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  • 251.
    Berggren, Elisabeth
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Sidenvall, Birgitta
    Jönköping University.
    Hellström Muhli, Ulla
    Högskolan i Skövde, Institutionen för vård och natur.
    Identity construction and meaning-making after subarachnoid haemorrhage2010Ingår i: British Journal of Neuroscience Nursing, ISSN 1747-0307, E-ISSN 2052-2800, Vol. 6, nr 2, s. 86-93Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim was to analyse people's accounts of subarachnoid haemorrhage (SAH) and to describe how they initiate and create meaning for the onset and events surrounding the SAH.

    Background: Being struck by a SAH is a dramatic event, often followed by unconsciousness. There is therefore a special need for a patient to try to create some kind of meaning for the event during recovery and afterwards.

    Method: Nine interviews were carried out in home settings and discourse analysis was used to interpret the data.

    Findings: People stricken by SAH seem to be able to judge from memory for when they were becoming ill. Critical events related to SAH were existential threats and existential insights; and time as 'waiting' and time as 'structuring meaning'. The reconstruction of the illness event may be interpreted as an identity-creating process.

    Conclusion: The reconstruction of the illness is a tool that can be used by nurses and other health professionals to understand a patient's self-positioning and identity-construction.

  • 252.
    Berggren, Elisabeth
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Sidenvall, Birgitta
    Jönköping University.
    Larsson, Dennis
    Högskolan i Skövde, Forskningscentrum för Systembiologi. Högskolan i Skövde, Institutionen för vård och natur.
    Subarachnoid haemorrhage has long-term effects on social life2011Ingår i: British Journal of Neuroscience Nursing, ISSN 1747-0307, E-ISSN 2052-2800, Vol. 7, nr 1, s. 429-435Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to describe memory after a subarachnoid haemorrhage (SAH) from the perspective of relatives and patients in two cohorts and also to evaluate the application of relatives' statements as a tool in nursing care and rehabilitation, in order to support the patient. Background: Cognitive sequelae due to SAH are a large disability and may influence the adjustment to daily life. Supporting patients and relatives requires knowledge concerning the patients' memory both from the perspective of patients and relatives. Method: Eleven relatives and 11 patients (Cohort 1), 11 years after the onset of an SAH and 15 relatives and 15 patients (Cohort 2) 6 years after the onset of an SAH, participated in the study. Interview questions and memory tests were used to collect data. Findings: Problems with memory, including meta-memory problems regarding relatives' statements, were common. Relatives and patients stated patients' menory in a similar manner. However, patients' statements concerning their memory corresponded in higher degree with memory test results, in comparison with relatives' statements. Conclusions: Relatives' and patients' statements are useful as tools in nursing care and rehabilitation. However, from results showing meta-memory problems and that patients' statements concerning their memory corresponded better with memory test results (in comparison with relatives' statements), it is vital to offer patients memory tests in order to prevent complications in mutual family relationships.

  • 253.
    Berggren, Emma
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Lundin, Sabina
    Högskolan i Skövde, Institutionen för vård och natur.
    Barn och ungas psykosomatiska besvär: Hur tar de sig uttryck och vilka är de bakomliggande orsakerna? - en litteraturstudie2012Självständigt arbete på grundnivå (yrkesexamen), 5 poäng / 7,5 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med denna studie var att belysa psykosomatiska symptom hos barn och ungdomar i åldrarna 0-18 år samt tydliggöra bakomliggande orsaker.Metod: Litteraturstudie baserat på 10 stycken vetenskapliga artiklar.Resultat: Barn i Europa, främst Skandinavien, upplevde olika psykosomatiska symptom till följd av stressande händelser och dessa symptom varierade även mellan ålder och kön. Skolmiljön var en stor utlösande faktor, likväl som hemförhållanden, socioekonomisk situation och osämja med lärare, jämnåriga och familjemedlemmar. Symptomen var allt från huvudvärk, mag- tarmproblem och sömnsvårigheter till nedstämdhet, ätstörningar och hjärtklappning.Slutsats: Barns framtida psykosomatiska hälsa är beroende av insatser på alla nivåer i samhället, då de påverkas av allt från skolmiljöerna de befinner sig i och hemförhållanden, till arbetslöshet och lågkonjunktur. 

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    Barn och ungas psykosomatiska besvär
  • 254.
    Berggren, Johan
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Palmqvist, Mikael
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Sjuksköterskors erfarenheter vid vård av vuxna i livets slutskede: En litteraturbaserad studie2016Självständigt arbete på grundnivå (kandidatexamen), 12 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Sjuksköterskan arbetar nära vuxna patienter i livets slutskede där försök till läkande behandling gått över till en palliativ behandling. Många av dessa patienter har en komplicerad symtombild som kräver kunskaper i symtomhantering och de har också ofta oro, ångest och funderingar kring existentiella frågor som sjuksköterskan kan behöva hantera.Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av att vårda vuxna patienter i livets slutskedeMetod: Metoden som valdes var en litteraturbaserad studie grundat på kvalitativ forskning, baserat på tolv vetenskapliga artiklar. 

    Resultat: Ur analysen framträdde tre kategorier såsom Frustration, skicklig kommunikatör, få till ett nära samarbete med åtta underkategorier.

    Slutsats: Sjuksköterskors erfarenheter vid vård i livets slutskede påvisar betydelsen av att relationer mellan patienten, anhöriga och vårdpersonal skapas. 

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    fulltext
  • 255.
    Berggren, Malin
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Berglund, Johanna
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    När hjärtat slutat slå: patientens upplevelse att överleva ett hjärtstopp. En litteraturbaserad studie2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Att drabbas av hjärtstopp kan upplevas som en dramatisk händelse som påverkar både hälsan och livsvärlden. Alla patienter innehar ett existentiellt sammanhang som påverkar hälsan, livet och patienten själv. Sjuksköterskan behöver kunna se till patientens livsvärld och förstå hur olika sammanhang påverkar patientens upplevelse av sin hälsa. Syfte: Syftet var att beskriva patientens upplevelse av att överleva ett hjärtstopp. Metod: Den valda metoden var en litteraturbaserad studie med kvalitativ ansats som inkluderade 11 artiklar som analyserats med en metod beskriven av Friberg. Resultat: Ur analysen av datamaterialet framträdde tre huvudteman: en ny vardag, ett förändrat liv och livsavgörande begränsning med inopererad defibrillator med tio underteman. Konklusion: Majoriteten av patienterna upplevde oro, rädsla och ångest i sin vardag. De behövde utveckla nya strategier för att kunna hantera sitt nya liv i form av rutiner och planering för att minska stress i vardagen.

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    fulltext
  • 256.
    Bergh, Elin
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Magnusson, Linda
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Inpirationsföreläsning – ny form av föräldraförberedande stöd: Effekter på parrelationen och känsla av sammanhang2016Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

                             

  • 257.
    Bergh, Ingrid
    Högskolan i Skövde, Institutionen för vård och natur.
    Pain in the elderly: rating scales, prevalence and verbal expression of pain and pain relief2003Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
  • 258.
    Bergh, Ingrid
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Björk, Maria
    Högskolan i Skövde, Institutionen för vård och natur.
    Sense of coherence over time for parents with a child diagnosed with cancer2012Ingår i: BMC Pediatrics, ISSN 1471-2431, E-ISSN 1471-2431, Vol. 12, s. Article number 79-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: When a child is diagnosed with childhood cancer this creates severe stress in the parents. The aim of the study was to describe the sense of coherence and its change over time in a sample of parents of children diagnosed with cancer.

    Methods: The Swedish version of SOC (29 items) was used to measure the parents’ (n = 29) sense of coherence. Data were collected at four time-points: Time-point 1 at the time of diagnosis; time-point 2 during the treatment; time-point 3 after the child had completed their treatment and time-point 4 when the child had been off treatment for some years or had died.

