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  • 101.
    Arosenius, Maria
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Holmqvist Lidh, Linnéa
    Halmstad University, School of Social and Health Sciences (HOS).
    En kamp mot tiden: Att uppleva livskvalitét och välbefinnande vid den obotliga sjukdomen ALS2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Amyotrophic lateral sclerosis (ALS) is an incurable, neurological disease characterized by a progressive degeneration of the motor nervous system. The symptoms of the disease are progressive muscle weakness that eventually causes paralysis and respiratory failure. The survival time from the onset of the disease is two to five years. There is currently no cure for ALS and treatment consists of symptomatic relief. The aim of the study was to illuminate quality of life and well-being in patients with the incurable disease ALS. The method used was a literature review based on thirteen scientific articles that were analyzed and compiled. The results revealed four themes; the importance of physical deterioration and loss of bodily function, the importance of support from family, friends and caregivers, the importance of living in the present and ignore the future and the importance of feeling hope and maintain a positive outlook on life. It is significant that more qualitative studies are being made, studies that explore patients' individual experiences of living with the disease ALS.

  • 102.
    Arvidsson, Barbro
    Malmö School of education, Malmö, Sweden.
    Clinical supervision: a study of how psychiatric nurses experience group supervision2000Book (Refereed)
  • 103.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Malmö School of Education, Malmö, Sweden.
    Group supervision in nursing care: a longitudinal study of psychiatric nurses' experiences and conceptions2000Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The purpose of group supervision in nursing care is to understand nurses’ experiences from real care settings and to structure these in a professional and personal context. An interventional and longitudinal method of research was chosen in this study of group supervision in nursing care. The overall aim of the present study was to examine and investigate how psychiatric nurses’ professional competence changed over time as a result of group supervision in nursing care. The sample consisted of two groups (N=12) of nurses, who received clinical supervision over a period of two years. The study is composed of three interim studies. The aim of Interim study 1 was to describe how psychiatric nurses experienced group supervision in nursing care. A questionnaire was constructed to investigate if, and to what degree, the participants experienced safety, trust and learning during the supervision sessions. The questions asked focused on the concepts ‘a feeling of friendship’, ‘allowing atmosphere’, ‘understanding’ and ‘competence’. Data was analysed using descriptive statistics, and the informants’ comments were categorised. Dairy notes were presented as a background to the ratings, words and quotations. The supervision process was analysed based on theories on supervision, including Maslow’s need theory. The results showed that the supervision climate was, to a high degree, characterised by safety, trust and learning regardless of when the rating was made. The theoretical basis of the interim study and the most common words and expressions appearing in the results were used to design a general model of supervision. The aim of Interim studies 2 and 3 was to investigate the influence of supervision in nursing care, after one and after two years of ongoing supervision as well as four years after completed supervision, on the psychiatric nurses’ professional competence. Data consisted in answers provided during interviews with the informants. Data was analysed according to the phenomenographical method. Interim studies 2 and 3 resulted in four description categories: ‘a feeling of job satisfaction’, ‘gaining knowledge and competence’, ‘gaining a sense of security in nursing situations’ and ‘a feeling of personal development’. In Interim study 3, an additional two description categories emerged: ‘realising the value of supervision’ and ‘a sense of professional solidarity’. The findings gave valuable proof that group supervision in nursing care has a lasting influence on nurses’ professional competence in the form of a distinct professional identity and an integrated nursing care perspective. Group supervision contributes to maintaining the participants’ strength and energy to carry on working, which makes continuing supervision necessary.

  • 104.
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Yrkesmässig handledning i omvårdnad2006In: Psykiatrisk omvårdnad: att stödja hälsofrämjande processer, Lund: Studentlitteratur, 2006, p. 139-154Chapter in book (Refereed)
    Abstract [sv]

    Boken, den första i sitt slag, har ett hälsofrämjande förhållningssätt både vad gäller att förhindra att psykisk ohälsa uppstår och att förhålla sig till personer som i någon mening drabbats av psykisk ohälsa. Syftet är att locka fram hälsofrämjande processer, att hitta hälsan i det sjuka.

    Författarna beskriver den vårdande insatsen, mötet och relationen mellan vårdare och patient/vårdtagare. Boken belyser också betydelsen av att övriga sociala relationer fungerar, såväl inom familjen som i övriga samhällslivet. Värdet av stöd till vårdarna i form av yrkesmässig handledning lyfts fram, liksom vårdmiljöns betydelse.

    Boken vänder sig till universitets- och högskolestudenter vid specialistutbildningar för sjuksköterskor inom psykiatrisk omvårdnad, vid utbildningar med inriktning mot folkhälsa samt till kliniskt verksamma inom hälso- och sjukvården.

    (Från Studentlitteratur)

  • 105.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    Department of Primary Health Care, Sahlgrenska Academy, Göteborg University, Sweden.
    Skärsäter, Ingela
    Faculty of Health and Caring Sciences, Institute of Nursing, The Sahlgrenska Academy at Göteborg University, Sweden.
    Changes in the effects of process-oriented group supervision as reported by female and male nursing students: a prospective longitudinal study2008In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 22, no 3, p. 437-444Article in journal (Refereed)
    Abstract [en]

    The aim of this prospective longitudinal study was to perform a large-scale investigation over a longer period of time, to evaluate changes in the effects of process-oriented group supervision (PGS) as reported by female and male nursing students undergoing a 3-year nursing education. The study included nursing students (n = 183) who were followed during their 3-year study period in relation to their participation in PGS.

    Methods:

    A questionnaire consisting of three subscales: supportive (six items), educational (six items) and developmental (six items) as well as three items of a socio-demographic character (age, gender and previous experience of healthcare work) was used. Student’s t-test was conducted to compare the educational, supportive and developmental subscales between the first and third year.

    Results:

    Females had a significant increase in the educational subscale (p = 0.018) over the 3-year study period, while no such difference was found for the males (p = 0.733). The female students also exhibited an increase in the supportive subscale (p = 0.031) over the 3-year period, while there was no difference for the male students (p = 0.426). There was also an increase in the developmental subscale for the female students over the 3-year period (p = 0.047) but no significant difference for their male counterparts (p = 0.912). For the study group as a whole, an increased positive effect of supervision was observed in the educational subscale (p = 0.020).

    Conclusions:

    The findings have strengthened the argument for the use of PGS in nursing education. To achieve the goal of PGS, which is supportive, educational and developmental in nature, it is important to bear in mind that the supervision needs of women and men can differ. Further research should therefore map out the supervisees’ experiences and expectations of participating in a single sex group.

  • 106.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Franke, Anita
    Department of Education, University of Gothenburg, Gothenburg, Sweden.
    Nurses' various ways of conceiving their learning process as doctoral students: A phenomenograhic study2013In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 13, no 1, p. 53-57Article in journal (Refereed)
    Abstract [en]

    AIM: The aim was to describe variations in how doctoral students conceive their learning process to become researchers in the light of their professional background as nurses. BACKGROUND: Nursing research is an emerging discipline and the number of nurses who acquire a doctor's degree is increasing. METHOD: The study had a descriptive, qualitative design with a phenomenographic approach and was carried out by means of 20 interviews. RESULTS: Three different description categories emerged: (1) A learning process that provides a synthesis of different parts of the research process aimed at developing preparedness for action within the nursing profession. (2) A learning process where practical problems are integrated with and problematised in relation to scientific theories. (3) A learning process involving the transformation from nurse to researcher. CONCLUSIONS: The description categories revealed that the focus was on solving problems that occur in health care and synthesising them by means of research tools. Furthermore, the doctoral students explored different ways of understanding and developing their awareness of the nature of research. Focus was also on the nursing profession and practice and a shift towards the role of a researcher was evident.

  • 107.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Department of Nursing, Lund University, Lund, Sweden.
    Factors influencing nurse supervisor competence: a critical incident analysis study2005In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 13, no 3, p. 231-237Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to identify factors related to critical incidents that influence the competence of nurse supervisors. Nurse supervisors require considerable competence in order to help supervisees to reflect on their clinical work and to interpret the needs of the patient. A qualitative approach involving the critical incident technique was used. Critical incidents were collected by means of self-reports from 25 nurse supervisors. Two main areas emerged: a professional and a personal stance. The professional stance described the nurse supervisors’ awareness of the importance of creating a secure learning environment and facilitating reflection. The supervisors structured the material and created awareness of fundamental nursing values. The second main area, personal stance, described the nurse supervisors’ behaviour when they gave the participating nurses the opportunity to work through the experiences gained in the daily provision of nursing care. Although they experienced lack of self-assurance during the supervision session, they also expressed security regarding their own performance as nurse supervisors. Nurse supervisors need to include more nursing theory and focus on the nursing process as well as being aware of their own shortcomings and resources. One way for the supervisior to scrutinize his/her actions is to discuss and examine them with a more experienced nurse supervisor colleague.

