his.sePublications
Change search
Refine search result
2345678 201 - 250 of 1266
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 201.
    Blom, Malin
    et al.
    University of Skövde, School of Health and Education.
    Färnestav, Alexandra
    University of Skövde, School of Health and Education.
    Förutsättningar för sjuksköterskor att ge god palliativ vård: en kvalitativ litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 202.
    Blomberg, Karin
    et al.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Bisholt, Birgitta
    Department of Nursing, Karlstad University, Karlstad, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Borås, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Johansson Sundler, Annelie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Gustafsson, Margareta
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Swedish nursing students' experience of stress during clinical practice in relation to clinical setting characteristics and the organisation of the clinical education2014In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 15-16, p. 2264-2271Article in journal (Refereed)
  • 203.
    Blomberg, Karin
    et al.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Isaksson, Ann-Kristin
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Allvin, Renée
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden / Clinical Skills Centre, Örebro University Hospital, Örebro, Sweden.
    Bisholt, Birgitta
    Department of Nursing, Karlstad University, Karlstad, Sweden.
    Ewertsson, Mona
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Borås, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Sundler, Annelie Johansson
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Gustafsson, Margareta
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Work stress among newly graduated nurses in relation to workplace and clinical group supervision2016In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, no 1, p. 80-87Article in journal (Refereed)
  • 204.
    Blomberg, Karin
    et al.
    Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden / Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
    Sundberg, Kay
    Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
    Browall, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
    Isaksson, Ann-Kristin
    Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Nyman, Maria Hälleberg
    Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Langius-Eklöf, Ann
    Department NVS, Section for Nursing, Karolinska Institutet, Stockholm, Sweden.
    Symptoms and self-care strategies during and six months after radiotherapy for prostate cancer - Scoping the perspectives of patients, professionals and literature2016In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 21, p. 139-145Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 205.
    Blomqvist, Katarina
    et al.
    University of Skövde, School of Health and Education.
    Gustavsson Cederström, Louise
    University of Skövde, School of Health and Education.
    Att leva med diabetes typ 2 ur ett genusperspektiv: En kvantitativ studie2017Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 206.
    Blomsterberg, Emma
    et al.
    University of Skövde, School of Health and Education.
    Carlsson, Emma
    University of Skövde, School of Health and Education.
    Mödrars upplevelser av känslor och relationen till sina barn vid matning med modersmjölksersättning2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 207.
    Blomén, Alice
    et al.
    University of Skövde, School of Health and Education.
    Gustafsson, Linnéa
    University of Skövde, School of Health and Education.
    Mitt spruckna hjärta: En litteraturbaserad studie av individers upplevelser av det dagliga livet efter en hjärtinfarkt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 208.
    Blücher, Anna
    et al.
    University of Skövde, School of Health and Education.
    Wahlström-Svensson, Miriam
    University of Skövde, School of Health and Education.
    "Ska jag ha sex för att ha det gjort?": Ungdomars frågeställningar om sex på internetforum2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research describes how different life choices affect young people's current and future sexual health. Today, young people get to know about sex both through school, youth clinics, as well as via the internet. This places entirely new demands on midwives and teachers to respond to the information available to young people and the issues it raises. Through this study, the authors wish to clarify the questions young people ask about sex by studying the open forums on the internet. Objective: To study young people´s issues about sex on internet forums. Method: A qualitative method with inductive approach has been used to the study. Data was collected through umo.se under the forum “Question each other”. A total of 48 threads were analysed. The data have been analysed according to Graneheim, Lindgren & Lundmans analysis method. Results: The results culminated in 5 subcategories, 2 categories as well as an overall theme: Sense of vulnerability. Conclusion: The Internet works as a natural source of information for young people and can supplement the school's sex education and the youth clinics. The study shows that unanswered questions about sex evokes both negative and positive feelings among the young people.   

