical incident (CI), in which existential issues were featured. Results: Eighty-eight CIs were written by 83 nurses. The CIs were analyzed with qualitative content analysis. Two main themes were found: Encounters with existential pain experiences, which concerned facing death and facing losses; and Encountering experiences of hope, which concerned balancing honesty, and desire to live. Conclusions: This study points out that health care professionals need to be aware of patients' feelings of abandonment in exposed situations such as patients' feelings of existential loneliness. That there are some patients that express a desire to die and this makes the nurses feel uncomfortable and difficult to confront these occurrences and its therefore important to listen to patients' stories, regardless of care organization, in order to gain access to patients' inner existential needs. (C) 2014 Elsevier Ltd. All rights reserved.

  • 155.
    Browall, Maria
    et al.
    University of Skövde, School of Life Sciences. Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden / Johns Hopkins University, Baltimore, Maryland, USA.
    Kenne Sarenmalm, Elisabeth
    Research and Development Centre, Skaraborg Hospital, Skövde, Sweden / Institute of Health and Caring Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden / Johns Hopkins University, Baltimore, Maryland, USA.
    Nasic, Salmir
    Research and Development Centre, Skaraborg Hospital, Skövde, Sweden.
    Wengström, Yvonne
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Gaston-Johansson, Fannie
    Johns Hopkins School of Nursing, Baltimore, Maryland, USA.
    Validity and Reliability of the Swedish Version of the Memorial Symptom Assessment Scale (MSAS): An Instrument for the Evaluation of Symptom Prevalence, Characteristics, and Distress2013In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 46, no 1, p. 131-141Article in journal (Refereed)
  • 156.
    Browall, Maria
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Stockholm.
    Kenne Sarenmalm, Elisabeth
    Research and Development Centre, Skaraborg Hospital, Skövde.
    Persson, Lars-Olof
    Institute of Health and Caring Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg.
    Wengström, Yvonne
    Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Stockholm, Sweden.
    Gaston-Johansson, Fannie
    School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
    Patient-reported stressful events and coping strategies in post-menopausal women with breast cancer2016In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 25, no 2, p. 324-333Article in journal (Refereed)
  • 157.
    Browall, Maria
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Karolinska Institutet, Huddinge, Sweden.
    Mijwel, Sara
    Karolinska Institutet, Stockholm, Sweden.
    Rundqvist, Helen
    Karolinska Institutet, Stockholm, Sweden.
    Wengstrom, Yvonne
    Karolinska Institutet, Huddinge, Sweden / Karolinska University Hospital, Stockholm, Sweden.
    Physical Activity During and After Adjuvant Treatment for Breast Cancer: An Integrative Review of Women's Experiences2018In: Integrative Cancer Therapies, ISSN 1534-7354, E-ISSN 1552-695X, Vol. 17, no 1, p. 16-30Article, review/survey (Refereed)
    Abstract [en]

    Background: In oncology, physical activity (PA) is recognized to improve psychological and physiological functions. Motivating women with breast cancer to sustain a physically active lifestyle is important for promoting positive health after diagnosis. To review and synthesize what is known about how women with breast cancer experience supervised and unsupervised PA during and after adjuvant treatment. PubMed, PsycINFO, and CINAHL were searched, yielding 994 citations. The final review included 17 articles published between 2004 and 2014 in English. The CASP (Critical Appraisal Skills Programme) instrument was used to appraise quality. Results: Exercise is experienced as a positive element with multiple benefits. However, maintaining a physically active lifestyle during and after chemotherapy is sometimes challenging. Reported benefits of PA include feeling empowered, and improving and reclaiming health. Facilitators to PA comprised exercising with peers and skilled instructors. Barriers included social factors and lack of information. Conclusions: Findings highlight the importance of incorporating PA programs from a patient experience perspective as routine treatment. Health care professionals play a crucial gateway role in providing information on implementation and benefits of PA. Providing support and educated advice about how to safely start or continue regular PA to minimize symptoms, reduce morbidity, and increase well-being during or after treatment is vital for women with breast cancer. Implications for Practice: Health care professionals need increased knowledge of the breast cancer patients' perspectives on facilitators and barriers to PA during and after treatment, in order to provide sufficient support for women to stay physically active during a breast cancer illness.

  • 158.
    Brunbäck, Emma
    et al.
    University of Skövde, School of Life Sciences.
    Nilsson, Viktoria
    University of Skövde, School of Life Sciences.
    Sjuksköterskors upplevelser av att vårda suicidala patienter2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses’ within the somatic care are encountered with patients with mental illness in their daily work. The aims of the study were to enlighten nurses’ experience of caring for a patient that has committed a suicidal act and are cared for in a somatic acute ward. The authors used a qualitative method with interviews for collecting data. Ten nurses’ were interviewed that worked with acute care and had at least one year experience. The result contains four themes; difficulties with caring, feelings in meeting with the patient, resources and cooperation with psychiatry. Result showed that general nurses’ described a wish for more psychological knowledge to improve their care for the suicidal patient, for example dialogue technique, because they thought that the communication with the patient was challenging. Also a better way to get close, meet and connect in a relationship with the patient. The cooperation between psychiatry care and somatic care were not satisfying which made caring more difficult for the nurse. There were needs to clarify the caring and working routines for patients that are cared for in both the somatic and psychiatry care.

  • 159.
    Bäck, Kristina
    University of Skövde, School of Health and Education.
    ATT LEVA I EN NY KROPP: En kvalitativ studie över självbiografiska böcker om att hantera vardagen efter en överviktsoperation2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity is a public health problem in Sweden. This tends to become larger and may increase the risk of cardiovascular diseases and diabetes type 2. A general nurse meet patients who had undergone bariatric surgery wherever in the health sector, she/he is working. Therefore, it is important to know how these people feel about their new living in order to offer them an optimal health care. Aim: The aim of this study was to highlight people's experiences of everyday life after obesity surgery. Method: An autobiographical qualitative study based on seven books. Result: The analysis of the data identified three main themes; "A better life", "The physical and emotional discomforts” and "The new life situation” together with nine subthemes that illustrates how individuals experience their everyday lives after an bariatric surgery. Discussion: For individuals who undergo bariatric surgery has it been difficult to adapt the new life situation, even though they often experience a feeling of well-being as well as a feeling of that they have reached their goal. The changed attitude from the ‘outside world’ is sometimes difficult to manage. This leads to uncertainty about the own bodie and body image. As a nurse, it is important to understand that the difficulties after bariatric surgery are not only physical but also a mental distress and discomfort. Conclusion: To achieve that the new lifestyle should proceed after bariatric surgery it requires that the individual feel meaningfulness in their new situation. Through training before and after surgery, it is easier to live with this change. Given that life can be extended with ten years due to severe weight reduction and thus the absence of sequelae, it may be recommended that education of health promotion among obesity affected individuals should be included in the nurse’s education.