    Results: The results showed that SOC in the investigated population is not stable over time. The parents decreased in total SOC between time-points 1, 2 and 3. Mothers had significantlyweaker total SOC score including the components Manageability and Meaningfulness at time-points 1 as well time-point 2 compared to the fathers. However, for the component Comprehensibility no significant differences were shown between mothers and fathers. This study indicates that mothers’ and fathers’ SOC scores change over time during the child’s cancer trajectory. However, the pattern in these changes varies between mothers and fathers.

    Conclusions: This study indicates that mothers and fathers may have different support needs during their child’s cancer trajectory.

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    Sense of coherence over time for parents with a child diagnosed with cancer
  • 259.
    Bergh, Ingrid
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Gunnarsson, Magnus
    Department of Linguistics, Göteborg University, Göteborg, Sweden.
    Allwood, Jens
    Department of Linguistics, Göteborg University, Göteborg, Sweden.
    Odén, Anders
    Department of Geriatric Medicine, Göteborg University, Göteborg, Sweden.
    Sjöström, Björn
    Högskolan i Skövde, Institutionen för vård och natur.
    Steen, Bertil
    Department of Geriatric Medicine, Göteborg University, Göteborg, Sweden.
    Descriptions of pain in elderly patients following orthopaedic surgery2005Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, nr 2, s. 110-118Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aims of this study were to investigate what words elderly patients, who had undergone hip surgery, used to describe their experience of pain in spoken language and to compare these words with those used in the Short-Form McGill Pain Questionnaire (SF-MPQ) and Pain-O-Meter (POM). The study was carried out at two orthopaedic and two geriatric clinical departments at a large university hospital in Sweden. Altogether, 60 patients (mean age =77) who had undergone orthopaedic surgery took part in the study. A face-to-face interview was conducted with each patient on the second day after the operation. This was divided into two parts, one tape-recorded and semi-structured in character and one structured interview. The results show that a majority of the elderly patients who participated in this study verbally stated pain and spontaneously used a majority of the words found in the SF-MPQ and in the POM. The patients also used a number of additional words not found in the SF-MPQ or the POM. Among those patients who did not use any of the words in the SF-MPQ and the POM, the use of the three additional words 'stel' (stiff), 'hemsk' (awful) and 'räd(d)(sla)' (afraid/fear) were especially marked. The patients also combined the words with a negation to describe what pain was not. To achieve a more balanced and nuanced description of the patient's pain and to make it easier for the patients to talk about their pain, there is a need for access to a set of predefined words that describe pain from a more multidimensional perspective than just intensity. If the elderly patient is allowed, and finds it necessary, to use his/her own words to describe what pain is but also to describe what pain is not, by combining the words with a negation, then the risk of the patient being forced to choose words that do not fully correspond to their pain can be reduced. If so, pain scales such as the SF-MPQ and the POM can create a communicative bridge between the elderly patient and health care professionals in the pain evaluation process.

  • 260.
    Bergh, Ingrid H. E.
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Ek, Kristina
    Högskolan i Skövde, Institutionen för vård och natur.
    Mårtensson, Lena B.
    Högskolan i Skövde, Institutionen för vård och natur.
    Midwifery students attribute different quantitative meanings to "hurt", "ache" and "pain": A cross-sectional survey2013Ingår i: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 26, nr 2, s. 143-146Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Assessment of women's labor pain is seldom acknowledged in clinical practice or research. The words "aching" and "hurting" are frequently used by women to describe childbirth pain. The aim of this study was to determine the quantitative meanings midwifery students attribute to the terms "hurt", "ache" and "pain". Data was collected by self-administered questionnaire from students at seven Swedish midwifery programs. A total of 230 filled out and returned a completed questionnaire requesting them to rate, on a visual analog scale, the intensity of "hurt", "ache" or "pain" in the back, as reported by a fictitious parturient. Results: The midwifery students attributed, with substantial individual variation, different quantitative meanings to the studied pain descriptors. Conclusions: To be able to communicate about pain with a woman in labor, it is essential that the midwife be familiar with the value of different words and what they mean to her as this may affect her assessment when the woman describes her pain. © 2012.

  • 261.
    Bergh, Ingrid H. E.
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Johansson, Anna
    Univ Hosp Örebro, Dept Obstet, Örebro, Sweden.
    Bratt, Annelie
    Skaraborgs Hosp, Dept Obstet & Gynecol, Skövde, Sweden.
    Ekström, Anette
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Mårtensson, Lena B.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Assessment and documentation of women's labour pain: A cross-sectional study in Swedish delivery wards2015Ingår i: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 28, nr 2, s. E14-E18Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: A woman's pain during labour plays a dominant role in childbirth. The midwife's role is to assess the degree of pain experienced during labour. When professionals respond to labour pain with acknowledgement and understanding, the woman's sense of control and empowerment is increased, which could contribute to a positive experience of childbirth. The aim of this study is to describe how labour pain in Swedish delivery wards is assessed and documented. Methods: This quantitative descriptive study was designed as a national survey performed through telephone interviews with the representatives of 34 delivery wards in Sweden. Results and conclusion: The majority of the participating delivery wards assessed and documented women's labour pain, but in an unstructured manner. The wards differed in how the assessments and documentation were performed. In addition, almost all the delivery wards that participated in the survey lacked guidelines for the assessment and documentation of the degree of pain during labour. The findings also showed that the issue of labour pain was sometimes discussed in the delivery wards, but not in a structured or consistent way. (C) 2015 Australian College of Midwives. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.

  • 262.
    Bergh, Ingrid H. E.
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Stener-Victorin, Elisabet
    Institute of Neuroscience and Physiology/Endocrinology, Sahlgrenska Academy, University of Gothenburg.
    Wallin, Gunnar
    Institute of Clinical Sciences, Department of Obstetrics and Gynaecology, Sahlgrenska Academy, University of Gothenburg.
    Mårtensson, Lena
    Högskolan i Skövde, Institutionen för vård och natur.
    Comparison of the PainMatcher and the Visual Analogue Scale for assessment of labour pain following administered pain relief treatment2011Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, nr 1, s. E134-E139Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: during childbirth, it is necessary to assess and monitor experienced pain and to evaluate the effect of pain relief treatment. The aim of this study was to compare the PainMatcher® (PM) with the Visual Analogue Scale (VAS) for the assessment of labour pain and the effect of pain relief treatment.Design: randomised controlled trial.Setting: labour ward with approximately 2500 childbirths per year in western Sweden.Participants: 57 women with labour pain treated with acupuncture or sterile water injections scored their electrical pain threshold and pain intensity with the PM. Pain intensity was also assessed with the VAS. Electrical pain threshold and pain intensity were assessed immediately after a uterine contraction before and 30, 60, 90, 120, 150 and 180 minutes after treatment.Measurements and findings: the results showed a weak correlation (r=0.13, p<0.05) between the pain intensity scores on the PM and the VAS. The PM detected changes (decrease) in pain intensity to a lower degree than the VAS. Surprisingly, in over 10% of sessions, women scored their pain intensity during a uterine contraction lower than their electrical pain threshold with the PM. However, electrical pain thresholds with the PM correlated well throughout all measurements.Conclusions: the PM is a reliable tool for the assessment of electrical pain threshold; however, the VAS is more sensitive than the PM for recording changes in pain intensity when assessing the effects of treatment on labour pain.Implications for practice: the PM and the VAS are not interchangeable in the case of labour pain, and there is still a need for research in this area to find a more suitable assessment instrument for the evaluation of labour pain.

