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  • 251.
    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.

  • 252.
    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.

  • 253.
    Bäckström, Lyupka
    University of Skövde, School of Health and Education.
    Tvärkulturella möten inom hälso- och sjukvården: En litteraturöversikt ur patientperspektivet2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 254.
    Bäckström, Åsa
    et al.
    Swedish School of Sport and Health Sciences, Sweden.
    Quennerstedt, Mikael
    School of Health Sciences, Örebro University, Sweden.
    Maivorsdotter, Ninitha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Meckbach, Jane
    Swedish School of Sport and Health Sciences, Sweden.
    Routes and roots to knowing in Shaun White’s snowboarding road trip: A mycorrhizaic approach to multisensory emplaced learning in exergames2019In: Scandinavian Sport Studies Forum, ISSN 2000-088X, E-ISSN 2000-088X, Vol. 10, p. 251-278Article in journal (Refereed)
    Abstract [en]

    This article explores learning during game-play of a snowboarding video game intrigued by questions raised in the wake of the increasing mediatisation and digitisation of learning. Correspondingly, we answer to calls for more suitable metaphors for learning to cater for the entangled learning processes that changes related to the increase of digital media may infer. Using a short term sensory ethnography approach, we elaborate on the idea of multisensory emplaced learning and propose an organic metaphor – mycorrhiza – to both methodology and learning. Mycorrhiza refers to a symbiotic relationship between fungi and roots of plants in its environment where fungi are the visible effects of the mycorrhiza. The metaphor provides a way to start to unpack sensory, visual and embodied aspects of learning in the complexities of the digital age. By elaborating on the mycorrhizaic concepts fungus, soil, growth, mycelia and symbiosis we show three interrelated ways of moving through this game: (i) a social and cultural route, (ii) a competitive route, and (iii) an experiential route. With help of the metaphor we discern the symbiotic relations between what appeared in our empirical material as visual and other human and non-human aspects of emplacement.

  • 255.
    Börnhorst, Claudia
    et al.
    BIPS Inst Epidemiol & Prevent Res, D-28359 Bremen, Germany.
    Huybrechts, Inge
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.;IARC, Dietary Exposure Assessment Grp DEX, Lyon, France.
    Hebestreit, Antje
    BIPS Inst Epidemiol & Prevent Res, D-28359 Bremen, Germany.
    Vanaelst, Barbara
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.;Res Fdn Flanders FWO, Brussels, Belgium.
    Molnar, Denes
    Univ Pecs, Dept Pediat, Fac Med, Pecs, Hungary.
    Bel-Serrat, Silvia
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Mouratidou, Theodora
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Moreno, Luis A.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Pala, Valeria
    Fdn IRCSS, Ist Nazl Tumori, Dept Prevent & Predict Med, Nutr Epidemiol Unit, Milan, Italy.
    Eha, Marge
    Natl Inst Hlth Dev, Dept Surveillance & Evaluat, Tallinn, Estonia.
    Kourides, Yiannis A.
    Res & Educ Fdn Child Hlth, Paphos, Cyprus.
    Siani, Alfonso
    CNR, Inst Food Sci, Avellino, Italy.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Pigeot, Iris
    BIPS Inst Epidemiol & Prevent Res, D-28359 Bremen, Germany.
    Diet-obesity associations in children: approaches to counteract attenuation caused by misreporting2013In: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 16, no 2, p. 256-266Article in journal (Refereed)
    Abstract [en]

    Objective: Measurement errors in dietary data lead to attenuated estimates of associations between dietary exposures and health outcomes. The present study aimed to compare and evaluate different approaches of handling implausible reports by exemplary analysis of the association between dietary intakes (total energy, soft drinks, fruits/vegetables) and overweight/obesity in children. Design: Cross-sectional multicentre study. Setting: Kindergartens/schools from eight European countries participating in the IDEFICS Study. Subjects: Children (n 5357) aged 2-9 years who provided one 24 h dietary recall and complete covariate information. Results: The 24 h recalls were classified into three reporting groups according to adapted Goldberg cut-offs: under-report, plausible report or over-report. In the basic logistic multilevel model (adjusted for age and sex, including study centre as random effect), the dietary exposures showed no significant association with overweight/obesity (energy intake: OR=0.996 (95% CI 0.983, 1.010); soft drinks: OR=0.999 (95% CI 0.986, 1.013)) and revealed even a positive association for fruits/vegetables (OR=1.009 (95% CI 1.001, 1.018)). When adding the reporting group (dummy variables) and a propensity score for misreporting as adjustment terms, associations became significant for energy intake as well as soft drinks (energy: OR=1.074 (95% CI 1.053, 1.096); soft drinks: OR=1.015 (95% CI 1.000, 1.031)) and the association between fruits/vegetables and overweight/obesity pointed to the reverse direction compared with the basic model (OR=0.993 (95% CI 0.984, 1.002)). Conclusions: Associations between dietary exposures and health outcomes are strongly affected or even masked by measurement errors. In the present analysis consideration of the reporting group and inclusion of a propensity score for misreporting turned out to be useful tools to counteract attenuation of effect estimates.