  • 209.
    Bodare, Linnea
    University of Skövde, School of Health and Education.
    Vad händer när sjuksköterskor mår dåligt? Sjuksköterskors upplevelser av arbetsmiljön: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 210.
    Bodén, Emma
    et al.
    University of Skövde, School of Life Sciences.
    Wendel, Carina
    University of Skövde, School of Life Sciences.
    Endometrios hos unga kvinnor: upplevelser av skolhälsovården2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 211.
    Boernhorst, C.
    et al.
    BIPS Inst Epidemiol & Prevent Res, Bremen, Germany.
    Bel-Serrat, S.
    Univ Zaragoza, Fac Hlth Sci, GENUD Growth Exercise Nutr & Dev Res Grp, E-50009 Zaragoza, Spain.
    Pigeot, I.
    BIPS Inst Epidemiol & Prevent Res, Bremen, Germany.
    Huybrechts, I.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium / Int Agcy Res Canc, Dietary Exposure Assessment Grp, F-69372 Lyon, France.
    Ottavaere, C.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Sioen, I.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    De Henauw, S.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium / Univ Coll Ghent, Dept Nutr & Dietet, Fac Hlth Care Vesalius, Ghent, Belgium.
    Mouratidou, T.
    Univ Zaragoza, Fac Hlth Sci, GENUD Growth Exercise Nutr & Dev Res Grp, E-50009 Zaragoza, Spain.
    Mesana, M. I.
    Univ Zaragoza, Fac Hlth Sci, GENUD Growth Exercise Nutr & Dev Res Grp, E-50009 Zaragoza, Spain.
    Westerterp, K.
    Maastricht Univ, Dept Human Biol, Maastricht, Netherlands.
    Bammann, K.
    BIPS Inst Epidemiol & Prevent Res, Bremen, Germany / Univ Bremen, Inst Publ Hlth & Nursing Res, D-28359 Bremen, Germany.
    Lissner, L.
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Pala, V.
    Fdn IRCSS Ist Nazl Tumori, Nutr Epidemiol Unit, Dept Prevent & Predict Med, Milan, Italy.
    Rayson, M.
    BioTel Ltd Clifton, Bristol, Avon, England.
    Krogh, V.
    Fdn IRCSS Ist Nazl Tumori, Nutr Epidemiol Unit, Dept Prevent & Predict Med, Milan, Italy.
    Moreno, L. A.
    Univ Zaragoza, Fac Hth Sci, GENUD Growth Exercise Nutr & Dev Res Grp, E-50009 Zaragoza, Spain.
    Validity of 24-h recalls in (pre-)school aged children: Comparison of proxy-reported energy intakes with measured energy expenditure2014In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 33, no 1, p. 79-84Article in journal (Refereed)
    Abstract [en]

