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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.
    Abdulahi, Majlinda
    et al.
    Halmstad University, School of Health and Welfare.
    Hempel, Louise
    Halmstad University, School of Health and Welfare.
    En ledares väg till motivation: - Hur organisationer kan arbeta strategiskt för att behålla sina ledare2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to investigate what factors may motivate people in leadership positions. The method used was qualitative and the empirical material was collected through semi-structured interviews. The study involved six respondents who consisted of leaders at different levels within the organization. The result was analyzed using phenomenological based sense-concentration, theory and previous research.

     

    The results showed that development, estimation and support in work create an association between individual and organization. The study also showed that basic needs need to be satisfied for the individual to be motivated to stay, but the factors we mentioned above motivates the individual over time.

    Keywords: motivation, leadership, management supply, needs and motivation factors.

  • 3.
    Abdullah, Arya
    Halmstad University, School of Health and Welfare.
    Barnen som flyr ensamma är de mest utsatta: En kvalitativ studie av fyra ensamkommande afghanska flyktingbarns upplevelse av integrationsprpcessen i Sverige2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to increase understanding of how four unaccompanied refugees experience their new society and what is being done to facilitate their integration in Sweden. To leave and escape a homeland to try to find a better future is a decision that every unaccompanied minor refugee has been forced to face, leaving his/her comfort zone. This research evaluates the impact of forced migration and the coping mechanisms that four unaccompanied minors use as they embark on their journey to freedom and a safe haven in Sweden. Additionally, this essay examines the host country Sweden, and its availability of resources to better facilitate the integration of migrants to Swedish society both at the municipal and national level. The focus of this essay is partly on the difficulties these youngsters undergo in their home country and the culture shock and pressure to adapt they face when living in their new country. Furthermore, by choosing qualitative research method for this essay, we examine subtle nuances of the image of unaccompanied refugee children, both as a concept and as a denominator that creates an identity crisis for them. In this essay semi-structured interviews are utilized to collect qualitative data, allowing respondents the time and scope to examine and share their sentiments. The researcher who directs the conversation to areas deemed to require closer in depth exploration decides the focus of the interview. Analyzing stories using the crisis theory and theories about immigration and refugee processes we distinguish two distinct denominators, 1. A journey with dramatic consequences, such as trauma, frustration, persecution, and, last but not least, ‘separation anxiety’. 2. Stress arising from the new culture and pressure for quick adaptation and change.

  • 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.
    Abrahamsson, Margareta
    et al.
    Halmstad University, School of Health and Welfare.
    Lucchesi, Anna
    Halmstad University, School of Health and Welfare.
    Patientens upplevelser efter hjärtstopp2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Everyone can be the victim of a cardiac arrest and each year in Sweden alone about 15000 people suffer from cardiac arrest. Being the victim of a cardiac arrest is a traumatic experience that affects the individual in different ways. An increased knowledge about the patient´s experiences is the best way to be able to give professional nursing care and to meet the patient in their life-world. The aim of the study was to highlight the patient´s experiences of surviving a cardiac arrest. A literature study was done comprised of ten scientific articles. Two main themes were identified: Life is turned upside down and Re-evaluation of one’s existence. Seven sub-categories were mentioned: resuscitation; insecurity, fear and anxiety; amnesia; tiredness and weakness; vulnerability; to overcome and get a new outlook on life. These patients are in need of extensive support to be able to participate in the health care and nursing process needed in order to return to a well-functioning life. Further qualitative research in this area would be needed primarily for patients without ICD treatment. Expansion of knowledge about patients experiences and life-world can enable nurses to meet and help this patient group with individual evidence based nursing care in a clinical setting.

  • 6.
    Ackevall, Nina
    et al.
    Halmstad University, School of Health and Welfare.
    Martinsson, My
    Halmstad University, School of Health and Welfare.
    Strategiernas stödjande roll: En kvalitativ studie om hur friskvårdsverksamheters strategiska arbetssätt stödjer villkoren för lärande mot motion2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med studien är att undersöka vilka arbetsstrategier som stödjer villkoren för att främja lärandet mot motion. Ett delsyfte är att urskilja likheter samt skillnader inom friskvårdsverksamheters strategiska arbetssätt för att synliggöra vilka av dessa som visar sig ge bäst förutsättningar för motion.

    Teoretisk referensram: Den teoretiska referensramen lyfter fram teorier och begrepp som Social cognitive theory (SCT), den proximala utvecklingszonen, autonomt stöd, Habermans kommunikationsteori och lärande.

    Metod: Studien utgår från en Hermeneutisk forskningsansats som baseras på en kvalitativ metod där intervjuer har förekommit. Fem intervjuer genomfördes, varav fyra via e-post och ett via personligt möte.

    Resultat: Resultatet belyser att det förekommer likheter samt skillnader inom samtliga friskvårdsverksamheters strategiska arbetssätt. Ett samspel mellan arbetsstrategier är även en aspekt som lyfts fram. Att anpassa arbetet efter individen är en viktig aspekt som samtliga friskvårdsverksamheter belyser.

