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  • 201.
    Blom, Cecilia
    et al.
    Halmstad University, School of Health and Welfare.
    Fossheimer Stillfors, Evelina
    Halmstad University, School of Health and Welfare.
    Self-management i relation till äldre personer som lever med kronisk sjukdom - en begreppsanalys2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Previous research indicates that elderly people want to be independent and have the opportunity to stay in their own homes for as long as possible despite chronic disease. The district nurse can, by promoting the persons ability to self-management, create conditions for the elderly to be able to live at home. In this study, a conceptual analysis of self-management was done. Self-management is a term that has no clear definition and is under development. There is no matching swedish word. The purpose was to illustrate how self-management is used in relation to elderly people living with chronic disease. The study has an inductive approach. The method is based on Rodgers' evolutionary concept analysis, a valid method for developing knowledge in nursing science. The result shows that self-management in relation to elderly people with chronic disease can imply both benefits and risks. The benefits can be increased confidence in their own ability as well as increased knowledge about the disease. The risks may be loneliness and anxiety. In summary, the study shows that research should focus on how the district nurse can contribute knowledge in order for older people to adopt self-management, but also the importance of including the negative aspects that self-management can cause.

  • 202.
    Blom, Hanna
    et al.
    Halmstad University, School of Health and Welfare.
    Koobs Hultberg, Alice
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors upplevelser av att ge palliativ vård till patienter i särskilt boende och hospice: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The palliative care is an overall care. The nurses’ must have an approach based on personal centred care. The care today is based in greater occurrence outside hospital services. It’s more common to die outside hospital services. The purpose was to illustrate nurses’ experiences of palliative care in nursing home and hospice. The study was conducted as a literature study based on eight qualitative scientific articles. The result showed three main categories: emotional experiences which included nurses’ emotional affects in caring of dying patients. The second main category relationships, intended the interplay between patients, relatives and nurses. The third main category different challenges of the work with associated subcategories: nurses’ competence in palliative care, experience of lack of time intended the valuable of time in caring of patients in the end of life. Communication between professions which included communication between nurses and physicians and teamwork between nurses, physicians, nurse assistants and other health care professionals. To care for patients in final stage of life in nursing home or hospice was emotional challenging. Nurses who constantly worked under time pressure experienced inadequacy which affected the palliative care negative. Corporation and communication between nurses, patients, relatives and other health care professionals were important parts for good nursing care. Nurses’ workload, work under constant time pressure and team work between healthcare professionals in nursing home and hospice should be illustrate through further research to develop national and local guidelines for palliative care in the end of life.

  • 203.
    Blomberg, Elin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Öhmark, Ulrika
    Halmstad University, School of Social and Health Sciences (HOS).
    Malnutrition hos äldre patienter: Hur kan det förebyggas?2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Malnutrition är ett vanligt förekommande tillstånd bland äldre som är inneliggande på sjukhus. Syftet med litteraturstudien var att belysa hur sjuksköterskan kan förebygga malnutrition hos äldre. Resultatet baseras på 15 vetenskapliga artiklar och visar hur sjuksköterskan kan förbygga tillståndet genom de fem teman som togs fram: att skapa delaktighet i vården med hjälp av information, att involvera anhöriga, struktur i vårdteamet, att använda sig av bedömningsinstrument och kunskap och utbildning. Resultatet visar hur god kommunikation och kunskap hjälper sjuksköterskan i arbetet att förebygga malnutrition. Det krävs även en struktur i vårdteamet för en tydlig rollfördelning bland professionerna. Patienternas delaktighet är en viktig faktor för att öka deras motivation, även anhörigas involvering lyfts fram. I framtiden behövs det fler studier på svenska förhållanden och mer uppmärksamhet till patienter som trots övervikt kan bli malnutrierade. Till sist måste information om äldre som aktivt väljer att sluta äta framarbetas, både till sjukvårdspersonal och anhöriga.

  • 204.
    Blomqvist, Marjut
    Halmstad University, School of Social and Health Sciences (HOS).
    Erfarenheter hos barn till förälder med psykisk ohälsa2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In the European union it has been estimated that 27% of adults suffer from at least one mental disorder; this is also one of the major public health problems in Sweden. About 36% of patients in psychiatric care have underage children and it is known that children of parents with mental illness have a higher risk of various problems but that there are many protective factors that can help these children. The Swedish Health and Medical Service Act obligates the professionals in psychiatric services to pay attention to these children. The aim of this study was to describe the experiences of the children to parents with mental disorder related to the parent’s illness and highlight the importance of professionals. Ten articles which were published in nursing journals were analyzed. The findings highlights the experiences of underage and adult children and the impact nursing staff may have on the children’s experiences. There is a need for further nursing research and development in clinical practice.

  • 205.
    Blomqvist, Marjut
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Experiences of data collection issues in qualitative studies involving people diagnosed with schizophrenia2016In: Abstracts: Narrative Nursing: Nordic Conference Of Mental Health Nursing: 14-16 September 2016, 2016, p. 41-41Conference paper (Refereed)
    Abstract [en]

    Background: The viewpoint and special needs of individuals with severe mental illness are crucial for the development of mental health nursing. In-depth knowledge of the perspectives of people with schizophrenia is primarily established in dialogue with individuals with experience of the phenomenon investigated. Attaining trustworthiness in the findings in qualitative studies is of great importance and the interview approach used should assure trustworthiness in the data collection at different levels with regard to the perspectives of the individual, which is essential for developing nursing research and practice.

    Aim: The aim of the paper was to describe and discuss the issues related to data collection in qualitative studies involving people diagnosed with schizophrenia.

    Method: Six qualitative interview studies regarding experiences of different aspects of life among people diagnosed with schizophrenia were reflected on and discussed in terms of issues related to data collection involving people with severe mental illness such as schizophrenia (N=75).

    Results: The discussions that generated the results revealed three topics in qualitative studies involving individuals diagnosed with schizophrenia: 1) Selection of research context with respect to participants’ different aspects of life, 2) Sampling issues with regard to judgements of participants’ ability to contribute with information and 3) Choice of data collection methods to meet the aim of the enquiry.

    Conclusion: Three crucial areas in data collection in qualitative studies with individuals diagnosed with schizophrenia were revealed. Further studies regarding sampling procedures and analysis of collected data are needed to ensure trustworthiness of findings regarding interviews involving people with severe mental illness.

  • 206.
    Blomqvist, Marjut
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sandgren, Anna
    Linneaus University, Växjö, Sweden.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    How to facilitate healthy living described by persons with persistent psychiatric disorders in psychiatric out-patient settings – challenging health care professionals2016In: Abstracts: Narrative Nursing: Nordic Conference Of Mental Health Nursing: 14-16 September 2016, 2016, p. 13-13Conference paper (Refereed)
    Abstract [en]

    Background: Over the previous decades, scientific research has demonstrated that people with persistent mental illness like schizophrenia and other psychotic disorders have a reduced life expectancy and have a higher risk of being affected of preventable physical illnesses such as developing metabolic syndrome, cardiovascular disease and type 2 diabetes. Additionally it have made evident for lower quality of life as well. These risk factors make health promoting essential in the care providing and therefore it ́s important for the health professionals to have a deeper knowledge about the facilitating factors to healthy living described by persons themselves.

    Aim: The aim of this qualitative study was to describe the experiences of persons affected by persistent mental illness such as schizophrenia or other psychotic disorders what facilitates healthy living in their everyday life. The presentation has the focus on the facilitative factors applying health professionals when providing care for persons in psychiatric out-patient settings.

    Method: The study was carried out in three different psychiatric out-patient settings in the southern Sweden. The data was collected through qualitative interviews (N= 16) and analyses by qualitative, inductive approach abased on Granheim and Lundmans ́ conceptualization of content analysis.

    Results: First, it is essential for persons with persistent and severe mental illness that they get support to bring out their needs to healthier living by having a dialogue about the issues of healthy living in their everyday life. In this dialog they may also need support to reflect and find out their own motivating factors to healthier living. Additionally, in this dialogue it is important to be aware of that they will be regarded as a whole person and include many areas of life like daily structure and social life. The professionals should show a truly involvement and active interest to persons when increasing healthy living.

    Conclusion: Many persons with persistent mental illness need practical support in their everyday life to maintaining healthier living. This requires the close cooperation between psychiatric out-patient settings, the housing support professionals from municipalities and the social services.

