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  • 1151.
    Vinblad, Elin
    et al.
    The Child and Youth Rehabilitation Service, Region Skåne, Kristianstad och Hässleholm, Sweden.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Karsson, Caroline
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Teleman, Britta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Parents’ expectations of a digital decision support tool for children with disabilities in pediatric rehabilitation – a qualitative study2019In: 31st EACD Conference, 2019Conference paper (Refereed)
    Abstract [en]

    Introduction: Children with disabilities usually have an extensive need for support from their parents in communication with healthcare professionals in pediatric rehabilitation. The aim of this study was to explore parents’ expectations of a digital communication and decision making tool for children with disabilities in pediatric rehabilitation.

    Patients and methods: The study had a descriptive design with a qualitative content analysis approach. Interviews were conducted with 17 parents (aged 31-62 years, 13 mothers and 4 fathers) to children with intellectual disabilities, physical disabilities or autism spectrum disorders. Results: Three categories emerged reflecting parents’ expectation of how to increase participation in rehabilitation by using a digital communication and decision tool: 1) the children will become more confident with a higher self-esteem if they easily can express themselves and their inner thoughts 2) the children will respond more honestly without considering what their parents or healthcare professionals expect to hear 3) the children will become more independent if they have a possibility to be involved and understand decisions in their own rehabilitation.

    Conclusion: The parents highlighted the importance of self-esteem as prerequisites to increase participation in rehabilitation for their children with disabilities, which they believed could be achieved by using a digital tool. A digital communication and decision making tool would strengthen the children’s voices in their own rehabilitation. This result constitutes therefore a basis in the development of a forthcoming digital communication and decision making tool, with the main objective to increase participation, for children with disabilities.

  • 1152.
    Vinblad, Elin
    et al.
    The Child and Youth Rehabilitation Service, Region Skåne, Kristianstad & Hässleholm, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Lönn, Maria
    Psychiatric Clinic, Region Halland, Halmstad, Sweden.
    Olsson, Elin
    Falkenberg Municipality, Falkenberg, Sweden.
    Larsson, Ingrid
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Children and young people’s experiences of participation in pediatric rehabilitation: a qualitative study2019In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 61, no S2Article in journal (Refereed)
    Abstract [en]

    Introduction: Creating a healthcare system of justice requires a child-centered care where children and young people, regardless of disability, are allowed to participate in their own rehabilitation. The aim of this study was to explore children and young people’s experiences of participation in pediatric rehabilitation.

    Patients and methods: The study had a descriptive design with a qualitative content analysis approach. Interviews were conducted with 20 children (6-17 years old, 9 girls and 11 boys) and 8 young people (18-30 years old, 6 women and 2 men) with intellectual disabilities, physical disabilities or autism spectrum disorders.

    Results: Three categories emerged that reflected children and young people’s experiences of participation in pediatric rehabilitation: to be included; to be empowered; and to feel supported. To be included meant that children and young people are respected, listened to and involved in shared decision-making. To be empowered comprised autonomy, responsibility and understanding as essential aspects for participation. To feel supported meant that children and young people described their parents as facilitators for enabling participation by supporting communication and being a bridge between child and professionals.

    Conclusion: To increase participation, children need support in communication with the healthcare professionals in a way that they feel respected, empowered and able to be included in decisions concerning their own pediatric rehabilitation. This result constitutes an important step in the development of a forthcoming digital communication and decision tool, with the main objective to increase participation, for children with disabilities.

  • 1153.
    von Bothmer, Margareta
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Primary Health Care, Göteborg University, Göteborg, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Primary Health Care, Göteborg University, Göteborg, Sweden.
    Promoting a tobacco-free generation: Who is responsible for what?2001In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 10, no 6, p. 784-792Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to investigate how adolescents, parents and school staff look upon different agents' responsibilities in relation to the goal 'a tobacco-free generation'. 

    This study was part of a larger study and used a descriptive, cross-sectional three-group design with questionnaires as the means of data collection. The sample comprised 216 pupils in grade five (11 years old) and 225 pupils in grade eight (14 years old) in a south-western county in Sweden, 293 of their parents and 119 school staff (headteachers, teachers, school nurses). 

    All respondents agreed that adults should take a clear stand against adolescent tobacco use. The adolescents ranked their parents as the number one source of tobacco information, while pupils, parents, teachers and headmasters ranked school nurses at the bottom rank, The teaching at school focused on risks from tobacco use. The non-smoking norm at school was viewed differently by pupils, parents and school staff. The actions of family, school and society reflect the norms and these do influence adolescent smoking. 

    The conclusion was that the responsibility to promote a tobacco-free generation was viewed differently by the categories involved in this study. The adolescents put the responsibility mainly on parents, while parents put it on the school, and the school staff on special health educators. Both parents and school staff need to recognize their importance in creating a non-smoking culture. To contribute to the creation of a non-smoking generation, school nurses should abandon their passive role in health promotion, as shown in this study, and instead engage in encouraging pupils, parents and teachers to remain or become tobacco-free. © 2001 Blackwell Science Ltd.

  • 1154.
    Vu, Dellila
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Linnea
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors attityd till patienter med HIV och AIDS2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Human immunodeficiency virus (HIV) leads to Acquired Immunodeficiency Syndrome (AIDS) a fatal disease. Thirty-seven million people in the world have been affected by the virus. Only in Sweden 6500 people are suffering from HIV/AIDS. Research show that nurse ́s attitudes towards patients with HIV/AIDS are affecting their care to these patients. The aim of this study was to illuminate nurse’s attitudes against patients with HIV/AIDS and factors that determined these attitudes. The study was conducted as a literature study. Thirteen articles that highlighted nurse’s attitudes to patients with HIV/AIDS were applied to the result. All the articles were analyzed and from that three themes emerged during data processing. The themes were: positive attitudes, negative attitudes and the importance of knowledge. The results showed that nurses have both positive and negative attitudes towards patients with HIV/AIDS. A crucial factor affecting nurses' attitude to patients with HIV/AIDS was their lack of knowledge. Therefore it is necessary to increase nurse’s knowledge about HIV / AIDS. 

  • 1155.
    Vujic, Aleksandra
    et al.
    Halmstad University, School of Health and Welfare.
    Freij, Nicole
    Halmstad University, School of Health and Welfare.
    Fysisk aktivitet vid bipolär sjukdom2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The prevalence of bipolar disorder is estimated to be 1,5 % of the world's population and this patient group have a higher risk to be affected of welfare diseases such as metabolic syndrome, diabetic and cardiovascular diseases. The primary treatment of bipolar disorder are psychopharmacologic drugs. Aim: The aim of this study was to describe physical activity among adults with bipolar disorder. Result: Categories that appeared were: Health effects of physical activity, Experience of physical activity and Motivation for physical activity. First category showed that regularly performed physical activity reduced the episodes of mania and depression. Second category showed that preferred activities were of rhythmic and monotone nature like running, cycling, walking or swimming. Third category showed that a confiding relationship between the patient and their registered nurse were of importance during depressive episodes, functioned as support for daily routines and motivate for physical activity. Conclusion: Physical activity reduces symptoms and improve both physical and mental health. Physical activity should be a manifested treatment in nursing and education of its effect should be given to both nurse-students and registered nurses. More research is required about how physical activity affect treatment and the occurrence of welfare diseases in a long-term perspective.

  • 1156.
    Wadell, Katheleen
    et al.
    Institute of Nursing, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Skärsäter, Ingela
    The Vårdal Institute Göteborg, The Swedish Institute for Health Sciences, and Psychiatric Services, Halland, Sweden.
    Nurses' experiences of caring for patients with a dual diagnosis of depression and alcohol abuse in a general psychiatric setting2007In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 28, no 10, p. 1125-1140Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to describe mental psychiatric health nurses' experiences of caring for persons with the dual disorders of major depression and alcohol abuse. The study was conducted in 2003 on three psychiatric wards located in two general hospitals in Sweden. The study group comprised 11 registered nurses with experience of caring for patients with dual disorders. The data were analyzed by means of qualitative content analysis. The findings revealed three categories: Enabling a good level of cooperation with patients; Facilitating continued care and treatment; and Understanding barriers to cooperation with patients. Building a trusting relationship in order to enable cooperation with patients was the basis for continued care and treatment. The nurses needed more training and multidisciplinary knowledge in order to meet the particular clinical needs of this patient group. Nurses have an important obligation to utilize the best available evidence, including research findings and other scientific sources.

