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  • 301.
    Forsman, Anna-Carin
    University of Skövde, School of Health and Education.
    Barnmorskors sätt att genomföra inskrivningsbesöken2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Midwives should strive for a secure care relationship to overcome the vulnerability of pregnancy. Booking interviews contains lot of information which makes it harder to accomplish a secure care relationship. Purpose: To illustrate how midwives at antenatal care conducts the booking interviews to create a secure care relationship. Method: The data was collected by interviews and analyzed by qualitative content analysis with inductive approach. Result: Midwives describe the importance to create balance between keeping the pregnancy in focus and the medical guidelines during the interviews. The pregnancy is the central reason for the interviews, thus the focus needs to be aimed strengthen the transition to parenthood. The booking interviews involve gathering medical information which is central for the care planning, but it can complicate the pregnant/partners focus on the pregnancy. It’s described as central that the pregnant/partner participates in the interviews. Crucial for participation is the possibility of narration, body language, the environment and support of methods to carrying through the visit. Various templates and phrases are used to help the conversation, and also various strategies how the documentation are handled. Conclusion: Midwives describe strategies and methods as central to promoting the pregnant/partners participation in the booking interviews.

  • 302.
    Fossen, Anna
    et al.
    University of Skövde, School of Health and Education.
    Sabel, Jessica
    University of Skövde, School of Health and Education.
    Ett klipp är inte bara ett klipp: Barnmorskors resonemang kring episiotomi2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The midwife will care for and support the woman throughout the childbirth process. There may occur situations during childbirth when certain measures, like episiotomy, need be taken in relation to the advance of the fetus. Studies reveal different advantages, as well as disadvantages associated with episiotomy. Given the multitude of opinions with regards to episiotomy, it is important that midwives have a clear stance on the procedure since they are in charge of the woman who is giving birth.

    Aim: To investigate midwives' reasoning on the subject of episiotomy.

    Method: Semi-structured interviews with nine midwives. The data underwent qualitative content analysis, and inductive approach was applied.

    Results: The results present a theme, A roller coaster, containing two categories, Varied attitudes to episiotomy and The secure before the insecure, these resulted in six subcategories. The midwives felt that episiotomy should not be conducted unless absolutely necessary. Midwives further felt that growing experience helped them to determine in what situations episiotomy would have a positive effect on the childbirth process.

    Conclusion: The midwives are cautious about the use of episiotomy reserving it for special situations when the procedure is deemed absolutely necessary. Patience, an important characteristic for a midwife, in conjunction with work experience made it easier to determine when the woman giving birth was in need of episiotomy.

  • 303.
    Fransson, Eva
    et al.
    University of Skövde, School of Health and Education.
    Johansson, Helen
    University of Skövde, School of Health and Education.
    Patienters upplevelser av att leva med neuropatisk smärta: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Långvarig smärta innebär stora negativa konsekvenser för samhället i form av ökade sjukskrivningstal och mindre delaktighet i samhället. Patienter med neuropatisk smärta upplever att de inte får den hjälp de önskar. Hälso- och sjukvården har ett ansvar att stödja dess patienter till att uppnå upplevd hälsa trots lidande och sjukdom. Syfte: Att beskriva patienters upplevelser av att leva med neuropatisk smärta. Metod: Litteraturöversikt där datamaterialet består av tio kvalitativa artiklar ur ett patientperspektiv. Resultat: Resultatet visas i två huvudteman; neuropatisk smärta, en ständig kamp i vardagen och bemötande i hälso- och sjukvården samt fem underteman; acceptansens betydelse för hantering av smärta, inverkan på relationer, inverkan på dagliga aktiviteter, vårdens bristande kunskap och förståelse,  vägen till smärtlindring , en utmaning. Resultatet visar att neuropatiska smärtan påverkar många delar av livet. Upplevelser av negativa konsekvenser både inom arbetslivet, familjelivet och sociala aktiviteter. För att uppnå livskvalitet krävs acceptans av smärtan. Konklusion: Patienter med neuropatisk smärta bör förstås i ett helhetsperspektiv och utifrån den komplexa smärtupplevelsen de har. Hälso- och sjukvården har stora möjligheter till förbättringsarbete för att bemöta dessa patienter och bidra till en ökad livskvalitet. Detta kan ske genom ett aktivt och intresserat lyssnade för att få en förståelse för patientens livssituation.

  • 304.
    Fredricson, Linda
    et al.
    University of Skövde, School of Life Sciences.
    Lundin, Åsa
    University of Skövde, School of Life Sciences.
    Faktorer som är av betydelse vid val av kost för individer med diabetes typ 2: - en litteraturstudie2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The number of people with diabetes in the world is increasing, because the population isincreasing and it is getting older. Also, more people tend to be less active and areoverweight. Diabetes type 2 is the most common form of diabetes in Sweden today and isrelated to our lifestyle. Therefore the food and the exercise are the fundamental treatment.The problem is that individuals do not know what recommendations about food they aresupposed to follow. They have not received enough guidelines and education aboutnutrition. The aim of the literature study was to, from a patient perspective, identify factorswhich are of importance in the choice of food for individuals with diabetes type 2. A totalof 9 scientific articles where analysed and three factors emerged: Knowledge,Responsibility and Support. The result showed that it is important to understand therelation between the factors, both for the nurses and for the individuals with diabetes type2. The result is supposed to benefit both nurses and care in Sweden.

  • 305.
    Fridlind, Pontus
    et al.
    University of Skövde, School of Health and Education.
    Schyberg, Fredrik
    University of Skövde, School of Health and Education.
    Sjuksköterskors erfarenheter av att vård patienter i ett palliativt skede: En litteraturbaserad studie2019Independent thesis Basic level (degree of Bachelor), 12 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care means supporting life quality and preventing suffering to patients in care in the end of life. Relieving pain and symptoms are two important aims for the patient to experience a wellbeing despite a severe disease. The care for the dying patient should be person centred, a model of care I used to simplify a person centred care and it`s called the 6:sn. Purpose: To illustrate nurses’ experiences of caring patients in a palliative phase within closed somatic care. Method: The used method in this study is a literature review consisting nine qualitative articles. Result: Three main themes are emerged from the analysis; build close relationships, cooperation between actors involved and emotional stress, with seven subthemes. Conclusion: The nurse’s ability to communicate is the main point for good care in the palliative care. Frequent practice and education creates good qualifications for having a well developed communicative skill. To meet patients in the end of life is an emotionally trying, time and continuity to each patient creates a good basis for the nurse to meet these feelings in a professional way.

  • 306.
    Friman, Alida
    et al.
    University of Skövde, School of Health and Education.
    Schwöbel, Benedikta
    University of Skövde, School of Health and Education.
    Att finna ljus i mörker: En studie om att finna hopp och mening då ens barn drabbas av cancer2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 307.
    Frostemark Pålsson, Jeanette
    et al.
    University of Skövde, School of Life Sciences.
    Heinum, Ann
    University of Skövde, School of Life Sciences.
    Att göra eller att vara i samtalet: Skolsköterskors erfarenhet av att kommunicera med skolelever2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to describe the school health nurses experience of talking with pupils during the health dialogue, and to achieve a deeper understanding of the communication between the nurse and the pupil. The data collection was made by interviewing ten school nurses. The method used was a quality content analysis with an inductive approach. During the analysis appears the theme: To act or to be, and four subthemes: To treat with respect, to make a room for communication, to be present and to use your experience during the health dialogue. Some of the school nurses describe how they used the method, Motivating Interview, to increase the possibility to in a god way, meeting the pupils. The school nurses declare how their reflection increases their knowledge and their skills, and this experience is used for the future. These findings relate to Rosemarie Rizzo Parses theory of human becoming, and were found to contribute an apprehension for the individual communication. The study increases the knowledge of the communication and how to make it possible during the health dialogue, to change the pupils’ way of living aiming at a better health.