  • 263.
    Bergh, Ingrid
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Jakobsson, Eva
    Högskolan i Skövde, Institutionen för vård och natur.
    Sjöström, Björn
    Högskolan i Skövde, Institutionen för vård och natur.
    Worst experiences of pain and conceptions of worst pain imaginable among nursing students2008Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 61, nr 5, s. 484-491Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This paper is a report of a study to explore nursing students' own worst experiences of pain as well as their conceptions of the worst pain imaginable. Background.

    Pain is a personal experience, often assessed using a visual analogue scale. The endpoints of this scale are labelled with the extremes for pain experience (e.g. no pain to worst pain imaginable). People may understand the meaning of `no pain', but it is unclear what meaning they assign to `worst pain imaginable'. This indicates that a rating along the Visual Analogue Scale-line is dependent on the individual's previous experiences. Methods. Data were collected during the autumn of 2002. In total, 549 nursing students completed a questionnaire focusing on two main questions: `What is the worst experience of hurt, ache or pain you have had?' and `What is the worst pain imaginable for you?' Content analysis was used for data analysis. Results. The students' worst experience of pain was mostly related to acute or traumatic painful conditions, pain associated with female physiology, inflicted pain, psychological suffering and chronic painful conditions. The worst pain imaginable was described as condition-related pain, overwhelming pain, experiences of losses, deliberately inflicted pain, psychological suffering and as vicarious pain. Conclusion. The findings imply that nursing students, when they are imagining pain, include dimensions such as hope of relief, grief, control over the situation, powerlessness and empathy for and suffer with other people's pain. Further research is needed to explore why professional experience as a nurse diminishes the ability to imagine patients' pain.

  • 264.
    Bergh, Ingrid
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Jakobsson, Eva
    Högskolan i Skövde, Institutionen för vård och natur.
    Sjöström, Björn
    Högskolan i Skövde, Institutionen för vård och natur.
    Steen, Bertil
    Högskolan i Skövde, Institutionen för vård och natur.
    Ways of talking about experiences of pain among older patients following orthopaedic surgery2005Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 52, nr 4, s. 351-359Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. The aim of this study was to examine how older patients who had undergone hip surgery described their experience of pain.

    Background. A verbal report of pain is considered to be the single most reliable indicator of a person's pain experience. When assessing pain, healthcare professionals must be able to interpret the content of pain reports in order to understand older patient's pain experiences.

    Methods. The study was carried out in two orthopaedic and two elder care wards in a large university hospital in Sweden in 2000. Altogether, 38 patients with hip replacement (mean age = 75) and 22 patients with hip fracture (mean age = 81) took part. A face-to-face interview was conducted with each patient on the second day after operation. Data were transcribed and analysed using descriptive qualitative content analysis.

    Findings. Participants expressed their pain in a nuanced and detailed way in everyday language. Four main themes with sub-themes emerged: (a) objectification (localizing; quantifying; characterizing; temporalizing); (b) compensating (substitution; picturing); (c) explaining (functionalizing pain and its relief; externalizing pain and its relief); (d) existentializing (present pain orientation; future pain orientation).

    Conclusions. Exploring the ways older patients talk about pain is expected to result in a better understanding of the older patient's need of empathic individualized care and in the optimization of pain management.

  • 265.
    Bergh, Ingrid
    et al.
    Department of Geriatric Medicine, Göteborg University, Sweden.
    Sjöström, Björn
    Department of Geriatric Medicine, Göteborg University, Sweden.
    A comparative study of nurses' and elderly patients' ratings of pain and pain tolerance1999Ingår i: Journal of Gerontological Nursing, ISSN 0098-9134, E-ISSN 1938-243X, Vol. 25, nr 5, s. 30-36Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose of this study was to compare elderly patients' and nurses' ratings of pain and pain tolerance. Data were collected through structured interviews with the patients. The attending nurses completed a questionnaire after conducting a pain assessment. Independent of each other, patients and nurses were asked to rate on a VAS when pain should be treated (pain tolerance) and pain intensity. The VAS has been used both by patients and nurses. The initial selection consisted of 43 patients; however, 9% (n = 4) were unable to complete the VAS. These patients were not significantly older than those who completed the study (n = 39). The results shows that nurses tend to overestimate mild pain and underestimate severe pain. Nurses rated pain tolerance significantly lower than patients. The results also suggest that nurses with training beyond basic nursing education tend to assess patients' pain more accurately than those without additional training. For patients who reported that they had pain prior to hospitalization, the nurses' pain ratings showed a higher agreement than for those who reported that they did not have pain before being hospitalized. At the time of the interviews, 21% (n = 8) of patients felt that their pain was so great they needed treatment. Those patients also were recognized by the attending nurses as being in pain. To improve elderly patients' pain management, practicing nurses must collaborate with researchers to develop specific empirical research nursing knowledge within geriatric pain management. This research-based knowledge should be incorporated into nurses' clinical practice regarding pain management. Specific guidelines must be developed for the assessment, treatment, and documentation of elderly patients' pain.

  • 266.
    Bergh, Ingrid
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Sjöström, Björn
    Högskolan i Skövde, Institutionen för vård och natur.
    Quantification of the pain terms hurt, ache and pain among nursing students2007Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, nr 2, s. 163-168Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to determine the quantitative meaning nursing students ascribe to the pain terms hurt (ont), ache (värk) and pain (smärta). In total, 549 nursing students filled in a questionnaire including questions about age, gender, and health care work experience. The students were also requested to rate response using a Visual Analogue Scale (VAS) rating for different statements about hurt, ache and pain. The results show that there were significant differences (p < 0.001) between rated intensity of the statements of hurt, ache and pain. There were, however, large variations in the students’ ratings of the pain terms; hurt ranged from 3 to 97 mm, ache from 7 to 97 mm and pain from 27 to 100 mm. There were no significant differences between male and female students regarding their ratings of hurt and ache when they were used to describe the worst self-experienced pain. Female students rated their experience of pain significantly higher (p < 0.001) on the VAS compared with male students. There was no significant correlation between previous experience of health care work and rated intensity of hurt, ache and pain. In conclusion, this study shows that there exist significant differences between the pain terms hurt, ache and pain according to a rating on a VAS. However, the results also demonstrate that there are large individual variations in how the students quantify the fictitious patient statements of hurt, ache and pain.

  • 267.
    Bergh, Ingrid
    et al.
    Högskolan i Skövde, Institutionen för hälso- och vårdvetenskap. Department of Geriatric Medicine, Göteborg University, Vasa Hospital, Göteborg.
    Sjöström, Björn
    Department of Health Care Pedagogics, Göteborg University, Göteborg.
    Odén, Anders
    Department of Geriatric Medicine, Göteborg University, Vasa Hospital, Göteborg.
    Steen, Bertil
    Department of Geriatric Medicine, Göteborg University, Vasa Hospital, Göteborg.
    An application of pain rating scales in geriatric patients2000Ingår i: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 12, nr 5, s. 380-387Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study examined the applicability of three different pain rating scales, the Visual Analogue Scale (VAS), the Graphic Rating Scale (GRS) and the Numeric Rating Scale (NRS), in geriatric patients. Data collection was performed in a geriatric clinic at a university hospital. A structured interview was conducted with 167 patients (mean age = 80.5 years). Patients rated their current experience of pain twice with a 5-minute pause in-between on the VAS, GRS and NRS, and were then asked if they experienced pain, ache or hurt (PAH) or other symptoms. The correlations were high and significant both between the ratings of the VAS, GRS and NRS (r = 0.78-0.92; p < 0.001) (alternative-forms reliability), and between the test and retesting (r = 0.75-r = 0.83; p < 0.001) (test-retest reliability). A logistic regression analysis showed that the probability to accomplish a rating on the pain scales decreased with advancing age of the patient, and this was especially marked for the VAS. The probability of agreement between the patients' ratings of pain and the verbal report of PAH tended to decrease with advancing age; this was especially so for the VAS. Patients who verbally denied PAH but reported pain on the scales rated it significant lower (p < 0.001) than those who verbally reported PAH and rated the pain as well. Eighteen percent of patients who denied pain but rated a pain experience verbally expressed suffering or distress. The study suggests that pain rating scales such as the VAS, GRS and NRS can be used to evaluate pain experience in geriatric patients. However, agreement between verbally expressed experience of PAH, and the rated experience of pain tended to decrease with advancing age. This indicates that the pain-evaluating process will be substantially improved by an additional penetration supported by a wide variety of expression of hurt, ache, pain, discomfort and distress.

