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  • 1.
    Abdou Mahmoud, Nora
    et al.
    Halmstad University, School of Health and Welfare.
    Persson, Rattana
    Halmstad University, School of Health and Welfare.
    Personcentrerad vård vid demens: Ett sjuksköterskeperspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    With an aging population here is also an increase in dementia. World Health Organisation estimates that in 2016, there were 47,5 million people with dementia and the number of incidents doubles every 20 years. The nurse meets people with dementia in different care situations. People with dementia are a particularly vulnerable group with special health care needs that require person-centered care. The aim was to describe personcentred care for dementia from a nurse perspective. A literature study was conducted using articles relevant to the subject,  then eleven qualitative articles responded with the purpose. The result revealed three themes: The need of the time, relations importance and need for knowledge. The results emphasize the personal characteristics of the nurse was important to create a relationship of trust and training in person-centered care was required to create a commitment. The result was imbued by the need for knowledge and relations important that nurses may face in different care situations. In order to care for people with dementia in a person-centered approach, more research on the subject, and more time and training in person-centered dementia care in nursing is needed.

  • 2.
    Abrahamsson, Anna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Lundin, Martina
    Halmstad University, School of Social and Health Sciences (HOS).
    Malm, Caroline
    Halmstad University, School of Social and Health Sciences (HOS).
    Patientupplevelser i palliativ vård2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care is something most nurses are dealing with during their working lives. The purpose of this study was to illuminate the experiences of nursing care from a patient perspective. Nine articles were selected for review, from the articles six themes revealed: Experiences of; nursing relationships, communication and information, the care environment, symptom control, accessibility and self-determination. The result showed that a relationship of trust and communication created good nursing care. Lack of communication could also occur. A good nurse was perceived as someone who listened and had broad knowledge. Patients wanted to be involved in their care and treatment.

     

     

     

  • 3.
    Abrahamsson, Emeli
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Paulsson Prytz, Alexandra
    Halmstad University, School of Social and Health Sciences (HOS).
    Omvårdnad av patienter med demens: - orsaker till etiska svårigheter2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    People with dementia is a category of patients that nurses often meet. The disease affects the cognitive functions and because of that there may appear frequent ethical difficulties in nursing. Therefore the purpose of this study was to highlight the causes of ethical difficulties within professional nursing care of patients with dementia. The study was conducted as a literature review and the results consisted of five themes: lack of knowledge, lack of time and resources, restricted physical care environment, threatened autonomy, dignity and integrity and lack of communication. Health personnel’s lack of knowledge about dementia caused difficulties in identifying the various symptoms and because of that perform a professional nursing care. As a consequence of lack of time and resources, the patients were limited more than necessary. In a hospital environment patients were at risk of becoming over-stimulated due to stimuli from many directions. Since dementia may affect the ability to communicate, there were difficulties in preserving patients autonomy, dignity and integrity. The conclusion is that good knowledge about the disease is required and an adaption of the physical and psychological environment. More research is needed about the impact of time and lack of resources regarding patients with dementia, because of today’s great savings and staff reductions in health care. There is a lack of health personnel with knowledge about dementia and educations have to be developed to meet the needs that arise in the organizations.

  • 4.
    Abrahamsson, Margareta
    et al.
    Halmstad University, School of Health and Welfare.
    Lucchesi, Anna
    Halmstad University, School of Health and Welfare.
    Anestesisjuksköterskans upplevelse av att delta vid plötsligt hjärtstopp på sjukhus2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden every year about 3000 patients are affected by sudden cardiac arrest in a hospital setting. Sudden cardiac arrest is one of the most stressful situations for hospital staff to handle. Earlier research has mainly focused on the medical and biophysical aspects of cardiac resuscitation. The subjective experience and feelings of those performing the resuscitation are seldom described. The aim of the study was to describe the nurse an esthetists’ experience of participation in sudden cardiac arrest resuscitation in a hospital setting. Data collection was done through focus group interviews involving five participants and indepth interviews with two participants. Data analysis was systematically performed according to Graneheim & Lundmans qualitative content analysis. The result showed three categories with respective subcategories. The following categories emerged: The given role, Teamwork and Reflection related to cardiac arrest. The given role was perceived as safe, satisfying and filled with demands. A defined leadership and good communication were described as important factors in ensuring clear direction, goals and teamwork.         

    The participants experienced a need for feedback and felt debriefing was of the utmost importance. This study can lead to future areas of improvement including further discussion and follow up of sudden cardiac arrest in hospital settings. Further research in this area and across professional borders is needed.

  • 5.
    Adbro, Lina
    et al.
    Halmstad University, School of Health and Welfare.
    Crnac, Aldijana
    Halmstad University, School of Health and Welfare.
    Att vårda riktiga hjältar: Sjuksköterskans upplevelse av att vårda cancersjuka barn2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sjuksköterskor som vårdar cancersjuka barn har höga krav på sig. De ska fungera som ett stöd till både patienten och till patientens anhöriga. Barnen de vårdar är även sjukare än andra barn. De många kraven sjuksköterskan har på sig kan leda till stress. Syftet med litteraturstudien var att beskriva hur vårdandet av cancersjuka barn kan påverka sjuksköterskan med avseende på upplevelse av stress. Studien genomfördes med systematiska sökningar baserat på problemformuleringen och syftet. Relevant forskning inom området identifierades, granskades och analyserades. I resultatet framkom fyra kategorier: sjuksköterskan arbetar i en krävande miljö, ökad kompetens bidrar till hanterbar stress, känslomässigt engagemang innebär ökad risk för utbrändhet och sjuksköterskan behöver strategier för att hantera stress. Resultatet visar att det fanns ett flertal orsaker som bidrog till att sjuksköterskorna upplevde arbetsrelaterad stress. Orsakerna var tidsbrist, personalbrist och känslomässiga engagemang i sina patienter och deras anhöriga. Stöd och reflektion framkom som sätt att minska stressen för sjuksköterskorna. Bristen på tid bidrog till att det var svårt för sjuksköterskorna att finna tid till reflektion. Vidare forskning kring sjuksköterskans upplevelse av vårdandet av cancersjuka barn kan leda till en bättre arbetsmiljö och minskad arbetsrelaterad stress.

  • 6.
    Adlers, Ann-Cathrine
    Halmstad University, School of Social and Health Sciences (HOS).
    Att verka som lots - Ett sätt för barnmorskan att främja normal förlossning2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Despite the majority of all pregnancies are assessed as normal, the interventions during labourprocess increase, where caesarean section without medical reason is one part. One reason may be that care for women with uncomplicated pregnancy is conducted at the same level as a complicated pregnancy. A caesarean section may result in increased risk of health problem for both the woman and the child. The midwife´s work encompasses the normal, uncomplicated pregnancy and labour. The midwife also has the possibility within the working range to promote women’s health. The aim of this study was to gain an increased understanding of how midwives promote the normal labourprocess. A non-participation observational study, of a total of four midwives in duty at a labour ward, was conducted at two hospitals. Grounded Theory was used for data collection and analysis. As a result emerged the core category to act as a pilot with four subcategories. The midwife primarily creates and anchors a relationship with the woman. Through the different stages of labour, the midwife assesses, facilitates and confirms the labourprocess individually, concerning the woman´s needs. The categories together form a model that describes what the midwife performs; in verbal and silent communication and in acting or refraining from acting, to promote a normal birth. There is a need for further research about what in the midwife´s management that promotes the normal birth. It is also essential with research at an organizational level since it has an impact on how the midwife promotes normal birth.    

     

  • 7.
    Adolfsson, Frida
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Holmén, Elin
    Halmstad University, School of Social and Health Sciences (HOS).
    Stressorer i vårdmiljön och dess inverkan på sjuksköterskans omvårdnad2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Problem: The professions in health care are highly physically and especially mentally stressful jobs where time pressure and work rate continues to increase. Purpose: The purpose of this study was to illuminate stressors that may affect nursing outcomes. Method: The study was a literature review, 17 articles (3 qualitative and 14 quantitative) and a thesis which met the study's purpose was reviewed and analysed. Results and conclusion: Many factors and causes of ill health can today be found in the work environment and its increasingly greater demands on the individual. Each individual is unique and therefor affected differently by the same situations. The stressful experience and how each person handles the situation depends on all the factors in her/his whole life-world. It becomes clear that regardless of the situation, no one is doing well during long-term stress. The factors considered to contribute to the deterioration of quality of care includes lack of time, heavy workload, staff shortages, poor working conditions and reorganizations. These together and also separately, result in that nurses´ experiences of stress and dissatisfaction with their work, which may affect quality of patient care. Implication: Further research should focus on how nurses can influence the factors which leads to stress and a poor work environment and decrased quality of care.