  • 308.
    Geidemark, Camilla
    et al.
    University of Skövde, School of Health and Education.
    Ekelund, Anna-Karin
    University of Skövde, School of Health and Education.
    Ett arbete som berör och engagerar: Distriktssköterskors upplevelser av att möta flyktingar och asylsökande patienter inom primärvården2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of interactions with asylum seeking patients in primary care is growing due to the increasing flow of refugees to Sweden. These patients carry traumatic experiences and are stressed in their new situation which affects their mental health. There are difficulties in communication and these difficulties are affected by language barriers.  Knowledge of culture turns out to be important for those who interact with asylum seekers. There are no previous studies on how district nurses experience these encounters in primary care. Purpose: The purpose of this study was to describe district nurses' experiences of interacting with refugees and asylum seeking patients in primary care. Method: A qualitative method with inductive approach was used. Open semi-structured questions were used in interviews with eight nurses, seven of whom were district nurses. The interviews were recorded, transcribed and analyzed according to the qualitative method with inductive approach. Results: Three main themes emerged with six sub-themes. The main themes were Responding from a cultural perspective, Challenges in communication and Unpredictable encounters. The nurses in the study experience emotional encounters and communication is perceived as difficult. Participants describe cultural aspects that influence interactions with asylum seekers. Conclusion: The need for knowledge emerges as important to be able to respond to and understand asylum seekers. The authors consider this as important for the future, where a multicultural society is a fact

  • 309.
    Gentzel, Caroline
    et al.
    University of Skövde, School of Life Sciences.
    Peterson, Rebecca
    University of Skövde, School of Life Sciences.
    Sjuksköterskans information till hjärtinfarktspatienter för att förhindra oro och rädsla efter sjukhusvistelsen2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A major part of the Swedish population suffers from myocardial infarction. A wish in the study is to give nurses an increasing knowledge about what patients with myocardial infarction wish to be informed about so that the nurses can meet these patients as good as possible.

    The aim is to show what nurses need to inform heart patients about to prevent anxiety and fear after hospital care.

    The method used was literature reviews where seven articles were reviewed according to Polit, et. al., (2001). The databases used were Cinahl and ELIN.

    Results: There is a dissonance between what the patient and what the nurse is ranking to be the most important item to be informed about after a myocardial infarction. The patients prioritize information about symptoms and lifestylechanges. The nurses prefer that support in the community is the most important effort to inform about.

    Discussion: It has come to light what the patients want to have information about and what the nurses feel is important to inform about. It has not come to light if the information from the nurse reduces the patients anxiety and fear after their stay at the hospital.

    Conclusion: It is important that the patient get a chance to have an active role in the information process and as much as possible get involved in the decision making on what information to give.

  • 310.
    George, Christina
    et al.
    University of Skövde, School of Health and Education.
    Fransson, Josefine
    University of Skövde, School of Health and Education.
    Kvinnors upplevelser av att genomgå inducerad abort: En kvalitativ bloggstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Kvinnor har genomgått inducerad abort i alla tider över hela världen. Säkra aborter räddar liv och är en viktig del av den reproduktiva och sexuella hälsan. Trots att abortlagstiftningen i Sverige har blivit liberal med tiden finns det fortfarande attityder gentemot inducerad abort som gör det till ett tabubelagt och kontroversiellt ämne, både i Sverige och internationellt. Syfte: Att belysa svensktalande kvinnors upplevelser av att genomgå inducerad abort. Metod: En kvalitativ bloggstudie med induktiv ansats och analys av narratives. Nio bloggar med totalt 12 inlägg och 31 kommentarer inkluderades i studien. Resultat: Upplevelserna var varierande och resulterade i tre huvudteman; den emotionella aborten, den fysiska aborten samt stöd och bemötande. Dessa teman fick totalt sju subteman. Konklusion: Det finns en stor variation i kvinnors upplevelser av inducerad abort. Kvinnorna upplever känslor som sorg och skam samt lättnad och glädje. De beskriver såväl smärta som smärtfrihet och komplikationer såväl som komplikationsfrihet. De upplever att de får ett gott stöd och bemötande från både vårdpersonal och anhöriga samt brist på såväl information som stöd från vårdpersonal och anhöriga.

  • 311.
    Gertsson, Jessica
    et al.
    University of Skövde, School of Life Sciences.
    Klasson, Amanda
    University of Skövde, School of Life Sciences.
    Vad är god omvårdnad?: ur ett sjuksköterskeperspektiv på en ortopedavdelning – en intervjustudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Theories in nursing care has been described by several researchers. The profession is multidisciplinary. The major subject in the education for nurses is nursing care and other subjects in the profession can be biomedicine and public health. The academic subject nursing care is not bounded to the nurses’ profession. A common idea among the nurses is to see the profession as equal to the academic subject nursing care. Because of many perspectives, there is no clear definition that describes the essence of nursing care. Aim: The aim of this dissertation was to study how nurses´ describe good nursing care at an orthopaedic unit. Methods: The study was carried out in one orthopaedic unit in Sweden in 2008. Eight nurses’ took part in the study. A qualitative interview with was performed at the orthopaedic unit. Data were transcribed and analysed using qualitative content analysis. Findings: The nurses’ description of good nursing care was summarized in seven themes; pain management, a nurse responsibility, communication, joy, time, teamwork and ethical attitude. Conclusions: When the nurses´ described god nursing care they assumed from their tasks in the profession. They did not distinguished nursing care from the knowledge of subjects included in a nurse profession. Theories in nursing care and central concepts were not obvious for the nurses´. Although the parts of the core in nursing care has been described without relating to theories.

  • 312.
    Getaneh, Tigist
    University of Skövde, School of Life Sciences.
    Kvinnors upplevelse av att leva med bröstcancer: en litteraturbaserad studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common type of cancer among women not only in Sweden but worldwide. Somewhere between 15 to 20 women are diagnosed with this type of cancer each day. Being told that you have breast cancer usually results in confusion, anxiety and shock for the one who is ill as well as for those closely related to the affected women. Symptoms of the sickness and side effects of the various treatments have a major impact on women's self-esteem and health experience. Purpose: The purpose of this paper is to describe women's experience of living with breast cancer. Method: Qualitative methodology is used to understand and penetrate deeper into people's perception and experience of the disease. Two autobiographical books were selected to analyze. Results: The result is presented in one theme; Women’s experience of living with the sickness breast cancer and four categories;Receiving the diagnose, getting treatment, after the diagnose and to experience support, as well as nine sub-categories, thoughts and feelings about diagnose, denial of illness, anxiety and fear, anguish and suffering, physical changes, mental changes, the family, surroundings and others in the same situation and finally medical personnel. The results describe among other things women's emotional experience and what it means to live with breast cancer. Conclusions: For a breast cancer patient to receive the best possible care, it is of the greatest importance to be aware of the patient's individual experience and needs.

  • 313.
    Gewargis, Bibe
    et al.
    University of Skövde, School of Health and Education.
    Hassanov, Lina
    University of Skövde.
    Anhörigvårdares upplevelser av att vårda en närstående med demenssjukdom: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I takt med att medellivslängden stiger ökar även antalet personer med  demenssjukdom då det är en sjukdom som oftast drabbar personer av en högre ålder. Allt fler anhörigvårdare väljer att vårda personer med demenssjukdom i det egna hemmet eftersom dem känner ett ansvar för personen. Syfte: Att belysa anhörigvårdares upplevelser av att vårda närstående med demenssjukdom i det egna hemmet. Metod: En litteraturöversikt har genomförts där 12 vetenskapliga artiklar analyserats. Resultat: Det framkommer fyra teman: Behov av information och kunskap, Förändringar i det vardagliga livet, Betydelse av stöd, egentid och förståelse samt Förändrad relation. Konklusion: Resultatet i denna studie kan bidra till en ökad förståelse för anhörigvårdares upplevelser av situationen, vilket är betydande för att sjukvården skall kunna erbjuda anhörigvårdare av personer med demenssjukdom ett adekvat stöd. 