  • 268.
    Bergh, Ingrid
    et al.
    Högskolan i Skövde, Institutionen för hälso- och vårdvetenskap. Department of Geriatric Medicine, Göteborg University.
    Sjöström, Björn
    Högskolan i Skövde, Institutionen för hälso- och vårdvetenskap.
    Odén, Anders
    Department of Geriatric Medicine, Göteborg University.
    Steen, Bertil
    Department of Geriatric Medicine, Göteborg University.
    Assessing pain and pain relief in geriatric patients with non-pathological fractures with different rating scales2001Ingår i: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 13, nr 5, s. 355-361Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Although pain is a frequent problem among elderly patients, they are often omitted in clinical trials and few studies have focused on assessing pain relief in this population. The aim of this study was to compare geriatric patients' verbally reported effect of analgesics with changes in pain experience rated with four different rating scales: the Visual Analogue Scale (VAS), the Graphic Rating Scale (GRS), the Numeric Rating Scale (NRS), and the Pain Relief Scale (PRS). Altogether 53 geriatric patients (mean=82 yrs) with non-pathological fractures in 4 geriatric units at a large university hospital were selected. In connection with the administration of analgesics, the patients were asked to "Mark the point that corresponds to your experience of pain just now at rest" on the VAS, GRS and NRS. This was repeated after 1.5-2 hours, and a direct question was asked about whether the analgesic medication given in connection with the initial assessment had had any pain-alleviation effect. Two comparisons were conducted with each patient. The results show that the probability of accomplishing a rating on the VAS, GRS, NRS, and PRS was lower with advancing age in these elderly fracture patients. The correlations between the ratings of the VAS, GRS and NRS were strong and significant (r=0.80-0.95; p<0.001) both at the initial assessments and at the re-assessments. However, the verbally reported effects of the analgesics were often directly opposite to the changes in rated pain. Therefore, application of the VAS, NRS, GRS and PRS for the purpose of assessing pain relief must be combined with supplementary questions that allow the patient to verbally describe possible experience of pain relief.

  • 269.
    Bergh, Ingrid
    et al.
    Högskolan i Skövde, Institutionen för hälso- och vårdvetenskap. Avdelningen för geriatrik, Göteborgs universitet.
    Sjöström, Björn
    Högskolan i Skövde, Institutionen för hälso- och vårdvetenskap.
    Steen, Bertil
    Avdelningen för geriatrik, Göteborgs universitet.
    Smärta hos äldre: Skattningsskalor – förekomst och verbala uttryck för smärta och smärtlindring2003Ingår i: Incitament: för en hälso- & sjukvård i förvandling, ISSN 1103-503X, Vol. 12, nr 7, s. 642-644Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
    Abstract [en]

    Smärta är inte en del av det normala åldrandet, men många äldre drabbas av sjukdomar som leder till smärta. Smärta är en subjektiv sensorisk och emotionell obehagsupplevelse med faktisk eller potentiell vävnadsskada. Varje person upplever smärta på sitt sätt och denna uppfattning får avgörande betydelse för hur hälso- och sjukvårdspersonal kan förhålla sig till människor med smärta.

    Utgångspunkten för denna avhandling var att studera smärtförekomst bland äldre och att evaluera användandet av smärtskalor. Våra resultat visar att skattningsskalor kan vara till hjälp.

    Artikeln baserad på Ingrid Berghs avhandling: Pain in the elderly - Rating scales, prevalence and verbal expression of pain relief

  • 270.
    Bergh, Ingrid
    et al.
    Högskolan i Skövde, Institutionen för hälso- och vårdvetenskap. Department of Geriatric Medicine, Göteborg University, Gothenburg.
    Steen, Gunilla
    Department of Geriatric Medicine, Göteborg University, Gothenburg.
    Waern, Magda
    Institute of Clinical Neuroscience, Section of Psychiatry, Göteborg University, Gothenburg.
    Johansson, Boo
    Department of Psychology, Göteborg University, Gothenburg.
    Odén, Anders
    Department of Geriatric Medicine, Göteborg University, Gothenburg.
    Sjöström, Björn
    Högskolan i Skövde, Institutionen för hälso- och vårdvetenskap. Department of Health Care Pedagogics, Göteborg University, Gothenburg.
    Steen, Bertil
    Department of Geriatric Medicine, Göteborg University, Gothenburg.
    Pain and its relation to cognitive function and depressive symptoms: A Swedish population study of 70-year-old men and women2003Ingår i: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 26, nr 4, s. 903-912Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to investigate the prevalence of pain and its characteristics, and to examine the association of pain with cognitive function and depressive symptoms, in a representative sample of 70-year-old men and women. Data were collected within the gerontological and geriatric population studies in Göteborg, Sweden (H-70). A sample of 124 men and 117 women living in the community took part in the study. A questionnaire was applied which included four different aspects of pain experience: prevalence, frequency of episodes of pain, duration and number of locations. In close connection to this, depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale. The prevalence of pain during the last 14 days was higher in women (79%; n = 91) than in men (53%; n = 65) (P<0.001). Women (68%; n = 78) also reported pain that had lasted for >6 months to a greater extent than men (38%; n = 46) (P<0.001). The frequency of episodes of pain was also higher among women, 64% (n = 74) reporting daily pain or pain several days during the last 14 days while 37% of the men (n = 45) did so (P<0.001). Women (33%, n = 38) also reported pain experience from ≥3 locations more often than men (11%; n = 13) (P<0.001). On the other hand, the association between depressive symptoms and pain experience was more evident in men than in women. Women were taking significantly more antidepressants compared to men (P<0.03). The results show that pain is common in 70-year-old people and especially in women. However, associations between depressive symptoms and the four aspects of pain experience were more pronounced among men. 

  • 271.
    Bergh, Ingrid
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Söderlund, Tina
    Department of Obstetrics and Gynaecology, Skaraborg Hospital, SE-541 85 Skövde, Sweden.
    Vinterskog, Linda
    Department of Obstetrics and Gynaecology, Skaraborg Hospital, SE-541 85 Skövde, Sweden.
    Mårtensson, Lena B.
    Högskolan i Skövde, Institutionen för vård och natur.
    Reliability and validity of the Acceptance Symptom Assessment Scale in assessing labour pain2012Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 28, nr 5, s. e684-e688Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: to investigate the reliability and validity of the Acceptance Symptom Assessment Scale (ASAS) in assessing labour pain.

    Design: a test-retest approach was used to assess reliability and validity.

    Setting: labour ward with approximately 2,400 deliveries annually in western part of Sweden.

    Participants: forty-seven pregnant women in the latent or active phase of labour.

    Methods: a total of five pain assessments with both the ASAS and the VAS were conducted in three sessions.

    Main outcome measures: correlation between ASAS and VAS.

    Findings: both scales demonstrated high and significant test–retest correlations (r=0.83–0.92; p<0.001). High and significant alternative-form reliability correlations (r=0.76–0.93, p<0.001) were found between ASAS and VAS ratings at all five assessments. Construct validity was established when both the ASAS and the VAS identified a pain reduction(p<0.001) 2 hrs after birth, compared to the previous assessment. Over two-thirds of the women preferred the ASAS to the VAS ,mainly(n=30) because the ASAS provided more choices relating to the pain experience, making it possible to label pain acceptable/unacceptable.

