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  • 201.
    Dahlén, Inga Margareta
    University of Skövde, School of Life Sciences.
    Skolsköterskans upplevelse av psykisk ohälsa hos elever2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The mental unhealth is increasing of children and youth. The increasedmental problems of students can be connected to the individualization that is a part of themodern development. It is urgent to detect and treat mental unhealth as early as possible.The school nurse is central to school health nursing as she is available in the students’everyday life.Aim: To illuminate the school nurse’s experience of mental unhealth of students.Method: As data collecting method semi structured interview was chosen. The materialwas analyzed with a qualitative content analysis. The result of the analysis describes fiveschool nurse’s experiences of mental unhealth of students.Findings: The result of the analysis was six categories: Pain, Coming, Overactivity, Tired,Self damaging behaviour and friends. The result shows on a high frequency of revisits. Thestudents mostly visited for headache and stomach ache. It is mostly girls who visit theschool nurse, for boys it is more difficult to accept help.

  • 202.
    Dahlén, Ingrid
    et al.
    University of Skövde, School of Life Sciences.
    Westin, Lars
    University of Skövde, School of Life Sciences.
    Adolfsson, Annsofie
    University of Skövde, School of Life Sciences.
    Experience of being a low priority patient during waiting time at an emergency department2012In: Psychology Research and Behavior Management, ISSN 1179-1578, E-ISSN 1179-1578, Vol. 5, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Background: Work in the emergency department is characterized by fast and efficient medical efforts to save lives, but can also involve a long waiting time for patients. Patients are given a priority rating upon their arrival in the clinic based on the seriousness of their problem, and nursing care for lower priority patients is given a lower prioritization. Regardless of their medical prioritization, all patients have a right to expect good nursing care while they are waiting. The purpose of this study was to illustrate the experience of the low prioritized patient during their waiting time in the emergency department. Methods: A phenomenological hermeneutic research method was used to analyze an interview transcript. Data collection consisted of narrative interviews. The interviewees were 14 patients who had waited more than three hours for surgical, orthopedic, or other medical care.Results: The findings resulted in four different themes, ie, being dependent on care, being exposed, being vulnerable, and being secure. Lower priority patients are not paid as much attention by nursing staff. Patients reported feeling powerless, insulted, and humiliated when their care was delayed without their understanding what was happening to them. Not understanding results in exposure that violates self-esteem. Conclusion: The goal of the health care provider must be to minimize and prevent suffering, prevent feelings of vulnerability, and to create conditions for optimal patient well being.

  • 203.
    Dalebrand, Marie
    et al.
    University of Skövde, School of Health and Education. marie_wallin@live.se.
    Karlsson Nordmalm, Johanna
    University of Skövde, School of Health and Education. johannanordmalm@hotmail.com.
    I mitt huvud var det upp och ner: Unga kvinnor med adhd och deras upplevelse under skolåren2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Girls with Attention Deficit Hyperactivity Disorder (ADHD) are at increased risk of not being detected as there is a lack of knowledge how to identifying ADHD symptoms, especially in girls. Consequently, they risk not getting adequate support during their schoolyears. In the health-promoting nursing at school, the nurse shall respond to the needs of the students in the best possible way, based on trust, science and proven experience.

    Purpose: The purpose of the study is to describe young women with ADHD and their experiences during the school years.

    Method: The study has been conducted with qualitative methodology and the material has been analyzed with a qualitative meaning analysis. The study is based on six interviews conducted via e-mail.

    Result: The analysis resulted in six categories describing young women with ADHD and their experiences during their school years; To feel mentally bad and excluded; Experience lack of understanding; Experience in the classroom; Gaining understanding; Experience getting an ADHD diagnosis; Getting an earlier ADHD-diagnosis would have facilitated.

    Conclusion: There is a lack of knowledge in school to identify ADHD in girls, and as result they are often diagnosed as late as in their teenage years. Lack of knowledge and inadequately individualized support efforts have a negative impact on school performance and mental health. 

  • 204.
    Danielsen, Maria
    et al.
    University of Skövde, School of Health and Education.
    Caroline, Lundberg
    University of Skövde, School of Health and Education.
    Kvinnors egna berättelser om upplevelser av vård vid cancerbehandling2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 8000 women are diagnosed with breast cancer every year in Sweden. These women meet nursing care several times during their treatment and their need of support and information is found important in several studies. To meet and understand these women’s needs, we need to know more about how they experience care. Aim: The aim of this study was to describe how women with breast cancer experience their care.  Method: The study, a meaning analysis, has been performed by analysing eight biographies written by women with experiences of having breast cancer. Result: The results show that women with breast cancer want to be seen as a unique person during their time as patient, they need support and confirmation from relatives and from nursing staff. They also express they want to be taken care of in a soft and gentle way with respect and based on their own life-world. Conclusions: Women with breast cancer want to be met as the unique persons they are in meetings with health care. By having a larger nursing perspective and more person-centred care their suffering can be relieved. Keywords: breast cancer, experience, care,

     

  • 205.
    Darcy, Laura
    et al.
    Department of Nursing Sciences, CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden / School of Health Sciences, University College Borås, Borås, Sweden.
    Björk, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Nursing Sciences, CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Enskär, Karin
    Department of Nursing Sciences, CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Knutsson, Susanne
    Department of Nursing Sciences, CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden / School of Health Sciences, University College Borås, Borås, Sweden.
    The process of striving for an ordinary, everyday life, in young children living with cancer, at six months and one year post diagnosis2014In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 18, no 6, p. 605-612Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Health care focus is shifting from solely looking at surviving cancer to elements of attention relating to living with it on a daily basis.The young child's experiences are crucial to providing evidence based care. The aim of this study was to explore the everyday life of young children as expressed by the child and parents at six months and one year post diagnosis.

    METHODS: Interviews were conducted with children and their parents connected to a paediatric oncology unit in Southern Sweden. A qualitative content analysis of interview data from two time points, six months and one year post diagnosis, was carried out.

    RESULTS: The process of living with cancer at six months and at one year post diagnosis revealed the child's striving for an ordinary, everyday life. Experiences over time of gaining control, making a normality of the illness and treatment and feeling lonely were described.

    CONCLUSION: Nurses have a major role to play in the process of striving for a new normal in the world post-diagnosis, and provide essential roles by giving the young child information, making them participatory in their care and encouraging access to both parents and peers. Understanding this role and addressing these issues regularly can assist the young child in the transition to living with cancer. Longitudinal studies with young children are vital in capturing their experiences through the cancer trajectory and necessary to ensure quality care.

  • 206.
    Darcy, Laura
    et al.
    Jönköping University, Jönköping, Sweden / University of Borås, Borås, Sweden.
    Björk, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Jönköping University, Jönköping, Sweden.
    Knutsson, Susanne
    Jönköping University, Jönköping, Sweden / University of Borås, Borås, Sweden.
    Granlund, Mats
    Jönköping University, Jönköping, Sweden.
    Enskär, Karin
    Jönköping University, Jönköping, Sweden.
    Following Young Children's Health and Functioning in Everyday Life Through Their Cancer Trajectory2016In: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 33, no 3, p. 173-189Article in journal (Refereed)
    Abstract [en]

    Background: Knowledge of living with childhood cancer, through the trajectory, is sparse. Aim: The aim of this study was to follow young children's health and functioning in everyday life through their cancer trajectory. Methods: Data were gathered longitudinally from a group of 13 young children and their parents connected to a pediatric oncology unit in Sweden. The International Classification of Functioning, Disability and Health for Children and Youth structure was used to identify difficulties in health and functioning in everyday life, in interview and questionnaire data. Descriptive statistical analysis was performed to show patterns of difficulty over a 3-year period from diagnosis. Results: Difficulties experienced by children declined and changed over time. An increase in difficulties with personal interactions with others and access to and support from health care professionals was seen 2 to 3 years after diagnosis and start of treatment. Similar patterns are seen within individual children's trajectories in relation to diagnosis but individual patterns were seen for each child. Conclusions and Clinical Implications: Health care professionals need to plan for ongoing contact with school services and information and support pathways, beyond the treatment period. A person-centered philosophy of care is required throughout the cancer trajectory.