  • 256.
    Cabrera, C.
    et al.
    Department of Primary Health Care, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden / Nordic School of Public Health, Göteborg, Sweden.
    Rothenberg, E.
    Geriatric Medicine, Sahlgrenska Academy at Göteborg University, Department for Clinical Nutrition, Göteborg, Sweden / Sahlgrenska University Hospital, Göteborg, Sweden.
    Eriksson, B. G.
    Department of Sociology, Göteborg University, Göteborg, Sweden.
    Wedel, H.
    Nordic School of Public Health, Göteborg, Sweden.
    Eiben, Gabriele
    Department of Primary Health Care, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Steen, B.
    Geriatric Medicine, Sahlgrenska Academy at Göteborg University, Department for Clinical Nutrition, Göteborg, Sweden.
    Lissner, L.
    Department of Primary Health Care, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden / Nordic School of Public Health, Göteborg, Sweden.
    Socio-economic gradient in food selection and diet quality among 70-year olds2007In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 11, no 6, p. 466-473Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to assess social disparities in food choices and diet quality in a population of 70-year old Swedes. Design: Cross-sectional study among participants in the 2000 Gerontological and Geriatric Population Studies in Goteborg. Participants: A representative population of men (n=233) and women (n=321) from Goteborg, a city on the south western coast of Sweden. Methods: One hour diet history interviews were performed and 35 specific foods and food groups were identified; in addition a diet quality index (DQI) was calculated. Differences in food choices and diet quality scores were tested across educational and socio-economic index categories (SEI). Results: Men with higher education and SEI had higher diet quality scores than those with lower socio-economic status, while no differences in DQI were noted in women. Further analysis of women based on their husband's occupational group also yielded no differences in diet quality. When studying individual foods, socio-economic differences were observed in women and men. Conclusions: Selection of food varies by education and occupational status in both sexes although socio-economic disparities in diet quality were observed in men only.

  • 257.
    Caesar Nilsson, Lina
    et al.
    University of Skövde, School of Health and Education.
    Hag Birkeland, Nicklas
    University of Skövde, School of Health and Education.
    Att leva med schizofreni: En narrativ studie baserad på självbiografier2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 258.
    Caldeborg, Annica
    et al.
    School of Health Science, Örebro University, Örebro, Sweden.
    Maivorsdotter, Ninitha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Öhman, Marie
    School of Health Science, Örebro University, Örebro, Sweden.
    Touching the didactic contract: a student perspective on intergenerational touch in PE2019In: Sport, Education and Society, ISSN 1357-3322, E-ISSN 1470-1243, Vol. 24, no 3, p. 256-268Article in journal (Refereed)
    Abstract [en]

    A growing anxiety around intergenerational touch in educational settings has both emerged and increased in recent years. Previous research reveals that Physical Education (PE) teachers have become more cautious in their approaches to students and they avoid physical contact or other behavior that could be regarded as suspicious [Fletcher, 2013. Touching practice and physical education: Deconstruction of a contemporary moral panic. Sport, Education and Society, 18(5), 694–709. doi:10.1080/ 13573322.2013.774272; Öhman, 2016. Losing touch—teachers’ selfregulation in physical education. European Physical Education Review, 1–14. doi:10.1177/1356336X15622159; Piper, Garratt, & Taylor, 2013. Child abuse, child protection and defensive ‘touch’ in PE teaching and sports coaching. Sport, Education and Society, 18(5), 583–598. doi:10.1080/13573322.2012.735653]. Some also feel anxious about how physical contact might be perceived by the students. The purpose of this article is to investigate physical contact between teachers and students in PE from a student perspective. This is understood through the didactic contract. For this purpose, focus group interviews using photo elicitation have been conducted with upper secondary school students in Sweden. One of the major findings is that intergenerational touch is purpose bound, that is, physical contact is considered relevant if the teacher has a good intention with using physical contact. The main agreements regarding physical contact as purpose bound are the practical learning and emotional aspects, such as learning new techniques, preventing injury, closeness and encouragement. The didactic contract is in these aspects stable and obvious. The main disagreements are when teachers interfere when the students want to feel capable or when teachers interfere when physical contact is not required in the activity. In these aspects the didactic contract is easily breached. It is also evident that personal preference has an impact on how physical contact is perceived. In conclusion, we can say that physical contact in PE is not a question of appropriate or inappropriate touch in general, but rather an agreement between the people involved about what is expected. Consequently, we should not ban intergenerational touch, but rather focus on teachers’ abilities to deal professionally with the didactic contract regarding physical contact.