     

  • 8.
    Afram, Basema
    et al.
    Department of Health Services Research, CAPHRI, Maastricht University, Maastricht, the Netherlands.
    Verbeek, Hilde
    Department of Health Services Research, CAPHRI, Maastricht University, Maastricht, the Netherlands.
    Bleijlevens, Michel
    Department of Health Services Research, CAPHRI, Maastricht University, Maastricht, the Netherlands.
    Challis, David
    University of Manchester, Manchester, England UK.
    Leino-Kilpi, Helena
    University of Turku, Turku, Finland/Turku University Hospital, Turku, Finland.
    Karlsson, Staffan
    Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.
    Soto, Maria
    Department of Geriatric Medicine, CHU Toulouse University Hospital, France.
    Renom-Guiteras, Anna
    School of Nursing Science, Faculty of Health, University of Witten/Herdecke, Germany.
    Saks, Kai
    Department of Internal Medicine, University of Tartu, Estonia.
    Zabalegui, Adelaida
    Nursing Hospital Clinic of Barcelona, Spain.
    Hamers, Jan
    Department of Health Services Research, CAPHRI, Maastricht University, Maastricht, the Netherlands.
    Predicting institutional long-term care admission in dementia: a mixed-methods study of informal caregivers’ reports2015In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 71, no 6, p. 1351-1362Article in journal (Refereed)
    Abstract [en]

    Aim: To investigate agreement between: (1) expected reasons and actual reasons for admission of people with dementia according to informal caregivers; (2) scores on measurement instruments prior to admission and the actual reasons for admission according to informal caregivers.

    Background: Timely admission of people with dementia is a crucial issue. Information is highly warranted on whether informal caregivers are capable of prior identification of causes of admission and, can thus be considered a reliable prospective source on causes of admission.

    Design: A cohort study among informal caregivers of people with dementia who made a transition to institutional long-term care.

    Methods: Qualitative data on the expected and actual reasons for admission were collected via open-ended questions at baseline and follow-up. Furthermore, at baseline, data were collected using measurement instruments to measure pre-admission characteristics. Interviews took place between November 2010-April 2012. After categorizing the answers, the agreement between the expected and actual reasons was calculated. Furthermore, bivariate associations were calculated between the actual reasons for admission and scores on corresponding measurement instruments.

    Results/Findings: For most informal caregivers, there was agreement between their statements on the expected reason and the actual reason for admission. A third of the caregivers showed no conformity. Bivariate associations showed that there is also agreement between the actual reasons for admission and scores on corresponding measurement instruments.

    Conclusion: Informal caregivers can be considered reliable sources of information regarding what causes the admission of a person with dementia. Professional care should anticipate informal caregivers' statements and collaborate with them to strive for timely and appropriate admission. © 2014 John Wiley & Sons Ltd.

  • 9.
    Aftevik, Monika
    et al.
    Halmstad University, School of Health and Welfare.
    Carlbark, Nina
    Halmstad University, School of Health and Welfare.
    Musikens påverkan på individer med autismspektrumdiagnos: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Individuals with autism spectrum disorder (ASD) tend to have a limited capacity for social interactions, communications, and usually show hyper or hypo reactions to sensory stimuli. Time spent in health facilities can therefore be extra stressful. Since music is used for therapy or pain relief in cancer treatment and dementia care for example, it would be interesting to further explore the effects of music. The aim of this literature review was to investigate how individuals with ASD are affected by music. Eleven literature articles were analyzed and as a result, four themes emerged: physical, social, emotional influence and also focus and coping. Anxiety, mood, and social interactions were affected in a positive way by music or music therapy. Physical reactions in the brain were seen in regions underlying music perception and emotional processing. The nurse’s goal is person-centered care, and the knowledge of the effects of music and the possibility to use music in clinical practice, could make working with ASD patients easier. Future research on this subject could provide further knowledge and result in guidelines and routines for an easy use of music in the care of individuals with ASD.

  • 10.
    Afzelius, Åsa
    et al.
    Halmstad University.
    Lundahl, Christina
    Halmstad University.
    Ett sista hopp: Obotligt sjuka patienters uppfattningar om dödshjälp2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Den moderna sjukvårdens avancerade resurser räddar många liv, men kan också leda till ett utdraget och plågsamt döende. I ett fåtal länder i världen är eutanasi och läkarassisterat självmord ett val för den som drabbats av en obotlig sjukdom som leder till döden. Syftet med denna studie är att beskriva obotligt sjuka patienters uppfattningar om dödshjälp. En litteraturstudie genomfördes och relevanta sökord som motsvarade syftet användes vid artikelsökning. Vid bearbetning av data framkom tre olika kategorier med subkategorier som motsvarade de olika uppfattningarna. Resultatet visar att positiva uppfattningar till dödshjälp kan bero på patientens egna syn på värdighet, självbestämmande och hopp, medan negativa uppfattningar till dödshjälp kan bero på rädsla eller religion. Även kommunikation med vårdpersonal kan påverka patienters uppfattningar om dödshjälp. För att möta obotlig sjuka patienters behov den sista tiden i livet behövs det kunskap om alla sorters tankar patienten kan ha, detta gäller även tankar om dödshjälp. Vidare forskning inom området dödshjälp behövs för att möta alla utmaningar som det innebär när patienter önskar hjälp med att dö.

  • 11.
    Aggebrink, Jenny
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Larsson, Stefan
    Halmstad University, School of Social and Health Sciences (HOS).
    Wikås, Carina
    Halmstad University, School of Social and Health Sciences (HOS).
    Unga vuxnas erfarenheter av att ha fått diagnosen ADHD2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Living with ADHD can lead to a number of problems for the individuals receiving the

    diagnosis. Social- and psychological difficulties and other mental illnesses like

    depression and anxiety are all conditions that can occur when individuals are

    diagnosed with ADHD. Based on these facts it is urgent to examine young adult’s

    own experiences of what it means to live with an ADHD diagnosis to find ways to

    reduce the risks following the diagnosis. This study’s aim turns focus on young adults

    with ADHD, and the purpose is to increase the knowledge in what’s important after

    receiving a diagnosis from a nursing perspective. Four young women who all had

    received their diagnosis during the past year were recruited to the study. The

    informants were randomized from a children's psychiatric registry in Region Halland

    .

    The informants were contacted by phone and asked to participate in the study. Before

    the interviews started they were asked to fill in a consent form. The findings from

    your study clearly show a correlation between ADHD and other troubles in young

    adults everyday life. The majority of the informants describe feelings of exclusion

    with multiple failures in adaption as a result. Receiving a diagnosis contributed to get

    an explanation for their troubles, not only for themselves but to their environment as

    well. The result of the study also show the group's fear of changing health care

    contact mainly concerning the transition from child psychiatry for adult psychiatry.

    The study shows a high prevalence of trouble among individuals who have ADHD

    but also what an enormous personal profit it may mean getting diagnosis when the

    support can be individually adjusted. The study is based on only four informants and

    the result is therefore not possible to generalize on a larger group, however, the study

    can be used as background for a larger study with more informants. The current state

    of scientific knowledge in the field today are insufficient and most facts are based on

    individuals own experiences. We hope that our findings can contribute to further

    research that can benefit the nursing care for the patients.

  • 12.
    Agmyr, Pernilla
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Nilsson, Emma
    Halmstad University, School of Social and Health Sciences (HOS).
    Vilken är min roll? - Föräldrars upplevelse av delaktighet i barns omvårdnad på sjukhus2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Parent participation in the nursing care of their children in hospital haven´t always been obvious. Not until after the Second World War children´s need of their parents in hospitals were elucidated by researchers within psychology and nursing. Despite continued development of parent participation within children’s nursing care there is still deficiencies in that area. The aim of the study was to describe parent’s perception of participation in the nursing care of their children in hospital. The result shows parental perceptions of participation in the nursing care of children in hospital based on twelve scientific articles. The result includes four categories of participation which elucidate parental perceptions of; being present, information, decision-making, practical nursing care. The conclusion describes parent’s positive and negative perceptions of participation. Suggestions on further national studies within the area and in relation to the gender perspective are given. The futures care development with education on the subject could be national guidelines, Standardized Care Plan and e-hälsa.

  • 13.
    Ahlberg, Patrik
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Grimåsen, Maria
    Halmstad University, School of Social and Health Sciences (HOS).
    Transsexualitet: Transsexuella patienter i vården2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Minorities risk being excluded from society and discriminated in different ways. Transexuals is a group who is exposed to these risks not only in society but also in medical attendance. The purpose of this literature review was to elucidate factors affecting the meeting between health professionals and transsexual patients. Transsexuals had difficulty in finding health professionals who respected their gender identity. This resulted in that health care was made inacces-sible. Furthermore this group of patients experienced disinterest from the professionals and this resulted in a lack of their health care needs. When professionals showed respect and empathy for the transsexual, combined with awareness and competence, the treatment was optimal. Discrimination and transphobia against this group of patients were due to inadequate skills, morals and different individual set of values. General health problems of this group of patients were assumed being caused by the patients transsexuali-ty.