  • 207.
    Blomqvist, Marjut
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Experiences of methodological issues in qualitative studies involving people with severe mental illness such as schizophrenia2016In: Programme: Second Nordic Conference in Nursing Research, 2016, p. 60-60Conference paper (Refereed)
    Abstract [en]

    Background: The viewpoint and special needs of individuals with severe mental illness is crucial in development of mental health nursing. In-depth knowledge of the perspectives of people with severe mental illness is primarily established in dialog with individuals experienced in the phenomenon investigated. To reach trustworthiness of findings in qualitative studies is central and the interview approach used should assure trustworthiness in data collection regarding perspectives of the individual essential in developing nursing research and practice.

    Aim: The aim of the paper was to describe and discuss methodological issues related to research interviews involving people with severe and persistent mental illness.

    Method: Five qualitative interview studies regarding experiences of different aspects of life among people with severe mental illness were reflected and discussed regarding methodological issues related to the interview situation involving people with severe and persistent mental illness (N=51).

    Results: The discussions forming the results revealed three crucial topics in qualitative interview studies with individuals with severe mental illness. Use previous experiences of interactions with persons with mental disabilities with an open mind without prejudices. Balance the interviewee’s need of support and encouragement during the interview without manipulating contents of statements. Comprehend the essential meaning in the interviewee’s statements even when statements are short and narrow.

    Discussion: Three crucial topics in qualitative interview studies with individuals with severe mental illness were revealed. Further studies regarding sampling procedures and analysis of collected data are needed to ensure trustworthiness of findings regarding interviews involving people with severe mental illness.

  • 208.
    Blomqvist, Marjut
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Sandgren, Anna
    Linneaus University, Växjö, Sweden.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Enabling healthy living: Experiences of people with severe mental illness in psychiatric outpatient services2018In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 1, p. 236-246Article in journal (Refereed)
    Abstract [en]

    It is well known that people with severe mental illness have a reduced life expectancy and a greater risk of being affected by preventable physical illnesses such as metabolic syndrome, cardiovascular disease and type 2 diabetes. There are still, however, only a few published studies focusing on what enables healthy living for this group. This study thus aimed to describe what enables healthy living among people with severe mental illness in psychiatric outpatient services. The data were collected in qualitative interviews (n = 16) and content analysis was used to analyze the data. The interviews resulted in an overall theme "Being regarded as a whole human being by self and others", which showed the multidimensional nature of health and the issues that enable healthy living among people with severe mental illness. Three categories emerged: (i) everyday structure (ii), motivating life events and (iii) support from significant others. The results indicate that a person with severe mental illness needs to be encountered as a whole person if healthy living is to be enabled. Attaining healthy living requires collaboration between the providers of care, help and support. Health care organizations need to work together to develop and provide interventions to enable healthy living and to reduce poor physical health among people with severe mental illness. © 2017 Australian College of Mental Health Nurses Inc.

  • 209.
    Bodell Pettersson, Maria
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Gyrling, Therese
    Halmstad University, School of Social and Health Sciences (HOS).
    När stöttepelaren inte håller: Erfarenheter av att lära sig leva med en ryggmärgsskada2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I Sverige drabbas varje år omkring 100-150 personer av en traumatiskt orsakad ryggmärgsskada. En ryggmärgsskada innebär ofta ett funktionshinder som gör att stora förändringar måste göras i livssituationen, vilket kan vara en svår anpassning. Stress, ångest och depressiva symtom är relativt vanligt bland personer som skadats. Syftet med studien var att beskriva vuxna patienters erfarenheter av att lära sig leva med en ryggmärgsskada. Studien gjordes som en litteraturstudie där 15 vetenskapliga artiklar valdes ut, granskades och analyserades via färgkodning för att finna likheter. Resultatet gav fem teman: bedömningar av skadan, medpatienter som hjälp och tröst, stöd från omgivningen, kämparglöd och hopp om framtiden och finna mening och gå vidare med livet. Det är av vikt att sjuksköterskor som arbetar med dessa patienter känner till hur andra gjort för att gå vidare, för att på så sätt kunna hjälpa och stödja patienter, vid såväl rehabilitering som vid senare vårdtillfällen. Mer forskning behöver göras på hur god omvårdnad kan ges till personer som drabbats av en ryggmärgsskada.

  • 210.
    Bogren, Emma
    et al.
    Halmstad University, School of Health and Welfare.
    Westberg, Johanna
    Halmstad University, School of Health and Welfare.
    Att leva ett förändrat liv: Mäns upplevelse av att leva med prostatacancer2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Prostate cancer is the most common form of cancer that afflicts men in Sweden. The affliction creates different struggles that affect the men’s daily lives. During the progress of the disease the men experience a loss of their dignity. As a nurse it is important to care for the patient as a whole and provide a personal care, related to the nursing diagnosis of the patient. Aim: To shed light on the experiences of the men who are currently living with prostate cancer. Method: A study of literature focusing on qualitative data. Data was gathered from 12 scientific articles. Result: The study led to five categories that the men experienced: The lack of information, loss of dignity, anxiety surrounding own mortality, experience of different support forms and adjustment of the everyday life. Conclusion: The men’s daily lives are affected extensively by the disease prostate cancer and they need different forms of support. The nurse should level with the men in order to provide an individual care.

  • 211.
    Bokström, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Svensson, Ingrid
    Halmstad University, School of Health and Welfare.
    Tröst till personen med cancer som vårdas av sjuksköterska i livets slut: En begreppsanalys2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Comfort plays a central part in nursing care. The concept of comfort has been questioned whether it is relevant to the nursing care. Comfort associated with suffering and the importance of the concept of comfort are individually, physically, mentally and spiritually. The aim of the study was to investigate the concept from a nursing perspective at the end of life stage. Conceptual analysis follows Rodgers Evolutionary Concept Analysis. Article searches were conducted in 4 databases. 14 articles became the final selection. Where surrogate/related terms, antecedenter, features, examples and implications of consolation was identified. . The result shows that there are some common factors that promote comfort. Factors that emerged was the relationship with the nurse, family relationships and religious or spiritual beliefs. It is important that the nurse adapts the consolation to the individual when comfort is experienced individually. The results were discussed from the perspective of Ruland and Moore's nursing theory Peaceful End-Of-Life Theory and further analysis phase. More research is needed to further develop the concept of comfort in life´s final stage.

  • 212.
    Bokström, Malin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS). Halmstad University.
    Törnquist, Malin
    Halmstad University. Halmstad University, School of Social and Health Sciences (HOS).
    För patientens bästa: kommunikation mellan sjuksköterska och läkare2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It requires better communication between medical staff to ensure patient safety. It’s proved that communication is linked to the mistakes that occur in patient care. A special need for further research on communication between nurses and doctors are needed, this for the communication between them is a big part of patient care and safety. The purpose of this study was to illuminate factors that affect communication between doctors and nurses related to patient safety. The study was conducted as a literaturestudy. The results showed that C-HIP and SBAR were useful methods for promoting good communication between the professions and to promote patient safety. It requires good quality of the information and relevant information to foster good communication. Humor, empathy, understanding and openness are factors in behavior that promotes good communication. The hierarchy that still exists is affecting communication between the nurse and doctor negative. Raising his voice, depreciate each other and show a disrespectful behavior are barriers that effects the communication. More courses need to be introduced in the nurse and physician education to promote communication. One suggestion might be to introduce a common course in which professions can practice and also get an insight into each other's work.

  • 213.
    Bolanca, Anna
    et al.
    Halmstad University, School of Health and Welfare.
    Kjellström, Johanna
    Halmstad University, School of Health and Welfare.
    Patienters upplevelser av omvårdnaden på akutmottagningen efter ett trauma2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Trauma is something that appears unexpectedly and can lead to extensive consequences. Since the patients themselves cannot fully influence the situation itself, it is important that the nurse has the skills to offer the best possible care. Aim: The aim was to highlight patients' experiences of nursing care in the emergency department after experiencing a trauma. Method: A literature review was conducted with critical review and compilation of scientific articles within the chosen topic. A total of nine result articles were used. Results: Patients experiences could be divided into three themes: participation, security and hope. The result showed that patients' experiences of care in emergency rooms after a trauma alternated between positive and negative experiences. Participation was something that varied and affected patients' experience of nursing care. Being assigned information and relevant facts posed concerns and brought a sense of security. Hope was created by good quality care while lack of hope led to a reduced willingness to fight. Conclusions: Increased knowledge already in nursing education about trauma care in the emergency department can provide greater awareness about patients' experiences of care, which in turn can lead to better care. Research to raise awareness about patients' experiences of care after a trauma should be carried out.