  • 259.
    Cani, Caroline
    et al.
    University of Skövde, School of Health and Education.
    Sjödin, Ingela
    University of Skövde, School of Health and Education.
    "JAG SKA LÄMNA MIN FAMILJ OCH MIN KROPP. SEN SKA JAG FLYTTA UT I EVIGHETEN, VAD NU DET ÄR?": Kvinnors upplevelser av vad som skapar ökat lidande respektive ökat välbefinnande i det sena palliativa skedet, vid recidiv av bröstcancer. - En litteraturstudie baserad på bloggar2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 260.
    Cannmo, Matilda
    et al.
    University of Skövde, School of Life Sciences.
    Forsgren, Johanna
    University of Skövde, School of Life Sciences.
    Faktorer som påverkar vårdrelationen: En litteraturbaserad studie om mötet mellan patienten med anorexia nervosa och sjuksköterskan.2013Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 261.
    Cappelen, Ane
    et al.
    University of Skövde, School of Health and Education.
    Stridh, Veronica
    University of Skövde, School of Health and Education.
    Förlossningsställningens betydelse för perineala bristningar under utdrivningsskedet: Ett barnmorskeperspektiv2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 262.
    Cardelli, Christofer
    et al.
    University of Skövde, School of Life Sciences.
    Sjöstrand, Alexander
    University of Skövde, School of Life Sciences.
    Nederländska sjuksköterskors personliga åsikter om dödshjälp2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 263.
    Carlsson, Anai
    et al.
    University of Skövde, School of Health and Education.
    Roslund, Rebecca
    University of Skövde, School of Health and Education.
    Samtal om blommor och bin – en het potatis eller helt naturligt?: En kvalitativ studie om hur föräldrar  i Sverige upplever och hanterar att samtal med sina barn om sex, samlevnad och sexualitet2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 264.
    Carlsson, Catharina
    et al.
    University of Skövde, School of Life Sciences.
    Lundin, Diana
    University of Skövde, School of Life Sciences.
    Nordiska kvinnors upplevelser av klimakteriet: en litteraturöversikt2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 265.
    Carlsson, Emma
    et al.
    University of Skövde, School of Life Sciences.
    Engström, Linda
    University of Skövde, School of Life Sciences.
    Sjuksköterskors erfarenheter av att bemöta patienter som söker vård på grund av psykisk ohälsa i sjukvårdsrådgivning: En intervjustudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 266.
    Carlsson, Ewa
    et al.
    University of Skövde, School of Health and Education.
    Sätherberg, Jennie
    University of Skövde, School of Health and Education.
    Skolsköterskans upplevelse av att samtala med föräldrar om elevens övervikt2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 267.
    Carlström, Per
    et al.
    University of Skövde, School of Life Sciences.
    Stensby, Anders
    University of Skövde, School of Life Sciences.
    Sjuksköterskors bedömningssitutationer inom prehospital sjukvård: en intervjustudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 268.
    Carlén, Helena
    et al.
    University of Skövde, School of Life Sciences.
    Rånge, Sara
    University of Skövde, School of Life Sciences.
    Sjuksköterskans bedömning av smärta postoperativt2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 269.
    Carlén, Urban
    et al.
    Department of Social and Behavioural Studies, University West, Trollhättan, Sweden.
    Maivorsdotter, Ninitha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Exploring the role of digital tools in running: The meaning-making of user-generated data in a social networking site2016In: Qualitative Research in Sport, Exercise and Health, ISSN 2159-676X, E-ISSN 2159-6778, Vol. 9, no 1, p. 18-32Article in journal (Refereed)
    Abstract [en]

    The aim of the study is to examine how runners make meaning of digital tools in the dialogues published on a social networking site (SNS) created by and for runners who choose to run alone. The study explores the digital data generated by the runners using global positioning systems, such as how many kilometres have been covered, the average pace, the geographical location, the total climb, health information related to pulse rate and the number of calories burned. Some runners share this kind of data when publishing postings on the SNS. The empirical data consists of published postings of visual graphs and photographs with comments in threads retrieved from the online archives. A transactional approach and practical epistemology analysis are employed to focus on and analyse the meaning-making processes that are located in the social practices that the runners create when participating online. The participants make meaning of digital tools (such as sport watches and associated apps) by: (1) sharing details about their running performances, (2) signalling their presence in the social network of lone runners and (3) planning running events. Digital information is primarily used to reinforce the runners’ identity formation. The meaning-making of digital tools thus becomes a way of highlighting an individual’s social affinity to a runners’ collective. Surprisingly, lone runners do not use the performance-related feedback and health information offered by the digital tools to enhance their running progress when participating in the SNS.

  • 270.
    Carlén, Urban
    et al.
    University West, Trollhättan, Sweden.
    Maivorsdotter, Ninitha
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Understanding athletes' online participation: A ticket to qualitative research on online arenas2018In: Digital qualitative research in sport and physical activity / [ed] Andrea Bundon, London: Routledge, 2018, p. 59-79Chapter in book (Other academic)
  • 271.
    Cartemo, Maria
    et al.
    University of Skövde, School of Health and Education.
    Göransson, Maria
    University of Skövde, School of Health and Education.
    DISTRIKTSSKÖTERSKORS UPPFATTNING OM ATT MOTIVERA PATIENTER TILL LIVSSTILSFÖRÄNDRINGAR GENOM ATT FÖRSKRIVA FYSISK AKTIVITET PÅ RECEPT2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 272.
    Cartemo, Maria
    et al.
    University of Skövde, School of Life Sciences.
    Starck, Frida
    University of Skövde, School of Life Sciences.
    Larsson, Elin
    University of Skövde, School of Life Sciences.
    Hur vardagslivet gestaltar sig hos patienter med diagnosen ALS och MS: En studie gjord för att öka kunskapen och förståelsen hos sjuksköterskan2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 273.
    Cederholm, Louise
    et al.
    University of Skövde, School of Life Sciences.
    Gulin, Maria
    University of Skövde, School of Life Sciences.
    Utbildning av vårdpersonal stärker stöd till förstföderskor i samband med tidig och sen hemgång efter barnafödande2008Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     

     

     

  • 274.
    Cederqvist, Axel
    et al.
    University of Skövde, School of Health and Education.
    Sundberg, Viktor
    University of Skövde, School of Health and Education.
    Patienters upplevelser av att leva med hjärtsvikt: En litteraturbaserad studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 275.
    Cederqvist, Elin
    et al.
    University of Skövde, School of Health and Education.
    Karlsson, Julia
    University of Skövde, School of Health and Education.
    Erfarenheter av att leva med anorexia nervosa: En litteraturbaserad studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

