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  • 1151.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sorg2014In: Vårdande vid psykisk ohälsa – på avancerad nivå / [ed] Wiklund Gustin, Lena, Lund: Studentlitteratur, 2014, 2:1, p. 153-166Chapter in book (Refereed)
  • 1152.
    Skärsäter, Ingela
    University of Gothenburg, Gothenburg, Sweden.
    Web-based support among young informal carers who support family members or close friends with mental illness2014Conference paper (Other (popular science, discussion, etc.))
  • 1153.
    Skärsäter, Ingela
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
    Ali, Lilas
    Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
    Elf, Mikael
    Department of Psychology, Gothenburg University, Gothenburg, Sweden.
    Krevers, Barbro
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Young Adult Carers in the Risk Zone. Design of a Health-Promoting, Randomized Two-Armed Controlled Trial for Young Adults Who Support Persons with Mental Illness2013Conference paper (Refereed)
  • 1154.
    Skärsäter, Ingela
    et al.
    Sahlgrenska Akademin vid Göteborgs universitet, Göteborg, Sverige.
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI). Högskolen i Gjøvik, Gjøvik, Norge.
    Hedelin, Birgitta
    Karlstads universitet, Karlstad, Sverige.
    Kunskap och gemenskap främjar hälsa2009In: Nordisk geriatrik: äldremedicin i sluten och öppen vård, ISSN 1403-2082, Vol. 12, no 1, p. 26-29Article in journal (Refereed)
  • 1155.
    Skärsäter, Ingela
    et al.
    Univ Gothenburg, Sahlgrenska Acad, Fac Hlth & Caring Sci, Inst Nursing, Gothenburg, Sweden.
    Baigi, Amir
    Univ Gothenburg, Dept Primary Hlth Care, County Council Halland, Gothenburg, Sweden.
    Haglund, Lena
    Linkoping Univ, Dept Neurosci & Locomot, Sect Occupat Therapy, Fac Hlth Sci, Linkoping, Sweden.
    Functional status and quality of life in patients with first-episode major depression2006In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 13, no 2, p. 205-213Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to analyse the level of severity of major depression and its relation to functioning and health-related quality of life over time in patients treated for their first episode of major depression. Thirty-three adult patients who fulfilled the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for major depression were included in the study. Semi-structured interviews and self-assessment questionnaires were used at baseline and at 6-monthly intervals in a 2-year follow-up, in order to measure the level of severity of depression, functioning and quality of life. The results showed that the first episode of major depression was rated as severe in 43% of cases. Multiple domains of functioning as well as quality of life were strongly affected in patients at baseline, although the level of functioning increased significantly over the study period, as did quality of life, but not concurrently with the decrease in the level of severity of the depression. Psychosocial functioning is an important outcome measure related to major depression, which underlines the importance of separate evaluations initiated and conducted by mental health nurses in order to determine whether or not patients have actually achieved a state of health.

  • 1156.
    Skärsäter, Ingela
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Barkström, Magdalena
    Region Halland, Halmstad, Sweden.
    Bergman, Stefan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Dahlqvist Jönsson, Patrik
    Region Halland, Halmstad, Sweden.
    Halila, Fawzi
    Halmstad University, School of Business, Engineering and Science, Centre for Innovation, Entrepreneurship and Learning Research (CIEL).
    Hertz, Anne-Christine
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS).
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sant'Anna, Anita
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS).
    Sjöberg, Jeanette
    Halmstad University, School of Education, Humanities and Social Science, Center for Social Analysis (CESAM).
    Tylenius, Andreas
    Theme Health Innovation at Halmstad University  - research, education and collaboration for welfare technology2015In: Abstracts: 19th International Philosophy of Nursing Society (IPONS) conference August 24-26, 2015 Karolinska Institutet, Stockholm, Sweden: Technology, Health Care and Person-centeredness: Beyond Utopia and Dystopia. Thinking the Future., Stockholm: Karolinska Institutet , 2015, p. 41-41Conference paper (Refereed)
    Abstract [en]

    In face of escalating health care costs, new technology holds great promise for innovative solutions and new more sustainable health care model. Welfare technology around a person allowing for greater autonomy and control in health issues and access to tailored information and personalized health behavior interventions. While this offers good opportunities for both public health impact, it also emphasizes the need for properly knowledge base and organizational structure to support a person- centred approach in the development of welfare technology in society. 

    Halmstad University initiated in 2014 a thematic research and educational initiative that has been named Theme Health Innovation. The initiative includes research, education and interaction with the community, region and industry, which in collaboration can contribute with innovative and sustainable solutions to social challenges in the health field. The starting point for the work is action based on societal and individual needs and development of venues for collaboration between different actors and levels of organization. 

    Theme Health Innovation aims to develop and affect people's ability to maintain and promote their health and prevent ill health. Health Innovations developed in encounters between different knowledge, skills and experiences, both within the university's research and education in collaboration with industry and the public sector. Health Innovations that are developed should be based on the needs from the people who will use the innovation, thus have an end user perspective. 

    At the conference, the Theme Health Innovation will be presented including the organizational structure, research as well as training in higher education that support the welfare technical development.

  • 1157.
    Skärsäter, Ingela
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). University of Gothenburg, Gothenburg, Sweden.
    Berg, Marie
    University of Gothenburg, Gothenburg, Sweden.
    Hellström, Anna-Lena
    University of Gothenburg, Gothenburg, Sweden.
    Koinberg, Ingalill
    University of Gothenburg, Gothenburg, Sweden.
    Jenholt Nolbris, Margareta
    University of Gothenburg, Gothenburg, Sweden.
    Ranerup, Agneta
    University of Gothenburg, Gothenburg, Sweden.
    Sparud-Lundin, Carina
    University of Gothenburg, Gothenburg, Sweden.
    Josefsson, Ulrika
    University of Gothenburg, Gothenburg, Sweden.
    Web-based Support in Long-term Illness – a Person-centred Care Approach2013Conference paper (Refereed)
    Abstract [en]

    Introduction: The abstract outlines a research project that aims to develop and evaluate a person-centred model of web-based learning and support for people with long-term illness. Departing from the widespread use of the internet in modern society and the emerging use of web applications in healthcare the multi-case project captures persons’ needs and expectations in order to develop highly usable web recourses. To support the underlying idea to move beyond the illness, we approach the development of web support from the perspective of the emergent area of person-centred care (PCC).

    Methods: The research design uses a meta-analytical approach through its focus on synthesizing experiences from four Swedish regional and national cases of design and use of web-based support in long-term illness. The cases include children (bladder dysfunction and uro-genital malformation), young adults (living close to persons with mental illness), and two different cases of adults (women with breast cancer and childbearing women with type 1 diabetes). All of the cases are ongoing, though in different stages of design, implementa-tion, and analysis. An inductive approach characterizes the analysis of the results of the cases. By means of a step-wise analysis a shared knowledge and understanding of each separate case is created followed by the development of central categories (such as types of needs and expectations, types of theories, conceptual framework, etc).

    Results: To allow valid comparisons between the four cases we explore and problematize them in relation to four main aspects: 1) The use of people’s experiences and needs; 2) The role of use of theories in the design of person-centred web-based supports; 3) The evaluation of the effects of health outcomes for the informants involved and 4) The development of a generic person-centred model for learning and social support for people with long-term illness and their significant others.

    Discussion and Conclusion: Person-centred web-based support is a new area and no available study focus on how web-based interventions can contribute to the further development of PCC. In the four cases within this project the evaluation model is characterized by evaluation of web support in real settings, and data will be analysed using both within-case and across-case statistical analyses. Therefore, our multiple-case method, in which overlapping results from different contexts will provide comprehensive experiences, will contribute to the design of a more generally applicable, individually modifiable model. However, the multiple case method is also a challenge of validity, as the use of different case experiences and environments, involves an endeavor to understand what types of experiences are actually being captured in the process of developing a web-based support and what this means in relation to PCC. In summary, the main intention of the project outlined here is to contribute with both a synthesis of results on meta-level from four cases and a substantial contribution to the field person centred care.

  • 1158.
    Skärsäter, Ingela
    et al.
    The Sahlgrenska Academy at Göteborg University, Faculty of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
    Dencker, Karina
    The Sahlgrenska Academy at Göteborg University, Faculty of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
    Bergbom, Ingegerd
    The Sahlgrenska Academy at Göteborg University, Faculty of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
    Häggström, Lars
    Department of Psychiatry, Central Hospital, Halmstad, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS).
    Women's conceptions of coping with major depression in daily life: a qualitative, salutogenic approach2003In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 24, no 4, p. 419-439Article in journal (Refereed)
    Abstract [en]

    The experience of having a severe disease such as major depression affects all aspects of the individual's life, including family, work, and social functioning. Therefore, the aim of this study was to describe, from a salutogenic approach, women's conceptions of coping with major depression in daily life with the help of professional and lay support. Thirteen women, previously hospitalized for major depression, were included in the study. The women were selected by strategic sampling, and data were analyzed by application of a phenomenographic approach. Four descriptive categories emerged: Self-Healing, Managing, Receiving Social Support, and Finding Meaning. While working their way out of the depression, the women needed to undergo a process of transition, involving both a cognitive and an emotional understanding, which they subsequently translated into health-related actions. The task of psychiatric mental health nurses is to provide care that empowers patients. Future nursing research should explore the circumstances that empower these women to start the transition process, as this process appears to be vital for recovery from major depression.