  • 214.
    Bolling, Viktor
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Dahl, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS).
    Dahlbäck, Archie
    Halmstad University, School of Social and Health Sciences (HOS).
    Att förstå varandra: Kommunikation i omvårdnaden trots demenssjukdom2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    As a result of a future with expected increased lifetime, more people will be diagnosed with various forms of dementia that causes communication problems. In order to promote good healthcare, it is important to use communication strategies that are adapted to persons with dementia’s potential. Focus should be on the person’s autonomy and integrity. The purpose was to illustrate communication in the care of persons diagnosed with dementia. The study was conducted as a case study where ten scientific articles formed the basis of the study’s results that formed three categories. Caregivers used, among other things, the voice pitch and encouraging comments in the verbal communication when nursing. It was also important that healthcare providers gave the time in the care that was needed to persons with dementia to communicate based on their conditions. Nonverbal communication included, inter alia, eye contact and physical touch. Songs and music was considered to affect the communication differently in the care of persons with dementia. Further research on communication strategies at specific dementias that strengthens the evidence for nurses’ ability to prescribe independent nursing interventions in nursing is considered essential. Education of nurses should include courses in communication strategies for specific dementia diseases.

  • 215.
    Bolse, Kärstin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Caring for Patients with an Implantable Cardioverter Defibrillator Experiences of Patients and Healthcare Professionals2009Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: An Implantable Cardioverter Defibrillator (ICD) is a technical device used in the treatment of ventricular arrhythmias. After the implantation of an ICD the entire life situation can be affected with psychological and social consequences for the patient and his/her next of kin. The healthcare professionals play a vital role in providing educational information, support, and technical follow-up of the device. During recent years more and more hospitals have introduced a more team based organisation where the physicians collaborate with specialised ICD nurses.

    Aim: The overall aim of the thesis was to explore how patients with an ICD experienced their life situation and howhealthcare professionals described their experiences of delivering care to ICD patients.

    Methods: The design was descriptive, combining both quantitative and qualitative approaches, and the data was collected from Sweden and the USA. The Uncertainty of Illness Scale (MUIS-C) and Quality of life Index (QLI) instruments were used to determine the level of uncertainty and satisfaction with life (I), in-depth interviews with a phenomenographic approach was used to describe how Swedish and US patients living with an ICD conceived their life situation (II, III) and how healthcare professionals’ experienced delivering care to patients with an ICD, (IV). Finally, to explore clinical aspects of ICD care in Sweden, the Delivery of ICD Questionnaire (DOIQ) was used to describe the healthcare professionals’ experiences and a content analysis was used to describe the written educational information material provided to patients (V).

    Results: There were no differences in uncertainty between pre and post ICD implantation either in Swedish or the US patients. Satisfaction with life was significantly higher among US patients compared to Swedish patients both before and after ICD implantation within the health-functioning, socio-economic and psychological-spiritual domains. The Swedish ICD patients experienced a significantly higher satisfaction with life within the socioeconomic domain after 3 months. (I). The patients felt safe in having an ICD implanted, but the conceptions varied from seeing the device as a life saver to being worried about what could happen. Gratitude at having an ICD varied from happiness at being alive to something that was alien and disturbed the patient. Being more or less dependent included how patient experienced feelings from well-being to grief. Having a network varied from having sufficient support to loneliness. Having a belief in the future ranged from having confidence to look forward to resignation. Gaining awareness described patients’ adaptation to living with an ICD and limitations due to the ICD (II). The patients also underwent a transition from becoming aware of the restriction in the life situation through a process of adaption and having trust in the ICD. This phase was followed by a reorientation phase where they adapted to their life situation and the patient and his/her family regained of their lives (III). The healthcare professionals strove to provide competent and individualised care and infuse confirmation to the patients in form of information, education and support. They gave the patients tools to handle their life situation, through existential support and mediating security (IV). Half of the hospitals had nurse-based clinic and others planned to introduce them. Three hospitals performed follow-up in the form of remote home monitoring. The nurse had specific ICD education from ICD companies and/or various university courses. In the educational information material the biophysical dimensions dominated while the emotional dimension was scarcely described, and the spiritual-existential was not referred to at all (V).

    Conclusions: This thesis offers a further contribution to the scholarly discussion about the relationship between technology and human existence and how to cope with this transition. Our studies revealed that the embodiment of the ICD reflects a merger of experiences about its presence and potential from both patients’ and healthcare professionals’ perspective. This research hopefully encourages healthcare professionals to carefully reflect on what it is like to live with an ICD and to consider practice improvement for the patients’ and the next of kin.

  • 216.
    Bolse, Kärstin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Johansson, Ingela
    Department of Medicine and Health Sciences, Division of Nursing Science, Linköping University.
    Strömberg, Anna
    Department of Medicine and Health Sciences, Division of Nursing Science, Linköping University.
    Organisation of care for Swedish patients with an Implantable Cardioverter Defibrillator, a national survey2011In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 17-18, p. 2600-2608Article in journal (Refereed)
    Abstract [en]

    Aim.

    To describe the clinical aspects of implantable cardioverter defibrillators care in Sweden with focus on organisation, the role and education of nurses, patient information and education and areas in need of improvement.

    Background.

    Implantable cardioverter defibrillators implantations have developed rapidly in recent years and are now an established arrhythmia treatment. The expanding indication for implantable cardioverter defibrillators implantation demands new competencies and resources in the implantable cardioverter defibrillators team members.

    Methods.

    Participants were recruited among physicians and nurses in all of the hospitals implanting implantable cardioverter defibrillators (n = 16). Data were collected by a questionnaire. Additionally, all written educational materials provided to patients pre- and postimplant were collected from all 16 hospitals. Deductive content analysis using Sarvimäki and Stenbock-Hult's five holistic dimensions was employed to ascertain how information was provided in brochures and information materials.

    Results.

    Half of the hospitals (n = 8) had nurse-based outpatient clinics and several others planned to introduce them. Three hospitals carried out distance follow-ups by means of tele-monitoring. The nurses had received specific implantable cardioverter defibrillators education from implantable cardioverter defibrillators companies and/or various university courses. The biophysical dimension dominated in the information material, while the emotional, intellectual and socio-cultural dimensions were scarcely described, and the spiritual-existential was not referred to at all.

    Conclusion.

    Holistic care of implantable cardioverter defibrillators patients can be achieved by means of a multidisciplinary implantable cardioverter defibrillators team and more patient-centred educational strategies. In Sweden, the organisation of implantable cardioverter defibrillators care and follow-up is developing towards more nurse-based clinics.

    Relevance to clinical practice.

    Development and implementation of structured care programmes with a more holistic approach can improve future implantable cardioverter defibrillators care. The content of the written educational materials need to be more holistic, rather than mainly focusing on the biophysical and technical aspects of living with an implantable cardioverter defibrillators.

  • 217.
    Boman, Ida
    et al.
    Halmstad University, School of Health and Welfare.
    Tryggvesson, Emmy
    Halmstad University, School of Health and Welfare.
    Sjuksköterskans oberoende omvårdnadsåtgärder för barn med funktionell obstipation: En allmän litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Functional constipation is a common problem in children around the world. Functional constipation is defined as hard stools, feeling of incomplete defecation and difficulty in emptying the intestine. Experienced pain associated with intestinal emptying is the most common cause of children suffering from functional constipation, for this reason the child avoids defecation. Although laxantia can lead to a majority of side effects, it is often the first treatment for constipation. For this reason, the aim of this study was to investigate what independent nursing measures the nurse may use in the treatment of functional constipation of children in the ages 1-18 years. The nurse has a significant role in the care of functional constipation, therefore knowledge about the problem is required. The study is conducted as a general literature study and is based on ten scientific articles. The result has been processed and is being presented in three themes. It appears that teaching, encouragement and follow-up are parts that are of major importance in the treatment of functional constipation in children. The nurse should establish a supportive and encouraging relationship with the children and parents in order to achieve the best possible treatment outcomes. More research in the field is necessary to develop nurse's knowledge of independent nursing interventions in functional constipation.