    A significant factor was to address the transsexuals by the right pronouns as an impaired quality of care was experienced when wrong pronouns were used during a heath care meeting. The heteronomous view within health care excluded the transsexuals from investigations, treatments and health care availability.

    Lack of prior research has resulted in poorly trained professionals regarding transsexuality. This deficiency occurred both in primary and institutional care. Recent knowledge is based on clinical experience and to a less extent of scientific evidence. This has resulted in that nursing students had an inadequate formal education regarding transgender issues.

  • 14.
    Ahlberg, Tony
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Väremo, Lukas
    Halmstad University, School of Social and Health Sciences (HOS).
    Varaktighet: - den bortglömda aspekten av viktminskning2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I sjuksköterskans hälsofrämjande arbete krävs kunskap om hälsorisker och förmåga att se till patientens behov, såväl de fysiska, psykiska och sociala. Övervikt och fetma är idag ett av samhällets största problem, och har en komplex uppkomstmekanism. Möjligheten till en varaktig viktreducering påverkas av en rad olika faktorer. För att övergå till den hälsosamma livsstil som krävs för en varaktig viktnedgång, behövs en beteendeförändring. Syftet med denna litteraturstudie var att undersöka hur psykologiska och psykosociala faktorer påverkar överviktiga individers möjlighet till en varaktig viktnedgång. I resultatet framkom två huvudteman: Motivation och mål samt Livsstilsförändring. Individer har varierande förmåga till självkontroll, egenvård och följsamhet, samt olika tillgång till stödfunktioner i samhället. Motivation och mål har en central roll. Hur personer reagerar på utmaningar och svårigheter är också högst individuellt och avgörande för en varaktig viktnedgång. En ökad kunskap genom utbildning och forskning rörande psykologiska och psykosociala faktorer kan underlätta sjuksköterskans möjlighet till individanpassad vård och förbättra motivationsstrategier för livsstilsförändringar. Mer kunskap kan även leda till ett förbättrat bemötande och omvårdnad. 

  • 15.
    Ahlborg, Mikael
    Halmstad University, School of Health and Welfare.
    Exploring Socioeconomic Status and the association with Mental Health in school children – a cross-sectional study2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Poor Mental health in adolescence has become more prevalent over the past decades. Differences between gender and age in mental health are apparent where girls rate their mental health lower than boys. Socioeconomic status has proven to be a determinant for poor mental health, however in detecting poor mental health, the use of solely objective measures may not suffice. The aim of this cross-sectional study was to explore different aspects of socioeconomic status and their association with school children’s mental health. The data was obtained from the 2009/10 HBSC survey in Sweden. A sample of 4449 students aged 11 and 15 was included. Binary logistic regression with odds ratio (OR) and 95% confidence intervals (95%CI) was used to estimate the associations between the different aspects of SES and mental health outcomes. The relationship between poor mental health and low subjective economic status was significant while no such relationship was found in the other SES-measures. The use of subjective economic status may be a more reliable determinant for poor mental health than objective and relative measures. Future studies should focus on developing targeted interventions, also on the understanding of socioeconomic status in childhood.

  • 16.
    Ahlbäck, Annie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Kvarnsäter, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    En av 36,7 miljoner: Att få en HIV diagnos2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Although HIV is a well-known disease and millions of people worldwide are affected, it is still one of the world's most stigmatized diseases. Stigmatization causes the disease to be associated with both prejudice and shame, affecting the people who suffer from the disease annually. The purpose of this qualitative literature study was to highlight patients' experiences of getting an HIV diagnosis. The results of the literature study were based on nine scientific articles that resulted in the following six themes: Experiences of shock, experiences of anger and guilt, experiences in fear of dying, experiences of difficulty whit disclosure to friends and family, experiences of acceptance, and experiences of the diagnosis as a positive turning point. In the results, it was clear that the diagnosis raised many strong emotions and that the people who are affected are in urgent need of assistance and support from healthcare professionals to handle the diagnosis. Hence, it is important that nurses get an insight into the experiences regarding an HIV diagnosis and receive more education in the subject so that the right information can be given.

  • 17.
    Ahlgren, Eva
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Isacsson, Malin
    Halmstad University, School of Social and Health Sciences (HOS).
    Anestesisjuksköterskors strategier för att förebygga postoperativ smärta2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract                                      The management of postoperative pain is insufficient despite increased knowledge of the physiology of pain and the development of new pharmacological guidelines. Postoperative pain left untreated can lead to delayed mobilization and secondary complications such as deep venous thrombosis, pulmonary embolism, cardiac infarction, stroke and pneumonia. The outcome is increased mental and physical disability for the patient and increased costs for the society. The nurse anesthesist has a crucial role in postoperative pain management before and during anesthesia and needs to work preventively to secure sufficient analgesia for the patient. The aim of this study was to enlighten the nurse anesthesist’s strategies to prevent postoperative pain after general anesthesia. Semi-structured interviews with four nurse anesthetists at a hospital in the Southwest of Sweden were analyzed with qualitative content analysis. The nurse anesthesists strived to individualize pain management. The effect of the atmosphere created at the preoperative meeting with the patient, the character of the planned procedure and the usage of other methods of pain management all affected peroperative planning of dosage of intravenous analgesics. By using multimodality analgesia in patients who have surgery under general anesthesia postoperative pain could be prevented and hence contribute to reduced patient disability and faster postoperative recovery.  Furthermore, the in-hospital care time can be reduced which could mean socioeconomic benefits.

     

  • 18.
    Ahlin, Birgitta
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Bergström, Maria
    Halmstad University, School of Social and Health Sciences (HOS).
    Faktorer som påverkar vid palliativ vård-ett mångkulturellt perspektiv2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Döden angår oss alla och vår kulturella bakgrund har stor betydelse för hur vi möter den. Palliativ vård fokuserar på att ge stöd och lindring till döende patienter för att öka deras livskvalitet. Av Sveriges invånare har var sjätte utländsk bakgrund och detta ställer andra och delvis nya krav på sjukvården. Syftet med studien var att belysa faktorer som påverkar sjuksköterskans palliativa omvårdnad till patienter från andra kulturer. Studien är en litteraturöversikt där tolv artiklar analyserats utifrån syftet. I resultatet finns många olika faktorer som påverkar sjuksköterskans omvårdnadsarbete av palliativa patienter i en mångkulturell vårdsituation. Resultatet delades upp i tre huvudkategorier:

    kulturell kommunikation, kulturell medvetenhet/kunskap och kulturella skillnader/behov. För att kunna ge patienter med annan kulturell bakgrund en palliativ omvårdnad med hög kvalitet behövs medvetenhet och kunskap hos sjuksköterskan om deras specifika behov. Utvidgad utbildning och diskussion behövs i ämnet och svenska empiriska studier som belyser dessa patienter och anhörigas behov. Det är nödvändigt att både den specialiserade palliativa vården och övrig vård tar del i både forskning och utbildning, eftersom palliativa patienter från andra kulturer finns inom de flesta specialiteter.

  • 19.
    Ahlin, Carola
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Bengtsson, Irén
    Halmstad University, School of Social and Health Sciences (HOS).
    Nilsson, Lisbeth
    Halmstad University, School of Social and Health Sciences (HOS).
    Patientinformation vid en kranskärlsoperation2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Coronary artery bypass is for the patient a major event leading to many questions and concerns. Previous research has shown that patients who have undergone coronary artery bypass have great needs of information. Our aim of this study was to describe information before and after a coronary artery bypass. The study was done as a literature review. The results of the study were distributed into three categories, information methods, information content and the various factors that affect patient information. Information was given in writing, orally, by video, by Internet or by a patient previously undergoing a coronary artery surgery, usually in combination with each other. What the patient wanted the information should contain varied from person to person depending on what stage the patient was, pre- or postoperatively. Several factors emerged that were relevant. It was important for the patients that the staff took the time to listen and respond to questions and concerns. Patients with small social networks had a greater need for information than others with larger social network. Another important thing was that patients could easily get in touch with competent personnel both before surgery and after discharge. The conclusion of the result was that the information should be individualized based on each patient's needs. Continued research is needed to develop good patient information on patients' experience of different types of information means, and to develop contact with patients who have previously done a coronary artery bypass.