    Conclusions: the ASAS is interchangeable with the VAS for assessing labour pain. Over two-thirds of the women preferred it to the VAS.

  • 272.
    Bergkvist, Krister
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Lundberg, Pär
    Högskolan i Skövde, Institutionen för vård och natur.
    Icke-farmakologiska Smärtlindrande Omvårdnadsåtgärder Inom Prehospital Akutsjukvård: En Kvalitativ Beskrivning av olika tillvägagångssätt2007Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Ett av de vanligaste bekymren hos patienter som kommer i kontakt med ambulanssjukvården är smärta i någon form. Sedan den första november 2005 tillåts inte samtlig ambulanspersonal att administrera läkemedel. Det är därför rimligt att anta att ambulanspersonalen också har andra, icke-farmakologiska, sätt att lindra patienters smärta. Författarna såg därför ett intresse i att utforska hur ambulanspersonalen ser på begreppet smärta och behandlingen av densamma.

    Syftet med studien var att, med fokus på icke-farmakologiska åtgärder, beskriva hur svensk ambulanspersonal omhändertar patienter med smärta.

    Studien genomfördes med hjälp av fem intervjuer med olika kategorier av ambulanspersonal. Intervjuerna transkriberades ordagrant och analyserades. Fyra övergripande teman med subteman växte fram ur texten. I temat åsikter om smärta beskrev informanterna sin uppfattning om smärta som ett individuellt fenomen samt vad de ansåg påverkar patientens smärta. Bemötande och förhållningssätt vid omhändertagande beskrev informanternas åsikter att de med ett lugnt bemötande ansåg sig kunna skapa en relation till patienten samt försöka avleda dennes tankar på smärtan på olika sätt. Bedömning och behandling beskriver informanternas åsikter att bedömning och behandling av smärta kräver individanpassning. Kombinationsterapi är vinnande beskriver informanternas uppfattning att behandlingen av smärta blir allra bäst då icke-farmakologiska åtgärder kombineras med de farmakologiska.

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  • 273.
    Berglund Kristiansson, Elisabeth
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Källman, Ulrika
    Research Department, Region Västra Götaland, South Älvsborg Hospital, Borås, Sweden.
    Healthcare staff's views on the patients' prerequisites to be co-creator in preventing healthcare-associated infections2019Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Every year, patients are affected by suffering and death caused by adverse events in connection with health care and the most common adverse events are healthcare-associated infections (HAI). The Swedish Patient Act from 2015 strengthens the patient's position in health care; however, there is lack of knowledge of how healthcare staff experience the possibilities to make the patient involved in the preventive work of HAI. Aim To describe healthcare professionals' views on the patient's prerequisites to be co-creator in preventing HAI in connection with hospital care. Method This study had a qualitative descriptive design with semi-structured individual interviews. Qualitative inductive content analysis was used to analyse the transcribed interview data. The study setting was a hospital in Sweden in 2015. Interviews were carried out among six healthcare professionals. Results In the analysis, 5 themes and 14 categories were identified in three different domains: Organisation, Healthcare staff and Patient. The result indicates an obstacle in each domain for the patient to become co-creator in preventing HAI. In Organisation domain, a lack of organizational structure such as elaborated working methods to involve the patient was pointed out. In the domain Healthcare staff, it showed that the professionals allocate the responsibility of preventing HAI to the patient but only if they had to or if they trusted the patient. In the Patient domain, the result states that the patient was perceived as passive; they did not take own initiatives to get involved. Conclusion The patient has an important role in successful HAI prevention work and should be considered as an obvious co-creator. Nevertheless, this study shows that neither organisation nor healthcare staff are sufficiently prepared for this. The organisation must make an anchored, structured and systematic work centred on the patient's needs and give more support both to healthcare professionals and patients.

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  • 274.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Att lära sig stödja patienters lärande2015Ingår i: Reflektion i lärande och vård: En utmaning för sjuksköterskan / [ed] Mia Berglund & Margaretha Ekebergh, Lund: Studentlitteratur AB, 2015, 1, s. 187-198Kapitel i bok, del av antologi (Refereegranskat)
  • 275.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för vård och natur.
    Att ta rodret i livet med långvarig sjukdom2011Ingår i: CF-bladet - Medlemsblad för Riksförbundet Cystisk Fibros i Sverige, nr 3, s. 18-19Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 276.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för vård och natur.
    Att ta rodret i livet med långvarig sjukdom: Lärande utmaningar vid långvarig sjukdom2011Ingår i: Dialäsen, ISSN 1104-4616, nr 5, s. 37-40Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 277.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för vård och natur.
    Att ta rodret i sitt liv: Lärande utmaningar vid långvarig sjukdom2011Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    A starting point for this thesis is that patients’ learning has not received sufficient attention and thus has not featured in the study programmes in the field of caring. Focus has instead been placed on patients being given information and advice about their illness and treatment, advice that they are then expected to comply with. Too little attention has been paid to the individual who lives with his/her illness and who should be considered to have significant experiences. The overall aim has been to analyze and describe the phenomenon of learning to live with long-term illness as well as to develop a didactic model that can help carers to support patients’ learning processes.

    The theoretical perspective in the thesis is lifeworld theory, which permeates ontological, epistemological and methodological standpoints and also the view on learning. The design and carrying out of the research is based on a reflective lifeworld approach. The empirical study consists of interviews with people who live with different types of long-term illnesses.

    The learning that follows life with a long-term illness is generated in such a way as to respond to the will to live the well-known everyday life. A greater understanding of the empirical results has been achieved by a lifeworld philosophical elucidation, with a particular focus on learning turning points and the importance of reflection. Based on the empirical results, the lifeworld philosophical elucidation and the caring science lifeworld didactics a didactic model has been formulated. This model is entitled: The challenge – to take charge of one’s life with long-term illness. The model contains four theses: 1) Confronting one’s life situation and challenging to make a change, 2) Positioning oneself at a distance when creating a new whole, 3) Developing self-consciousness and taking responsibility, 4) Making learning visible with the aim of providing development and balance in life.

    The results in the thesis show that a genuine learning is something that differs from the learning of information and that the learning must be supported at an existential level based on the sufferer’s situation and for a long period of time.

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  • 278.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för vård och natur.
    Lärande vid långvarig sjukdom: Utmaningar för patient och vårdare2012 (uppl. 1)Bok (Övrigt vetenskapligt)
  • 279.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för vård och natur.
    Senaste nytt från Skövde2011Ingår i: Medlemsbladet, Handledning i omvårdnad, nr 2, s. 7-7Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 280.
    Berglund, Mia
    Högskolan i Skövde, Institutionen för vård och natur.
    Utmaningen - att ta rodret i livet med långvarig sjukdom2012Ingår i: Njurfunk, ISSN 0347-1365, Vol. 1, nr 39, s. 36-38Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 281.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Andersson, Susanne
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Kjellsdotter, Anna
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Att drabbas av långvarig sjukdom2017Ingår i: Vägen till patientens värld och personcentrerad vård: Att bli lyssnad på och förstådd / [ed] Karin Dahlberg, Inger Ekman, Stockholm: Liber, 2017, 1, s. 93-116Kapitel i bok, del av antologi (Refereegranskat)
  • 282.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Ek, Kristina
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Att förstå de didaktiska redskapen i utbildningen2015Ingår i: Reflektion i lärande och vård: En utmaning för sjuksköterskan / [ed] Mia Berglund & Margaretha Ekebergh, Lund: Studentlitteratur AB, 2015, 1, s. 47-68Kapitel i bok, del av antologi (Refereegranskat)
  • 283.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Ekebergh, MargarethaHögskolan i Borås.
    Reflektion i lärande och vård: En utmaning för sjuksköterskan2015Samlingsverk (redaktörskap) (Refereegranskat)
  • 284.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Gillsjö, Catharina
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Reflekterande KRAFT-givande samtal2017Ingår i: Vägen till patientens värld och personcentrerad vård: Att bli lyssnad på och förstådd / [ed] Karin Dahlberg, Inger Ekman, Stockholm: Liber, 2017, 1, s. 317-334Kapitel i bok, del av antologi (Refereegranskat)
  • 285.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Gillsjö, Catharina
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Reflekterande KRAFT-givande samtal i vården av äldre som lever med långvarig smärta i hemmet2015Ingår i: Ä. Riksföreningen för Sjuksköterskan inom äldrevård, ISSN 2001-1164, nr 1, s. 14-16Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    Reflekterande KRAFT-givande samtal är en metod utvecklad för att användas som ett verktyg i vården. Syftet är att stärka människors hälsa och välbefinnande samt den egna förmågan att bemästra sin situation på ett sätt som ger glädje och mening i livet. För den äldre kan det innebära en möjlighet att kunna bo kvar längre i det egna hemmet. Metoden har utvecklats utifrån resultaten av två avhandlingar, en om hemmets betydelse och att leva med långvarig smärta samt en om lärande vid långvarig sjukdom.