  • 207.
    Darcy, Laura
    et al.
    CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden / School of Health Sciences, University College Borås, Borås, Sweden.
    Enskär, Karin
    CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Granlund, M.
    CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Simeonsson, R. J.
    CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden / School of Psychology and Early Childhood Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
    Peterson, C.
    CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Björk, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Health and functioning in the everyday lives of young children with cancer: documenting with the International Classification of Functioning, Disability and Health - Children and Youth (ICF-CY)2015In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 41, no 3, p. 475-482Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Health care focus is shifting for children from surviving childhood cancer to living with it on a daily basis. There is a need to document health and function in the everyday lives of young children with cancer using the multidimensional framework and language of the International Classification of Functioning, Disability and Health - Children and Youth (ICF-CY).

    AIMS: The aims of this study were (1) to document health and functioning in the everyday lives of young children with cancer using ICF-CY codes and (2) to identify a comprehensive code set that can aid clinical assessment.

    METHOD: Interviews with children diagnosed with cancer and their parents, were transcribed, reviewed for content and coded to the ICF-CY using linking procedures.

    RESULTS: A comprehensive code set (n = 70) for childhood cancer was identified. The majority of content identified to codes was related to activity and participation describing social relations with family, peers and professionals, preschool attendance and play, as well as issues related to support and independence.

    CONCLUSIONS: The ICF-CY can be used to document the nature and range of characteristics and consequences of cancer experienced by children. The identified comprehensive code set could be helpful to health care professionals, parents and teachers in assessing and supporting young children's health and everyday life through the cancer trajectory. The comprehensive code set could be developed as a clinical assessment tool for those caring for young children with cancer. The universal language of the ICF-CY means that the utility of a clinical assessment tool based on identified codes can have wide reaching effects for the care of young children with cancer.

  • 208.
    Davidsson, Julia
    et al.
    University of Skövde, School of Health and Education.
    Sjöström, Ida
    University of Skövde, School of Health and Education.
    Att leva med HIV: En självbiografistudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Human Immunodeficiency Virus (HIV), is a virus disease which infects through blood and sexual contacts. A person with HIV can live without any physical symptoms if he or she gets the right treatments. When it first was discovered, the disease created a lot of fear and prejudices that to some extent still exists. Purpose: To describe people´s experiences of living with HIV. Method: Narrative analysis were six autobiographies written by people with HIV was analyzed. Results: From the analysis of data material two categories emerged, A changed life and valuing the experiences of having HIV with seven subcategories. Conclusion: People with HIV are experiencing a worse personal health due to feelings like loneliness and alienation. The prejudices about the disease can be reduced by increased knowledge in healthcare. A nurse can increase these persons wellbeing by having good knowledge about the disease, give a respectful treatment and inform about sexual health.

  • 209.
    de la Rosée, Tommy
    University of Skövde, School of Life Sciences.
    Sjuksköterskans uppfattningar om vård av barn på sjukhus i samband med barnets diabetesdebut2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Approximately 600 young people in the ages 0-14 years get diagnosed with diabetes mellitus type 1 in Sweden each year. The numbers of young people that get diagnosed with diabetes mellitus type 1 increase continuously. In connection with the diabetes debut, the entire family is affected. Parents, relatives and children must learn to live with the disease and above all, try to adapt the everyday existence on the basis of the new conditions that comes with the disease. To make this adaptation possible, the healthcare contributes with important knowledge and care, especially during the diseases debut. The aim of this study was to describe the nurse's way of experiences about care of children on hospitals in connection with the child's diabetes debut. A qualitative method and a phenomenographic approach were used in order to describe variations and ways of experience at the nurses. Data collection occurred during interviews. The result describes the nurse's way of experience in three categories: information, questions and the way out of the hospital. The result shows that the nurses notice problems and scarcity in the information they handle. They saw that the adaption to the everyday is important and that the nurses have an important role in this guidance. The knowledge from this study shows that it’s important to see the child together with the family. It also shows the value of good follow-up.

  • 210.
    Deiana, Virginia
    et al.
    University of Skövde, School of Health and Education.
    Bengtsson, Christina
    University of Skövde, School of Health and Education.
    Sjuksköterskors följsamhet till handhygienrutiner: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Following guidelines for hand hygiene is a basic part of the daily routine of nurses to help prevent healthcare associated infections. Over 1500 patients die every year as the result of poor adherence to hand hygiene guidelines. Health care associated infections result in care suffering for the patient which could have been prevented with higher adherence to hand hygiene guidelines. Aim: The aim of the literature review was to identify what causes nurses adherence to hand hygiene guidelines in a hospital setting. Method: The method used was a literature review where both qualitative and quantitative articles were analyzed. Results: Three main categories emerged from the analysis; risk for infectivity, peers willingness to give feedback and organizational shortcomings, with eight subcategories. Conclusion: Poor adherence to hand hygiene guidelines increases the risk of health care associated infections. To prevent care suffering for the patient there is a need for a deeper understanding for nurses’ adherence to hand hygiene guidelines.

  • 211.
    Dicander, Madeleine
    et al.
    University of Skövde, School of Health and Education.
    Rosenqvist, Rosanna
    University of Skövde, School of Health and Education.
    Föräldrars erfarenheter av kommunikation med skolsköterskor2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this qualitative study was to describe parents´ experiences of communication with school nurses. School nurses work with health promotion and health prevention education, and they meet children in their natural environment in school several times in children´s education. Health promotion are most successful if there is a cooperation between school nurses and children´s parents and it is important that the communication is well-functioning. Interviews were conducted with a group of parents to find out how they experience the communication with school nurses. By analysis of the content of the interviews, using themes of meaning as a method, four themes of meaning were found: School nurses´ ability to provide commitment and care, School nurses accessibility for school children and parents, Uncertainties concerning the school nurse profession can affect communication and Informative communication- positive and negative experiences. Part of these themes is also available to read in the competence description for school nurses, and they are all key parts in the profession of the school nurse. In summary, the result show that parents mostly experience the communication as positive with the school nurses. However, there are some areas that could be improved, for example the choice of means to communicate in different contexts, and increased accessibility to school nurses. The result also show that parents do not have the knowledge of what education school nurses have or what tasks included in the school nurses´ assignments.

  • 212.
    Didriksson, Emilia
    et al.
    University of Skövde, School of Health and Education.
    Gripenwald, Iri
    University of Skövde, School of Health and Education.
    Förstärkt föräldraskap - utökade hembesök: Barnhälsovårdssköterskors och föräldrarådgivares erfarenheter av att stödja föräldrar i deras föräldraskap2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The parenting usually entails great joy but can also involve major challenges. Parenting is not always experienced positively, on occasion it can be very stressful. Studies show that early intervention can enhance the parenting role and promote connection between the child and the parent and thus facilitate illness prevention in children.

     Aim: To illustrate child health, nurses and parenting counselors provided extended home

    visits for new parents.  

     Method: A qualitative design and the phenomenological approach are used. Seven

    interviews were carried out with Child health nurses and parenting counselors. The results

    were analyzed with a content analysis.

     Results consist of four headings; Prerequisites for good cooperation, The importance of the meeting place, Concrete support for parents, Challenges to support parents

     Conclusion: The result shows that the project helped child health nurses and parenting counselors provide increased security and support in the parenting role. They have learned that the collaboration in the project has been experienced positively as they together can support families with their specific knowledge. Their view is that the families appreciate the support offered and it is easier for them to discuss sensitive topics in their own home. The prerequisites for being able to respond to challenges in the project require staff support from the manager and training in different cultural approaches.

  • 213.
    Djapo, Medisa
    et al.
    University of Skövde, School of Life Sciences.
    Gustafsson, Ellinor
    University of Skövde, School of Life Sciences.
    Åhl, Isabell
    University of Skövde, School of Life Sciences.
    Betydelsen av stöd för postmenopausala kvinnor med bröstcancer: En litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common cancer among women in Sweden.  In 2008 there were about 7300 women diagnosed with breast cancer and of these 72 per cent were 55 years or older. Earlier research showed that postmenopausal women with breast cancer aged 55 years and older felt that they were not getting enough support from health professionals and relatives.