  • 160.
    Bäck, Ronja
    et al.
    University of Skövde, School of Health and Education.
    Mujkanovic, Andrea
    University of Skövde, School of Health and Education.
    Unga vuxnas behov av stöd under behandling av cancersjukdom: Kvalitativ innehållsanalys av bloggar2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To develop cancer as an adolescent or young adult means a break in a critical stage of the life process, and can be a devastating experience for the patient. When an individual feels their current existence is threatened there is an immediate crisis, followed by traumatization and suffering. This seems to be especially true for young adults. It is important to catch and support the young adults at an early stage in their cancer diagnosis because this can lead to a relief throughout the disease process. Individuals who receive social and professional support are able to engage themselves in their recovery process, and can achieve a better quality of life. Objective: The aim of this study was to highlight young adults' needs for support during treatment of cancer. Method: The study has a qualitative approach and a qualitative content analysis was used to analyze the blogs. The data consisted of five Swedish blogs published on young cancers (Ung Cancer) website. Results: Young adults with cancer felt that social support was valuable during cancer treatment. The individuals experienced emotional, informative, practical and appraisal support from family and relatives, as well as from individuals in similar situations. The professional support was appreciated when the holistic perspective of the individuals were considered. However, the support was shown to be negative when communication failed between patient and caregiver. Conclusion: Young adults who suffered from cancer were in need of both social and professional support to handle the situation mentally. 

  • 161.
    Bäckström, Annelie
    et al.
    University of Skövde, School of Health and Education.
    Persson, Ylva
    University of Skövde, School of Health and Education.
    Att tacka nej till erbjuden gruppundervisning: En fenomenografisk intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a patient suffers from long-term illness such as type 2 diabetes, there is a need for knowledge to deal with their illness. Earlier research shows that group education for patients with type 2 diabetes is of significance for, among other things, HbA1c, which in turn reduces the risk of complications. However, the main problem with group education is that not all patients are offered to participate and that a significant percentage of those that are invited to group education sessions decline the offer. Aim: The purpose was to describe perceptions of newly diagnosed patients with type 2 diabetes to refrain from offering group instruction. Method: Nine semi-structured interviews have been analysed by using a phenomenographic approach. The interviews were analysed through seven steps to unveil the perceptions of group education in people with type 2 diabetes which chose to renounce the offered group education. Results: The analysis resulted in two different categories of descriptions seen from a patient perspective: an opportunity to share experiences with others in the same situation but with the risk of “exposing” themselves and their illness in a group with unknown and the form of learning and knowledge is not adapted to the person´s specific needs and is not prioritized when the disease is not perceived as serious. Conclusion: A possible understanding of the result is that group education does not suit everyone but a verity of form of education are required so that the patients can get the education that themselves perceive as giving knowledge, in appropriate time and form.

  • 162.
    Bäckström, Caroline
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Professional and social support for first-time mothers and partners during childbearing2018Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: Expecting a child and becoming a parent is one of life’s major events, during which the parents’ perspective on life and their couple relationship changes. For some parents, childbearing entails a decrease in parental couple relationship quality. The way in which parents are able to cope with childbearing may be connected with their Sense of Coherence; which is a person’s ability to perceive life as comprehensible, manageable and meaningful. For parents’ positive childbearing experiences, professional and social support have been proven to be valuable. However, far from all parents have access to social support; furthermore, professional support does not always meet the needs of expectant parents. Hence, more research is needed to increase knowledge about expectant parents’ experiences of professiona land social support. In addition, more research is needed to explore factors associated with quality of couple relationship among parents during childbearing.

    Aims: The overall aim of the thesis was to explore professional and social support for first-time mothers and partners during childbearing in relation toquality of couple relationship and Sense of Coherence.

    Methods: The study’s designs were explorative, prospective and longitudinal; both qualitative and quantitative methods were used. Specifically, explorative designs, qualitative methods and phenomenographic analysis were used to explore expectant first-time mothers’ (I) and partners’ perceptions of professional support (II). Furthermore, an explorative design, qualitative method and qualitative content analysis were used to explore expectant first-time mothers’ experiences of social support (III). Within Study IV, a prospective longitudinal design, descriptive statistics, non-parametric tests and multiple linear regression analysis were used to evaluate factors associated with quality of couple relationship among first-time mothers and partners, during pregnancy and the first six months of parenthood.

    Results: The overall results of the thesis revealed both similarities and differences between expectant first-time mothers’ and partners’ perceptions of professional support, effects from social support and associated factors with perceived quality of couple relationship. The similarities were; both mothers and partners perceived that professional support could facilitate partner involvement, influence their couple relationship and facilitate contacts with other expectant parents. According to first-time mothers’ experiences, their couple relationship with their partner was also strengthened by social support during pregnancy. Further, the results showed that both first-time mothers’ and partners’ higher perceived couple relationship quality six months after birth, was associated with their higher perceived social support. The results showed also that both mothers and partners perceived their quality of couple relationship to decrease and Sense of Coherence to increase six months after childbirth, compared to the pregnancy. Differences revealed were such as: higher Sense of Coherence was only associated with mothers’ higher perceived quality of couple relationship, and first-time mothers reported perceiving more social support compared to the partners both during pregnancy, first week and six months after childbirth.

    Conclusions: Professional and social support can strengthen first-time mothers and partners both individually and as a couple, in their abilities to cope with childbearing. On the individual basis, the expectant parents could be strengthened through professional and social support that contributed to their understanding and feeling of being prepared for childbirth and parenting, for instance. As a couple, the parents were strengthened by professional support that included the partner’s role, as well as higher perceived social support overall. In contrast, lack of support could have a negative influence on the expectant parents’ feeling of being prepared for childbirth and parenting. Besides this, the results indicates that childbearing has a positive effect on parents’ abilities to cope with life even though their quality of couple relationship decrease. Professionals can use these results in their further understanding about how to offer satisfactory support to first-time mothers and partners during childbearing.

  • 163.
    Bäckström, Caroline
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Stöd till förstagångsföräldrar i samband med barnafödande2018In: Jordemodern, ISSN 0021-7468, Vol. 131, no 1, p. 4-7Article in journal (Other academic)
  • 164.
    Bäckström, Caroline A.
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, Woman, Child (K3), Skövde, Sweden / Jönköping University, School of Health and Welfare, CHILD-Research Group, Jönköping, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Golsäter, Marie H.
    Jönköping University, School of Health and Welfare, CHILD-Research Group, Jönköping, Sweden.
    Thorstensson, Stina A.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    "It's like a puzzle": Pregnant women's perceptions of professional support in midwifery care2016In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 29, no 6, p. e110-e118Article in journal (Refereed)
    Abstract [en]

    ProblemPregnant women are not always satisfied with the professional support they receive during their midwifery care. More knowledge is needed to understand what professional support pregnant women need for childbirth and parenting.