  • 1157.
    Wahlin, Ulla
    et al.
    Falkenberg Ambulance Service, Falkenberg, Sweden.
    Wieslander, Inger
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Loving care in the ambulance service1995In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 11, no 6, p. 306-313Article in journal (Refereed)
    Abstract [en]

    The ambulance service should offer good care signified by humane and individual treatment of the patients, based on love to our fellow man. The aim of this study was to find out how loving care was practised in one ambulance service. The method for the study was the critical incident technique. Twelve paramedics, the majority of whom are qualified nurses, took part in the study; they were asked to describe, in writing, critical incidents in which they had acted with loving care. The paramedics’ writings disclosed their ability to do their job with loving care, bearing on their cognizance, solicitude and empathy. On the whole, subject cognizance, the ability to judge and treat based upon the monitored symptoms of the patients, was apparent. In the main, subject solicitude loving care was shown through humbleness, consideration, closeness and being in rapport, and generally subject empathy, the paramedic’s empathic capacity and his knowledge about man’s behaviour in a crisis, became evident. From a clinical standpoint the study shows the importance of the paramedics possessing professional skill. As a contribution to science the study adds to continued research based upon descriptions made by other groups of personnel about the phenomenon to be studied; namely, loving care. © 1995 Pearson Professional Ltd.

  • 1158.
    Wallgren Andersson, Caroline
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Norman, Katarina
    Halmstad University, School of Social and Health Sciences (HOS).
    Stenkvist, Malgorzata
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskans roll i undervisning: Kunskap och insikt kan leda till livsstilsförändring hos patienten2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Unhealthy lifestyle habits increase the risk of illness and death. Cardiovascular disease, cancer and type-2 diabetes are examples of diseases that can be avoided by making positive lifestyle changes. An important part of the nurse's job is to teach patients how they can change their lifestyle and take responsibility for their own self-care. The purpose of this study was to highlight the nurse's role in patient education with a focus on lifestyle changes. The study was done in the form of a literature review in which the basis for the results consisted of 11 scientific articles. The result showed that the nurse's assessment of the patient's need for knowledge was an important part of the teaching process. Factors of importance for the teaching results were information and the selection of appropriate methodology and model. The nurse's pedagogical approach was another factor that influenced their teaching. The study shows that nurses need to adjust their role based on the patient's needs. It has also been found that there are deficiencies in the nurse's competence in terms of pedagogical and didactic skills. By expanding patient education for nursing and prioritize it in health care, there are profits to be made from both a patient perspective and socioeconomically. More scientific research is needed in the subject of how the practices of planning and implementation of patient education can be improved.

  • 1159.
    Warrén Stomberg, Margareta
    et al.
    Gothenburg University, Sahlgrenska Academy, the Institute of Health and Care Sciences, Gothenburg, Sweden.
    Knudsen, Kai
    Department of Anaesthesia and Intensive Care, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Stomberg, Henrik
    Police Department in Örebro County, Örebro, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Symptoms and Signs in Interpreting Gamma-hydroxybutyrate (GHB) Intoxication – An Explorative Study2014In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 22, article id 27Article in journal (Refereed)
    Abstract [en]

    Background

    Acute poisoning with gamma-hydroxybutyrate (GHB) has been a serious medical and social problem in different parts of the world including Sweden. GHB is a drug of abuse which acts primarily as central nervous system (CNS) depressants. GHB has serious toxicity, although many young users do not recognise GHB as a dangerous drug. The aim of this pilot study was to explore how symptoms with risk of failure in vital functions would be valued among professionals that encounter GHB intoxication in the emergency phase.

    Methods

    A web-based survey focusing on the assessment of vital clinical signs for possible GHB intoxication using a numeric scale was carried out during April and May 2011. The participants, n 105, are all professionals who encounter GHB intoxicated in the emergency phase, but have different levels of training in GHB intoxication, mainly Registered Nurses (RNs) in southwest Sweden, employed in pre-hospital or emergency departments at somatic and most psychiatric health care facilities, as well as police officers who in their work come into contact with drug users. Responses in the survey were scored according to risk of GHB intoxication with serious failure of vital functions. The score value was then referred to a so-called evidence based priority (EBP) scale and analysed using descriptive statistics and Fisher's exact test.

    Results

    Cardiac arrest, coma, hypoxia, general convulsions, slow respiratory and heart rate and pale skin are symptoms with the highest risk of serious failure in vital physical functions and were predominantly recognised as such.

    Conclusion

    Despite the professionals' different levels of training in GHB intoxication, all of them were relatively well aware of and in accordance regarding the most risky symptoms. The interpretation score for the less risky symptoms and signs of GHB intoxication varied depending on their degree of training. The results should be viewed cautiously, as the size of the professional groups and their general knowledge of critical symptoms of GHB poisoning varied. © 2014 Stomberg et al.; licensee BioMed Central Ltd.

  • 1160.
    Wendt, Eva
    et al.
    Research and Development Unit, Primary Health Care, Falkenberg, Sweden.
    Marklund, Bertil
    Research and Development Unit, Primary Health Care, Falkenberg, Sweden.
    Lidell, Evy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Westerstål, Anna
    Department of Public Health and Community Medicine, University of Gothenburg, Göteborg, Sweden.
    Possibilities for dialogue on sexuality and sexual abuse: Midwives' and clinicians' experiences2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 27, no 4, p. 539-546Article in journal (Refereed)
    Abstract [en]

    Objective: To describe midwives’ and clinicians’ experiences of the possibilities and obstacles for dialogue with young women on sexuality and sexual abuse, focusing on the possibilities. Design: qualitative study with interview data analysed by qualitative content analysis. Setting: South-west Sweden. Participants: A purposive sample, consisting of 15 midwives, six gynaecologists and five general practitioners aged 30–65 years, was chosen in order to obtain as many different experiences as possible. The participants’ professional experiences varied, ranging from five to more than 35 years, and they were employed at youth clinics, primary health-care centres, gynaecology clinics, a specialist sexual medicine centre and antenatal care centres, situated in small and large cities. Findings: The participants described the respectful encounter that can be created when young women meet midwives and clinicians in the context of a gynaecological consultation. In this situation, there was a potential to strengthen women while attempting to improve their sexual health. Support from the organisation and the use of personal skills and assets were found to be promoting factors for dialogue. Lack of organisational support or communication skills and difficult emotions complicated the situation, which might, in turn, restrain midwives and clinicians from raising sexual issues. Implications for practice Increased knowledge, support and opportunities for reflection concerning dialogue regarding sexual issues might evoke the interest and intent of health professionals to approach these issues. Guidelines regarding dialogue about both sexuality and sexual abuse should be routine in health-care services.

  • 1161.
    Wennerholm, Anna-Pia
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Jolfson, Annika
    Halmstad University, School of Social and Health Sciences (HOS).
    Omvårdnadsforskningens integrering i det kliniska omvårdnadsarbetet - en systematisk  litteraturstudie2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nursing research has increased as more nurses have a university education. Studies in this area have focused on the extent to which nurses use evidence-based research as well as the barriers that exist for their use. The results are clear that it is difficult to integrate research findings into clinical practice. The consequence of this may be that knowledge does not reach the clinical nursing practice. The purpose of this study was to describe nursing research integration in clinical nursing. A systematic study with integrative approach was implemented. The result shows various possibilities for the integration of research into clinical practice. An open climate with common goals for the integration of nursing research and clear leadership that provides resources in terms of finance, education and time. For the integration of research into clinical practice will increase the need for collaboration between universities / colleges and clinical practice so that nurses can get the support needed to develop the care given to the patient. In the literature, there are few empirical studies on the subject why it would be of interest to continue exploring this area.