    Slutsats: Den slutsats som dras utifrån studien är att arbetsstrategier bör samverka mellan varandra för att ge bäst villkor för lärande mot motion. Villkoren främjas utifrån att friskvårdsverksamheter tillämpar ett samspel mellan flera strategier i sitt arbetssätt. Det går alltså inte att urskilja vilka strategiska arbetssätt som är mest främjande. Genom att anpassa arbetsstrategier efter individ möjliggör att villkor för lärande väcker engagemang och motivation till att vilja motionera. Detta utifrån tillgång av motionsformer, en inlärningscentrerad miljö utifrån rådgivning, kompetens samt mål utifrån målsättning samt en utvecklande process av uppföljning. En viktig aspekt är även att uppdatera samt utveckla verksamheters strategiska arbetssätt i syfte till att främja villkoren mot motion.

  • 7.
    Adamsson, Viola
    et al.
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Reumark, Anna
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Cederholm, Tommy
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Vessby, Bengt
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Risérus, Ulf
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Johansson, Gunnar
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    What is a healthy Nordic diet? Foods and nutrients in the NORDIET study2012Conference paper (Refereed)
  • 8.
    Adamsson, Viola
    et al.
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Reumark, Anna
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Cederholm, Tommy
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Vessby, Bengt
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Risérus, Ulf
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Johansson, Gunnar
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    What is a healthy Nordic diet? Foods and nutrients in the NORDIET study2012In: Food & Nutrition Research, ISSN 1654-6628, E-ISSN 1654-661X, Vol. 56, article id 18189Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: A healthy Nordic diet (ND), a diet based on foods originating from the Nordic countries, improves blood lipid profile and insulin sensitivity and lowers blood pressure and body weight in hypercholesterolemic subjects.

    OBJECTIVE: To describe and compare food and nutrient composition of the ND in relation to the intake of a Swedish reference population (SRP) and the recommended intake (RI) and average requirement (AR), as described by the Nordic nutrition recommendations (NNR).

    DESIGN: The analyses were based on an estimate of actual food and nutrient intake of 44 men and women (mean age 53±8 years, BMI 26±3), representing an intervention arm receiving ND for 6 weeks.

    RESULTS: The main difference between ND and SRP was the higher intake of plant foods, fish, egg and vegetable fat and a lower intake of meat products, dairy products, sweets and desserts and alcoholic beverages during ND (p<0.001 for all food groups). Intake of cereals and seeds was similar between ND and SRP (p>0.3). The relative intake of protein, fat and carbohydrates during ND was in accordance with RI. Intake of all vitamins and minerals was above AR, whereas sodium intake was below RI.

    CONCLUSIONS: When compared with the food intake of an SRP, ND is primarily a plant-based diet. ND represents a balanced food intake that meets the current RI and AR of NNR 2004 and has a dietary pattern that is associated with decreased morbidity and mortality.

    © 2012 Viola Adamsson et al.

  • 9.
    Adamsson, Viola
    et al.
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden.
    Reumark, Anna
    Lantmännen R and D, Stockholm, Sweden.
    Fredriksson, I.-B.
    Bollnäs Heart Clinic, Mitt Hjärta, Bollnäs, Sweden.
    Hammarström, Eskil
    Bollnäs Heart Clinic, Mitt Hjärta, Bollnäs, Sweden.
    Vessby, Bengt
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden.
    Johansson, Gunnar
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Riserus, U.
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden.
    Effects of a healthy Nordic diet on cardiovascular risk factors in hypercholesterolaemic subjects: a randomized controlled trial (NORDIET)2011In: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 269, no 2, p. 150-159Article in journal (Refereed)
    Abstract [en]

    Objective:

    The aim of this study was to investigate the effects of a healthy Nordic diet (ND) on cardiovascular risk factors.

    Design and subjects:

    In a randomizedcontrolled trial (NORDIET) conducted in Sweden, 88 mildly hypercholesterolaemic subjects were randomly assigned to an ad libitum ND or control diet (subjects' usual Western diet) for 6 weeks. Participants in the ND group were provided with all meals and foods. Primary outcome measurements were low-density lipoprotein (LDL) cholesterol, and secondary outcomes were blood pressure (BP) and insulin sensitivity (fasting insulin and homeostatic model assessment-insulin resistance). The ND was rich in high-fibre plant foods, fruits, berries, vegetables, whole grains, rapeseed oil, nuts, fish and low-fat milk products, but low in salt, added sugars and saturated fats.

    Results:

    The ND contained 27%, 52%, 19% and 2% of energy from fat, carbohydrate, protein and alcohol, respectively. In total, 86 of 88 subjects randomly assigned to diet completed the study. Compared with controls, there was a decrease in plasma cholesterol (-16%, P < 0.001), LDL cholesterol (-21%, P < 0.001), high-density lipoprotein (HDL) cholesterol (-5%, P < 0.01), LDL/HDL (-14%, P < 0.01) and apolipoprotein (apo)B/apoA1 (-1%, P < 0.05) in the ND group. The ND reduced insulin (-9%, P = 0.01) and systolic BP by -6.6 ± 13.2 mmHg (-5%, P < 0.05) compared with the control diet. Despite the ad libitum nature of the ND, body weight decreased after 6 weeks in the ND compared with the control group (-4%, P < 0.001). After adjustment for weight change, the significant differences between groups remained for blood lipids, but not for insulin sensitivity or BP. There were no significant differences in diastolic BP or triglyceride or glucose concentrations.