    BackgroundChildbearing and the transition to becoming a parent is a sensitive period in one's life during which one should have the opportunity to receive professional support. Professional support does not always correspond to pregnant women's needs. To understand pregnant women's needs for professional support within midwifery care, it is crucial to further illuminate women's experiences of this support.

    AimTo explore pregnant women's perceptions of professional support in midwifery care.

    MethodsA qualitative study using semi-structured interviews. Fifteen women were interviewed during gestational weeks 36–38. Data was analysed using phenomenography.

    FindingsThe women perceived professional support in midwifery care to be reassuring and emotional, to consist of reliable information, and to be mediated with pedagogical creativity. The professional support facilitated new social contacts, partner involvement and contributed to mental preparedness. The findings of the study were presented in six categories and the category Professional support contributes to mental preparedness was influenced by the five other categories.

    ConclusionPregnant women prepare for childbirth and parenting by using several different types of professional support in midwifery care: a strategy that could be described as piecing together a puzzle. When the women put the puzzle together, each type of professional support works as a valuable piece in the whole puzzle. Through this, professional support could contribute to women's mental preparedness for childbirth and parenting.

  • 165.
    Bäckström, Caroline
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, ‘ Woman, Child ’ (K3) Skövde, Sweden / Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Kåreholt, Ingemar
    Jönköping University, School of Health and Welfare, Aging Research Network – Jönköping (ARN-J), Jönköping, Sweden / Karolinska Institutet and Stockholm University, Aging Research Center, Gävlegatan 16, Stockholm, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Golsäter, Marie
    Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Quality of couple relationship among first-time mothers and partners during pregnancy and the first six months of parenthood2018In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 17, p. 56-64Article in journal (Refereed)
  • 166.
    Bäckström, Caroline
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde, Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Larsson, Therese
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Närhälsan Midwifery Unit, Skövde, Sweden.
    Wahlgren, Emma
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Skaraborg Hospital Skövde.
    Golsäter, Marie
    Jönköping University, School of Health and Welfare, CHILD-research Group, Jönköping, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    ‘It makes you feel like you are not alone’: Expectant first-time mothers’ experiences of social support within the social network, when preparing for childbirth and parenting2017In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, p. 51-57Article in journal (Refereed)
  • 167.
    Bäckström, Lyupka
    University of Skövde, School of Health and Education.
    Tvärkulturella möten inom hälso- och sjukvården: En litteraturöversikt ur patientperspektivet2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Encounters with different people in the healthcare also means encounter between people who have different cultural background, skills and speak different languages. The number of patients that seek healthcare and don’t share same language and culture with their caregiver and vice versa is increasing continuously. Aim: The purpose was to describe the experiences in encounters with Western healthcare for patients with a different cultural background with the purpose to increase the understanding and knowledge that can reduce, alter or ease possible negative effects of these encounters. Method: Literature review with inductive approach was used. Result: Three categories: Communication and communication related aspects, Healthcare and healthcare related aspects and culture and culturally related aspects. Conclusion: The study shows that even though one part of the patients feel that cross-cultural encounters in healthcare are considered to be good, there are also gaps and opportunities for improvements in healthcare communication and culturally adapted healthcare. Inadequacy in culturally adapted communication and healthcare leave patients to feel helpless, frustrated, fearful, vulnerable and ashamed. This, in turn, leads to a reduction in patient confidence and participation in healthcare, which is why it is important to pay attention to.

  • 168.
    Caesar Nilsson, Lina
    et al.
    University of Skövde, School of Health and Education.
    Hag Birkeland, Nicklas
    University of Skövde, School of Health and Education.
    Att leva med schizofreni: En narrativ studie baserad på självbiografier2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 169.
    Cani, Caroline
    et al.
    University of Skövde, School of Health and Education.
    Sjödin, Ingela
    University of Skövde, School of Health and Education.
    "JAG SKA LÄMNA MIN FAMILJ OCH MIN KROPP. SEN SKA JAG FLYTTA UT I EVIGHETEN, VAD NU DET ÄR?": Kvinnors upplevelser av vad som skapar ökat lidande respektive ökat välbefinnande i det sena palliativa skedet, vid recidiv av bröstcancer. - En litteraturstudie baserad på bloggar2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: Breast cancer is the most common cause of death among middle age women in Sweden. Approximately 8500 women are affected annually and about 1400 women dies every year. Recurrence of cancer can be that all cancer cells failed to be eliminated on the first treatment and instead return in multiplied numbers. Previous research shows that the suffering of cancer patients in the late palliative phase includes the mental, social, existential/spiritual and physical suffering. Previous research also shows that well-being was reached when body and soul was filled with meaningful experiences. It turned out that social and professional support play an important role. PURPOSE The aim is to identify factors that increase the experience of suffering and well-being in the late palliative phase among women with recurrence of breast cancer. METHOD: Narrative method as blogstories. RESULT: Presented in two domains with associated categories. The domain increased suffering resulted in two categories; The feeling of powerlessness of being in the grip of sickness and thoughts that life is about to end. The domain increased well-being resulted in one category, which was named; Getting support- a source of security, recovery, continued lust for life and fighting spirit. CONCLUSION: Women with recurrence of breast cancer who are in the late palliative phase experience increased suffering when the feeling of powerlessness and thoughts of that death is near appears. An experience of increased well being appears when the women gets support from loved ones and from professional health and care workers. Through that support, the women experienced a feeling of security, recovery, continued lust for life and fighting spirit.

  • 170.
    Cannmo, Matilda
    et al.
    University of Skövde, School of Life Sciences.
    Forsgren, Johanna
    University of Skövde, School of Life Sciences.
    Faktorer som påverkar vårdrelationen: En litteraturbaserad studie om mötet mellan patienten med anorexia nervosa och sjuksköterskan.2013Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 171.
    Cappelen, Ane
    et al.
    University of Skövde, School of Health and Education.
    Stridh, Veronica
    University of Skövde, School of Health and Education.
    Förlossningsställningens betydelse för perineala bristningar under utdrivningsskedet: Ett barnmorskeperspektiv2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Perineal tears are common in vaginal delivery. The injury can lead to vaginal pain, which in turn can affect the sexual health negatively. Existing research shows that a birth position can influence both the onset and the degree of rupture, but does not reveal the explanation of why. Aim: Investigate midwives perception of the birth positions significans to perineal tearing during the second stage of labor. Method: The study is based on a phenomenographical research where ten interviews were conducted with midwives from six maternity hospitals in southern and central Sweden. Result: Birth positions is perceived by midwives to relieve pressure on the perineum, avoid prolonged second stage of labor, be crucial to women's body control and contribute to a slow birth, which is perceived to reduce the risk of perineal tearing. The birth position perceived also to be able to increase the pressure against the perineum, reduce women's ability to control their body and contribute to tense muscles in the pelvic floor, which is perceived to increase the risk of perineal tearing. This study also highlights the value of midwives communication with women giving birth during the second stage of labor. This is perceived to be one of the most important factors for the prevention of perineal tearing. Conclusion: Midwives perceive that birth position has different meanings for perineal tearing. Midwives also reason why and how perineal tearing can occur and be prevented related to different birth positions.