    Aim: The aim of this study is to describe how postmenopausal women with breast cancer experience different types of support and how these affect their health.

    Method: A literature review was used in which 16 qualitative and quantitative studies were examined and analyzed according to Friberg (2006).

    Results: The data analysis of the articles revealed five themes and these are: emotional support, health professionals` support, relatives´ support, religious support and information support. We found that these supports are important for postmenopausal women´s health and quality of life.

    Conclusions: Different types of support from relatives and health professionals are perceived as important for postmenopausal women with breast cancer. More research is needed to get a better understanding of which supports that are important for postmenopausal women with breast cancer and how it affects their health.

  • 214.
    Djurberg, Annica Maria
    et al.
    University of Skövde, School of Life Sciences.
    Granberg, Anna Helena
    University of Skövde, School of Life Sciences.
    Sjuksköterskors attityder och förhållningssätt till patienter med fetma: en litteraturöversikt2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Fetma är en sjukdom som drabbar allt fler människor i världen, och problemet beräknas öka bland befolkningen. Många människor med fetma får hjälp av sjukvården för att få stöd i en livsstilsförändring. Alla patienter har rätt att bli behandlade med respekt och värdighet, utifrån den de är, oberoende av kroppsstorlek eller personlighet. Syfte: Syftet med studien var att belysa sjuksköterskors attityder och förhållningssätt till patienter med fetma utifrån tidigare forskning. Metod: Studien bestod i en litteraturöversikt över tidigare publicerad forskning. Datamaterialet som format resultatet inom ämnet begränsades till åtta vetenskapliga artiklar, av både kvalitativ och kvantitativ ansats. Resultat: Fem teman med subtema framstår: känsligheten runt patientens vikt och livssituation, -patientens eget ansvar för sin vikt och livsföring, -beteende och personlighet, -kunskap, utbildning och utrustning, -sjuksköterskans ansvar. Slutsats: Sjuksköterskors attityder till patienter med fetma, positiva och negativa, påverkar patientens möjlighet att uppleva tillfredsställelse och genomföra en livsstilsförändring. I studien framgår även att en god relation mellan patient och sjuksköterska är en förutsättning för att patienten ska få förtroende för sjuksköterskan och känna sig trygg i sin situation.

  • 215.
    Dreimane, Baiba
    et al.
    University of Skövde, School of Life Sciences.
    Hagman, Wiebke
    University of Skövde, School of Life Sciences.
    Familjens upplevelser av sorg när en närstående vårdas i livets slutskede: en litteraturbaserad studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Being faced with the end of life of a loved one has an extensive impact on the whole family, altering their lives and causing grief and suffering. Aim: The aim of this study was to describe family experiences of grief, what impact bereavement had on their lives and also how nurses can support them in their situation. Method: A literature study was conducted and 14 scientific articles were reviewed and analyzed. Result: Three main themes emerged: family’s grief, impact on the family and encounters with health professionals and their support. Families were surprised by their intense grieving reactions.  An open communication between family and patient was often difficult to maintain. Families were affected by the situation with for example family conflicts, a tendency towards isolation and poor health caused by the workload of patient care. Support given by health care professionals was experienced as both positive and negative. Conclusion: Grief is a far more complicated phenomenon than expected. It has to be looked at individually and in its own context each time it occurs. Improved communication skills and an orientation toward family centered care are needed to improve family’s suffering and grief experience.

     

  • 216.
    Drevhage, Pernilla
    et al.
    University of Skövde, School of Life Sciences.
    Thorén, Erica
    University of Skövde, School of Life Sciences.
    Informationens betydelse för patienten med hjärtinfarkt i det akuta skedet2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Information should be seen as an integrated part in caring for patients´ that suffer from acute myocardial infarction. The nurse´s support and communication is an important part in caring for the patient. It is of significance that the nurse has an ability to provide knowledge and understanding under busy conditions in the emergency ward. In that way the patient can participate and have ability to take part in their own care and treatment.The aim with the study is to elucidate the information's importance for the patient at the acute phase of his myocardial infarction. The method that has been used is a literature study and the result comprizes in 12 articles, 10 qualitative and 2 quantitative. In the result, five categories has shown. These are: The patient´s experience of the information, the nurse´s roll when giving information, communication between the nurse and the patient, the nurses support to the patient and the patient´s anxiety and fear. The result in the literature study shows that good information in plain language reduces the patient´s worries and anxiety and increases the patient´s understanding of his/her condition. Patients who are given relevant and individual information feel satisfaction with the care and experience an increased well-being.

  • 217.
    du Rietz Söderström, Ann
    University of Skövde, School of Life Sciences.
    Barnsjuksköterskors erfarenheter i möten med små underviktiga barn och deras föräldrar2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of child health care is to promote health and development for all children, to early identify problems that concern children´s growth and development and to prevent ill-health among children. Today in our society the proportion of children who are underweight are few.

    The aim with this study was to describe paediatric nurses experience in meeting with underweight children and their parents. Interviews were implemented and analyzed according to qualitative content analysis. Focus was placed on looking at differences and interpretations in the text content. The analyse resulted in six main categories, such as a need of sensitivity and a holistic view from the nurse, difficulties in handling the meeting because lack of tools. A positive experience which facilitated the meeting was the emotional sensitivity from the parents. In their work the nurses used different facilities. It was also described how the nurse influenced the meeting with the family.

    It would be desirable to have guidelines for how to handle underweight children.

  • 218.
    Dudley, Sandra
    et al.
    University of Skövde, School of Health and Education.
    Olsson, Pirjo
    University of Skövde, School of Health and Education.
    Mina fötter är viktiga!: En intervjustudie om erfarenheter av egenvård av fötter hos personer med diabetes typ 22019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Foot complications are common among people with type 2 diabetes and can be prevented through self-care. The diabetes specialist nurse can help the person integrate diabetes into their life world, and find strategies for self-care.

    Aim: Describing experiences of foot self-care among people with type 2 diabetes.

    Method: A qualitative method with inductive approach was used. 12 individual interviews were conducted and the data was analyzed using qualitative content analysis.

    Results: There were prerequisites and obstacles for self-care. Prerequisites were strategies for life-style changes, taking responsibility for foot self-care along with consultation, support and aids. Obstacles included limitations in psychological, bodily, physical and organizational factors. A theme: knowledge creates control and drive emerged.

    Discussion: The results support previous research about the needs of people with diabetes in regards to self-care. Dialogue and cooperation with the diabetes specialist nurse was needed for the person to become an active part in care and self-care. Working cooperation resulted in that the person felt in control and was able to take informed decisions about self-care.

    Conclusion: Knowledge about the connection between diabetes and foot care was crucial when it came to self-care and the diabetes specialist nurse became a resource for information and support.

  • 219.
    Edvardsson, Anton
    et al.
    University of Skövde, School of Life Sciences.
    Nilsson, Karin
    University of Skövde, School of Life Sciences.
    Omvårdnadsåtgärder vid andningssvårigheter hos patienter med sjukdomen KOL: En litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: COPD is a disease that increasingly affects more patients around the world; by 2020 is it is projected to be the third most common cause of death. There is no cure against COPD. Moreover, difficulty breathing affects the patient’s quality of life physically and mentally. However, with extensive care patients and their relatives can experience wellbeing in spite of the illness. PURPOSE: The aim of this study is to illustrate how nurses can ease the suffering of patients with COPD with a starting point from the patient’s wishes and the nurse’s experience. METHOD: The study was a literature review based on existing researched data material based on nine scientific articles of qualitative and quantitative nature.

    RESULT: Three themes emerged: the continuously exchange of knowledge; saving the patients strength; and give security and support. The continuously exchange of knowledge refers to knowledge exchange between nurse and patient during the caring process. The second theme describes how the patient’s breathing is affected by the planning of everyday life. The last theme illustrates the mental aspects. CONCLUSION: This study shows a good relationship between patient and nurse is important to create security and support which are the most important things for patients suffering from COPD.