  • 286.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Gillsjö, Catharina
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. College of Nursing, University of Rhode Island, USA.
    Svanström, Rune
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Keys to person-centred care to persons living with dementia: Experiences from an educational program in Sweden2019Ingår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 18, nr 7-8, s. 2695-2709Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Growing old entails an increased risk of disabilities and illnesses such as dementia. The orientation in Sweden on national level is that individuals remain in their own homes if desired and receive person-centred home care. The aim of this study was to describe the experience of an educational program and its influence on daily provision of care to persons with dementia. A lifeworld approach was used. Data were collected through group interviews with care providers in the context of home. The findings are presented in five themes: Increased knowledge about dementia and treatment, Relationship-building in order to provide good care, Open and flexible approach conveys calm, Continuity and flexibility are cornerstones in the care and Perceived improvements. This person-centred educational intervention resulted in a care that was based on each individual’s personality, preferences and priorities in life. Education given with continuity over time is key to improving provision of care to person with dementia.

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  • 287.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Källerwald, Susanne
    Högskolan i Skövde, Institutionen för vård och natur.
    The Movement to a New Understanding: A Life-World-Based Study about How People Learn to Live with Long-Term Illness2012Ingår i: Journal of Nursing & Care, ISSN 2167-1168, Vol. 1, nr 6Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The objective of the present study was to analyze and describe the phenomenon of learning to live with long-term illness.

    Method: The design and implementation of the research was based on a reflective lifeworld approach. The study consisted of interviews with people who live with different types of long-term illness.

    Results: Learning to live with a long-term illness happens in such a way as to respond to the will to live everyday life. The essential meaning of learning to live with long-term illness is constituted by the following elements: learning to know and live with a stranger, the driving forces of learning, learning methods are a balancing act, making the illness visible, as well as seeking knowledge and understanding. The result of the learning process can be understood as movement to a new understanding that is shown in the way the person with the illness acts and gives herself with the illness more space in life.

    Conclusion: The results show that genuine learning is something that differs from learning information and that the learning must be supported by the sufferer’s situation for a long period of time at an existential level.

    Ladda ner fulltext (pdf)
    fulltext
  • 288.
    Berglund, Mia M. U.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Learning turning points - in life with long-term illness - visualized with the help of the life-world philosophy2014Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 9, artikel-id 22842Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A long-term illness is an occurrence that changes one’s life and generates a need to learn how to live with it. This article is based on an empirical study of interviews on people living with different long-term illnesses. The results have shown that the learning process is a complex phenomenon interwoven with life as a whole. The essential meaning of learning to live with long-term illness concerns a movement toward a change of understanding of access to the world. In this movement, in which everyday lives as well as relationships with oneself and others are affected, a continual renegotiation is needed. Texts from existential/lifeworld philosopher, Heidegger and Gadamer, have been used to get a greater understanding of the empirical results. These texts have been analysed with particular focus on learning turning points and the importance of reflection. The results are highlighted under the following themes: Pursuit of balance*the aim of learning, The tense grip*the resistance to learning, To live more really*the possibilities of the learning, Distancing*the how of the learning, and The tense of the learning*the whole of the learning. In those learning turning points are present. Knowledge from this study has been used to make a didactic model designed to give caregivers a tool to support patients’ learning. The didactic model is called: The challenge to take charge of life with a long-term illness.

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  • 289.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Nässén, Kristina
    Academy of Care, Working Life and Social Welfare, University of Borås, Borås, Sweden.
    Gillsjö, Catharina
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. College of Nursing, University of Rhode Island, Kingston, USA.
    Fluctuation between Powerlessness and Sense of Meaning: A Qualitative Study of Health Care Professionals’ Experiences of Providing Health Care to Older Adults with Long-Term Musculoskeletal Pain2015Ingår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, artikel-id 96Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: There is an increasing number of older adults living with long-term musculoskeletal pain and related disabilities. These problems are frequently unrecognized, underreported, and inadequately treated. Since many older adults desire to remain at home for as long as possible, it is important that individualized and holistically tailored care is provided in these settings. However, there is a complexity in providing care in this context.

    The aim of this study was to describe health care professionals’ experiences of providing health care to older adults living with long-term musculoskeletal pain at home.

    Methods: The phenomenon, “To provide health care to older adults living with long-term musculoskeletal pain at home”, was studied using reflective lifeworld research (RLR) which is based on phenomenological epistemology. Ten health care providers (nurse, physiotherapists, and occupational therapists) were interviewed and data was analysed.

    Results: The health care professional’s emotions fluctuated between powerlessness and meaningfulness. Needs, opportunities, understanding and respect had to be balanced in the striving to do good in the provision of health care in differing situations. Caring for older adults with long-term pain required courage to remain in the encounter despite feelings of insecurity and uncertainty about the direction of the dialogue. The essence of caring for older adults with long-term pain consisted of the following constituents: Sense of powerlessness; striving to provide good health care; and understanding and respect.

    Conclusions: The findings indicated that the health care professionals strived to do good and to provide health care that was holistic and sensitive to the older adults’ needs. A significant sense of powerlessness in the situation was experienced by the health care professionals. These findings address and support the need to develop methods that can be used to guide health care providers who support older adults in the context of their homes.

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  • 290.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Nässén, Kristina
    Academy of Care, Working Life and Social Welfare, University of Borås, Sweden.
    Hedén, Lena
    Academy of Care, Working Life and Social Welfare, University of Borås, Sweden.
    Gillsjö, Catharina
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Older Adults' Experiences of Reflective STRENGTH-Giving Dialogues: An Interview Study2016Ingår i: Journal of Gerontology & Geriatric Research, ISSN 2167-7182, Vol. 5, nr 3, artikel-id 1000304Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: A major health problem that frequently accompanies old age is long-term pain, but pain must be acknowledged by older adults and health care providers. Interventions are needed to alleviate pain and suffering’ while holistically providing health care that promotes wellbeing. The intervention project, Reflective STRENGTHGiving Dialogues© (STRENGTH) was implemented to increase health and wellbeing among community dwelling older adults living with long-term musculoskeletal pain at home.

    Aim: The aim of this study was to describe the older adults’ experiences of the intervention Reflective STRENGTH-Giving Dialogue.

    Method: A life world hermeneutic approach was used in collection and analysis of data. Twenty community dwelling older adults participated were interviewed in their homes after the intervention.