  • 1159.
    Skärsäter, Ingela
    et al.
    Göteborg University, Fac. of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
    Dencker, Karina
    Göteborg University, Fac. of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
    Häggström, Lars
    Department of Psychiatry, Central Hospital, S-301 85 Halmstad, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    A salutogenetic perspective on how men cope with major depression in daily life, with the help of professional and lay support2003In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 40, no 2, p. 153-162Article in journal (Refereed)
    Abstract [en]

    Worldwide, major depression is one of the main causes of premature death and lowered functional capacity, and its importance will increase in the coming years. At the same time, there is a gap in service provision, and the needs of depressed patients are often not met. Therefore, the aim of this study was to describe how men (N = 12) with major depression (DSM-IV) cope with daily life with the help of professional and lay support. The men were selected by strategic sampling and analysed with an approach inspired by phenomenography. Four descriptive categories emerged: being unburdened, restoring one's health, feeling involved, and finding a meaning. A man receives help and support from health care in,restoring his health but his own path to getting well is to resume his place in the public domain. To help him do so, lay support is vital, and an important task for the nurse is, therefore, to support him in maintaining his existing social network or in building a new one. (C) 2002 Elsevier Science Ltd. All rights reserved.

  • 1160.
    Skärsäter, Ingela
    et al.
    Sahlgrenska Academy, Gothenburg University, The Institute of Health and Care Science, Gothenburg, Sweden.
    Elf, Mikael
    The Institution for Psychology, Gothenburg University, Gothenburg, Sweden.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences, Linköping, Sweden.
    Ali, Lilas
    Sahlgrenska Academy, Gothenburg University, The Institute of Health and Care Science, Gothenburg, Sweden.
    Health and lifestyle among young informal carers who support family members or close friends with mental illness2013In: Horatio, European Psychiatric Nursing Congress 2013: Abstract Book / [ed] Neslihan Keser Özcan & Hülya Bilgin, 2013, p. 135-135Conference paper (Refereed)
    Abstract [en]

    In the last decades it has been stated that the mental health of young people has deteriorated. Young persons’ report depressive feelings, anxiety and sleep-disturbance. The tendency is most pronounced for young women in the ages 16-24 years. Nowadays, the main parts of the psychiatric care are out-patient care. Family, relatives and close friends get involved and need to take great responsibility for their relative or friend with mental illness, which has consequences for their own health. This study will explore health situation among young persons’, age 16-25 years, who are identifying themselves as supporting a family member or a friend with mental illness. The collected data in this study is based on baseline data from the research project “Ps Young Support”. That research project aimed to develop and evaluate web-based health efforts for young persons’ who were close to people who suffered from mental illness. Data was collected by means of questionnaires in June 2010, which the informants (N=241, 170 females and 71 males) responded. Sociodemographic and lifestyle characteristics were obtained and self-rated health questions were asked about their general health, well-being, physical and mental illnesses. The results revealed high levels of stress, as well as different psychosomatic symptoms, such as sleeping problems, and head- or stomach ache. Over half of the young persons stated that they used some kind of non-prescriptive pharmacological treatments against pain. This is alarming and preventive health care resources should be offered to these young informal carers.

  • 1161.
    Skärsäter, Ingela
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Doyle, Louise
    Trinity College Dublin, Dublin, Irland.
    Ellilä, Heikki
    Turku University of Applied Sciences, Turku, Finland.
    Higgins, Agnes
    Trinity College Dublin, Dublin, Irland.
    Keogh, Brian
    Trinity College Dublin, Dublin, Irland.
    Lahti, Marie
    Turku University of Applied Sciences, Turku, Finland.
    Meade, Oona
    University of Nottingham, Nottingham, United Kingdom.
    Sitvast, Jan
    University of Applied Science, Utrecht, Netherlands .
    Stickley, Theodore
    University of Nottingham, Nottingham, United Kingdom.
    Vuokila-Oikkonen, Päivi
    Diaconia University of Applied Sciences, Turku, Finland.
    Kilkku, Nina
    Tampere University of Applied Science, Tampere, Finland.
    To enhance Master’s level education in mental health practice with eLearning materials - eMenthe: an European project2015In: Abstracts: 19th International Philosophy of Nursing Society (IPONS) conference August 24-26, 2015 Karolinska Institutet, Stockholm, Sweden: Technology, Health Care and Person-centeredness: Beyond Utopia and Dystopia. Thinking the Future., Stockholm: Karolinska Institutet , 2015, p. 42-42Conference paper (Refereed)
    Abstract [en]

    There are wide differences in the quality and content of mental health nurse education throughout Europe. These are evident in the course structures, emphasis and specific content. This diversity between programmes creates possibilities for countries to learn from one another and to share and benefit from the diverse approaches. These concerns, challenges and development needs of mental health practice form the basis for the EU- funded eMenthe-project (2013-2016) which aims to enhance Master’s level education in mental health practice by developing eLearning materials through a European co- operation. To this end, seven European universities from Finland, Ireland, Sweden, United Kingdom and the Netherlands have commenced a collaboration to enhance Master’s level education in mental health practice - eMenthe.

    The project’s aim is to develop eLearning materials with an action research approach in collaboration with Master’s level students from these universities and associated partners from clinical practice. eLearning materials on three central themes: recovery, mental health promotion and prevention, the role of families and caregivers will be launched for students in Master’s level and clinical practice to use. These themes were agreed as common issues of concern for all partners prior to the application process.

    During first phase, stakeholders were interviewed (N=139), including master level students, experienced psychiatric nurses, managements persons working in psychiatric care, service users and next of kins. The data was structured from a general point and also from a lifespan perspective, such as child and adolescence, adults and elderly. The analysis used a qualitative and descriptive design, using a brief manifest content analysis to examine patterns, themes and subthemes to achieve an understanding of the meaningful content focusing on nursing master levels. During the final year of the project (2016) eLearning materials will be made available to students undertaking Master’s level education and professional nurses working in clinical practice. This dual approach to dissemination will support the professional competencies of practitioners as well as academic progression.

  • 1162.
    Skärsäter, Ingela
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Keogh, Brian
    School of Nursing and Midwifery, Trinity College, Dublin, Ireland.
    Doyle, Louise
    School of Nursing and Midwifery, Trinity College, Dublin, Ireland.
    Ellilä, Heikki
    University of Applied Science Turku, Turku, Finland.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Lahti, Mari
    School of Health Sciences, Faculty of Medicine & Health Sciences, University of Nottingham, Institute of Mental Health Building, Triumph Road, Innovation Park, United Kingdom.
    Higgins, Agnes
    Halmstad University, School of Health and Welfare.
    Meade, Oonagh
    School of Psychology, National University of Ireland, Galway, Ireland.
    Sitvast, Jan
    University of Applied Sciences HU, Utrecht, Netherlands.
    Stickley, Theodore
    School of Health Sciences, Faculty of Medicine & Health Sciences, University of Nottingham, Institute of Mental Health Building, Triumph Road, Innovation Park, United Kingdom.
    Kilkku, Nina
    Tampere University of Applied Sciences, Tampere, Finland.
    Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers: A critical review of the literature2018In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 32, p. 138-146Article, review/survey (Refereed)
    Abstract [en]

    Involving and supporting the family members and caregivers of people with mental illness is essential to high-quality mental health services. However, literature suggests that there is a lack of engagement between family members and mental health nurses (MHNs). Lack of knowledge among MHNs is often cited as one of the main reasons for this lack of engagement. The aim of this review was to explore the knowledge, skills and attitudes that are required by MHNs to enable to them to work more effectively with families affected by mental illness. A literature based critical review was used to access and review 35 papers in order to extract concepts that could inform the design of eLearning materials to assist MHNs advance their knowledge in this area. Two overarching themes were identified; ‘Mental health problems and the family’ and ‘Working with the family’. From these themes, the knowledge, skills and attitudes required to work more effectively with families are described. The findings from this review provide a descriptive account of the knowledge skills and attitudes that are required for effective family work. In addition, the review provides an empirical foundation for education programmes in the area. © 2018 Elsevier Ltd

  • 1163.
    Skärsäter, Ingela
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI). Göteborgs universitet, Göteborg, Sverige.
    Klang, Mathias
    Bibliotekshögskolan, Högskolan i Borås, Borås, Sverige.
    Sociala medier och den kapabla patienten2014In: Personcentrering inom hälso- och sjukvård: från filosofi till praktik / [ed] Ekman, Inger, Stockholm: Liber, 2014, 1, p. 245-261Chapter in book (Refereed)
  • 1164.
    Skärsäter, Ingela
    et al.
    Univ Gothenburg, Sahlgrenska Acad, Fac Hlth & Caring Sci, Inst Nursing, Gothenburg, Sweden.
    Langius, Ann
    Karolinska Inst, Dept Nursing, Stockholm, Sweden.
    Agren, Hans
    Karolinska Inst, Karolinska Univ Hosp Huddinge, Div Psychiat, Neurotec Dept, Stockholm, Sweden.
    Häggström, Lars
    Psychiat Serv Halland, Halland, Sweden.
    Dencker, Karina
    Univ Gothenburg, Sahlgrenska Acad, Fac Hlth & Caring Sci, Inst Nursing, Gothenburg, Sweden .
    Sense of coherence and social support in relation to recovery in first-episode patients with major depression: a one-year prospective study2005In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 14, no 4, p. 258-264Article in journal (Refereed)
    Abstract [en]