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

  • 276.
    Cederqvist, Elin
    et al.
    University of Skövde, School of Health and Education.
    Torsson, Mattias
    University of Skövde, School of Health and Education.
    Propofols väg till patienten: Anestesisjuksköterskors följsamhet till och uppfattningar av aseptiska hygienrutiner vid iordningställande och administrering av propofol2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: previous research shows evidence of multiple risks while administering drugs in an anesthetic context which lead to in iatrogenic contamination and health-care related infections. This leads to increased patient suffering, prolonged hospitalization, and increased health-care costs. Partly, this is caused by risk factors which are considered reasonably easy to prevent, preventative by compliance to basic hygiene routines. Within anesthetic care there is broad usage and increased prevalence of propofol-based intravenous anesthesia. Propofol has a predisposition for microbiological growth which means that it is sensitive to contamination, and should be handled aseptically. Aim: examine nurse anesthetists’ compliance to and perceptions of aseptic hygiene routines when preparing and administering propofol. Method: prospective quantitative cross-sectional study with a deductive approach. In this study, 22 nurse anesthetists were observed and were later asked in a questionnaire, to estimate their own perceptions of aseptic conduct while handling propofol. Result: the result demonstrates lack of adherence both in basic hygiene routines and aseptic handling of propofol. Conclusion: lack of adherence to aseptic routines concludes a risk for iatrogenic infections thus leading to patient suffering.

  • 277.
    Cederström, Emma
    et al.
    University of Skövde, School of Health and Education.
    Kindström, Josefine
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av att möta patienter med autismspektrumtillstånd: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 278.
    Chang, Angela Y.
    et al.
    Univ Washington, Inst Hlth Metr & Evaluat, Seattle, USA.
    Dalal, Koustuv
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Dieleman, Joseph L.
    Univ Washington, Inst Hlth Metr & Evaluat, Seattle, USA / Univ Washington, Dept Hlth Metr Sci, Seattle, USA.
    Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–20502019In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 393, no 10187, p. 2233-2260Article, review/survey (Refereed)
    Abstract [en]

    Background Comprehensive and comparable estimates of health spending in each country are a key input for health policy and planning, and are necessary to support the achievement of national and international health goals. Previous studies have tracked past and projected future health spending until 2040 and shown that, with economic development, countries tend to spend more on health per capita, with a decreasing share of spending from development assistance and out-of-pocket sources. We aimed to characterise the past, present, and predicted future of global health spending, with an emphasis on equity in spending across countries. Methods We estimated domestic health spending for 195 countries and territories from 1995 to 2016, split into three categories-government, out-of-pocket, and prepaid private health spending-and estimated development assistance for health (DAH) from 1990 to 2018. We estimated future scenarios of health spending using an ensemble of linear mixed-effects models with time series specifications to project domestic health spending from 2017 through 2050 and DAH from 2019 through 2050. Data were extracted from a broad set of sources tracking health spending and revenue, and were standardised and converted to inflation-adjusted 2018 US dollars. Incomplete or low-quality data were modelled and uncertainty was estimated, leading to a complete data series of total, government, prepaid private, and out-of-pocket health spending, and DAH. Estimates are reported in 2018 US dollars, 2018 purchasing-power parity-adjusted dollars, and as a percentage of gross domestic product. We used demographic decomposition methods to assess a set of factors associated with changes in government health spending between 1995 and 2016 and to examine evidence to support the theory of the health financing transition. We projected two alternative future scenarios based on higher government health spending to assess the potential ability of governments to generate more resources for health. Findings Between 1995 and 2016, health spending grew at a rate of 4.00% (95% uncertainty interval 3.89-4.12) annually, although it grew slower in per capita terms (2.72% [2.61-2.84]) and increased by less than $ 1 per capita over this period in 22 of 195 countries. The highest annual growth rates in per capita health spending were observed in upper-middle-income countries (5.55% [5.18-5.95]), mainly due to growth in government health spending, and in lower-middle-income countries (3.71% [3.10-4.34]), mainly from DAH. Health spending globally reached $ 8.0 trillion (7.8-8.1) in 2016 (comprising 8.6% [8.4-8.7] of the global economy and $ 10.3 trillion [10.1-10.6] in purchasing-power parity-adjusted dollars), with a per capita spending of US$ 5252 (5184-5319) in high-income countries, $ 491 (461-524) in upper-middle-income countries, $ 81 (74-89) in lower-middle-income countries, and $ 40 (38-43) in low-income countries. In 2016, 0.4% (0.3-0.4) of health spending globally was in low-income countries, despite these countries comprising 10.0% of the global population. In 2018, the largest proportion of DAH targeted HIV/AIDS ($ 9.5 billion, 24.3% of total DAH), although spending on other infectious diseases (excluding tuberculosis and malaria) grew fastest from 2010 to 2018 (6.27% per year). The leading sources of DAH were the USA and private philanthropy (excluding corporate donations and the Bill & Melinda Gates Foundation). For the first time, we included estimates of China's contribution to DAH ($ 644.7 million in 2018). Globally, health spending is projected to increase to $ 15.0 trillion (14.0-16.0) by 2050 (reaching 9.4% [7.6-11.3] of the global economy and $ 21.3 trillion [19.8-23.1] in purchasing-power parity-adjusted dollars), but at a lower growth rate of 1.84% (1.68-2.02) annually, and with continuing disparities in spending between countries. In 2050, we estimate that 0.6% (0.6-0.7) of health spending will occur in currently low-income countries, despite these countries comprising an estimated 15.7% of the global population by 2050. The ratio between per capita health spending in high-income and low-income countries was 130.2 (122.9-136.9) in 2016 and is projected to remain at similar levels in 2050 (125.9 [113.7-138.1]). The decomposition analysis identified governments' increased prioritisation of the health sector and economic development as the strongest factors associated with increases in government health spending globally. Future government health spending scenarios suggest that, with greater prioritisation of the health sector and increased government spending, health spending per capita could more than double, with greater impacts in countries that currently have the lowest levels of government health spending. Interpretation Financing for global health has increased steadily over the past two decades and is projected to continue increasing in the future, although at a slower pace of growth and with persistent disparities in per-capita health spending between countries. Out-of-pocket spending is projected to remain substantial outside of high-income countries. Many low-income countries are expected to remain dependent on development assistance, although with greater government spending, larger investments in health are feasible. In the absence of sustained new investments in health, increasing efficiency in health spending is essential to meet global health targets.