  • 1162.
    Werkander Harstäde, Carina
    et al.
    Karolinska Institute, Stockholm, Sweden; Gotland University College, Visby, Sweden & Linnaeus University, Växjö, Sweden.
    Andershed, Birgitta
    Gjøvik University College, Gjøvik, Norway & Ersta Sköndal University College, Stockholm, Sweden.
    Roxberg, Åsa
    Linnaeus University, Växjö, Sweden & Haraldsplass University College, Bergen, Norway.
    Brunt, David
    Linnaeus University, Växjö, Sweden.
    Feelings of guilt – Experiences of next-of-kin in end-of-life care2013In: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 15, no 1, p. 33-40Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to gain a greater understanding of the experiences of guilt of the next-of-kin in end-of-life care. Seventeen next-of-kin who had lost a loved one were interviewed with a focus on possible experiences of guilt. A Gadamerian-based hermeneutic approach to interpret these experiences was used. The interpretation showed that next-of-kin’s experiences of guilt emanated from a situation where the next-of-kin had a moral view on what was the right thing to do, it could also originate from a wish to do the best possible for the dying person out of love for this person. The situation could also involve both these aspects.  The way in which the situation was handled, could, if the next-of-kin felt that s/he did not fulfill her/his commitments, omitted or neglected the dying person or was the cause of something, lead to experiences of guilt. The situation of being next-of-kin in end-of-life care is complex and demanding, something that health professionals are and should be aware of. Acknowledgement of experiences of guilt can help the next-of-kin in their adaptation to the end-of-life situation as a whole and maybe also give useful tools to support next-of-kin through bereavement. © 2013 The Hospice and Palliative Nurses Association

  • 1163.
    Wern, Maria
    Halmstad University, School of Health and Welfare.
    Omvårdnadsansvarig sjuksköterskas arbetsuppgifter och kompetens2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden 121 671 children were admitted to hospital care in 2014.  Each and every one of them needed a nurse responsible for their care, a primary nurse (PN). According to Swedish law, everyone has the right to a steady care taker if there is a need. The aim of this study was to describe what work assignments a PN within pediatric care has, and what competencies pediatric nurses consider important. Interviews with pediatric nurses were carried out to achieve this. The transcribed material has been worked at through a qualitative content analysis resulting in three categories that reflect a PN work assignments; Knowledge, Team work and Security. These three categories include work assignments such as: knowledge about the child, coordinate and planning, to be a patient confidant, and to educate. The results contribute to and elucidate a primary nurse’s work assignments and help spread knowledge about their role.

  • 1164. Westlund, Linett
    et al.
    Zakrisson, Clara
    Ett närmast omöjligt arbete: Sjuksköterskans upplevelse av ohälsa relaterat till stress på arbetsplatsen2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Stress är ett begrepp som har ökat i användning den senaste tiden och är en allvarlig psykisk och fysisk åkomma där sjuksköterskor är den yrkesgrupp som drabbas mest av ohälsa på arbetsplatsen. Arbetsrelaterad stress hos sjuksköterskan uppkommer av höga krav i kombination med bristande känsla av kontroll vilket kan orsaka en psykisk ohälsa som kan resultera i ångest och depression. Det påverkar sjuksköterskans prestationsförmåga som drabbar organisationen negativt då vårdskador och dödligheten hos patienter ökar. Syftet med litteraturstudien var att beskriva sjuksköterskans upplevelse av stress på arbetsplatsen relaterat till ohälsa. Studien baserades på 13 vetenskapliga artiklar som svarade mot syftet. Resultatet innefattade tre huvudkategorier; upplevelser av mänskliga faktorer, upplevelser av organisatoriska faktorer och upplevelsen av den egna ohälsan, samt nio underkategorier. Sjuksköterskans upplevelse av stress skapades av bristande kunskap, hög arbetsbelastning, kollegiala konflikter, oregelbundna arbetstider och emotionell utmattning. Den höga arbetsbelastningen inkluderade stor patientvolym, korta vårdtider och den administrativa delen som tog mycket av den patientcentrerade tiden. Arbetstiderna ansågs vara ett stressmoment då övertid som orsakande brist på återhämtning var vanligt förekommande. För att stressen ska kunna reduceras är det av vikt att uppmärksamma mer personalresurser, mindre patientgrupper, längre upplärningstid för de nyutbildade och mer ledarskapsutbildningar till handledare. Forskningen som finns tillgänglig måste nå fram till organisationen för att åtgärder ska sättas in så att sjuksköterskorna vill stanna kvar inom professionen.

  • 1165.
    Wetterholtz, Ingrid
    et al.
    Halmstad University, School of Health and Welfare.
    Nordblom, Ylva
    Halmstad University, School of Health and Welfare.
    Det glömda samtalet: En litteraturstudie om sjuksköterskans samtal kring sexuell hälsa.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sexuell hälsa är ett område inom omvårdnad som kan vara utmanande och kan ställa

    krav på att bemötandet bör ske utifrån patientens förutsättningar. Välbefinnande och

    sexuell hälsa ingår som komponenter i holistisk omvårdnad men det är endast hälften

    av sjuksköterskorna som känner sig trygga att ta upp ämnet. Syftet med

    litteraturstudien var att beskriva hindrande och främjande faktorer som kan påverka

    huruvida sjuksköterskan samtalar om sexuell hälsa med patienten. Vetenskapliga

    artiklar samlades in genom strukturerade sökningar i databaser utifrån studiens syfte

    och resulterade i tio artiklar som bearbetades. Resultatet beskrivs i tre olika teman,

    kunskap, attityder och arbetsmiljö. Resultatet visar att sjuksköterskor uppger att de

    har kunskap om hur olika sjukdomar eller behandlingar kan påverka sexuell hälsa

    men över häften av sjuksköterskorna gav ingen information eller rådgivning i ämnet.

    Hindrande faktorer som framkom, var brist på kunskap om hur ämnet skall tas upp,

    samt attityder, rutiner, tidsbrist och brist på avskilt utrymme. Främjande faktorer var

    utbildning, erfarenhet, rutiner, möjligheten till kontinuitet mellan sjuksköterskan och

    patienten samt att patienten för ämnet på tal. Litteraturstudiens resultat tyder på att

    fortsatt omvårdnadsforskning behövs om hur patienten upplever problem med sexuell

    hälsa, till följd av sjukdom och behandling, samt om omhändertagandet i vården.

  • 1166.
    Widén, Louise
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Andersson, Emma
    Halmstad University, School of Social and Health Sciences (HOS).
    Den som inget frågar, får inget veta: Sjuksköterskors professionella möte med våldsutsatta kvinnor2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Våld mot kvinnor är ett stort problem i dagens samhälle. Våldet har stora effekter på kvinnors hälsa och sjukvården har ett optimalt läge i att upptäcka och hjälpa kvinnorna ur våldssituationen. Sjuksköterskan är ofta den första inom vården som möter kvinnorna. Möten med våldsutsatta kvinnor omges av utmaningar för sjuksköterskan både på ett professionellt och personligt plan. Syftet med studien var att belysa bemötande och omhändertagande av våldsutsatta kvinnor ur ett sjuksköterskeperspektiv. Utifrån analys av 12 vetenskapliga artiklar framkom fyra faktorer som arbetets resultat bygger på. För att sjuksköterskor skall vårda våldsutsatta kvinnor på ett optimalt vis behövs kunskap om våld, ett bra förhållningssätt gentemot patienten, god hantering av egna känslor samt förståelse av miljöns betydelse. Samtliga faktorer har ett stort samband med varandra och är grundläggande för sjuksköterskor i mötet med våldsutsatta kvinnor. Pågående forskning inriktas på att fördjupa kunskap och insatsmetoder för organisationer och myndigheter i bekämpandet av våld. Grundutbildningen för sjuksköterskor borde inkludera undervisning om våld i närarelation och förbereda sjuksköterskor för att kunna hantera den emotionella press som kan uppstå i mötet med våldsdrabbade kvinnor. 

  • 1167.
    Wieslander, Inger
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Cardiac rehabilitation in hospital and at home: a long-term study from the perspective of women who have suffered their first myocardial infarction2004Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    The general aim of this licentiate thesis was to describe and compare, from a longitudinal perspective, the extent of cardiac rehabilitation efforts as well as changes in social support and social network in women who have suffered their first myocardial infarction (MI). The studies had a descriptive, comparative and longitudinal design. Data were collected from healthcare professionals at 18 acute hospitals, who on two occasions answered a questionnaire dealing with cardiac rehabilitation efforts. From these 18 hospitals, 240 women who had suffered a first MI were consecutively chosen to answer a questionnaire on three occasions on the subject of social support and social network. Descriptive and inferential statistics were used to analyse data over time. The result showed that patients with different ischaemic heart disease diagnoses and their next-of-kin were offered different cardiac rehabilitation programmes (CRPs). None of the hospitals offered a CRP that was specifically designed for women. The women experienced that the extent of general support, support from relatives, and professional support changed positively over time. The women who participated in a CRP reported less need for professional support over time compared to non participants. This licentiate thesis provides knowledge about social support and social network that can be used to develop CROPs based on the special needs of women with MI and their relatives.

  • 1168.
    Wieslander, Inger
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Mårtensson, Jan
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Cardiac Rehabilitation Nurses’ Experiences of Factors Influencing Female Patients’ Recovery After Their First Myocardial Infarction2013In: European Journal of Cardiovascular Nursing, London: Sage Publications, 2013, Vol. 12, p. S77-S78Conference paper (Refereed)
    Abstract [en]

    Introduction

    Secondary prevention care after a Myocardial Infarction (MI) has not improved during the last 15 years at the same rate as acute MI care. One reason could be that research and health care focus more on treatment, symptoms and risk factors and not on the individuals’ perceptions of the recovery process after an MI. Most previous research focuses on recovery from the women’s and their partners’ point of view. Since cardiac rehabilitation nurses meet many women after MI, their experiences of the women’s recovery process may be an important complement perspective.