  • 220.
    Edvardsson, Kristina
    et al.
    University of Skövde, School of Life Sciences.
    Carlsson, Johanna
    University of Skövde, School of Life Sciences.
    Bolinder, Catarina
    University of Skövde, School of Life Sciences.
    Patientens delaktighet i vården: En litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The patient’s role in health care has changed over the past decade. Today they are more aware of the rights they have in care. All people have the legal right to information and participation in decision making concerning their own care. To include the patient in their own healthcare the approach from the nurse is very important. Research has shown that there still remains a gap in the patients right to participation and because of that, it is important to know what the patients experience as participation and how the nurses could promote this. Aim: The aim of this study is to describe patients’ experience of participation and how nurses believe that they should approach to promote the patient’s participation. Method: The study is a literature review in which both qualitative and quantitative articles were used. Result: The result of the study has shown that patient’s experience participation when they get information and knowledge, which leads to patient feel control over the situation. Patients also experience participation when they have a good relationship with nurses. In order to promote patients participation nurse need to establish a good relationship, provide information, help to control and ensure the patients resources. Discussion: It is important that the nurse always reflect over the patient’s participation and to increase their knowledge in both education and professional activities

  • 221.
    Einberg, Eva-Lena
    et al.
    Högskolan Kristianstad.
    Wilhsson, Marie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Skolsköterskans hälsofrämjande arbete med ett kontextuellt perspektiv2019In: Skolsköterskans hälsofrämjande arbete / [ed] Eva K. Clausson, Siv Morberg, Lund: Studentlitteratur AB, 2019, 2, p. 73-84Chapter in book (Other academic)
  • 222.
    Einesson, Ronja
    et al.
    University of Skövde, School of Health and Education.
    Kvick, Amanda
    University of Skövde, School of Health and Education.
    "Ingen hade förberett mig på de förändringar som skulle påverka hela min sexualitet": Att beskriva kvinnors upplevelse av kommunikation om sexualitet i vården vid gynekologisk cancer2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexuality and sexual health have a different meaning for each individual. Gynecological cancer can change the image of sexuality because of bodily changes created by the treatment and that involves both the physical and psychological impact. Suffering from gynecological cancer causes concerns about changes in sexuality, anxiety and existential questions.

    Aim: The aim of the study is to describe women's experience of communication about sexuality in their care during gynecological cancer. 

    Method: A literature review where ten qualitative articles and one quantitative article has been analyzed. 

    Result: Three themes emerged after analyzing the articles; when communication gaps, differences in information, and the environment ́s impact on communication. Women experience a lack of communication and information about sexuality in their healtcare. 

    Discussion: There are support-systems for nurses that can help them increase communication about sexuality. Good communication in gynecological cancer leads to increased well-being, confidence and knowledge about the disease.

    Conclusion: The care for women with gynaecological cancer is not based on a holistic perspective. The communication and information about sexuality and sexual health is poor and it leads to suffering and mental ilness. This should be adressed and it is an area of need that needs to be improved drastically.

  • 223.
    Ejdebäck, Tobias
    et al.
    University of Skövde, School of Health and Education.
    Gustavsson, Olof
    University of Skövde, School of Health and Education.
    Upplevelser av att leva med hemodialys vid kronisk njursvikt: Ett patientperspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic kidney disease in later stages demands dialysis-treatment. Haemodialysis is the most common type of dialysis and is usually performed at a hospital ward. Haemodialysis brings different complications and side effects that can be perceived tough for patients. Beyond the side effects the patients also receives fluid and diet restrictions. These factors affects the patient’s everyday life. Aim: The aim is to describe patients, with chronic kidney disease, experiences of living with haemodialysis. Method: The method of choice is a literature-based study. Result: The result is presented in three main categories. Patients describes different experiences of how haemodialysis affects the body, both positive and negative. During the treatment different existential thoughts and feelings related to the own mortality appears. Patients describes that they seek support with both related and health personnel but that it can be tough to talk about existential thoughts. Conclusion: Haemodialysis treatment had a limiting effect on patient’s life, they experience an increased feeling of loneliness. A central factor for patients to be able to find support was that they feel reliance and trust in health personnel.

  • 224.
    Ek, Kristina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Andershed, Birgitta
    Department of Palliative Care Research, Ersta Sköndal University College, Stockholm, Sweden / Department of Nursing, Gjøvik University College, Gjøvik, Norway.
    Sahlberg-Blom, Eva
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Ternestedt, Britt-Marie
    Department of Palliative Care Research, Ersta Sköndal University College, Stockholm, Sweden / Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    "The unpredictable death" - The last year of life for patients with advanced COPD: Relatives' stories2015In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 13, no 5, p. 1213-1222Article in journal (Refereed)
    Abstract [en]

    Objective: The end stage of chronic obstructive pulmonary disease (COPD) is described as prolonged and the symptom burden for patients with COPD is often high. It progresses slowly over several years and can be punctuated by abrupt exacerbations that sometimes end in sudden death or recovery of longer or shorter duration. This makes it difficult to identify the critical junctures in order to prognisticate the progress and time for death. patients with COPD often express a fear that the dying process is going to be difficult. There is a fear that the dyspnea will worsen and lead to death by suffocation. The present article aimed to retrospectively describe the final year of life for patients with advanced COPD with focus on death and dying from the perspective of relatives. Method:Interviews were conducted with relatives of deceased family members who had advanced COPD. In total, 13 interviews were conducted and analyzed by menas of content analysis. Result: All relatives described the patients as having had a peacful death that did not correspond with the worry expressed earlier by both the patients and themselves. during the final week of life, two different patterns in the progress of the illness trajectory emerged: a temporary improvement where death was unexpected and a continued deterioration where death was inevitable. Sigificance and Results: The patients and their realtives lived with uncertainty up until the time of death. Little support for psychosocial and existential needs was avaiable. It is essential for the nurse to create relationship with patients and relatives that enable them to talk about dying and death on their own terms.

  • 225.
    Ek, Kristina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Browall, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Eriksson, Monika
    Skaraborg Hospital, Skövde, Sweden.
    Eriksson, Irene
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Healthcare providers’ experiences of assessing and performing oral care in older adults2018In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 2, article id e12189Article in journal (Refereed)
  • 226.
    Ek, Malena
    et al.
    University of Skövde, School of Health and Education.
    Karlson, Malin
    University of Skövde, School of Health and Education.
    Distriktssköterskors erfarenheter av att främja egenvård hos patienter med venösa bensår2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Leg ulcers are a growing problem causing pain, limited mobility and reduced quality of life. Through promotion of self-care for patients with venous leg ulcers, wound healing can be improved. Self-care is a health measure that qualified professionals can decide a person can exert him or herself or with assistance from others. Nurses’ key role is to foster and optimize adherence to self-care. Patient participation leads to better fulfillment of the goals for the care and treatment.

    Purpose: The purpose of this study was to elucidate the district nurses’ experiences of promoting self-care in patients with venous leg ulcers.

    Method: Data were analyzed using qualitative content analysis and an inductive approach. Ten interviews with district nurses were conducted.

    Results: Analysis of the data produced four categories with eleven sub-categories; Involve the patient in treatment, Create consensus for change, Collaborate with the patient and Observe the patient's lack of participation.

    Conclusion: Our results showed that self-care is promoting to patients with venous leg ulcers, but that the district nurses lacked common guidelines. The district nurses can by taking the time to promote self-care advice give the patient a greater understanding why self-care is needed to promote wound healing. 

  • 227.
    Ek, Tova
    et al.
    University of Skövde, School of Health and Education.
    Johansson, Alexandra
    University of Skövde, School of Health and Education.
    Sjuksköterskans erfarenheter av att uppmärksamma depression hos äldre: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Depression in the elderly is a growing problem. The disease is considered to be underdiagnosed, which means that the number of elderly people with depression is estimated to have a hidden number. The symptoms of depression are easily confused with other diseases or as signs of old age. The nurse has a nursing responsibility to ensure that the elderly get the help they need to avoid unnecessary suffering. The aim of the study is to describe the nurse's experience of identifying depression in the elderly. The method used is a literature review of qualitative research. The results revealed five main sections describing the nurse's experience of paying attention to depression in the elderly. "The importance of creating a good relationship", "Time with the patient can be crucial", "Collaboration with other healthcare professionals required", "Use of screening tools facilitates" and "Knowledge and education." The result shows that the nurse can identify depression if the relationship is good between the nurse and patient. However, many nurses experience problems with getting enough time to create good relationships. Nurses experience that knowledge about depression is inadequate and many want more education in the subject. The conclusion is that nurses need more knowledge about depression and more training in using different screening tools to detect depression early, this can lead to the development of care and reduce suffering for the elderly.