  • 218.
    Bonafé, Fatima
    et al.
    Halmstad University, School of Health and Welfare.
    Donovan, Annie
    Halmstad University, School of Health and Welfare.
    Omvårdnad av patienter med smärta ur ett genusperspektiv: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I samhället råder ett genussystem som särhåller män och kvinnor och detta skapar genusskillnader där mannen är normen och kvinnan den avvikande. Genus är det människan formas till genom kultur och tänkande. Smärta är ett problem för patienter och omvårdnad av patienter med smärta är en viktig del av sjuksköterskeprofessionen. Omvårdnad av patienter med smärta baserat på inbillningar om genus kan skapa felaktig bedömning och behandling och kan leda till fara för patienten. Syftet med studien var att undersöka omvårdnad av patienter med smärta ur ett genusperspektiv. En litteraturstudie med systematisk sökning genomfördes. Artiklarna genomgick kvalitetsgranskning och etikgranskning. En kvalitativ innehållsanalys med en deduktiv ansats genomfördes utifrån sjuksköterskans omvårdnad av patienter med smärta. Resultatet är baserat på 13 vetenskapliga artiklar och presenteras i två kategorier; bedömning av patienter med smärta och behandling av patienter med smärta. Sjuksköterskor bedömer manliga patienters smärta som mer intensiv och trovärdig än kvinnliga patienters smärta som också rekommenderas mer psykologisk hjälp än manliga patienter. Resultatet visar också att sjuksköterskor kan låta egna fördomar påverka smärtbedömningen. Litteraturstudien både bekräftar och dementerar att det finns genusskillnader mellan manliga och kvinnliga patienter i farmakologisk smärtbehandling. Genuspåverkan kan ses genomgående från utbildningen som student till arbetsplatsen som sjuksköterska. För att skapa en mer personcentrerad omvårdnad av patienter med smärta är kunskap om genus något som behövs prioriteras, förslagsvis genom reflektion och utbildning, både i sjuksköterskeutbildningen och på arbetsplatsen. Ytterligare forskning om genusskillnader i andra delar av vården är önskvärt.

  • 219.
    Borcak Walder, Linda
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Caroline
    Halmstad University, School of Health and Welfare.
    Patienters upplevelser av utmattningssyndrom: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    If you are exposed during a certain period of time to prolonged stress without time to recover, you may develop exhaustion disorder. The diagnosis of exhaustion disorder is a relatively new diagnosis in Sweden; the diagnosis was formally accepted in year 2005. Aim: This study referred to lighten exhaustion disorder from the patient's perspective. Method:  A literature review was performed; the search was made by using selected keywords and were conducted in the databases Cinahl, PubMed and PsycInfo. The searches in this study included ten articles. Through content analysis the articles was structured and analysed. Results: Results are presented under five topics: Letting go, insight balance and self-image, perceptions of the warning signs and symptoms, assistance and support and recovery. The results of the literature study highlights the importance of patients' experience to come to the knowledge of the reason why they suffered exhaustion disorder, not until then could they begin their journey towards recovery. Evidence shows that patients working with their behavior patterns had their self-esteem and self-respect back. By learning strategies to manage stress patients learned to recognize the body's signals. Further research of patients’ experiences is important when the effects of rehabilitation methods for exhaustion disorders is deficient.

  • 220.
    Borg, Alexandra
    et al.
    Halmstad University, School of Health and Welfare.
    Burman, Evelina
    Halmstad University, School of Health and Welfare.
    "Se mig som en människa": Upplevelser av värdighet i omvårdnad av personer med demens2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Då demografiska förändringar sker i samhället där fler blir äldre och allt fler drabbas av demenssjukdom kommer vårdpersonal i större grad vårda personer med demens där det är av stor vikt som vårdpersonal att inte låta värdigheten negligeras. Syftet var att belysa upplevelser av värdighet i omvårdnad av personer med demens. Studien genomfördes som en litteraturstudie där 12 kvalitativa artiklar användes till resultatet. Artiklarna granskades och analyserades och fyra teman framkom som innehöll omvårdnad av personer med demens relaterat till värdighet. Upplevelser av delaktighet, sociala interaktioner, tid samt kunskap och säkerhet relaterat till värdighet upplevdes viktigt i omvårdnad av personer med demens vid bevarande av värdighet. Forskning gällande omvårdnad av personer med demens relaterat till värdighet kommer vara betydelsefullt för såväl anhöriga som vårdpersonal genom en fördjupad kunskap som kan leda till att värdighet bevaras och återupprättas. Ytterligare forskning i framtiden om demenssjukdom hos äldre med annan etnisk bakgrund än svensk kommer vara av stor betydelse då den ökade invandringen leder till att fler vårdas i Sverige.

  • 221.
    Borg, Christin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Spång, Ingela
    Halmstad University, School of Social and Health Sciences (HOS).
    Att leva med en stomi: – upplevelser av livskvalitet2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden about 20 000 people live with an ostomy, which is a surgically constructed opening in the abdominal cavity. However, many patients have difficulty in dealing with this newly emerging circumstance in life. Frequently, a nurse’s daily activities will include the caretaking of people with an ostomy. Since the nurse's task is to support people in their recovery and their return to normal patterns in their lives, it is important to describe these people's experiences of quality of life. The purpose of this study was to describe patients’ experiences of quality of life after a surgery with an ostomy. A literature review was carried out with 13 articles related to the purpose. The results from these articles are sorted under two headings, which highlight the experiences that lead to reduced or increased quality of life. The ostomy involves a change in life, which initially leads to a reduction in quality of life and social life may also initially suffer. These experiences will over time transform into an awareness that the ostomy has saved their lives. Many, especially those with a permanent ostomy, learn to accept their ostomy and to adapt to it, resulting in improved quality of life. Research on quality of life in relation to the experiences related to living with an ostomy, should continue to enhance nurses’ understanding when meeting people with an ostomy.

  • 222.
    Borge, Fredrik
    et al.
    Halmstad University, School of Health and Welfare.
    Winberg, Lena
    Halmstad University, School of Health and Welfare.
    Patienters erfarenheter av att leva med angina pectoris2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ett stort antal personer insjuknar varje år i kranskärlssjukdom, vilket inkluderar angina pectoris. Sjuksköterskan behöver ha goda kunskaper om hur patienter med angina pectoris erfar olika symptom relaterat till sjukdomsbilden, samt hur patienter anterar och lever med sin sjukdom. Detta för att kunna ge bästa stöd och arbeta på ett personcentrerat sätt. Syftet var att beskriva patienters erfarenheter av att leva med angina pectoris. Metoden som användes var litteraturstudie vilken grundades på tolv vetenskapliga artiklar vilka analyserades och sammanställdes. Resultatet visade att patienter med angina pectoris har olika erfarenheter av sjukdomen. Tre teman framkom i resultatet; Patienters erfarenheter av smärta och obehag, Patienters erfarenheter av stress och oro samt Patienters erfarenheter av stöd. Då befintlig forskning mer generellt inriktas på patienter med kranskärlssjukdomar, behövs mer specifik forskning där situationen för patienter med angina pectoris belyses.

  • 223.
    Borgkvist, Maja
    et al.
    Halmstad University, School of Health and Welfare.
    Theander, Caroline
    Halmstad University, School of Health and Welfare.
    Livshistoriens betydelse i omvårdnaden av personer med demenssjukdom: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Life story work is a method used in care of people with dementia that assist these people from losing them selves while the disease progresses. People with dementia are in the need for an as person centred care as possible and life story is a tool that can be used by staff to better treat the persons needs and desires. The aim of the study was to describe experiences from the point of view of people with dementia, caregivers and close relatives while using life story work. The method used is a general literature review and a total of nine scientific articles with a qualitative method was read with content analysis. The result was put together in three categories: Life story confirms the identity of people with dementia, Life story improves comunnication and interplay and Life story is challenging to apply to care. Communication and interplay improves because the told story increases the staffs understanding of the behaviours that the disease creates and people with dementia are happy to tell their story. It is a challenge to apply life story to care according to all informants in the study. Life story work is perceived in different ways that results in different contents, a mix of time to use lifes story and close relatives part in establishing the life story can be questioned.