    Purpose

    The aim was to explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first MI.

    Method

    The study was conducted using qualitative content analysis. Twenty cardiac rehabilitation nurses were interviewed and the study was carried out at 10 hospitals in Sweden.

    Conclusions

    Cardiac rehabilitation nurses experienced that women’s recovery after an MI was influenced by factors that were both related to their own individual as well as by their surroundings factors. The underlying meaning of women´s recovery is characterized as the transition process to the recovery to health.

  • 1169.
    Wieslander, Inger
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden Jönköping.
    Mårtensson, Jan
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Female patients' recovery after their first myocardial infarction2013Conference paper (Refereed)
    Abstract [en]

    Introduction

    Secondary prevention care after a Myocardial Infarction (MI) has not improved during the last 15 years at the same rate as acute MI care. One reason could be that research and health care focus more on treatment, symptoms and risk factors and not on the individuals’ perceptions of the recovery process after an MI. Most previous research focuses on recovery from the women’s and their partners’ point of view. Since cardiac rehabilitation nurses meet many women after MI, their experiences of the women’s recovery process may be an important complement perspective.

    Purpose

    The aim was to explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first MI.

    Method

    The study was conducted using qualitative content analysis. Twenty cardiac rehabilitation nurses were interviewed and the study was carried out at 10 hospitals in Sweden.

    Conclusions

    Cardiac rehabilitation nurses experienced that women’s recovery after an MI was influenced by factors that were both related to their own individual as well as by their surroundings factors. The underlying meaning of women´s recovery is characterized as the transition process to the recovery to health.

  • 1170.
    Wieslander, Inger
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Mårtensson, Jan
    Högskolan Jönköping, Jönköping, Sverige.
    Fridlund, Bengt
    Högskolan Jönköping, Jönköping, Sverige.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Factors influencing female patients’ recovery after their first myocardial infarction as experienced by cardiac rehabilitation nurses2013In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, no 2, p. 230-240Article in journal (Refereed)
    Abstract [en]

    Background: In the developed part of the world, coro- nary heart disease is the major cause of death and is one of the leading causes of disease burden. In Swe- den, more than 30,000 people per year are affected by myocardial infarction and out of these approximately 40% are women. Nearly 70% of the women survive and after a myocardial infarction a recovery process follows. Today’s health care focuses more on treat- ment, symptoms and risk factors than on the indi- viduals’ perceptions of the recovery process. Aim: To explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first myocardial infarction. Methods: Twenty cardiac rehabilitation nurses were interviewed. The study was conducted using qualitative content analy- sis. Results: The cardiac rehabilitation nurses experi- enced that women’s recovery after a first myocardial infarction was influenced whether they had a suppor- tive context, their ability to cope with the stresses of life, if they wanted to be involved in their own per- sonal care and how they related to themselves. Con- clusions: Women’s recovery after a myocardial in- farction was influenced by factors related to sur- roundings as well as own individual factors. The un- derlying meaning of women’s recovery can be de- scribed as the transition process of a recovery to health. Our findings suggest that a focus on person- centered nursing would be beneficial in order to promote the every woman’s personal and unique re- covery after a myocardial infarction. Finally, the car- diac rehabilitation nurses’ experiences of factors influencing male patients’ recovery after their first myo- cardial infarction should be important to investigate. 

  • 1171.
    Wieslander, Inger
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Jönköping University, Jönköping, Sweden.
    Mårtensson, Jan
    Jönköping University, Jönköping, Sweden.
    Fridlund, Bengt
    Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Women’s experiences of how their recovery process is promoted after a first myocardial infarction: Implications for cardiac rehabilitation care2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30633Article in journal (Refereed)
    Abstract [en]

    Background: A rapid improvement in the care of myocardial infarction (MI) in the emergency services has been witnessed in recent years. There is, however, a lack of understanding of the factors involved in a successful recovery process, after the initial stages of emergency care among patients, and in particular those who are women. Both preventive and promotive perspectives should be taken into consideration for facilitating the recovery process of women after a MI.

    Aim: To explore how women’s recovery processes are promoted after a first MI.

    Methods: A qualitative content analysis was used.

    Findings: The women’s recovery process is a multidirectional process with a desire to develop and approach a new perspective on life. The women’s possibility to approach new perspectives on life incorporates how they handle the three dimensions: behaviour, that is, women’s acting and engaging in various activities; social, that is, how women receive and give support in their social environment; and psychological, that is, their way of thinking, reflecting, and appreciating life.

    Conclusions: The personal recovery of women is a multidirectional process with a desire to develop and approach a new perspective on life. It is important for cardiac rehabilitation nurses to not only focus on lifestyle changes and social support but also on working actively with the women’s inner strength in order to promote the recovery of the women.

  • 1172.
    Wilhsson, Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Ungdomars strävan mot att lyckas och nå framgång i livet – skolan som hälsofrämjande arena2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of the dissertation was to gain greater knowledge about perspectives on adolescent´s health as a basis for developing actions to promote health in schools.

    Methods: Study I had a quantitative, descriptive cross-sectional design, in which the data was collected from 948 adolescent (11-15 years old) and analyzed with multivariate logistic regression. Study II had a qualitative, investigative design, in which the data was collected from 117 adolescent (14-17 years old) and analyzed with Grounded Theory methodology. Study III had a qualitative, descriptive design, in which the data was collected from 42 adolescent (14-16 years old) and analyzed with qualitative content analysis. Study IV had a qualitative, descriptive design, in which the data was collected from 27 stakeholders and analyzed with qualitative content analysis.

    Results: The adolescent aspire to make out and be successful both in the present and the future. This aspiration is experienced by the adolescent as a struggle about time, a struggle that they cope with by using various strategies to balance schoolwork and leisure. The girls’ aspiration is to achieve success in school in order to be independent in the future. Success, for the boys, entails being successful in one of their leisure activities such as sport, which demonstrates their physical strength. Success is of importance for the boys in the present, while on the other hand the girls view their success in a longer time perspective. The focus in health promotion should be aimed at supporting the adolescent´s sense of coherence, at strengthening their optimism early in their teenage years as well as making more visible the organizational and contextual structures and norms that affect the health and lifestyles of girls and boys.

    Conclusions: In summary, the dissertation shows that perspectives on adolescent’s health should be understood at different levels in society and include a gender perspective. Furthermore, factors that are important for adolescent’s lifestyle should be discussed from a salutogenic perspective and the health promotion performed in schools should develop actions that have contextual and gender-specific points of departure in order to enhance the health and lifestyles of girls and boys.

  • 1173.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Handling Demands of Success Among Girls and Boys in Primarly School: A Conceptual Model2017In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, no 4, p. 316-325Article in journal (Refereed)
    Abstract [en]

    Stress among adolescents in Western societies is becoming an issue of increasing concern, and the global trend of adolescents’ health shows a gradual deterioration that is independent of national differences and increases with age. The aim of this study was to explore the main concern of adolescents and about how they cope with demands in everyday life. Participants were 14–16 years old, and data were collected from three sources. A constructivist grounded theory was used as a method for generating a model of the adolescents’ description of how they cope with demands in their everyday lives. The main concern described by participants in this study was to strive to be successful and to succeed in the present and throughout their lives. We conclude that differences between girls and boys, in terms of coping with demands in their everyday lives, are important to consider in the development of health promotion initiatives targeted at adolescents. © The Author(s) 2016

  • 1174.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Högdin, Sara
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Halmstad project – a participatory intervention to promote children's mental health2013In: 21st International Conference on Health Promoting Hospitals and Health Services: Abstract book, Copenhagen: WHO-CC , 2013, p. 123-123Conference paper (Other academic)
  • 1175.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Högdin, Sara
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Halmstadprojektet – en deltagarstyrd intervention för att främja barns psykiska hälsa2013Conference paper (Other academic)
  • 1176.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Handling demands on success among girls and boys in primarly school – a conceptual model2016Conference paper (Other academic)
    Abstract [en]

    Background: Stress among adolescents in Western societies is becoming an issue of increasing concern and the global trend of adolescents’ health shows a gradual deterioration that is independent of national differences and increases with age. Research shows that many adolescents report high levels of stress, associated with a change in expectations about performance and an increased focus on school results.

    Purpose/methods: The aim of this study was to explore the main concern of adolescents to get a deeper knowledge on how they cope with demands in everyday life. Grounded theory was used as a method to generate a model.