  • 279.
    Chardi, Emma
    et al.
    University of Skövde, School of Health and Education.
    Nilsson, My
    University of Skövde, School of Health and Education.
    Sociala mediers inverkan på ungdomars självbild: En litteraturöversikt2016Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Introduction The majority of young people use social media to communicate with their friends through photos, chats and forums or to find information. Advertisement and content in social media often portrays gender stereotypes. Many young people feel pressured to live up to the stereotypes and uploads beautified images to mimic ideals. The aim of the study was to describe how the content in social media could influence the self-image of adolescents aged 13-25. Method Scientific articles were found in the databases CINAHL and PubMed. The articles were thematized and five themes emerged through a literature review. Results The five themes that emerged were the effect Peer pressure, Social comparison, Drive for thinness, Training and Food related content had on the self-image among adolescents. Peer pressure could lead to body dissatisfaction. The drive for thinness dominated among girls while the most dominating ideal for boys were a muscular body. Failure to live up to the ideals could lead to depressive symptoms and eating disorders. Discussion Consuming ideal images of men and women could lead to an unrealistic pressure on themselves but it could also serve as motivation.

  • 280.
    Cheng, Lan
    et al.
    Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany / Faculty of Mathematics and Computer Science, University of Bremen, Germany.
    Pohlabeln, Hermann
    Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
    Ahrens, Wolfgang
    Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany / Faculty of Mathematics and Computer Science, University of Bremen, Germany.
    Russo, Paola
    Institute of Food Sciences, National Research Council, Avellino, Italy.
    Veidebaum, Toomas
    Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia.
    Chadjigeorgiou, Charalambos
    Research and Education Institute of Child Health, Strovolos, Cyprus.
    Molnár, Dénes
    Department of Pediatrics, Medical School, University of Pécs, Hungary.
    Eiben, Gabriele
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    De Henauw, Stefaan
    Department of Public Health, Ghent University, Belgium.
    Moreno, Luis
    GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), University of Zaragoza, Spain.
    Page, Angie
    Centre for Exercise, Nutrition & Health Sciences, University of Bristol, Bristol, United Kingdom.
    Hebestreit, Antje
    Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
    Sex differences in the longitudinal associations between body composition and bone stiffness index in European children and adolescents2020In: Bone, ISSN 8756-3282, E-ISSN 1873-2763, Vol. 131, article id 115162Article in journal (Refereed)
    Abstract [en]

    Fat mass (FM) and fat free mass (FFM) may influence bone health differentially. However, existing evidences on associations between FM, FFM and bone health are inconsistent and vary according to sex and maturity. The present study aims to evaluate longitudinal associations between FM, FFM and bone stiffness index (SI) among European children and adolescents with 6 years follow-up. A sample of 2468 children from the IDEFICS/I.Family was included, with repeated measurements of SI using calcaneal quantitative ultrasound, body composition using skinfold thickness, sedentary behaviors and physical activity using self-administrated questionnaires. Regression coefficients (β) and 99%-confidence intervals (99% CI) were calculated by sex-specified generalized linear mixed effects models to analyze the longitudinal associations between FM and FFM z-scores (zFM and zFFM) and SI percentiles, and to explore the possible interactions between zFM, zFFM and maturity. Baseline zFFM was observed to predict the change in SI percentiles in both boys (β = 4.57, 99% CI: 1.36, 7.78) and girls (β = 3.42, 99% CI: 0.05, 6.79) after 2 years. Moreover, baseline zFFM (β = 8.72, 99% CI: 3.18, 14.27 in boys and β = 5.89, 99% CI: 0.34, 11.44 in girls) and the change in zFFM (β = 6.58, 99% CI: 0.83, 12.34 in boys and β = 4.81, 99% CI: -0.41, 10.02 in girls) were positively associated with the change in SI percentiles after 6 years. In contrast, a negative association was observed between the change in zFM and SI percentiles in boys after 6 years (β = -3.70, 99% CI: -6.99, -0.42). Besides, an interaction was observed between the change in zFM and menarche on the change in SI percentiles in girls at 6 years follow-up (p = .009), suggesting a negative association before menarche while a positive association after menarche. Our findings support the existing evidences for a positive relationship between FFM and SI during growth. Furthermore, long-term FM gain was inversely associated with SI in boys, whereas opposing associations were observed across menarche in girls. 