    Background & aims: Little is known about the validity of repeated 24-h dietary recalls (24-HDR) as a measure of total energy intake (El) in young children. This study aimed to evaluate the validity of proxy-reported El by comparison with total energy expenditure (TEE) measured by the doubly labeled water (DLW) technique. Methods: The agreement between El and TEE was investigated in 36 (47.2% boys) children aged 4-10 years from Belgium and Spain using subgroup analyses and Bland-Altman plots. Low-energy-reporters (LER), adequate-energy-reporters (AER) and high-energy-reporters (HER) were defined from the ratio of El over TEE by application of age- and sex-specific cut-off values. Results: There was good agreement between means of El (1500 kcal/day) and TEE (1523 kcal/day) at group level though in single children, i.e. at the individual level, large differences were observed. Almost perfect agreement between El and TEE was observed in thin/normal weight children (EI: 1511 kcal/day; TEE: 1513 kcal/day). Even in overweight/obese children the mean difference between El and TEE was only 86 kcal/day. Among the participants, 28(78%) were classified as AER, five (14%) as HER and three (8%) as LER. Conclusion: Two proxy-reported 24-HDRs were found to be a valid instrument to assess El on group level but not on the individual level. (C) 2013 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  • 212.
    Boernhorst, C.
    et al.
    BIPS Inst Epidemiol & Prevent Res, D-28359 Bremen, Germany.
    Huybrechts, I.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium / Int Agcy Res Canc, Dietary Exposure Assessment Grp, F-69372 Lyon, France.
    Ahrens, W.
    BIPS Inst Epidemiol & Prevent Res, D-28359 Bremen, Germany.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, S-40530 Gothenburg, Sweden.
    Michels, N.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Pala, V.
    Fdn IRCSS Ist Nazl Tumori, Dept Prevent & Predict Med, Nutr Epidemiol Unit, I-20133 Milan, Italy.
    Molnar, D.
    Univ Pecs, Fac Med, Dept Pediat, H-7623 Pecs, Hungary.
    Russo, P.
    CNR, Inst Food Sci, I-83100 Avellino, Italy.
    Barba, G.
    CNR, Inst Food Sci, I-83100 Avellino, Italy.
    Bel-Serrat, S.
    Univ Zaragoza, Escuela Univ Ciencias Salud, GENUD Growth Exercise Nutr & Dev Res Grp, E-50009 Zaragoza, Spain.
    Moreno, L. A.
    Univ Zaragoza, Escuela Univ Ciencias Salud, GENUD Growth Exercise Nutr & Dev Res Grp, E-50009 Zaragoza, Spain.
    Papoutsou, S.
    Res & Educ Inst Child Hlth, CY-2027 Strovolos, Cyprus.
    Veidebaum, T.
    Natl Inst Hlth Dev, Ctr Hlth & Behav Sci, EE-11619 Tallinn, Estonia.
    Loit, H. M.
    Center of Health and Behavioral Science, National Institute for Health Development, Hiiu 42, 11619Tallinn, Estonia.
    Lissner, L.
    Int Agcy Res Canc, Dietary Exposure Assessment Grp, F-69372 Lyon, France.
    Pigeot, I.
    BIPS Inst Epidemiol & Prevent Res, D-28359 Bremen, Germany.
    Prevalence and determinants of misreporting among European children in proxy-reported 24 h dietary recalls2013In: British Journal of Nutrition, ISSN 0007-1145, E-ISSN 1475-2662, Vol. 109, no 7, p. 1257-1265Article in journal (Refereed)
    Abstract [en]

    Dietary assessment is strongly affected by misreporting (both under-and over-reporting), which results in measurement error. Knowledge about misreporting is essential to correctly interpret potentially biased associations between diet and health outcomes. In young children, dietary data mainly rely on proxy respondents but little is known about determinants of misreporting here. The present analysis was conducted within the framework of the multi-centre IDEFICS (Identification and prevention of dietary-and lifestyle-induced health effects in children and infants) study and is based on 6101 children aged 2-9 years with 24 h dietary recall (24-HDR) and complete covariate information. Adapted Goldberg cut-offs were applied to classify the 24-HDR as 'over-report', 'plausible report' or 'under-report'. Backward elimination in the course of multi-level logistic regression analyses was conducted to identify factors significantly related to under-and over-reporting. Next to characteristics of the children and parents, social factors and parental concerns/perceptions concerning their child's weight status were considered. Further selective misreporting was addressed, investigating food group intakes commonly perceived as more or less socially desirable. Proportions of under-, plausible and over-reports were 8.0, 88.6 and 3.4%, respectively. The risk of under-reporting increased with age (OR 1.19, 95% CI 1.05, 1.83), BMI z-score of the child (OR 1.23, 95% CI 1.10, 1.37) and household size (OR 1.12, 95% CI 1.01, 1.25), and was higher in low/medium income groups (OR 1.45, 95% CI 1.13, 1.86). Over-reporting was negatively associated with BMI z-scores of the child (OR 0.78, 95% CI 0.69, 0.88) and higher in girls (OR 1.70, 95% CI 1.27, 2.28). Further social desirability and parental concerns/perceptions seemed to influence the reporting behaviour. Future studies should involve these determinants of misreporting when investigating diet-disease relationships in children to correct for the differential reporting bias.