  • 172.
    Cardelli, Christofer
    et al.
    University of Skövde, School of Life Sciences.
    Sjöstrand, Alexander
    University of Skövde, School of Life Sciences.
    Nederländska sjuksköterskors personliga åsikter om dödshjälp2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim. The aim of the study is to highlight Dutch nurses’ opinions about assisted death. Background. Since 2002 it has been legally justified for physicians to assist a patients’ death in the Netherlands. Public and ethical debate, scientific research, guidelines for prudent practice and legislatures focus predominantly on the role of physicians, seemingly assuming that the tasks of other health care professionals are less important. Though, the nurse cares for the patient on a daily basis, and has a close relationship with the terminally ill and their next of kin. Method. A qualitative method was used. Twelve nurses were used in the study, and they received a questionnaire with open questions where they were supposed to motivate their personal opinions related to assisted death. Results. Three main categories (and seven sub categories) highlights the nurses’ opinions; the meeting (discussion, next of kin), inner conflicts (religion, participation) and influences (pain relief, living will, laws and criteria). Conclusions. The Swedish taboo concerning assisted death need to be removed. The quality of the palliative care is decisive of when the patients’ request of assisted death is putted. Continuous discussion elicits underlying factors of why a request of assisted death is putted.

  • 173.
    Carlsson, Anai
    et al.
    University of Skövde, School of Health and Education.
    Roslund, Rebecca
    University of Skövde, School of Health and Education.
    Samtal om blommor och bin – en het potatis eller helt naturligt?: En kvalitativ studie om hur föräldrar  i Sverige upplever och hanterar att samtal med sina barn om sex, samlevnad och sexualitet2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As a parent, talking about sex, relationship and sexuality might be seen upon as a sensitive matter and is sometimes a difficult subject to raise with your child. Earlier studies show that a good communication in the home environment decreases childrens sexual risk behaviours. Health care personal is lifted as important actors within the sex education for children, adolecents and their parents.

    Aim: The aim of this study was to describe how parents in Sweden experience and handle the conversation about sex, relationship and sexuality with their children.

    Method: A qualitative study with Critical Incident Technique as method was used. The 20 parents who chose to participate in the study got to answer two opened ended questions in a questionnaire.

    Results: The result led to three main areas; “Parents experience and motivation for conversation”, “The affirmative conversation” and last “Elements that influence a negative experience of the conversation”. Parents describe the question being lifted in the home environment in different occations. Parents own experiences effects the content in the conversation and how they interpret the conversation as a whole. An important factor for the conversations to be experienced in a positive way is an open climat and mutual trust between parent and child. Parents describe difficulties in communicating about the subject when the child does not seem receptive and don’t give any respons. When parents felt the lack of positive respons and the children dit not seem adoptive the conversation was described as negative.

    Conclusion: Parents describe the importance of an open climate in the home environment together with mutual trust and respect as essential conditions for a positive experience of the conversation.

  • 174.
    Carlsson, Catharina
    et al.
    University of Skövde, School of Life Sciences.
    Lundin, Diana
    University of Skövde, School of Life Sciences.
    Nordiska kvinnors upplevelser av klimakteriet: en litteraturöversikt2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Menopause is a natural part of a woman's life. The climacteric also known as the menopausal, is a period when a woman's physiological body undergoes hormonal changes. The days of climacteric appear individually. Most common is that climacteric is present when the woman passed the age of 40. Aim: The purpose of this study was to describe the Nordic women's experience of climacteric. Method: The method used follows Friberg (2006) recommendations regarding a literature review. Result: The result is based on nine research articles, which are both qualitative and quantitative. The result is presented in four themes, Personal growth, Quality of life, Bodily changes and symptoms and The sexual life together. Conclusion:  The study findings show that women's experiences of climacteric are different. We are all unique and therefore understands the trials of life different. Although individual experiences shows results of the study that many women experience climacteric positively. They perceive that they developed as a person as well as they see that they become better prepared for the next life. The authors link women's positive experiences to the KASAM, sense of coherence, which suggests that humans can better meet the challenges of life if she can understand its relevance and meaning.

  • 175.
    Carlsson, Emma
    et al.
    University of Skövde, School of Life Sciences.
    Engström, Linda
    University of Skövde, School of Life Sciences.
    Sjuksköterskors erfarenheter av att bemöta patienter som söker vård på grund av psykisk ohälsa i sjukvårdsrådgivning: En intervjustudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Mental illness is today an extensive problem, which affect the public health in Sweden. Many people with mental illness, try to get help through healthcare call centres. The aim of the study was to examine in what way nurses in healthcare call centres experience receiving patients, suffering from mental illness. To implement this study, a qualitative method was chosen. Seven nurses who work with counselling by phone were interviewed. Five themes appeared in the result: “to feel that you mean something to another human being”, “to feel discomfort with some calls”, “feeling insufficient and feelings of dejection”, “lack of time and resources” and “being unable see each other”. This study emphasizes that it is important for the nurses to mean something to the person who calls the healthcare call centre. Its also shows that calls about mental illness could create stress and discomfort feelings among the nurses. This study also shows advantages and disadvantages about the disability of not seeing the patient.

  • 176.
    Carlsson, Ewa
    et al.
    University of Skövde, School of Health and Education.
    Sätherberg, Jennie
    University of Skövde, School of Health and Education.
    Skolsköterskans upplevelse av att samtala med föräldrar om elevens övervikt2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The school nurse´s work in the field of student health care is to offer health promotion and disease prevention efforts to protect the wellbeing of students. Students with overweight in early age are in risk of having health issues and psychosocial problems later in life. It is important that communication between school nurse, student and parents works well so they can achieve a common goal.

    Purpose: To study the school nurse's experience of talking with parents about the student's overweight.

    Method: A qualitative mail interview study with an inductive approach was made. Eight school nurses participated in the study.

    Result: In the results, four meaning themes described the school nurse's experiences of talking with parents about the student's overweight. The school nurses described that unless the trust and good communication with the parents existed, it was difficult to reach the goal of a lifestyle change for the student.

    Conclusion: Through the conversations with the parents, the school nurse had the opportunity to establish a good relationship and build up a trustworthy collaboration with students and parents. The school nurse also had the task of trying to reach the parents who had a negative attitude. Some important aspects that the school nurse considered was to convey security, show knowledge and allow students and parents to participate in the student´s health improvement.