    Major depression is a common illness, with a lifetime prevalence rate of 10-13% for men and 21-24% for women. The experience of having a serious illness such as major depression affects the individual's quality of life and requires significant adaptation in order to cope. The aim of this study was to explore sense of coherence and social support in patients treated for a first episode of major depression in a 1-year follow up. The study design was prospective and longitudinal. A total of 24 patients, aged 18 years or over, with a first episode of major depression were included. Semi-structured interviews and self-assessment questionnaires were used at baseline as well as in a 1-year follow up in order to measure the level of severity of the depression, social support, and sense of coherence. The result showed that 71% of the patients had recovered at follow up. The sense of coherence scores were low at baseline, although the patients who recovered increased their sense of coherence scores significantly. Another factor of importance for recovery was a significant increase in social support. Social support is an important cornerstone in the restoration of a person's sense of coherence. It can be used in interventions that include the patient's family or close social network in combination with support to assist the patient to view his/her situation as comprehensible, manageable, and meaningful, thereby promoting or improving health. Mental health nurses are in a key position to identify patients' strengths and weaknesses so that the support and interventions provided can be tailored to meet the needs of each patient.

  • 1165.
    Skärsäter, Ingela
    et al.
    Sahlgrenska Academy, Göteborg University, Göteborg, Sweden; The Swedish Institute for Health Sciences, Gothenburg, Sweden & Psychiatric Services in Halland, Halmstad, Sweden.
    Rayens, Mary Kay
    The Swedish Institute for Health Sciences, Gothenburg, Sweden & University of Kentucky, College of Nursing, Lexington, KY, USA.
    Peden, Ann
    The Swedish Institute for Health Sciences, Gothenburg, Sweden & University of Kentucky, College of Nursing, Lexington, KY, USA.
    Hall, Lynne
    The Swedish Institute for Health Sciences, Gothenburg, Sweden & University of Kentucky, College of Nursing, Lexington, KY, USA.
    Zhang, Mai
    The Swedish Institute for Health Sciences, Gothenburg, Sweden & University of Kentucky, College of Nursing, Lexington, KY, USA.
    Ågren, Hans
    The Swedish Institute for Health Sciences, Gothenburg, Sweden & Centre for Defence Medicine, Swedish Armed Forces, Gothenburg, Sweden.
    Prochazka, Helena
    Sahlgrenska Academy, Göteborg University, Göteborg, Sweden & The Swedish Institute for Health Sciences, Gothenburg, Sweden.
    Sense of coherence and recovery from majordepression: A four-year follow-up2008In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 107, no Suppl. 1, p. S54-S54Article in journal (Refereed)
    Abstract [en]

    Objective

    The aim of this exploratory study was to identify and follow persons with a first episode of major depression to determine whether sense of coherence changes over time. An additional purpose was to assess whether sense of coherence relates to depressive symptoms, aggression, and functional status either immediately following diagnosis or at four years post-diagnosis.

    Methods

    The study design was longitudinal; subjects participated in semi-structured interviews and completed surveys every 6 months starting at diagnosis and concluding 4 years later. The sample consisted of thirty-three adult patients who were being treated for first episode of major depression (DSM-IV). Sense of coherence was measured using Sense of Coherence Scale (SOC), depressive symptoms using the Montgomery Åsberg Depression Rating Scale, aggression, including a total score and subscales of anger and hostility, using the AQ Aggression Questionnaire — revised Swedish Version, and functional status using Global Assessment of Functioning scale and SF-36 Health Survey. The data were analyzed using Pearson's product moment correlation and repeated measures analysis of variance.

    Results

    At baseline, SOC was significantly correlated with total aggression (r = − 45) and the hostility subscale (r = − .73); baseline SOC was unrelated to depressive symptoms or functional status. SOC increased significantly over the time (p < .0001). At the four-year follow-up, SOC was significantly related to depressive symptoms (r = − .60), the aggression summary score (r = − .65), the anger subscale (r = − .52), the hostility subscale (r = − .77), the GAF (r = .64), and the physical and mental health components of the SF-36 (r = .74 and .72, respectively).

    Conclusion

    The finding that SOC increases as patients recover from MD suggests that treatment for depression may also bolster the patient's ability to cope, in addition to lowering depressive symptoms. The relationship between SOC and aggression in MD, with higher SOC correlated with lower aggression, needs to be examined further. © 2008 Published by Elsevier B.V.

  • 1166.
    Skärsäter, Ingela
    et al.
    Gothenburg Univ, Fac Hlth & Caring Sci, Inst Nursing, Sahlgrenska Acad, SE-40530 Gothenburg, Sweden .
    Rayens, Mary Kay
    Univ Kentucky, Coll Nursing, Lexington, KY USA.
    Peden, Ann
    Univ Kentucky, Coll Nursing, Lexington, KY USA.
    Hall, Lynne
    Univ Kentucky, Coll Nursing, Lexington, KY USA.
    Zhang, Mei
    Univ Kentucky, Coll Nursing, Lexington, KY USA.
    Agren, Hans
    Gothenburg Univ, Fac Hlth & Caring Sci, Inst Nursing, Sahlgrenska Acad, SE-40530 Gothenburg, Sweden .
    Prochazka, Helena
    Gothenburg Univ, Fac Hlth & Caring Sci, Inst Nursing, Sahlgrenska Acad, SE-40530 Gothenburg, Sweden .
    Sense of coherence and recovery from major depression: a 4-year follow-up2009In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 23, no 2, p. 119-127Article in journal (Refereed)
    Abstract [en]

    The aim of this longitudinal exploratory study was to identify and follow persons with the first episode of major depression (MD) to determine whether sense of coherence (SOC) changes over time. An additional purpose was to assess whether SOC is associated with depressive symptoms, aggression, and functional status either immediately after diagnosis or at 4 years postdiagnosis. The study design was longitudinal; participants participated in semistructured interviews and completed surveys every 6 months starting at diagnosis and concluding 4 years later. The sample consisted of 33 adult patients who were being treated for the first episode of MD according to the Diagnostic and Statistical Manual of Mental Disorders. Twenty-two participants completed all nine sessions. SOC was measured using the SOC scale; depressive symptoms using the Montgomery Asberg Depression Rating Scale; aggression, including the total score and subscales of anger and hostility, using the Aggression Questionnaire-revised Swedish version; and functional status using the Global Assessment of Functioning (GAF) scale and the 36-item Short-Form Health Survey (SF-36). At baseline, SOC was significantly correlated with total aggression (r = -45) and the hostility subscale (r = -.73); baseline SOC was unrelated to depressive symptoms or functional status. SOC increased significantly over time (P < .0001). At the 4-year follow-up, SOC was significantly related to depressive symptoms (r = -.60), the aggression summary score (r = -.65), the anger subscale (r = -.52), the hostility subscale (r = -.77), the GAF (r = .64), and the physical and mental health components of the SF-36 (r = .74 and .72, respectively). The finding that SOC increases as patients recover from MD suggests that treatment of depression may also bolster the patient's ability to cope, in addition to lowering depressive symptoms. The relationship between SOC and aggression in MD, with higher SOC correlated with lower aggression, needs to be examined further. © 2009 Elsevier Inc. All rights reserved.

  • 1167.
    Skärsäter, Ingela
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sjöström, Nils
    Sahlgrenska universitetssjukhuset, Göteborg, Sverige.
    Ångestsyndrom2019In: Omvårdnad vid psykisk ohälsa – på grundnivå / [ed] Ingela Skärsäter & Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2019, 3, p. 87-107Chapter in book (Other academic)
  • 1168.
    Skärsäter, Ingela
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Wiklund Gustin, LenaMälardalens högskola, Västerås, Sverige & Universitetet i Tromsø, Tromsø, Norge.
    Omvårdnad vid psykisk ohälsa – på grundnivå2019Collection (editor) (Other academic)
  • 1169.
    Skärsäter, Ingela
    et al.
    Faculty of Health and Caring Sciences, Göteborg University, Sahlgrenska Academy, Göteborg, Sweden.
    Willman, Ania
    School of Health Science, Blekinge Institute of Technology, Karlskrona, Sweden.
    The recovery process in major depression: an analysis employing Meleis' transition framework for deeper understanding as a foundation for nursing interventions2006In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 29, no 3, p. 245-259Article in journal (Refereed)
    Abstract [en]

    The number of persons with mental illness is increasing globally; despite this fact, nursing research on research-based interventions to prevent or minimize illness and increase quality of life is sparse. The purpose of this secondary analysis of men and women recovering from major depression (N = 25) was to gain a deeper understanding of the concept of transition in the recovery process associated with major depression as well as to develop and suggest nursing interventions that support the recovery process. The transition framework was useful, as it was describing the transition process as fluid, going back and forth, which was confirmed by the respondents' statements. Transition planning is a feasible way of supporting both the recovery process and health promotion, thus laying the foundations for a good quality of life. © 2006 Lippincott Williams & Wilkins, Inc.