  • 314.
    Gillsjö, Catharina
    et al.
    University of Skövde, School of Life Sciences.
    Schwartz-Barcott, Donna
    College of Nursing, University of Rhode Island, USA.
    Bergh, Ingrid
    University of Skövde, School of Life Sciences.
    Learning to Endure Long-Term Musculoskeletal Pain in Daily Life at Home: A Qualitative Interview Study of the Older Adult’s Experience2013In: Gerontology & Geriatric Research, ISSN 2167-7182, Vol. 2, no 4, article id 1000136Article in journal (Refereed)
  • 315.
    Gillsjö, Catharina
    et al.
    University of Skövde, School of Life Sciences. College of Nursing, University of Rhode Island, USA.
    Schwartz-Barcott, Donna
    College of Nursing, University of Rhode Island, USA.
    Bergh, Ingrid
    University of Skövde, School of Life Sciences. College of Nursing, University of Rhode Island, USA.
    Learning to endure long-term musculoskeletal pain in daily life at home: The older adult's experienceManuscript (preprint) (Other academic)
  • 316.
    Glans, Elina
    et al.
    University of Skövde, School of Health and Education.
    Schnitzler, Mia
    University of Skövde, School of Health and Education.
    "Alkoholen var helig. Den var viktigare än mig.": Om barns upplevelser av att växa upp i familjer med alkoholmissbruk - en självbiografistudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Barn har laglig rätt att växa upp i en trygg miljö som främjar den personliga utvecklingen. Forskning visar ett samband mellan alkoholmissbruk och en bristande förmåga att skapa denna trygga miljö. Förståelse för barns upplevelse av att växa upp i hem med alkoholmissbruk är av värde för sjuksköterskan i mötet med dessa barn. Den sviktande föräldraförmågan påverkar barnets anknytning negativt. Barnen ligger i riskzonen för att i framtiden utveckla psykisk ohälsa och/eller substansmissbruk. Stöd från omgivningen och tidiga insatser är en essentiell del i arbetet med dessa barn. Tidiga insatser för att identifiera barn i riskzonen behövs. I detta arbete har skolsjuksköterskan genom sin unika inblick i barnens vardag en betydelsefull roll.

  • 317.
    Glass, Åsa
    University of Skövde, School of Health and Education.
    Att leva med Tourettes syndrom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Tourettes syndrom är en neuropsykiatrisk funktionsnedsättning som karaktäriseras av tics. Tics är ofrivilliga, återkommande ljud, rörelser och handlingar. Syndromet förekommer ofta tillsammans med andra diagnoser och kan orsaka ett stort lidande. Syfte: Studiens syfte är att beskriva människors upplevelse av att leva med Tourettes syndrom. Metod: Studien är en litteraturöversikt baserad på elva empiriska, vetenskapliga artiklar. Resultat: Resultatet delas in i fem teman. En del av identitetenbelyser att TS inverkar på identiteten och hur den utvecklas. Nedsatt livskvalitet tar upp att samsjukliga diagnoser och svårare tics ger ökad risk för ytterligare svårigheter och sänkt livskvalitet. Olika former av funktionsnedsättning framhäver att TS är en fysisk, psykisk och känslomässig nedsättning. Strategier för att hantera symtom beskriver strategier som att undertrycka, ignorera eller maskera tics i sociala sammanhang. Social interaktion visar att negativ respons från andra är vanligt samt att nära relationer är den viktigaste faktorn för att kunna må bra trots sin nedsättning. Slutsats: Upplevelsen av att leva med Tourettes syndrom är övervägande negativ. Syndromet inverkar på identitet, livskvalitet och relationer, vilket skapar lidande. Det påverkar även fysiska, psykiska och yrkesmässiga faktorer. Detta är viktig kunskap för sjuksköterskor inom olika vårdkontexter.

  • 318.
    Glimmerveen, Maj
    et al.
    University of Skövde, School of Health and Education.
    Jansson, Markus
    University of Skövde, School of Health and Education.
    En källa till nya möjligheter eller en källa till oro: Sjuksköterskors upplevelser av att närstående närvarar vid hjärt- och lungräddning på sjukhus - En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Ethical guidelines for cardiac arrest recommend that relatives should be given opportunity to be present during cardiopulmonary resuscitation, if they wish and aren’t a hindrance. Existing research shows that most relatives would attend and that their presence benefits both patient and relative. Despite this, nurse’s attitudes and opinions about present relatives during resuscitation remain fragmented. This places emphasis to merge this fragmented picture into an overall literature review containing nurse’s experiences of this practice. Based on this picture nurses could develop their professional care and help to strengthen people's health processes. Aim: To highlight nurse’s experiences of relatives being present during CPR in hospital. Method: A literature review, based on 14 scientific articles with both qualitative and quantitative approach. The result was compiled through a descriptive synthesis. Results: Is presented in two main themes with three subthemes each. A source of new opportunities illuminates nurse’s experiences of interpersonal relationship in which new perspectives and experiences of making a difference prevail. A source of concern illuminates nurse’s experiences of unwanted memories, aggravating factors and fear of sanctions. Conclusion: Nurses experience that when their experience grew, their concern dampened and it became a source of opportunities having relatives present.

  • 319.
    Green, Richard
    et al.
    University of Skövde, School of Health and Education.
    Zachau, Pernilla
    University of Skövde, School of Health and Education.
    Patienters upplevelser av att leva med hjärtsvikt: En kvalitativ litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is a common cause of hospitalization in Sweden. Patients need support from health care, current research shows that this support is lacking. The nurse needs more understanding of the patient's world of living in order to relieve his suffering.

    Purpose: The purpose is to illuminate patients' experiences of living with heart failure

    Method: The essay is a literature review where 15 qualitative articles with a patient perspective were analyzed

    Result: Patients experience emotional disorder derived from their symptoms, their meetings with care and their social context. They find hope and meaning in their faith, with their close relatives and in good care. Patients experience that acceptance of their limitations and an adjustment subsequently leads to health.

    Conclusion: The entire life of the patient is affected by heart failure, this requires the nurse to keep in mind and respond to when treating the patients. Heart failure patients need to experience continuity and understanding from the healthcare. Understanding should not only be limited to the patient's symptoms but also the patients need for spirituality. This can be addressed by the nurse being open to having existential conversations with the patient, or by referring to a hospital or similar profession.

  • 320.
    Gripenbert, Stina
    et al.
    University of Skövde, School of Life Sciences.
    Gustavsson, Caroline
    University of Skövde, School of Life Sciences.
    Det vårdande kommunikativa mötet i demensvården: En intervjustudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The disease of dementia is characterizes by losses of intellectual and emotional abilities. At a later stage of dementia, a disability develops of both verbal and non-verbal communication. The aim of this study is to analyse and describe the communicative encounter between the caregivers and an older patient suffering from dementia. In this study a qualitative method was used and nine caregivers were interviewed. The interviews were transcribed and analysed with a method of analysis made by Kvale (1997). Three major themes were found in the result, which are: (i) contents of the communicative encounter, (ii) problems in the communicative encounter and (iii) giving support for health in the communicative encounter. The result of this study shows that body language is most frequently occurring than verbal language in the care of patients suffering from dementia. Another important aspect of the communicative encounter is to meet the lifeworld of the patients suffering from dementia.

  • 321.
    Guldbrand, Anna
    et al.
    University of Skövde, School of Health and Education.
    Dagobert, Annelie
    University of Skövde, School of Health and Education.
    Unga kvinnors upplevelser av att leva med bröstcancer: - En narrativ studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: 9000 women is diagnosed with breast cancer every year. Only 4 % are 40 years and younger. Previous research is focused on women older than 40 years. Lifechanges can be seen in many levels when women is diagnosed with breast cancer. The need for support is experienced as great. Purpose: The aim of this study is to describe young women’s experiences of living with breast cancer. Method: This study has a qualitative approach and a patient’s perspective. Analysis of narratives, in form of blogs, is used as analytic method. Data consists of seven blogs published online. Result: The main themes that emerged was; A life in change, a body in change and meetings with the health care. Further, these were divided into sub-topics. Conclusion: The experience of living with breast cancer is highly individual. However, some main areas can be identified as common to the women. The study provides insight into what young women with breast cancer experience in everyday life. Through in-depht understandning of the individual’s experience, healthcare can develop strategies to meet and support the individual needs expressed by the patient.