  • 281.
    Choulagai, Bishnu
    et al.
    Sahlgrenska Academy at University of Gothenburg / Tribhuvan University, Kathmandu, Nepal.
    Onta, Sharad
    Tribhuvan University, Kathmandu, Nepal.
    Subedi, Narayan
    Nepal Public Health Foundation, Kathmandu, Nepal.
    Mehata, Suresh
    Nepal Public Health Foundation, Kathmandu, Nepal.
    Bhandari, Gajananda P
    Nepal Public Health Foundation, Kathmandu, Nepal.
    Poudyal, Amod
    Tribhuvan University, Kathmandu, Nepal.
    Shrestha, Binjwala
    Tribhuvan University, Kathmandu, Nepal.
    Mathai, Matthews
    World Health Organization, Geneva, Switzerland.
    Petzold, Max
    Sahlgrenska Academy at University of Gothenburg.
    Krettek, Alexandra
    Institute of Medicine, Sahlgrenska Academy at University of Gothenburg / Nordic School of Public Health NHV Gothenburg.
    Barriers to using skilled birth attendants' services in mid- and far-western Nepal: a cross-sectional study.2013In: BMC International Health and Human Rights, ISSN 1472-698X, E-ISSN 1472-698X, Vol. 13, no 1, article id 49Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Skilled birth attendants (SBAs) provide important interventions that improve maternal and neonatal health and reduce maternal and neonatal mortality. However, utilization and coverage of services by SBAs remain poor, especially in rural and remote areas of Nepal. This study examined the characteristics associated with utilization of SBA services in mid- and far-western Nepal.

    METHODS: This cross-sectional study examined three rural and remote districts of mid- and far-western Nepal (i.e., Kanchanpur, Dailekh and Bajhang), representing three ecological zones (southern plains [Tarai], hill and mountain, respectively) with low utilization of services by SBAs. Enumerators assisted a total of 2,481 women. All respondents had delivered a baby within the past 12 months. We used bivariate and multivariate analyses to assess the association between antenatal and delivery care visits and the women's background characteristics.

    RESULTS: Fifty-seven percent of study participants had completed at least four antenatal care visits and 48% delivered their babies with the assistance of SBAs. Knowing the danger signs of pregnancy and delivery (e.g., premature labor, prolonged labor, breech delivery, postpartum hemorrhage, severe headache) associated positively with four or more antenatal care visits (OR = 1.71; 95% CI: 1.41-2.07). Living less than 30 min from a health facility associated positively with increased use of both antenatal care (OR = 1.44; 95% CI: 1.18-1.77) and delivery services (OR = 1.25; CI: 1.03-1.52). Four or more antenatal care visits was a determining factor for the utilization of SBAs.

    CONCLUSIONS: Less than half of the women in our study delivered babies with the aid of SBAs, indicating a need to increase utilization of such services in rural and remote areas of Nepal. Distance from health facilities and inadequate transportation pose major barriers to the utilization of SBAs. Providing women with transportation funds before they go to a facility for delivery and managing transportation options will increase service utilization. Moreover, SBA utilization associates positively with women's knowledge of pregnancy danger signs, wealth quintile, and completed antenatal care visits. Nepal's health system must develop strategies that generate demand for SBAs and also reduce financial, geographic and cultural barriers to such services.

  • 282.
    Choulagai, Bishnu P.
    et al.
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Aryal, Umesh Raj
    Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
    Shrestha, Binjwala
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Vaidya, Abhinav
    Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
    Onta, Sharad
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
    Petzold, Max
    Health Metrics, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
    Krettek, Alexandra
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
    Jhaukhel-Duwakot Health Demographic Surveillance Site, Nepal: 2012 follow-up survey and use of skilled birth attendants2015In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 8, article id 29396Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Estimates of disease burden in Nepal are based on cross-sectional studies that provide inadequate epidemiological information to support public health decisions. This study compares the health and demographic indicators at the end of 2012 in the Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS) with the baseline conducted at the end of 2010. We also report on the use of skilled birth attendants (SBAs) and associated factors in the JD-HDSS at the follow-up point.

    DESIGN: We used a structured questionnaire to survey 3,505 households in the JD-HDSS, Bhaktapur, Nepal. To investigate the use of SBAs, we interviewed 434 women who had delivered a baby within the prior 2 years. We compared demographic and health indicators at baseline and follow-up and assessed the association of SBA services with background variables.

    RESULTS: Due to rising in-migration, the total population and number of households in the JD-HDSS increased (13,669 and 2,712 in 2010 vs. 16,918 and 3,505 in 2012). Self-reported morbidity decreased (11.1% vs. 7.1%, respectively), whereas accidents and injuries increased (2.9% vs. 6.5% of overall morbidity, respectively). At follow-up, the proportion of institutional delivery (93.1%) exceeded the national average (36%). Women who accessed antenatal care and used transport (e.g. bus, taxi, motorcycle) to reach a health facility were more likely to access institutional delivery.

    CONCLUSIONS: High in-migration increased the total population and number of households in the JD-HDSS, a peri-urban area where most health indicators exceed the national average. Major morbidity conditions (respiratory diseases, fever, gastrointestinal problems, and bone and joint problems) remain unchanged. Further investigation of reasons for increased proportion of accidents and injuries are recommended for their timely prevention. More than 90% of our respondents received adequate antenatal care and used institutional delivery, but only 13.2% accessed adequate postnatal care. Availability of transport and use of antenatal care was associated positively with institutional delivery.