  • 224.
    Borglin, Lina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Westerlund, Sofia
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskans omvårdnadsåtgärder vid postoperativt illamående2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Postoperative nausea and vomiting (PONV) is a common surgical complication. The cause of PONV is not precisely clear, in contrast to the pathophysiology of general nausea. Consequences of PONV include increased care suffering and longer duration in hospital care. To prevent or relieve PONV, nurses can identify risk factors. Surgical procedures have been shown to have various degrees of nausea, such as laparoscopy have an increased risk for PONV. It is significant that the nurse has knowledge about the relevant symptoms and can identify early signs of the patient. The aim of this study was to illuminate nursing interventions to prevent postoperative nausea and vomiting. The results of this literature study were based on 12 scientific articles. The results showed that the combination of antiemetic and non-pharmacological measures gave some relief of PONV. Desirable would be to identify nursing interventions that could decreased the incidence of postoperative nausea and vomiting of the surgical patients as they constitute a large proportion of patients within the health care. Recommended nursing strategies are not entirely clear and need to be clarified through further research on this topic, nursing care intervention.

  • 225.
    Boström, Amanda
    et al.
    Halmstad University, School of Health and Welfare.
    Larsen, Rebecca
    Halmstad University, School of Health and Welfare.
    Illamående i samband med cytostatikabehandling2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nausea is one of the most common side-effects during chemotherapy. Chemotherapy is used for treating cancer. Every year 58 000 people gets cancer in Sweden and worldwide 14 million people is affected by the disease. There are three different types of nausea during chemotherapy. These types are acute nausea, delayed nausea and anticipatory nausea. Chemotherapy-induced nausea can be treated either with pharmacological treatment or non-pharmacological treatment. The purpose of this study was to describe nausea in patients with cancer receiving chemotherapy. A general literature study was performed. The searches in the databases Cinahl, Medline and Psycinfo resulted in ten articles. The articles were examined and themes and subthemes were identified. The themes that were identified was The incidence of nausea, The patients experiences of nausea, Strategies to cope with nausea and Quality of life. Chemotherapy-induced nausea was considered to be a subjective phenomenon which was difficult to describe. Patients who suffered from chemotherapy-induced nausea experienced multiple changes that had a negative impact on them. Patient used several strategies to cope with their nausea. Chemotherapy-induced nausea had a negative impact on the patients quality of life. More studies are needed in this field with more focus on how chemotherapy-induced nausea affects these patients.

  • 226.
    Bragge, Frida
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Wallin, Jonathan
    Halmstad University, School of Social and Health Sciences (HOS).
    Äldre personers följsamhet till fallprevention2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Fallrisk ökar med stigande ålder och preventionsprogram tillämpas allt mer. Skador till följd av fall leder till mänskligt lidande och försämrad livskvalitet. Kostnader relaterat till fall är samhällsekonomiskt betungande. Patienter har rätten att avstå fallpreventionsåtgärder. En av sjuksköterskans uppgifter är att motivera patienter till följsamhet. Syftet med litteraturstudien var att beskriva äldre personers följsamhet till fallprevention. Studien bestod av 15 vetenskapliga artiklar som bearbetades. Resultatet innefattas av tre kategorier vilka är: rädslans betydelse för följsamhet, integritetens betydelse för följsamhet och motivationens betydelse för följsamhet. Rädsla är en riskfaktor för fall och har betydelse för främjandet och hindrandet av följsamheten hos äldre. Åtgärder som hotar individens integritet och självständighet påverkar följsamheten. Motivationen påverkas av närstående, av vårdpersonal och av insikten hos den enskilde individen. Vidare forskning bör inriktas på hur motiverande samtal (MI), kan påverka följsamhet till fallprevention och samhällsekonomi. Bedömning av fallrisk tillämpas inom vårdverksamheten med Downton Fall Risk Index (DFRI). Denna skattningsskala bör utifrån studiens resultat kompletteras med skattning av rädsla för fall. Sjuksköterskeutbildning bör innehålla mer kunskap i uppmärksammandet av rädsla för fall.

  • 227.
    Bramer, Jenny
    Halmstad University.
    "Upplevelser vid förändring": En studie som belyser barn- och ungdomars upplevelser av att leva med diabetes typ 1.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes type 1 is characterized by the body´s inability to produce insulin. The cells are gradually destroyed and the insulin production is decreased. Initial symptoms of diabetes are thirst, fatigue, blurred vision, weightloss, elevated plasma glucose levels and glucose concentration in urine. Research on children´s experiences in type 1 diabetes is limited therefore require knowledge of children´s experiences when they are treated in healthcare and in community. The purpose of this study was to examine children and young people´s experiences of living with type 1 diabetes. Literature consisted of a total of eleven performance articles. Data processing generated categories: Worry and fear, Feelings of alienation, Experiences the change of diet, Experienced of social aspects and Experiences in a specialized self-care. The results showed that children of different ages have different experiences with diabetes type 1. Feelings of fear and anxiety appeared frequently in self-care. Education is needed several times every few years. Further research that provides deeper knowledge about children and adolescents experiences is needed. Nurses should consider the child´s experiences and give the child the support he/she needs. 

  • 228.
    Brandel, Monica
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Lerjebo, Anette
    Halmstad University, School of Social and Health Sciences (HOS).
    Nilsson, Sara
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskans stöd till föräldrar vars nyfödda eller lilla barn är beroende av sjukhusvård2014Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    About 110.000 children is born in Sweden every year. Almost 10% of the children is in need of neonatal care  because of premature birth or illness. In that situation parents find themselves in a world fild with anxiety and uncertainty about their childs wellbeing and possibility to survive, which can get the parents into a crise. For the nurse to respond to parents in an adequate manner when their child is depended on hospital care, the need for support should be highlighted, which is the aim of this literature review. Four categories reflect the result to describe the various needs of support; Support in an alien world, Support by creating closeness, Support by  information and Support by communication and participation. The nurse’s encouragement and support is important for parent’s participation in the care of their child and gives them a possibility to handle the situation. To be able to give knowledge, that is well proven and based on science, the nurse needs to get further  education and support from management and organization.

  • 229.
    Brandin, Elenore
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Johansson, Ann-Christine
    Halmstad University, School of Social and Health Sciences (HOS).
    Sturk, Maria
    Halmstad University, School of Social and Health Sciences (HOS).
    Den terapeutiska relationen: Samspelet mellan sjuksköterskan och patienten med ätstörning2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A therapeutic relationship is important in nursing care of patients with eating disorders and it is significant that the nurse is aware of the importance in the nursing care. The purpose was to investigate how a relationship is created and its significance in the care between the nurse and the patient with an eating disorder. It can be challenging for nurses to establish a therapeutic relationship with patients with eating disorders, because it is common that these patients do not have illness insight. The nurse can make use of different strategies and tools to develop a therapeutic relationship and a caring environment. The study was conducted as a litterature study and 12 scientific articles were analyzed. The result of the study shows that if a therapeutic relationship is going to be established it demands knowledge, time, respect and continuous information from the nurse to the patient. More scientific research about the therapeutic significance in the nursing care around patients with eating disorders is requested, since there was not much research on the subject. Even more education in the nursing programme for nursing care in mental health is enquired.

  • 230.
    Brandin, Jenny
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Persson, Caroline
    Halmstad University, School of Social and Health Sciences (HOS).
    Följsamhet vid läkemedelsbehandling hos patienter med hjärt- och kärlsjukdomar2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Today, several patients are treated with medication for cardiovascular diseases. Of all prescribed medicines the cardiovascular medicines are the most commonly. The nurse and the doctor had a central role if adherence should work out fine. To find what’s bother the patients in the medication treatment, it is therefore a prerequisite for the nurse to be able to affect adherence. The purpose of this literature study was to describe what influence patients adherence to medication treatment of cardiovascular diseases. The method was a literature study comprising 17 articles and a dissertation. Research showed that patient’s perceptions of medicines, their illness and their meeting with health care affected the adherence. The patients was often aware of the necessity of medicine treatment but were afraid and worried about the side effects that may occur. The knowledge of their illness and treatment resulted in that the patient’s perceptions changed. The meeting with healthcare was a part of the patient’s treatment, a good meeting led to increased adherence and understanding of the treatment of the illness. Patients encounter with healthcare would improve if the patients were experiencing an involvement with the nurse and doctor. Future research should focus on how patients experience their situation in relation to adherence in medicine treatment.