  • 108.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Löfgren, H.
    Department of Educational and Psychological Research, School of Education, Malmö University, Malmö, Sweden .
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Psychiatric nurses' conceptions of how a group supervision programme in nursing care influences their professional competence: a 4-year follow-up study2001In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 9, no 3, p. 161-171Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of the study was to describe, after 4 years, psychiatric nurses' conceptions of how a 2-year group supervision programme within nursing care had influenced their professional competence.

    BACKGROUND: The intention of group supervision in nursing care is to understand nurses' experiences within real care settings and to structure these in a professional and personal context.

    METHODS: Ten psychiatric nurses participated in a 2-year group supervision programme. They were interviewed 4 years after the group supervision was ended. Data were analysed according to the phenomenographic method.

    FINDINGS: Six description categories emerged: a feeling of job satisfaction; gaining knowledge and competence; gaining a sense of security in nursing situations; a feeling of personal development; realizing the value of supervision; and a sense of professional solidarity.

    CONCLUSIONS: The findings of the 4-year follow-up showed that a group supervision programme in nursing care had lasting influences on the psychiatric nurses' professional competence in the form of a pronounced professional identity and an integrated nursing care perspective. Group supervision contributes to maintaining the strength and energy needed to carry on working, which makes continuing supervision necessary.

    IMPLICATIONS: An important research implication could be to investigate the type of knowledge that ought to be developed within group supervision in nursing care.

    © 2001 Blackwell Science Ltd.

  • 109.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Löfgren, H.
    Department of Educational and Psychological Research, School of Education, Malmö University, Malmö, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Psychiatric nurses' conceptions of how group supervision in nursing care influences their professional competence2000In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 8, no 3, p. 175-185Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of the study was to describe, after 1 and 2 years respectively, psychiatric nurses' conceptions of how group supervision within nursing care influenced their professional competence.

    BACKGROUND: The intention of group supervision in nursing care is to understand nurses' experiences within real care settings and to structure these in a professional and personal context.

    THE STUDY: Ten psychiatric nurses participated in the group supervision. They were interviewed on two occasions: after 1 and 2 years, respectively.

    FINDINGS: The data analysis was influenced by the phenomenographic approach and provided four description categories: a feeling of job satisfaction; acquiring knowledge and competence; gaining a sense of security in nursing situations; and a feeling of personal development.

    CONCLUSIONS: In supervision, practice and theory are integrated, resulting in enhanced nursing competence among the participants. Supervision should be an integrated part of nursing work and regarded as a means of quality assurance. A long-term follow-up could give valuable proof that group supervision in nursing care has a lasting effect on nurses' professional competence.

  • 110.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Skärsäter, IngelaHögskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Psykiatrisk omvårdnad: att stödja hälsofrämjande processer2006Collection (editor) (Other (popular science, discussion, etc.))
    Abstract [sv]

    oken, den första i sitt slag, har ett hälsofrämjande förhållningssätt både vad gäller att förhindra att psykisk ohälsa uppstår och att förhålla sig till personer som i någon mening drabbats av psykisk ohälsa. Syftet är att locka fram hälsofrämjande processer, att hitta hälsan i det sjuka. Författarna beskriver den vårdande insatsen, mötet och relationen mellan vårdare och patient/vårdtagare. Boken belyser också betydelsen av att övriga sociala relationer fungerar, såväl inom familjen som i övriga samhällslivet.

    (Beskrivning från förlaget)

  • 111.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Skärsäter, Ingela
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    The Sahlgrenska Academy at Göteborg University, Department of Primary Health Care, Göteborg, Sweden.
    Fridlund, Bengt
    The Sahlgrenska Academy at Göteborg University, Department of Primary Health Care, Göteborg, Sweden.
    The development of a questionnaire for evaluating process-oriented group supervision during nursing education2008In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 8, no 2, p. 88-93Article in journal (Refereed)
    Abstract [en]

    The benefits of process-oriented group supervision are difficult to evaluate, as the validity and reliability of the existing instruments have been questioned. The aim was to develop and test the psychometric properties of a questionnaire in order to evaluate the effects of process-oriented group supervision on nursing students during their three-year nursing education. A 55-item Process-oriented Group Supervision Questionnaire (PGSQ) with a developmental design was formulated on the basis of a literature review and the expectations of nursing students who participated in a three-year nursing education programme (N = 176). Construct validity and internal consistency reliability were tested at the end of each study year: year 1 (T1), year 2 (T2), and year 3 (T3) by means of exploratory factor analysis and Cronbach’s coefficient. An adequate explorative factor analysis (principal component analysis, varimax rotation) with an Eigenvalue >1.0 and factor loadings >0.40, reduced the questionnaire to 18 items comprising three factors labelled educative, supportive and developmental, which explained 60.2% at T1, 71.8% at T2, and 69.3% at T3 of the total cumulative variance. The corresponding Cronbach’s coefficient figures were 0.89 (T1), 0.94 (T2) and 0.93 (T3). The 18-item PGSQ is considered to be a short and useful tool due to its satisfactory validity and reliability figures.

  • 112.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Skärsäter, Ingela
    The Sahlgrenska Academy at Göteborg University, Institute of Health and Care Science, Göteborg, Sweden.
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Sweden.
    Svensson, Marie-Louise
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Baigi, Amir
    The Sahlgrenska Academy at Göteborg University, Department of Primary Health Care, Göteborg, Sweden.
    Effects of process-oriented group supervision as reported by nursing students: a pilot study2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 1, p. 26-29Article in journal (Refereed)
    Abstract [en]

    One method to ensure that nursing students are better prepared for their future professional role can be to offer them process-oriented group supervision. The aim of this prospective, longitudinal pilot study was to evaluate the effects of a process-oriented group supervision programme (PGSP) comprising educational, supportive and developmental areas based on reports by nursing students undergoing a 3-year nursing education. The students (N=61) evaluated their experiences of the PGSP by means of a questionnaire, which they filled in after each study year. An independent t-test was conducted to compare the educational, supportive, and developmental areas after the first (2002), second (2003) and third year (2004) as well as over the whole 3-year study period. The result showed no significant difference in scores in the educational area. However, there was a significant increase in the supportive area (p=.03) over the 3-year period, which was especially noticeable during the first year (p=.013). There was also an increase in the developmental area over the 3-year period (p=.021) as well as during the first year (p=.024). Thus, PGSP seems to develop nursing students in their professional identity and personal growth. However, as this was a pilot study, a research implication is to perform a large-scale study over a longer period of time.

  • 113.
    Arvidsson, Barbro
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Skärsäter, Ingela
    The Sahlgrenska Academy at Göteborg University, Institute of Health and Care Science, Göteborg, Sweden.
    Öijervall, Jörgen
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Process-oriented group supervision implemented during nursing education: nurses’ conceptions 1 year after their nursing degree2008In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 16, no 7, p. 868-875Article in journal (Refereed)
    Abstract [en]

    AIM: To describe the variation in how nurses conceive process-oriented group supervision, implemented during nursing education, 1 year after their nursing degree. BACKGROUND: Process-oriented group supervision can be an effective support system for helping nursing students and nurses to reflect on their activities. METHODS: A descriptive qualitative design was chosen for the study. Conceptions were collected through interviews with 18 strategically selected Swedish nurses in 2005. RESULTS: Three descriptive categories comprising seven conceptions were emerged. Supportive actions comprised: a sense of security, belonging and encouragement. Learning actions involved: sharing and reflecting while developmental actions described: enabling professional identity and facilitating personal development. CONCLUSIONS: Process-oriented group supervision has a lasting influence on nurses' development. The possibility to reflect over new stances during nursing education was a prerequisite for the provision of high-quality care. Process-oriented group supervision can make an important contribution to nursing education. IMPLICATIONS: for Nursing Management Process-oriented group supervision provides nurses with the strength to achieve resilience to stress in their work. It may lead to autonomy as well as clarity in the nurse's professional function. This indicates the need for nurse managers to organize reflective group supervision as an integral part of the nurse's work.