  • 177.
    Carlström, Per
    et al.
    University of Skövde, School of Life Sciences.
    Stensby, Anders
    University of Skövde, School of Life Sciences.
    Sjuksköterskors bedömningssitutationer inom prehospital sjukvård: en intervjustudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of this study was to enlighten nurses assessment situations in prehospital care.Method: Four men and four women participated in the study, all with a various length of experience from prehospital emergency care. All the interviewed participants are working in a region in the middle of Sweden. Interview data was analyzed with content analysis. Result: The results show that the assessments are based on signs and symptoms (what the nurse sees, what the nurse listens to, what experience tells, what decision support sets) and by creating a good relationship (explain and inform, calm creates confidence, participation and consensus) Summary: The nurse in the prehospital field performs assessments independently and uses an open mind to make correct assessments and decisions. They use their lived experiences to evaluate and to improve their ability to perform assessments. The nurse seeks support from guidelines, sometimes even physicians but most importantly they seek support from their lived experiences. They also try to improve the assessment capability of patients as often as possible.

  • 178.
    Carlén, Helena
    et al.
    University of Skövde, School of Life Sciences.
    Rånge, Sara
    University of Skövde, School of Life Sciences.
    Sjuksköterskans bedömning av smärta postoperativt2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In spite of all the research done in the field of postoperative pain, the fact remains that a number of patients still experience unrelieved pain postoperatively. The aim of this study was to describe and analyse current research in the areas that affect nurses pain assessment in the care of postoperative patients. The study has been accomplished as a literature study with a qualitative approach. From the result four categories emerged that distinctly describe the areas that affect nurses pain assessment: (1) patients way of showing pain, (2) what the patient says, (3) assessment based on experience and (4) prevailing norms. In pain assessment the nurse often uses several of these categories. Using earlier experiences, the nurse observes the general appearance of the patient combined with vital signs. The result shows that when the nurse listens to the patient, her pain assessment is most consistent with the patients own assessment. The result also reveals that social patterns existing in the working unit has a big influence on nurses pain assessment.

  • 179.
    Cartemo, Maria
    et al.
    University of Skövde, School of Health and Education.
    Göransson, Maria
    University of Skövde, School of Health and Education.
    DISTRIKTSSKÖTERSKORS UPPFATTNING OM ATT MOTIVERA PATIENTER TILL LIVSSTILSFÖRÄNDRINGAR GENOM ATT FÖRSKRIVA FYSISK AKTIVITET PÅ RECEPT2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 180.
    Cartemo, Maria
    et al.
    University of Skövde, School of Life Sciences.
    Starck, Frida
    University of Skövde, School of Life Sciences.
    Larsson, Elin
    University of Skövde, School of Life Sciences.
    Hur vardagslivet gestaltar sig hos patienter med diagnosen ALS och MS: En studie gjord för att öka kunskapen och förståelsen hos sjuksköterskan2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Amyotrophic lateral sclerosis and multiple sclerosis are both neurological diseases that cause physical limitations and have consequences on daily life. The aim of this study was to clarify how this daily life appears for these patients. The study is based on a qualitative method with six autobiographies and one biography, which gives an insight of their own, lived experiences on how it is to live with ALS or MS. The result contains four main subjects; Relations, Limitations, Psychical health and Thoughts. In sickness relations becomes more of value, but it also cause stress within a relationship. The limitations make life more difficult in different aspects, such as home environment, leisure activities and work. The mental health can develop into a depression and it becomes a daily fight where they seek a meaning with life and try to take control over the situation. Thoughts are about new values in life, an uncertainty about the future and to accept the situation. The findings of this study can give nurses more knowledge and understanding and be helpful when adjusting nursing care for each of these individuals. It can also be a help to other people who take care of these patients, such as family members and other involved care staff.

  • 181.
    Cederholm, Louise
    et al.
    University of Skövde, School of Life Sciences.
    Gulin, Maria
    University of Skövde, School of Life Sciences.
    Utbildning av vårdpersonal stärker stöd till förstföderskor i samband med tidig och sen hemgång efter barnafödande2008Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     

     

     

  • 182.
    Cederqvist, Axel
    et al.
    University of Skövde, School of Health and Education.
    Sundberg, Viktor
    University of Skövde, School of Health and Education.
    Patienters upplevelser av att leva med hjärtsvikt: En litteraturbaserad studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is a common condition that causes symptoms like shortness of breath, fatigue and palpitations. Heart failure can be caused by several reasons which ischemic heart disease and hypertension are the most common. To specify the degree of heart failure, New York Heart Associaton Functional Classification (NYHA I-IV), is used. Suffering can occur during illness. Suffering of disease, suffering of life and suffering of care are three varieties of suffering. Self-care is an important factor in order to maintain health and wellbeing. Patients with heart failure usually have regular contact with medical services. Aim: To describe patients' experiences of living with heart failure. Method: A literature-based study that is based on 13 scientific articles. Results: Patients experienced physical and mental limitations in daily life. They had to change the way of life and their social role was diminished. Patients sometimes experienced care negatives, they described the lack of information and support. The future was experienced uncertain for the patients. Conclusion: Patients' social roles are reduced, daily activities become more difficult to implement and confidence is reduced. It is important to strengthen the patient's self-confidence. Nurses have a responsibility to reduce suffering and enhance patients' ability to engage in self-care.

  • 183.
    Cederqvist, Elin
    et al.
    University of Skövde, School of Health and Education.
    Karlsson, Julia
    University of Skövde, School of Health and Education.
    Erfarenheter av att leva med anorexia nervosa: En litteraturbaserad studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    during the last decades anorexia nervosa has had a rising incidence in Sweden as well as in other countries. The disorder may sometimes be difficult to understand due to its multifaceted nature of experienced pros and cons. Furthermore, reluctance toward treatment is frequent among people suffering from anorexia nervosa and treatment for eating disorders have rather high drop-out rates. Aim: The aim of this study was to highlight experiences of living with anorexia nervosa. Method: A literature based study consisting of nine qualitative research articles. Results: Three categories emerged from the analysis; the ambivalence between good and evil, varying emotions and other people are influenced and influences the person with four subcategories. Conclusion: Emphasis on achieving increased knowledge of the lived experiences of anorexia nervosa to enhance understanding for its complexity, might enable nurses’ support-providing to enlarge the patient’s motivation to recovery.

  • 184.
    Cederström, Emma
    et al.
    University of Skövde, School of Health and Education.
    Kindström, Josefine
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av att möta patienter med autismspektrumtillstånd: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Autism spectrum disorder (ASD) is a collective name for many neuropsychiatric disabilities. Understanding, routines and a lack of overall perception characterize the diagnosis. Communication and knowledge about ASD is something that fails in meeting with these patients. Therefore, knowledge of ASD and how these patients experience the meeting with care are significant in promoting nursing and their health. Aim: To describe the nurses experience of meeting patients diagnosed with ASD. Methods: A literature review with qualitative and quantitative approach based on ten scientific articles. Results: The analysis revealed two themes; adaptation and preparation in the meeting as well as the importance of knowledge and competence in the meeting, with four sub-men. Conclusion: The nurse should be engaged in the patient and it´s situation in the meeting and have a good dialogue with close associates and work in teams to find the right approaches in the meeting. It´s important that the nurse has knowledge and education about ASD and the various communication aids that are considered to be one of the promotional factors.