  • 1170.
    Skärsäter, Ingela
    et al.
    Department of Psychiatry, Central Hospital, Halmstad, Sweden.
    Ågren, H
    Karolinska Institutet, NEUROTEC, Division of Psychiatry, Huddinge Hospital, M 56, Huddinge, Sweden.
    Dencker, K
    Division of Health and Caring Sciences, Institute of Nursing, Göteborg University, Göteborg, Sweden.
    Subjective lack of social support and presence of dependent stressful life events characterize patients suffering from major depression compared with healthy volunteers2001In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 8, no 2, p. 107-14Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to characterize and compare patients with major depression and healthy volunteers concerning stressful negative life events, social support and social network occurring during a 12-month period. Forty outpatients who fulfilled DSM-IV criteria for major depression and 19 healthy volunteers were included in the study. The results showed no significant differences between the patients and the volunteers concerning the number of independent life events, perceived sufficient persons in the network, the number of family members, having a partner, and perceiving family members as offering the best support. Thus, there were differences in the number of both dependent stressful life events, especially increased arguments with partner and family members, and life events including personal illness. The patient group had experienced a greater number of these events compared with the volunteer group. Comparisons between the two groups revealed differences concerning social support and social network. Fewer patients, especially women, felt they had sufficient social support, had fewer persons in the network, less contact with persons in the network, and fewer confidants compared with the volunteers.

  • 1171.
    Sköld, Lovisa
    et al.
    Halmstad University.
    Åsberg, Sofia
    Halmstad University.
    Upplevelser av livet efter första hjärtinfarkten2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Acute myocardial infarction is affecting more than 7 million peoples in the world. This is the most common deathly cause both for woman and men’s. Aim: The aim of this study was to explore woman and men’s experiences of life after being affected of an acute myocardial infarction. Method: A literature study was done with relevant search terms, which answered to the aim of the study. Furthermore, a quality review, selection and qualitative content analysis of collected material was carried out. Results: After processing ten articles two main categories and five subcategories where identified. Strong experiences where identified as frightening, alienation and loss. But also healing factors as security and consolation. There were gaps of knowledge about the disease in both woman and men, which caused anxiety with continued daily life after discharge from hospital Conclusion: Those who suffer from an acute myocardial infarction, need specific and individual actions to recover and adapt to a good life. Awareness should be better about how the life is affected after a first myocardial infarction. It is important to give the affected opportunity to more knowledge about their condition, to relief suffering.

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  • 1172.
    Sköld, Sara
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Ahl, Maria
    Halmstad University, School of Social and Health Sciences (HOS).
    Bakom stängda dörrar: Sjuksköterskors erfarenheter av att utföra palliativ omvårdnad i hemmet2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Approximately 90 000 people die annually in Sweden, and 80 % are in need of palliative care. Palliative care was previously mostly conducted in hospitals. Research today shows that more people wish to die in their own homes. As the population gets older the demands for palliative care are increasing. In order to provide palliative care of good quality, it’s important that the nurse has knowledge about the meaning of the work. The aim was to describe nurses' experiences of performing palliative care in the home. A systematic literature review was conducted and eleven qualitative scientific articles were selected. The result culminated in four categories: Nursing in another person’s home, Interaction with the patient and their next-of-kins, The caring organization’s impact on the nursing care and Support and teamwork. The result showed that nursing in the patient’s home was seen as a privilege but demanded a lot from the nurses' own feelings. Cooperation and good relations between the nurse, patient and their next-of-kins were important factors for good care. Stress and lack of time affected the care negatively, while cooperating in teams was experienced positively. To get support was also seen as an important part. Further research about this caring form is required to make the demands and challenges of the nurse visible, as well as to promote care of good quality.

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    Bakom stängda dörrar: Sjuksköterskors erfarenheter av att utföra palliativ omvårdnad i hemmet
  • 1173.
    Sohlé, Cecilia
    et al.
    Halmstad University, School of Health and Welfare.
    Stenholm, Sara
    Halmstad University, School of Health and Welfare.
    När vården byter riktning: Sjuksköterskors erfarenheter av patienters övergång från kurativ till palliativ vård2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    When humans suffer illness, the risk is that the illness can not be cured. The treatment then becomes alleviating. The aim of this study was to investigate nurses’ experiences when patient care changes from curative to palliative. The study was conducted as a literature systematic research. Based on the aim of the study relevant keywords was chosen. In the result, four themes were identified; conversations in the transition, reactions, initiation of the transition and the nurse and doctor as a team. Different reactions appear in patients in the transition. Conversations are an important part of the process to alleviate the reactions of the patient and facilitate the opportunity for acceptance. The nurse has an important role in the sense where the nurse is present and can pay attention to changes in the patient. Communication in the team is significant to ensure that no patient information is lost or misinterpreted. Honesty and clarity are important components throughout the transition process. Training is needed for nurses to gain greater expertise and feel more comfortable in the meeting with patients in this complex situation.

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  • 1174.
    Sparud-Lundin, Carina
    et al.
    Gothenburg University, Gothenburg, Sweden.
    Berg, Marie
    Gothenburg University, Gothenburg, Sweden.
    Jenholt Nolbris, Margareta
    Gothenburg University, Gothenburg, Sweden.
    Koinberg, Ingalill
    Gothenburg University, Gothenburg, Sweden.
    Ranerup, Agneta
    Gothenburg University, Gothenburg, Sweden.
    Skärsäter, Ingela
    Gothenburg University, Gothenburg, Sweden.
    Promoting learning in web-based support for persons with long-term illness challenges and opportunities2014Conference paper (Refereed)
  • 1175.
    Sparud-Lundin, Carina
    et al.
    Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
    Berg, Marie
    University of Gothenburg, Gothenburg, Sweden.
    Koinberg, Inga-lill
    University of Gothenburg, Gothenburg, Sweden.
    Jenholt-Nolbris, Margareta
    University of Gothenburg, Gothenburg, Sweden.
    Skärsäter, Ingela
    University of Gothenburg, Gothenburg, Sweden.
    Ranerup, Agneta
    University of Gothenburg, Gothenburg, Sweden.
    Use of theories in web based support as a health oriented service for persons with chronic illness2013In: 21st International Conference on Health Promoting Hospitals and Health Services: Abstract book, Copenhagen: WHO-CC , 2013, p. 229-230Conference paper (Refereed)
  • 1176.
    Sparud-Lundin, Carina
    et al.
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hallström, Inger
    Lund University, Lund, Sweden.
    Erlandsson, Lena-Karin
    Lund University, Lund, Sweden.
    Challenges, strategies and gender relations among parents of children recently diagnosed with type I diabetes2013In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 19, no 2, p. 249-273Article in journal (Refereed)
    Abstract [en]

    This study explored (a) parents' process of changes and challenges in their patterns of daily activities after the onset of diabetes in their children; and (b) how personal gender relations can restrain or create functional strategies for managing the changes and challenges of illness. Interviews were conducted with 21 mothers and 15 fathers of 23 children with type 1 diabetes 8 to 10 months after onset. Using a constant comparative analysis method, the core category depicts how the illness forced parents to reconstruct their family project with respect to patterns of daily activities and gender structures. The emerging subcategories of reinforced mothering and adjusted fathering illustrate the parents' effort to handle contemporary and contradictory demands. With increased knowledge of the dynamics of gender relations of families in the context of a child's illness, health care professionals can assist in promoting well-being and functional strategies in families when a child is newly diagnosed with diabetes. © The Author(s) 2013.

  • 1177.
    Sparud-Lundin, Carina
    et al.
    Health and Care Sciences, University of Gothenburg, Sweden.
    Josefsson, Ulrika
    Health and Care Sciences, University of Gothenburg, Sweden.
    Berg, Marie
    Health and Care Sciences, University of Gothenburg, Sweden.
    Hellström, Anna-Lena
    Health and Care Sciences, University of Gothenburg, Sweden.
    Koinberg, Ingalill
    Health and Care Sciences, University of Gothenburg, Sweden.
    Jenholt Nolbris, Margareta
    Health and Care Sciences, University of Gothenburg, Sweden.
    Ranerup, Agneta
    Division of Informatics, University of Gothenburg, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Use of participatory design in the development of person-centred web-based support for persons with long-term illness2015In: Abstracts: 19th International Philosophy of Nursing Society (IPONS) conference August 24-26, 2015 Karolinska Institutet, Stockholm, Sweden: Technology, Health Care and Person-centeredness: Beyond Utopia and Dystopia. Thinking the Future., Stockholm: Karolinska Institutet , 2015, p. 43-43Conference paper (Refereed)
    Abstract [en]

    Background: E-health solutions are increasingly developed to meet patients’ preferences and promote their participation in their health care. This has led to increased interest in person-centred technology developed by means of participatory approaches. However, few studies explore the participatory design process from the perspective of person-centeredness including how it becomes materialized in the informational technology. This paper explores how applied participatory approaches and the design of four web based supports correspond to key areas of person-centeredness.

    Aim and method: The purpose was to create shared knowledge and understanding of each separate case and to generate relevant categories. Data was collected from four Swedish research projects. The analysis followed an inductive approach involving a step-wise cross-case analysis.