  • 322.
    Gullberg, Alexandra
    et al.
    University of Skövde, School of Life Sciences.
    Rickardsson, Albert
    University of Skövde, School of Life Sciences.
    Barn och ungdomars upplevelser av att leva med övervikt eller fetma: En systematisk litteraturöversikt2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity among children and adolescents is a major problem around the world. Various programs to help these individuals are both within schools and clinics. The school nurse has a natural entrance to these problems when the profession exceeds all pupils who attend a school for the length and growth controls. To be better prepared for these meetings it´s important to gain insight into how children and young people themselves feel about their obesity.

    Aim: The aim of this literature review was to systematically analyze and summarize literature to illuminate the children and young people's experiences of living with overweight or obesity.

    Methods: Seven articles were selected through searches in different databases. All the articles were based on interview studies with children and adolescents aged 8-20 years. The articles were analyzed with meta-synthesis.

    Results: The results revealed that children and adolescents who are overweight or obese perceived their situation negatively. Some negative experiences were bullying and feelings of alienation. Discontent over his body and impaired self-esteem were other negative experiences that emerged.

    Conclusion: Children and young people feel bad and exposed because of their overweight or obese. They feel bullied, exposed and experience a deterioration in self-esteem.

  • 323.
    Gunnar, Ulrika
    et al.
    University of Skövde, School of Life Sciences.
    Lindman, Sahra
    University of Skövde, School of Life Sciences.
    Att leva med venösa bensår: en kvalitativ intervjustudie om patienters upplevelser2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Approximately 50 000 people in Sweden are suffering from leg ulcers which is defined as "wounds on the legs and/or foot below the knee, which is not healed in 6 weeks", about half of them are venous leg ulcers. Most people who suffer from leg ulcers are 65 years or older. The purpose of this study was to describe patients' experiences of living with venous leg ulcers. The study is based on a qualitative method with an inductive approach. Data were collected through interviews from six patients and analyzed with help of content analyzing. The results are based on two different categories: limited and restricted life, and desire to be seen. These categories formed the theme; to be whole but still not. Based on this study, staff who care for and treat leg ulcer patients can increase knowledge about how patients feel it is to live with venous leg ulcers. Given this, it would be desirable that there are effective and well-structured care practices designed to achieve holistic healthcare and treatment of patients with leg ulcers.

  • 324.
    Gustafson, Elisabeth
    et al.
    University of Skövde, School of Health and Education.
    Lyreborg, Anna-Karin
    University of Skövde, School of Health and Education.
    Det är som att åka berg och dalbana: Patientens erfarenheter av den palliativa vården2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 325.
    Gustafsson, Anna
    University of Skövde, School of Health and Education.
    Betydelsen av god munvård på äldre personer2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A good oral health play an important roll in older people´s quality of life andwellbeing. Oral health affects how the individual speaks and eats, it is also important for theindividual´s self-esteem. It is therefore important that the caregivers involve a good oralhealth in nursing practice for elderly. Purpose: The purpose of this study was to describe theconsequences of a poor oral health in elderly people to increase knowledge among nursesand other health professionals Method: This study was a literature based study, in witchnine quantitative articles was analyzed. Results: The analysis of the articles resulted in across-cutting theme and three categories. The overarching theme is: The risks of poor oralhealth. The three categories are: The risk of malnutrition, the risk of suffering fromcardiovascular disease and the risk of respiratory illness. The results show that poor oralhealth that leads to periodontal disease increases the risks of developing complications suchas cardiovascular disease or pneumonia. Conclusion: An improved and expandedinformation and education to personnel treating the elderly is necessary so that theknowledge about good dental care is improved. It also requires more research in this area,since oral health is an important part of human well-being.

  • 326.
    Gustafsson, Emilia
    et al.
    University of Skövde, School of Health and Education.
    Engholm, Sara
    University of Skövde, School of Health and Education.
    Personers erfarenheter av att leva med hiv: En kvalitativ innehållsanalys av självbiografier2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hiv är en utbredd infektion och flera miljoner blir smittade varje år. Stigmatisering kring infektionen finns fortfarande kvar. Hälsa definieras som mer än frånvaro av sjukdom och lidande behöver inte vara fysisk. Syfte: Syftet med studien var att beskriva personers erfarenheter av att leva med hiv. Metod: En kvalitativ innehållsanalys baserad på sex självbiografier. Resultat: Fyra huvudteman framkom då analysprocessen genomfördes: svårt att förlika sig, behov av stöd, fördomarna tog stor plats i livet och behov av kontroll. Diskussion: Det är viktigt att sprida korrekt kunskap om hiv för att stigmatisering och fördomar av infektionen ska minska. Det är stigmatiseringen som skapar känslor av skam och isolering hos hivpositiva. Slutsats: Stigmatiseringen kring infektionen och rädslan att utveckla aids skapar mest ångest hos personer som lever med hiv. Dessa personer känner även en rädsla för att bli lämnade ensamma på grund av sin infektion. De upplever ett starkt behov av att få stöd.

  • 327.
    Gustafsson, Johanna
    et al.
    University of Skövde, School of Health and Education. Flickan94@hotmail.se.
    Karlsson, Karolina
    University of Skövde, School of Health and Education. karolina.k9006@gmail.com.
    Sjuksköterskors upplevelser av pediatrisk palliativ vård och vård vid livets slut: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care for children is a special nursing area and the nurse strongly affects how the child and family experiences palliative care.Palliative care for children is special because the child's parents are often much more actively involved in nursing care than families of adults who are receiving palliative care. For the nurse to provide the best possible care for grieving parents they need excellent skills in communication and knowledge of an appropriate intervention in care at end of life.

    Aim: Nurses' experience of pediatric palliative care and care at end of life.

    Method: The method chosen to answer the purpose of this study is a literature review of scientific articles that have a qualitative perspective.

    Findings: Six themes in the result were revealed; Care process that arouses emotions, Problems with communication and support in health care, Emotions influence in relation to the child and family,When conflicts interfere caring, Feelings of being inadequate and To see the positive in the difficult.

    Conclusion: Nurses need support on many different levels in order to conduct a good palliative care for children. It is important that they receive support from colleagues and the organization and that they have a good knowledge. 

  • 328.
    Gustafsson, Lisa
    et al.
    University of Skövde, School of Health and Education.
    Olofsson, Anine
    University of Skövde, School of Health and Education.
    Följsamhet av basala hygienrutiner på operationssal2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Verksamheter som innefattas av Hälso- och sjukvårdslagen ska följa föreskriften om basal hygien i vård och omsorg vilket är det mest grundläggande åtgärden för att förebygga vårdrelaterade infektioner. Årligen drabbas 65 000 människor av vårdrelaterade infektioner som leder till stora kostnader för samhället och patienter utsätts för onödigt lidande. För att förhindra uppkomsten av vårdrelaterade infektioner har samtliga på en operationssal ett gemensamt ansvar att försöka förhindra det. Syfte: Syftet är att undersöka vårdpersonalens följsamhet av basala hygienrutiner på operationssal. Metod: En strukturerad deskriptiv observation med kvantitativ ansats. Studien omfattade 22 observationstillfällen på två sjukhus i Västra Götaland. Resultat: Resultatet visar att majoriteten av anestesisjuksköterskorna och pass använde engångsförkläde. Majoriteten av operationssjuksköterskorna förhöll sig till hygienrutinerna vid klädseln av den sterila delen av operationen. Följsamheten till hygienrutinerna uppnåddes vidare i varierande grad. Under observationerna öppnades dörrarna totalt 393 gånger och 149 människor har befunnit sig på operationen. Konklusion: Studien visar att det finns brister vad gäller följsamheten av hygienrutiner. Det är viktigt att uppmärksamma för att kunna planera förbättringsarbete på de avdelningar observationerna ägt rum. Konsekvenserna blir både ekonomiska märkbara och patienten blir utsatt för ett vårdlidande. Därför är det viktigt att på en operationsavdelning jobba på ett systematiskt sätt för att förbättra rutinerna kring hygien.