  • 228.
    Ekberg Rydén, Siri
    University of Skövde, School of Life Sciences.
    Unga människors upplevelse av övervikt. Vilken roll har skolsköterskan?: En litteraturöversikt2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ungdomstiden är en kritisk period i livet med fysiska och psykiska förändringar. Övervikt och fetma ökar bland unga människor och påverkar deras hälsa. Syftet med denna studie var att beskriva unga människors egna upplevelser av övervikt och detta gjordes i en litteraturöversikt. Tre databaser användes för litteratursökningen, som genomfördes med hjälp av nyckelord som bedömdes relevanta för ämnet. Artiklarna bearbetades och resultatet sammanställdes i fyra olika områden: Kroppsuppfattning och utseende, Upplevd hälsa, Sociala relationer, Skolsituationen. Både uppmätt och upplevd övervikt påverkade självkänslan och vardagen för de unga människorna i varierande grad. Flickor uppfattade sig ofta som överviktiga även om deras BMI var normalt. BMI, Body Mass Index (kroppsmasseindex), är ett mätvärde där kroppsvikt bedöms i förhållande till kroppslängd. Skolsituationen kunde vara svår för unga människor med övervikt eller fetma. Skolsköterskan har en stor del i arbetet med att främja elevers hälsa eftersom lärande och hälsa har ett samband. I detta arbete bekräftades att skolsköterskan behöver kunskap om unga människors egna upplevelser av övervikt.

  • 229.
    Ekblom, Eva- Lena
    et al.
    University of Skövde, School of Life Sciences.
    Götesson, Elin
    University of Skövde, School of Life Sciences.
    Sjuksköterskans moraliska dilemman och förhållningssätt i mötet med abortpatienten: en litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    En sjuksköterska ställs dagligen inför moraliska ställningstaganden. När en patients livsstil och val inte stämmer överens med sjuksköterskans egna värderingar vid exempelvis en abort kan det vara problematiskt att ge en objektiv vård och ett gott bemötande. Syftet med litteraturstudien är att beskriva hur sjuksköterskan handskas med egna moraliska dilemman som uppstår i mötet med abortpatienten och hur sjuksköterskan hanterar dessa dilemman för att skapa förutsättningar för god vård. Metoden som valdes var en litteraturstudie där tolv artiklar analyserades som svarade på studiens syfte och frågeställningar. Ur studiens resultat framkom tre huvudteman, vilka var Egna värderingar och etiska principer i konflikt, Att tvingas ta ställning och Behov av stöd för växt i yrkesprofessionen. Denna studies resultat visar att sjuksköterskor, beroende av anledning till aborten var positivt eller negativt inställda. Genom att sjuksköterskor tog ställning i abortfrågan hanterade de dessa dilemman på olika sätt. Moraliska konflikter och emotionell stress var hög hos sjuksköterskor som upplever att det behövs fler diskussionsforum och fler stödgrupper för att diskutera och reflektera över dessa dilemman. Det är viktigt att sjuksköterskor klargör sina egna värderingar eftersom oreflekterade värderingar oavsiktligt kan påverka vården. Genom klara riktlinjer, diskussionsforum och en yrkesutveckling genom kollegial handledning kan sjuksköterskan stödjas i sitt arbete och få tillfälle att reflektera och diskutera svåra situationer som uppstått med patienter.

  • 230.
    Ekeberg, Helena
    et al.
    University of Skövde, School of Life Sciences.
    Larsson, Kristina
    University of Skövde, School of Life Sciences.
    Distriktssköterskors erfarenhet av hälsofrämjande arbete: En kvalitativ intervjustudie2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The Health Care Nurse plays an important role in motivating patients to implement lifestyle changes. Unhealthiness causes risks of developing long-lasting diseases and other complications. Living conditions and living habits are of great significance in terms of human health.  Lifestyle changes, in contrast to drugs, often have an impact on both risk markers and states of diseases. The purpose of this study was to describe district nurses’ experiences when motivating patients to take part in health-promoting lifestyle changes. The study is based on a qualitative method with an inductive approach. Through interviews, data was collected from six health care nurses and analyzed using a qualitative content analysis. The results are based on two categories, quality of the professional support together with evidence and experiences important to the changing process. These categories formed the theme: Health Care Nurses´, sensitivity and knowledge are the guiding principles in terms of motivating patients to pursue a healthier lifestyle. The results of our study show that it is important to listen and to acknowledge the patient to be able to support them emotionally.  Undergoing lifestyle changes require explanation and information. The changing process requires tools, the informants must have a reflective attitude to be able to work based on evidence. The patient needs to realize the importance of making a lifestyle change and also be prepared to take the losses. When doing so the patients will learn that they gain more than they lose.

  • 231.
    Ekeroth, Anna
    University of Skövde, School of Life Sciences.
    Sjuksköterskors erfarenheter av kommunikation med patienter i palliativ vård: en litteraturbaserad studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care is an approach that affirms life and sees death as a normal process and as an important end point of life. The palliative care should include symptom control, cooperation of multi-professional team, good communication and support for families. Palliative nursing put high demands on the nurse, not least in terms of communication skills. The aim was to describe nurses' experiences of communication with patients in palliative care. The chosen method was a literature based study. The data material consisted of 12 qualitative research articles. Three categories and nine subcategories were identified. The categories were: conditions in the workplace, the nurse’s readiness to act and patient and relatives’ involvement. Conditions in the workplace, such as cooperation, care ideology and emotional support are important preconditions for communication. The nurse’s experience, ability to manage thoughts and feelings about death and the ability to see and understand the patient also affects the communication, as well as the patients’ and the relatives’ approach. Opportunity for reflection and clinical supervision, a clear ideology of care in the ward as well as education in communication and/or palliative care would, according to the results, contribute to better conditions for good communication between the nurse and patients in palliative care.

  • 232.
    Eklind, Louise
    et al.
    University of Skövde, School of Health and Education.
    Holgersson, Mette
    University of Skövde, School of Health and Education.
    När brösten upplevs som ett hot: En studie baserad på självbiografier av kvinnor med bröstcancer2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 233.
    Eklund, Maria
    et al.
    University of Skövde, School of Life Sciences.
    Furubrink, Viktoria
    University of Skövde, School of Life Sciences.
    Upplevelser av krav på ändrade levnadsvanor vid diabetes typ 22011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: Diabetes type 2 is an increasing disease in the world. By changing diet and exercise habits diabetes type 2 can be postponed or even prevented. This change can be very demanding for the person. AIM: The aim of this study was to create an overview of studies that concern the demands of changed habits as a part of treatment of diabetes type 2. METHOD: A literature review based on analyses of 14 scientific articles. RESULTS: Results showed that support was important for people with diabetes type 2. It helped them to get the motivation that was necessary to change their habits. Also knowledge of the disease showed to be a good help to be able to handle diabetes type 2. Some of the people with diabetes type 2 experienced that they were limited by the disease but some could see opportunities despite the disease. CONCLUSION: Support and knowledge about the disease helped the person with diabetes type 2 to get the motivation that was necessary. It’s important for nurses to realize that every person with diabetes type 2 needs their own time to process the information they get about the disease.