    Results: A number of question areas describe the dialogue with the participants in the cases. The areas cover individual, social, and practical issues. The results of the dialogue are categorized into four support areas; psychological/emotional, personal, information, technical. By means of common as well as specifically developed technical solutions the support areas becomes visible in the design. Person-centredness will appear in the participatory design (PD) process as the approach promotes the development of a holistic view of the person and the illness and a partnership between patients and carers.

    Conclusions: Our results contribute to a central development area within eHealth involving greater opportunities for the patient to actively contribute in real time, getting access to and add information, and sometimes interact directly with carers. However, it is concluded that neither participatory approaches nor technology for online information and communication can guarantee personcenteredness by itself. Instead, it is the design of the PD process and the forming of the actual use of technology together with the particular purpose of the web based support that shape person-centred online support.

  • 1178.
    Sparud-Lundin, Carina
    et al.
    The Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden & Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Josefsson, Ulrika
    Chalmers University of Technology, Gothenburg, Sweden & Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Berg, Marie
    The Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden & Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Hellström, Anna-Lena
    The Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden & Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Koinberg, Ingalill
    The Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden & Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Jenholt Nolbris, Margareta
    The Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden & Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Ranerup, Agneta
    Department of Applied IT, University of Gothenburg, Gothenburg, Sweden.
    Skärsäter, Ingela
    The Sahlgrenska Academy at University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden & Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Use of participatory design in the development of person-centred web-based support for persons with long-term illness2013In: European Journal for Person Centered Healthcare, ISSN 2052-5648, E-ISSN 2052-5656, Vol. 1, no 2, p. 369-380Article in journal (Refereed)
    Abstract [en]

    Background: E-health solutions are increasingly being developed to meet patients’ preferences and promote their participation in healthcare. Few studies have explored the participatory design process from the perspective of person-centeredness, including how it becomes materialized in technology. This paper explores how applied participatory approaches and the design of 4 web-based interventions directed towards long-term illness correspond to key areas of person-centeredness. 

    Methods: Data were collected during 2009 to 2012, from 4 Swedish research projects. The analysis followed an inductive approach involving a step-wise cross-case analysis. The purpose was to create shared knowledge and understanding of each separate case and to generate relevant categories.

    Results: A number of question areas describe the dialogue with the case participants. Results of the dialogue are categorized into 4 support areas: psychological/emotional, personal, information and technical. Person-centeredness becomes visible in the participatory design process as the approach promotes the development of a holistic view of the person and the illness and a partnership between patients and carers. The use of communication technology exemplifies concrete materialization of person-centeredness in the design of the web-based supports. The purpose of the web supports and the shaping of the actual use of the functionalities are more abstract forms of materialization.

    Conclusions: Our results contribute to a central development area within eHealth involving increased opportunities for patients to contribute actively in real time, obtaining access to information and sometimes interacting with carers. However, neither participatory approaches nor technology for online information and communication, can guarantee person-centeredness in isolation.

  • 1179.
    Stenberg, Hanna
    et al.
    Halmstad University, School of Health and Welfare.
    Bäck, Karolina
    Halmstad University, School of Health and Welfare.
    Lundström, Joachim
    Halmstad University, School of Health and Welfare.
    Delat beslutsfattande inom psykiatrisk heldygnsvård: En jämförelse av patienters och sjuksköterskors uppfattningar av delat beslutsfattande i återhämtningsinriktade insatser2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patientfocused care is one of six areas which the National Board emphasizes as important conditions for good care. Patientfocused care promotes recovery and in order to enhance patientparticipation and co-creation there is a model called “Shared decision making”. The model is to create space for the patient to take an active role in decision-making on health promotion and care and support.

     

    The purpose of this study was to compare patients and nurses perceptions of shared decisionmaking in recovery oriented actions in psychiatric inpatient care.

    This study is a prospective cross sectional study with questionnaires. Participants are patients (n=29) and nurses (n=32) of six units in the psychiatric indoor care in the southwest of Sweden.

     

    The result show that there is a consensus in the answers to many questions but also areas where responses differ between patients and nurses in the perceptions of involvement in nursing. The responses show a tendency to underestimate the nurses experience of participation for the patients in the empowerment process higher than patients do.

     

    The conclusion of this study is that nurses, more so than the patients, felt that the personel of the ward used actions that promoted patients recovery. This indicates that the work with shared decision making to promote recovery needs to change. Continued research, as well as information and education in partcipatory work to managers and nurses should be a priority.

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  • 1180.
    Stigmar, Jennie
    Halmstad University, School of Social and Health Sciences (HOS).
    Behov av stöd till barn i skolan efter behandling av cancer2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Barn som insjuknar i en onkologisk sjukdom och som genomgår en medicinsk och kirurgisk behandling vistas oftast flera månader och år på sjukhus. När behandlingen är avslutad fortsätter sjukvårdens uppföljning under flera års tid för att utvärdera biverkningar, seneffekter samt för att kontrollera barnets fortsatta utveckling och tillväxt. Under denna tid är barnet oftast tillbaka i skolan och försöker leva ett så normalt liv som möjligt. Syftet med denna studie var att undersöka unga vuxnas, som överlevt akut lymfatisk leukemi (ALL), upplevelser av stöd under och efter sin sjukdomstid av hälso-och sjukvården. Data insamlades från en rikstäckande kohort av patienter som behandlats för ALL i Sverige mellan 1985–1997 (n=416). Besvarade (n=213) enkäter analyserades med deskriptiv statistik och kvalitativ analys. Resultatet i studien visar att unga vuxna som överlever ALL och dess behandling saknar kunskaper om sin sjukdom och dess fysiska och psykosociala konsekvenser. Studien visar också ett upplevt bristande stöd från hälso-och sjukvården efter sjukdomen och behandlingstiden hos unga vuxna som överlever ALL och dess behandling. Ytterligare forskning behövs kring hur samarbetet mellan skolsköterska och barnonkologisjuksköterska kan främja barnens återgång till vardagen och skolan ur ett fysisk och psykosocialt perspektiv.

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  • 1181.
    Stigsson, Sanna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Söderblom, Johanna
    Halmstad University, School of Social and Health Sciences (HOS).
    Blott en dag, ett ögonblick i sänder: Närståendes erfarenheter av att leva tillsammans med en familjemedlem med MS2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Multipel skleros (MS) är en livslång sjukdom som medför större eller mindre funktionsnedsättningar hos den MS-sjuke. I Sverige lever cirka 18000 personer med MS och sjukdomen debuterar oftast i 20-40 års ålder. Sjukdomen drabbar det centrala nervsystemet och orsakar succesiv nedbrytning av nervfibrer. Orsaken är fortfarande oklar och idag finns ingen botande behandling. Insjuknandet och funktionsnedsättningarna påverkar även närståendes liv och medför påverkan på hela familjen. Syftet med studien var att beskriva närståendes erfarenheter av att leva tillsammans med en familjemedlem med MS. Studien genomfördes som en litteraturstudie där nio artiklar bildade resultatet. I resultatet framkom det att behovet av stöd ökade och att närstående använde sig av olika anpassningsstrategier. Närstående upplevde oro både för sin egen och för den MS-sjukes hälsa. Sjukdomens oförutsägbara utveckling och ekonomiska begränsningar skapade även oro för framtiden. Närstående upplevde ofta brist av stöd från vårdpersonal vilket implicerar fortsatt forskning kring sjuksköterskans professionella bemötande och uppföljning av närståendes erfarenheter.

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    Blott en dag, ett ögonblick i sänder: Närståendes erfarenheter av att leva tillsammans med en familjemedlem med MS
  • 1182.
    Stolt, Anna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Thorsson, Jeanette
    Halmstad University, School of Social and Health Sciences (HOS).
    Undvik chocken: Sjuksköterskans åtgärder för att tidigt upptäcka sepsis2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Problem: Utfallet av att vara infekterad i sepsis är beroende av tidigt insatt behandling. På grund av det snabba sjukdomsförloppet är det avgörande för patientens överlevnad att adekvat behandling ges tidigt i förloppet, detta kräver att sjuksköterskan har kunskap om de tidiga tecknen som uppvisas vid sepsis. Syfte: Syftet var att undersöka vilka åtgärder sjuksköterskan ska vidta för att tidigt upptäcka sepsis hos patienter. Metod: Studien är en litteraturstudie med 13 vetenskapliga artiklar som samlades in och granskades. Resultat och konklusion: Resultatet visar att sjuksköterskans deltagande i utbildning, uppmärksammande av riskgrupper och strukturerade användning av skattningsskalor medförde tidigare upptäckt av sepsis hos patienter, vilket hade betydelse för patienternas mortalitet. Implikation: Litteraturstudien visar att tidigare forskning främst är fokuserad på behandlingsåtgärder, och att det finns lite kunskap om vad sjuksköterskan kan göra för att tidigt upptäcka sepsis. Det behövs därför mer forskning om sjuksköterskans specifika roll för att tidigt upptäcka sepsis samt om vilken skattningsskala som bör användas. Då sepsis är vanligt, svårupptäckt och incidensen ökar, bör sjuksköterskan ha fördjupade kunskaper om sepsis. Mer utbildning om sepsis ska inkluderas i sjuksköterskeutbildningen och som fortbildning på arbetsplatser.