    Conclusions:

    A healthy ND improves blood lipid profile and insulin sensitivity and lowers blood pressure at clinically relevant levels in hypercholesterolaemic subjects. © 2010 The Association for the Publication of the Journal of Internal Medicine.

  • 10.
    Adamsson, Viola
    et al.
    Enheten för Klinisk Nutrition och Metabolism. Institutionen för Folkhälso- och vårdvetenskap. Uppsala Universitet.
    Reumark, Anna
    MSc Kostvetenskap Lantmännen Food R&D, Stockholm.
    Fredriksson, Ing-Britt
    SSK Mitt Hjärta, Bollnäs.
    Hammarström, Eskil
    SSK Mitt Hjärta, Bollnäs.
    Vessby, Bengt
    Enheten för Klinisk Nutrition och Metabolism. Institutionen för Folkhälso- och vårdvetenskap. Uppsala Universitet.
    Johansson, Gunnar
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Riserus, Ulf
    Enheten för Klinisk Nutrition och Metabolism. Institutionen för Folkhälso- och vårdvetenskap. Uppsala Universitet.
    Effects of a Nordic diet on cardiovascular and metabolic risk factors in hypercholesterolemic subjects: a randomized controlled study2009Conference paper (Refereed)
    Abstract [en]

    Background: Apart from lipid-lowering drugs, dietary changes can also reduce plasma LDL-C concentrations. No studies have been conducted to investigate the clinical effects of a diet with traditional foods originating from the Nordic countries. Method: In a randomised, controlled parallel-group intervention study 88 mildly hypercholesterolemic men and women were randomized to either an ad libitum Nordic diet (ND) or a control diet (CD) for 6 weeks. All meals and foods were provided to the participants in the ND group. Primary outcome measure was LDL-cholesterol, and secondary outcomes were blood pressure, plasma insulin and glucose concentrations. The ND was a high-fibre diet rich in plant foods (fruit, berries, vegetables, root vegetables, whole grain cereals and legumes), vegetable fats (rapeseed oil and nuts) and fatty fish, low-fat milk products, but low in salt, added sugars, saturated fats and red meats. Result: 86 subjects completed the study. Distribution of carbohydrates, fat and protein (E%) in ND was 54, 27, 19, respectively. ND lowered plasma total cholesterol 0.98±0.75 mmol/l (-16%), LDL-C by 0.83±0.67 mmol/l (-21%), HDL-C 0.08±0.23 mmol/l (-5%), including reduced LDL/HDL ratio by -0.42±0.57 (-14%) (all p<0.01 versus controls). Insulin concentrations decreased by 0.51± 2.25 (-9%, p=0.01) and systolic blood pressure by 7±13 mmHg (-5%, P<0.01) compared to controls. Despite diets were eaten ad libitum, body weight decreased by 3.0 kg in the ND (P<0.001). No significant differences were found for diastolic blood pressure, triglycerides or plasma glucose. Conclusion: A Nordic diet improves blood lipid profile, and insulin sensitivity as well as lowering blood pressure to a clinically significant extent in hypercholesterolemic subjects.

  • 11.
    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.

  • 12.
    Afifi, Mustafa
    et al.
    Department of Non-Communicable Diseases Control, Ministry of Health (HQ), Muscat, Oman.
    von Bothmer, Margareta
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Egyptian women's attitudes and beliefs about female genital cutting and its association with childhood maltreatment2007In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 9, no 4, p. 270-276Article in journal (Refereed)
    Abstract [en]

    This study aimed to establish Egyptian women's attitudes and beliefs about female genital cutting (FGC) or mutilation by applying a questionnaire module about violence to a subsample of 5249 married women from a total of 19 474 women who participated in the 2005 Egypt Demographic Health Survey. Women were interviewed to determine if they had been exposed to marital violence in the year prior to the survey, their attitudes and beliefs about FGC, and if they physically abused their children. The association of beliefs about FGC with maternal physical abuse was examined, adjusting for exposure to marital violence and other socio-demographic variables. Of the women surveyed 16.4% and 3.4% had been exposed to physical and sexual violence, respectively, during the year prior to the survey. Around 76% of the women surveyed intended to continue the FGC practice, and 69.8% had slapped or hit their children during the year prior to the survey. Holding positive beliefs about the practice of FGC or intending to continue it was associated with maternal physical abuse and this has significant implications for health and welfare workers in Egypt and for society in general.

  • 13.
    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.

  • 14.
    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.

  • 15.
    Ahlborg, Mikael
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nyholm, Maria
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Morgan, Antony
    Glasgow Caledonian University, Glasgow, United Kingdom.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Socioeconomic inequalities in health among Swedish adolescents - adding the subjective perspective2017In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, article id 838Article in journal (Refereed)
    Abstract [en]

    Background

    Socioeconomic inequalities in adolescent health predict future inequalities in adult health. Subjective measures of socioeconomic status (SES) may contribute with an increased understanding of these inequalities. The aim of this study was to investigate socioeconomic health inequalities using both a subjective and an objective measure of SES among Swedish adolescents.