  • 114.
    Arvidsson, Ellinor
    et al.
    Halmstad University, School of Health and Welfare.
    Karisaar, Alicia
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors attityder gentemot patienter med alkoholberoendeproblematik: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden alcohol is consumed by people of all ages and by different social economic groups. Around 320 000 individuals in the Swedish society suffers from an alcoholrelated problem. Alcohol is considered as a legal substance and it is most common that nurses' at some point in their career will meet a patient who suffers from a    alcohol-related disease. The aim of this study was to investigate nurses' attitudes towards patients with alcohol-related problems. The study was conducted as a literature study. The result of the study is based on eight articles which was analyzed and processed. From this process three different categories emerged and founded the result: Nurses' attitudes: negative, neutral and positive, Nurses' attitudes regarding the right to receive care towards patients with alcohol-related problems and How education can affect nurses' attitudes towards patients with alcohol-related problems There was existing negative, neutral and positive attitudes among the nurses'. The nurses' experiences was the main consideration that contributed to the attitudes. Regardless the attitude, the nurses' opinions were that patients with alcohol-related problems had the right to demand care and to be treated. To achieve more positive attitudes among the nurses', they need more education about the subject alcoholrelated problems.

  • 115.
    Arvidsson, Susann
    et al.
    Research and Development Centre Spenshult, Spenshult hospital for rheumatic diseases, Oskarström, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Gjøvik University College, Faculty of Nursing Science, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences & Social Work, Växjö University, Växjö, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Research and Development Centre Spenshult, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Factors promoting health-related quality of life in people with rheumatic diseases: a 12 month longitudinal study2011In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 12, article id 102Article in journal (Refereed)
    Abstract [en]

    Background: Rheumatic diseases have a significant adverse impact on the individual from physical, mental and social aspects, resulting in a low health-related quality of life (HRQL). There is a lack of longitudinal studies on HRQL in people with rheumatic diseases that focus on factors promoting HRQL instead of risk factors. The aim of this study was to investigate the associations between suggested health promoting factors at baseline and outcome in HRQL at a 12 month follow-up in people with rheumatic diseases.

    Methods: A longitudinal cohort study was conducted in 185 individuals with rheumatic diseases with questionnaires one week and 12 months after rehabilitation in a Swedish rheumatology clinic. HRQL was assessed by SF-36 together with suggested health factors. The associations between SF-36 subscales and the health factors were analysed by multivariable logistic regressions.

    Results: Factors predicting better outcome in HRQL in one or several SF-36 subscales were being younger or middle-aged, feeling painless, having good sleep structure, feeling rested after sleep, performing low effort of exercise more than twice per week, having strong sense of coherence (SOC), emotional support and practical assistance, higher educational level and work capacity. The most important factors were having strong SOC, feeling rested after sleep, having work capacity, being younger or middle-aged, and having good sleep structure.

    Conclusions: This study identified several factors that promoted a good outcome in HRQL to people with rheumatic diseases. These health factors could be important to address in clinical work with rheumatic diseases in order to optimise treatment strategies. © 2011 Arvidsson et al; licensee BioMed Central Ltd.

  • 116.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden & School of Health Sciences & Social Work, Växjö University, Växjö, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Gjøvik University College, Faculty of Nursing Science, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences & Social Work, Växjö University, Växjö, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult hospital for rheumatic diseases, Oskarström, Sweden.
    Health predicting factors in a general population over an eight-year period in subjects with and without chronic musculoskeletal pain2008In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 6, article id 98Article in journal (Refereed)
    Abstract [en]

    Background: Many factors are proposed to be associated with health-related quality of life. Knowledge of health factors associated to development of a good health-related quality of life could be of use in clinical practice and public health work. The aim of this study was to investigate the associations between suggested health factors and health-related quality of life at baseline and in an eight-year follow up in subjects with and without chronic musculoskeletal pain in a cohort from a general population.

    Methods: The study was designed as a longitudinal study in a Swedish general population (N = 1 849) with a postal questionnaire at baseline 1995 and at follow up 2003. Subjects were divided into two groups, according to their response about chronic musculoskeletal pain at baseline. Health-related quality of life was assessed by the SF-36 together with suggested health factors. The associations between SF-36 subscales and suggested health factors were estimated by OR and 95% CI calculated by multivariable logistic regressions, with adjustment for all health factors, age, sex and baseline SF-36 values.

    Results: Although subjects without chronic musculoskeletal pain reported better health-related quality of life than subjects with chronic pain, similar health factors were found to be associated to higher scores in SF-36 at baseline and predicted a better outcome in the eight-year follow up. The most consistent finding was a better health outcome in the eight-year follow up for subjects that were feeling rested after sleep. Other factors that in some aspects predicted a better outcome were belonging to higher socioeconomic group, being a native Swede, having emotional support, having good sleep structure, never being or being a former smoker, and regularly drinking alcohol.

    Conclusion: The most important health factor in subjects with and without chronic musculoskeletal pain was feeling rested after sleep, but also emotional support, sleep structure, smoking and alcoholic habits appears to be important components. These health factors could be important to address in clinical work with painful musculoskeletal disorders. Since several health factors are common in both subjects with and without pain there could be a common strategy to be formed in public health programmes.

  • 117.
    Arvidsson, Susann
    et al.
    Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden & Faculty of Health Care and Nursing, Gjøvik University College, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bengtsson-Tops, Anita
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Experiences of health-promoting self-care in people living with rheumatic diseases2011In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, no 6, p. 1264-1272Article in journal (Refereed)
    Abstract [en]

    Aim: This paper is a report of a study that explores and describes the meaning of the phenomenon of health-promoting self-care as experienced by people living with rheumatic diseases.

    Background: People with rheumatic diseases estimate health status as low and health belief and health status influence self-care behaviours. Several self-care behaviours are used in the efforts to mitigate the diseases.

    Method: The study had a descriptive phenomenological approach based on a reflective life-world perspective. Data were gathered in 2007 by unstructured open-ended interviews with 12 individuals living with rheumatic diseases.

    Findings: The meaning of health-promoting self-care as experienced by people living with rheumatic diseases was that self-care takes place against a background of continual hope and belief to influence health in positive ways. Self-care was a way of life and implied being ready to understand and respond to signals from the body. Three inter-related constituents elucidated their experiences: dialogue, power struggle and choice. Self-care was experienced as dialogues with the body and with the immediate environment. In order to respond to signals from the body, power struggles were required to be entered into when fighting the diseases. Choices were required to be made and things that were beneficial for the body were prioritized.

    Conclusion: In this study, the meaning of health-promoting self-care as experienced by people living with rheumatic diseases was that self-care was a way of life. This meant to be ready to understand and respond to signals from the body. Self-care required dialogues, power struggles and choices. © 2011 Blackwell Publishing Ltd.

  • 118.
    Arvidsson, Susann
    et al.
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Bergman, Stefan
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden & Faculty of Health Care and Nursing, Gjøvik University College, Gjøvik, Norway.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Tingström, Pia
    The Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Effects of a self-care promoting problem-based learning programme in people with rheumatic diseases: a randomized controlled study2013In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 69, no 7, p. 1500-1514Article in journal (Refereed)
    Abstract [en]

    Aim: To evaluate the effects of a self-care promoting problem-based learning programme for people with rheumatic diseases in terms of health-related quality of life, empowerment, and self-care ability.

    Background: Individuals with rheumatoid arthritis express a great need for education and support in adapting to the disease, but the average qualities of studies about patient education interventions are not high. There is no evidence of long-term benefits of patient education.

    Design: Randomized controlled trial.

    Methods: A randomized controlled design was selected with test at baseline, 1-week and 6-month post-interventions after completed the 1-year programme. The tests consisted of validity and reliability tested instruments. The participants were randomly assigned in spring 2009 to either the experimental group (n = 54) or the control group (n = 148). The programme was running alongside the standard care the participants received at a rheumatology unit. Parametric and non-parametric tests were used in the analyses.

    Results: The participants in the experimental group had statistically significant stronger empowerment after participation in the self-care promoting problem-based learning programme compared with the control group, at the 6-month post-intervention. Approximately, two-thirds of the participants in the experimental group stated that they had implemented lifestyle changes due to the programme.

    Conclusion: The self-care promoting problem-based learning programme enabled people with rheumatic diseases to improve their empowerment compared with the control group. It is important to continue to develop problem-based learning in patient education to find the very best way to use this pedagogical method in rheumatology care. © 2012 Blackwell Publishing Ltd.