  • 20.
    Ahlstav Mårtensson, Ulrica
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Erling Hasselqvist, Nann
    Halmstad University, School of Social and Health Sciences (HOS).
    Differences in pain and nausea in children operated on by Tonsillectomy and Tonsillotomy: – A prospective follow-up study2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of the study was to evaluate the differences in postoperative pain, nausea and time of discharge in children 3-12 years old after undergoing Tonsillectomy (TE) or Tonsillotomy (TT) at the post anaesthetic care unit (PACU), children’s ward and at home.  Background: TE involves risk of bleeding, severe postoperative pain and nausea. TT is a less invasive method with lower risk of bleeding and postoperative pain and nausea according to performed studies. Method: A prospective, comparative follow-up study design. Eighty-seven children from December 2008 until April 2009 in the ages 3-12 undergoing TE or TT participated. Visual analogue scale (VAS) was used for children’s pain and nausea assessments. Result/Findings: Significantly fewer children operated on by the TT assessed postoperative pain ≥ 3 according to the VAS than children operated on by the TE in both the PACU and the children’s ward. A significant difference of postoperative nausea was only present during the care at the PACU and children’s ward with fewer TT children that assessed nausea VAS ≥ 3. The time of postoperative care was shorter among the TT children in both the PACU and the children’s ward. Postoperative pain and pain related difficulties in eating after discharge was significantly more present among the TE children compared to the TT children. Conclusion: The results of our study indicated that TT is a more favourable alternative than TE in children.

  • 21.
    Ahlstrand, Joacim
    Halmstad University, School of Health and Welfare.
    Smärtlindring vid militära aktioner2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I de militära konflikthärdar som finns på ett flertal platser runt om vår värld är det oundvikligt att människor blir skadade och följaktligen uppleva smärta. Som sjuksköterska i fält är det av vikt att känna till vilka metoder som finns tillgängliga för att lindra detta lidande dels för att underlätta för den skadade soldaten i stunden och dels för att i positiv riktning även minska riskerna för att andra smärtrelaterade syndrom skall få fotfäste. Syftet med litteraturstudien var att belysa metoder för smärtlindring av skadade vid militära aktioner prehospitalt och på militärt sjukhus. Metoden som användes var litteraturstudie där sju artiklars resultat analyserades och sammanställdes. I resultatet framkom tre kategorier: smärtlindring med fentanyl, smärtlindring med ketamin och smärtlindring med kontinuerlig perifer nervblockad. Fortsatt forskning skulle kunna vara inriktad på ytterligare preparat samt förenklad administrering men också på vilket sätt sjuksköterskans förhållningssätt till patienten och dess traumatiska situation kan påverka smärtupplevelsen.

  • 22.
    Ahlström, Britt Hedman
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Skärsäter, Ingela
    Institute of Health and Care Sciences, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Danielson, Ella
    Institute of Health and Care Sciences, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Living with major depression: experiences from families' perspectives2009In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 23, no 2, p. 309-316Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe the ways of living with major depression in families. Seven families with an adult member who suffered major depression participated, in all 18 participants. Data were collected from seven narrative group interviews, one with each family. A qualitative thematic content analysis was used and the text was coded according to its content and further interpreted into themes. Findings consist of five themes: 'Being forced to relinquish control of everyday life'; during depression the family members lost their energy and could not manage everyday life. 'Uncertainty and instability are affecting life'; everyday life in the families was unstable and emotions influenced the atmosphere. 'Living on the edge of the community': the families periodically lived in seclusion. 'Everyday life becomes hard'; everyday life was demanding for everyone in the family and the responsibility shifted between family members. 'Despite everything a way out can be found'; the families as a unit as well as individually had their own ways of coping and finding some kind of satisfaction within the bounds of possibility. The families' experiences were demanding. Children were aware of their parent's depression and were involved in managing everyday life and emotionally affected by the situation. This legitimates the need for nurses and other healthcare professionals to have a family's perspective on the whole situation and to include partners as well as children and take their experiences seriously when supporting and guiding a family. It is important to develop strategies which in particular include children in the planning, provision and receiving of care as well as unburden them with the responsibility. It is also important to support the family in their own coping strategies with a major depressive episode.

  • 23.
    Ahlström, Britt Hedman
    et al.
    University of Gothenburg.
    Skärsäter, Ingela
    University of Gothenburg.
    Danielson, Ella
    University of Gothenburg.
    Major depression in a family: What happens and how to manage - a case study2007In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 28, no 7, p. 691-706Article in journal (Refereed)
    Abstract [en]

    Major depression challenges the ways of living for both individuals and families. The aim of this study was to describe what happens and how to manage major depression in a family. The case in this paper is a family with a mother who is suffering major depression and her son and daughter. Narrative interviews and qualitative content analysis were conducted. The findings revealed six themes: "a stealthy intruder," "moving slowly to helplessness," "saving the situation," "protecting oneself and others," "conveying things that are beyond words," and the "dispersal of shadows." These themes elucidated the family members' varying views of depression and the unique ways they managed the situation.

  • 24.
    Ahlström, Britt Hedman
    et al.
    The Sahlgrenska Academy at Gothenburg University, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Skärsäter, Ingela
    The Sahlgrenska Academy at Gothenburg University, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Danielson, Ella
    The Sahlgrenska Academy at Gothenburg University, Institute of Health and Care Sciences, Gothenburg, Sweden.
    The meaning of major depression in family life: the viewpoint of the ill parent2010In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 1-2, p. 284-293Article in journal (Refereed)
    Abstract [en]

    AIM AND OBJECTIVE: The aim was to elucidate the meaning of major depression in family life from the viewpoint of an ill parent. Background. Major depression according to Diagnostic and Statistical Manual of Mental Disorders is common and may appear repeatedly over several years, and affects family life. Depression in parents has a negative impact on family function and children's health; however, studies regarding the deeper understanding of major depression in family life are lacking.

    DESIGN: A qualitative explorative study using narrative interviews with eight parents who were identified with major depression.

    METHODS: A phenomenological-hermeneutic method of interpretation was used for analysing interview texts and included naïve understanding, a structural analysis where text was divided into meaning units, which were condensed and abstracted, and finally a comprehensive understanding.

    RESULT: Two themes were extracted: 'to be afflicted in an almost unmanageable situation' with sub-themes 'feeling hopelessly bad', 'being worthless', 'being unsatisfied' and the theme 'to reconcile oneself to the situation' with sub-themes 'being active', 'being satisfied' and 'maintaining parenthood'.

    CONCLUSION: Comprehensive understanding revealed the parents' simultaneous suffering and dignity in family life; suffering with serious lack of well-being and health, destroyed self-confidence and unhappiness, and dignity with strength, confidence and joy in children. The movement between suffering and dignity complicated family life. Dignity was threatened by the awareness that suffering in major depression was recurrent. Dignity had to be repeatedly restored for self and the family, and family dignity has to be restored before others outside the family circle.

    RELEVANCE TO CLINICAL PRACTICE: A deeper understanding of the meaning of major depression in family life is helpful and for healthcare professionals to prevent individual and family suffering by assisting and preserving dignity.

  • 25.
    Ahmadi, Nasser S.
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Månsson, Jörgen
    University of Gothenburg, Gothenburg, Sweden.
    Lindblad, Ulf
    University of Gothenburg, Gothenburg, Sweden.
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Breathlessness in everyday life from a patient perspective: A qualitative study using diaries2014In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 12, no 3, p. 189-194Article in journal (Refereed)
    Abstract [en]

    Objective: Breathlessness is a subjective symptom, which makes it difficult to define and understand. The aim of the present study was to illuminate how patients suffering from breathlessness experience their everyday life. Method: The study was a qualitative study, and the focus of the analysis was the patients' descriptions of their experiences of breathlessness using a diary with two unstructured questions for a period of 7 consecutive days. Sixteen participants: 7 men, mean age 65 ± 7 (range 55-73 years old), and 9 women, mean age 65 ± 9 (range 50-72 years old) participated in the study. Results: Two themes emerged from the analysis: 1) Impaired quality of life and 2) symptom tolerance and adaptation. The theme "impaired quality of life" included the categories limited physical ability, psychological burdens, and social life barriers. The theme "symptom tolerance and adaptation" included importance of health care, social support, hobbies and leisure activities, and coping strategies. Significance of results: The findings in our study showed that patients, in spite of considerable difficulties with shortness of breath, found relief in several types of activities, in addition to drug therapy. The result indicates that the "biopsychosocial model" is an appealing approach that should be discussed further to gain a better understanding of breathlessness. Copyright © Cambridge University Press 2013.

  • 26.
    Aili, Anna-Karin
    et al.
    Halmstad University, School of Health and Welfare.
    Andreasson, Kristina
    Halmstad University, School of Health and Welfare.
    Träff, Anna
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors erfarenheter av familjecentrerad enkelrumsvård på neonatalavdelning: - En intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There are 36 neonatal wards in Sweden, which demands a highly specialized healthcare. Therefore, neonatal nurses need to have adequate education and have good knowledge within their field. Not every ward in Sweden conducts family centered single-room care. This care-model means that parents take care of their child throughout the day with the support from nurses.