  • 329.
    Gustafsson, Margareta
    et al.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Kullén Engström, Agneta
    School of Health, University of Borås, Sweden.
    Ohlsson, Ulla
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Sundler, Annelie Johansson
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. School of Health, Care and Social Welfare, Mälardalens University, Västerås, Sweden.
    Bisholt, Birgitta
    Department of Nursing, Karlstad University, Karlstad, Sweden.
    Nurse teacher models in clinical education from the perspective of student nurses: A mixed method study2015In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 35, no 12, p. 1289-1294Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES:

    The aim was to describe and compare the clinical teacher's role in different models of clinical practice from the perspective of student nurses.

    DESIGN AND SETTINGS:

    The study took place in collaboration with two Swedish universities that applied different educational models in clinical practice. A mixed method approach was used. The quantitative part had a comparative design and the qualitative part had a descriptive design.

    PARTICIPANTS:

    The study group consisted of 114 student nurses (response rate 87%). Fifty-three of them had met clinical teachers employed at the university and not participating in the daily clinical work (University Nurse Teachers, UNTs), whilst 61 had met clinical teachers dividing their time between teaching and nursing (Clinical Nurse Teachers, CNTs). Eight students participated in the qualitative part of the study.

    METHODS:

    A questionnaire including the CLES+T scale was used to ascertain the students' perception of the clinical teacher's role, complemented by interviews directed towards an enrichment of this perception.

    RESULTS:

    Students meeting CNTs agreed more strongly than those meeting UNTs that the teacher had the ability to help them integrate theory and practice. Whilst spontaneous meetings between students and CNTs occurred, students mostly met UNTs in seminars. Students meeting UNTs felt alone but did appreciate having someone outside the clinical environment to provide support if they did not get along with their preceptor.

    CONCLUSIONS:

    In the case of UNTs, it is important that they keep their knowledge of clinical issues updated and visit the clinical placement not only for seminars but also to give students emotional support. In the case of CNTs, it is important that they are members of the faculty at the university, take part in the planning of the clinical courses and are able to explain the learning goals to the students.

  • 330.
    Gustavell, Tina
    et al.
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden / Karolinska University Hospital, Gastrocentrum, Stockholm, Sweden.
    Sundberg, Kay
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden.
    Frank, Catharina
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden.
    Wengström, Yvonne
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden / Karolinska University Hospital, Breast and Sarcoma Unit, Radiumhemmet, Stockholm, Sweden.
    Browall, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden.
    Segersvärd, Ralf
    Karolinska University Hospital, Gastrocentrum, Stockholm, Sweden / Karolinska Institutet, Department of Clinical Science, Intervention and Technology, Division of Surgery, Stockholm, Sweden.
    Langius-Eklöf, Ann
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Nursing, Stockholm, Sweden.
    Symptoms and self-care following pancreaticoduodenectomy: Perspectives from patients and healthcare professionals - Foundation for an interactive ICT application2017In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 26, p. 36-41Article in journal (Refereed)
    Abstract [en]

    PurposePoor prognosis and a problematic recovery period after pancreaticoduodenectomy means that patients may benefit from early detection of symptoms and support for self-management. Interactive Information and Communication Technology tools can be used for this purpose, but the content needs to be relevant to patients as well as healthcare professionals. To facilitate development of the content of an application for this purpose, the aim of this study was to explore common symptoms and self-care in the first six months after pancreaticoduodenectomy, as identified by patients and healthcare professionals.

    MethodData were collected through individual interviews with patients (n = 14), along with two focus group interviews and one individual interview with healthcare professionals (n = 10). Data were analysed using qualitative content analysis.

    ResultsCommon symptoms after surgery were those related to eating, bowel function and emotional wellbeing, along with fatigue and pain. Some self-care activities and advice were mentioned in the interviews. The patients often experienced a lack of advice on self-care at discharge.

    ConclusionsThe results render knowledge of the symptoms it is important to be aware of and to assess regularly after pancreaticoduodenectomy. The results also contribute to knowledge about specific self-care related to these symptoms, even though it was not extensively described, and further research is needed to define evidence-based self-care advice.

  • 331.
    Gustavsson, Carina
    et al.
    University of Skövde, School of Health and Education.
    Hult, Karin
    University of Skövde, School of Health and Education.
    Jag ska klara mig när jag kommer hem också: Patientens delaktighet vid  vård och omsorgsplanering2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When the waiting periods in health care are shortened, there is need for a coordinated healthcare plan to make the patient and family feel safe and secure at discharge. A good plan where all concerned feel involved decreases the patient and families anxieties. Aim: The aim of this study was to describe how the patient and related experience their participation in a coordinated healthcare plan. Method: The study is a literary survey based on both qualitative and quantitative articles. Results:  Three main theme emerged, Dialogue that promotes participation, Convey health problems and participate in their planning of continuing care and Experiencing involvement in transfer to another health care provider. The result show that communication where very important to feel participation, an area where there is potential for development and is in line with person-centered care. By choosing different work methods than are used today the possibility for increased participation is given. Conclusion: The experience of participation are strongly connected with the patients feelings of being informed and that he or she is perceived as an expert of his or her own condition. The patient and family felt informed and knowledgeable when there was a good interaction between them and the health personnel.

  • 332.
    Gustavsson, Cecilia
    et al.
    University of Skövde, School of Life Sciences.
    Rehmberg, Maria
    University of Skövde, School of Life Sciences.
    Anhörigas upplevelse av att vårda personer med demenssjukdom2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The number of people with dementia is increasing whilst the population gets older.  A great part of the care is provided by relatives. In order to support family caregivers’ nurses are required to obtain knowledge about how relatives perceive their situation. The purpose of this study was to describe the experience of relatives providing care for persons with dementia. To answer the purpose a literature study was made where 12 qualitative articles were analyzed.  Findings illustrates seven themes: The experience of stress, difficulties and inadequacy, The experience of grief and loss, The experience of changing relationships and roles, The experience of obligation, The experience of wellbeing, The experience of support, and finally The experience of coping and making sense of the situation. The result of this study could contribute to an increased understanding of how family caregiver’s experience their situation. This is required in order to offer relatives who provide care for a person with dementia an adequate support.

  • 333.
    Gustavsson, Emmelie
    et al.
    University of Skövde, School of Health and Education.
    Persson, Sara
    University of Skövde, School of Health and Education.
    Att vårda palliativt: Sjuksköterskans upplevelse2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nursing is about upholding patient health despite illness and not least when it comes to palliative care. For the nurse, palliative care intend to improve quality of life and prevent and relieve suffering, which in turn can lead to increased well-being and a feeling of health even though the patient is in the end of life. The nurse can use “the 6S” care model, which aims to make the patient involved in the palliative care, focusing on the patient’s perspective.

    Aim: The purpose of this study is to describe the nurse’s experience of palliative care in the end of life.

    Method: The selected method is a literature review with a content analysis of nine qualitative scientific articles.

    Results: The results show that the nurse feels a need to be present and to be there for the patient. For the nurse, palliative care generates emotions and thoughts, which can be both positive and negative. The nurse experiences a lack in knowledge and clinical experience, which is an obstacle in achieving good palliative care.

    Conclusion: The nurse felt that insufficient knowledge combined with few clinical experiences of palliative care made the nurse feel insufficient and unable to cope with arisen emotions. 

  • 334.
    Gustavsson, Jennie
    et al.
    University of Skövde, School of Health and Education.
    Nilsson, Stina
    University of Skövde, School of Health and Education.
    Upplevelsen av transition hos patienter med amyotrofisk lateralskleros: En kvalitativ studie av självbiografier2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Amyotrophic lateral sclerosis [ALS] is a progressive motor neuron disease which neurons atrophies and dies, eventually leading to a paralysis of all voluntary muscles. In sweden 220-250 people get the diagnosis each year and it mainly affect people between ages 45-75. There's not yet been invented a cure and the survival time after diagnosis is usually between 20-48 months. Aim: The aim is to study patients’, with the disease ALS, experiences of transition. Method: A qualitative study, with a deductive approach, focused on studying autobiographies written by people with ALS. Results: Experiences of transition were evident during the process of the disease. Early the insight came that they will die, which created a lot of emotions and reflections about that things would be experienced for the last time. Several struggled with thoughts about death, accepting why they got the diagnosis and having to receive help. With a positive approach, the situation and losses became more manageable. Conclusion: Each person in the study had similar experiences, but managed changes in different ways. In order to perform a good care, it’s important as a nurse to work person-centered and consider that all individuals are different and have different needs of support.