  • 119.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Gilljam, Britt-Mari
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Region Halland, Halmstad, Sweden.
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Ruland, Cornelia Maria
    The Centre for Shared Decision Making and Collaborative Care Research (CSDM), Oslo University Hospital, Oslo, Norway & University of Oslo, Oslo, Norway.
    Nordby-Bøe, Trude
    The Centre for Shared Decision Making and Collaborative Care Research (CSDM), Oslo University Hospital, Oslo, Norway.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Redesign and Validation of Sisom, an Interactive Assessment and Communication Tool for Children With Cancer2016In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 4, no 2, article id e76Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Children with cancer undergo intensive and long treatment periods that expose them and their families to a number of difficult physical, mental, and social challenges. Empowering children by actively involving them in their care can help them to cope with these challenges. It can, however, be difficult for children to be involved and talk about their illness experiences in a "traditional" conversation with health care professionals, especially for younger children. Sisom (Norwegian acronym "Si det som det er" or "Tell it how it is") is an interactive computer-based assessment and communication tool to give children (aged 6-12 years) with cancer a "voice" in their care. Because of technological advances and widespread use of mobile devices Sisom had to be redesigned to better meet the needs of children of today.

    OBJECTIVE: To redesign Sisom for use on mobile devices and to validate and adapt it for use in a Swedish population of children with cancer.

    METHODS: A user-experience design was used. Content adaptation included forward-backward translation by Swedish and Norwegian translators. Healthy children (n=5), children with experiences of cancer treatment (n=5) and their parents (n=5), and pediatric nurses (n=2) were then involved in culturally adapting Sisom to the Swedish context. The iterative low- and high-fidelity evaluation was supported by a think aloud method, semistructured interviews, and drawings to capture children's views of Sisom. The redesign and evaluation continued until no further changes or improvements were identified by the participants or the researchers.

    RESULTS: Children, parents, and pediatric nurses offered many suggestions for improvements to the original version in terms of content, aesthetics, and usability of Sisom. The most significant change that emerged through user input was a modification that entailed not using problem-focused statements in the assessment items. The parents and pediatric nurses considered the revised assessment items to be general and less diagnosis specific. The evaluation of aesthetics resulted in brighter colors and more positive and exciting details in the animations. The evaluation of usability included improvements of the verbal instructions on how to navigate in Sisom 2, and also that the answers to assessmentitems in Sisom 2 should be saved to provide the children with the option to pause and to continue answering the remaining assessment items at a later stage.

    CONCLUSIONS: Overall, this paper describes the process of using user-experience design with children in order to redesign and validate an interactive assessment and communication tool and how the outcomes of this process resulted in a new version, Sisom 2. All participants confirmed the usability and qualities of using the final version. Future research should be directed toward the implementation of Sisom 2 in clinical practice and to evaluate outcomes from individual and organizational levels.

  • 120.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nylander, Maria
    Spenshult Research and Development Centre, Halmstad, Sweden & Swedish Rheumatism Association, Stockholm, Sweden.
    Bergman, Stefan
    Spenshult Research and Development Centre, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Callers´perceptions of their contact with a rheumatology telephone helpline2019In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 17, no 1, p. 105-112Article in journal (Refereed)
    Abstract [en]

    Background: Telephone helplines are useful for improving patients' access to healthcare services and reducing the need for frequent face‐to‐face contact with healthcare professionals. Little is known about how people who phone a helpline perceive the encounter.

    Objectives: The aims of the present study were to describe the variation in how callers perceive their encounter with a rheumatology telephone helpline.

    Methods: The  study  had  a  descriptive,  qualitative  design  and  used  a phenomenographic approach, comprising 27 semi‐structured telephone interviews with callers to Rheuma Direct, a rheumatology telephone helpline with specially trained nurses. The callers comprised 22 women and five men, aged 22–89 years (mean 54 years).

    Results: The callers phoned Rheuma Direct when they had problems obtaining answers to questions on the internet or from healthcare professionals. Three descriptive categories emerged: constructive dialogue, specialized competence and applicability. The callers perceived that it was a constructive dialogue when they were able to discuss their concerns with someone, received emotional support, felt reassured and were satisfied with the information provided. They perceived specialized competence when the nurses were experienced and skilful, the advice provided complemented previously received information and when they had more knowledge after the call. The callers perceived that Rheuma Direct had applicability because it was easy to access and they could make different choices before, during and after the telephone call. 

    Conclusions: Callers to a rheumatology telephone helpline perceived it as a valuable complement to other sources of information, and felt that it could provide them with the tools to manage their disease better, as well as future contacts with healthcare professionals. © 2018 The Authors Musculoskeletal Care published by John Wiley & Sons Ltd.

  • 121.
    Arvidsson, Susann
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Spenshult Research and Development Centre, Halmstad, Sweden.
    Nylander, Maria
    Spenshult Research and Development Centre, Halmstad, Sweden.
    Bergman, Stefan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Spenshult Research and Development Centre, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    People's perceptions of their phone call with rheuma directly, a rheumatic diseases helpline2017In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, no Suppl. 2, p. 1544-1545, article id AB1238-HPRArticle in journal (Refereed)
    Abstract [en]

    Background Information on rheumatic diseases is often complex to understand or scary, and additional support is often necessary. Rheuma Directly (RD) is a helpline with specially trained nurses on rheumatic diseases, funded by the Swedish Rheumatism Association and Spenshult Research and Development Centre. Little is known of how people calling a helpline perceive the contact.

    Objectives To describe the variation in how people perceive the contact with the helpline RD.

    Methods The study had a descriptive, qualitative design with a phenomenographic approach and was carried out by means of 27 semi-structured telephone interviews. The informants were 22 female and 5 men, and their ages ranged from 22 to 89 years (mean 54 years).

    Results The informants called RD when they had problems getting answers to their questions through the Internet or from healthcare professionals. Three different description categories emerged: Specific competence, Constructive dialogue, and Applicability. The informants' perceived Specific competence when the nurses were knowledgeable, the call was complementary to previously received information and when the informants had greater knowledge after the contact with RD. They perceived that it was a Constructive dialogue when they got someone to discuss with, a “sounding board”, and perceived emotional support, felt reassured and were satisfied with the answer. The informants perceived Applicability because RD was available and they could make different choices according to their own desire; before (how and when they would contact RD), during (what to tell and what question they would ask) and after (how and what they would do after the contact with RD).

    Conclusions People calling RD perceived that the telephone call with the nurses meant meeting specific competence, gaining constructive dialogue and that the helpline was applicable. This knowledge ad to a fuller understanding of factors that from a caller's perspective, are important when calling a helpline with specially trained nurses on rheumatic diseases. © 2017, Published by the BMJ Publishing Group Limited.

  • 122.
    Ask, AnnaLisa
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Grimberg, Carolina
    Halmstad University, School of Social and Health Sciences (HOS).
    Att stödja de som stödjer: Närståendes behov av stöd för en förbättrad interaktion med person med psykossjukdom2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Personer med psykossjukdom får idag omfattande stöd av sina närstående. Den stödjande rollen kan innebära en hög belastning och börda för närstående. Interaktionen med en person med psykossjukdom kan försvåras av en rad olika faktorer och har visats betydelsefull för sjukdomsprognosen. I sjuksköterskans arbete ingår att ge stöd och vägledning till närstående. Syftet med föreliggande litteraturstudie var att beskriva närståendes behov av stöd som kan förbättra interaktionen med person med psykossjukdom. I resultatet framkommer att närstående behöver stöd i att acceptera och förstå, både personen med psykossjukdom och sin stödjande roll. Vidare behöver närstående stöd i att bära bördan samt stöd i kommunikation och problemlösning för att exempelvis bättre kunna hantera situationer och skapa en bättre interaktion. Den kliniska verksamheten bör satsa på interventioner som förbättrar interaktionen och kan utformas som bland annat utbildning. Sjuksköterskor bör därför få fortlöpande utbildning i pedagogik. Fortsatt forskning bör fokusera mer specifikt på interaktionen mellan närstående och person med psykossjukdom och studera ett mer omfattande urval av närstående till person med psykossjukdom.

  • 123.
    Ask, Stephanie
    et al.
    Halmstad University, School of Health and Welfare.
    Edberg, Josefin
    Halmstad University, School of Health and Welfare.
    När sjuksköterskan bär samvetet på sina axlar: En litteraturstudie om samvetsstress2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In the nurse's work, care is given to patients where emotional strain become visible to the nurse. When the demands become larger than the nurse can manage while he or she is susceptible to other people's feelings, stress of conscience occurs. The aim of the study was to explore stress of conscience in the nurse. The method in this study was a general literature study that included 12 result articles. The result resulted in three themes: contributing factors, health effects and preventive factors. The result demonstrated that an insufficient working environment and bad conscience are factors that generate stress of conscience and that nurses have different tendency to be affected by stress of conscience, depending on their background and their experiences. Stress of conscience can be prevented by getting support from home, support from the organization and from colleagues, but also through the opportunity of reflection. The nurse which are affected by stress of conscience will have consequences that affect his/her private life which eventually can lead to burnout. Present research on stress of conscience is insufficient. Increased knowledge and additional research on the subject is required to lessen this relatively unexplored health problem.