  • 283.
    Choulagai, Bishnu P.
    et al.
    Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden / Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Nepal Public Health Foundation, Kathmandu, Nepal.
    Onta, Sharad
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Nepal Public Health Foundation, Kathmandu, Nepal.
    Subedi, Narayan
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Nepal Public Health Foundation, Kathmandu, Nepal.
    Bhatta, Dharma N.
    Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand.
    Shrestha, Binjwala
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
    Petzold, Max
    Health Metrics, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden, / School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
    Krettek, Alexandra
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden / Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
    A cluster-randomized evaluation of an intervention to increase skilled birth attendant utilization in mid- and far-western Nepal2017In: Health Policy and Planning, ISSN 0268-1080, E-ISSN 1460-2237, Vol. 32, no 8, p. 1092-1101Article in journal (Refereed)
    Abstract [en]

    Skilled birth attendant (SBA) utilization is low in remote and rural areas of Nepal. We designed and implemented an evaluation to assess the effectiveness of a five-component intervention that addressed previously identified barriers to SBA services in mid- and far-western Nepal. We randomly and equally allocated 36 village development committees with low SBA utilization among 1-year intervention and control groups. The eligible participants for the survey were women that had delivered a baby within the past 12 months preceding the survey. Implementation was administered by trained health volunteers, youth groups, mothers' groups and health facility management committee members. Post-intervention, we used difference-in-differences and mixed-effects regression models to assess and analyse any increase in the utilization of skilled birth care and antenatal care (ANC) services. All analyses were done by intention to treat. Our trial registration number was ISRCTN78892490 (http://www.isrctn.com/ISRCTN78892490). Interviewees included 1746 and 2098 eligible women in the intervention and control groups, respectively. The 1-year intervention was effective in increasing the use of skilled birth care services (OR = 1.57; CI 1.19-2.08); however, the intervention had no effect on the utilization of ANC services. Expanding the intervention with modifications, e.g. mobilizing more active and stable community groups, ensuring adequate human resources and improving quality of services as well as longer or repeated interventions will help achieve greater effect in increasing the utilization of SBA.

  • 284.
    Claeson, Josefine
    et al.
    University of Skövde, School of Health and Education.
    Arvidsson, Emelie
    University of Skövde, School of Health and Education.
    I väntan på att det nya livet ska börja: En kvalitativ studie om patienters upplevelser av att vänta på ett nytt hjärta2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 285.
    Claesson, Hanna
    et al.
    University of Skövde, School of Life Sciences.
    Midsten, Linda
    University of Skövde, School of Life Sciences.
    Basala hygienrutiner: faktorer som påverkar följsamheten för sjuksköterskor inom somatisk vård2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 286.
    Claesson, Stina
    et al.
    University of Skövde, School of Health and Education.
    Gustafsson, Emelie
    University of Skövde, School of Health and Education.
    Kvinnors upplevelser av sin kroppsbild ochsin sexualitet då de till följd av bröstcancer genomgått mastektomi2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 287.
    Collberg, Ulrika
    et al.
    University of Skövde, School of Life Sciences.
    Ekman, Annelie
    University of Skövde, School of Life Sciences.
    NÄTMOBBNING OCH DESS PÅVERKAN PÅ ELEVERS HÄLSA: -UR ETT SKOLSKÖTERSKEPERSPEKTIV2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 288.
    Corrochano, Ana
    University of Skövde, School of Life Sciences.
    Anorexia Nervosa: patienters erfarenheter av den mänskliga kontaktens betydelse i möten med vårdpersonalen - en kvalitativ studie baserad på självbiografier2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 289.
    Cronholm, Anders
    University of Skövde, School of Technology and Society.
    Delad föräldraledighet redan verklighet för flera pappor2005In: Jordemodern, ISSN 0021-7468, Vol. 118, no 4, p. 34-37Article in journal (Other (popular science, discussion, etc.))
  • 290.
    Curtin, Alicia
    et al.
    Department of Family Medicine, Memorial Hospital of Rhode Island, Pawtucket, RI, USA.
    Martins, Diane C.
    University of Rhode Island, College of Nursing, Kingston, RI, USA.
    Gillsjö, Catharina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Schwartz-Barcott, Donna
    University of Rhode Island, College of Nursing, Kingston, RI, USA.
    Ageing out of place: The meaning of home among hispanic older persons living in the United States2017In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 12, no 3, article id e12150Article in journal (Refereed)
    Abstract [en]

    Aim

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

    Background

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

    Design and Method

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

    Findings

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

    Conclusions

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

    Implications for Practice

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

  • 291.
    Dahl, Amanda
    University of Skövde, School of Health and Education.
    Hundar i utbildningssyfte för främjande av elevers läslust eller läsutveckling samt för att underlätta inlärning för barn med särskilda behov2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: This literature study will examine how reading- and/or therapy dogs can promote children´s motivation to read and develop their reading skills. In many countries, primarily in USA and Canada, dog based education is an accepted tool in schools. 

    Aim:  The aim of the thesis is via a literature study explore whether students improve their reading ability and motivation to read with use of a dog. Also, the aim is to explore if dogs can facilitate learning to read for children with special needs.  

    Method: This thesis presents the results of 15 articles. The results have been categorized according to different themes and are presented in a table and in the current text. 

    Results: According to the studies there a positive development regarding reading ability, pronunciation and comprehension of the children who read out loud for a dog could be detected. The children experience higher joy, motivation and pleasure to read if a dog is present. Even children with special needs benefit from dog based therapy. 

    Discussion: This literature study supports previous research and the conclusion is that children who reads for dogs can develop their reading ability and increase the motivation to read.  