    Results: The core category “striving to be successful and to succeed” explains participants’ main concern in their everyday lives as a continuous process aiming for success in the present and to succeed throughout their lives. The category is what the participants describe as a race against time and can be divided into the two conceptual categories “struggling with time” and “separating life into different worlds”, pronouncing how they struggle and cope with their main concern in order to obtain wellbeing. Our results show a difference between how girls and boys cope with their demands.

    Conclusions: We show that girls and boys used different strategies to cope with stress in their everyday life. The results are based on adolescent’s experiences and are therefore an important contribution for initiating interventions aimed at promoting adolescents mental health from a gender perspective.

  • 1177.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Girls and boys strategies to handle and cope with school-related stress2016In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 26, no Suppl. 1, p. 221-221Article in journal (Refereed)
    Abstract [en]

    Background

    A trend of increased stress and deteriorating mental health of adolescents is a global challenge (Currier et al, 2012). Research shows that many adolescents report high levels of stress associated with an increased focus on school performance (Moknes et al, 2014). These demands generally have a stronger impact on girl’s health (Låftman & Modig, 2013) due to context and social construction of norms, values and beliefs about femininity and masculinity (Connell, 2002; Butler, 1999). The aim was to get a deeper understanding of girls and boys perceptions of how they handle demands and school-related stress.

    Methods

    This study has an explorative design and was analyzed by qualitative content analysis described by Graneheim and Lundman (2004). The participants were 42 adolescents 15 years old, interviewed in five focus groups, dived by gender from five randomly selected schools. Two additional gender mixed focus groups with 14 adolescents 15 years old, were recruited from two of the randomly selected schools.

    Results

    The results show that girls and boys handle school-related stress by using similar strategies, but in different ways. Girls express that they have to prioritize to deselect activities they use to do to handle demands from school, and boys prioritize their own activities to obtain strength to cope with demands. Girls often think about their future while boys more often live in present time, and don’t worry so much about the future. Girls receive social support and recovery from friends and family, while boys do various activities with their friends and family to get energy.

    Conclusions

    This study shows that girls and boys used different strategies to handle demand and school-related stress. The results are based on adolescent’s experiences and could therefore be an important foundation for interventions that promote adolescents capabilities to cope with increasing demands and to handle school-related stress.

    Key messages:

    • This study shows that girls and boys perceived and used different strategies to handle demand and school-related stress

    • The result is an important foundation for interventions that promote adolescents capabilities to cope with increasing demands and to handle school-related stress

    © The Author 2016.

  • 1178.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Högdin, Sara
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Strategies of Adolescent Girls and Boys for Coping With School-Related Stress2017In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, no 5, p. 374-382Article in journal (Refereed)
    Abstract [en]

    Stress among adolescents in Western societies is becoming an issue of increasing concern of adolescent’s health. The aim of this study was to gain greater knowledge about how girls and boys perceive and cope with school-related stress. Participants were 14- to 15-year-old adolescents from a medium-sized municipality in southern Sweden. The data were collected from focus group interviews. The data were subjected to qualitative content analysis. The findings show that adolescents ‘‘prioritizing the future or the present by making choices, finding their own private sphere to relax, and recovering with family and friends.’’ There were gender differences in how these strategies were used. The findings could be used for initiating and planning health promotion interventions in school with focus on supporting girls’ and boys’ equal terms to cope with school-related stress in present and for the future and to give equal condition for future studies and opportunities in life. © The Author(s) 2016

  • 1179.
    Wilhsson, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    A stakeholder perspective on adolescents' needs for support to cope with school-related stressManuscript (preprint) (Other academic)
    Abstract [en]

    Background; Adolescents’ experiences of stress have increased in recent decades and is associated with an increase of psychosomatic symptoms and poorer academic achievement. Identification of ways to support adolescents’ handling of school related stress is a major challenge to promote their health and academic achievement. The purpose of this study was to describe the stakeholder’s perspectives on services that are needed for supporting adolescents in secondary school when coping with school-related stress.

    Methods; Representatives from the school health service and school management organization (n=23) from five secondary schools and parents (n=4) were recruited by snowball sampling. Interviews were analyzed by qualitative content analysis with an inductive approach.  

    Results; The study highlight different aspects of stakeholders’ perceptions of what is needed to support adolescents who experience school-related stress. Described are actions such as highlighting and changing organizational and contextual structures and developing the dialogue between the school and the home. Other described actions are to support adolescents’ abilities to plan and visualizing how time is used and to strengthen their adolescents’ belief in their own abilities.

    Conclusions; Our findings could be used in schools for developing interventions from a salutogenic approach to promote adolescents’ health in the present and for the future.

  • 1180.
    Wingerstad, Stina
    et al.
    Halmstad University, School of Health and Welfare.
    Westerberg, Marie
    Halmstad University, School of Health and Welfare.
    Motiverande samtal i omvårdnaden av personer med ätstörningar: En bro till den terapeutiska alliansen2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Eating disorders are characterised as a sustaining disorder of eating and mainly affects young women. Previous research has found that lack of motivation and ambivalence complicates the recovery. From a caring perspective, motivation to change is important for recovery. The aim of the literature review was to illustrate motivational interviewing in the care of people with eating disorders. The study was performed as a literature review through structured searching with critical review of previous research. The literature review found associations between motivational interviewing and improved motivation in people with eating disorders. Motivational interviewing resulted in increased readiness for change and increased commitment in treatment. Motivational interviewing made it possible with openness, honesty and understanding between the nurse and the person with eating disorders; a therapeutic alliance was established. The study found that the therapeutic alliance entailed a mutual cooperation, in which the person found support to develop own resources for recovery. Research on motivational interviewing in the care of people with eating disorders is limited which leads to gaps in knowledge and indicates that further research is motivated. The study indicates that nurses need depth knowledge about eating disorders and motivational interviewing. 

  • 1181.
    Winlöf, Linnea
    et al.
    Halmstad University, School of Health and Welfare.
    Cardmarker, Lovisa
    Halmstad University, School of Health and Welfare.
    Sjuksköterskans roll vid fysisk aktivitet på recept: En allmän litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses has a significant role in health promotion efforts that can reduce public health problems, such as inactivity with a purpose to improve public health. Physical activity on prescription's a method of reducing inactivity and promoting physical activity, which is based on a patient-centered view, where communication and knowledge about motivation and behavioral change are important components. The aim of this literature study was to investigate the nurses' role in the physical activity of prescription. The result's based on 11 scientific articles, five qualitative and six quantitative, which featured in one main theme; Nurses role and barriers that exist. The subthemes that emerged were; Motivation, Participation, Time, Knowledge and Routines and also External Factors. The nurses' role is to regularly motivate physical activity and to involve patients, and also to protect and promote the health of all people. Lack of time, ignorance and lack of routines indicate great barriers to why nurses doesn't prescribe physical activity on prescription. Furthermore, the patients economy, accessibility, and societies resources for physical activity are highlighted. Nurses' motivational role and the application of physical activity on prescriptions, is something that should be highlighted and clarified in undergraduate nursing education. In addition, healthcare professionals should continue to point out that physical activity can be a complement to medicine.

  • 1182.
    Winterling, Jeanette
    et al.
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden & Center of Haematology, Karolinska University Hospital, Stockholm, Sweden.
    Wiklander, Maria
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Micaux Obol, Claire
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden & Stress Rehabilitation Research, Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
    Lampic, Claudia
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Eriksson, Lars E
    Medical Management Center, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden & Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden & School of Health Sciences, City University London, London, United Kingdom.
    Pelters, Britta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Wettergren, Lena
    Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Development of a Self-Help Web-Based Intervention Targeting Young Cancer Patients With Sexual Problems and Fertility Distress in Collaboration With Patient Research Partners2016In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 5, no 2, p. e60-, article id e60Article in journal (Refereed)
    Abstract [en]

    Background: The Internet should be suitable for delivery of interventions targeting young cancer patients. Young people are familiar with the technologies, and this patient group is small and geographically dispersed. Still, only few psycho-educational Web-based interventions are designed for this group. Young cancer patients consider reproductive health, including sexuality, an area of great importance and approximately 50% report sexual problems and fertility-related concerns following cancer treatment. Therefore, we set out to develop a self-help Web-based intervention, Fex-Can, to alleviate such problems. To improve its quality, we decided to involve patients and significant others as research partners. The first 18 months of our collaboration are described in this paper. The intervention will subsequently be tested in a feasibility study followed by a randomized controlled trial.

    Objective: The study aims to describe the development of a Web-based intervention in long-term collaboration with patient research partners (PRPs).

    Methods: Ten former cancer patients and two significant others participated in building the Web-based intervention, using a participatory design. The development process is described according to the design step in the holistic framework presented by van Gemert-Pijnen et al and evaluates the PRPs’ impact on the content, system, and service quality of the planned intervention.