    Method

    Cross-sectional HBSC-data from 2002 to 2014 was used with a total sample of 23,088 adolescents aged 11–15 years. Three measures of self-rated health (dependent variables) were assessed: multiple health complaints, life satisfaction and health perception. SES was measured objectively by the Family Affluence Scale (FAS) and subjectively by “perceived family wealth” (independent variables). The trend for health inequalities was investigated descriptively with independent t-tests and the relationship between independent and dependent variables was investigated with multiple logistic regression analysis. Gender, age and survey year was considered as possible confounders.

    Results

    Subjective SES was more strongly related to health outcomes than the objective measure (FAS). Also, the relation between FAS and health was weakened and even reversed (for multiple health complaints) when subjective SES was tested simultaneously in regression models (FAS OR: 1.03, CI: 1.00;1.06 and subjective SES OR: 0.66, CI: 0.63;0.68).

    Conclusions

    The level of socioeconomic inequalities in adolescent health varied depending on which measure that was used to define SES. When focusing on adolescents, the subjective appraisals of SES is important to consider because they seem to provide a stronger tool for identifying inequalities in health for this group. This finding is important for policy makers to consider given the persistence of health inequalities in Sweden and other high-income countries. ©  The Author(s). 2017

  • 16.
    Ahlborg, Tone
    et al.
    Nordic School of Public Health, Göteborg, Sweden.
    Dahlöf, Lars-Gösta
    Göteborg University, Sweden.
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Quality of the Intimate and Sexual Relationship in the First-Time Parents Six Months After Delivery2005In: Journal of Sex Research, ISSN 0022-4499, E-ISSN 1559-8519, Vol. 42, no 2, p. 167-174Article in journal (Refereed)
    Abstract [en]

    This study aimed to describe the quality of the intimate relationship among parents six months after the birth of their first child. The Dyadic Adjustment Scale (DAS) has been modified and used on 820 responding first-time parents, of which 768 were couples. The results reveal that most parents were happy in their relationship, but both mothers and fathers were discontented with the dyadic sexuality. "Being too tired for sexual activity" was a problem, especially for the mothers, and the most common frequency of intercourse was once or twice per month. The result does not support the assumption that the couples compensate the lacking sexuality with sensuality. Good communication within the couple was associated with higher levels of several dimensions of the intimate relationship, especially dyadic consensus and satisfaction. Thus, one way to stabilize and strengthen a relationship when dyadic sexual activity is low would be to emphasize dyadic communication and sensual activity.

  • 17.
    Ahlborg, Tone
    et al.
    Nordic School of Public Health.
    Persson, Lars-Olof
    University of Göteborg.
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Assessing the Quality of the Dyadic Relationship in First-Time Parents: Development of a New Instrument2005In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 11, no 1, p. 19-37Article in journal (Refereed)
    Abstract [en]

    The purpose of this research was to psychometrically evaluate the Dyadic Adjustment Scale (DAS), modified for use with new, first-time parents by extending the items of communication, sensuality, and sexuality. A total of 820 Swedish respondents, 6 months after the birth of their first child, participated in the study. Psychometric evaluation was conducted with factor analysis. The obtained factor structure was tested with multitrait analysis program. Thirty-three itemswere found to fit into a five-factor solution, explaining 50% of the total variance. Descriptive data revealed thatmost new parentswere satisfied with their intimate relationship in general, but dissatisfied with their sexual lives. Themodified DAS, now called the Quality of Dyadic Relationship Instrument includes 33 items and seems to be a useful, updated measurement for assessing quality of the intimate relationship in new first-time parents.

  • 18.
    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.

  • 19.
    Ahlqvist, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Hulthén, Agnes
    Halmstad University, School of Health and Welfare.
    “Där tror jag att jag är en kameleont”: en uppsats om upplevelser av att arbeta med individer som står långt från arbetsmarknaden2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Lack of workers and a shrinking welfare state have increased the focus on individuals who are excluded from the labor market as well as social enterprises. In this hermeneutic study, based on interviews with officials working towards these groups, we investigate how officials perceive their discretion and role towards clients. To be able to do their job they need discretion which is in line with Michael Lipsky's theory on street-level bureaucrats (Lipsky 2010).

     

    Social enterprises are described as needed to solve shortcomings in the labor market, but also problematic, as the social entrepreneurs could be lacking skills, as both clients and social entrepreneurs have a background of failed schooling due to disabilities and socio-economic causes. Bourdieu’s concept of doxa is applied to understand how failed schooling lead to shortcomings in navigating society and how officials compensate for this by taking on different roles.

     

    The paradox of the social enterprises is analyzed with a theory on pre-paradigmatic fields and isomorphism which brings a pressure for organizations to conform to gain legitimacy and access to resources. More knowledge on the role the officials can play to prevent exclusion from the labor market could enable resources to be more effectively distributed within the welfare system.