  • 234.
    Eklund, Rebecca
    et al.
    University of Skövde, School of Life Sciences.
    Kaveh, Mona
    University of Skövde, School of Life Sciences.
    Vem är jag nu ?: Identitetsförändringar hos kvinnor som har en bröstcancerdiagnos2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Varje år ställs ca 7000 bröstcancer diagnoser i Sverige. 70 till 80 % överlever tio år efter sjukdomsdebuten. Behandlingar och biverkningar leder till förändringar i livet för de cancerdrabbade kvinnorna. Dessa förändringar kan vara både yttre och inre och kan leda till upplevelser av förändrad identitet. Studiens syfte är att beskriva identitetsförändringar hos kvinnor med en bröstcancerdiagnos. Datamaterial har samlats in från 8 biografier och självbiografier. Metoden som använts för att analysera litteraturen är ”att analysera berättelser”. Tre kategorier har använts i resultatet, dessa kategorier är: En ny opåverkbar identitet, Att bli en annan kvinna, En förvirrad identitet. Hos många kvinnor väcks rädslor för hur deras utseende kommer att förändras efter behandlingarna. De upplever att sjukdomen blir ett hot mot deras kvinnlighet. Detta leder till att de ifrågasätter sin identitet och vilka de har blivit efter sjukdomen. Det är därför viktigt att man som sjuksköterska förstår kvinnornas känslor och upplevelser av sin förändrade identitet. På så sätt kan en större förståelse för dessa kvinnors livsvärld fås och där av kan en bättre omvårdnad uppnås.

  • 235.
    Eklöf, Andreas
    University of Skövde, School of Health and Education.
    Läkemedelsrelaterade problem inom hemsjukvården: Sjuksköterskors relation till polyfarmaci - en enkätstudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Average life span in Sweden is increasing and elderly use more and more medication. With age, alterations in body constitution take place, leading to an increased risk of adverse drug reactions. These drug related problems can decrease quality of life for elderly people but with right knowledge and by working multidisciplinary nurses/district nurses can decrease them. Aim: The aim was to study how nurses and district nurses within home nursing view drug knowledge and multidisciplinary work on drugs. Metod: A quantitative design was used and the study was conducted as a questionnaire survey, adressed to nurses/district nurses within home nursing. Data was analysed using the statistics software of SPSS 22. Mann-Whitneys U-test, Wilcoxon´s sign-rank test and Spearman´s rho were used to find statistical correlations. Results: The participants considered drug knowledge to be important but found it hard to identify drug related problems. The district nurses felt more secure in drug related issues after graduation. The participants considered that the amount of time scheduled with physicians and nursing assistants to discuss drug-related matters were insufficient. They felt confident in that nursing assistants would contact them in event of adverse drug reactions but stated it was hard to reach physicians quickly enough. Conclusion: To decrease drug related problems within home nursing there is need for increased drug knowledge amongst nurses/district nurses as well as an increased cooperation with physicians and nursing assistants.

  • 236.
    Eklöf, Anna
    et al.
    University of Skövde, School of Health and Education.
    Edman, Sofia
    University of Skövde, School of Health and Education.
    Distriktssköterskors erfarenheter av att erbjuda kvinnor professionellt stöd vid amning: En kvalitativ intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In society today there’s a reduce of breastfeeding. A good support from midwives and district nurse’s can promote breastfeeding. Support is important even for mothers who can’t or have decided that they don’t want to breastfeed.

    Aim: District nurse’s experiences of offering professional support to women about breastfeeding.

    Method: Qualitative method with inductive approach. The interviews were analyzed according to qualitative content analysis. Six district nurse’s working in the child health care centre participated in the study.

    Results: The analysis resulted in three categories; Continuity of support and information, Individually adapted support and Conditions to give support. These resulted in seven subcategories; Breastfeeding from BB to home, Homevisit from distric nurse, Brochures and Amningshjälpen, Cultural differences, Choises and limitations about breastfeeding, Being able to give time and Continuing education and self-responsibility. The result shows that there is a need for more education about breastfeeding.

    Conclusion: It’s important for mothers to get support about breastfeeding already on BB. Then the district nurse at the child health care centre meets the family regularly and keep giving support after theirs wishes. It’s important for district nurse’s to give a good support both to women who can’t or have decided not to breastfeed.

  • 237.
    Ekström, Anette
    University of Skövde, School of Life Sciences.
    Amning och vårdkvalitet2005Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The over all objectives of this thesis was to map factors of importance for breastfeeding such as maternal background factors, maternal perception of breastfeeding support, confidence, caring routines, breastfeeding attitudes of health care professionals, and to investigate whether a training intervention within the care team of

    the antenatal (ANC) and child health centres (CHC) would improve maternal perception of support and strengthen maternal feelings for the baby.

    Material and method: A questionnaire was sent to mothers when their babies were 9-12 months old (n=540). The questionnaire embraced questions regarding maternal background, caring routines, perception of support and duration of breastfeeding (I-II). Thereafter an attitudinal instrument was developed to measure breastfeeding attitudes in health care professionals (n=168). Four attitude dimensions were identified by factor analysis (III). Ten municipalities in a county of south west Sweden was paired and randomized to intervention or control (IV). Thus, all midwives and postnatal nurses working at the ANC or CHC in a randomised municipality were asked to participate in the study (n=81). Health professionals in the intervention group had a process-oriented training in breastfeeding counselling including planned continuity in family education and development of a common breastfeeding policy within the caring team. Changes in attitude were measured by the instrument developed in study III. For study V, mothers were recruited from the maternity and were allocated to intervention- or control group according to the randomization of municipalities in study IV (n=565). Questionnaires were sent out at three days, 3 and 9 months post partum to investigate how the care and counselling skills acquired by the health care professionals would be reflected in maternal perception of breastfeeding support and maternal feelings for and relation to the baby.

    Results: Early initiation of suckling, late discharge from hospital (more than 72 hours) and perceived good support contributed positively to the duration of exclusive breastfeeding. Supplementation the first days after birth for other than medical reasons shortened the duration of breastfeeding. For primiparas, the partner’s presence after childbirth contributed positively to the duration of exclusive breastfeeding. Multiparas who were aware of their mothers breastfeeding history had a longer breastfeeding period than those who did not know of their mother’s breastfeeding history. Mothers were more satisfied with the breastfeeding information they had received at maternity than the breastfeeding information they got from the ANC and CHC (I-II). This induced the idea to develop an attitude instrument and start a training intervention for the care team at ANC and CHC. The attitudinal dimensions identified by the factor analysis were: The regulating factor comprising statements scheduling breastfeeding; the facilitating factor comprising statements showing confidence in the ability of the mother-infant dyad to breastfeed on their own; the disempowering factor comprising statements that objectified the woman and ascribed her no ability to breastfeed without guidance of the health care professional and the breastfeeding antipathy factor comprising statements that showed unwillingness and failing knowledge about breastfeeding (III). After training the health care professionals became less regulating and more facilitating (IV). Family classes provided the intervention mothers with better breastfeeding information, more knowledge about their social rights, the needs of the baby and a stronger social network than the control mothers (V). The postnatal nurse gave a better over all support, was a better listener, showed more understanding and provided the mother with better information about breastfeeding and the needs of the baby. Mothers in the intervention group reported that they interacted more with their baby. They had also more positive views on their baby and felt more confident and close with the baby than mothers in the control groups (V).

    Conclusion: This study showed that it is important to adopt caring routines, which will facilitate breastfeeding. The health care professional needs to find out the background of the mother to be able to provide her with adequate breastfeeding counselling. Caring routines should include early suckling. Supplementation of the baby the first week after birth should only be given on medical grounds. This study showed that a processoriented training in breastfeeding counselling alters attitudes of health care professionals in a positive way. The trained health care professionals organized continuity of family classes and developed a common breastfeeding policy and were more supportive in their encounters with the mothers. These behaviors strengthen the mother’s feelings for her baby and brought about a richer interaction with her baby. A model to provide continuity of family classes, conducted by trained antenatal midwives and postnatal nurses should thus be practiced within the caring team around first time parents.