  • 185.
    Claeson, Josefine
    et al.
    University of Skövde, School of Health and Education.
    Arvidsson, Emelie
    University of Skövde, School of Health and Education.
    I väntan på att det nya livet ska börja: En kvalitativ studie om patienters upplevelser av att vänta på ett nytt hjärta2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 186.
    Claesson, Hanna
    et al.
    University of Skövde, School of Life Sciences.
    Midsten, Linda
    University of Skövde, School of Life Sciences.
    Basala hygienrutiner: faktorer som påverkar följsamheten för sjuksköterskor inom somatisk vård2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nosocomial infections are a big threat to everyone admitted to a hospital and are associated with heavy expenses. The cause is bad hand hygiene routines and the problem could be eliminated with higher compliance. Aim: The aim of the study was to enlighten factors affecting healthcare workers hand hygiene compliance. Method: A literature review where articles with both qualitative and quantitative design, fulfilling predetermined criteria, were chosen for analysis. Twelve articles were selected. Result: Several factors affecting compliance were found. These were divided into four major headings: education, working environment, demographic factors and point of view. Discussion: There is no simple answer to the problem. A combination of factors in the four areas studied might be one way to approach the problem, where the good example needs attention. A strong focus from management would probably be required to carry out a fundamental behavioral change in compliance to hygiene routines amongst those key health care workers that from a care perspective are highly rated as trustworthy and professional. Continuous feedback of qualitative and quantitative goals should be evaluated by the entire health care team. Open discussions of the effect of daily short comings might contribute to a higher compliance and awareness. Long-term economic savings could be achieved with decreased nosocomial infections. By using good hand hygiene routines, good caring may be accomplished, where economic values and patient suffering is minimized.

  • 187.
    Claesson, Stina
    et al.
    University of Skövde, School of Health and Education.
    Gustafsson, Emelie
    University of Skövde, School of Health and Education.
    Kvinnors upplevelser av sin kroppsbild ochsin sexualitet då de till följd av bröstcancer genomgått mastektomi2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common cancer in women. Its treatments affect women's body image and sexuality, which affects the well-being and intimacy with other people. For a nurse to help and support these women, it is important to examine how women experience these changes. Purpose: To highlight breast cancer affected women's experiences of their body image and sexuality after a mastectomy and the side effects that follows. Method: Literature-based study with output in qualitative studies based on 17 scientific articles which were analyzed. Results: The results revealed three themes: Experiences of altered body image, Experiences of altered sexuality and Experiences of nurses' communicative and supportive ability regarding sexual needs, with seven additional subthemes. Conclusion: A good relationship with one’s body image and one’s sexuality is an essential factor for experiencing well-being and quality of life. Nurses should keep this in mind and work more informative and support breast cancer affected women in their struggle to maintain their identity and promote their health.

  • 188.
    Collberg, Ulrika
    et al.
    University of Skövde, School of Life Sciences.
    Ekman, Annelie
    University of Skövde, School of Life Sciences.
    NÄTMOBBNING OCH DESS PÅVERKAN PÅ ELEVERS HÄLSA: -UR ETT SKOLSKÖTERSKEPERSPEKTIV2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The use of internet offers an arena for social interaction but can imply a risk of being subjected for cyberbullying. Several children and youth describe negative emotional and psychological effects as a cause of cyberbullying. It is a part of the school nurse responsibility to work proactive and health- promoting with physical, psychological and social environment in the school.Aim: The purpose of the study was to describe school nurses experience of how cyberbullying affects health of pupils in intermediate- and senior level.Method: Data collection was made by qualitative interviews with seven school nurses. Data was analyzed using an inductive approach to a qualitative content analysis according to Graneheim and Lundman (2004).Results: The analysis showed that cyberbullying has a deteriorating effect on pupil’s wellbeing in various ways. It drains the pupils mentally, affects the self-esteem, causes self destructive behavior and creates stress. It can also affect exposed pupils social relationship by the way it causes degraded self confidence, alienation and acting out behavior.Conclusion: The school nurses experience matches the results from earlier research studies where children and youth describe how they are affected by cyberbullying. Cyberbullying may sometimes affect not only the exposed pupil but also be regarded as a collective insult against a whole group or family. According to the authors, cyberbullying may be seen as a risk factor which can affect the pupil’s sense of coherence and thus affect their health in a negative way.

  • 189.
    Corrochano, Ana
    University of Skövde, School of Life Sciences.
    Anorexia Nervosa: patienters erfarenheter av den mänskliga kontaktens betydelse i möten med vårdpersonalen - en kvalitativ studie baserad på självbiografier2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    En av de viktigaste aspekterna i omvårdnad är betydelsen av mänsklig kontakt i interaktionen mellan patienter och vårdgivare. Anorexia Nervosa är en komplex sjukdom av psykisk och fysisk karaktär och vårdpersonal spelar en viktig roll för dessa patienters tillfrisknad. Målet med denna studie var att nå en djupare förståelse för den mänskliga kontaktens betydelse i omvårdnaden av patienter med Anorexia Nervosa samt att belysa essensen i en vårdande relation. Syftet med studien var att beskriva Anorexia Nervosa patienters erfarenheter av den mänskliga kontaktens betydelse i möten med vårdpersonalen. En kvalitativ ansats valdes och datainsamlingen grundade sig på sex självbiografier, skrivna av sex unga kvinnor som har varit sjuka i Anorexia Nervosa. En kvalitativ textanalys användes för att tolka data. Åtta teman framkom i resultatet: ”att känna förtroende” ”att få hjälp med att gå till botten med problemet”, ”att inte bli förstådd”, ”att inte våga öppna sig”, ”att inte bli sedd”, ” att få bekräftelse”, ”att känna maktlöshet” och slutligen, ”att någon talar till den friska delen”. Dessa teman speglade dessa personers erfarenheter av den mänskliga kontaktens betydelse i möten med hälso- och sjukvårdspersonal. Denna studie kan bidra med att ge en ökad förståelse för den mänskliga kontaktens betydelse i omvårdnaden av patienter som lider av Anorexia Nervosa samt att hjälpa vårdpersonal att tillmötesgå dessa patienters behov.