    Results: The collaboration between the research group and the PRPs mainly took place in the form of 1-day meetings to develop the key components of the intervention: educational and behavior change content, multimedia (pictures, video vignettes, and audios), interactive online activities (eg, self-monitoring), and partial feedback support (discussion forum, tailored feedback from experts). The PRPs influenced the intervention’s content quality in several ways. By repeated feedback on prototypes, the information became more comprehensive, relevant, and understandable. The PRPs gave suggestions concerning the number of exercises and pointed out texts and pictures needing revision (eg, experienced as normative or stereotypical) to increase the persuasiveness of the program. The system quality was improved by PRPs’ feedback on design, technical malfunctions, and navigation on the website. Based on feedback about availability of professional support (technical problems and program content), the organization for support was clarified, which increased service quality. The PRPs also influenced the research project on an overall level by suggesting modifications of inclusion criteria for the RCT and by questioning the implementation plan.

    Conclusions: With suggestions and continuous feedback from PRPs, it was possible to develop a Web-based intervention with persuasive design, believed to be relevant and attractive for young persons with cancer who have sexual problems or fertility distress. In the next step, the intervention will be tested in a feasibility study, followed by an RCT to test the intervention’s effectiveness in reducing sexual problems and fertility distress.

  • 1183.
    Wårdh, Inger
    et al.
    Dept of Gerodontology, Karolinska Institutet, Huddinge, Sweden.
    Paulsson, Gun
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Department of Health Sciences and Statistical, School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Nursing staff's understanding of oral health care for patients with cancer diagnoses: an intervention study2009In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 6, p. 799-806Article in journal (Refereed)
    Abstract [en]

    Aims and objectives. The aim of this study was to evaluate long-lasting changes in the nursing staff's understanding of oral health care for cancer patients after an oral health care intervention. The study also assessed whether there were changes between registered nurses and auxiliary nurses. Background. The maintenance of good oral health care in cancer patients is essential for nutrition, recovery and wellbeing and requires the involvement of nursing staff. However, several studies reveal that the need to prioritize oral health care has not been made sufficiently clear. Methods. The nursing staff (registered nurses, n = 133 and auxiliary nurses, n = 109) on five wards at different hospitals providing cancer care took part in a four-hour oral healthcare training session, including the use of an oral assessment guide and answered a questionnaire initially and after this intervention. The data were statistically analyzed. Results. Several aspects of implementation opportunities improved, but they did not include attitudes to oral health care. Knowledge of oral diseases decreased, more for auxiliary nurses than for registered nurses. Conclusions. A four-hour oral health training session and subsequent activities improve the nursing staff's understanding of oral health care for patients with cancer diagnoses in some respects but not in terms of attitudes to oral health care or specific oral knowledge. Relevance to clinical practice. Oral healthcare education and training activities for nursing staff can produce some improvements in the understanding of oral health care for cancer patients but not in attitudes and specific oral knowledge. These areas must be covered during the basic education period or/and by a routine oral healthcare programme for nursing staff, probably including an oral healthcare standard.

  • 1184.
    Yebio, Rahel
    et al.
    Halmstad University, School of Health and Welfare.
    Håkansson, Tania
    Halmstad University, School of Health and Welfare.
    Upplevelse av stigmatisering hos personer med schizofreni: En litteraturstudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Schizofreni är den åttonde ledande orsaken till ohälsa hos medelålders samt yngre människor. Människor som diagnostiserats med schizofreni riskerar att utsättas för stigmatisering, främst när det gäller vänskapsrelationer, i familjesammanhang, på arbetsmarknaden och i parrelationer Syfte: Syftet med studien var att beskriva upplevelse av stigmatisering hos människor med schizofreni. Metod: Systematisk litteraturstudie. Resultat: Stigma har negativ påverkan på sociala funktioner, arbete, intima relationer och även medicinsk följsamhet. Även inom sjukvården upplever människor med schizofreni sig stigmatiserade. Personer med schizofreni behöver stöd i form av socialt nätverk för att bättre kunna hantera diskriminering. Konklusion: Inre

    stigma begränsar personer med schizofreni från att skaffa familj, söka jobb och leder till isolation. KBT har visat sig ha positiv effekt i arbetet med att reducera inre stigma hos personer med schizofreni. Fortsatt forskning behövs för att mer specificerat visa hur psykiatrisjuksköterskan skall hjälpa personer med schizofreni att hantera stigmatisering samt motverka stigmatisering i samhället. 

  • 1185.
    Zabalegui, Adelaida
    et al.
    Nursing Hospital Clínic de Barcelona, Spain.
    Hamers, Jan
    Care of Older People at Maastricht University, The Netherlands.
    Karlsson, Staffan
    Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.
    Leino-Kilpi, Helena
    University of Turku, Finland & Hospital District of Southwest, Finland.
    Renom-Guiteras, Anna
    Witten/Herdecke University, Germany.
    Saks, Kai
    University of Tartu, Estonia.
    Soto, Maria
    Alzheimer Acute Care Unit, Gérontopôle Toulouse, Department of Geriatric Medicine University Hospital, France.
    Sutcliffe, Caroline
    Manchester University, UK.
    Cabrera, Esther
    School of Health Sciences at Fundació Tecnocampus Mataró-Maresme Tecnocampus, Spain.
    Best practices interventions to improve quality of care of people with dementia living at home2014In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 95, no 2, p. 175-184Article in journal (Refereed)
    Abstract [en]

    Objective: To identify effective interventions which improve quality of care for people with dementia (PwD) living at home.

    Methods: MEDLINE-(via PubMed), CINAHL, PsycINFO and ISI Web of Science databases were searched. Inclusion criteria: (1) randomized controlled trials; (2) published in English-language, peer-reviewed journals between 1990 and 2012; (3) evaluated strategies to improve quality of care for PwD cared at home; and (4) participants older than 65.

    Results: 23 studies met inclusion criteria. All the studies aimed to improve PwD quality of care and most of them focused on PwD caregivers. Psychoeducational programs are the most frequently assessed interventions and multicomponent interventions produced the most promising results.

    Conclusion: Due to the great variety of interventions describing specific samples and contexts, comparison of practice effectiveness is difficult. However, cognitive rehabilitation in PwD is effective when applied at an early stage of the disease. Case managers have demonstrated to reduce PwD institutionalization and the use of other community services. The studies were limited by sample heterogeneity, short follow-up or insufficiently detailed description.

    Practice implications: To improve PwD homecare, health professionals should educate and support caregivers. Before specific interventional recommendations can be made, further research addressing the limitations of current studies is needed.

    © 2014 Elsevier Ireland Ltd.

  • 1186.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Changes and transitions of responsibility when next of kin becomes the caregivers2016Conference paper (Refereed)
    Abstract [en]

    Background

    In the ordinary everyday existence of individuals, life usually goes by without them reflecting on its fragility or their relationships. Individuals in a close relationship are united with each other in a mutual dependency and share memories from the past, perceptions of the present and dreams and hopes for the future. When one of them suddenly seriously ill and thereby assumes the role of seriously ill patient while the other takes on the role of close relative, their normal life is changed into an extraordinary situation. Everyday life can be complex when next of kin are preoccupied with taking responsibility of the care, which in turn lead to a changed life situation and restrictions in everyday life. The summary of the current knowledge highlighted the importance of understanding of next of kin´ coping approaches during responsibility for caring at home. 

    Aim and method

    This study explores the process of changes for next of kin´ in a care home for older relatives from the perspectives of the responsibility for caring. Data were collected using narrative interview with 8 next of kin’ at home. The following questions were asked: Please describe the changed situation you have gone through, when you having the difficult care situation and what did you do to cope with your situation? The individual interviews were nearly all transcribed verbatim, a few were listen to and taking notes during listening. The data set were analyzed by using thematic analysis.

    Findings and conclusion

    Four themes revealed from narrative interviews with the next of kin´. The four themes were: Sources of responsibility related to family interaction; Consequences of changes for everyday; Importance on maintaining their own conditions; Roles and relationships over time. Based on a synthesis of data the themes and basic transitions that emerged were termed “re-constructing roles and relationships”. This highlights the subtle and dynamic way of changes and reinforces the importance of understanding the transitions from multiple perspectives. The results of the study may encourage people to engage themselves in self-help activities and strengthen them to believe they are to care for each other.