    The aim of this study was to highlight nurses’ experience of family-centered single-room care in a neonatal ward. Semi-structured interviews were conducted and were analyzed using qualitative content analysis. From the result three categories emerged; nurses and family-centered single-rooms care, parents and family-centered single rooms care and children and family-centered single room.

    The result showed that family-centered single-room care is preferred from both nurses and families. Experience shows that nurses’ role has changed from being the one closest to the child and performs nursing care, to leave that responsibility to the parents and instead assume a teaching role. This allows parents to grow in their roles and strengthens the connection with the child. Communication between nurses and families is important for this form of care to succeed, and therefore needs to be highlighted in future educations. Neonatal wards need to discussed communication and structured up how it should be carried out on the workplace.

  • 27.
    Aili, Katarina
    et al.
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden & FoU Spenshult, Halmstad, Sweden.
    Andersson, Maria
    FoU Spenshult, Halmstad, Sweden & Department of Clinical Sciences, Lund University, Lund, Sweden.
    Bremander, Ann
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). FoU Spenshult, Halmstad, Sweden.
    Haglund, Emma
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). FoU Spenshult, Halmstad, Sweden.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). FoU Spenshult, Halmstad, Sweden.
    Bergman, Stefan
    FoU Spenshult, Halmstad, Sweden & Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
    Sleep problems and fatigue as a predictor for the onset of chronic widespread painover a 5- and 18-year perspective: a 20-year prospective study2018In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 77, p. 87-87, article id OP0072Article in journal (Refereed)
    Abstract [en]

    Background: If localised pain represent one end of a pain spectra, with overall better general health, chronic widespread pain (CWP) and fibromyalgia represent the other end of the spectra with worse general health and more comorbidities with other somatic diseases and mental illness. Sleep problems and fatigue are common among individuals reporting CWP and previous research indicate that sleep problems may be an important predictor for pain prognosis.

    Objectives: The aim of this population-based study was to investigate if sleep problems and fatigue predict the onset of CWP 5 and 18 years later.

    Methods: In order to get more stable baseline classifications of CWP, a wash-out period was used, including only individuals who had not reported CWP (according to ACR 1990 criteria for fibromyalgia) at baseline (−98) and three years prior baseline (−95). In all, data from 1249 individuals entered the analyses for the 5 year follow-up (−03) and 791 entered for the 18 year follow-up (−16). Four parameters related to sleep (difficulties initiating sleep, maintaining sleep, early morning awakening and non-restorative sleep), and one parameter related to fatigue (SF-36 vitality scale) were investigated as predictors for CWP. Binary logistic regression analysis were used for analyses.

    Results: All investigated parameters predicted the onset of CWP five years later (problems with initiating sleep (OR 1.91; 1.16–3.14), maintaining sleep (OR 1.85; 1.14–3.01), early awakening (OR 2.0; 1.37–3.75), non-restorative sleep (OR 2.27; 1.37–3.75) and fatigue (OR 3.70; 1.76–7.84)) in a model adjusted for age, gender, socio-economy and mental health. All parameters except problems with early awakening predicted the onset of CWP also 18 years later. In all, 785 individuals did not report any of the sleeping problems at baseline (fatigue not included), 268 reported one of the problems, 167 two, 128 three and 117 subjects reported to have all four sleep problems. Reporting all four sleep problems was significantly associated with CWP at follow-up at both time points when adjusting for age, gender, socio economy and mental health (OR 4.00; 2.03–7.91 and OR 3.95; 1.90–8.20); adjusting for age, gender, socio economy and number of pain regions (OR 2.94; 1.48–5.82 and OR 2.65; 1.24–5.64) and in a model adjusting for age, gender, socio economy and pain severity (OR 2.97;1.53–5.76; and OR 3.02;1.47–6.21) for the 5 year and 18 year follow-up respectively, compared to not reporting any of the sleep problems at baseline.

    Conclusions: Both sleeping problems and fatigue predicts the onset of CWP 5- and 18 years later. The results highlight the importance of the assessment of sleep quality in the clinic.

  • 28.
    Aili, Katarina
    et al.
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Bergman, Stefan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). FoU Spenshult, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Bremander, Ann
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). FoU Spenshult, Halmstad, Sweden & Lund University, Lund, Sweden.
    Haglund, Emma
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). FoU Spenshult, Halmstad, Sweden.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). FoU Spenshult, Halmstad, Sweden.
    Women’s experiences of coping with chronic widespread pain: – a qualitative study2018In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 77, p. 1815-1815, article id FRI10737-HPRArticle in journal (Refereed)
    Abstract [en]

    Background: Approximately ten percent of the population report chronic widespread pain (CWP), the condition is more common among women than men. For most people, the pain interferes with many aspects of every-day life and implies large consequences. However, the group reporting CWP is heterogeneous and there is a need for better understanding of the different strategies used for coping with pain in every-day life.

    Objectives: The purpose of this study was to describe women’s experiences of how to cope with CWP.

    Methods: The study had a descriptive design with a qualitative content analysis approach. Individual interviews were conducted with 19 women, 31–66 of age, who had reported CWP in a survey 2016. CWP was defined according to the 1990 ACR criteria for fibromyalgia. To be considered chronic, the pain should have persisted for more than three months during the last 12 months. A manifest qualitative content analysis was used to analyze the main question “How do you cope with your chronic widespread pain?” The analysis resulted in four categories.

    Results: Women described their coping with CWP in four different ways; to take control, to continue as usual, to follow instructions and to rest. To take control meant to make deliberate decisions to handle everyday day life. It also meant to take care of oneself, to think positive and to exercise at an adequate level. To continue as usual meant not to listen to body signals and either to ignore or accept the pain. To follow instructions meant listening to the health professionals and following advices, but without taking any part of the responsibility for the treatment outcome. To rest meant to perceive an unreasonable need for recovery, to resign and let the pain set the terms for the daily living.

    Conclusions: Women expressed different ways of coping with CWP including both active and passive strategies. The coping strategies included two dimensions, where one ranged from actively taking control over the pain, to passively following instructions and the other from actively continue as usual by either accepting or ignoring the pain to passively rest and being mastered by pain.

  • 29.
    Al Zahed, Mariam
    et al.
    Halmstad University, School of Health and Welfare.
    Mårtensson, Amanda Louise Helena
    Halmstad University, School of Health and Welfare.
    Bemötandet av patienter med psykisk ohälsa2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Psykisk ohälsa är ett växande folkhälsoproblem idag inom hälso- och sjukvården. Psykisk ohälsa yttrar sig olika för varje enskild individ och gör den därför svår att bemöta. Forskningen visar att det är framförallt kunskapsbristen hos sjuksköterskan skapar en rädsla hos sjuksköterskan och därmed påverkar mötet med patienten. Syftet med systematisk litteraturstudie var att belysa hur sjuksköterskan bemöter patienter med psykisk ohälsa. Resultatet från 12 artiklar med både kvalitativ och kvantitativ ansats har analyserats till två kategorier: Bemötande och Stigmatisering. Sammafattningsvis visar uppsatsen att det krävs empati och förståelse från sjuksköterskan, men likväl utbildning inom området psykisk ohälsa, för att på så sätt minska utrymmet för rädsla och missförstånd. Vidare framkommer det att det krävs vidare forskning som undersöker hur sjuksköterskor som utbildas inom psykiatri förhåller sig i mötet med en patient med psykisk ohälsa. Forskning visar på att en sjuksköterska som har ett gott bemötande även främjar tillfrisknandet men även eliminerar eventuell stigmatisering

  • 30.
    Albinsson, Eleonore
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Jonasson, Ida
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskans attityder gentemot homosexualitet: - ur ett patientperspektiv2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Att avslöja sin homosexuella läggning blir allt vanligare i dagens samhälle, dock lever negativa attityder gentemot homosexualitet och homosexuella individer kvar. I vården som i resten av samhället speglas vi av heteronormativa attityder och tankar. Det förutsätts att de flesta människor lever enligt den heterosexuella normen, vilket kan göra det svårare för homosexuella personer att komma ut och vara öppna om sin homosexuella läggning. Syftet med denna litteraturstudie var att belysa patienters upplevelse av sjuksköterskans attityder och bemötande gentemot deras homosexuella läggning. Litteraturstudien utformades utifrån en induktiv ansats, där 14 vetenskapliga artiklar användes till resultatet. I resultatet framkom det att hälso- och sjukvården upplevs styras av ett heteronormativt tankesätt, där patienten antas vara heterosexuell. Bristfällig kunskap hos sjuksköterskor och annan vårdpersonal var något som upplevdes av flera informanter. Många var också rädda för att avslöja sin homosexuella läggning på grund av oro för sämre vård och negativa attityder ifrån vårdpersonal. Framtida forskning bör inriktas på vidare studier av patienter som är homosexuella och deras upplevelser av hälso- och sjukvård och dess attityder gentemot homosexualitet. Det kunde också vara intressant att studera om det fanns skillnader mellan homosexuella män och kvinnor när det gäller deras upplevelser av bemötandet inom vården. 