  • 190.
    Cronholm, Anders
    University of Skövde, School of Technology and Society.
    Delad föräldraledighet redan verklighet för flera pappor2005In: Jordemodern, ISSN 0021-7468, Vol. 118, no 4, p. 34-37Article in journal (Other (popular science, discussion, etc.))
  • 191.
    Curtin, Alicia
    et al.
    Department of Family Medicine, Memorial Hospital of Rhode Island, Pawtucket, RI, USA.
    Martins, Diane C.
    University of Rhode Island, College of Nursing, Kingston, RI, USA.
    Gillsjö, Catharina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Schwartz-Barcott, Donna
    University of Rhode Island, College of Nursing, Kingston, RI, USA.
    Ageing out of place: The meaning of home among hispanic older persons living in the United States2017In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 12, no 3, article id e12150Article in journal (Refereed)
    Abstract [en]

    Aim

    To explore the meaning of home among older Hispanic immigrants who are “aging out of place.”

    Background

    Emerging evidence supports the concept of older persons ageing in place. Nurse researchers have demonstrated that older person who age in place have better physical, psychological and cognitive outcomes. Less, however, is known about older persons who are “aging out of place,” meaning out of their country of origin. With the growth of home health care, there is a need to understand the older immigrants' meaning of home when ageing out of their country of origin.

    Design and Method

    An inductive, qualitative descriptive research design was used. Seventeen Hispanic participants, ranging in age from 65 to 83 years were interviewed using a semi-structured interview protocol.

    Findings

    Two major finding of the study focused on participants' descriptions of home in their country of origin and in the USA. The majority of participants described their home in their native country as the community, countryside or town (pueblo) and in the U.S.A. as family. The level of social isolation and loneliness among participants was evident.

    Conclusions

    Older Hispanic immigrants who are “aging out of place” integrate their past experiences of sense of place in their native country with their present experiences of home in the USA. The need to understand the role of the community and the family in the provision of nursing care in the home may be more important than the physical structure or setting in which it is delivered. Further intra- and cross-national studies are needed to provide a framework for understanding the issues of ageing and immigration globally.

    Implications for Practice

    Gerontological nurses need to recognise the complexity of family relationships for older Hispanic persons who are ageing out of place of origin and their risk of depression, social isolation, and loneliness.

  • 192.
    Dahlborg, Emelie
    et al.
    University of Skövde, School of Health and Education.
    Beka, Pajtim
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av att vårda patienter i palliativt skede: En litteraturbaserad studie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, about 100,000 die every year, a large part of which is in need of palliative care. Palliative care is about the fact that suffering is reduced and the quality of life is promoted by symptom relief and not providing life-sustaining care. Nurses have the overall responsibility for the care of the patient, and spends most time with the patient. The nurse sees the individual and not just the patient and his or her disease, it is the nurse's responsibility to form a relationship with the patient. In order for the care to be individualized, it is required that the nurse is responsive and open to the patient's needs. Aim: To describe nurses' experiences of nursing patients in palliative stages. Method: A literature-based study where the data material contained 8 scientific articles with qualitative approach. Results:  From the analysis four categories emerged; being compliant in the conversation, meet the needs of the patient, collaboration about the patient, involve relatives as an active part with nine subcategories Conclusion: It emerged that nurses' experiences varied and that the lack of knowledge was a problem that needed to be developed.

  • 193.
    Dahlgren, Ida
    et al.
    University of Skövde, School of Life Sciences.
    Persson, Anna
    University of Skövde, School of Life Sciences.
    Sjuksköterskors roll i rehabiliteringen av en skallskadad patient: En litteraturöversikt2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskor är en viktig länk i omvårdnaden kring den traumatiskt skallskadade patienten och dennes anhöriga. Den tidigare forskningen inom området har visat hur viktigt bemötandet och anhörigmedverkan är för patientens tillfrisknande. De kognitiva problem som ofta uppstår hos en traumatisk skallskadad patient är också de som är svårast att bemöta och behandla. Syfte: Att sammanställa och belysa forskning, som beskriver sjuksköterskors roll i omvårdnadsarbetet av traumatiskt skallskadade patienters speciella behov av omvårdnad. Metod: En litteraturöversikt med 13 empiriska artiklar. Resultat: Sjuksköterskor har en nyckelroll i att förmedla information till patient, anhöriga och övriga i rehabiliteringsteamet. En annan del av rollen är att koordinera samverkan mellan olika yrkeskategorier för att främja patientens välbefinnande. Diskussion: Sjuksköterskor som arbetar på en rehabiliteringsavdelning, behöver mer kunskap och utbildning om bl. a kognitiva beteendeproblem. Dessutom behöver patient och anhöriga få bättre och mer enhetlig information om skadan och rehabiliteringsprocessen.

  • 194.
    Dahlgren, Malin
    et al.
    University of Skövde, School of Health and Education. högskola Skövde.
    Johansson, Jessica
    University of Skövde, School of Health and Education. högskola Skövde.
    Vårdpersonalens följsamhet till basala hygienrutiner: en kvantitativ studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Healthcare-associated infections (HAI) are one of the leading health damage in the world and described provides immense suffering to the patient. Basic hygiene began to develop early in the 1800s and is today the main arrangements for reducing HAI. Nurses and other health care workers has an obligation to comply with laws, regulations and guidelines so that the care of patients become safe. Objective: To investigate the health care workers’ adherence to basic hygiene routines. Method: A quantitative retrospective longitudinal study based on observations of health care workers and point prevalence surveys of HAI. Results: Showed a higher adherence to basic hygiene among health professionals in the medical clinic. Medical clinic had a significant improvement in adherence to basic hygiene. Both clinics had a lower adherence to hand disinfection before a patient contact than afterwards. Students had higher adherence than nurses and doctors. Medical clinic had at most 5 (n = 43, 11.6%) patients with a HAI and surgery clinic had at most 9 (n = 63, 14.3%) patients. Discussion: Past research shows that there is less adherence to hand disinfection before a patient contact then afterwards, which is also shown in the result. Previous research also mentions possible causes of a low adherence and tool to create a higher adherence to basic hygiene.

  • 195.
    Dahlheim-Englund, Ann-Charlotte
    et al.
    The academy for Work Life and Social Welfare, Faculty of Caring Science, University of Borås, Sweden.
    Carlsson, Gunilla
    The academy for Work Life and Social Welfare, Faculty of Caring Science, University of Borås, Sweden.
    Nyström, Maria
    The academy for Work Life and Social Welfare, Faculty of Caring Science, University of 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, RI, USA.
    Eriksson, Irene
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Palmér, Lina
    The academy for Work Life and Social Welfare, Faculty of Caring Science, University of Borås, Sweden.
    Life without professional work: perceptions about one’s self, interpersonal relations and social life after retirement2019In: Healthy Aging Research, ISSN 2261-7434, Vol. 8, no 1, p. 1-7Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to understand how healthy, older adults in Sweden perceive their life situation after retirement. The study is based on a lifeworld approach, and a phenomenographic method was used. Eighteen participants were interviewed, and data were analysed according to the phenomenographic principle of qualitatively different categories. Two categories were developed. The first category, “perceptions that draw attention inward, towards one’s self”, was further described in three subcategories: Sense of decreased status in society, the desire to keep aging at a distance, and contemplation of one’s own existence. The second category, “perceptions that draw attention outward, away from one’s self” was further described in the following four subcategories: caretaking of family members, involvement in social relationships, finding of deep meaning in animals and nature and engagement with society. In the discussion, the findings are further illuminated through comparisons with concepts such as maturity, wisdom and gerotranscendence, and reflections on the findings ‘relevance to a caring context follow. The conclusion suggests this study can provide knowledge that will allow healthcare providers to bridge the gap between generations in order to provide high-quality care. However, for a more profound caring dialogue, for example, about the end of life, a deeper analysis is required.