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    Undvik chocken
  • 1183.
    Stoltz, Peter
    et al.
    Studentlitteratur AB, SE-22100 Lund, Sweden.
    Skärsäter, Ingela
    Gothenburg Univ, Sahlgrenska Acad, Fac Hlth & Caring Sci, Inst Nursing, Gothenburg, Sweden.
    Willman, Ania
    Blekinge Inst Technol, Sch Hlth Sci, Karlskrona, Sweden.
    "Insufficient evidence of effectiveness" is not "evidence of no effectiveness": evaluating computer-based education for patients with severe mental illness2009In: Worldviews on Evidence-Based Nursing, ISSN 1545-102X, E-ISSN 1741-6787, Vol. 6, no 4, p. 190-199Article in journal (Refereed)
    Abstract [en]

    RATIONALE: This article reports on commissioned research funded by the Swedish Council of Technology Assessment in Health Care (SBU) and the Swedish Nursing Society (SSF). The objective was to review computer-based education programs. However, as the review produced insufficient evidence of effectiveness, the publication was withheld due to a previous incident where such evidence was misunderstood by Swedish policy and health care decision makers.

    AIMS: This article highlights the concept of evidence with regard to the consequences of insufficient evidence of effectiveness being mistaken for evidence of no effectiveness. The aim is also to present a systematic review evaluating a computer-based education program for patients suffering from severe mental illness.

    METHODS: Systematic database searches in Medline, CINAHL, PsycINFO and the Cochrane Library identified a total of 131 potentially relevant references. Thereafter, 27 references were retrieved as full-text documents, of which 5 were finally included and co-reviewed by two independent researchers.

    FINDINGS: The review found no decisive evidence of effectiveness regarding computer-based education programs designed to assist persons suffering from severe mental illness. IMPLICATIONS FOR PRACTICE AND POLICY: Failing to see the difference between insufficient evidence and evidence of no effectiveness may have unexpected consequences. As a result, practice may be misguided and treatments withheld, which at worse may have harmful consequences for patients. In the end, it is of utmost importance that researchers do good quality research by ensuring statistical power and quality of outcome measurement. For example, this review of computer-based education programs could have revealed effective ways of dealing with severe mental illness if the studies included had been conducted using more sophisticated designs.

  • 1184.
    Strand, Fredrik Husby
    Halmstad University, School of Social and Health Sciences (HOS).
    Pasienters opplevelse av postoperativ informasjon i forbindelse med kataraktkirurgi2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [no]

    Formålet med denne studien var pasienters opplevelse av postoperativ informasjon etter kataraktkirurgi og deres tanker og meninger om dette. Ved sykehusopphold har forskning vist at det pasienter savner mest er god informasjon av helsepersonell. Kataraktkirurgi er verdens vanligste operasjon, men også den diagnosen flest i verden er blinde av. Viktigheten av kataraktkirurgi kan ses da ikke kun bedring av syn er en effekt. God syn etter kataraktkirurgi kan for eksempel forebygger fall, noe som igjen kan spare helsevesenet for utgifter, og pasienten for smerter og traumer. Formålet med informasjonen gitt av sykepleier er viktig da den har som hensikt å forebygge infeksjon som kan bli synsstruende. Studien er en intervjustudie der fire deltagere ble intervjuet. Dataen ble analysert med av hjelp av kvalitativ innholdsanalyse. Ut fra intervjuene kom to kategorier fram: Forstyrrende omgivelser og trygghet til sykepleier. Pasienters informasjonsbehov ble til dels dekket grunnet at de fant trygghet til sykepleier og sykepleier som kilde til god informasjon. Det var brister i forhold til egenomsorg ved hjemreise, og dette grunnet til forstyrrelser i omgivelsene informasjonen ble gitt, som resulterte i usikkerhet hos pasientene. Ved å øke kunnskapen innen dette området, vil sykepleier som gir informasjonen til pasientgruppen kunne gi mer effektiv og sikker pleie. Dette kan gi økonomisk gevinst til den enhet som har utført operasjonen, blant annet ved at færre pasienter vil ha behov for å komme tilbake da de har fått all informasjon som behøves, men også bedre pasientsikkerheten ved å kvalitetssikre helsetilbudet pasientene får.

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  • 1185.
    Strand, Thomas
    et al.
    Department of Health and Caring Sciences, Linneus University, Växjö, Sweden.
    Törnqvist, Erna
    Department of Health Sciences, Lund University, Lund, Sweden.
    Rask, Mikael
    Department of Health and Caring Sciences, Linneus University, Växjö, Sweden.
    Roxberg, Åsa
    Department of Health and Caring Sciences, Linneus University, Växjö, Sweden.
    An intervention based study of how MRI is perceived by patients with spinal metastasis after adjustments to the examination procedures2018In: Journal of Radiology Nursing, ISSN 1546-0843, E-ISSN 1555-9912, Vol. 37, no 2, p. 119-125Article in journal (Refereed)
    Abstract [en]

    The aim was to explore magnetic resonance imaging (MRI) experiences of patients with spinal metastasis after adjustments to the examination procedures have been made in accordance with the findings from a previous study. MRI is an important medical technology, which is considered to be the first choice of examination method when diagnosing and evaluating spinal metastatic tumors. It is a challenge to care for patients who experience anxiety and pain during an MRI. However, several aspects of the examination can be adjusted to improve the care for these patients. Findings from previous research were used to develop a care intervention, the effects of which are explored in this study. Qualitative deductive-inductive content analysis was used in this study. Eleven patients with spinal metastasis were interviewed about their experiences of going through an MRI scan based on an intervention designed in accordance with the findings from previous research. The findings showed that adjustments to the examination often were perceived as beneficial. However, patients needed to be involved in the decisions that influenced their own care. Time was an important component that affected the need for being prepared as well as the degree of personalization of the examination. This study shows that patients need to be seen as unique individuals, and they need to be able to influence the care that is given to them. The personalization of and adjustments to the examination routines need to be carried out in agreement with the patient. © 2018 Association for Radiologic & Imaging Nursing

  • 1186.
    Strand, Thomas
    et al.
    Linneus University, Växjö, Sweden.
    Törnqvist, Erna
    Lund University, Lund, Sweden.
    Rask, Mikael
    Linneus University, Växjö, Sweden.
    Roxberg, Åsa
    Linneus University, Växjö, Sweden.
    Caring for patients with spinal metastasis during an MRI examination2018In: Radiography, ISSN 1078-8174, E-ISSN 1532-2831, Vol. 24, no 1, p. 79-83Article in journal (Refereed)
    Abstract [en]

    Magnetic resonance imaging (MRI) is without question the best tool used for diagnosing and evaluating spinal metastasis. An MRI examination is known to be of great value for the treatment planning and survival of these patients. Radiographers have an important role in how the quality of care is experienced by the patients during an MRI examination. The purpose of the study was to describe the radiographers’ perceptions of caring for patients with spinal metastasis during an examination with MRI.

    Methods: Phenomenography was used to analyze the data in this study. Ten radiographers, one male and nine females were interviewed about their perception of caring for patients with spinal metastasis during an MRI examination.

    Results: The findings showed that the radiographers’ caring perspective influenced their approach towards what they consider to be essential in the care of patients with spinal metastasis. This can impact the extent of the adjustment to the care needs of the patients. Furthermore, the findings showed that there was a strong connection between the radiographers’ care approach and preparedness to personalize the care.

    Conclusion: This study shows that it is important to be flexible when providing care for the patients. A person-centered care is achieved when the caring perspective is based on the patient’s view and adjustments are made in agreement with the patient. © 2017 The College of Radiographers.

  • 1187.
    Strandh, Tomas
    et al.
    Linnaeus University, Växjö, Sweden.
    Törnqvist, Erna
    Lund University, Lund, Sweden.
    Rask, Mikael
    Linnaeus University, Växjö, Sweden.
    Roxberg, Åsa
    Linnaeus University, Växjö, Sweden.
    The Experience of Patients With Neoplasm Metastasis in the Spine During a Magnetic Resonance Imaging Examination2014In: Journal of Radiology Nursing, ISSN 1546-0843, E-ISSN 1555-9912, Vol. 33, no 4, p. 191-198Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to explore the experience of a magnetic resonance imaging (MRI) examination by patients with neoplasm metastasis in the spine. MRI is the most accurate method to diagnose and evaluate suspected metastatic disease in the spine. Patients may experience anxiety because of the fear of pain, fear of the unknown, and the apprehension about what the test might reveal. The study had a qualitative design, and the collected data were analyzed by means of latent content analysis. Twelve semistructured in-depth interviews were carried out starting with the question “Can you tell me about your experience of the MRI examination?” Four themes were identified: “motivation,” “worry and anxiety,” “insecurity,” and “security.” The patients were highly motivated to be examined by MRI, although most of them did experience some degree of worry or anxiety. The level of worry or anxiety was generated by the perception that an MRI examination was unpleasant, uncomfortable, or by the fear of what the result would show. All participants experienced some degree of insecurity, but in different ways, the insecurity of the patient could be reduced and the patients could experience a greater degree of security. The feelings of insecurity or security could be influenced by the radiographer, patients themselves, and MRI equipment. This study shows that most patients usually experience worry and anxiety. If the patients are motivated, they can manage to go through the examination in spite of the previously mentioned adverse feelings. Patients' feelings tend to fluctuate between a sense of insecurity and one of security. © 2014 Association for Radiologic & Imaging Nursing.