  • 31.
    Albjär, Kajsa
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Andersson, Sofie
    Halmstad University, School of Social and Health Sciences (HOS).
    Har du mens eller?: Kvinnors erfarenheter av att leva med PMS2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Premenstrual syndrome, also known as PMS, is a phenomenon that is estimated to effect 20-30% of all menstruating women. The premenstrual symptoms appear in the lutheal phase of the menstrual cycle and usually recurs monthly. The aim of this study was to describe the experiences of women with premenstrual syndrome. This study is conducted as a literature study, based on ten scinentific articles. Three major themes were identified from the results of the articles. The results of the literature study illustrates that women often experience disbelief when they try to describe their premenstrual experiences. The disbelief often occurs in relation to describing PMS to partners, co-workers and health care professionals. The study also shows that there is a great ignorance about PMS and the phenomenon is often portrayed negatively and ridiculed. Many women described the value of getting to talk about their premenstrual experiences without being judged and met with disbelief. It is of great importance that through education develops the nursing care and increase awareness among health care professionals about female phenomena such as PMS. To help women relieve the suffering the premenstrual symptoms can cause, it is important that further research is conducted. 

  • 32.
    Albrektson, Nellie
    et al.
    Halmstad University, School of Health and Welfare.
    Karlsson, Sofie
    Halmstad University, School of Health and Welfare.
    Omvårdnadsåtgärder i relation till urinvägsinfektion2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Urinvägsinfektion kan anses okomplicerat men tillståndet kan leda till onödigt lidande och påverka patienters välmående, dagliga aktiviteter och sociala liv. Sjuksköterskan saknar tillräckligt med evidens för att utföra lämplig omvårdnad relaterat till urinvägsinfektion. Caring och Nursing är perspektiv för forskning inom sjuksköterskans vetenskap. Syfte: Beskriva vad omvårdnadsåtgärder är i relation till urinvägsinfektion. Metod: En litteraturstudie genomfördes utifrån en systematisk sökning i databaser för omvårdnadsforskning. Nio vetenskapliga artiklar analyserades med frågor som stöd och inspiration från ett hermeneutiskt förhållningssätt. Resultat: De vetenskapliga artiklarna resulterade i fem kategorier: Behov och bemötande, Observation och övervakning, Upprätthålla hygien och vätskeintag, Utbildning och attityd och Kunskap och utvärdering. Resultatet belyser att kontinuerlig undervisning och teamarbete kan uppmuntra till ökad medvetenhet kring omvårdnadsåtgärder och öka patientsäkerheten. Det är viktigt att patienter känner att de blir hörda samt att problem uppmärksammas och tas på allvar.  Slutsats: Forskning kring omvårdnadsåtgärder i relation till urinvägsinfektion är bristfällig. Litteraturstudien lyfter fram och ökar medvetenheten om vilka omvårdnadsåtgärder som kan impliceras i omvårdnadsarbetet. 

  • 33.
    Alderhorn, Katarina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Lindholm, Charlotta
    Halmstad University, School of Social and Health Sciences (HOS).
    Lundin, Magnus
    Halmstad University, School of Social and Health Sciences (HOS).
    Förbättrad patientsäkerhet vid överlämnandet från operationssalen till intensivvårdsavdelningen2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    When safety at handover fails, devastating consequences may be the result. Intensive and surgical care is conducted in highly technological environments which leaves the patient in exposed situations. In handover cases like this, safety aspects are highly important. The purpose of this literature review was to thoroughly describe the patient safety in handover between intensive care units and surgical units. In this study, 14 scientific articles have been reviewed and the conclusion of this work is that communication between intensive care units and surgical units was greatly improved by means of using a structured hand over tool. The immediate work environment also affects the handover, and disturbing elements such as alarms going off contributed to negative side effects at the handover. The teamwork was improved by using shared medical records to better plan the pre and post-operative care. Some of the studies questioned the level of education in communication skills and teamwork. Additional research on the subject is sought for, mostly by Scandinavian countries and especially Sweden. Additional research concerning hand over tools ought to be interesting for the future in order to map the actual utilization of these tools during handover.

     

  • 34.
    Alexandersson, Ellen
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Persson, Viktoria
    Halmstad University, School of Social and Health Sciences (HOS).
    Smärtbedömning hos patienter med demenssjukdom2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Patienter diagnostiserade med en demenssjukdom har en nedsatt förmåga att uttrycka smärta vilket skapar problem i samband med smärtidentifiering, vilket leder till ökade krav och ansvar av sjuksköterskan. År 2010 beräknades 148000 svenska invånare vara diagnostiserade med någon form av demenssjukdom, vilket gör den till Sveriges vanligaste sjukdom bland äldre. Syftet var att belysa vilken kunskap sjuksköterskan behöver vid smärtbedömning av patienter med demenssjukdom. Metoden som användes var en litteraturstudie där resultatet utgjordes av 14 vetenskapliga artiklar, där 9 var kvalitativa och 5 var kvantitativa. Resultatet visar att smärta främst uttrycks genom beteendeförändringar, ansiktsuttryck och verbala uttryck. För att bedöma smärtan använder sig sjuksköterskan av dygnsregistreringsscheman och familjemedlemmar. Svårigheter med smärtbedömningen hos denna patientgrupp leder ibland till att sjuksköterskan blundar för smärtproblematiken och upplever känslor av maktlöshet och ångest. Då andelen patienter med demenssjukdom, och då även smärtproblematik beräknas öka krävs det av sjuksköterskorna en ökad utbildning och medvetenhet. Genom att nyutexaminerade sjuksköterskor får kunskap om patientgruppen sprids kunskapen till den kliniska verksamheten. Inom forskning önskas studier där hänsyn till kön tas.

  • 35.
    Alfredsson, Carina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Roth, Marie
    Halmstad University, School of Social and Health Sciences (HOS).
    Schenell, Ramona
    Halmstad University, School of Social and Health Sciences (HOS).
    Att leva med svår hjärtsvikt: Faktorer som påverkar livskvaliteten2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Approximately 200 000 Swedes have been diagnosed with heart failure, which means that it´s one of the most common diagnosis in health care. Heart failure is a condition with severe symptoms and high mortality. Quality of life (QOL) is affected by the individual´s physical and psychological health, level of independence, social relationships and events in the environment. The aim of the study was to describe factors that affect the QOL in people with severe heart failure. The literature review included 13 articles, 12 quantitative and one qualitative constituted the basis for the result. The heart failures severity, symptom burden, comorbidity and limited autonomy were factors that influenced the QOL negatively. Positive factors were good social support and ability to maintain good spirits despite a difficult situation. The conclusion was that the greater impact heart failure had on daily life, the poorer QOL. Factors that affect daily life and therefore QOL was: overall symptom burden, autonomy and the extent of the gap between expectations and reality. The multi-professional team and the tradition of person-centered approach, significant for palliative care, would benefit people with severe heart failure who has the most impaired QOL. Heart failure creates physical, psychological, social and spiritual suffering and is the reason why people with heart failure should be offered palliative care. To get a holistic view of QOL in severe heart failure more qualitative research is needed.

  • 36.
    Ali, Lilas
    et al.
    Psychiatric and Mental Health care, The Institute of Health and Care Science, Sahlgrenska Academy, Gothenburg University, Sweden.
    Ahlström, Britt H.
    Psychiatric and Mental Health care, Vårdal Institute, The Swedish Institute for Health Science, University West, Trollhättan, Sweden.
    Krevers, Barbro
    Department of Medical and Health Sciences, Linköping University, Sweden.
    Skärsäter, Ingela
    Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Daily life for young adults who care for a person with mental illness: a qualitative study2012In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, no 7, p. 610-617Article in journal (Refereed)
    Abstract [en]

    This study describes the daily life and management strategies of young informal carers of family members or friends with mental illness. Twelve young adults (three men and nine women; 16-25 years old) in Sweden were voluntarily recruited between February and May 2008. Data collected through eight individual semi-structured interviews and one focus group interview were analysed using qualitative content analysis. The findings revealed nine subthemes that were further grouped into three main themes: showing concern, providing support and using management strategies. Participants lived in constant readiness for something unexpected to happen to the person they cared for, and their role in the relationship could change quickly from family member or friend to guardian or supervisor. Supporting a friend was considered as large a personal responsibility as supporting a family member. Their management strategies were based on individual capacities and their ability to step aside should the situation become too demanding. These young informal carers need support in caring for the mentally ill. As the internet becomes increasingly fundamental to daily life, support could be provided most effectively through person-centred web sites.