  • 213.
    Bogered, Emma
    et al.
    University of Skövde, School of Health and Education.
    Ivehag, Elin
    University of Skövde, School of Health and Education.
    Sjuksköterskors kommunikation med patienter som har svårt med språket i det land som de kommer till: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 214.
    Bolin, Ingalena
    et al.
    University of Skövde, School of Health and Education.
    Caldana, Ulrika
    University of Skövde, School of Health and Education.
    En för alltid förändrad tillvaro: En litteraturöversikt som belyser hur det är att leva med positivt BRCA2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 215.
    Bolling, Jessica Maria
    University of Skövde, School of Life Sciences.
    BVC-sjuksköterskors upplevelser av arbetet med omsorgssviktande familjer2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 216.
    Borell, Magdalena
    et al.
    University of Skövde, School of Life Sciences.
    Tranberg, Sofie
    University of Skövde, School of Life Sciences.
    Attityder från vårdpersonal i omvårdnaden av överviktiga patienter: En litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 217.
    Borg, Elin
    University of Skövde, School of Health and Education.
    Trygghetsarbetets hälsopåverkan hos elever ur ett personalperspektiv på en grundskola i en skånsk kommun2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Mental illness in students a growing problem. The Swedish school has the task of working with students' safety and to conduct systematic quality work against discrimination and offensive treatment. Purpose: The purpose was to investigate whether pedagogues and student health personnel at a primary school in a municipality in Skane felt that the safety efforts have a positive effect on the students' health. Method: A cross-sectional study with qualitative elements was conducted by educators (n = 65) at an elementary school in Skåne. The data collection was done through a digital survey that was sent out via e-mail. The collected data was analyzed in the statistics program SPSS. Qualitative answers were presented in text form. Result: The response rate was 34%, a too low response rate to be able to generalize the result. Of the respondents, 73% felt that they were participant in the safety work, 91% felt that safety had an effect on the students' health and 67% did not experience any health differences between the sexes. However, there are some differences in which efforts work best and worst in relation to gender. Student initiatives that involve social exchange are perceived to be most positive and punishment most negative. There is a demand for systematic security work. Conclusion: The result links to previous research that both confirms and demonstrates areas for improvement. The existence of the security plan is fundamental. Requested clarity and follow-up can be an expression of the area's size and the difficulty of obtaining a comprehensive picture of the safety work. Different forms of social exchange are what are considered to have an effect on the students' health and should therefore be given priority. Security work can benefit from collegial learning and the content of the safety plan may need to be supplemented. Success factors and improvement proposals can contribute to a clearer anchoring. However, the low response rate should be taken into account and any implementation of proposals should be reconciled with staff.

  • 218.
    Bortas, Jenny
    et al.
    University of Skövde, School of Health and Education.
    Wahll, Jenny
    University of Skövde, School of Health and Education.
    Insatser för att förebygga och minska risk för arbetsrelaterad stress: En litteraturöversikt2016Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
  • 219.
    Borén, Fanny
    University of Skövde, School of Health and Education.
    Barns möjlighet till naturkontakt: En kvalitativ studie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: A sedentary lifestyle is getting more common among children, and outdoor play today is challenged by television and computer games. Many families live in cities with limited access to nature. Nature provides spontaneous physical activities as well as it offers mental recovery. Children who experience early exposure to nature often demonstrate an interested in nature as adults. This study examines the possibilities of access to nature for Swedish children aged 5-12 years.Methods: Ten mothers were interviewed about their children’s interaction with nature. Group 1 included five mothers with children who had regular contact with nature, and group 2 included five mothers with children who didn’t have regular contact with nature.Results: The children of mothers who lived in the countryside and mothers who were involved with nature related associations had regular access to nature, while mothers who lived in urban areas ended up giving their children less opportunities to access to nature. Mothers who had regular access to nature as children were more likely to enjoy nature as adults. Contact with nature was more frequent during the summer months.Discussion: Residential context and parents commitment were important in relation to the aspect of whether children had regular nature contact or not.

  • 220.
    Boström, Patrik
    University of Skövde, School of Bioscience.
    Arousal-induced memory augmentation2018Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    Emotional events are often better preserved in memory than events without an emotional component. Emotional stimuli benefit from capturing and holding the attention of a perceiver to a higher degree than more emotion-neutral stimuli. Arousal associated with experiencing emotionally valenced stimuli or situations affects every major stage in creating, maintaining and retrieving lasting memories. Presented in this thesis were models delineating the behavioral and neurological mechanisms that might explain arousal-induced effects on subsequent memory outcome. Based on a study of relevant literature, findings were presented in this thesis that highlight amygdala activation as crucial for the enhancement of memory generally associated with emotional arousal. The amygdala modulates processing in other areas of the brain involved in memory. Heightened levels of norepinephrine, stemming from sympathetic nervous system activation, underlies observable arousal-induced memory effects and seem to be a crucial component in enabling glucocorticoid augmentation of memory. Arousal seems to further amplify the biased competition between stimuli that favors the neural representation of motivationally relevant stimuli and stimuli of a sensory salient nature. The aim of this thesis was to outline the impact of emotional arousal on different stages of memory processing, including processes for memory formation, strengthening of memory traces, and eventual subsequent retrieval. 