  • 238.
    Ekström, Anette C.
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Nilsson, Lena
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Apell, Caroline
    The Municipality of Alingsås, Sweden.
    Palmius, David
    Skaraborg Hospital Skövde, Skövde, Sweden.
    Mårtensson, Lena B.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Nurses challenges to support hospitalized patients regarding sexual-health issues2016In: Journal of Nursing & Care, ISSN 2167-1168, Vol. 5, no 3, article id 1000344Article in journal (Refereed)
    Abstract [en]

    Background: The approach to nursing should be characterized by a holistic view of the human being which includes sexual health. From a nursing perspective, it is therefore of most importance to have a dialogue about factors associated with sexual health also among hospitalized patients. However, to our knowledge there is a lack of qualitative studies regarding nurses attitudes about dialogue with patients about sexual health.

    Objective: To investigate nurses attitudes towards dialogue with hospitalized patients about sexual health.

    Methods: A qualitative method was used and interviews were conducted which then were analyzed using a qualitative content analysis. Eleven registered nurses were included, the inclusion criteria was: at least one year of experience as a nurse and working on a medical or surgical ward in a hospital in the southwest of Sweden. The participants were in the ages 25-65 and had worked as nurses between 2 and 30 years. Nine of the participants were women. The data were collected during 2011.

    Results: The nurses experiences of and reflections on dialogue with patients about sexual health were presented as a single main theme: Nurses challenges to support hospitalized patients with sexual health issues. This theme had three categories: Feeling uncomfortable, Feeling inadequate and Task-oriented care with related subcategories respectively.

    Conclusions: Nurses attitudes towards their dialogues about sexual health with hospitalized patients were less challenging if they were initiated by the patients or if the patients were men with medical causes related to sexual health. Lack of knowledge and support from colleagues became reasons why nurses felt inadequate about discussing sexual health with their patients.

  • 239.
    Eliasson, Elin
    et al.
    University of Skövde, School of Health and Education.
    Nordström, Jennifer
    University of Skövde, School of Health and Education.
    En litteraturöversikt om kvinnors upplevelse av sexuell hälsa till följd av bröstcancerbehandling2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common cancer form in women in Sweden today. Cancer treatment often consists of combined treatment methods and can have extensive side effects. Breast cancer treatment can put the woman into menopause, lead to fatigue, hairloss and involve bodily changes. This can affect the woman's self-image and sexual health. Aim: The aim of this literature review was to describe the women's experience of their sexual health during and after breast cancer treatment. Method: The method chosen was a literature review based on qualitative studies. Data has been compiled from previous, already completed studies to create a combined image around the area. Results: Four main themes were identified about how women's sexual health was affected by breast cancer treatment. These were: The impact of treatment on sexual intercourse, the relationship of the woman with herself and her body, intimacy and the importance of close relationships and communication with health care. Conclusion: The majority of women experienced impaired sexual health and difficulty identifying themselves in their changed body as a result of breast cancer treatment. They faced a physical and mental challenge. It is important that nurses meet patients with a person-centered approach to respond to women's individual needs. Healthcare is lacking in communication about sexual health which should be improved to reduce patient suffering.

  • 240.
    Eliasson, Matilda
    University of Skövde, School of Health and Education.
    Unga kvinnors upplevelser av att leva med anorexia nervosa: en självbiografisk studie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia nervosa (AN) is a mental illness with eating disorder and emaciation as a result of a refuse to eat and loss of appetite. Mental health among young women is deteriorating and in recent decades, the existence of AN has increased. Aim: To describe the experience of living with AN, based on young women's perspective. Method: A qualitative study where six autobiographies have been analyzed and compiled. Results: Four themes are presented (1) not being able to identify with his diagnosis, (2) to find respite in activity and good relations, (3) to experience a chaos of existential feelings and (4) to feel the fear of it healthy. Discussion: Living with AN means a great suffering which manifests itself in various forms. Despite illness, a well-being can in some situations be experienced which is significant for the health process. Conclusion: When nurse is given knowledge of how life can be affected by AN a patient's life-world can better be understood. This allows the care and treatment to be adapted to the patient with AN. When experience of a good treatment occurs, the health process promotes.

  • 241.
    Elmgren, Ing-Marie
    University of Skövde, School of Life Sciences.
    Skolsköterskans arbete utifrån ett salutogent förhållningssätt: en litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The objective of this literature study was to describe how the school nurse can adopt the salutogenic perspective in her health promoting work. The articles were examined in order to identify what was written about the school nurse’s work from the salutogenic perspective. In parallel, Eriksson’s, Orem’s, and Newman’s nursing theories were examined from the same perspective. Health promotion enables people to increase control over, and to improve, their health. Aaron Antonovsky coined the term salutogenesis to describe why certain people can stay healthy despite stressful situations, and even grow and develop. The concept “sense of coherence” (SOC) is an important factor in this context. The Salutogenic model was a new way to develop knowledge in nursing. As caregivers capable of structuring life experiences and providing health information and services, nurses can foster and strengthen SOC. Salutogenesis promoted the understanding and the identification of factors relevant to child protection. It was also found that many factors, e.g., gender, lifestyle, habits and school climate correlated with SOC. The study showed a strong support for adopting the Salutogenic model in school health work, and that nursing theories can be used as analytical tools in the application of this model in practice.

  • 242.
    Elofsson, Emilia
    et al.
    University of Skövde, School of Health and Education.
    Münsterkötter, Jana
    University of Skövde, School of Health and Education.
    Vårdrelaterade infektioner och bristande handhygien: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Swedish basal hygiene routines are an important and essential part of the healthcare. Correct execution of the routines creates a decline in proliferation of contagions which will shrink the number of HAI which today is the foremost reason of damage in the healthcare. HAI leads to an increase of suffering for the patient, extended nursing time and costs. The nurses primary task is to prevent disease through the usage of hand hygiene. Aim: Factors causing lack of hand hygiene among nurses. Method: A descriptive literature review with results from 12 scientific articles. Articles were analysed with a five-stage model. Results: This bachelor thesis result displays different factors which contributes to deficient use of hand hygiene. The nurse can affect the personal factors, like their attitude, knowledge and their ideal to be a role model. However organizational factors like hindrance in the healthcare environment, lack of continuous education and time constraints are harder for the nurse to affect. Conclusion: Different factors are causing lack of hand hygiene among nurses. Today HAI occurs at a large scale and its demands certain understanding from the nurse regarding these factors in order to improve preventive work against HAI.

  • 243.
    Elovson, Anette
    University of Skövde, School of Life Sciences.
    Patienters upplevelser av läkemedelshantering2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Drug related problems (DRP) are a major concern for hospital readmissions. These problems have physical, physiological and economical implications for the patients and for society. Research has shown that many patients´ have a lack of knowledge about their drug therapy. The aim of this study was to investigate patients´ perceptions of the medication use process in hospitals as well as in their own home environment, and in addition to establish foundations to provide a better medication use process. The research was based on eleven interviews using a qualitative method with a phenomenological approach. A qualitative content analysis was applied. The study shows that patients´ have a feeling that they have to trust their caregivers for what they say and what they do and there is no other choice. Lack of information leads to questioning if its´ the right medication he or she received. The results show that certain main factors are important for a functional medication use process. The main factor being that a good medication use process is based on good knowledge, communication and involvement.

  • 244.
    Elovson, Anette
    University of Skövde, School of Life Sciences.
    Patientinformationens betydelse för en säker läkemedelshantering2008Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    Lack of information regarding the medication use process could be a reason for admission in hospitals with drug related problems. A well informed patient with a good knowledge can reduce risks for mismanagement in the medication use process. Patient education should be seen as an important component in patient care. The aim of this study was to highlight the importance of nurse’s role in patient information regarding safe medication use process. The research was based upon literature reviews and scientific articles witch can be found on the databases CINAHL, PubMed and ELIN during the period of Septem-ber and October 2007. Findings indicate that the nurses’ contribution to medication educa-tion is commonly limited. Lack of information is a key concern for many patients leading to a wide range of medication related problems. Medication programmes increase knowl-edge of medication and contribute to an effective patient education. Nurses, physicians and pharmacists should work collaboratively to reduce medication mismanagement. Conclu-sions show that nurses play an important role in identifying drug related problems. Provid-ing patients with relevant individual information about their medication use process may help to reduce anxiety about the prescription medication they are taking.