  • 1187.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Lidell, Evy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Professional support for next of kin of patients receiving chronic haemodialysis treatment: a content analysis study of nursing documentation2007In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 2, p. 353-361Article in journal (Refereed)
    Abstract [en]

    Aim and objectives. The aim of this study was to examine the content of nursing documentation with a focus on professional support for next of kin (NoK) of patients receiving chronic haemodialysis treatment. Background. Professional support in nursing focuses on promotion, maintenance and restoration of health and prevention of illness. Design. The study had a descriptive design and qualitative content analysis was used to search for themes based on descriptions contained in the collected nursing documentation. Methods. The total number of nursing records of patients receiving chronic haemodialysis treatment (n = 50) for the 5-year period 1998–2002 was included. All nursing documentation was systematic in accordance with the VIPS-documentation model. Results. The professional support could be described within the framework of three themes: to explore NoK's supportive resources, to enable NoK' readiness in caring for the patient and to co-operate with NoK in the care of the patient in the home, captured by the core theme which described the professional support as a continuous process. Conclusions. Next of kin are a supportive resource in the nursing care of patients receiving chronic haemodialysis treatment and professional support for NoK focuses on planning their participation in the care of patients in the home. Relevance to clinical practice. Professional support for NoK should be documented in family focused nursing diagnoses, which would make it possible to search for different types of support. Future research might explore nurses' or NoK's views on carer support.

  • 1188.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Pham, Lotta
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Ways of promoting health to patients with diabetes and chronic kidney disease from a nursing perspective in Vietnam: A phenomenographic study2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30722Article in journal (Refereed)
    Abstract [en]

    Health promotion plays an important role in the management of diabetes and chronic kidney disease, especially when the prevalence of the disease is rising in Vietnam. Nurses have been identified to be the front figure in health promotion; however, little is written about how nurses in Vietnam work with these issues. Therefore, the aim of this study was to describe nurses’ conceptions about how health is promoted, with special focus on physically activity, for patients with type 2 diabetes (T2DM) and/or end-stage renal disease (ESRD). Individual interviews were done with 25 nurses working at two major hospitals in Hanoi, Vietnam. A phenomenographic approach was used to analyse the interviews. Nurses described how creating positive relationships and supporting patients to take part in their social context promoted health. Health was also promoted by educating patients and relatives about health and disease and by supporting patients to be physically active. The findings indicate that the Vietnamese nursing knowledge about health promotion needs to be gathered, and health promotion needs to be further integrated in the education. Further research is necessary to examine patients’ knowledge and attitudes about health and the efficiency of various health-promoting strategies in the Vietnamese context. © 2016 L. Pham & K. Ziegert

  • 1189.
    Ziegert, Kristina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Rämgård, Margareta
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Mapping family and social space in caring: a metamethod study2008In: Parallel presentations: International Journal of Qualitative Studies on Health and Well-being, Taylor&Francis , 2008, p. 29-29Conference paper (Refereed)
    Abstract [en]

    Social relations are about how we treat each other. They imply explicit and tacit knowledge, rules of behaviour, and values inherent in specific social spaces. When a family is struck by a life-threatening illness, the individual’s ‘‘life space’’ tends to shrink. This impacts the mutual relationships in the family, as well as the situation in the home. Therefore, there are obvious dialectics between spatial and social dimensions, when close relatives are afflicted by serious illness. This paper explores how research on homecare involves space in analysing social issues.Meta-method analysis was chosen, in order to extend the review format and analyse meta-questions. Meta-synthesis in different research areas and fora involved the examina- tion of a set of qualitative studies. Material was collected using the Cinahl, PubMed and Academic Search data- bases. These were supplemented by the Social Science Index, Sociological Abstract and Science Direct, to explore if aspects of care and space are treated in social science. The sample consisted of 38 articles, displaying a wide variety of methods. Findings suggest that in the fields of caring and sociological research, spatial factors are only implicitly described, and the dynamics of the social and spatial dialectics in home caring relationships seem to be rare. The concept of space in caring is found in a few studies in human geography. The observed absence of a spatial perspective in caring is problematic, since it neglects the fact that relationship and caring are situated in context.

  • 1190.
    Zingmark, Erika
    et al.
    Halmstad University, School of Health and Welfare.
    Wiklund, Ida
    Halmstad University, School of Health and Welfare.
    Förändrad kosthållning genom motiverande samtal: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Unhealthy eating habits are a major problem that causes most diseases in Sweden today. Diet has a major impact on becoming ill and good healthcare is of high importance for av healthier population. Within healthcare Motivational Interviewing is used as a method to increase motivation to make a change. Aim: To describe the patient's experience and change following a MI-based dietary counseling performed by the nurse. Method: General literature study with content analysis. Result: The literature study is based on nine scientific articles that resulted in three main categories with respective subcategories. The result showed that MI counseling can help people change their diet with the help of motivation and support from the nurse, but it also showed barriers to the implementation of a change in diet. The result also took on the physical and cognitive changes that occurred after the MI interview with the nurse. Conclusion: To make a change, motivation is required. Motivation can be positively or negatively affected by various aspects such as the caregiver's implementation of the conversation and the patients own will to change. The result indicated that the patient's change is affected by the quality of the motivational interview.

  • 1191.
    Zvizdic, Jasmina
    et al.
    Halmstad University.
    Öresjö, Maria
    Halmstad University.
    Sjuksköterskors erfarenhet kring vårdandet av patienter med akut förvirring2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Acute confusion is a cognitive impairment that occurs suddenly. Affected patients are for example perceived as agitated, restless and apathetic. Patients describe the experience of acute confusion as an abstract reality, this complicates the care process. The aim of this study was to describe nurses’ experience in the care of acutely confused patients. The method was a literature study with a systematic approach where the data processing was inspired by qualitative content analysis. The literature study shows that nurses who meet acute confused patients in wards may experience a lack of time and increased stress. The patient with acute confusion also affects other health careers and patients, requiring more resources in terms of monitoring and nurses with the right skill sets. Nurses are more focused on preserving the safety of the acutely confused patients than the person behind the acute confusion. Nurses’ attitudes towards the acutely confused patients are based on gaining control of the patients through various strategies. Unawareness of acute confusion is displayed by nurses’ inconsistency of the use of evidence-based knowledge. Prioritizing work is necessary to make the work more effective, it also helps the nurse to be at hand for all patients, although, managing and using time more effectively falls at the expense of the acutely confused patients. Good communication and awareness of the ageism that occurs is of importance so that the patients’ experiences become optimal and for reduction of suffering when in or after an acute confusion state.

  • 1192.
    Åhlander, Sofia
    et al.
    Halmstad University, School of Health and Welfare.
    Westerberg, Johanna
    Halmstad University, School of Health and Welfare.
    Med andras ögon: Hur pedagogik gestaltar sig i omvårdnad2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Human beings who are in need of caring in nursing requires pedagogical learning in the form of support from the nurse facing the issues and challenges they are receiving. How pedagogical learning is designed in different care situations is not yet sufficiently scientifically explored, making it important to map the problem of the lack of pedagogical learning in nursing. The aim was to identify what pedagogical learning is in nursing. The method is a literature review of 8 scientific articles that formed the basis for the result. The results showed six different sub-themes; pedagogical flaws, pedagogical innovation, the nurse, the patient's life-world, pedagogical mutuality and pedagogical care and who formed the main theme "With the eyes of others”. Pedagogic is one of the most important key aspects in nursing in order to initiate a proper care to the patient. In order to integrate pedagogy as part of the care process, more training, knowledge and research in pedagogy is needed and learning how unique nursing situations for the unique patient should be applied.

  • 1193.
    Åkerborg, Susanne
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Bousova, Lenka
    Halmstad University, School of Social and Health Sciences (HOS).
    Cronqvist, Linnea
    Halmstad University, School of Social and Health Sciences (HOS).
    Den skapande konstens betydelse vid psykisk ohälsa2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In today's information society with many impressions and activities people feel stressed. The mental illness is high and the Swedish health care system needs improvement for these patients. Art-making activities are still a relatively unknown area of nursing care. The purpose of this study was to illustrate how art-making activities can affect patients' mental illness and why art-making activities may be important in nursing care. The study was conducted as a literature review in which 15 scientific qualitative studies, quantitative studies and combined studies were included. Art-making can give patients a better mental health by expressing emotions such as fear, hope and strength. Art-making can relieve various symptoms such as pain, anxiety and loss of appetite. The personal development can be seen to increase by strengthening identity, meaningfulness and increased self-confidence. New coping strategies can be developed by focusing on art-making and increased well-being can be experienced as well as the long and short term. Art-making in the healthcare environment can result in an experience of a less clinical atmosphere and the social network is perceived to be strengthened by new relationships created in the context of art. Using art-making activities in nursing care can provide opportunities to relieve patients' traumatic experiences and feelings. An openness to new ideas, wider knowledge and use of evidence-based care can help nurses to promote patient health. More research in art-making linked to care is desirable, both nationally and internationally.