  • 124.
    Askenvind, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Petersson, Charlotte
    Halmstad University, School of Health and Welfare.
    Fysisk aktivitet i omvårdnad för patienter med depression2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is a psychiatric condition that increases all over the world. Depression can be diagnosed as mild, moderate and severe. Physical activity (pa) is a movement that concerns the skeletal muscles. Previous research shows that the daily recommendation for pa in depression should last at least 30 minutes. Lately it has been shown both international and national that pa is far more noted in the steps of treatment of depression. Aim: The purpose of the study was to describe physical activity in nursing in depression. Method: Systematic searches were made in databases for nursing research and resulted in 11 scientific articles analyzed by inspiration from content analysis. Results: The analysis of the 11 results articles identified three main themes: Prerequisites for physical activity, Effects of physical activity, Experience of physical activity. It was found in 10 of the 11 results articles that physical activity had a positive effect on depression. Support from another was an important part in the process for the patients with depression. Conclusion: The study's conclusion shows that stronger knowledge support is needed through research on pa in depression. Knowledge support can promote more evidence in the nursing process and thus reduce patient suffering in depression. 

  • 125.
    Aspeflo, Karina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Vendelstrand, Hanna
    Halmstad University, School of Social and Health Sciences (HOS).
    Lär mig det jag vill, på mitt sätt: Patientundervisning utifrån informationsbehovet hos patienter med cancer2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patients often experience that the information they are given is wrong. Wrong in the consideration of too little, to much, none at all, given at the wrong time, too complicated or in a difficult technical language that they do not understand. The purpose of this study was to illuminate what information needs patients with cancer may have. The study was based on 20 scientific articles and shows that most patients with cancer want to have all available information regarding both diagnosis and treatment including the available choices. However, there are some who only want limited information; therefore it is important to evaluate each patient's information needs. Well-informed patients experience less anxiety and distress and get a sense of control over their complex situation. It is therefore important for the nurse to have knowledge of the need for information and the important factors that can alter and satisfy the needs of patients. By providing patient education more space in the education of nurses, and make nurses more aware of new research, the patients' situation can in the future be further improved.

  • 126.
    Asplid, Matilda
    et al.
    Halmstad University, School of Health and Welfare.
    Becerra Ponce, Gabriela
    Halmstad University, School of Health and Welfare.
    Becerra Ponce, Paula
    Halmstad University, School of Health and Welfare.
    Att leva med en smittsam blodsjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Human immunodeficiency virus (HIV), hepatitis b and c are contagious blood diseases that exists worldwide. These three diseases are considered to be generally dangerous and as a notifiable disease. Living with a contagious blood disease can be stressful to patients both physically and mentally. The purpose of this literature study was to describe patients' experience of living with contagious blood diseases. The study is a general literature study, where qualitative research was used to produce the result. The result consists of three themes and seven different subthemes. That resulted in the creation of three themes: fear, the feeling of being unseen and the feeling of being seen. Living with a contagious blood disease can be stressful to a patient. There is a great fear for the consequence of the disease. Getting social support from relatives and their social environment has a major impact on the patient's life. The lack of social support can make the patient avoid social contact. Patients’ take alternative means such as alcohol, drugs and the patient can develop depression. As a formal caregiver it is important to see the person behind the infection, as the patient experience the meeting with formal caregivers as negative. The formal caregivers are afraid of the disease and to be infected. The patient feels judged and chooses to avoid treatment.

  • 127.
    Astell, Mimi
    et al.
    Halmstad University, School of Health and Welfare.
    Truedsson, Henrik
    Halmstad University, School of Health and Welfare.
    Individers upplevelser av att leva med urostomi: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    An individual that undergoes urostomy surgery is put under a lot of stress, since the individual loses control of a basic need. Both pre- and postoperative care is crucial in order for the individuals to prepare for their new life situation after the surgery. It is important that nurses possess knowledge of care of urostomy in order to be able to teach good self-care. This can lower the risk of complications and it gives the “individual” the opportunity to rediscover independence. Purpose: The aim of the literature study was to highlight the experience of individuals living with urostomy. Method: The study was done in the form of a general literature study were scientific articles were systematically reviewed. Result: The result is based on six scientific articles that resulted in three categories: The importance of the support, The effect on self-image and changed life situation. The individuals experienced that support from both family and friends as well as from healthcare personnel was of importance. The urostomy had an effect on body-image both physically and mentally. It was difficult to choose clothing since the urostomy was in the way. A change in self-esteem was also affected by the body-image and it was mentally stressful to look at yourself in the mirror. The fear of leakage restricted the life of many and obstructed individuals from performing every day activities. Because of the urostomy both the social and sex life was affected.

  • 128.
    Axelsson, Liza
    et al.
    Halmstad University, School of Health and Welfare.
    Söderblom, Sara
    Halmstad University, School of Health and Welfare.
    Upplevelsen av att leva med schizofreni2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Schizophrenia is a mental illness where the person’s experience of the disease is an important basis for nursing care. To improve the care, more knowledge is required about the experience of living with schizophrenia. The aim of the study was to describe the experience of living with the mental illness schizophrenia. The study was conducted as a literature study. The literature search was done systematically, resulting in 14 scientific articles that shaped the outcome of the study. A content analysis was conducted, which resulted in three categories: alienation, losses and valuable life. The results showed that people with schizophrenia feel loneliness and alienation. The disease also contributed to huge losses of life. Despite setbacks several factors that could lead to a meaningful life was revealed. To create good caring, people with schizophrenia felt that health professionals need to show respect, listen and give space. Increased knowledge about the disease is recommended to reduce the stigma of schizophrenia. Further research on how health professionals should behave against people with schizophrenia is requested.

  • 129.
    Axelsson, Mikael
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Bång, Patrik
    Halmstad University, School of Social and Health Sciences (HOS).
    Thorell, Snezana
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskans upplevelse av arbetet med suicidala patienter inom psykiatrisk heldygnsvård.2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Approximately 800 000 people around the world, are calculated to commit suicide in 2014. In most cases, the underlying explanation is psychiatric disorders. Depression and substance-use are the most common causes of suicide-attempts or completed suicide, and in many cases the suicidal patient has been in contact with psychiatric services short before the suicide-attempt. Dealing with suicidal patients in daily work demands specialized knowledge in psychiatric care, and also good knowledge concerning prevention-work in inpatient wards. The purpose of this study was to explore the nurses’ experiences in prevention-work concerning suicidal patients in inpatient wards. The study was a qualitative interview-study with a phenomenological approach. Results show that it is often hard to decide what causes suicide, but that being confronted with suicidal patients creates concerns about one’s own competence, about what the nurse might have missed and what could have been done in a better way. It is of importance to ventilate and process the experience of a suicide attempt or completed suicide, to maintain a correct approach and view of one’s own work as a nurse.

  • 130.
    Axelsson, Pia
    et al.
    Halmstad University, School of Health and Welfare.
    Rajkovic, Charlott
    Halmstad University, School of Health and Welfare.
    Peer learning under specialistsjuksköterskeutbildningen inom intensivvård: - ett handledarperspektiv2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Peer learning is a precepting method that clarifies the link between theoretical knowledge and practical skills, and at the same time enables more students to be offered placement for clinical education. Therefore, it would be of interest to explore if the precepting strategy can be appropriate in the postgraduate nursing education in critical care. The purpose of the study was to explore peer learning as a precepting method in the postgraduate nursing education in critical care in preceptors’ point of view. The study was conducted by a focus group interview with a descriptive design with an inductive approach and data was analysed with manifest content analysis. The study revealed six categories and four subcategories. The interaction between the students was considered to develop the ability of communication and cooperation. The students could build on their former knowledge, considered as equals, and went from an inhibitive role as students. The patient and the relatives were not perceived to resent the student reasoning, they rather expressed they learned from it. The unique way to preserve students' knowledge and skills led to an early development of their already existing knowledge. The early training in communication and cooperation can be considered beneficial because deficiencies in these areas generate the most common incidents in healthcare today. The conclusion is that peer learning can be applied as a precepting method in the postgraduate nursing education in critical care. Further research of peer learning in postgraduate nursing educations is needed and also how the patient and family members experience the students' reasoning, are of great interest.