  • 221.
    Botonjic, Elvira
    et al.
    University of Skövde, School of Health and Education.
    Richardson, Tanja
    University of Skövde, School of Health and Education.
    Distriktssköterskors uppfattningar om vad som motiverar patienter med övervikt eller fetma till livsstilsförändring2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 222.
    Bramstång, Malin
    et al.
    University of Skövde, School of Health and Education.
    Lagergren, Sofia
    University of Skövde, School of Health and Education.
    Huden blev min fiende: En kvalitativ litteraturöversikt ur ett patientperspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 223.
    Brandel, Marie
    et al.
    University of Skövde, School of Life Sciences.
    Brühn-Wahlström, Emma
    University of Skövde, School of Life Sciences.
    Sjuksköterskors upplevelser av att kommunicera med närstående vid palliativ vård på somatiska vårdavdelningar: En intervjustudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 224.
    Bratt, Sofia
    et al.
    University of Skövde, School of Health and Education.
    Mattsson, Kristoffer
    University of Skövde, School of Health and Education.
    Patienters erfarenheter av elektrokonvulsiv terapi: En kvalitativ innehållsanalys av bloggar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 225.
    Brattström Edgren, Kristin
    et al.
    University of Skövde, School of Life Sciences.
    Finnerup Andresen, Janne
    University of Skövde, School of Life Sciences.
    En mage att vara glad för!: En intervjustudie med gravida kvinnor som har BMI ≥ 30 kg/m22012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Overweight and obesity measured by body mass index are an increasing problem worldwide according to WHO. Women having a BMI ≥ 30 kg/m2 run a great risk when being pregnant. Complications such as high blood pressure, gestational diabetes, risk of intrauterine fetal death and slow progress when giving birth to the baby are risks that can affect the wellbeing of the woman and the child. According to the women the midwife’s most important role when meeting with the pregnant woman having a BMI ≥ 30 kg/m2 is to inform about risks during pregnancy, but the midwife must not act judgingly. Living with obesity means for many women not to be seen as the person they actually are. The women want to be seen as a person and not as a person with obesity. The women experience that they do not fit into the ideal of society because of their size and because of other people’s prejudice against obesity. When being pregnant the obese women feel comfortable in society because there is an explanation to the size of their belly. They experience that they are happy and proud about their belly, and it gives them a feeling of relief.

  • 226.
    Bring, Kajsa
    et al.
    University of Skövde, School of Health and Education. kajsabring@hotmail.com.
    Nilssen, Gunnhild
    University of Skövde, School of Health and Education. gunnhildnilssen@hotmail.com.
    Att leva med en berg- och dalbana i hjärnan: Hur vuxna med ADHD upplever vardagen2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 227.
    Broberg, Linnea
    et al.
    University of Skövde, School of Health and Education.
    Petersson, Josefine
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av arbetsmiljö på två akutvårdsavdelningar: En kvantitativ empirisk studie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A good working environment require a positive management where collaboration between colleagues and managers function in an environment where employees have opportunity to control the workload and work rate to some extent. Emergency care is often stressful with a high workload. There are deficiencies in patient safety, person-centered care and risks of medical errors. The nurse’s work is extensive and includes practical assignments that regulates by laws and regulations. Their work are also based on the patient’s participation, safety of care and being attentive to what patients and relatives say. Aim: The aim is to describe nurses’ experiences of work environment at two emergency units. Method: The essay is a quantitative empirical study. Questionnaires have been used as data collection in MAVA (medical emergency unit) and KAVA (surgical emergency unit). Results: 31 nurses answered the questionnaire. The average professional experience was relatively low. Shortcoming in staffing indicated a work environment that does not promote patient safety and person-centered care. The work environment is stressful and the possibility for recovery is small. Conclusion: The work environment is difficult at MAVA and KAVA as nurses handle emergencies with patients in relation to lack of resources. Good nursing care, patient safety and person-centered care should be maintained despite the shortcomings. Therefore, improvements and greater access to resources and competence are required.