  • 20.
    Ahlstav Mårtensson, Ulrica
    et al.
    Halmstad Hospital, Halmstad, Sweden.
    Erling-Hasselqvist, Nann
    Halmstad Hospital, Halmstad, Sweden.
    Boström, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Differences in pain and nausea in children operated on by Tonsillectomy or Tonsillotomy – a prospective follow-up study2012In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 69, no 4, p. 782-792Article in journal (Refereed)
    Abstract [en]

    Aim: To evaluate the differences in postoperative pain, nausea and time of discharge in children 3–12 years old after Tonsillectomy or Tonsillotomy at the postanaesthetic care unit, children’s ward and at home. 

    Background: Tonsillectomy involves risk of bleeding, severe postoperative pain and nausea. Tonsillotomy is a less invasive method with lower risk of bleeding, postoperative pain and nausea according to previous studies.

    Design: A prospective, comparative follow-up study design.

    Method: From December 2008–April 2009 following parental agreement, 87 children in the ages 3–12 undergoing Tonsillectomy or Tonsillotomy participated. Visual analogue scale was used for children’s pain and nausea reports.

    Result: Significantly, fewer children operated on by the Tonsillotomy reported postoperative pain ‡ 3 according to the visual analogue scale than children operated on by the Tonsillectomy at the postanaesthetic care unit and the children’s ward. A statistically significant difference of postoperative nausea was only present during the care at the postanaesthetic care unit and children’s ward with fewer Tonsillotomy children reporting nausea ‡ 3. The time of postoperative care was shorter among the Tonsillotomy children in both the postanaesthetic care unit and the children’s ward. Postoperative pain and pain related difficulties in eating after discharge was significantly more present among the Tonsillectomy children compared with the Tonsillotomy children.

    Conclusion: The results of our study showed duration of postoperative pain and nausea in both groups, but indicated that Tonsillotomy is a more favourable alternative than Tonsillectomy in children. © 2012 Blackwell Publishing Ltd.

  • 21.
    Ahlstedt, Niklas
    et al.
    Halmstad University, School of Health and Welfare.
    Miikman, Mia
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors omvårdnad av patienter med smärta2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Pain is the most common symptom for which people seek care. Despite increased knowledge of pain management, untreated pain persists to be a problem. Enduring pain is an unpleasant experience and nurses have an important role to relieve patients’ suffering. It seems that at times nurses strive to receive empowerment can affect their caring of patients with pain negatively. Aim: to investigate nurses caring for patiens with pain. Method: Literature study with a deductive directed content analysis. The result showed that nurses have a pride in their work and a will to perform good nursing for patients with pain and their actions were usually directed by that. Sometimes, however, nurses’ actions were ruled by coping strategies and their own needs to suppress their own emotions which could result in patients receiving poorer care. The investigation showed that patients could even be mistrusted and ignored by nurses. Both nurses and patients experiences health through empowerment and the pain treatment thus get positively affected. The care should therefore be organized so that nurses are given greater opportunity to perform nursing based on person-centered care. Research is recommended regarding the underlying reasons why nurses underestimates patients 'pain perception and how nurses' own influence in pain treatment can be strengthened so that patients do not suffer 

  • 22.
    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.

  • 23.
    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.

  • 24.
    Ahmetovic, Amina
    et al.
    Halmstad University, School of Health and Welfare.
    Faur, Mariia
    Halmstad University, School of Health and Welfare.
    Det är ansvar och frihet: En kvalitativ studie om socialsekreterares upplevelser av sitt handlingsutrymme2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Social Workers work in the Social Services Addiction Unit is challenged to meet the client's needs while responding to the organization's resources. This is due to insufficient resources placed on abuse because the target group is not a priority. Therefore, it is important that social workers have a margin of action to make thoughtful actions in relation to both parties. The purpose of the essay is to investigate and analyze the factors that social workers perceive may affect the social investigative work and how social workers experience power in the investigative work with adult clients who have ongoing abuse problems. The purpose is expressed in issues that take into account what opportunities and limitations social workers experience in the law investigation work and how they experience the exercise of power in relation to the client in investigation according to the law.

    The study is based on 7 qualitative semi structured interviews with social workers who work with investigations with substance abusers in Halland and Skåne County. The material was analyzed using Lipsky's concept discretion and Foucault's power theory. The results show that missions, laws and guidelines, resources, customer attitude and social workers' subjectivity are regarded by social security as both the possibilities and limitations in the SoL investigation. In addition, the social workers find that they have power in relation to the client with the help of knowledge about the subject, but they also have the ambition to lift the client that leads to a relational power. Social workers also act in an uncertainty where the social workers' scope for action, including factors that enable and limit the investigative work is important for the work in the social field.