  • 292.
    Dahlberg, Erika
    et al.
    University of Skövde, School of Health and Education. University of Skövde, School of Health Sciences.
    Sandberg, Patrik
    University of Skövde, School of Health and Education. University of Skövde, School of Health Sciences.
    Kombinera två tjänster: En kvalitativ innehållsanalys om anestessjuksköterskors erfarenheter av kombinationstjänst mellen en operationsavdelning och ambulanssjukvård2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 293.
    Dahlborg, Emelie
    et al.
    University of Skövde, School of Health and Education.
    Beka, Pajtim
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av att vårda patienter i palliativt skede: En litteraturbaserad studie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 294.
    Dahlgren, Ida
    et al.
    University of Skövde, School of Life Sciences.
    Persson, Anna
    University of Skövde, School of Life Sciences.
    Sjuksköterskors roll i rehabiliteringen av en skallskadad patient: En litteraturöversikt2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 295.
    Dahlgren, Malin
    et al.
    University of Skövde, School of Health and Education. högskola Skövde.
    Johansson, Jessica
    University of Skövde, School of Health and Education. högskola Skövde.
    Vårdpersonalens följsamhet till basala hygienrutiner: en kvantitativ studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 296.
    Dahlheim-Englund, Ann-Charlotte
    et al.
    The academy for Work Life and Social Welfare, Faculty of Caring Science, University of Borås, Sweden.
    Carlsson, Gunilla
    The academy for Work Life and Social Welfare, Faculty of Caring Science, University of Borås, Sweden.
    Nyström, Maria
    The academy for Work Life and Social Welfare, Faculty of Caring Science, University of Borås, Sweden.
    Gillsjö, Catharina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. College of Nursing, University of Rhode Island, RI, USA.
    Eriksson, Irene
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Palmér, Lina
    The academy for Work Life and Social Welfare, Faculty of Caring Science, University of Borås, Sweden.
    Life without professional work: perceptions about one’s self, interpersonal relations and social life after retirement2019In: Healthy Aging Research, ISSN 2261-7434, Vol. 8, no 1, p. 1-7Article in journal (Refereed)
    Abstract [en]

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

  • 297.
    Dahlin, Linnea
    et al.
    University of Skövde, School of Health and Education.
    Janzen, Katharina
    University of Skövde, School of Health and Education.
    När medlidande blir lidande: Hur sjuksköterskor påverkas av traumatiska händelser och hur de hanterar uppkomna känslor.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Summary:

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

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

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

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

  • 298.
    Dahlqvist, Catarina
    et al.
    University of Skövde, School of Life Sciences.
    Torstensson, Henny
    University of Skövde, School of Life Sciences.
    Patienters existentiella behov i livets slut: en studie av självbiografier2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In our work with patients in end of life we have seen a lack of knowledge in how we respond to the existential needs. Also there is a lack of time in listening to the patients when they want to express their existential needs. It is so much easier to give sedatives to comfort the patients instead of taking the time and effort to listen to the extential needs. The aim of this study was, based on autobiographies, to examine patients existential needs in end-of-life. In order to find out what needs they had we read autobiographies. The analysis was performed with a narrative method. Four main-categories were found; Need of confidence, need to have a faith in something, need to live a everyday-life and need of life that goes on. The family, close friends and the everyday-life was very important. Also the confidence for the caregivers was of significance. Patients who had a faith kept their faith to the end of life, inspite that there was no miracle. Everyday-life with family and friends at home was the most appreciated in end-of-life.

  • 299.
    Dahlström, Evelina
    et al.
    University of Skövde, School of Health and Education.
    Gustafsson, Lisa
    University of Skövde, School of Health and Education.
    Sjuksköterskors upplevelser av hur stress påverkar mötet med patienten: En litteraturbaserad studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 300.
    Dahlström, Örjan
    et al.
    Linköping University / Swedish Institute for Disability Research, Linköping.
    Backe, Stefan
    University of Skövde, School of Life Sciences. Karlstad University.
    Ekberg, Joakim
    Linköping University.
    Janson, Staffan
    Karlstad University.
    Timpka, Toomas
    University of Skövde, School of Life Sciences. Linköping University / Swedish Institute for Disability Research, Linköping.
    Is "Football for All" Safe for All?: Cross-Sectional Study of Disparities as Determinants of 1-Year Injury Prevalence in Youth Football Programs2012In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 7, no 8, p. e43795-Article in journal (Refereed)
    Abstract [en]

    Background: Football (soccer) is endorsed as a health-promoting physical activity worldwide. When football programs are introduced as part of general health promotion programs, equal access and limitation of pre-participation disparities with regard to injury risk are important. The aim of this study was to explore if disparity with regard to parents’ educational level, player body mass index (BMI), and self-reported health are determinants of football injury in community-based football programs, separately or in interaction with age or gender.

    Methodology/Principal Findings: Four community football clubs with 1230 youth players agreed to participate in the cross-sectional study during the 2006 season. The study constructs (parents’ educational level, player BMI, and self-reported health) were operationalized into questionnaire items. The 1-year prevalence of football injury was defined as the primary outcome measure. Data were collected via a postal survey and analyzed using a series of hierarchical statistical computations investigating associations with the primary outcome measure and interactions between the study variables. The survey was returned by 827 (67.2%) youth players. The 1-year injury prevalence increased with age. For youths with parents with higher formal education, boys reported more injuries and girls reported fewer injuries than expected; for youths with lower educated parents there was a tendency towards the opposite pattern. Youths reporting injuries had higher standardized BMI compared with youths not reporting injuries. Children not reporting full health were slightly overrepresented among those reporting injuries and underrepresented for those reporting no injury.

    Conclusion: Pre-participation disparities in terms of parents’ educational level, through interaction with gender, BMI, and self-reported general health are associated with increased injury risk in community-based youth football. When introduced as a general health promotion, football associations should adjust community-based youth programs to accommodate children and adolescents with increased pre-participation injury risk.

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