  • 1188.
    Struksnes, Solveig
    et al.
    Gjovik University College, Department of Health, Care and Nursing, Teknologivn 22, N-2802 Gjövik, Norway.
    Engelien, Ragna I.
    Gjovik University College, Department of Health, Care and Nursing, Teknologivn 22, N-2802 Gjövik, Norway.
    Bogsti, Wenche B.
    Gjovik University College, Department of Health, Care and Nursing, Teknologivn 22, N-2802 Gjövik, Norway.
    Moen, Öyfrid L.
    Gjovik University College, Department of Health, Care and Nursing, Teknologivn 22, N-2802 Gjövik, Norway.
    Nordhagen, Siv S.
    Gjovik University College, Department of Health, Care and Nursing, Teknologivn 22, N-2802 Gjövik, Norway.
    Solvik, Elisabeth
    Gjovik University College, Department of Health, Care and Nursing, Teknologivn 22, N-2802 Gjövik, Norway.
    Arvidsson, Barbro
    Gjovik University College, Department of Health, Care and Nursing, Teknologivn 22, N-2802 Gjövik, Norway.
    Nurses’ conceptions of how an alternative supervision model influences their competence in assessment of nursing students in clinical practice2012In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 12, no 2, p. 83-88Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of the study was to describe variations in clinical nurses' conceptions of how an alternative supervision model influences their competence in assessing nursing students in clinical practice. Background: Nursing education programme in Norway includes 50 weeks of clinical studies. Due to changes in the education system and increased focus on evidence-based practice, alternative models of supervision and assessment have been developed. Method: The study has a qualitative and descriptive design using a phenomenographic approach. Informants were 49 clinical nurses from five different nursing homes. Results: The clinical nurses' experiences are described through three description categories: 'pressure', 'encouragement' and 'development'. The informants experienced demands from the University College and colleagues, but personal and professional development was encouraged through group supervision and written information from the University College. Conclusions: The alternative supervision model supported the clinical nurses in the assessment of the nursing students, and their role as educators. The alternative supervision model also seems to strengthen the relationship between field of practice and University College.

  • 1189.
    Ström, Hanna
    et al.
    Halmstad University, School of Health and Welfare.
    Meius, Carolina
    Halmstad University, School of Health and Welfare.
    Varför uteblir sjuksköterskor från arbetet?: En litteraturstudie om arbetsmiljörelaterade sjukskrivningar hos sjuksköterskor2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Sickness absence in nurses is a widespread problem, both in Sweden and globally. Causes in the working environment make nurses at risk of sick leave. The purpose of the study was to describe the causes of occupational health-related sick leave in nurses. A general literature study was used as a method. The study was based on nine quantitative and two qualitative articles. The results show that several causes of sick leave originated in three areas, which formed three categories. Healthcare organizational shortcomings and problems, A psychosocial work environment characterized by high demands and unsatisfactory relationships, as well as Unfavorable conditions in the physical working environment.

    By gaining understanding and knowledge of what contributes to work-related sick leave, measures could be taken to promote a good working environment for healthcare professionals, but also from a nursing perspective. A deeper understanding of the problem increases the possibility for nurses to claim the organization in order to provide patient-safe care. 

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  • 1190.
    Ström, Mayvor
    et al.
    Research and Development Unit, Primary Health Care, Halland, Sweden.
    Baigi, Amir
    Research and Development Unit, Primary Health Care, Halland, Sweden.
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Marklund, Bertil
    Research and Development Unit, Primary Health Care, Halland, Sweden.
    Mattsson, Bengt
    Sahlgrenska School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
    Patient care encounter with the MCHL: a questionnaire study2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 3, p. 517-524Article in journal (Refereed)
    Abstract [en]

    Background: Both internationally and nationally, the medical care help line (MCHL) is a growing operation within the healthcare field. In Sweden, approximately 5 million calls per year are processed. The service is managed by specially trained nurses. Aim: To describe how patients' sex, age, education level and care level influenced their perceptions of care encounters with the MCHL. Methodological design and instrument: A questionnaire was designed through the operationalisation of terms based on a previous interview study with MCHL callers. It was distributed to 858 callers in a region of southwest Sweden. The questionnaire was comprised of 14 visual analogue scales (VAS). Validity and reliability were determined to be acceptable by a pilot study and factor analyses. Results: Response frequency n=517 (60.4%). Three factors, interaction, service and product, emerged to describe high satisfaction with the MCHL from different perspectives. The items 'friendliness', 'respect', 'confirmation', 'accessibility' and 'simplicity' scored highest, whereas the 'joint decision-making', 'composure' and 'time' items had the lowest values. Conclusions and relevance to clinical nursing: A new questionnaire with acceptable validity and reliability was created on the basis of an interview study examining patient encounters with the MCHL. The new questionnaire may provide useful support in the education of MCHL nurses and other nurses in telephone triage. It can also be used for quality development and as a basis for further research on telephone nursing.

  • 1191.
    Ström, Mayvor
    et al.
    Research and Development Unit, Primary Health Care, Halland.
    Marklund, Bertil
    Research and Development Unit, Primary Health Care, Halland.
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Callers' perceptions of receiving advice via a medical care help line2009In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 23, no 4, p. 682-690Article in journal (Refereed)
    Abstract [en]

    Background:

    Telephone consultations with specially trained nurses are becoming an increasingly common form of care.

    Aim:

    To describe patients' perceptions of receiving advice via a medical care help line.

    Results:

    The patients perceived the help line as a professional, reliable and easily accessible asset in everyday life, that self-care is promoted through personal advice and that the help line is a partner with whom one can discuss reflections and feelings. It is also a kind of 'back up'. The advice service is perceived as satisfactory when the nurse is calm, friendly, confirming and shows respect. Compliance and acceptance are enhanced when patients feel involved in the decision-making process. The fact that the service is easily accessible is perceived as simple and time saving.

    Conclusions:

    Seen from the patient's perspective, the telephone contact with the help line is a simple, easily accessible and secure alternative that is appreciated and used. Caring encounters gave rise to feelings, influenced by the agreement between one's own needs and expectations, the encounter between human beings and the care provided. More in-depth studies is needed focusing on the patient's perspective and characterizes of the caring encounter over the telephone.

    Relevance to clinical nursing:

    Improved understanding of the patient's perspective on the care provided leads to increased staff satisfaction and motivation. Care encounters over the phone are common today for nurses and their well-being at work is beneficial for both themselves and the care they provide and thereby for the patients.

  • 1192.
    Ström, Mayvor
    et al.
    Research and Development Unit, Primary Health Care, Halland.
    Marklund, Bertil
    Research and Development Unit, Primary Health Care, Halland.
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Callers' perceptions of receiving advice via a medical care help line2008Conference paper (Refereed)
    Abstract [en]

    Background: Telephone consultations with specially trained nurses are becoming an increasingly common form of care.

    Aim: To describe patients' perceptions of receiving advice via a medical care help line.

    Results: The patients perceived the help line as a professional, reliable and easily accessible asset in everyday life, that self-care is promoted through personal advice and that the help line is apartner with whom one can discuss reflections and feelings. It is also a kind of ́back uṕ. The advice service is perceived as satisfactory when the nurse is calm, friendly, confirming and shows respect. Compliance and acceptance are enhanced when patients feel involved in the decision-making process. The fact that the service is easily accessible is perceived as simple and time saving.

    Conclusions: Seen from the patients perspective, the telephone contact with the help line is a simple, easily accessible and secure alternative that is appreciated and used. Caring encounters gave rise to feelings, influenced by the agreement between onés own needs and expectations, the encounter between human beings and the care provided. More in-depth studies is needed focusing on the patient́s perspective and characterizes of the caring encounter over the telephone. Relevance to clinical nursing: Improved understanding of the patient́s perspective on the care provided leads to increased staff satisfaction and motivation. Care encounters over the phone are common today for nurses and their well-being at work is beneficial for both themselves and thecare they provide and thereby for the patients.

  • 1193.
    Strömberg, A.
    et al.
    Department of Cardiology, Heart Centre, Linköping University Hospital, Linköping, Sweden: Department of Medicine and Care, Faculty of Health Sciences, Linköping University, Linköping, Sweden .
    Mårtensson, J.
    Halmstad University, School of Social and Health Sciences (HOS).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS).
    Levin, L-Å
    Center for Medical Technology Assessment, Department of Health and Society, Linköping University, Linköping, Sweden .
    Karlsson, Jan-Erik
    Department of Medicine, County Hospital Ryhov, Jönköping, Sweden.
    Dahlström, U.
    Department of Cardiology, Heart Centre, Linköping University Hospital, Linköping, Sweden: Department of Medicine and Care, Faculty of Health Sciences, Linköping University, Linköping, Sweden .
    Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure2003In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 24, no 11, p. 1014-1023Article in journal (Refereed)
    Abstract [en]

    Aim The aim of this trial was to prospectively evaluate the effect of follow-up at a nurse-led heart failure clinic on mortality, morbidity and self-care behaviour for patients hospitalised due to heart failure for 12 months after discharge.