    Findings: The findings consisted of five themes and showed that the older adults experienced the Reflective STRENGTH-Giving Dialogues as a continuous and trusting relationship that alleviates the pain and breaks the loneliness. They expressed it as a new way to talk about life with pain. The dialogues supported reflection and memory and resulted in a transition in orientation in life.

    Conclusion: The Reflective STRENGTH-Giving Dialogues helped the older adults to increase their intellectual, emotional, and physical engagement in daily living. The dialogues facilitated a transition in orientation from past to present, to the future, and from obstacles to opportunities. The dialogues were oriented towards enjoyments, meaning, courage and strength in life as a whole which promoted the older adults’ sense of well-being and vitality. The dialogues also facilitated carrying out small and large life projects. The Reflective STRENGTH-Giving Dialogues created a deepened caring relationship that contributed to an increased sense of security, strength and courage, all of which enhanced the potential for better health and wellbeing.

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  • 291.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Sjögren, Reet
    School of Health Care and Social Welfare, Mälardalen University, Västerås/Eskilstuna, Sweden.
    Ekebergh, Margaretha
    Department of Health and Caring Sciences, Linnéuniversitetet, Växjö, Sweden.
    Reflect and learn together - when two supervisors interact in the learning support process of nurse education2012Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, nr 2, s. 152-158Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim  To describe the importance of supervisors working together in supporting the learning process of nurse students through reflective caring science supervision.

    Background  A supervision model has been developed in order to meet the need for interweaving theory and practice. The model is characterized by learning reflection in caring science. A unique aspect of the present project was that the student groups were led by a teacher and a nurse.

    Method  Data were collected through interviews with the supervisors. The analysis was performed with a phenomenological approach.

    Results  The results showed that theory and practice can be made more tangible and interwoven by using two supervisors in a dual supervision. The essential structure is built on the constituents ‘Reflection as Learning Support’, ‘Interweaving Caring Science with the Patient’s Narrative’, ‘The Student as a Learning Subject’ and ‘The Learning Environment of Supervision’.

    Conclusion  The study concludes that supervision in pairs provides unique possibilities for interweaving and developing theory and practice.

    Implications for nursing management  The supervision model offers unique opportunities for cooperation, for the development of theory and practice and for the development of the professional roll of nurses and teachers.

  • 292.
    Berglund, Mia
    et al.
    Högskolan i Skövde, Institutionen för vård och natur.
    Westin, Lars
    Högskolan i Skövde, Institutionen för vård och natur.
    Svanström, Rune
    Högskolan i Skövde, Institutionen för vård och natur.
    Johansson Sundler, Annelie
    Högskolan i Skövde, Institutionen för vård och natur.
    Suffering caused by care - Patients' experiences from hospital settings2012Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, artikel-id 18688Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Suffering and well-being are significant aspects of human existence; in particular, suffering and well-being are important aspects of patients’ experiences following diseases. Increased knowledge about existential dimensions of illness and healthcare experiences may be needed in order to improve care and reduce unnecessary suffering. Therefore, the aim of this paper is to illuminate the phenomenon of suffering experienced in relation to healthcare needs among patients in hospital settings in Sweden. In this study, we used a reflective lifeworld approach. The data were analysed with a focus on meanings. The results describe the essential meaning of the phenomenon of suffering in relation to healthcare needs. The patients were suffering during care-giving when they felt distrusted or mistreated and when their perspective on illness and health was overlooked. Suffering was found to arise due to healthcare actions that neglected a holistic and patient-centred approach to care. Unfortunately, healthcare experiences that cause patients to suffer seem to be something one needs to endure without being critical. The phenomenon can be described as having four constituents: to be mistreated; to struggle for one’s healthcare needs and autonomy; to feel powerless; and to feel fragmented and objectified. The study concludes that there are problems associated with patients experiencing suffering at the hands of healthcare providers, even if this suffering may not have been caused deliberately to the patient. Consequently, conscious improvements are needed to lessen the suffering caused by care-giving, as are strategies that promote more patient-centred care and patient participation.

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  • 293.
    Berglund Riikola, Caroline
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper.
    Fors, Linda
    Högskolan i Skövde, Institutionen för hälsovetenskaper.
    Att vara patient på svensk akutmottagning – En litteraturöversikt2020Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Patientbesöken på svenska akutmottagningar har minskat men väntetider har ökat. Systemet triage används av sjuksköterskor för att prioritera patienter med utifrån deras anamnes och symtom. En god vårdmiljö, regelbunden kommunikation, information, ökad delaktighet och personcentrerad vård kan minska uppkomsten av vårdlidande för patienter som sökt vård på svenska akutmottagningar. Syftet: Syftet var att belysa hur det är att vara patient under väntetiden på svensk akutmottagning. Metod: Studien är en litteraturöversikt som är baserad på tio vetenskapliga artiklar med kvalitativ metod. Resultat: Tre huvudkategorier mötet med sjuksköterskan, faktorer som påverkar upplevelsen, konsekvenser av bristande vård. Sex underkategorier positiva erfarenheter, negativaerfarenheter, vårdmiljöns inverkan, grundläggande behov, utsatthet och sårbarhet samt situationen accepteras. Diskussion: I diskussionen redogör författarna patientersupplevelser från akutmottagningen. Det diskuterades kring tre begrepp personcentrerad vård, vårdlidande och delaktighet. Konklusion: Det framkom att när grundläggande behov blev tillgodosedda, information gavs och när sjuksköterskan gav bekräftelse kunde delaktigheten öka och vårdlidande förhindras.

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  • 294.
    Bergman, Johanna
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Simonsen, Lene-Therese
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Kvinnors upplevelser av att leva med urininkontinens: en litteraturöversikt2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Urininkontinens är ett vanligt förekommande problem bland kvinnor där prevalensen stiger med åldern. Det finns tre olika typer av urininkontinens; trängningsinkontinens, ansträngningsinkontinens och blandinkontinens. Befintliga behandlingsmetoder fokuserar på att lindra lidande. Urininkontinens hos kvinnor påverkar deras välbefinnande, ökar lidande och minskar deras känsla av autonomi. 

    Syfte: Att beskriva kvinnors upplevelser av att leva med urininkontinens.

    Metod: Allmän litteraturöversikt, där tio artiklar låg till grund för resultatet.

    Resultat: Kvinnor upplever generellt att deras vardag påverkas och förändras av att leva med urininkontinens. De beskriver hur de skapar egna strategier för att återta kontroll över sin vardag. Att leva med urininkontinens ger ett försämrat välbefinnande till följd av upplevelsen av skam och genans. Dessa känslor påverkar deras relationer och samliv med andra.

    Slutsats: För att klara av sin vardag skapar kvinnorna egna strategier, vilka bland annat innebär att alltid vara medveten om vart närmaste toalett finns eller att ha med sig extra klädombyten när de lämnar hemmet. Strategierna gör att kvinnorna upplever minskad stress och oro över urinläckage. Ofrivillig urinavgång påverkar kvinnorna fysiskt och psykiskt vilket innebär att det är viktigt som vårdpersonal ha god kunskap och insikt i den livsvärld som patienter med urininkontinens lever i dagligen.