  • 131.
    Axesol, Anita
    et al.
    Halmstad University, School of Health and Welfare.
    Rudin, Sofie
    Halmstad University, School of Health and Welfare.
    Synfältsinskränkningar och bilkörning2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 132.
    Axesol Greis, Anita
    et al.
    Halmstad University, School of Health and Welfare.
    Rudin, Sofie
    Halmstad University, School of Health and Welfare.
    Personers erfarenhet av besök vid sjuksköterskeledd ögonmottagning2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: People struck by glaucoma or diabetes shall be offered examination on a regular basis. Nurseled clinic is a measure to cope with the demand. The purpose of the study was to analyze people’s experience of a nurse-led clinic within ophthalmology. Method: Cross sectional study with quantified approach and consecutive selection. During one month, 187 participants who visited the clinic for control of diabetic and glaucoma responded to a survey. Six questions modified from the Swedish National Patient Survey were used. The data was collected in a digital format directly after the visit. Questionnaire responses were on a non parametric ordinal scale with responses between 1, no, not at all to 5 yes, I agree. Result: Median and mode showed 5 and the total mean value showed 4,96. There was no difference in the experience related to age, diagnosis, type of visit and vision impairment. Conclusion: Visitors to a nurseled ophthalmology clinic experienced the clinic to be carried out personcentered. The questionnaire was inquired targeted in personcentered care and was agreed by the majority.

  • 133.
    Babic, Dragana
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Ferhatovic, Amila
    Halmstad University, School of Social and Health Sciences (HOS).
    Hjälp till självhjälp: Åtgärder som förebygger exacerbation hos personer med kronisk obstruktiv lungsjukdom2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Kronisk obstruktiv lungsjukdom (KOL) tillhör en av de vanligast förekommande sjukdomarna i Sverige och medför mycket lidande för den drabbade människan. En ständig andfåddhet, trötthet och hosta leder till en livslång kamp för den drabbade. Exacerbation är ett återkommande skov av grundsjukdomen KOL och yttrar sig i en förvärrad dyspné, skapar ett livshotande och ångestskapande tillstånd. Syftet med litteraturstudien var att belysa åtgärder som sjuksköterskan kan använda i omvårdnaden för att förebygga exacerbation hos personer med kronisk obstruktiv lungsjukdom. I resultatet framkom följande kategorier: Undervisning och Mentorskap. Det krävs individuellt anpassad patientundervisning och mentorskap för att öka patientens delaktighet och fysisk aktivitet för att förebygga exacerbationer, lindra lidande och minska ångestupplevelsen. Genom att sjuksköterskan använder dessa strategier i omvårdnaden kan en ökad egenvårdsförmåga till dyspnéhantering uppnås vilket leder till dyspnéns minskade intensitet, varaktighet och förekomst. Resultatet kan användas och tillämpas i utbildning av sjuksköterskor i klinisk verksamhet för att främja egenvård och hälsa till personer med KOL. Mer forskning om åtgärder som förebygger exacerbationer i samband med KOL behövs eftersom KOL inom den närmaste framtiden blir den mest förekommande dödsorsaken i världen.                                               

  • 134.
    Backe, Marita
    et al.
    Department of Medicine, Halmstad County Hospital, Halmstad, Sweden.
    Larsson, Kerstin
    Department of Medicine, Halmstad County Hospital, Halmstad, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Primary Health Care, Göteborg University, Göteborg, Sweden.
    Patients’ conceptions of their life situation within the first week after a stroke event: A qualitative analysis1996In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 12, no 5, p. 285-294Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to find out how stroke patients conceived their life situation within the first week of the acute care phase as seen from the nurses’ viewpoint. Six patients were interviewed within 3 weeks from their first stroke, using questions based on a holistic philosophy and analysed with the phenomonographic approach. Two main categories emerged from the results: the feeling of unreality and the awareness of a changed role in life, together with six subcategories; feeling of a changed perception of the body; feeling of being confused; loss of capability; awareness of confined life space; the importance of support and encouragement; and the will to look for new opportunities. The study concludes that the body change resulting from a stroke leads to both physical and psychological trauma, in which the psychological crisis can be very deep and best described as a personal catastrophe. The patient’s capability to receive and understand information becomes blocked, which influences both the nurse and the patient’s next of kin with regard to their care of the patient. Conversations with the patient must be frequent so that the acute care can be evaluated and agreement reached between the patient’s wishes and the nurses’ objectives. The results indicate the significance of intervention programmes based on crisis theory within the first week of a stroke event.

  • 135.
    Backman, Linn
    et al.
    Halmstad University, School of Health and Welfare.
    Kleveland, Therese
    Halmstad University, School of Health and Welfare.
    Wetterlöv, Malin
    Halmstad University, School of Health and Welfare.
    Jag älskar mitt jobb men...: Aspekter i sjuksköterskors arbetsmiljö som påverkar omvårdnadskvalitén2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    By findingoutwhich aspectsofnurseworkenvironmentthatmayaffect the qualityofcarenursescanhavegreateropportunity to design their ideal work situation and ultimatelyprovide the best possiblecare. The aimofthisstudywas to investigateaspectsofnurses' workenvironmentthataffectcarequality. The result is based on 20 scientificarticles: bothqualitative and quantitative design. The results show thatifnursesexperience a goodworkingenvironmentthisimprovesnurses' and patients' assessmentofcarequality. Workload has a criticalimpact on the qualityofcare. Nursesareforced to set prioritiesdue to timeconstraints and a heavyworkload, thisnegativelyaffects patients and results in increasedcosts ofcare. Being part of a well-functioning team withgoodcommunicationimprovesnurses' jobsatisfaction. A leadershouldtakenurses' opinions seriously and ensureenoughqualifiedstaff. Salary, careeropportunities, skillsdevelopment, and nurse representation at decision-makinglevelsareseen as importantaspects to raise the profession's status and jobsatisfaction. Implication for further research on the subjectcould be interventional studies thatattempt to improve the revealedaspectsof the workenvironment. Decision-makers, patients and their relatives understandingof the qualityofcarerelated to nurses' workenvironmentare alsoneeded to clearlydescribe the subject.

  • 136.
    Bagdasaryan, Violeta
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Bladh, Ainura
    Halmstad University, School of Social and Health Sciences (HOS).
    Khatsarevych, Tetiana
    Halmstad University, School of Social and Health Sciences (HOS).
    Den andra våren: val av copingstrategier hos kvinnor underklimakterietransition2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Menopause is a natural process during a woman’slifecycle when her body goes through physiological changes due to hormonalalterations. Also, menopause is a development-related tran-sition.According to the theory of transition it will appear within a certain timeframe, follows a clear route and leads to alterations in identity, role,relations or behavioral patterns. Knowledge of these stages of change and whataffects women’s behavior during transition is a vital qualification requiredfor nurses to succeed in providing healthy transition. Thepurpose of this literature study was to high-light factors that affect thechoice of coping strategies. Twelve articles were studied and analyzed based onthe purpose of the study. The result showed that there are five groups offactors that can affect women’s choice of coping strategies; socio-cultural andsocio-economical, type and severity of menopause symptoms, availability ofsupportive social networks, personality related factors and the current lifesituation. Women with established networks can seek help and support withintheir family and amongst their friends. When there is a lack of these types ofnetworks, healthcare personnel can become the only resource for discussingmenopause-related issues. Keeping these factors in mind, which serve the basisfor different coping strategies, healthcare-institutions should createeducation and models to assist women with menopause symptoms and develop aneffective coping-strategy.

  • 137.
    Baltzar, Emma
    et al.
    Halmstad University.
    Eriksson, Emeli
    Halmstad University.
    Självstigmatisering hos personer med schizofreni: Ett hot mot självet2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Self-stigmatization is a complex process which implies that the person might internalize negative stereotypes and attitudes that are directed towards them. The interest for self-stigmatization has increased during the last decade, but there is still little research on the phenomenon. The aim of this study was to describe self-stigmatization amongst people with schizophrenia. The study was conducted as a literature study, where eight scientific articles were reviewed and analyzed. The results showed that the degree of self-stigmatization amongst people with schizophrenia was affected by a various of factors, including the number of psychiatric hospitalizations and the severity of the illness. Self-stigmatization also proved to result in a negative view on oneself and the own abilities. Further quantitative research is needed, but there is also a great need for qualitative research that focuses on individual’s own experiences. The health care needs to better understand and pay attention to self-stigmatization. Efforts in evidence-based nursing also needs to be developed based on all the steps in the nursing process to reduce self-stigmatization.