  • 231.
    Brandt, Sofie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Wern, Maria
    Halmstad University, School of Social and Health Sciences (HOS).
    Livet ur ett annat perspektiv: livskvalitet vid multipel skleros och samtidig depression2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    To suffer from multiple sclerosis (MS) changes the life situation. The new life situation means that about 50 percent of the people who suffer from MS develop a depression, which impairs the experienced quality of life. It is therefore important that nurses have knowledge within this area in order to provide as good care as possible. The aim of this review was to determine the factors that influence the quality of life in people with MS and depression. The study was conducted as a literature study based on twelve scientific articles. The result showed a number of factors that had a positive or negative effect on the depressive symptoms. The factors that reduced the depressive symptoms were social support, effective treatment and positive experiences in life. The factors that increased the depressive symptoms were physical impairment, negative thoughts, absence of an active sex life and pain. It also showed that when the depressive symptoms reduced, the quality of life increased and the other way around. To increase nurses’ knowledge and understanding of what is perceived to affect quality of life in MS and depression, more qualitative research is needed. Furthermore education about what MS in combination with depression can cause is essential for nurses to be able to provide good health care.

  • 232.
    Brantmark, Anna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Karlsson, Rebecca
    Halmstad University, School of Social and Health Sciences (HOS).
    Föräldrars påverkan i utvecklingen av övervikt och fetma hos barn2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Overweight and obesity in children are serious conditions, with many negative consequences to the health of individuals and the health care system as a whole. The prevalence is particularly great in certain groups of people and the frequency of these conditions is increasing at an alarming rate. Parents, as the primary caregivers, play a vital role in determining whether or not their children lead a healthy lifestyle. The aim of this literature review was to establish the influence that parents have on the development of overweight and obesity in their children. 19 articles were systematically reviewed and the results showed three main areas of influence; socio-economic factors, factors within the family and the role of the parent. In each of these areas, risk factors of developing overweight and obesity in children were identified. In general, parents lack information about these conditions and are in need of support from nurses and other health care professionals, who in turn carry the responsibility to support the parents, promote good health and prevent disease.

  • 233.
    Brecht, Victoria
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Carlsson, Helena
    Halmstad University, School of Social and Health Sciences (HOS).
    Hysterektomi: kvinnors upplevelser av den psykiska hälsan postoperativt2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Hysterectomy is today one of the most common surgery’s in Sweden as well as abroad. Health care providers need to have knowledge about women’s mental health post hysterectomy. Hysterectomy means to remove the uterus and the most common reasons to undergo this surgery are because of menorrhagia and chronic pain in the pelvis.

    The motivation to undergo a hysterectomy is to improve women’s quality of life. But there are also other reasons for the surgery as cervix cancer. The aim of this study was to examine if women’s mental health changes post hysterectomy. The study was conducted as a literature review where 13 research articles were collected and examined.The results showed that the perceived quality of life and health increased postoperatively. Factors such as depression and anxiety decreased post hysterectomy while the perceived sexuality of women increased. The women expressed a desire for more information and support in the form of information before, during and after her hysterectomy.By gaining knowledge of women’s mental health post hysterectomy the nurse can obtain better understanding for these patients and therefore provide better health care.

  • 234.
    Breman, Eva-Lena
    et al.
    Halmstad University, School of Health and Welfare.
    Persson, Kristine
    Halmstad University, School of Health and Welfare.
    Palliativ vård i hemmet för patienter med hjärtsvikt: ett patientperspektiv2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Heart failure is a common diagnosis that cannot be cured but onlysymptom relieved and these patients are often in need of home care at the end of life.Quality of life can be improved for patients with heart failure when cared for at homeby the district nurse. Aim The purpose was to describe patients with heart failure's perception of the support they wish for palliative care at home Method The study was conducted as an integrative literature and fourteen articles were analyzed. Results showed that patients expressed the desire for symptom relief at home when the needarose. The sense of security was created by the care team and district nurse by being available and including relatives. In addition, there was a need for continuous information on the disease as well as on care.

  • 235.
    Bremander, Ann
    et al.
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). Lund University, Lund, Sweden & Spenshult Research and Development Center, Halmstad, Sweden.
    Haglund, Emma
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). Spenshult Research and Development Center, Halmstad, Sweden.
    Bergman, Stefan
    Lund University, Lund, Sweden; Spenshult Research and Development Center, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Ndosi, M.
    University of the West of England, Bristol, United Kingdom.
    The Educational Needs of Patients with Undifferentiated Spondyloarthritis2017In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 76, no Suppl. 2, p. 1495-1496Article in journal (Refereed)
  • 236.
    Brink, Eva
    et al.
    Dept. of Nursing, Health and Culture, Univ. of Trollhättan/Uddevalla.
    Grankvist, Gunne
    Dept. Studs. Individual and Soc., Univ. of Trollhättan/Uddevalla.
    Karlsson, Björn
    Division of Cardiology, Sahlgrenska University Hospital, Göteborg.
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Health-related quality of life in women and men one year after acute myocardial infarction2005In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 14, no 3, p. 749-757Article in journal (Refereed)
    Abstract [en]

    The purpose of the present study was, first, to detect possible changes in health-related quality of life (HRQL) over time and, second, to predict HRQL at 1year based on measures made 1 week and 5 months after a first-time acute myocardial infarction. There was an improvement in HRQL at 1year, as measured by the questionnaire 36-item Medical Outcomes Study Short-Form (SF-36), for both men and women as compared with the assessment 5 months after the acute myocardial infarction. However, the pattern was somewhat different for women and men. Women mainly reported increased scores on scales reflecting better mental health, whereas men, on the whole, demonstrated higher scores in the physical health domain. Depression (HAD) and fatigue were identified as early predictors of lower HRQL at the 1-year follow-up. Our conclusion is that early assessment of fatigue and depression is worthwhile, as they may indicate decreased HRQL in men and women 1year after first-time myocardial infarction.

  • 237.
    Brink, Eva
    et al.
    West University, Vänersborg, Sweden .
    Karlson, Björn W.
    AstraZeneca R&D, Mölndal, Sweden.
    Hallberg, Lillemor R-M
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Readjustment 5 months after a first-time myocardial infarction: reorienting the active self2006In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 53, no 4, p. 403-411Article in journal (Refereed)
    Abstract [en]

    Aim

    This paper reports on an interview study exploring the self-regulation process in women and men, 5 months after a first-time myocardial infarction.

    Background

    Somatic, psychological and social factors affect readjustment after a first-time myocardial infarction, and studies have demonstrated substantial rates of depression in patients after myocardial infarction Women report poorer mental health and physical condition than do men. Reconstruction of the self begins when disease poses novel problems and is more likely to occur in cases of long-lasting and disruptive illnesses. Experiencing myocardial infarction is likely to alter a person's mental representation of self. However, the self-regulation process following first-time myocardial infarction is not yet fully understood.

    Method

    Twenty-one people (11 women, 10 men) were interviewed 5 months after first-time myocardial infarction. The grounded theory method provided the strategies for data collection and analysis.

    Findings

    Interviewees' definition of themselves as active was threatened by fatigue and other health problems that kept them from taking part in activities as they had done before the heart attack. Although reorienting the active self was central to the process of recovery from myocardial infarction, reorienting was restricted by illness perception and coping.

    Conclusion

    Participants had not established a stable health condition 5 months after first-time myocardial infarction. They mainly preferred to moderate rather than radically change their daily life activities. They needed more knowledge and support. Nurses can help with information and advice on managing daily life activities, including dialogue about lifestyle changes at this phase of readjustment.

  • 238.
    Brissmyr Andrén, Linnéa
    et al.
    Halmstad University, School of Health and Welfare.
    Ivarsson, Karin
    Halmstad University, School of Health and Welfare.
    Sporre, Linnea
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors sårbarhet, vanmakt och arbetsglädje inom palliativ vård2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care occurs in various workplaces for nurses. For this reason, it was important through a general literature study of scientifically reviewed original articles to investigate which emotions nurses are affected by in palliative care. The purpose was to describe feelings that nurses are affected by in the work of palliative care. The result resulted in three categories of Vulnerability, Powerlessness and Job satisfaction. Nurses' vulnerability consisted of uncertainty, ignorance and grief in the palliative care and the lack of support in the feelings that arose. Nurses' powerlessness consisted of frustration and helplessness about not being able to cater for good nursing or dignified death and when they could not meet demands that patients’ relatives considered to be in the interests of patients. Nurses' job satisfaction consisted of feelings of satisfaction about knowing that nurses performed a valuable job and patients and patients' relatives were in the center and a well-functioning team in the care. The findings suggest that further research is needed to clarify the job satisfaction in palliative care and nursing education need to be more comprehensive in order to prepare nurses for feelings they can be affected by in the field of palliative care.