  • 245.
    Elster, Annelie
    et al.
    University of Skövde, School of Life Sciences.
    Wänegård, Madeleine
    University of Skövde, School of Life Sciences.
    Omvårdnadsbehov hos kvinnor i samband med missfall2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There are about 10-15% of all pregnancies which ends up in a miscarriage. Many of those women who go through a miscarriage suffer from depression and anxiety. The aim of this study is to describe the need of care and support women that have gone through a miscarriage have, so that they can receive better suited help when they see a nurse regarding the miscarriage. The method which was used was a qualitative literature study with ten qualitative articles, one quantitative and one who was both. The result is built on two major themes: needs in the public room and needs in the private room and four subthemes for every major theme that were identified in the analysis. The result shows that nurses and other hospital staff need to be more empathic and sympathetic. The women have a need of having someone to talk to and every woman should get an opportunity to go to a follow-up meeting at the hospital. The women also need to mourn in their own way and if they have the right kind of caring and support from professionals, families and friends they can recover more quickly.

  • 246.
    Elwing Kjellström, Ewelina
    et al.
    University of Skövde, School of Health and Education.
    Karlsson, Emelie
    University of Skövde, School of Health and Education.
    Anhörigas osjälviska strävan att stödja och vårda en familjemedlem vid livets slutskede i hemmet: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Approximately one-third of Sweden's population will develop cancer and about 50 percent of these will recover from it. To suffer from a cancer diagnosis with a fatal outcome often turns life upside-down and makes big demands on the family and on the environment. Support and safety from relatives and nursing staff is therefore important to the dying patient. Aim: To describe relatives experience of late palliative care at home in cancer diagnosis. Method: A literature review has been done to get at deeper knowledge about the chosen subject. Results: Despite the mental and physical stresses many family members chose to become caregivers. They wanted to give back the love and concern that they once received from their loved one. A wish to die at home was often resulted in demands on the environment. Everyday routines and other social and economic aspects fell apart. Support, information and knowledge were therefore important for the family to be able to be part of the care process. Conclusion: End of life care in the home makes great demands on families. A well-functioning organization facilitates for the relatives and increases the chance for the well-being of the family.

  • 247.
    Emilsson, Elin
    et al.
    University of Skövde, School of Health and Education.
    Jansson, Rita
    University of Skövde, School of Health and Education.
    "Vi lever och dör och undrar varför, varför?": Att få ta del av existentiella tankar vid ett palliativt skede2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskors roll är att främja patienternas hälsa och välbefinnande fram till döden. Det är viktigt att visa förståelse för patientens livsvärld och även ta hänsyn till de existentiella, spirituella och kulturella behoven. Palliativ vård har som mål att lindra lidande, där innefattas de existentiella, spirituella och psykologiska delarna hos patienten. Människor har olika attityder inför döden, i samband med livets slutskede uppstår ofta tankar kring meningen med livet. Syfte: Syftet är att beskriva sjuksköterskors upplevelser av att ta del av det existentiella hos patienter i livets slutskede. Metod: Metoden är en allmän litteraturöversikt baserat på 11 artiklar med kvalitativ ansats. Resultat: Resultatet redovisas i 3 kategorier; att möta patienter i livets slutskede, det kan vara utmanande för sjuksköterskan och professionsrelataterade möjligheter. Sjuksköterskor känner sig priviligerade att få ta del av patientens tankar. Det kan upplevas utmanande att tillgodose de existentiella och spirituella behoven. Sjuksköterskor upplever stöd från kollegor som viktigt. Konklusion: Det ingår i den palliativa omvårdnaden att tillgodose de spirituella och existentiella behoven och inte enbart lindra det fysiska lidandet. För detta krävs att sjuksköterskan har ett öppet förhållningssätt och en nyfikenhet inför att förstå patientens livsvärld.

  • 248.
    Engelin, Emelie
    et al.
    University of Skövde, School of Health and Education.
    Lundgren, Sandra
    University of Skövde, School of Health and Education.
    Vårdrelaterade faktorer som påverkar trycksårspreventionen: En litteraturöversikt2014Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A combination of risk factors and external pressure might cause a patient suffering from pressure ulcer. Health-care professionals who work close to patients are responsible for preventing the risk of pressure ulcer. A study found that fifteen percent of hospitalized patients suffer from pressure ulcer. Aim: The aim of this study is to highlight why patients have pressure ulcers even though the nurse in collaboration with the assistant nurse should have the knowledge to prevent health care associated pressure ulcer. Method: This study is a literature review. Twelve articles, of both quantitative and qualitative approach, was found and included in the results. Results: The result shows three main themes that seems to influence the pressure ulcer prevention. These themes are knowledge in pressure ulcer prevention, barriers in pressure ulcer prevention and personnel-related factors. Discussion: The main themes and subthemes that emerged from the results are contributing factors to patients today are developing healthcare associated pressure ulcers. These factors also contribute to an increased care associated suffering for the patient. A suffering that can be avoided if a good preventive work are performed.

  • 249.
    Engelin, Magnus
    et al.
    University of Skövde, School of Life Sciences.
    Hokkinen, Lovisa
    University of Skövde, School of Life Sciences.
    Familjens upplevelser när ett barn får diagnosen astma: Och sjuksköterskans betydelse2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Earlier studies have focused on the physiological aspects of coping with asthma, both on patients and their relatives. Asthma is a disease that has been increasing over the last decades and it puts a lot of emotional and psychological stress on the entire family.

    Aim: The aim of this literature review was to observe the family’s experiences when a child has asthma, and illuminate the importance of the nurse.

    Method: For this literature review, data was collected from the databases Academic Search Elite and CINAHL. During analyse four themes appeared. These were the first period after diagnose, adapting, when asthma becomes a part of life. The last theme was named the importance of the nurse.

    Result: The result showed that parents to children whose been newly diagnosed with asthma feels insecure, afraid and feel doubts their capability to care for their child. The parents also reported that they had a tougher economical situation due to higher absence from work, medicines and changes required in their home environment. It also showed that the nurse and the information from healthcare providers have a central role in the parents coping capabilities.

  • 250.
    Engqvist, Inger
    University of Skövde, School of Life Sciences.
    Experiences of postpartum psychosis from the perspectives of women with the diagnosis and psychiatric nurses2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Postpartum psychosis occurs in approximately two out of every 1000 women after childbirth. Although rare, it is a very serious illness with a potential for suicide and infanticide. The suffering associated with this illness and the effects on the entire family system are severe. Nurses need a comprehensive understanding of this disorder, how women present andexperience the illness and the nursing care required to keep women and their newborns safe. They also need to promote early detection to facilitate prompt treatment. To date, there is little research examining the women’s experiences and the nursing care provided to this population.Two descriptive qualitative studies were completed. One study analyzed internet narratives of ten women with the diagnosis of postpartum psychosis and the other study analyzed ten interviews with psychiatric nurses working on inpatient psychiatric units in Sweden. These two studies and subsequent secondary analyses addressed four research questions. How do women diagnosed with postpartum psychosis describe theirexperience?What are psychiatric nurses’ descriptions of women with postpartum psychosis and what are their responses to these women when caring for them on an inpatient psychiatric unit?What nursing care strategies are used by nurses in caring for women with postpartum psychosis?How do psychiatric nurses describe the use of presence when caring for women with PPP?The women described overwhelming fear, a detachment and inability to care for their babies, delusions and hallucinations, shame and guilt, sleep deprivation, a sense of being controlled, disorganized, confused and paranoia during hospitalization. A number also felt abandoned and discontented with the nursing staff and the nursing care they received. The nurses described a kaleidoscope of symptoms and a range of positive and negative emotionalresponses they had towards the women. Nursing strategies included satisfying basic needs, keeping the women and babies safe and secure, connecting the women with reality, creating a partnership, teaching the women and their family members, giving hope and facilitating recovery. The nurses described their use of physical presence in great detail and the learning that took place in the context of caring for this population.Future research studies need to examine the on-going interaction ofpatients and nurses on inpatient psychiatric units. Nurses and nursing studentsneed education about disease manifestations, women’s experiences, nursingcare strategies and ways to address nurses’ own emotional reactions.

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