  • 196.
    Dahlin, Linnea
    et al.
    University of Skövde, School of Health and Education.
    Janzen, Katharina
    University of Skövde, School of Health and Education.
    När medlidande blir lidande: Hur sjuksköterskor påverkas av traumatiska händelser och hur de hanterar uppkomna känslor.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Summary:

    Background: Nurses can be confronted with traumatic events in their daily work. These events can lead to danger to nurses' health in the forms of posttraumatic stress syndrom, secondary traumatic stress or burnout. Management strategies are individual and have a significant importance to nurses’ recovery.

    Purpose: How traumatic incidents affect nurses and how they cope with arising feelings.

    Method: A qualitative content analysis was chosen as a method where 14 blogs were analyzed. The search was carried out unsystematically through the Google search engine. The analysis resulted in two main categories and seven subcategories. Result: The nurses felt a physical and emotional exhaustion because of their traumatic experiences. The personality changed. Turning off their emotions or to free themselves from them were possible management strategies. A positive attitude to life and acceptance of their own feelings and cohesion in the team has contributed positively in the management process.

    Conclusion: Traumatic events process a major risk to nurses’ health. They may develop burnout or PTSD that may affect caring negatively. Clinical significance: The research results can be used by business managers and nurses to increase knowledge to the area. Editors in charge in colleges can include this study for educational purposes in order to prepare students for future practice.

  • 197.
    Dahlström, Evelina
    et al.
    University of Skövde, School of Health and Education.
    Gustafsson, Lisa
    University of Skövde, School of Health and Education.
    Sjuksköterskors upplevelser av hur stress påverkar mötet med patienten: En litteraturbaserad studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Backgruond: Stress is something that increases in society and nurses are a group at risk of being exposed. High workloads, long working days and the feeling of insufficiency are factors that cause nurses to experience stress. In the meeting with the patient, an interpersonal relationship and mutual understanding are created, in which nurses' ability to feel empathy is important. Nurses have a central role in nursing care for the patient. Nursing's field of expertise is nursing science that includes four basic responsibilities: promoting health, preventing disease, restoring health and relieving suffering. Aim: The aim of this study was to highlight how stress affects nurses in the meeting with the patient. Method: A literature based study was chosen and ten articles were analyzed. Result: From the data analysis two themes were found; Delayed or missing encounter and unpleasant feelings with five submenu. Conclusion: Stress in nurses affects the encounter between the patient and the nurse negatively. The interpersonal relationship that is important to the patient's health does not occur when the nurse is unable to meet the patient due to the lack of time at work.

  • 198.
    Dahlvid, Henrik
    et al.
    University of Skövde, School of Life Sciences.
    Sandberg, Christian
    University of Skövde, School of Life Sciences.
    MÄNNISKORS UPPLEVELSER AV ATT LEVA MED TYP-2-DIABETES: EN INTERVJUSTUDIE2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Type-2-diabetes is a chronic welfare disease that is associated with life-style changes. Traditionally, the caring of type-2-diabetes has been associated with self-care and patient information. There is an extensive knowledge on type-2-diabetes and which consequences it results in. It is also important that health care professionals also have knowledge on people’s unique experiences of health and well-being living with type-2-diabetes. Otherwise there is a risk that the health care professionals focus too much on the disease and miss the subjective illness behind the unique person. The aim of this study is to describe people’s experiences of living with type-2-diabetes. A qualitative method was chosen. Data was collected through interviews. The interviews were transcribed and analyzed using qualitative content analysis. The authors found one theme; Balance between security – insecurity and the experience of activities as demands and possibilities give manageability. This study shows that people with type-2-diabetes generally experience good health and well-being in terms of their own resources. However, the lived experiences and the different demands of handling type-2-diabetes vary among people. This indicates that the health care professionals need to pay attention to the experiences of the unique person.

  • 199.
    Dahlén, Carl
    et al.
    University of Skövde, School of Health and Education.
    Forsdal, Frida
    University of Skövde, School of Health and Education.
    "Jag är väl ingen sexolog?": Faktorer som påverkar att sjuksköterskor samtalar om sexuell hälsa2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are many diseases and conditions that can affect the sexual health of patients. Research shows that nurses do not talk to patients about sexual health. Swedish law, nurses’ competence description and ICN's ethical code state that the nurse has a responsibility to counteract illness and work on a holistic approach. Purpose: The purpose of this study was to account for the factors that affect nurses talking about the patient's sexual health. Method: Literature overview. Result: Three themes were found and presented in the results. These were: Nurses attitudes, knowledge and competence and organizational factors. Discussion: The discussion discussed the importance of nurses' attitude, as well as how knowledge and the health care setting together affect nurses' motivation to talk with patients about their sexual health. Conclusion: Nurses largely refrain from discussing sexual health with patients. It is dependent on the attitude of the nurse, knowledge and workplace environment. In order for nurses to be able to provide care based on a holistic approach, more knowledge is needed in both sexual dysfunctions and patient communication. Nurses need to be comfortable with sexuality as a subject and get routine talking to patients about their sexual health.

  • 200.
    Dahlén, Erik
    et al.
    University of Skövde, School of Life Sciences.
    Wallenstein, Rikard
    University of Skövde, School of Life Sciences.
    När erektionen försvinner: Mäns erfarenheter av erektil dysfunktion till följd av diabetes mellitus typ 2. En litteraturöversikt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is commonly known that erectile dysfunction, popularly known as impotence, is caused by several factors including enlarged prostate, depression and diabetes. The erectile dysfunction caused by diabetes has a more difficult progress than other causes.Aim: The aim of this study was to illustrate sexually active men’s experiences of erectile dysfunction caused by diabetes mellitus type 2.

    Method: The chosen method was a literature review based of qualitative and quantitative articles. Ten quantitative and two qualitative articles were analysed.

    Results: Two categories were identified, Affects on life and Understanding the situation with subcategories.

    Conclusions: There is lack of knowledge about why men suffer from erectile dysfunction. Several of the men do not believe there is a treatment for their problem. If erection status was a part of the annual diabetes check-ups as well as valid information and adequate treatment the men and their partner would have better knowledge and awareness about the condition. This would also result in less anxiety, better sexual and mental health and a better relation.

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