  • 239.
    Brobeck, Elisabeth
    et al.
    PhD Student, Department of Research, Development and Education, Hospital of Halland, Halmstad.
    Odencrants, Sigrid
    Örebro University, Örebro, Sweden.
    Bergh, Håkan
    GP, Department of Research, Development and Education, Hospital of Halland, Varberg, Sweden .
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Health promotion practice and its implementation in Swedish health care2013In: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 60, no 3, p. 374-380Article in journal (Refereed)
    Abstract [en]

    Introduction Health promotion practice is an important work assignment within the entire health and medical care sector. Nurses are important for the development and implementation of health promotion in clinical practice. Aim The aim was to describe how district nurses view health promotion practice and how it was implemented in clinical practice following a training initiative. Design The study has a descriptive design and a qualitative method. Methods The sample consisted of three focus groups with 16 participants. The interviews were conducted as a conversation with focus on the district nurses view of health promotion and its implementation in clinical practice. The data have been processed using manifest qualitative content analysis. Results Three categories, titled Training as motivation, Lack of grounding and Lack of scope were identified. The result demonstrated that training provides motivation, but also the importance of grounding in the organization and the need for scope in performing health promotion practice. Discussion Our results show that the training initiative has contributed positively to the district nurses' view of health promotion practice, but that they also feel that there are obstacles. The district nurses in our study suggest that health promotion practice should be more visible, and not something that is done when time permits. Conclusion The district nurses feel motivated and have an enthusiasm for health promotion practice but more time and resources are required to design successful health-promoting initiatives. Before implementing a major training initiative for healthcare personnel in health promotion, it is essential to examine whether the conditions for this exist in the organization

  • 240.
    Brockington, Ian
    et al.
    University of Birmingham, Birmingham, United Kingdom.
    Butterworth, Ruth
    University of Birmingham, Birmingham, United Kingdom.
    Glangeaud-Freudenthal, Nine
    Paris Descartes University, Paris, France.
    Skärsäter, Ingela
    An international position paper on mother-infant (perinatal) mental health, with guidelines for clinical practice2017In: Archives of Women's Mental Health, ISSN 1434-1816, E-ISSN 1435-1102, Vol. 20, no 1, p. 113-120Article in journal (Refereed)
    Abstract [en]

    The purpose of this paper is to set out informal, provisional and comprehensive but concise guidelines for mother-infant (perinatal) mental health (psychiatry), as an area of specialisation. It is informal in the sense that the authors are clinicians and researchers from many different nations, who share a common goal and vision, speaking on their own behalf and not with the backing of any authority or society. It is provisional in the expectation that it can be improved by criticism and new research findings. It is a comprehensive summary of the development of the specialty, its core knowledge and recommended investigations and interventions. It is concise (under 6,000 words, taking less than an hour to read) in order to increase readership and facilitate translation. No attempt has been made to parade the evidence for these suggestions, because the document would have been too long to translate, and for many to read. Instead, drafts were circulated for criticism by those included in the authorship, resulting in a consensus (finalised by the three principal authors), providing a framework to guide service provision, clinical practice and research. The full list of authors, from 33 nations, is given in the postscript. They include mother-infant (or parent-infant) and perinatal adult or child psychiatrists and those with a special interest; mother-infant, perinatal and forensic psychologists; psychiatric nurses; the founders of Postpartum Support International and the Association for Postnatal Illness; representatives of social work and obstetrics and the management of these services, and research scientists working in the field. © 2016 The Author(s)

  • 241.
    Brooks, Malin
    Halmstad University, School of Health and Welfare.
    Att få ett prematurbarn påverkar hela familjen: En litteraturstudie om syskonens upplevelse2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Worry and uncertainty have an impact on both parents and siblings when a child is born prematurely. Family-centered care is often used as a nursing model, within the neonatal care setting. One focus of Family Centered Care is to consider the whole family unit. In reality, however, siblings are often forgotten. The purpose of this study was to describe the siblings’ experience of having a premature baby brother or sister. The method used was a literature study, where the result was based on eight articles. Four categories emerged: Ambivalent feelings and altered behavior, Absence of parents, Altered roles and Need for processing and support. The result showed that when a premature baby is born, the sibling has an emotional reaction, often linked to a positive or negative change in behavior. The siblings often take on new roles and responsibilities that exceed what could be expected for their age. Siblings often feel they miss their parents, as they are occupied with worry and stress as well as frequent hospital visits. Support for siblings has shown positive outcomes on their psychosocial behavior. There is little research undertaken about siblings of premature children and further research is needed both from the perspective of the siblings and the family as well as from the perspective of the nursing staff.

  • 242.
    Broqvist, Johannes
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Gustafsson, Dan
    Halmstad University, School of Social and Health Sciences (HOS).
    Den utsatta sjuksköterskan: Att vårda den brännskadade2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. A burn patient experiences a considerable suffering with a long healing process, as well as an extensive need for nursing care. The nurse's role is  thus important for the patient's rehabilitation and healing. Aim. Highlighting the experience surrounding the care of burn patients in inpatient care from a nursing perspective. Method. The study was conducted as a systematic literature review where the results consisted of 10 qualitative research articles. Result. Five themes that highlights the nurse's experiences showed in the result; feeling vulnerability, providing patient support, communication part of the support, gaining support in the professional role and work environment impact. Conclusion. Nurses are experiencing an emotional and psychological vulnerability in the care of burn victims and need the support of several areas to retain their independence, and to ensure the patient's care. Implication. We believe that the results can be applied to nurses in Sweden since we highlight nurses' experiences. Further research is recommended when the research on nurses' experiences with burn patients is limited.

  • 243.
    Brosché, Tove
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Dahlén, Sandra
    Halmstad University, School of Social and Health Sciences (HOS).
    Livet efter en brännskada: - ett individperspektiv2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Individuals who have endured burn injuries experience both physical and psychological barriers. Coming to terms with lasting effects of burn injuries on the body can take a long time. The rehabilitation process in the hospital is at a multi-professional level, drawing across a large cross section of specialist skills to enable patients to cope with everyday life. Nurses need to have a good knowledge base to care for burn injured patients. The purpose of this study was to highlight how individuals feel about their life after a burn injury, to help nurses get a better understanding of the subject and therefore provide good health care. Seventeen scientific articles were analysed and then complied into a conclusion with different themes. These themes were; the experience of support, the experience to cope with burns, the experience of pain and pruritus, experience of the quality of life and the experience of the health care. Burn injured patients need support from the nursing staff and relatives. Coping strategies were used to endure both physical and mental pain. The quality of life could be either worse or better after a burn injury. Caring for patients with burns requires a high level of knowledge in nursing, as it affects the many stages of recovery. More research in this area is needed to increase know-ledge. A support group for burn patients should also be established in order to support contacts between burn injured individuals.

  • 244.
    Brosché, Tove
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Kalajdzic, Bianca
    Halmstad University, School of Social and Health Sciences (HOS).
    Patienters upplevelser av att vara vaken under operation när pacemaker anläggs2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Being awake during surgery is a unique experience. The patient is handed over to the nursing staff and is dependent on their care and knowledge. Continuous information during surgery and professional care from the nursing staff is important to create a safe environment and provide good healthcare. The aim of the study was to describe the patient’s experience and feelings of the perioperative nursing care when being awake during surgery. Four interviews with consecutively selected patients who had undergone surgery in a hospital in the south west of Sweden were included. Open, general questions and supplementary questions were used during the interviews. Qualitative content analyz was used. The analyz resulted in three categories: past experiences of care, care during the surgery and feelings that occurred during the operation. Previous experience and the care provided by the nurses gave patients the feelings of security. Both negative and positive feeling occurred during surgery. The results may contribute to further development and improvement of the perioperative nursing care on patients that are awake during surgery.      

     

  • 245.
    Brun, Sandra
    et al.
    Halmstad University, School of Health and Welfare.
    Hansson, Clara
    Halmstad University, School of Health and Welfare.
    Munvård - Den lågt prioriterade omvårdnadsåtgärden: Vårdpersonalens upplevelser av att utföra munvård hos äldre.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The execution of oral care amongst seniors is a care action which carries great importance for the person and its being. Despite aforementioned knowledge, oral care is often neglected within the health sector. Therefore it is of utmost importance to highlight the experiences of health care professionals conducting oral care, in order to further discern the nature of its neglect. The literature review attempts to explain the prevailing experiences of health care professionals in regards to oral care. The literature review was conducted on the basis of 11 articles of scientific nature interpreting the formulated question. The outcome formed five categories: the experience of fear or discomfort, complex care that provokes ethical dilemmas, responsibilities and routines, an overlooked care act, knowledge requirements. The result illustrates health care personnel and their experience of oral care in the context of care environment, competence and attitudes. Furthermore, it exposes dental phobia as a factor affecting the available and recommended care. The execution of oral care proves to be a complex task, to the extent that aid for incontinence was preferred. If health care personnel had further training of oral care execution the experience of providing this type of care could change. There is a discrepancy between theory and practice when it comes to providing oral care. Consequently, additional research of experiences and education ought to be conducted within this field of health care.