  • 295.
    Bergman, Karin
    et al.
    Skaraborg Primary Health Care, Skövde, Sweden.
    Perhed, Ulla
    Skaraborg Primary Health Care, Skövde, Sweden.
    Eriksson, Irene
    Högskolan i Skövde, Institutionen för vård och natur.
    Lindblad, Ulf
    Department of Public Health and Community Medicine/Primary Health Care, University of Gothenburg, Gothenburg, Sweden.
    Fagerström, Lisbeth
    Faculty of Health Sciences, Buskerud University College, Drammen, Norway.
    Patients' satisfaction with the care offered by advanced practice nurses: A new role in Swedish primary care2013Ingår i: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 19, nr 3, s. 326-333Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study is to describe patients' satisfaction with the new role of advanced practice nurses (APNs) in Swedish primary care. A questionnaire pertaining to patient satisfaction with the care offered by APNs was sent to respondents. Descriptive statistics, a chi-squared test and manifest qualitative content analysis were used during analysis. Although the results show an overall high level of patient satisfaction as regards APN-led care, those patients informed of the APN role prior to a consultation were significantly more satisfied. Respondents' comments indicate that professional treatment and competence are characteristic of the care offered by APNs and also relate the concepts of increased availability of and continuity in health care to the APN role. In order to guarantee the positive development of the APN role in Sweden, continued research is needed from patient, organizational and interprofessional perspectives, including intervention studies of cost effectiveness and the quality of care.

  • 296.
    Bergquist, Marie
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Larsson, Sanna
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Skolsköterskans arbete med sex- och samlevnadsundervisning2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Forskning visar att innehåll och metoder skiftar i sex- och samlevnadsundervisning på olika skolor. Elever anser att sex- och samlevnadsundervisningen behöver förbättras. Skolsköterskan arbetar hälsofrämjande med elevers sexuella hälsa. Forskning påvisar att elevhälsans kompetens inte tillvaratas i sexualundervisningen. Genom ökad förståelse för hur skolsköterskor arbetar med sex- och samlevnad kan undervisningen förbättras. Syfte: Syftet med studien var att beskriva hur skolsköterskor arbetar med sex- och samlevnadsundervisning. Metod: Nio skolsköterskor verksamma på högstadiet eller gymnasiet intervjuades via e- post. Datamaterialet analyserades med kvalitativ innebördsanalys. Resultat: I resultatet framkom fem teman; Kunskap och kompetens bidrar till trygghet i sex- och samlevnadsundervisning; Stödjande omgivning och tid för planering skapar möjligheter för skolsköterskans arbete med sex- och samlevnadsundervisning; Skolsköterskans mångfald i upplägg av undervisning anpassas efter elevernas behov av kunskap; Att undervisa nyanlända elever kräver mer förberedelse och Skolsköterskans bemötande och förhållningssätt har betydelse för frågor kring HBTQ. Konklusion: Svårigheter för skolsköterskor i deras arbete med sex- och samlevnadsundervisningen är tidsbristen, vilket medför begränsad undervisning, samtidigt anser de att sex- och samlevnadsundervisningen är av vikt för elever. Upplevelsen av samarbetet inom sex- och samlevnadsundervisning ses som positiv och önskvärd. Skolsköterskors utmaningar är att undervisa elever från andra kulturer, skolsköterskor saknar djupare kunskaper. 

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    Skolsköterskans arbete med sex- och samlevnadsundervisning
  • 297.
    Bergqvist, Johan
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Stenman Josefsson, Märta
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Sjuksköterskors erfarenheter av att vårda personer med demens på akutvårdsavdelningar: En litteraturbaserad studie2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Diagnostik av demens ökar i takt med världens åldrande befolkning. Symtom skiljer sig mellan olika diagnostyper och en diagnos kan innebära en lättnad och bekräftelse för både patient och anhöriga. Den vårdform som förespråkas för patienter med demens är personcentrerad vård som syftar till att stärka en persons självkänsla och delaktighet i vården och se bortom diagnoser. Även om väntetiderna på landets akutmottagningar är erkänt långa för äldre patienter har sjuksköterskor en skyldighet att ge omvårdnad på en likvärdig grund. Syfte: Syftet med studien var att belysa sjuksköterskors erfarenheter av att vårda patienter med demens på akutvårdsavdelningar. Metod: En litteraturbaserad studie valdes där nio kvalitativa artiklar analyserats Resultat: Ur analysen framträdde tre kategorier; bristande kunskap, strukturella brister och anhöriga en medaktör i vårdandet med åtta underkategorier. Konklusion: Vårdandet av patienter med demens kräver engagemang och utbildning och det visar sig att det oavsett kontext är komplext att vårda patienter med demens. Sjuksköterskors erfarenheter visar att tid, utbildning och strukturella brister utgör ett hinder i vårdandet. Dessa brister kan även påverka attityder i negativ riktning och vårdandet av patienter med demens kan stigmatiseras. 

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  • 298.
    Bergqvist, Lisen
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Johansson, Sofie
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    ATT BLI FÅNGE I SIN EGEN KROPP: En litteraturstudie om patienters upplevelser av välbefinnande vid ALS2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
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  • 299.
    Bergsten, Niklas
    Högskolan i Skövde, Institutionen för vård och natur.
    1,25(OH)2D3 and Prostate Cancer: The Effects on cAMP/PKA-dependent Gene Expression in LnCaP cells2010Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Prostate cancer is the leading male cancer form i Sweden and maybe worldwide as well. Vitamin D is synthesized in the skin following the exposure to sunlight. Researcers have long been aware of the positive effect that vitamin D3 has on prostate tumour growth. 1,25(OH)2D3 have for a long time been the target of these studies and have shown good results. The steroid hormone induces cAMP accumulation and activiates the cAMP dependent protein kinaseA (PKA). PKA is then able to activate a transcription regulating protein. 1,25(OH)2D3 is known to cause LNCaP cells to accumulate in the G1 phase ofthe cell cycle. It has also been shown that 1,25(OH)2D3 is under negativefeedback control via 24-hydroxylase. In this study, PKA activity was observed by transfecting LNCaP cells with a viral vector carrying firefly and Renillaluciferase genes. The successfully transfected LNCaP cells would then express luciferase as a response to PKA gene expression. The LNCaP cells were then treated with 1,25(OH)2D3 and GDP-β-S (100μM), a G-protein coupled receptorinhibitor, in order to examine if 1,25(OH)2D3 regulate PKA dependent gene expression through a G-protein coupled receptor. The study could show that 1,25(OH)2D3 regulate gene expression in LNCaP cells through a PKAdependent pathway. Furthermore, the PKA dependent gene expression was demonstrated to be independent of G-protein coupled recpetor activation.

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    FULLTEXT01
  • 300.
    Bergsten, Niklas
    Högskolan i Skövde, Institutionen för vård och natur.
    PDIA3 and Prostate Cancer: Do changes in nucleotidesequence correspond tomalignancy?2012Självständigt arbete på avancerad nivå (magisterexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [en]

    PDIA3 interacts with the lectin chaperons; calnexin and calreticulin to surveythe folding of newly synthesized glycoproteins by the addition of N-linkedglycans. PDIA3 is also involved in transcaltachia signaling cascades andimmunogenicity. The purpose was to determine if there were any changespresent in the nucleotide sequence of the Pdia3 gene. To study this, fourprostate cell lines were examined by Sanger sequencing, two malignant(LNCaP, PC3) and two normal (PNT1A, PNT2). These were to be compared tothe nucleotide sequence from nine formalin fixed paraffin-embedded (FFPE)samples of different Gleason score and the sequence from three FFPE samplesof normal prostate tissue chosen from the Örebro Radical Cohort. The obtainedsequences were then analysed with several bioinformatics tools to determine ifthere were any changes present. The nucleotide sequence obtained from thesequencing indicated that none of the cell lines expressed the most redundantisofrom; CRA_c, but instead CRA_a and CRA_b. Surprisingly, the two normalcell lines (PNT1A and PNT2) produced similar scores in BLAST search forboth the CRA_a and the CRA_b isoforms. Software analysis of the translatedsequences predicted that LNCaP expressed a membrane bound form PDIA3while PC3 expressed a cytoplasmic variant of the protein. To confirm this,another sequencing reaction was performed. The second results indicated thatall cell lines expressed the same isoform, but that the isoforms were localizedto different intracellular compartments.

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