  • 335.
    Gustavsson, Louise
    et al.
    University of Skövde, School of Health and Education.
    Hellmér, Sofia
    University of Skövde, School of Health and Education.
    Att få leva, inte bara överleva: En analys av bloggar om unga vuxnas upplevelser av att leva med en inflammatorisk tarmsjukdom2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Inflammatory Bowel Diseases (IBD) are a term for both Ulcerative colitis and Crohn's disease. These diseases are chronic and come in flares, which means a temporary deterioration in the course of the disease. The nurse's role in nursing people with chronic diseases is to listen, see the patient and not the disease, and to try to achieve and promote health. Aim: To illuminate young adult people's experiences of living with an inflammatory bowel disease. Method: The thesis is a qualitative method where data have been collected via blogs. 14 blogs have been the source of the narrative analysis. Result: Presented via categories and subcategories. Describes young people's experiences of suffering from a chronic bowel disease. They described difficulties in getting the right diagnosis which contributed to a deterioration in quality of life. The diseases caused social constraints due to the symptoms that arose. Conclusion: With increased knowledge from nurses and the society, it can contribute to improved quality of life and make these individuals dare to open and feel less lonely in their illness. Nurses have a responsibility to support patients in their health process. In consultation with the patient and the relative, nurses should perform care based on their needs. By paying attention to their experiences, nurses will get a better insight and understanding into how it is to live with IBD.

  • 336.
    Gustavsson, Susanne
    University of Skövde, School of Life Sciences.
    Från avvikelse till förbättring: innehåll i registrerade patientavvikelser2009Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    I den svenska vården drabbas uppskattningsvis var tionde patient av en vårdskada, det vill säga en undvikbar skada direkt orsakad av vården (Socialstyrelsen, 2008; Ödegård, 2007). Vårdskador ska registreras som avvikelser som sedan ska analyseras för att finna orsak och ligga till grund för förbättringsarbete (Socialstyrelsen, 2008). Syftet med studien är att beskriva innehållet i de patientavvikelser som registrerats av personal på sjukhus. Innehållet beskrivs avseende vilka händelser som registrerats och vårdpersonalens beskrivningar av händelseförloppet. Studien innehåller både kvalitativa och kvantitativa delar. Den kvalitativa delen genomfördes med innehållsanalys enligt Graneheim och Lundman (2004). Den kvantitativa delen redovisas med hjälp av deskriptiv statistik. Resultatet av studien visar att de flesta avvikelser berör Organisation/regler/resurser, Vård och behandling samt Halk/fall. Patienter i åldern 70-90 år drabbas i störst utsträckning. Händelseförloppet är ofta detaljerat beskrivet. Personal är däremot mindre benägen att skriva vad de anser vara orsak till det inträffade, samt bidra med förbättringsförslag. Teman som kom ur den kvalitativa analysen var: ”Det blir arbetsamt när andra gör fel”, ”Att vara nära men inte inpå” och ”Att lindra lidande”.

  • 337.
    Gustavsson, Susanne
    et al.
    Department of Education and Special Education, University of Gothenburg, Göteborg, Sweden.
    Andersén, Annelie
    Department of Educational Studies, Karlstad University, Karlstad, Sweden.
    Berglund, Mia
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    To challenge and to be challenged – teachers collective learning in higher education2019In: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 20, no 3, p. 339-354Article in journal (Refereed)
    Abstract [en]

    Critical analyzing and reflective competence are essential objectives in all higher education. In academic professional education, it is a challenge for the teacher to support and develop the student´s critical reflection of both academic and placement studies. The aim of this study is to identify the characteristics of the teacher role and the challenges of the reflective seminar within higher education. Data were gathered through group interviews and analyzed with a phenomenological hermeneutic approach. The result shows four themes; the experience of control and uncertainty, building trust and challenging ideas, the alternation between closeness and distance, and the parallel processes of supervising learning and being in a learning state. One conclusion is that the seminar teaching practice stimulates a collegial learning environment. This practice promotes the teachers pedagogical and didactical competence and an open attitude to each other´s teaching practice.

  • 338.
    Görander, Camilla
    et al.
    University of Skövde, School of Health and Education.
    Nilsson, Ann-Catrin
    University of Skövde, School of Health and Education.
    Samtal med patienter som får palliativ vård i hemmet: En kvalitativ intervjustudie ur distriktssköterskeperspektiv2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Several studies focus on the communication between nurses and the patients who received palliative care but not on the conversations as such. It is common for severely ill patients to be cared for at home, which calls for high requirements on the district nurse's skills. The purpose of this study was to explore how district nurses experienced conversations with patients who received palliative care within home care services. The conversations are investigated to achieve in-depth knowledge of the phenomenon. Eight district nurses from two municipalities in the middle of Sweden participated. A qualitative content analysis with inductive design was chosen to answer the purpose of the study. The analysis resulted in three main categories and seven subcategories. The main categories were named; Responsiveness in the conversations, Aspects affecting the conversations, Aspects leading to meaningful conversations. After processing, the analysis finally led to the latent underlying meaning in the interview texts thus eventually becoming a theme; Intuition as a skill. District nurses did not experience the conversations as difficult, and often the conversations were meaningful and rewarding. The conclusion was that district nurses who developed medical knowledge and had longer work experience used intuition as skill to a greater extent.

     

  • 339.
    Göransson, Carina
    et al.
    Halmstad University, Sweden / Örebro University, Sweden.
    Eriksson, Irene
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ziegert, Kristina
    Halmstad University, Sweden.
    Wengström, Yvonne
    Karolinska University Hospital, Stockholm, Sweden / Karolinska Institutet, Stockholm, Sweden.
    Langius-Eklöf, Ann
    Karolinska Institutet, Stockholm, Sweden.
    Brovall, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Kihlgren, Annica
    Örebro University, Sweden.
    Blomberg, Karin
    Örebro University, Sweden.
    Testing an app for reporting health concerns-Experiences from older people and home care nurses2018In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 2, article id e12181Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To explore the experiences of using an app among older people with home-based health care and their nurses.

    BACKGROUND: Few information and communication technology innovations have been developed and tested for older people with chronic conditions living at home with home-based health care support. Innovative ways to support older people's health and self-care are needed.

    DESIGN: Explorative qualitative design.

    METHODS: For 3 months to report health concerns, older people receiving home-based health care used an interactive app, which included direct access to self-care advice, graphs and a risk assessment model that sends alerts to nurses for rapid management. Interviews with older people (n = 17) and focus group discussions with home care nurses (n = 12) were conducted and analysed using thematic analysis.

    RESULTS: The findings reveal that a process occurs. Using the app, the older people participated in their care, and the app enabled learning and a new way of communication. The interaction gave a sense of security and increased self-confidence among older people. The home care nurses viewed the alerts as appropriate for the management of health concerns. However, all participants experienced challenges in using new technology and had suggestions for improvement.

    CONCLUSIONS: The use of an app appears to increase the older people's participation in their health care and offers them an opportunity to be an active partner in their care. The app as a new way to interact with home care nurses increased the feeling of security. The older people were motivated to learn to use the app and described potential use for it in the future.

    IMPLICATIONS FOR PRACTICE: The use of an app should be considered as a useful information and communication technology innovation that can improve communication and accessibility for older people with home-based health care.