  • 25.
    Ahnfelt, Camilla
    et al.
    Halmstad University, School of Health and Welfare.
    Wolmestam, Malena
    Halmstad University, School of Health and Welfare.
    Distriktsköterskans strategier för att stärka egenvård hos personer med hjärtsvikt i hemmet: En integrativ litteraturstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The older population in Sweden increases dramatically while resources are decreasing. Heart failure is one of the most common diseases in Sweden which causes hospitalization for elderly people. Symptoms of heart failure can be stressful and affect the quality of life negatively for both patients and close relatives. A lot of old people with heart failure lives at home and need support to cope with their illness and reduce hospitalization. The aim of the literature study is to describe district nurses' strategies to strengthen self-care in patients with heart failure in home care. The method is an integrative literature study where 19 articles of both qualitative and quantitative methods are included. The results show four categories that address strategies district nurses can apply to strengthen self-care in patients with heart failure. These are essential conditions for district nurse, the importance of starting from the patient's situation and needs, to work with goals and follow-up as well as offer education and knowledge. The essential conditions are mainly that higher education and experience are of great importance in the work of self-care. Other strategies emerging is to see each individual person as unique, work with participation, involve relatives and individualized education as well as follow up. There is no general strategy to strengthen self-care that works for all. District Nurse skills are necessary in the work of providing individual support that strengthens selfcare.

  • 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.
    Akerö, Emma
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Zetterström, Linda
    Halmstad University, School of Health and Welfare.
    Inblick i en annan livsvärld: Att belysa omvårdnadsåtgärder vid positiva symtom hos patienter med schizofreni.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Schizophrenia is a complex disease including positive symptoms, such as for example delusions and auditory hallucinations. This group of patients can be difficult for nurses to reach. The condition entails patient exclusion and stigmatization, also an increased risk of suicide. People with schizophrenia have shown insufficient compliance in drug treatment, which in turn can negatively affect care. Previous research shows a need for increased knowledge to achieve better efficacy in the treatment of these patients. Therefore, the specific aim of this study is to illustrate the care activities in case of positive symptoms in schizophrenia. Four databases were searched and the searches resulted in 18 articles. The results showed that individualized care, based on the patient's life-world, is essential to reach the patient and thus to identify the most beneficial care activities. Patients with positive symptoms need support from nurses to find strategies to cope with these. With the support of this study, nurses can support patients to find these coping strategies. Behavior that is commonly considered destructive is not necessarily negative, it can also be a coping strategy for patients with positive symptoms in schizophrenia.

  • 30.
    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

  • 31.
    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. 

  • 32.
    Alexandersson, Amanda
    et al.
    Halmstad University, School of Health and Welfare.
    Toresson, Fiona
    Halmstad University, School of Health and Welfare.
    Patienters upplevelser av att leva med dialysbehandling vid kronisk njursvikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Today, people are getting older and sicker. The amount of people with diabetes and high blood pressure is gradually increasing, which will ultimately lead to a higher number of people diagnosed with chronic renal failure. The quality of life affects patients living with chronic kidney disease and dialysis treatment. It’s important that the nurse observes the patients life situation to adapt nursing to each individual’s needs. The purpose of the literature review was to portray patients experiences of living with dialysis treatment when living with chronic renal failure. The result consists of 13 articles. Three themes were revealed: the changes of life, the social life and life as a patient. The result showed that patients experienced various barriers and opportunities of the treatment. Dialysis treatment restricts the daily life of the patient but is considered as a lifeline. Dialysis treatment may influence the career, opportunities to travel and social relationships. Patients felt that they often end up in a position of dependence to the dialysis treatment and their relatives. The experiences of care were mostly positive and the nurse had an important role. The literature review can be used to shed light on patients experiences of living with dialysis treatment. 

  • 33.
    Alfermann, D.
    et al.
    Faculty of Sports Sciences, University of Leipzig, Leipzig, Germany.
    Stambulova, Natalia
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). The P.F. Lesgaft State Academy, St Petersburg, Russian Federation.
    Zemaityte, A.
    University of Vilnius, Vilnius, Lithuania & Department of Pyschology, University of Konstanz, Konstanz, Germany.
    Reactions to sport career termination: A cross-national comparison of German, Lithuanian, and Russian athletes2004In: Psychology of Sport And Exercise, ISSN 1469-0292, E-ISSN 1878-5476, Vol. 5, no 1, p. 61-75Article in journal (Refereed)
    Abstract [en]

    Objectives: To assess the cognitive, emotional, and behavioural consequences of sport career termination of national and international level athletes in three nations.

    Design and methods: Athletes of Germany (n=88), Lithuania (n=65), and Russia (n=101) were asked to describe in retrospect their reactions to career termination. The Athletic Retirement Questionnaire developed by the first two authors and presented in three corresponding languages was used. Planning of retirement and national identity served as independent variables. Dependent variables were reasons and circumstances for career termination, participants’ emotional reactions, coping reactions, athletic identity during and after sport career, and adjustment to life after career termination.

    Results: Analyses of variance revealed significant main effects of retirement planning and national identity on most dependent variables. Planning of retirement contributed to significantly better cognitive, emotional, and behavioural adaptation. In addition, high athletic identity contributed to less positive reactions to retirement and to more problems in the adaptation process. The emotional reactions of Russian and Lithuanian athletes were similar, but differed from the German athletes who, in general, showed more positive and lesser negative emotions after retirement. Though accepting the reality of retirement was the most often used coping strategy among all participants, Lithuanian athletes showed more denial and Russian athletes more distraction strategies after retirement than the other nations.

    Discussion: The results are discussed with regard to athletes’ readiness for career transition in different social and cultural environments. Recommendations are given on how to help athletes to prepare for and to cope with career termination. © 2003 Elsevier Ltd. All rights reserved.