  • 246.
    Bryfalk, Jennifer
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Hvalgren, Therése
    Halmstad University, School of Social and Health Sciences (HOS).
    Om hjärtat slutar slå: Patienters och anhörigas delaktighet i beslutet om ej-HLR2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The nurse has a close relationship with patients and families and should promote the potential of their involvement in care. The medical practice differs from guidelines for cardiopulmonary resuscitation (CPR) which suggests that patients should be involved in the decision making about the do-not-resuscitate (DNR) order. Nurses may find it difficult to deal with situations that arise over the decision about DNR. The aim was to illuminate patients' and relatives' participation in the decision making concerning the DNR order. The study was conducted as a literature study and 15 scientific articles were analyzed. The results show that involvement of patient and next-of-kin in the decision not to resuscitate can be affected by various factors. Factors that could affect patient participation were patients’ quality of life, knowledge about disease, prognosis and CPR. Family members often want and often get the opportunity to participate in the decision making concerning DNR. Relatives' ability to participate depends primarily on patients' ability to participate in the decision making. Doctors enable patients and families participation in the decision not for resuscitation. Nurses’ collaboration with doctors in the discussion about the DNR order can facilitate decision making for all parties. The guidelines for decision about CPR should be reviewed and possibly updated in order to improve patients' and relatives' participation.

  • 247.
    Brännström, Margareta
    et al.
    Department of Nursing, Umeå University, Umeå, Sweden.
    Kristofferzon, Marja-Leena
    Department of Health and Caring Sciences, University of Gävle, Gävle, Sweden.
    Ivarsson, Bodil
    Department of Cardiothoracic Surgery, Lund University and Skåne University Hospital, Lund, Sweden.
    Nilsson, Ulrica G.
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Thylén, Ingela
    Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Sweden.
    Sexual Knowledge in Patients With a Myocardial Infarction and Their Partners2014In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 29, no 4, p. 332-339Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Sexual health and sexual activity are important elements of an individual's well-being. For couples, this topic is often affected after a myocardial infarction (MI). It has become increasingly clear that, after an MI, patients are insufficiently educated on how to resume normal sexual activity. However, sufficient data on the general knowledge that patients and partners have about sexual activity and MI are lacking.

    OBJECTIVE: The aims of this study were to explore and compare patients' and partners' sexual knowledge 1 month after a first MI and 1 year after the event and to compare whether the individual knowledge had changed over time. A second aim was to investigate whether patients and their partners report receiving information about sexual health and sexual activity from healthcare professionals during the first year after the event and how this information was perceived.

    SUBJECTS AND METHODS: This descriptive, comparative survey study enrolled participants from 13 Swedish hospitals in 2007-2009. A total of 115 patients with a first MI and their partners answered the Sex After MI Knowledge Test questionnaire 1 month after the MI and 1 year after the event. Correct responses generated a maximum score of 75. RESULTS:: Only 41% of patients and 31% of partners stated that they had received information on sex and relationships at the 1 year follow-up. The patients scored 51 ± 10 on the Sex After MI Knowledge Test at inclusion into the study, compared with the 52 ± 10 score for the partners. At the 1-year follow-up, the patients' knowledge had significantly increased to a score of 55 ± 7, but the partners' knowledge did not significantly change (53 ± 10).

    CONCLUSIONS: First MI patients and their partners reported receiving limited information about sexual issues during the cardiac rehabilitation and had limited knowledge about sexual health and sexual activity.

  • 248.
    Bräutigam-Ewe, Marie
    et al.
    The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Lydell, Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Månsson, Jörgen
    The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Johansson, Gunnar
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Dietary Advice on Prescription: Experiences with a Weight Reduction Programme2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 5-6, p. 795-804Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To describe overweight persons' experiences with weight reduction and participation in the dietary advice on prescription.

    Background: Approximately 20% of overweight individuals are able to successfully lose weight. Experiences from earlier weight reduction programmes indicate that those who succeed typically manage to avoid overeating to handle stress and have high motivation to lose weight. Those who fail have low self-control and engage in negative health behaviours such as eating when experiencing negative emotions and stress.

    Design: The study used adescriptive qualitative design and was conducted at a Primary Health Care Centre in south-west Sweden.

    Methods: The first nineteen study participants who completed the weight reduction programme in two years responded in writing to five open questions about their experiences with the programme. Data were analysed using inductive content analysis.

    Results: The participants appreciated the face-to-face meetings with the nurse because they felt seen and listened to during these sessions. They also felt their life situations and self-discipline had an impact on how well they were able to follow the programme. Dietary advice on prescription advice was considered to be helpful for achieving behavioural changes and losing weight. People who succeeded in sustainably losing weight described the importance of support from partners or close friends.

    Conclusions: To achieve sustainable weight reduction, it is important to individualise the programme in order to address each person's life situation and the unique difficulties they may encounter.

    Relevance to clinical practice: Motivational interviewing appears to be a good technique for developing a successful relationship between the nurse and the patient. The dietary advice on prescription advice was perceived to be a good way to improve food habits and can easily be used at many Primary Health Care Centres. Patient's partners should also be offered the opportunity to participate in the programme.

    © 2016 John Wiley & Sons Ltd.

  • 249.
    Buchebner, Jenny
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Warensce, Eva
    Halmstad University, School of Social and Health Sciences (HOS).
    Helt slut men kvar i livskampen: Upplevelser av fatigue hos patienter med hjärtsvikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Heart failure is a widespread disease that occurs in about 2% of the population. Among the older population, it is a common condition. Among individuals over 65 years, 6-10% suffers from chronic heart failure. Heart failure is a serious condition with high mortality, morbidity and impaired quality of life. Tiredness (fatigue) is one of the symptoms that the diagnosis is usually based on. Fatigue is of central importance for patients' limitations in their capacity to function. The purpose of the literature review was to highlight the experience of fatigue in patients with chronic heart failure.  The literature review results are based on 13 scientific papers. The results showed that fatigue was experienced as one of the most severe symptoms of heart failure. Patients were limited especially physically but also insecurity and uncertainty were common experiences. Patients fought against fatigue and implemented many changes in order to maintain as much self-care and independence as possible. Fatigue resulted in increased dependency and changed the social life. Nurses, both in basic training and in clinical practice, need a greater understanding of how patients experience fatigue, how it restricts daily life and how patients are worried because of fatigue. The nurse needs this knowledge in order to perform personalized care to help patients to better self-care.

  • 250.
    Bui, Hang
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Bermhed, Emellie
    Halmstad University, School of Social and Health Sciences (HOS).
    En förlorad maskulinitet: Mäns upplevelser efter behandling av prostatacancer2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Prostatacancer är idag den vanligaste cancerformen hos svenska män. Prognosen för överlevnad är god och män blir tvungna att leva med de biverkningar som uppstår efter behandling av sjukdomen. Att prata om sexualitet är idag tabu och sjuksköterskor undviker att informera och undervisa sina patienter om sexuell hälsa. Syftet med denna studie var att beskriva hur män upplever att behandling av prostatacancer har påverkat deras sexuella hälsa. Studien genomfördes som en litteraturöversikt där 12 kvalitativa artiklar analyserades. Män beskrev upplevelser som skam, ångest, stigmatisering och depression. Biverkningarna påverkade deras sexliv, syn på intimitet och syn på sig själva. Behandlingen av sjukdomen gjorde att män kände att de förlorat en del av deras identitet. Hegemonisk maskulinitet är ett ideal som män strävar efter vilket kan bli svårt att uppnå för män med sexuella dysfunktioner. Att mäns sexuella hälsa blir påverkad efter behandling av prostatacancer är ett faktum och både kropp samt själ blir berörda. Vården bör våga lyfta sexualiteten, göra omvårdnadsplaner för att bevara mäns sexuella funktion och få ett holistiskt perspektiv på dessa män.

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