  • 340.
    Göransson, Carina
    et al.
    School of Health and Welfare, Halmstad University, Halmstad, Sweden / Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Wengström, Yvonne
    Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Stockholm, Sweden.
    Ziegert, Kristina
    School of Health and Welfare, Halmstad University, Halmstad, Sweden.
    Langius-Eklöf, Ann
    Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institutet, Stockholm, Sweden.
    Eriksson, Irene
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Kihlgren, Annica
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Blomberg, Karin
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
    Perspectives of health and self-care among older persons-To be implemented in an interactive information and communication technology-platform2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 4745-4755Article in journal (Refereed)
    Abstract [en]

    AIM AND OBJECTIVES: To acquire knowledge regarding the contents to be implemented in an interactive information and communication technology-platform perceived to be relevant to health and self-care among older persons based on the literature, healthcare professionals and the older persons themselves.

    BACKGROUND: The growing ageing population places demands on the healthcare system to promote healthy ageing and to strengthen the older person's self-care ability. This requires innovative approaches to facilitate communication between the older person and healthcare professionals, and to increase the older person's participation in their care. An information and communication technology-platform could be used for this purpose, but the content needs to be relevant to both the older persons and the healthcare professionals.

    DESIGN: Descriptive qualitative design.

    METHODS: This study was based on three samplings: a scoping review of the literature (n = 20 articles), interviews with healthcare professionals (n = 5) and a secondary analysis of interviews with older persons (n = 8) and nursing assistants (n = 7). The data were analysed using qualitative content analysis.

    RESULTS: Four areas were identified to be of relevance to older persons' perceived health: frame of mind, having relationships and social activities, physical ability and concerns, and maintaining self-care. Self-care was described in the literature and by the healthcare professionals more than by the older persons.

    CONCLUSIONS: The results show a concordance in the data samplings that give a clear indication of the areas relevant to older persons' health and self-care that can be integrated in an interactive information and communication technology-platform for use in regular daily care assessments. Descriptions of self-care were limited indicating a possible gap in knowledge that requires further research.

    RELEVANCE TO CLINICAL PRACTICE: Areas relevant to older persons' health and self-care could be used for regular assessment to support and promote healthy ageing.

  • 341.
    Göransson, Helena
    et al.
    University of Skövde, School of Life Sciences.
    Källström, Caroline
    University of Skövde, School of Life Sciences.
    Äldre patienters upplevelser av sjuksköterskans beröring2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    When a person gets older their verbal communication becomes poor and the use of touch becomes an important way to communicate. The purpose of this literature review was to identify which factors that has a meaning of how older patients experience touch. Touch has different dimensions, such as instrumental and affective or expressive. Older patients’ experiences instrumental touch as necessary but affective as something spontaneous. Results show that the gender and age of the nurse influence older patients’ perception of touch. Both female and male patients prefer a female nurse. There are safe zones and unsafe zones that can be touched. The safe zones are hands, shoulders and lower legs. The unsafe zones are intimate parts of the body. Gentle massage has positive effects in older patients’ for example giving them improved sleep, less pain and anxiety. The older patients experiences both positive and negative feelings when they were touched by a nurse. When the nurse showed competence and was sensitive they felt well-being, in opposite way when the nurse was stressed or rough they felt pain and became worried.

  • 342.
    Göransson, Minett
    et al.
    University of Skövde, School of Health and Education.
    Nordstrand, Cecilia
    University of Skövde, School of Health and Education.
    Skolsköterskors upplevelser av hälsofrämjande och förebyggande arbete i relation till antal elever: En kvalitativ fokusgruppsstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In the 1990’s the Swedish Association of School nurses released a recommendation for a maximum of 400 students per full-time school nurse. Since then a new School Law (2010:800) has been adopted which regulates the school nurse's assignments and includes a basic program with health visits and vaccinations. The assignment also includes that school nurses should work on health promotion and prevention based on pupils' life world.

    Aim: Illuminate school nurses' experiences of working on health promotion and prevention with a student number that exceeds the recommendation of a maximum of 400 students per full-time school nurse.

    Method: The study was conducted with a qualitative method. Three focus group discussions with a total of 11 participating school nurses were conducted in southern Sweden. Qualitative content analysis was used to analyze data.

    Results: The analysis of the data material resulted in four categories: Lack of time entails prioritizing tasks, High workload due to various factors, Health promotion and preventive work at group level, and the Recommendation in relation to school nurses 'workload and pupils' health.

    Conclusion: The desire and ambition to work for health promotion and prevention is found in school nurses, but due to lack of time, this work is not given priority. In order to give school nurses the opportunity to work according to the School Law (2010:800) the number of students and also the recommendation need to be reviewed.

  • 343.
    Götvall, Johanna
    et al.
    University of Skövde, School of Health and Education.
    Högman, Therese
    University of Skövde, School of Health and Education.
    Att leva i ett helvete: Individers upplevelse av Bulimia Nervosa2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 344.
    Hafskjold, Linda
    et al.
    Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway.
    Sundler, Annelie Johansson
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    Holmström, Inger K.
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden / Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Sundling, Vibeke
    Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway.
    van Dulmen, Sandra
    Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway / NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands / Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
    Eide, Hilde
    Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway.
    A cross-sectional study on person-centred communication in the care of older people: The COMHOME study protocol2015In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 5, no 4, article id e007864Article in journal (Refereed)
    Abstract [en]

    Introduction: This paper presents an international cross-sectional study on person-centred communication with older people receiving healthcare (COMHOME). Person-centred care relies on effective communication, but few studies have explored this with a specific focus on older people. The main aim of the COMHOME study is to generate knowledge on person-centred communication with older people (>65 years) in home healthcare services, radiographic and optometric practice. Methods and analysis: This study will explore the communication between care providers and older persons in home care services. Home healthcare visits will be audiorecorded (n=500) in Norway, the Netherlands and Sweden. Analyses will be performed with the Verona Coding Definitions for Emotional Sequences (VR-CoDES), the Roter Interaction Analysis System (RIAS) and qualitative methods. The content of the communication, communicative challenging situations as well as empathy, power distance, decision-making, preservation of dignity and respect will be explored. In Norway, an additional 100 encounters, 50 in optometric practice (video recorded) and 50 in radiographic practice (audiorecorded), will be analysed. Furthermore, healthcare providers' self-reported communication skills, empathy, mindfulness and emotional intelligence in relation to observed person-centred communication skills will be assessed using well-established standardised instruments. Ethics and dissemination: Depending on national legislation, approval of either the central ethical committees (eg, nation or university), the national data protection officials or the local ethical committees (eg, units of home healthcare) was obtained. Study findings will be disseminated widely through peer-reviewed publications and conference presentations. The research findings will add knowledge to improve services provided to this vulnerable group of patients. Additionally, the findings will underpin a training programme for healthcare students and care providers focusing on communication with older people. © 2015, BMJ Publishing Group. All rights reserved

  • 345.
    Hafström, Anna
    et al.
    University of Skövde, School of Health and Education.
    Halmearo, Carina
    University of Skövde, School of Health and Education.
    Skolsköterskans erfarenhet av att arbeta med elever som har sammanhängande frånvaro2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: More and more students are wholly or partially absent without valid reasons from the schools teaching even though there is compulsory attendance. There are many factors that affect a student being absent, these can be categorized into psychological, social/family and educational. Student health should be part in the efforts to promote attendance, where students in need of support can be identified early. The school nurse holds the knowledge of health, health problems and mental illness and know how to integrate this into the work and working as a link between the students, parents, school and external contacts.

    Aim: The aim of this study was to examine school nurses experience of working with students who have coherent absence

    Method: A qualitative research method was used for this study. Ten school nurses were interviewed using e-mail surveys which have been analyzed using qualitative content analysis.

    Results: The study resulted in three main categories: School nurses get notice about students with absence, School nurses work with absent student and to cooperate.

    Conclusion: School nurses work with absent students is done through cooperation with other professions following the current routines and plans for action. School nurses are not directly involved with these students but school nurses frequently work as the collaborative link when contacting other professionals internal and external due to these students.