  • 34.
    Alfermann, Dorothee
    et al.
    University of Leipzig, Leipzig, Tyskland.
    Stambulova, Natalia
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Career transitions and career termination2007In: Handbook of sport psychology / [ed] Gershon Tenenbaum and Robert C. Eklund, Hoboken, N.J.: John Wiley & Sons, 2007, 3, p. 712-733Chapter in book (Refereed)
    Abstract [en]

    The purpose of this chapter is to comprehensively overview this research area and expand the perspectives provided in the two earlier editions of this Handbook. In this chapter, we first define and explain the key concepts of athletic career, career transition, and career termination. In subsequent sections, we discuss the theoretical background, the empirical research, and intervention approaches as they are concerned with career transitions and termination. We close the chapter with suggestions for future research in the career transition area.

  • 35.
    Alfermann, Dorothee
    et al.
    Leipzig University, Leipzig, Germany.
    Stambulova, Natalia
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Sport psychology in Europe – Women’s perspective2013In: Abstracts of the ISSP 13th World Congress of Sport Psychology: July 21-26, 2013, Beijing Sport University, Beijing, China, Beijing, 2013, p. 55-55Conference paper (Refereed)
    Abstract [en]

    Compared to other disciplines of psychology, sport and exercise psychology is a very young field. Sport psychology associations were founded in a variety of countries (particularly in Europe and North America) in the 1960es and later, after the first World Congress of Sport Psychology had taken place in Rome in 1965. Despite the fact that even in those ages quite a few women were studying psychology and afterwards starting a scientific career, females in sport psychology were extremely underrepresented. One of the reasons could lie in the fact that sport, much more than psychology, was a stereotypically male field, with only a few opportunities available to women. Making a career in sport psychology was then a double contradiction for women. First, making a career in general contradicted the typical female role, and second, making a career in sport meant an untypical field for women.

    The presentation will be structured as a dialogue between the two presenters – female sport psychologists working in the field for more than 30 years. Both were born and started their careers during the period of the Cold War: Dorothee Alfermann in the Federal Republic of Germany, and Natalia Stambulova in the Soviet Union. Both countries do not exist on the European map any more reflecting dramatic political, social and economic changes in Europe during the last two decades. All the changes in the European context put their impacts on the development of sport and exercise psychology in Europe including overall organizational development, as well as female careers and their contributions to European Federation of Sport Psychology (FEPSAC), other international sport psychology organizations (e.g., ISSP, AASP) and international sport psychology events (e.g., Congresses). The dialogue will be structured around the following three themes: (a) the presenters’ own careers analyzed from the point of gender issues (e.g., female professional role models and mentors), (b) history of European sport and exercise psychology, foundation of FEPSAC and contribution of its first President Ema Geron (1969-1973), and (c) female sport psychology professionals’ role in today’s European sport psychology and their contributions to FEPSAC, ISSP, AASP, national sport psychology associations, the editorial board of Psychology of Sport and Exercise, the European Forum of Applied Sport Psychologists, the European Master’s Studies in Sport and Exercise Psychology (EMSSEP), and the recent European Master’s (Mundus) Program in Sport and Exercise Psychology (EMPSEP).

  • 36.
    Alfermann, Dorothee
    et al.
    Leipzig University, Leipzig, Germany.
    Stambulova, Natalia
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Center for Sport and Health Science (CIHF).
    Zemaityte, Aiste
    University of Vilnius, Vilnius, Lithuania.
    Causes and consequences of career termination: A comparison of German, Russian and Lithuanian athletes2001In: International Society of Sport Psychology (ISSP) 10th World Congress of Sport Psychology: organized by Democritus University of Thrace, University of Thessaly, Hellenic Society of Sport Psychology : in the dawn of the new millennium : May 28-June 2, 2001, Skiathos, Hellas : programme and proceedings: vol. 4 / [ed] Athanasios Papaioannou, Marios Goudas, Yannis Theodorakis, Thessaloniki, Greece: Christodoulidi Publications , 2001, p. 26-28Conference paper (Refereed)
  • 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.
    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.

  • 43.
    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.