    Methods A total of 106 patients were randomly assigned to either follow-up at a nurse-led heart failure clinic or to usual care. The nurse-led heart failure clinic was staffed by specially educated and experienced cardiac nurses, delegated the responsibility for making protocol-led changes in medications. The first follow-up visit was 2–3 weeks after discharge. During the visit the nurse evaluated the heart failure status and the treatment, gave education about heart failure and social support to the patient and his family.

    Results There were fewer patients with events (death or admission) after 12 months in the intervention group compared to the control group (29 vs 40, p=0.03) and fewer deaths after 12 months (7 vs 20, p=0.005). The intervention group had fewer admissions (33 vs 56, p=0.047) and days in hospital (350 vs 592, p=0.045) during the first 3 months. After 12 months the intervention was associated with a 55% decrease in admissions/patient/month (0.18 vs 0.40, p=0.06) and fewer days in hospital/patient/month (1.4 vs 3.9, p=0.02). The intervention group had significantly higher self-care scores at 3 and 12 months compared to the control group (p=0.02 and p=0.01).

    Conclusions Follow up after hospitalisation at a nurse-led heart failure clinic can improve survival and self-care behaviour in patients with heart failure as well as reduce the number of events, readmissions and days in hospital.

  • 1194.
    Sturesson, Anna
    Halmstad University, School of Social and Health Sciences (HOS).
    Tröskelstöd till patienter vid övergång till hemodialys: Njursjuksköterskans erfarenheter2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patients with Chronic Kidney Disease lack adequate support from the nurse during the transition to haemodialysis. The purpose of this study was, from a nurse´s perspective; explore patient support during the transition to hospital-bound haemodialysis. The study had a qualitative descriptive design with content analysis approach where eight nurses from four hospitals in the south ofSwedenparticipated. The result showed that the nurse gave threshold support during the transition. Support was sometimes given unknowingly and the nurse had a lack of knowledge and capacity to provide emotional support. Patients support under the transition could therefore be absent. Education, at local and national level, is needed for the nurse to be able to give professional, emotional support. Further research in order to provide the nurse with the tools she needs to ensure emotional support is of utmost importance.

  • 1195.
    Ståhl, Jeanette
    Halmstad University, School of Health and Welfare.
    Viktutveckling hos prematura barn: En journalgranskning2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The objective of the feeding strategi of prematurity is to emulate the intrauterine growth. Good nutrition is the foundation for optimal development of the child in the short and long term. The purpose of the study was to examine the weight development in children born in gestational week 33, concerning growth relative to expected intrauterine growth, until the expected date of delivery. The study was conducted with a retrospective design, were 12 patient records were reviewed. Quantitative variabels were identified and analysed. The sample consisted of all healthy preterm infants of gestational week 33 + 0 to 33 + 6 during 140101 to 140930, from a western Swedish medium-sized hospital. The result showed that the prematurely born children included in the study, lost an average of nearly eighteen percentage of their weight in relation to the normal curve. The feeding strategies needs to be changed to reduce the weight loss among the premature children, while more research is needed to ensure optimized feeding of the children born in the period between the extremely preterm and full-term babies.

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    Viktutveckling hos prematura barn. En journalgranskning.
  • 1196.
    Sun Pollack, Ellen
    Halmstad University, School of Health and Welfare.
    Patienters behov av stöd vid synfältsundersökning2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Glaucoma is a common chronic age-related eye disease that affectsvisual function and usually leads to a life- long treatment with eyedrops to lower the intraocular pressure. It is very important thatpatients with glaucoma regularly perform visual field tests to getan estimation of the progression of the disease. Patients withglaucoma express visual field examinations as unpleasant andmore exhausting and demanding than other eye examinations. Thequestion raised how ophthalmic nurses in eye- care can supportpatients performing the tests and motivate them to accomplish.The aim of the study was to describe the need of support patientswith glaucoma was associated with during the visit to the eyeclinic when they undergo a visual field examination and whichsupport they get from the nurses. The study has a descriptivequalitative design using semi-structured interviews as datacollection and data were processed on the basis of qualitativecontent analysis. The study included interviews with four patientswho were treated with eye drops due to glaucoma. The resultsrevealed three categories: information, environment and location.Within the category of information, the need of information beforeand after the visual field test was described but also the support thenurses gave in terms of information was defined. Concerning thecategory of environment the need of less perceived time pressure,more time for talks and how nurses relate the survey to create apeaceful environment for the patients was declared. The lastcategory highlighted examples of the support which nurses gave inthe meeting with the patients. More knowledge about how healthprofessionals can provide better support to patients in the contextof visual field examination is of importance for both patients andhealth care. Better nursing can lead to more effective andindividualized care for patients.

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  • 1197.
    Sundnér, Pirjo
    Halmstad University, School of Health and Welfare.
    Möten inom diabetesvården: patientperspektiv2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes is characterized by hyperglycaemia. The patients have to change their lifestyle and follow their medical treatment because it is important with normal glucose level. Patients need continuous support and encouragement because of the chronic illness. The goal is to have a good self-management to decrease the risks of complications. Many patients don’t reach the goals for glucose levels although better treatments exist today and they express their dissatisfaction with their treatment. The aim of this study was to elucidate the patient experiences from their visits in the diabetic care. Literature study was chosen to examine the latest research. The patients value meeting the caregivers as individuals. If the patient was not allowed to participate the consultation, they felt the relationship to the caregiver as being negative. General, inadequate information could decrease the patient´s motivation to self-management. Language barrier, the caregivers lacking cultural competence and lacking cultural sensitivity could worsen the migrants´ treatment. Mutual information exchange, acknowledgement on the caregiver´s understanding on the patient´s situation and mutual problem solving were the founding elements in a successful communication. The caregivers approach could traditionally be authoritarian and the patient´s participation during consultations was missing at times, partially or entirely. Several caregivers could be offered pedagogical education to increase the care quality. A new intervention, support for behavioral change based on cognitive therapy, have developed and await implementation. Patients with diabetes mellitus type 2 needs more time by the visits for their education and support for their life long illness. New studies needs for examine results of the individual consultations and treatment goals, it has been done more studies about group education for diabetic patients until now.

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  • 1198.
    Sunesson, Olof
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Verdin, Peter
    Halmstad University, School of Social and Health Sciences (HOS).
    Smärtsam förlust: Närståendes behov vid plötslig död2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    When sudden death occurs, the survivors do not have a chance to mentally prepare for the loss. Survivors suffer high risk of complicated grief reactions, resulting in mental and physical illness. This group is not met sufficiently by structured evidence-based care, in proportion to the care of survivors expecting the loss. The purpose of the literature study was to highlight the needs of relatives confronted with sudden death, and to emphasize relevant nursing measures in acute stages. This paper is a survey of literature based on 13 research articles, in various ways dealing with needs of bereaved confronted with sudden death. The result deals with the needs of close relatives based on five categories: caring, information, proximity, viewing the body and follow-up. Survivors often experience gaps in health professionals' ability to meet their needs. Deficiencies regarding relatives’ needs of caring and information often results in negative long lasting memories. Knowledge of the benefits of meeting the needs of survivors regarding follow-up after a sudden death, is to this date considered insufficient. Knowledge of survivors confronted with sudden death need to be further explored. Further research is required, since the area of current situation is neglected. Initially, however, existing research need to be implemented.

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  • 1199.
    Suoraniemi, Dennis
    et al.
    Halmstad University, School of Health and Welfare.
    Carlsson, Hampus
    Halmstad University, School of Health and Welfare.
    Uttryck och skattning av smärta hos personer med Alzheimers sjukdom: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Alzheimer disease is a slow progressive disease that is the most common type of dementia. The disease cause deterioration of cache and limit the ability to communicate. How pain is expressed in comparison to healthy people of the same age is unclear. Aim: The purpose was to highlight how people with Alzheimer's disease expressed their pain. Result: This literature study has highlighted three different categories: The variation of pain intensity, manifestation of pain and estimation of pain. Conclusion: What emerged was how people with Alzheimer's disease expressed their pain could not be generalized, pain was different for each individual. Observing scales was preferable to self-assessment scales for pain assessment in people with Alzheimer's disease.   

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  • 1200.
    Svanberg, Marcus
    et al.
    Halmstad University, School of Health and Welfare.
    Svantesson, Isac
    Halmstad University, School of Health and Welfare.
    Att vara tillräcklig i en otillräcklig vård: En litteraturstudie om personcentrerad vård och sjuksköterskans prioriteringar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    With a growing global population the demands on health care increases. Research shows that the need of care is getting bigger but quality is decreasing. A question rises, whether it is even possible to provide person-centred care or if it is an ideal picture of care. Healthcare professionals believe that they work based on person- centered care where the patient is seen as a person and at the heart of care. This led up to the aim of the study which was to show how registered nurses priorities in caring correspond with person-centered care. The study was conducted as a general literature study. Guided by content analysis similarities and differences, in registered nurses priorities related to person-centered care where found. The results show that registered nurses felt, unlike what they would want, that the care provided was not person-centered but rather what was necessary from a medical perspective. Instead of being person-centered and adapted to the individual at hand, care was based on routines. Providing care together with the patient is what characterizes person- centered care and it has beneficial consequences. It is of importance that future research explores how person-centered care could be implemented in health care. 

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