  • 138.
    Bamba, Djeneba
    et al.
    Halmstad University, School of Health and Welfare.
    Persson, Josefine
    Halmstad University, School of Health and Welfare.
    Bariatrisk kirurgi - Livet efter operationen2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Obesity is today a chronic disease that represents a major health challenge both internationally and nationally. The obesity occurrence has globally almost tripled since 1975. For patients with severe obesity, lifestyle changes, diets and physical activity are not effective methods, nor do they provide sustainable results. Today, bariatric surgery has become a well-established method and is now considered a standard treatment. Purpose: To describe patients' experiences after bariatric surgery. Method: A general literature study has been conducted. Eleven scientific articles were analyzed for searches in three nursing databases. Result: Four categories emerged; Experiences of a changed relationship to food, experiences of a changed body and identity, experiences of a changed social interaction and the significance of support and experiences of health and illness. Conclusions: The experiences after bariatric surgery varied between patients and affected both physical and mental aspects of life. Even though the new body gave opportunities for increased physical ability, patients still experienced difficulties in embracing the new identity. The support was found to be essential to maintain the achieved weight loss. It is vital that the nurse is familiar with the patients’ situation in order to provide adequate support and make the patient feel familiar and confirmed. 

  • 139.
    Bang, Monica
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Berntsson, Janet
    Halmstad University, School of Social and Health Sciences (HOS).
    Österberg, Emilia
    Halmstad University, School of Social and Health Sciences (HOS).
    eHälsa: - ett verktyg för samarbete mellan hälso- och sjukvård och den moderna patienten2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Problem: eHealth is the present and, in particular, the futures of health care. It is considered to be able to strengthen the involvement and participation of the patient. The modern patient demand increased transparency, participation and autonomy.                                                                                                                                                                                                                                                                                                                                                       Aim: The aim of this study was to highlight eHealth, focusing on patient empowerment.                                                                                                                                                                                                                                                                                                                                               Method: A literature study with 14 scientific articles, that have been reviewed, analyzed and compared with an inductive approach.                                                                                                                                                              Results and conclusions: The results show that eHealth increases the availability of health information and health care at home. eHealth can and should be used as a supplement in health care to enhance patient empowerment, provided that the patient has the ability to manage and understand information and communication tools, and that collaboration exists with the health care provider.                                                                                                                                 Implication: Further research on how nurses can implement eHealth within the nursing practice is needed. eHealth as a concept should also be highlighted along with other guidelines related to information and communication technology in the Description of Competence for Registered Nurses. Patient education in eHealth and its services should be included in the health care practice to optimize self care for patients, so that they thereby could receive empowerment. It is also of great importance that the student nurse, already during education, gains knowledge of eHealth and eHealth services.

  • 140.
    Bauhn Eriksson, Janet
    et al.
    Halmstad University, School of Health and Welfare.
    Ivansson, Helen
    Halmstad University, School of Health and Welfare.
    Varför avböjer föräldrar att vaccinera sina barn: En integrativ litteraturstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:Vaccination density has decreased in society. The primary concerns are the combination vaccine against measles, mumps and rubella (MMR). To decline vaccination leads to measles being re-established in the society. Measles is one of the most contagious infection diseases that exists, the risk of secondary diseases is substantial which affects 20% of the population. If the vaccination density goes below 95% measles is in the risk of being reaffirm in society. Method:A integrative literature study with article searches conducted in the database Academic Search Elite, Cinahl, PubMed and Social Service Abstract and resulted in 13 relevant articles.  Results:The study shows that most parents experienced that they did not get enough information from the health care sector. They searched for information on websites or through other parents. Therefore, credible information is necessary when visiting the children's health care and to distribute information sheets on different languages to reach those with different cultures. Conclusion and implication:The study shows how important it is with credible information about the vaccines for parents being able to take a stand. Knowledge makes it easier for healthcare personals to set up strategies to teach and inform doubtful parents. Increased knowledge gained from ongoing research in the subject, which increases the opportunities for WHO to reach the goal of eliminating measles. 

  • 141.
    Belandria, My
    et al.
    Halmstad University, School of Health and Welfare.
    Schagerström, Jonna
    Halmstad University, School of Health and Welfare.
    Adolescenters upplevelser av sjuksköterskans omvårdnadsåtgärder och behandlingar vid depression2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Mental illness among adolescents aged 10-19 years increases and there are several reasons why they suffer from it. Causes such as the desire of body change, increased accessibility and internet usage, pressure to fit in and exploration of sexual identity can affect the mental health. Depression is one of the leading causes of mental illness progression among adolescents. The purpose was to investigate how adolescents with depression experience nursing interventions and treatments. To answer the purpose, a literature study was conducted with article searches in three different databases. The result led to three main categories in this study: The nursing intervention physical activity as exercise was perceived to improve self-esteem, The nursing intervention participation was perceived to create a sense of security and the third category Treatments with focus on changes in thoughts and emotions was perceived to give insight. It is important to understand the adolescents’ experience of nursing interventions and treatment for depression because it gives an awareness into how they receive it. 

  • 142.
    Bengtsson, Andreas
    et al.
    Halmstad University, School of Health and Welfare.
    Ottemark, Tilly
    Halmstad University, School of Health and Welfare.
    Närståendes upplevelse vid oväntade dödsfall: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ibland sker döden oväntat och det finns ofta närstående som skall bemötas. För att kunna bemöta dem på ett adekvat sätt är det viktigt att belysa deras upplevelser i samband med dödsfallet. Syfte var att belysa upplevelser hos personer vars närstående dött en oväntad död. Metoden var en allmän litteraturstudie med 11 artiklar (tio kvalitativa och en kvantitativ) som svarade till syftet och analyserades med hjälp av färgkodning av meningsbärande enheter. Resultatet var att de närstående ville ha rak och tydlig information. De uppskattade små gester som till exempel att bli erbjuden mat eller dryck. Dödsorsaken var viktig att fastställa och att få se den döda kroppen samt att ta avsked upplevdes som betydelsefullt. Att få vara delaktig både i direkt anslutning till döden och i form av uppföljning var en del av resultatet. Relevant att beakta var den subjektiva upplevelsen då alla människor är unika. Ytterligare forskning rekommenderas för att belysa hur vårdpersonal kan påverka närståendes upplevelser i samband med oväntad död.

  • 143.
    Bengtsson, Anna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Östlinder, Nora
    Halmstad University, School of Social and Health Sciences (HOS).
    Distriktssköterskans uppfattningar av hur äldre personer med demens kan få sina omvårdnadsbehov uppfyllda inom primärvården2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In primary care , the elderly population with memory difficulty , an updated and growing group where increased knowledge in psychiatry begin to play increasingly larger role in the identification of various degrees of memory difficulties facing dementia investigations. Objective: The aim of this study was to describe how district nurses in primary care perceive that older individuals with incipient dementia or dementia diagnosis can have their needs met by primary care interventions, based on a psychiatric nursing perspective. Method: In light of the purpose of the study was chosen by the design methodology of a descriptive qualitative study with phenomenographic research approach. The interviewees consisted of five district nurses at five medical centers, geographically evenly spread over Halland County. Results: The results revealed three categories of description to describe the informants' perceptions and experiences of how older persons with incipient dementia or dementia diagnosis can have their needs met byprimary care interventions : to meet different types of patient needs, to utilize existing resources and being aware of shortcomings , constraints and opportunities for development. Conclusion: District nurses in primary care encounters various forms of needs at older people with a dementia diagnosis or symptoms of dementia. They take advantage of the existing resources, such as district nurse’s professional ability, their strategies and development resources; they perceive even relatives as a resource and take advantage of integration of resources within and outside primary care. The district nurses are aware of the limitations, weaknesses and development opportunities within their own profession, and for the great need for skills.

  • 144.
    Bengtsson, Annika
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Johansson, Ann-Katrin
    Halmstad University, School of Social and Health Sciences (HOS).
    Moberg, Linda
    Halmstad University, School of Social and Health Sciences (HOS).
    Patientens upplevelse av synfältsundersökningstillfället2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Visual field examination is the most important method to diagnose and identify the progression of glaucoma. Conducting visual field examination is a common task for the ophthalmic nurse. Studies show that patients have difficulty in carrying out the visual field examination, but studies on how the patient experiences the visual field examination are scarce. The aim of the pilot study was to examine the patient's experience of the visual field examination. The pilot study was conducted using a qualitative approach and data was collected through semi-structured interviews of eight patients. The material was analyzed using content analysis. The analysis resulted in five categories: experience of fear and anxiety, difficulty with focusing, experience of information, sense of security, and bodily discomfort. Failing to perform well and to possibly become impaired in their disease were major concerns that created fear and anxiety. Focusing demanded a lot of concentration and was straining on the eye. The information was perceived as both good and flawed. Patients felt a sense of security since they had done the examination before and that they met the same staff. The majority of patients felt they sat uncomfortably and that it was not patient friendly. Continued development and training on how patients experience visual field examination is recommended to improve the way the staff treats and informs the patient, but also how the ophthalmic nurse can facilitate the examination of the patient. Since this study was conducted as a pilot study further research and a full-scale study is needed for the results to be considered reliable.