  • 228.
    Brodén, Jennie
    et al.
    University of Skövde, School of Health and Education.
    Magnusson, Sandra
    University of Skövde, School of Health and Education.
    Personers upplevelse av ett cancerbesked: En självbiografistudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Cancer är ett samlingsnamn för cirka 200 olika sjukdomar och förekomsten avsjukdomen har ökat de senaste decennierna. Det finns flera orsaker till att sjukdomen uppstår och beskedet medför ofta olika upplevelser och känslor samt existentiella tankar väcks. Kommunikation och patientdelaktighet blir därför viktiga delar vid ett cancerbesked för att kunna tillgodose personers behov. Syfte: Syftet med denna studie var att beskriva personers upplevelser av ett cancerbesked. Metod: En narrativ metod där sju självbiografier har analyserats. Resultat: Ur analysen framträdde sex områden såsom kommunikationens betydelse, emotionella uttryck, förnekelse och chock, viljan att fortsättaleva, funderar kring döden samt ambivalenta känslor i kontakten med närstående. Slutsats:Cancerbeskedet skapar flera olika upplevelser hos en person. Kommunikationen ses som en viktig del vid cancerbeskedet och sjuksköterskan har en viktig roll gällande informationoch trygghet, då existentiella tankar ofta förekommer som kan blockera personens möjlighet att ta in och förstå information i samband med sjukdomen.

  • 229.
    Broholm, Kiki
    et al.
    University of Skövde, School of Life Sciences.
    Hertzman, Ami
    University of Skövde, School of Life Sciences.
    Diabetessjuksköterskors upplevelser vid kostrådgivning till patienter med typ-2 diabetes2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to describe experiences of diabetic nurses in primary health care of Skaraborg, giving diet advice to patients with diabetes type II. The study investigates questions around responsibility of diabetic nurses, influences from other professionals and patients, difficulties in motivating the patient and an assumed discrepancy between ”guide for care” and nurses’ own attitude. The informants were six diabetic nurses with long work experiences. The design of the study was qualitative. Data collection was made by interviews and where transcribed and analysed with a content analysis. The result of the study consist of two categories; Cost advice from the patient’s perspective and Cost advice from the diabetic nurses’ perspective. The result of the study correspond to earlier research and highlights the meaning of the individual differences in conditions for the patients and the possibilities for the diabetic nurse to motivate the patient to changes and possibility to reach described targets.

  • 230.
    Brolin, Magnus
    et al.
    School of Health and Medical Sciences, Örebro University.
    Quennerstedt, Mikael
    School of Health and Medical Sciences, Örebro University.
    Maivorsdotter, Ninitha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Casey, Ashley
    School of Sport, Exercise and Health Sciences, Loughborough University, UK.
    A salutogenic strengths-based approach in practice: an illustration from a school in Sweden2018In: Curriculum Studies in Health and Physical Education, ISSN 2574-2981, Vol. 9, no 3, p. 237-252Article in journal (Refereed)
    Abstract [en]

    Despite an extensive debate and an openness of teachers to a strength-based approach to health and physical education, it is not always clear what a salutogenic strengths-based approach might look like in practice, at least not in the day-to-day work in schools. The purpose of this article is to present a salutogenic strengths-based school initiative in Sweden and to identify health discourses in the school’s practice. An insider perspective is used to explore health in the school through Brook field’s four lenses fo exploring one’s own teaching practice. Two health discourses are identified: (1) an individual health discourse rooted in the fostering of personal development, and (2) a value-based health discourse build up around social relations and the fostering of democratic values. The individual health discourse can be understood as based in a pathogenic norm, and in the investigated school practice the individual health discourse dominated the school health initiative despite the salutogenic intentions.

  • 231.
    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.

  • 232.
    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.

  • 233.
    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.

  • 234.
    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.

  • 235.
    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)
  • 236.
    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)
  • 237.
    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.