  • 37.
    Ali, Lilas
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Hedman Ahlström, Britt
    University West, Trollhättan, Sweden.
    Krevers, Barbro
    Linköping University, Linköping, Sweden.
    Sjöström, Nils
    University of Gothenburg, Gothenburg, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Need and Usage of Different Kind of Support among Young Informal Carers of Persons with Mental Illness2014Conference paper (Refereed)
    Abstract [en]

    Background: The high prevalence of mental illness among young person’s means that their relatives and close friends are exposed to stress by having to take on the responsibility for the support of family members or friends in difficult situations of life when suffering from mental illness. Young informal carers have shown to be exposed to a great burden in which they put their own daily tasks aside in order to stay close to the person who suffers from mental illness. Objective: Explore how young (16–25) informal carers of a person with a mental illness experience and use different kind of support, such as web-support, counseling, and group counseling, friends, family, relatives support societies, health care services etc. Method: In a mixed method approach, we first interviewed 12 young carers, and 241 completed a self-administered questionnaire. While the young carers strive to maintain control, their main support seems to be others in their lives, who often define the situation differently. Results: The carers said web-support, counseling, and group counseling might be helpful, yet very few had any professional support. The results also showed that the young informal carers’ safety net is their social network and the person who suffer from mental illness. Conclusion: Young informal carers are in need of a combination of web-based and face-to-face person-centered support, but they do not receive it. Professional support is required. Further studies about the needs of young informal carers of persons with mental illness especially those supporting friends, is necessary to gain before planning to start support interventions for them.

  • 38.
    Ali, Lilas
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Hedman Ahlström, Britt
    University West, Trollhättan, Sweden.
    Krevers, Barbro
    Linköping University, Linköping, Sweden.
    Sjöström, Nils
    University of Gothenburg, Gothenburg, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Need and Usage of Different Kind of Support among Young Informal Carers of Persons with Mental Illness2014Conference paper (Refereed)
    Abstract [en]

    Background: The high prevalence of mental illness among young person’s means that their relatives and close friends are exposed to stress by having to take on the responsibility for the support of family members or friends in difficult situations of life when suffering from mental illness. Young informal carers have shown to be exposed to a great burden in which they put their own daily tasks aside in order to stay close to the person who suffers from mental illness. Objective: Explore how young (16–25) informal carers of a person with a mental illness experience and use different kind of support, such as web-support, counseling, and group counseling, friends, family, relatives support societies, health care services etc. Method: In a mixed method approach, we first interviewed 12 young carers, and 241 completed a self-administered questionnaire. While the young carers strive to maintain control, their main support seems to be others in their lives, who often define the situation differently. Results: The carers said web-support, counseling, and group counseling might be helpful, yet very few had any professional support. The results also showed that the young informal carers’ safety net is their social network and the person who suffer from mental illness. Conclusion: Young informal carers are in need of a combination of web-based and face-to-face person-centered support, but they do not receive it. Professional support is required. Further studies about the needs of young informal carers of persons with mental illness especially those supporting friends, is necessary to gain before planning to start support interventions for them.

  • 39.
    Ali, Lilas
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Hedman Ahlström, Britt
    University West, Trollhättan, Sweden.
    Krevers, Barbro
    Linköping University, Linköping, Sweden.
    Sjöström, Nils
    University of Gothenburg, Gothenburg, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Need and usage of support among young informal carers of persons with mental illness: a mixed-method study2013In: Horatio, European Psychiatric Nursing Congress 2013: Abstract book / [ed] Neslihan Keser Özcan, Hülya Bilgin, 2013, p. 94-94Conference paper (Refereed)
  • 40.
    Ali, Lilas
    et al.
    University of Gothenburg.
    Hedman Ahlström, Britt
    University West, Trollhättan.
    Krevers, Barbro
    Linköping University.
    Sjöström, Nils
    Gothenburg University.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Support for young informal carers of persons with mental illness: a mixed-method study2013In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 8, p. 611-618Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore how young (16-25 year old) informal carers of a person with a mental illness experience and use support. In a mixed method approach, we interviewed 12 young carers, and 241 completed a self-administered questionnaire. While the young carers strive to maintain control, their main support seems to be others in their lives, who often define the situation differently. The carers said web-support, counseling, and group counseling might be helpful, yet very few had any professional support. Young carers are greatly in need of support and it should be provided.

  • 41.
    Ali, Lilas
    et al.
    Sahlgrenska Academy, Gothenburg University, Institute of Health and Care Science, Sweden.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences, Sweden.
    Sjöström, Nils
    Sahlgrenska Academy, Gothenburg University, Institute of Health and Care Science, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Effectiveness of web-based versus folder support interventions for young informal carers of persons with mental illness: a randomized controlled trial2014In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 94, no 3, p. 362-371Article in journal (Refereed)
    Abstract [en]

    Objective: Compare the impact of two interventions, a web-based support and a folder support, for young persons who care for people who suffer from mental illness. 

    Methods: This study was a randomized control trial, following the CONSORT statements, which compared the impact of two interventions. Primary outcome variable was stress, and secondary outcome variables were caring situation, general self-efficacy, well-being, health, and quality of life of young informal carers (N = 241). Data were collected in June 2010 to April 2011, with self-assessment questionnaires, comparing the two interventions and also to detect changes. 

    Results: The stress levels were high in both groups at baseline, but decreased in the folder group. The folder group had improvement in their caring situation (also different from the web group), general self-efficacy, well-being, and quality of life. The web group showed increase in well-being. 

    Conclusion: Young informal carers who take on the responsibility for people close to them; suffer consequences on their own health. They live in a life-situation characterized by high stress and low wellbeing. This signals a need for support. 

    Practice implications: The non-significant differences show that each intervention can be effective, and that it depends upon the individual's preferences. This highlights the importance of adopting person-centered approach, in which young persons can themselves choose support strategy. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

  • 42.
    Ali, Lilas
    et al.
    Gothenburg, Gothenburg University, Sweden.
    Krevers, Barbro
    Linköping University, Linköping, Sweden.
    Sjöström, Nils
    Gothenburg, Gothenburg University, Sweden.
    Skärsäter, Ingela
    Gothenburg, Gothenburg University, Sweden.
    Effectiveness of Web-Based versus Folder Support Interventions for Young Informal Carers of Persons with Mental Illness: a Randomized Controlled Trial2013Conference paper (Refereed)
    Abstract [en]

    Background: Changes in psychiatric services mean more young persons have to care for a mentally ill family member or friend while they themselves are in the sensitive transition to adulthood.

    Objective: Compare the impact of two interventions, a web-based support and a folder support, for young persons who care for people who suffer from mental illness.

    Method: This study was a randomized control trial, following the CONSORT statements and eConsort support. Primary outcome variable was stress, and secondary outcome variables were caring situation, general self-efficacy, well-being, health, and quality of life of young informal carers (N=241). Data were collected in June 2010 to April 2011, with self-assessment questionnaires three times, four months apart, comparing the two interventions and also to detect changes.

    Results: The result showed that stress levels were high in both groups at baseline, but decreased significantly in the folder group. The folder group had significant improvement in their caring situation (also significantly different from the web group), general self-efficacy, well-being, and quality of life. The web group show significant increase in well-being.

    Conclusion: Young informal carers who take on the responsibility for people close to them with mental illness; suffer consequences on their own health. They live in a life-situation characterized by high stress and low well-being. This signals a need for support for these young persons.

    Clinical relevance: The findings in this study are uniquely valuable because of the target group and the comparison of two different interventions to support them. The non-significant differences in the data show that each intervention can be effective, and that it depends upon the individual’s preferences. This highlights the importance of adopting person-centred approach, in which young persons can themselves choose support strategy

  • 43.
    Ali, Lilas
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, Centre for Person-Centred Care Research (GPCC), Gothenburg, Sweden.
    Krevers, Barbro
    Vårdal Institute – The Swedish Institute for Health Sciences, Gothenburg, Sweden.
    Sjöström, Nils
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    The impact of a person-centred web-based intervention on young informal carers of people with mental illness2015In: Abstracts: 19th International Philosophy of Nursing Society (IPONS) conference August 24-26, 2015 Karolinska Institutet, Stockholm, Sweden: Technology, Health Care and Person-centeredness: Beyond Utopia and Dystopia. Thinking the Future., Stockholm: Karolinska Institutet , 2015, p. 4-5Conference paper (Refereed)
    Abstract [en]

    Background: Previous research show that young person’s often take responsibility and offer care and support for significant others who suffer from mental illness. This adoption of responsibility has consequences not only for the mentally ill, but also for the carer. A person-centred support approach to provide the young informal carers of what they are in need of is according to previous research essential, and in need of. As the internet becomes increasingly fundamental to young people in their daily lives, person-centred web-based interventions may be effective in supporting those caring for a person with mental illness.