  • 1194.
    Åkerlund, Ejvor
    et al.
    Health Care Center, Varberg, Sweden.
    Odams, Eva
    Maternal Care Center, Varberg, Sweden.
    Larsson, Irene
    Health Care Center, Veddige, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nipple necrosis after reduction mammaplasty: A case report1995In: International Journal of Rehabilitation and Health, ISSN 1068-9591, E-ISSN 1573-1537, Vol. 1, no 4, p. 285-289Article in journal (Refereed)
    Abstract [en]

    The aim of this case report was to describe a rare complication in the rehabilitative phase: nipple necrosis resulting from reduction mammaplasty. the patients in the two cases presented, having systemic disease, did not receive optimal treatment for the prevention of pyoderma gangraenosum; a plausible cause of the complication. Patients having systemic disease ought to undergo thorough examinations before submitting to any reduction mammaplasty. © 1995 Plenum Publishing Corporation.

  • 1195.
    Åkerström, Lisa
    Halmstad University, School of Health and Welfare.
    Trycksår hos barn på barnintensivvårdsavdelning: Sjuksköterskans förebyggande åtgärder2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Pressure ulcer is an injury caused by hospitalizations when sustained pressure over bony prominence or devices for a prolonged period of time pressure ulcer may appear. Critically ill infants and children admitted to the pediatric intensive care unit (PICU) are at risk of developing pressure ulcer. Patricia Benner’s nursing theory is used as theoretical guideline for this study. The aim of this study was to describe preventing measures against pressure ulcers performed by nurses for infants and children admitted at PICU.  A systematic literature review was conducted and three databases resulting in eleven articles. The result was presented in three categories: follow routines and guidelines, identify associated risk factors for pressure ulcer on patients in the PICU and also practical nursing and tools. The result of this study showed that pressure ulcer can be prevented with guidelines, education and tools. For some patients in the PICU pressure ulcer could not be prevented due to their clinical instability. Hospital staff and board should implement evidence basted pressure ulcer prevention measures. Further research concerning Swedish practice could be needed.  

  • 1196.
    Ålenius, Piamari
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Schagerlöv, Caroline
    Halmstad University, School of Social and Health Sciences (HOS).
    Det är det lilla som gör det stora: -hälsofrämjande åtgärder vid hypertoni2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Hypertension is common in today's society and is therefore considered to have become a national disease. An estimated 1.8 million of Sweden's adult population have hypertension. Hypertension accounts for about 13 percent of the total mortality in the world, and is seen as a risk factor for numerous cardiovascular diseases. Today there are international guidelines for the treatment of hypertension in, England and USA. However, there are no specific Swedish guidelines for treatment of hypertension. The purpose of this study was to elucidate how health interventions can influence blood pressure in people with hypertension. The results of this literature study are based on a review of 16 scientific articles which was based on literature review and order problem. The health-promoting interventions that can affect blood pressure in people with hypertension are highlighted in the results. Such interventions are weight loss, physical activity, diet, alcohol, smoking, stress and support. The effect of health promotion interventions has shown that lowering blood pressure can occur if lifestyle changes are implemented and carried out. A braking in the development of hypertension can lead to health-economic benefits to the community. National guidelines and care programs for the treatment of hypertension should be developed to a braking of hypertension to happen.

  • 1197.
    Årestedt, K.
    et al.
    Linnéuniversitetet, Sweden.
    Ågren, S. A. Susanna
    Linköping University, Dept Med & Hlth Sci, Linköping, Sweden .
    Flemme, Inger
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Moser, D. M. Bedbra
    Univ Kentucky, Coll Nursing, Lexington, KY 40506, USA.
    Strömberg, A. S. Anna
    Linköping Univ, Dept Med & Hlth Sci, Linköping, Sweden .
    Psychometric properties of the Swedish version of the Control Attitudes Scale (CAS) for patients with cardiac disease and their partners2010In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 31, no Supplement 1, p. 230-230Article in journal (Other academic)
  • 1198.
    Öijervall, Jörgen
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskors erfarenheter av verksamma faktorer i processorienterad omvårdnadshandledning i grupp, ett år efter avslutad sjuksköterskeutbildning: Nurses' experiences of the active factors in process-oriented clinical group supervision, one year after degree2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Processorienterad omvårdnadshandledning i grupp är ett stöd för studenter att utveckla sin förmåga att hantera komplexa vårdsituationer. Reflektionen har en central roll samt handledarens förhållningsätt. Den omvårdnadsteoretiska förankringen beskrivs som betydelsefull, men det finns beskrivningar att alla handledare inte använder omvårdnad som teoretisk grund. Studiens syfte var att beskriva sjuksköterskors erfarenheter av verksamma faktorer i processorienterad omvårdnadshandledning i grupp, ett år efter avslutad sjuksköterskeutbildning. Analysen har gjort med hjälp av kvalitativ innehållsanalys utifrån intervjuer med 18 sjuksköterskor presenteras i fyra kategorier: Handledarens karaktär, Handledningssessionens struktur, Pedagogiska metoder och Reflekterande kommunikation. Resultatet visar att handledarens personliga egenskaper har stor betydelse likaså vikten av att ha ett uppmuntrande förhållningssätt gentemot deltagarna. handledarens engagemang för att skapa trygghet, detta kan medföra att hanledaren kan bli en god rollmodell. En annan viktig faktor är att handledningssessionerna har en tydlig struktur, detta visar sig betydelsefullt för att skapa trygghet och att bibehålla fokus på problemställningarna. Resultatet beskriver olika pedagogiska strategier, såsom rollspel och att använda gruppen för att stödja lärprocesser.  Ytterligare en viktig faktor är att handledningen utgår från ett omvårdnadsteoretiskt perspektiv, då detta fungerar som en kompass i omvårdnadshandledningen. Vikten av ett omvårdnadsteoretiskt perspektiv beskrivs mer implicit i resultatet. Däremot beskrivs vikten av reflekterad kommunikation mer tydligt i materialet.  Reflekterad kommunikation bidrar till studenternas fördjupade kunskaper kring omvårdnadens praktiska genomförande. Ytterligare forskning bör fokuseras på hur det omvårdnadsteoretiska perspektivet kan belysas som en verksam faktor i omvårdnadshandledning

  • 1199.
    Öijervall, Jörgen
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Främjande faktorer för professionell utveckling i processorienterad omvårdnadshandledning i grupp: Sjuksköterskors erfarenheter ett år efter avslutad sjuksköterskeutbildning2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 1, p. 9-13Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe nurses' experiences of factors enhancing professional development trough process-oriented group super- vision, one year after completed nursing education. The objective of process-oriented group supervision in nursing care is to support students’ development of their ability to manage complex care situations. The attitude of the supervisor and the students’ willingness to reflect on them- selves have been described as playing key roles in process-oriented group supervision during nursing education. The link to nursing science has also been described as significant by several researchers, but some supervisors are not using nursing science as a foundation in group supervision for nurses. The analysis was completed using a qualitative content analysis method based on interviews with 18 nurses resulting in the general theme “Process oriented pedagogy” which is presented in three categories: Supervisor’s character, Pedagogical strategy and Reflective communication. The findings suggest that the supervisor's personal qualities in combination with an inspiring structure are impor- tant to promote the participants’ reflective communication during the group supervision sessions. Reflective communication supports the students’ development towards a deeper professional knowledge. Further research should focus on the use of nursing science as a foundation in clinical process-oriented group supervision.

  • 1200.
    Öijervall, Jörgen
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Promoting factors for professional development in process oriented group supervision. Nurses experiences one year after completed nursing degree2013In: Breaking Barriers 2013, 2013, p. 43-44Conference paper (Refereed)
    Abstract [en]

    The aim of this study was to describe nurses' experiences of factors enhancing professional development trough process-oriented group supervision, one year after completed nursing education. The objective of process-oriented group supervision in nursing care is to support students’ development of their ability to manage complex care situations. The attitude of the supervisor and the students’willingness to reflect on themselves have been described as playing key roles in process-oriented group supervision during nursing education. The link to nursing science has also been described as significant by several researchers, but some supervisors are not using nursing science as a foundation in group supervision for nurses. The analysis was completed using a qualitative content analysis method based on interviews with 18 nurses resulting in the general theme “Process oriented pedagogy” which is presented in three categories: Supervisor’s character, Pedagogical strategy and Reflective communication. The findings suggest that the supervisor's personal qualities in combination with an inspiring structure are important to promote the participants’ reflective ommunication during the group supervision sessions. Reflective communication supports the students’ development towards a deeper professional knowledge. Further research should focus on the use of nursing science as a foundation in clinical process-oriented group supervision.

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