  • 346.
    Hagelin, Carina Lundh
    et al.
    Sophiahemmet University, Stockholm, Sweden / Stockholms Sjukhem Foundation, Stockholm, Sweden / Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
    Melin-Johansson, Christina
    Department of Nursing, Mid Sweden University, Östersund, Sweden / Institute of Caring Sciences and Health, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Henoch, Ingela
    Institute of Caring Sciences and Health, The Sahlgrenska Academy, University of Gothenburg, Sweden / Angered's Local Hospital, Gothenburg, Sweden.
    Bergh, Ingrid
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ek, Kristina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Hammarlund, Kina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Prahl, Charlotte
    Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden.
    Strang, Susann
    Institute of Caring Sciences and Health, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Westin, Lars
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Österlind, Jane
    Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden.
    Browall, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Factors influencing attitude toward care of dying patients in first-year nursing students2016In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 22, no 1, p. 28-36Article in journal (Refereed)
    Abstract [en]

    AIM: To describe Swedish first-year undergraduate nursing students' attitudes toward care of dying patients. Possible influences such as age, earlier care experiences, care education, experiences of meeting dying patients and place of birth were investigated.

    METHOD: The Frommelt Attitude Toward Care of the Dying Scale (FATCOD) was used in six universities. Descriptive statistics and regression analysis were used.

    RESULTS: Some 371 students (67.3%) reported overall positive attitude toward caring for dying patients (total mean FATCOD 119.5, SD 10.6) early in their first semester. Older students, students with both earlier care experience and earlier education, those with experience of meeting a dying person, and students born in Sweden reported the highest scores, a more positive attitude.

    CONCLUSION: Age, earlier care experience and education, experiences of meeting a dying person and place of birth seems to affect students' attitudes toward care of the dying and need to be considered among nursing educators.

  • 347.
    Haij, Sofia
    University of Skövde, School of Life Sciences.
    Kvinnors upplevelse av perinatal psykisk ohälsa: en systematisk litteraturstudie2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Perinatal  psykisk  ohälsa  (psykisk  ohälsa  under  graviditet  eller  efter  förlossning)  drabbar kvinnor under en känslig period i livet. Forskning har tidigare fokuserat mer på psykisk ohälsa efter förlossning, men det är nu känt att psykisk ohälsa är vanligt även under graviditeten. För att kunna hjälpa kvinnor med perinatal psykisk ohälsa och stödja dem i föräldrarollen behöver barnmorskor  kunskap  om  hur  kvinnor  upplever  fenomenet.  Syftet  med  denna  studie  var  att belysa  kvinnors  upplevelse  av  perinatal  psykisk  ohälsa.  En  systematisk  litteraturstudie inspirerad av meta-syntes utfördes. Elva kvalitativa studier analyserades. Två huvudkategorier framkom, Att leva med perinatal psykisk ohälsa samt Att ta sig ur perinatal psykisk ohälsa. Varje huvudkategori innehöll i sin tur fyra underkategorier. Kvinnors upplevelser av perinatal psykisk ohälsa innebar att verkligheten inte motsvarade förväntningarna, livet och identiteten förändrades,  de  förlorade  kontrollen  över  känslor  och  tankar  och  tvivlade  på  sig  själva.  De hade svårt att berätta om sina känslor och önskade stöd och information från professionella. Processen  av  tillfrisknande  ledde  tillslut  till  att  kvinnorna  upplevde  ökad  självkännedom. Upplevelsen  av  perinatal  psykisk  ohälsa  genomsyrades  av  känslan  av  att  förlora  kontrollen över  sitt  liv.  Barnmorskor  kan  använda  studiens  resultat  kliniskt,  bland  annat  genom  att uppmuntra kvinnor till reflektion kring perinatal psykisk ohälsa.

  • 348.
    Halderot, Karin
    et al.
    University of Skövde, School of Health and Education.
    Sjöstrand, Maria
    University of Skövde, School of Health and Education.
    EDA - På gott och ont: Förstföderskors kunskaper och behov av information om EDA2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of primparas who use EDA has increased, and today more than half of them use EDA during childbirth. It is the most effective method of pain relief that is available in maternity care. EDA during childbirth is, however, associated with side effects and risks. Midwives have an important role to provide information and education about pain relief to pregnant women. Purpose: The purpose of this study was to investigate primiparas knowledge and need of information about EDA during childbirth. Method: The study was conducted and analyzed by qualitative content analysis method with inductive approach. Semi-structured interviews were conducted with eight primiparas. Results: The analyzed interviews resulted in two main categories; EDA is a method with advantages and disadvantages and Primiparas need different information in different ways, with three and two associated subcategories. Conclusion: The women's knowledges varied, and many were unsure. They needed different information about EDA in several different ways. They felt that there was neither time nor opportunity for discussion about EDA with midwives, which could contribute to a feeling of not having received sufficient information. Midwives must therefore improve in offering primiparas information about EDA, but also other forms pain relief used during childbirth, suggested by extended time at maternal health care.

  • 349.
    Hallström, Malin
    University of Skövde, School of Health and Education.
    Patienters upplevelser av att leva med hepatit C: en litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The aim of the healthcare system is to promote health. The experience of health is individual and involves the individual’s reflective lifeworld, life situation and quality of life. Hepatitis C is an inflammation of the liver caused by a RNA-virus and can lead to serious liver diseases. The disease is transmitted through blood and around 150 million people suffer from chronic hepatitis C today. Both older and newer treatments give side effects. Patients with hepatitis C have poorer health and can lead to depression and isolation. Healthcare professionals should be aware 4of how patients with hepatitis C experience their disease and health. Aim: The aim of this study was to describe how patients experience living with Hepatitis C. Method: The method was a literature review. 13 qualitative scientific articles were analyzed. Findings: The findings were presented in three main themes; Feelings of exclusion and isolation, Lack of support from relatives and healthcare professionals and Motivation for a better life. Conclusion: Patients with hepatitis C need support from healthcare professionals. The patient´s health is affected by the attitude shown by healthcare professionals. To promote successful healthcare and nursing, healthcare professionals should provide correct and extensive information to patients and relatives. Increased knowledge about hepatitis C is needed among healthcare professionals and public.

  • 350.
    Hammarlund, Kina
    University of Skövde, School of Life Sciences.
    Riskfyllda möten: en studie om unga människors upplevelser av sexuellt överförbara infektioner och sexuellt risktagande2009Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the present thesis is to contribute to the knowledge in young people´s experiences, thoughts and norms regarding sexually transmitted infections (STI) and sexual risk-taking. The specific aims are two-fold. The first aim is to explain and understand young Swedish men and women´s lived experience of an STI, in this case genital warts (I, II). The second is to explain and understand the values and attitudes of young men and women to sexual risk-taking (III) in relation to perceptions of gender (IV).

    The theoretical perspectives are a reflective lifeworld approach, hermeneutic and gender perspectives. The thesis is based on individual interviews (I, II) and focus groups (III, IV).

    The results show that a young person infected by an STI, will experience encounters at different levels. A person with an STI is forced to meet him/herself and their own prejudices. Loss of innocence is highly significant and symbolic for women, while other person´s attitudes are more important for men (I, II). Also, being a disease carrier is of great significance, which has an impact on their views of future meaningful relationships (II).

    Sexual risk-taking, such as it was expressed in the focus groups with young people, revealed a pattern that is described as a ‘game’. In that game, a dialogue might feel more intimate than intercourse. These teenagers often view their one night stand partners as objects, as opposed to love relationships where they are viewed as subjects, i.e. persons to be cared for. Engaging in sexual risk-taking often starts at a club where these teenagers pretend that they are spontaneous (III).

    This game is further illuminated in a secondary analysis with a gender perspective. There are frequent misunderstandings between young men and women that are based on gender constructions, which derive from lack of communication. Hence, they have to take part in a balancing act while shaping their sexual identity and trying to maintain their self-esteem. For these young women, this also concerns not getting a bad reputation. In this act of balance, it is difficult to discuss sexuality and how to protect one’s sexual health (IV).

    The discussion emphasizes that a professional caring dialogue with young people about STI: s and sexual-risk taking must have reference in the young person´s own reality. Thus, professional health care workers who meet a young person infected with an STI appear to face a challenging task. This involves helping reduce anxiety by defusing the situation, and at the same time to make the person understand the importance of using a condom in order to prevent STI: s.

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