    Objective: To analyze (according to stress, burden, quality of life, and self-efficacy) the impact of a person-centred web-based intervention (information, education, and support) for young persons who support family members or close friends with mental illness.

    Methods: The study design was prospective and randomized. The sample consisted of young informal carers (N = 241; 16–25 y), where N = 241 completed structured questionnaires at baseline and were allocated to person-centred web-based support (N = 121) respectively folder support (n =120) regarding available support in the society for young persons who support someone suffering from mental illness.

    Results: Data show that the stress levels were high in both groups at the start of the intervention, but decreased in the folder group, who also showed improvements in their caring situation (also different from the web-support group), general self-efficacy, well-being and their quality of life. The group who received person-centred web-based support showed significant increase in their well-being.

    Conclusion: It is of great importance to measure the stress and caring situation of young informal carers of persons with mental illness in order to understand their situation. One type of support could be person-centred web-based, however our results indicate that individuals seek support depending on their individual preferences. Since the responsibility of care has shifted from the health care services to the family and friends of the person suffering from a mental illness, more person- centred care/support interventions should be investigated for further development.

  • 44.
    Ali, Lilas
    et al.
    Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden & Vårdal Institute, The Swedish Institute for Health Science, Lund & Gothenburg, Sweden.
    Krevers, Barbro
    Vårdal Institute, The Swedish Institute for Health Science, Lund & Gothenburg, Sweden & Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden; Vårdal Institute, The Swedish Institute for Health Science, Lund & Gothenburg, Sweden; Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Caring Situation, Health, Self-efficacy, and Stress in Young Informal Carers of Family and Friends with Mental Illness in Sweden2015In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, no 6, p. 407-415Article in journal (Refereed)
    Abstract [en]

    This study compared the caring situation, health, self-efficacy, and stress of young (16–25) informal carers (YICs) supporting a family member with mental illness with that of YICs supporting a friend. A sample of 225 carers, assigned to a family group (n = 97) or a friend group (n = 128) completed the questionnaire. It was found that the family group experiences a lower level of support and friends experienced a lower positive value of caring. No other differences in health, general self-efficacy and stress were found. YICs endure different social situations, which is why further study of the needs of YICs, especially those supporting friends, is urgently needed.

  • 45.
    Ali, Lilas
    et al.
    Göteborgs universitet, Sahlgrenska akademin, Göteborg, Sverige.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    eHälsa2017In: Vårdpedagogik / [ed] Margret Lepp & Janeth Leksell, Stockholm: Liber, 2017, 1, p. 190-217Chapter in book (Refereed)
  • 46.
    Ali Mohamad, Amina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Nilsson, Jennika
    Halmstad University, School of Social and Health Sciences (HOS).
    Kostråd till föräldrar vid introduktion av fast föda till spädbarn: BVC-sjuksköterskans erfarenheter - en pilotstudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Child Health Nurses meet many parents with questions about infant´s food introduction, one of the child health nurse´s tasks is to educate parents on nutrition issues. Studies have shown that parents feel that they get different advice from Child Health Nurses, which can make them uncertain about which advice to follow. The aim of this pilot-study was to describe Child Health Nurse´s experiences of giving nutrition advice to parents at the introduction of solid foods to infants. Four interviews were conducted with Child Health Nurses within Child Health Servicesin Region Halland. Qualitative content analysis was used to analyze the text. The result of the pilot study shows that the Child Health Nurses felt that they gave good nutrition information to the parents related to structural factors of importance in food introduction and family resources and needs at food introduction. A future full-scale survey in the field could provide a basis for structural changes within the Child Health Services and enhanced educational initiatives for both Child Health Nurses and Child Health Nurse students.

     

     

     

     

     

     

  • 47.
    Allisson, Anna
    Halmstad University.
    Anestesisjuksköterskans omvårdnadsstrategier i samband med patienters oro inför generell anestesi2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It is well-known that patients feel anxious about general anesthesia and that makes a problem in the nursing of anesthesia. Studies made over decades show that over 80% of the patients undergoing operation feel anxious about general anesthesia. Patients feel anxious about to lose control, wake up during the operation, never wake up, to get a needle and to wait long. The anesthesia nurse sees the patient at the first time in the preoperative meeting and have to identify anxiety and plan the nursing strategies in a few minutes. This lead to a large need of adequate nursing strategies which can mitigate patients anxiety. The aim of this study was to describe nursing strategies preoperative to mitigate patients anxiety before general anesthesia. The study has a descriptive qualitative design and semi structured interviews were used to collect data. The study was based on four working anesthesia nurses in a hospital in the west of Sweden. After the analysis two categories were identified to describe the nursing strategies to ease the patients anxiety before operation. The results of the study can get around and add the consciousness to use different nursing strategies. This could in turn conduct to help patients ease the preoperative anxiety before general anesthesia.

  • 48.
    Almheden, Daniela
    et al.
    Halmstad University, School of Health and Welfare.
    Knopp, Susanna
    Halmstad University, School of Health and Welfare.
    Faktorer som påverkar sjuksköterskans empatiska förmåga2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Empathy exists in most people from birth and involves an ability to listen to others and put themselves into a situation by understanding their feelings and reactions. Empathy is very important in health care, among other things, to create a good relationship between the nurse and patient and to offer good care. Although an empathetic approach is of great importance and is the basis for the nurse's main field of nursing, research suggests that the nurse deficiencies in their ability to show empathy. The study was a literature study and aimed to identify factors affecting the nurse's empathy in nursing. The result presenters two themes; factors identified by nurses and factors identified by patients. The factors identified by nurses were identified as working environment significance where both well-being and stress were factors that influenced the nurse empathy. The nurse will to do good and to practice the profession were also factors that impacted. Age, number of years in the profession and education level were also highlighted in the results as factors affecting the nurse's empathy. Factors identified by patients were to be heard and understood, and that the patient's suffering was identified by the nurse. Even nurses who took the time and made sure that a relationship between them were established perceived empathic. Empathy has positive effects both for patient physical care and for the nursing care. Empathy also promotes the nurse's self-esteem. Nurses’ empathy is possible to train and the care management must be aware of the positive effects of empathy and work to promote the existence of empathy in care.

  • 49.
    Alvarsson, Christel
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Carlsson, Karolina
    Halmstad University, School of Social and Health Sciences (HOS).
    Finns dropparna så finns de och finns de inte får det gå bra ändå: Sjuksköterskors erfarenheter av att ge omvårdnad till inneliggande patienter med ögonsjukdomar2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patients with ocular diseases are a large group which is expected to increase since many of the ocular diseases are age-related and world population is aging. These patients are found in various wards where they are inpatients because of other causes than ocular diseases. Nursing care is the nurse´s major responsibility and they are obliged to follow guidelines and laws regularizing their profession. The purpose of this pilot study was to investigate nurses´ experience of providing care for inpatients with any ocular disease, in their anamnesis. The pilot study was conducted using a qualitative content analysis using interviews. The results were compiled into three categories; Experiencing inadequate accountability, Experiencing the need for priorities, and Experiencing the ignorance of ophthalmology. The nurses in the pilot study experienced nursing care to patients with various eye diseases in history difficult. They thought they lacked sufficient knowledge and because of the workload which made them prioritize in a way which did not benefit the patients. The nurses expressed a need of more education in ophthalmic care. More knowledge would support them in experiencing an increased security in their profession and lead to improved patient safety. The pilot study shows that there is potential for improvement to enhance patient safety and should be followed up in a full scale study.

     

  • 50.
    Alveheim, Anja
    et al.
    Halmstad University, School of Health and Welfare.
    Lander, Cecilia
    Halmstad University, School of Health and Welfare.
    Att tillfriskna från Anorexia Nervosa2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In today’s society many women have to endure health hazard. To live up to society's norms and what is seen as the ideal appearance can put a lot of pressure as well as force the women to strive for this ideal. This constant endeavor can make the recovery from Anorexia Nervosa more complex. The purpose of the literature study was to examine women's recovery from AN. The study is performed as a general literature study with scientific articles as a base. Results have proven that support is the most important caretaking method the nurse can provide throughout this process. For the women’s part, it’s of highest importance that the decision of recovery is self-decided. That consideration is taken to both body and soul is a challenge in the caretaking for women with AN and the fact that gaining weight is not related with full recovery is distinctly highlighted. It’s required for the nurse to possess in depth knowledge of women’s experiences surrounding the recovery to gain an entirety. Additional research of the experiences after finished treatment and after recovery from the disease is required. Even further complementary research surrounding women’s view on a recovery may be required.

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