     

  • 145.
    Bengtsson, Camilla
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskors uppfattningar om operationssjuksköterskans yrke2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    National Board of Health and Welfare describes an upcoming shortage of perioperative nurses in Sweden, and statistics show that the number of nurses applying to specialized training in the perioperative field is declining. In the literature, the perioperative nursing profession is described as non-visible to people in general, and that may be a reason for the lack of interest in choosing the profession. The purpose of this pilot study is to describe nursesʹ perceptions of the perioperative nursing profession. The study was conducted using qualitative inductive approach as an interview with open entry question. Data was analyzed by manifest content analysis. The results revealed three categories; Invisible and low valued, Member of the team and Practical work. The result is consistent with prior research conducted. A larger study is of value to obtain a deeper understanding of differences in perceptions. Knowledge of these perceptions may facilitate the recruitment of perioperative nurses. Specialized competence at the surgical departments increases the chances for patients to receive a safe perioperative care.

  • 146.
    Bengtsson, Emelie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Karlsson, Sara
    Halmstad University, School of Social and Health Sciences (HOS).
    Barncancer och den svåra tiden som följer: Föräldrars upplevelser av stöd2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Årligen rapporteras det in ungefär 320 fall av cancertumörer bland barn och ungdomar mellan åldrarna 0-18 år. I vården av cancersjuka barn är förutom barnen, även föräldrarna i stort behov av stöd. För att öka vårdkvalitén behöver föräldrarnas upplevelser av stöd när barnet har en cancerdiagnos belysas. Syftet med denna studie var att belysa föräldrarnas upplevelser av stöd när barnet har en cancer diagnos. Metoden som användes var en systematisk litteraturstudie där resultatet av 11 vetenskapliga artiklar sammanställdes. Tre kategorier framkom: Information till föräldrarna, Delaktighet för föräldrarna samt Bemötande gentemot föräldrarna. Upplevelser av stöd under barnets sjukdomstid var individuella men majoriteten av föräldrarna fann stöd i att samtala med vårdpersonal samt andra föräldrar till cancersjuka barn. Ytterligare upplevde föräldrar stöd i att få lov att vara med sitt barn på sjukhuset. Det behövs mer forskning kring hur kvalitén på stödjande åtgärder till föräldrarna kan utvecklas

  • 147.
    Bengtsson, Emmelie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Hallström, Elina
    Halmstad University, School of Social and Health Sciences (HOS).
    Ta emot mig när jag faller: Partnervåldsutsatta kvinnors erfarenheter av mötet med hälso- och sjukvården2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Intimate partner violence is a major public health problem, both globally and in Sweden, which mainly affects women in different-sex relationships. Intimate partner violence refers to physical, psychological or sexual violence by a current or former partner. The violence involves both physical and mental suffering of the abused woman and it is estimated that 17 women in Sweden dies as a result of partner violence each year. The health care system is the instance that female victims primarily choose to contact. The aim of the study was to highlight how women exposed to intimate partner violence experience meeting with health care. The study was conducted as a literature study, based on 15 scientific articles. Four major themes were identified from the results of the articles. The result of the literature study shows that a good interpersonal relationship is very important for the woman to reveal her situation. Many women have negative experiences of meeting with health care. Experiences of being asked, being treated with respect and understanding, as well as obtaining relevant information rarely occurred but were strongly requested. Enhancing the ability of health care professionals through education is of great importance. Further research should, in addition to women's experiences, also focus on the experiences of men in different-sex relationships and men and women in same-sex relationships.

  • 148.
    Bengtsson, Eva Lena
    et al.
    Halmstad University, School of Health and Welfare.
    Biondic Rosander, Karolina
    Halmstad University, School of Health and Welfare.
    Storn, Bibbi
    Halmstad University, School of Health and Welfare.
    Faktorer av betydelse för att sjuksköterskans överrapportering på en akutmottagning ska ske patientsäkert.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The work environment of the emergency department is stressful and dynamic. It had a constant high flow of patient, who need an urgent multiple care and nurse care. The most common transition of information between nurse´s is the patient handover, where the information is used for the care and the nursing care. Patient safety is jeopardized in case of lack of communication, where essential information is unfulfilled in the case of handover, both within and between different professions in health care. Lack of communication causes frequently health injuries and the emergency department is the section at the hospital where handover is most common. The purpose was to investigate which factors are important for the nurse's handover at the emergency department to occur safe for the patient. A literature study was conducted which was based on 10 articles of quantitative and qualitative methods. The results revealed two main categories with five associated subcategories: Handover within the emergency department; The importance of a structure, The work environment´s importance and The teamwork´s importance. Handover to and from the emergency department; The importance of creating an overall picture and The importance of cooperation between units within health organizations. Factors which affected the handover and accordingly the patient safety was unstructured clinical handover model, shift changes, interruptions, the environment for handoffs, interruptions, clarity, collaboration in team and between organizations, working experience, working relationships, health cultures, and ethical issues. Further research needs to highlight the factors of importance in the handover for the nurse on emergency departments.

  • 149.
    Bengtsson, Ida
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Larsson, Hanna
    Att vårda sin livskamrat: Upplevelser av att vårda en anhörig som har insjuknat i stroke2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Stroke is a common disease that annually affects 30 000 people in Sweden. Stroke survivors may suffer physical and psychological disabilities. The impact of stroke also affects the next of kin´s of the stroke survivor who often become an informal caregiver. Informal caregivers of a relative stroke survivor may experience a heavy caring responsibility. The purpose of this scientific study was therefore to illuminate informal caregivers experiences of caring for a relative who has suffered a stroke. The study was conducted as a literature review in which 16 scientific articles were reviewed. In the result two themes were found, To care is burdened and To care is to adapt. The result showed that informal caregivers experienced heavy burden, loneliness and frustration. Informal caregivers felt that it was difficult and time consuming to adjust their daily lives to the relative. It was found that informal caregivers did not get enough support, information and education from health- professionals which they would have needed to learn how to cope with their new life situation. Nurses, and all health professionals, should pay attention to the situation of the informal caregivers. Continued nursing research on informal caregivers copingstrategies, and, how, were and when the nurse will give informal caregivers support, information and education is desirable.

  • 150.
    Bengtsson, Jennie
    et al.
    Halmstad University, School of Health and Welfare.
    Andersson Zaheri, Philip
    Halmstad University, School of Health and Welfare.
    Att uppleva meningsfullhet som äldre vid depression: En litteraturstudie om sjuksköterskans omvårdnadsåtgärder vid depression hos äldre2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Idag lever det drygt 350 miljoner människor i världen med depression och år 2020 beräknas depression vara det ledande skälet till sjuklighet i världen. I Sverige lever cirka 1,6 miljoner äldre varav runt 150 000 lider av depression. Antalet äldre som drabbas av depression ökar och tillståndet medför ett stort lidande, sänkt livskvalité samt ökar risken för dödlighet och suicid hos äldre. Sjuksköterskan har den avgörande rollen för att sätta in rätt omvårdnadsåtgärder då hen har den närmsta kontakten med denna patientgrupp. Syftet med studien var att belysa sjuksköterskans omvårdnadsåtgärder vid depression hos äldre. En allmän litteraturstudie genomfördes och resultatet baseras på 14 vetenskapliga artiklar som granskades och analyserades. Vid analysen av artiklarna framkom två kategorier: narrativt samtal på olika nivåer och att uppmuntra till meningsfulla handlingar. I resultat framkom omvårdnadsåtgärder som egenvård där sjuksköterskan tillsammans med den äldre fann egenvårdstrategier, att samordna och uppmuntra olika former av aktivitet som dans, musik, rörelseträning och social interaktion samt det narrativa samtalet där den äldre verbaliserade tankar, känslor samt minnen. Då antalet äldre med depression ökar bör utbildningar för allmänsjuksköterskor innehålla mer utbildning om depression hos äldre, dessutom bör kliniska verksamheter ge sjuksköterskan mer tid för att på så sätt ge äldre den omvårdnad som krävs vid depression.

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