  • 238.
    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.

  • 239.
    Brännmark, Marita
    et al.
    University of Skövde, School of Health and Education.
    Steisjö, Maria
    University of Skövde, School of Health and Education.
    Inomhusluftföroreningar orsakade av matlagning eller uppvärmning med förorenade bränslen och dess påverkan på barns hälsa2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction. According to WHO, about 3,8 million people die from indoor air pollution exposure each year and about 3 billion people cook and heat their homes with polluted fuels such as wood, coal, kerosene and manure. Both through short-term and prolonged exposure to these contaminants, health problems can arise.

    Aim. Our aim with this study is to describe the health effects for indoor air pollution in children living in households where cooking and heating takes place with polluted fuels.

    Method. A qualitative systematic review. The analysis was conducted with thematic analysis. The databases used were PubMed and WorldCat. Twenty articles were included in the study.

    Result. The analysis resulted in two themes and three sub-themes. Prevalence of polluted fuel use was higher in households where children died at age 1-4 years. Children living in countries with the highest levels of polluted fuel use experienced a sevenfold higher rate of pneumonia per child year. Polluted fuel use was also related to low birth weight. Two studies showed that the risk of suffering from Acute Respiratory infection (ARI) due to household use of polluted fuels was 1.5 times higher than for children from households using cleaner fuels.

    Conclusion. Based on the results of this study, it has emerged that respiratory symptoms and diseases are the most common health effects among children living in households where solid fuels are used for cooking or heating. Results also indicates that the location of the use of solid fuels is of great importance since indoor cooking without ventilation, has a higher outcome of respiratory symptoms in children, compared to children living in households where cooking takes place outdoors or where there are ventilation possibilities in the cooking area.

  • 240.
    Buck, Christoph
    et al.
    Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany.
    Eiben, Gabriele
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Section for Epidemiology and Social Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Lauria, Fabio
    National Research Council, Institute of Food Sciences, Avellino, Italy.
    Konstabel, Kenn
    National Institute for Health Development, Tallinn, Estonia.
    Page, Angie
    Centre for Exercise, Nutrition and Health Sciences, School for Policy Studies, Bristol, United Kingdom / NIHR Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust, University of Bristol, United Kingdom.
    Ahrens, Wolfgang
    Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany / Faculty of Mathematics/Computer Science, University of Bremen, Germany.
    Pigeot, Iris
    Leibniz Institute for Prevention Research and Epidemiology, BIPS, Bremen, Germany / Faculty of Mathematics/Computer Science, University of Bremen, Germany.
    Urban Moveability and physical activity in children: Longitudinal results from the IDEFICS and I.Family cohort2019In: International Journal of Behavioral Nutrition and Physical Activity, ISSN 1479-5868, E-ISSN 1479-5868, Vol. 16, no 1, article id 128Article in journal (Refereed)
    Abstract [en]

    Background: Physical activity (PA) is one of the major protective behaviours to prevent non-communicable diseases. Positive effects of the built environment on PA are well investigated, although evidence of this association is mostly based on cross-sectional studies. The present study aims to investigate the longitudinal effects of built environment characteristics in terms of a moveability index on PA of children in their transition phase to adolescence using data of the IDEFICS/I.Family cohort. Methods: We used data on 3394 accelerometer measurements of 2488 children and adolescents aged 3 to 15 years old from survey centres of three countries, Germany, Italy, and Sweden, who participated in up to three surveys over 6 years. In network-dependent home neighbourhoods, a moveability index was calculated based on residential density, land use mix, street connectivity, availability of public transport and public open spaces such as green spaces and public playgrounds in order to quantify opportunities for PA of children and adolescents. Linear trajectories of light PA (LPA) and moderate-to-vigorous PA (MVPA) were estimated using linear mixed models accounting for repeated measurements nested within individuals. Least squares means were estimated to quantify differences in trajectories over age. Results: LPA and MVPA declined annually with age by approximately 20 min/day and 2 min/day respectively. In girls, the moveability index showed a consistent significantly positive effect on MVPA (β $ \hat{\beta} $ = 2.14, 95% CI: (0.11; 4.16)) for all ages, while in boys the index significantly lessened the decline in LPA with age for each year. (β $ \hat{\beta} $ = 2.68, 95% CI: (0.46; 4.90)). Availability of public open spaces was more relevant for MVPA in girls and LPA in boys during childhood, whereas in adolescence, residential density and intersection density became more important. Conclusion: Built environment characteristics are important determinants of PA and were found to have a supportive effect that ameliorates the decline in PA during the transition phase from childhood to adolescence. In childhood environmental support for leisure time PA through public open spaces was found to be the most protective factor whereas in adolescence the positive influence of street connectivity and residential density was most supportive of physical activity. © 2019 The Author(s).