  • 44.
    Ali, Lilas
    et al.
    Göteborgs universitet, Göteborg, Sverige.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Att använda internet vid datainsamling2017In: Vetenskaplig teori och metod: från idé till examination inom omvårdnad / [ed] Maria Henricson, Lund: Studentlitteratur AB, 2017, 2, p. 217-232Chapter in book (Refereed)
  • 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.
    Alm, Rasmus
    et al.
    Halmstad University, School of Health and Welfare.
    Cassel, Philip
    Halmstad University, School of Health and Welfare.
    Svenska tennistränares erfarenheter och upplevda kompetens av mental träning ur ett tränar filosofiskt perspektiv2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att undersöka svenska tennistränares erfarenheter och upplevd kompetens inom mental träning ifrån ett tränarfilosofiskt perspektiv. För att undersöka syftet användes tre frågeställningar: (1) Hur prioriterar svenska tennistränare mentala förberedelser jämfört med fysiska, taktiska och tekniska förberedelser? (2) Vilka erfarenheter har svenska tennistränare av mental träning? (3) Vilken upplevd kompetens av mental träning finns hos svenska tennistränare? Deltagarna i studien var 13 (M-ålder=31,5, SD-ålder=9,8) män som var tennistränare inom Västra Götaland. En semi-strukturerad intervjuguide konstruerades med fyra huvudsakliga temaområden tränarfilosofi, erfarenhet av mental träning, kompetens av mental träning och utveckling av mental träning. Resultatet visade att: (1) svenska tennistränare anser att mental träning är viktigt inom tennis men prioriterar inte det i deras tränarfilosofi (2) svenska tennistränarna har erfarenhet av mental träning genom att använda det på banan för sina spelare samt ifrån sina egna tenniskarriärer (3) tränarna upplever att de har låg eller ingen kompetens av mental träning samt att tränarna önskar att få mer kompetens. Slutsatsen från studien är att mental träning är något som svenska tennistränarna anser är viktigt men tränarna har för lite erfarenhet och låg kompetens i deras tränarroll.

  • 47.
    Almerud, Sofia
    et al.
    Växjö University, School of Health Sciences and Social Work, Vaxjo Sweden.
    Baigi, Amir
    Sahlgrenska Academy, Department of Primary Health Care, Gothenburg Sweden.
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Jogre, J.
    Växjö University, Centre for Acute and Critical Care (CACC), Vaxjo Sweden.
    Lyrström, L.
    Växjö University, Centre for Acute and Critical Care (CACC), Vaxjo Sweden.
    Fridlund, Bengt
    School of Health Sciences Jonkoping, School of Health Sciences, Jonkoping Sweden.
    Acute coronary syndrome: social support and coping ability on admittance2008In: British Journal of Nursing, ISSN 0966-0461, E-ISSN 2052-2819, Vol. 17, no 8, p. 527-531Article in journal (Refereed)
    Abstract [en]

    Aim: To compare social support and coping ability in acute coronary syndrome patients at the time of the cardiac event with a healthy community-based sample, with regard to age, sex, education and marital status.

    Method: The study comprised 241 patients and 316 healthy controls. The participants answered a self-administered questionnaire that included three well-established scales. Multiple logistic regression was used in the analysis to compare the health situation between the patients and controls.

    Results: Persons suffering from acute coronary syndrome rated emotional support significantly lower than the healthy controls. However, there were no differences between the two groups in terms of socio-demographic variables.

    Conclusion: This study indicates that social support may be a predictor of acute coronary syndrome.

  • 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.
    Almqvist-Tangen, Gerd
    et al.
    Child Healthcare Team, Region Halland, Sweden & Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Arvidsson, Susann
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Alm, Bernt
    Child Healthcare Team, Region Halland, Sweden & Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Bergman, Stefan
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Research and Development Centre Spenshult, Halmstad, Sweden.
    Roswall, Josefine
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & County Hospital, Region Halland, Halmstad, Sweden.
    Dahlgren, Jovanna
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Nevonen, Lauri
    Örebro University, Örebro, Sweden & Karolinska Institute, Stockholm, Sweden.
    What makes parents act and react? Parental views and considerations relating to ‘child health’ during infancy2017In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 21, no 4, p. 415-423Article in journal (Refereed)
    Abstract [en]

    Lifestyle factors and behaviours are adopted very early in life and tend to persist throughout life. Considering that the parents are the primary gatekeepers for their child’s health, there is a need to gain more knowledge and deeper understanding about what causes parents to act and react in order for early preventive efforts to have any effect. The aim was to explore the parental views and considerations concerning ‘child health’ among parents with infants 8–10 months old. The sample was strategic and 16 parents (aged 23–41) were recruited from three child health centres in Sweden. Open-ended interviews were conducted and a qualitative, manifest content analysis approach was utilized. The parents described the subject ‘child health’ as a large, multifaceted concept. Three categories emerged during data analysis: developing a sixth sense, being affected by perceptions and believing health and ill health as a continuum. The parents perceived food and feeding issues as one of the most worrying aspects and a significant indicator of ‘child health’. In order to meet the parents on their turf, the ‘healthy health message’ conveyed needs to take the parental perspective into consideration rather than attempting to educate the parents from predetermined assumption, belief and values. © The Author(s) 2017

  • 50.
    Almqvist-Tangen, Gerd
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Axelsson, Åsa
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Considerations of the concept of infant health: a literature review2006In: Early Child Development and Care, ISSN 0300-4430, E-ISSN 1476-8275, Vol. 176, no 6, p. 575-589Article in journal (Refereed)
    Abstract [en]

    This study examined a wide range of literature in order to describe factors associated with the concept of infant health. The design of the study is a literature review examining 21 research studies, written in the English language. The study explored which factors were found to exert an influence on the concept of infant health. The result showed that the concept infant health is dependent on many factors but what seems to exert an influence are foremost maternal health and well-being, the family's health care utilization and the parental assessment of their own health. Additional studies are needed to fully understand the concept of infant health. The need for an infant definition that empowers infant health arises because, if a common ground is not clearly established, miscommunication may arise. Furthermore, there is a need to initiate a model for infant health.

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