  • 241.
    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.

  • 242.
    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. 

  • 243.
    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.

  • 244.
    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.

  • 245.
    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)
  • 246.
    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.

  • 247.
    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)
  • 248.
    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)
  • 249.
    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.
    Thorstensson, Stina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Grimming, Rebecca
    University of Skövde, School of Health and Education. Närhälsan Skaraborg, Young Persons Clinic, Skövde, Sweden.
    Nyblin, Yrsa
    University of Skövde, School of Health and Education. Danderyd Hospital AB, Women’s care, Gynecology ward, Stockholm, Sweden.
    Golsäter, Marie
    Jönköping University, School of Health and Welfare, CHILD-research group, Jönköping, Sweden.
    'To be able to support her, I must feel calm and safe': pregnant women's partners perceptions of professional support during pregnancy2017In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 17, p. 1-11, article id 234Article in journal (Refereed)
    Abstract [en]

    Background: Professional support does not always meet the needs of expectant fathers or co-mothers. The way in which professional support is offered during pregnancy varies internationally, depending on the country. In order to attain a greater understanding of partners' experiences of professional support, it is necessary to further illuminate their perceptions of it. The aim of this study was therefore to explore pregnant women's partners' perceptions of professional support during pregnancy. Methods: Qualitative research design. Partners of pregnant women were interviewed during gestational week 36-38. Individual semi-structured interviews were used to explore the partners' perceptions. The data was analysed using a phenomenographic approach. The study was performed in a county in south-western Sweden; the data collection was conducted from November 2014 to February 2015. Fourteen partners (expectant fathers and co-mothers) of women who were expectant first-time mothers with singleton pregnancies, were interviewed. Results: The findings of the study are presented through four descriptive categories: Ability to absorb adequate information; Possibility to meet and share with other expectant parents; Confirmation of the partner's importance; and Influence on the couple relationship. Using a theoretical assumption of the relationship between the categories showed that the fourth category was influenced by the other three categories. Conclusions: The partners perceived that professional support during pregnancy could influence the couple relationship. The partners' ability to communicate and to experience togetherness with the women increased when the expectant couple received professional support together. The support created also possibilities to meet and share experiences with other expectant parents. In contrast, a lack of support was found to contribute to partners' feelings of unimportance. It was essential that the midwives included the partners by confirming that they were individuals who had different needs for various types of professional support. The partners perceived it easier to absorb information when it was adequate and given with a pedagogic that made the partners become interested and emotionally engaged.

  • 250.
    Bäckström, Linnéa
    et al.
    University of Skövde, School of Health and Education.
    Liljeberg, Victoria
    University of Skövde, School of Health and Education.
    Livet efter döden: Patienters upplevelser av att överleva hjärtstopp2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Approximately 10.000 out-of-hospital cardiac arrest occurs every year in Sweden. Surviving a cardiac arrest leads to a change in the victims life-world.

     Aim: The aim of the study was to describe people's experiences of surviving a cardiac arrest.

     Method: The method used is a literature study in which 11 qualitative scientific articles formed the basis for the result.

     Results: Four main themes emerged: coping with emotional challenges, being in need of support from health care, meeting the existential and living with physical and cognitive changes. Eight sub-themes emerged as well: Emotional stress, emotional support from the surroundings, need to be seen, need for information, thoughts about death and the future, living in a changed life situation, changes and their impact, and reflection on ones living habits.

     Conclusion: It is important for health care professionals to gain knowledge of people's experiences of surviving a cardiac arrest in order to best meet the needs of those affected and provide good health care.

2345678 201 - 250 of 1266
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf