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  • 251.
    Bengtsson, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Palmgren, Fredrik
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors attityder till smärtbehandling av patienter med opioidmissbruk2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patients with an opioid addiction may be perceived to have a socially deviant behavior which may lead to social stigmatization. To see patients as socially deviant in healthcare can lead to that they receive worse care and treatment than what they are entitled to. Pain is a subjective experience, where the patient has an individual perception of his pain and can not be compared with another's experience of pain. The purpose of the study was to examine nurses' attitudes to pain treatment of patients with opioid addiction. A systematic literature review was conducted consisting of 11 scientific articles. The results culminated in three categories: Attitudes towards patients with opioid addiction, Attitudes to the subjective pain and attitudes associated with experience and lack of knowledge. The results showed that nurses have negative attitudes towards patients with opioid addiction. The nurses were aware that patients with a previous or current opioid addiction experienced pain needed a higher dose of pain medication, they were perceived nonetheless as they lied to get an increased dose of opioids. The study highlighted a lack of knowledge of nurses regarding addiction and dependence, which could lead to a judgment of patients with opioid addiction. For further studies there is a need to study how patients with opioid addiction experienced nurses' attitudes in the caring encounter. 

  • 252.
    Bengtsson, Margareta
    et al.
    Hallands Sjukhus, Halmstad.
    Kvarnhäll, Jennie
    Hallands Sjukhus, Halmstad.
    Svedberg, Petra
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Svenska sjuksköterskors upplevelse av handledningsprocessen vid sjuksköterskestudenters verksamhetsförlagda utbildning2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 4, p. 47-51Article in journal (Refereed)
    Abstract [en]

    A central part of the nursing profession is the supervision in clinical practice of nursing students and a consequence of this is that the nurse needs to be prepared and have sufficient knowledge to support student's learning process. The aim of this study was to gain a deeper understanding of nurses' experiences of the supervision of nursing students in clinical practice. Fifteen nurses with experience of being supervisor were interviewed and the data material was analyzed with a Grounded Theory approach. The results comprise a core category “supervision was perceived as developing and stimulation” and four categories; to have sufficient with time, to have a working co-operation, to have sufficient knowledge and to get confirmation. These categories formed a conceptual model explaining the nurse’s experiences of the process of supervision and their needs of time, co-operation, knowledge and confirmation if the supervision should be perceived as developing and stimulating. More research needs to be conducted to expand the perspective on how supervision education and opportunities for reflection during the clinical education contribute to the student's learning process.

  • 253.
    Bengtsson, Pernilla
    et al.
    Halmstad University, School of Health and Welfare.
    Sjelin, Angelica
    Halmstad University, School of Health and Welfare.
    Psykosocial arbetsmiljö på gruppboenden inom funktionshinderverksamhet: Hur krav, kontroll och stöd på arbetsplatsen upplevs av de anställda2016Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
  • 254.
    Bengtsson, Sverker
    et al.
    Malmö University, Malmö, Sweden.
    Johnson, Urban
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Sport Health and Physical activity.
    Time, Money and Support: Student-Athletes Transition to High Achivement Sport2012In: Athletic Insight: The Online Journal of Sport Psychology, ISSN 1536-0431, E-ISSN 1947-6299, Vol. 4, no 2Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to examine the perceptions of within-career transition, as experienced by student-athletes striving to reach the international level. Interviews were used to examine the perceptions of 26 Swedish student-athletes with a mean age of 22.5 years practicing individual sportsatthe national elite level, involved in a career assistance program. Categories identified through thematiccontent analysis were changes experienced in the transition, the career assistance program, resources to adjust to the new level in sport, satisfaction with their current situation, and strategies to adjust to the new level in sport. The athletes highlighted the value of interpersonal support and commitment, and recognized the need to develop further coping strategies, such as stress and time management. Practical implications for promoting successful within-career transitions are discussed. © 2012 Athletic Insight, Inc.

  • 255.
    Bengtsson, Veronika
    et al.
    Halmstad University, School of Health and Welfare.
    Lindälv, Lisa
    Halmstad University, School of Health and Welfare.
    Olsson, Katarina
    Halmstad University, School of Health and Welfare.
    Skolsköterskors uppfattningar av att kommunicera hälsa med elever i årskurs fyra2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Healthiness in childhood gives conditions for a healthy life as an adult. The schools organisation and environment creates unique possibilities for health promotional work aimed at children. The school nurse plays an important role through the regular health visits performed during the school years. To meet children of different ages raises demands on the school nurses ability to communicate and mediate health messages. Health Promotion Model is used as a theoretical frame for the study. The aim of the study was to describe school nurses perceptions of communicating health with pupils in the fourth grade. The study was carried out as a qualitative study with an inductive approach. Six interviews with school nurses were held and the material was analysed with a phenomenografic method. The result of the study describes the school nurses perceptions of health communication with pupils in the fourth grade as a complex task. Three descriptive categories emerged; The relations has significance for health communication, The school nurse has a supporting role in helping the pupil to communicate its own health and The competence of the school nurse has significance for a good health communication. The categories are bound together by the word trust. The result of the study can be used within the school nurses own profession to create a wider understanding of health communication with pupils in the fourth grade. There is a need for further research regarding the pupils perceptions of health communication and also regarding the obstacles that the nurses describes. Research to develop three part communication between child-school nurse-parent is also of importance.

  • 256.
    Bengtsson, Viktor
    et al.
    Halmstad University, School of Health and Welfare.
    Pettersson, Martin
    Halmstad University, School of Health and Welfare.
    Musikintervention: Att använda musik för att lindra smärta2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Pain in all its dimensions is a state of ill health as well as a problem that affects the entire life-world of the individual. At the same time, music is something that all individuals have a subjective experience of what it means and how the body and mind are affected by its rhythm, harmony and melody. Therefore the study aimed to investigate how music as an intervention was perceived as a relief in pain. A literature study was used as method, where 11 scientific articles of both qualitative and quantitative approach was reviewed. The result was divided by code words and placed under the different pain dimensions. The result demonstrated that the music affected the individual's experience of pain in all of the dimensions. The physiological dimension, which focused on the physiological causes of the pain appeared most strongly influenced by the music intervention. Weakest influence the music had on the socio-cultural dimension, which focused largely on how the pain was manifested in the surroundings of the individual. The results also revealed that the most important thing for music intervention to be perceived as reliving in pain was that the piece of music was sufficiently appreciated by the individual.

  • 257.
    Bennedsen, Svetlana
    et al.
    Halmstad University, School of Health and Welfare.
    Boklund, Linda
    Halmstad University, School of Health and Welfare.
    Törnkvist, Mikaela
    Halmstad University, School of Health and Welfare.
    Anhörigvårdare till demenssjuk i hemmet - Erfarenhet av e-hälsa2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aging population is increasing in several countries in the world, which leads to an increase in people with a dementia disease. There is a development work to improve homecare so that the dementia can live at home. For carers who live with a dementia, life changes and the new change can become very demanding, leading to a mental and physical strain. Today, various e-health-based solutions are offered in care. The solutions are presented as a complement to traditional hospital care, when care can be conducted at home. The purpose of the study was to describe the carers experiences of e-health in connection with homecare for a dementia. The study was conducted as an integrative literature study, which gives a deeper understanding of a particular phenomenon in health care. The literature study results are based on 16 scientific articles. The analysis revealed five themes: Improved quality of life, emotional support, increased knowledge, simpler everyday life and technical challenges. EHealth proves to have a positive impact on quality of life, the carers felt safer and found a better balance for working in everyday life. Carers also described that ehealth was an effective way of gaining new knowledge and that it was convenient because they saved resources and energy compared to a visit to a clinic. Although technical challenges arose, the close carers were pleased with e-health-based solutions.

  • 258.
    Bennefors, Sandra
    et al.
    Halmstad University, School of Health and Welfare.
    Bergström, Debbie
    Halmstad University, School of Health and Welfare.
    Mötet efter suicidförsöket: Sjuksköterskans kunskapsbehov vid bemötande av patienter som försökt begå suicid2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The encounter with suicidal patients can occur in different departments depending ontheir need for somatic health care after suicide attempts. There is a need for broaderinterdisciplinary collaboration and knowledge about the encounter and care ofsuicidal patients as low experience in this area can create a risk of poor understandingand treatment of this patient. The nurses’ ignorance and fear to meet these patientsimpede adequate care. The aim was to highlight what knowledge nurses need to carefor patients in somatic departments who have survived suicide attempts. A literaturereview was used as method and included five qualitative and four quantitative articlesthat resulted in two themes and six categories. The first theme Approach in care ofpatients after attempted suicide had the subcategories: radiate hope and empathy;reflect on ones own attitudes, barriers and professional role; understand theimportance of good communication. The second theme Individualized holistic carefor prevention of further suicide attempts had the subcategories: see the whole person;identify risk factors and stressors; find resources for the will to live. The result can bethe implemented in clinical practice to provide nurses with greater knowledge andunderstanding of treatment, personalized guidance, patient safety and the preventionof further suicide attempts. There is an obvious need for updated guidelines,suggestions for continuing aftercare and further research on how suicidal patientsshould be treated in health care.

  • 259.
    Bensvik, Louise
    et al.
    Halmstad University, School of Health and Welfare.
    Leuchovius, Richard
    Halmstad University, School of Health and Welfare.
    Att främja fysisk aktivitet hos inaktiva barn i åldrarna 9-13 år: En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Children spend an increasing amount of time on sedentary activities. A project aimed at children in need of increasing their physical activity level was therefore initiated to prevent overweight and obesity, but also to increase children's involvement in agility and togetherness. Aim: To highlight a physical activity project aimed at children between the ages of 9-13, from the perspectives of the adults. Method: Seven semi-structured interviews were conducted with people involved in the project. The interviews were analyzed with qualitative content analysis. Results: The analysis resulted in two main categories: “Children and adults in a physical activity project ” and “To be leaders in an activity promotion project”. The informants described the project as an open and prestige less activity which created feelings of togetherness in the children and strengthened and increased their self-esteem. The children's attitude towards physical activity also showed increased pleasure and joyness for being physically active and agile. The results show the importance of custom-made projects for sedentary children. Conclusion: A custom-made physical activity project amenable for sedentary children where they can be themselves, and develop with other children and adults, creates an increased joy for physical activity and being agile.

  • 260.
    Berg, Alexandra
    et al.
    Halmstad University, School of Health and Welfare.
    Karlsson, Natalie
    Halmstad University, School of Health and Welfare.
    Dödshjälp eller livshjälp?: Sjuksköterskors upplevelser av palliativ sedering2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses’ role in the palliative care is to promote autonomy, quality of life and relieve suffering. Palliative sedation is a treatment method that aims to reduce unbearable suffering, but leads to a reduced level of consciousness and limitation of autonomy which the nurse contributes to. The aim of the study was to examine nurses' experiences of palliative sedation. The study was conducted as a general literature study, guided by content analysis based on an inductive approach. The results of the literature study reveals that nurses’ experience an ambivalence in the participation of palliative sedation. Nurses' experience ethical dilemmas when the desire to do what seems best for the patient, is inadequate to depriving patient autonomy and fear of hastening death. Guidelines nor the knowledge of palliative sedation are seen enough to provide nurses’ with comfort in their work with palliative sedation. An establishment of regulations and national guidelines are therefor of value to promote good care on equal terms.

  • 261.
    Bergenholtz, Hanna
    et al.
    Halmstad University, School of Health and Welfare.
    Gustafsson, Hanna
    Halmstad University, School of Health and Welfare.
    Det fysiska rummets betydelse för samhörighet och identitet hos studenter på Högskolan i Halmstad2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Högskolan i Halmstad består idag av en uppdelning mellan byggnader och en campusplan har skapats för att bygga om campusområdet med målet att skapa ett campus med mer rörelser på de olika ytorna för att skapa social sammanhållning mellan studenterna. Uppsatsens syfte har varit att skapa sig en förståelse om studenternas uppfattning om de rådande offentliga platserna på Högskolan i Halmstad och deras funktionalitet. Utifrån Rikard som är projektledare för campusområdet och campusplanen 2025 vill vi skapa oss en uppfattning om hur deras vision stämmer överens med studenternas. Forskningsfrågan lyder: Hur upplever studenter på Högskolan i Halmstad att den aktuella utformningen av campusområde påverkar den sociala sammanhållningen bland studenter och vilka förändringar vill studenterna se för att öka sammanhållningen? Tidigare forskning belyser att det är viktigt med de fysiska platserna i staden och dess utformning för att skapa social sammanhållning. Uppsatsen har haft en kvalitativ metod med den hermeneutiska metodansatsen. Resultatdelen har presenterats i sju teman för att kategorisera projektinformantens och studentinformanternas intervjusvar. I resultatet presenteras det att studenterna anser att de offentliga platserna på Högskolan i Halmstad inte har attraktiva mötesplatser och att de saknas en tillhörighet till de andra akademierna på grund av den uppdelningen mellan byggnaderna som råder idag på campusområdet. Resultatet har vidare analyserat med hjälp av teorierna om tillhörighet av Vanessa May, om det offentliga rummet av Rolf Lidskog, om rätten till staden av Don Mitchell och om identitet av Rikard Jenkins. Nyckelord: Offentliga platser, studenter, social sammanhållning, attraktiva mötesplatser, Högskolan i Halmstad

  • 262.
    Berger, Beatrice
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Sandra
    Halmstad University, School of Health and Welfare.
    Patienters upplevelser av att behandlas med medicinsk cannabis vid kronisk smärta: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Chronic pain is a widespread issue and conventional analgesic treatment is insufficient for many patients. Medical cannabis (MC) is discussed today as a pain management alternative but more research is recommended in the field to determine the risks associated with short-term and long-term treatment. The aim of this literature-based study was to explore patient´s experiences of MC as an analgesic treatment in chronic pain. An inductive approach was chosen, of which three articles with a qualitative approach, seven articles with a quantitative approach and a mixed-method article were included in the result. An analysis of the content was conducted and themes with associated subthemes were designed. The result presents different aspects that affect the experience of MC as a treatment. Stigmatization related to MC was found to occur from both the surrounding sphere and healthcare staff. Reduced pain-intensity, increased quality of life and reduction of other drugs were reported. The literature study shows that nurses should acquire knowledge about the drug as well as the experience of it, in order to respond to and inform patients who request this treatment for chronic pain. Nurses also need to be aware of the potential risks of the drug with, for example, adverse effects and risk of further abuse, and work proactively to avoid this. 

  • 263.
    Berggren, Anna
    et al.
    Halmstad University, School of Health and Welfare.
    Zlojutro, Alexandra
    Halmstad University, School of Health and Welfare.
    "Drogmissbrukare faller mellan stolarna": En kvalitativ studie om polis och socialtjänstens åsikt kring Sveriges lagreglering i hanteringen av missbrukare2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 264. Berggren, Ulf
    et al.
    Hägglin, Catharina
    Hallberg, Ulrika
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Psychological and Quality of Life Aspects of Edentulousness and Treatment with Dental Implants2005In: The osseointegration book: from calvarium to calcaneus, Berlin: Quintessence Publishing , 2005, p. 157-172Chapter in book (Refereed)
  • 265.
    Bergh, Susanne
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Skogman, Eva
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Tideman, Magnus
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Vågar lite mer: Studerandes erfarenheter av längre folkhögskolekurser riktade till personer med utvecklingsstörning2010Report (Other academic)
    Abstract [sv]

    Specialpedagogiska skolmyndighetens (SPSM) övergripande uppdrag är att alla ska få möjlighet att nå målen för sina studier och för sin utbildning. Myndigheten arbetar med olika insatser och stöd för att fullgöra detta uppdrag. Den här rapporten handlar om folkhögskolor som får vissa statsbidrag från myndigheten, för att ge stöd till att personer med funktionsnedsättning ska kunna studera där. Myndigheten har till uppgift att följa upp och utvärdera effekter av de statsbidrag som ges.

    Den här rapporten handlar om betydelsen av studier på folkhögskola för personer med utvecklingsstörning. Det är deltagarnas egna erfarenheter och bedömningar av kursernas påverkan på kunskapsutvecklingen, sociala relationer, personlig utveckling och effekter för sysselsättningen som är i fokus. Intervjuer har genomförts med personer som studerar och med personer som tidigare har studerat på folkhögskola.

    I rapportens inledning redogörs för folkbildningens och folkhögskolornas grundläggande karaktär och uppdrag. Några slutsatser som studien visar på är att de studerande är nöjda med sina studier och att den personliga och sociala utvecklingen är i centrum. De flesta har sysselsättning inom daglig verksamhet efter genomförda studier. En slutsats som redovisas i studien är att folkbildningen har betydelse för att öka förutsättningar till ett aktivt liv i gemenskap med andra. Studien pekar även på behov av ökade och fördjupade studier av folkhögskolors betydelse för personer med utvecklingsstörning.

     

  • 266.
    Bergholtz, Helene
    et al.
    Halmstad University, School of Health and Welfare.
    Vilson, Paulina
    Halmstad University, School of Health and Welfare.
    Patienters upplevelse av livskvalitet vid palliativ vård i hemmet: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    An increased number of patients choose to end their life in home environments, with support from palliative efforts from home care services. Since quality of life is an important goal in palliative care, knowledge of the nurse regarding which factors that affect the quality of life in the patients is important. The aim was to through a literature study explore what affected the patient´s experience of quality of life in conjunction with palliative care in the home environment. The result was from ten scientific articles, whereof two qualitative articles, seven quantitative articles and one with mixed method, which resulted in two main categories: Physical and psychological symptoms and psychosocial factors. The result showed that if both physical and psychological symptoms were alleviated, the patient´s quality of life increased. The result also deals with how the nurse in the palliative care can give the patient relevant information, support, security and hope, which also increases the quality of life. By as a nurse be able to give the patient time, both security and quality of life were increased. Something that emerged in the result was that a large proportion of patients suffered from depression, further research is needed for the development of easy-use-screening instruments. Nurses need continuous competence development in palliative care, to be able to develop new skills for the ability to take relevant care measures to be able to increase the perceived quality of life in the patients in the palliative phase.

  • 267.
    Bergholtz, Peter
    et al.
    Halmstad University, School of Health and Welfare.
    Kalajdzic, Bianca
    Halmstad University, School of Health and Welfare.
    Oro hos den perioperativa patienten: Bakomliggande faktorer och anestesisjuksköterskans åtgärder2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Omvårdnadsforskningen har visat att en majoritet av de perioperativa patienterna upplever oro som är direkt kopplad till anestesi och kirurgiska ingrepp. Syftet med denna litteraturstudie var att genom integrativ metod beskriva vad som oroar patienten i samband med anestesi samt att beskriva vad anestesisjuksköterskan kan göra för att lindra den perioperativa oron. I studien ingick 11 artiklar och under granskningen framkommer två tema som ligger till grund för resultatet: Faktorer som skapar oro samt Anestesisjuksköterskans möjligheter att minska oro. Resultatet kan komma att vara till nytta för anestesisjuksköterskan för att bättre kunna bemöta oro hos den perioperativa patienten och ge en god omvårdnad. Något som främjar patientens delaktighet, patientsäkerheten och som i förlängningen kan leda till kortare vårdtider.

  • 268.
    Berglund, Jenny
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Haraldsson, Caisa
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Högt tryck på hälsan: En metasyntes om hur glaukom påverkar livet2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Glaucoma is a progressive chronic disease that slowly decreases visual perception. In order to optimize and individualize the care to people living with glaucoma, the ophthalmic nurse needs to understand the impact glaucoma has on daily life. The aim of this metha-synthesis is to present a synthesis of current research concerning experiences of living with glaucoma. The results of this metha-synthesis indicates that the feelings and experiences of living with glaucoma are coherent internationally. Glaucoma has both an emotional impact and an effect of the perceived autonomy. The treatment and regularly contacts with healthcare providers disturbs daily life. In order to improve the perceived health, persons with glaucoma need knowledge, how to cope with the different dimensions of the disease and the treatment. If the ophthalmic nurse, more efficiently could identify the areas in need of care, health promoted, check-up intervals prolonged, and the costs of healthcare reduced. Further research is needed concerning what persons living with glaucoma would prefer the healthcare to focus on, as well as the socioeconomic impact of their preferences.

  • 269.
    Berglund, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Granville-Self, Anette
    Halmstad University, School of Health and Welfare.
    Distriktssköterskans förhållningssätt till hälsolitteracitet i bemötandet av patienter på en vårdcentral2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Health literacy is the patient's cognitive ability to understand and apply health information. According to Henderson's nursing theory the nurse should understand and assist the patient who does not have sufficient motivation, knowledge or strength to independently achieve health. The aim of this study was to identify the district nurses' attitude to health literacy in their treatment of patients at a medical centre. The study was a qualitative interview study with an inductive approach. Five district nurses from three medical centres were interviewed using an interview guide based on semi-structured questions. A qualitative content analysis was performed and revealed the following theme; the district nurse encouraged patient participation through an approachable and committed approach to health literacy. Three categories were identified; strive for trust, adapt to the patient and encourage empowerment. The district nurses described that they strived to create insight and motivation to encourage them to participate in their own health care. None of the district nurses in this pilot study were familiar with the term health literacy. Despite this, they described that they understood that their patients had differing abilities in understanding and applying information. This pilot study offers a basis for a full-scale study of district nurses application of health literacy, customized to Swedish health care system. 

  • 270.
    Berglöf, Maria
    et al.
    Halmstad University, School of Health and Welfare.
    Kadin Klausner, Cecilia
    Halmstad University, School of Health and Welfare.
    1177 Telefonrådgivning vid ögontillstånd - Ur ett sjuksköterskeperspektiv2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 271.
    Bergman, Bodil
    et al.
    Department of Psychology, Göteborg University, Göteborg, Sweden.
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Moving away from facades: in-depth interviews with subjectively healthy women diagnosed with distress2005In: Qualitative Research in Psychology, ISSN 1478-0887, E-ISSN 1478-0895, Vol. 2, no 2, p. 169-183Article in journal (Refereed)
    Abstract [en]

    Objectives:

    To gain a deeper understanding of why women, diagnosed with mental distress, reported good physical and mental health. What could the reason be and how did they feel four to five years later?

    Method:

    In-depth interviews were conducted with seven women; age 33 to 52, who worked in a Swedish male-dominated industry. The methodological approach relied on grounded theory.

    Results:

    A conceptual model was generated in the analysis, describing a temporal process of change in the women's self-image. Three core concepts illuminated this process:(1) maintaining an ideal self-image, (2) waking up/reappraising health and (3) struggling for a realistic self. The women were moving away from facades of meeting social expectations and pleasing others toward trusting and setting boundaries for themselves. Moving away from symptoms such asasthma, migraine and infections, as well as family problems, they felt and hoped that they had more control over their lives.

    Conclusions:

    A conceptual model was proposed to illustrate a temporal change in women's self-image related to their changing perception of health. Women's newway of life challenges the support system within organizations and society.

  • 272.
    Bergman, Emelie
    et al.
    Halmstad University, School of Health and Welfare.
    Emmelie, Johansson
    Halmstad University, School of Health and Welfare.
    Intensivvårdssjuksköterskans smärtbedömning av en medvetslös patient2015Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Patienter som vårdats på en intensivvårdsavdelning beskriver ofta att de under vistelsen upplevt smärta, vilket kan ge traumatiska minnen lång tid efter. Patienten är i regel ventilatorbehandlad och har en fluktuerande medvetandegrad eller är medvetslösa. Vid medvetslöshet har patienten inte förmåga att uttrycka sig verbalt utan andra sätt att tolka och bedöma smärta ska då användas. Syftet med denna studie var att belysa hur intensivvårdssjuksköterskan evidensbaserat bedömer smärta hos en medvetslös intensivvårdspatient. En deskriptiv kvalitativ studie genomfördes. Fokusgruppsintervju med tre intensivvårdssjuksköterskor utfördes på en intensivvårdsavdelning i Västra Sverige och analyserades med kvalitativ innehållsanalys. Intensivvårdssjuksköterskorna observerade och bedömde patientens ansikts-, kroppsliga- och fysiologiska uttryck. Teamet runt patienten och information av närstående ansågs viktiga vid smärtbedömning. Smärtanamnes och dokumentation var andra faktorer som gav förutsättning för bedömning. Avsaknad av bedömningsinstrument, tidspress och personalbrist utgjorde hinder för smärtbedömning. Bedömningen ansågs vara individuell beroende på erfarenhet, intuition, personlig tolkning och utvärdering efter smärtlindring. Implementering av smärtbedömningsinstrument kan leda till kontinuerlig och strukturerad bedömning.

  • 273.
    Bergman, Erika
    et al.
    Halmstad University, School of Health and Welfare.
    Blomstrand, Stina
    Halmstad University, School of Health and Welfare.
    Din dator sponsrar krig: En kritisk diskursanalys av Apples och Hewlett Packards hållbarhetsrapporter2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med studien är att undersöka hur Apple och HP, genom att kommunicera sina SR-initiativ i sina hållbarhetsrapporter, legitimerar sin verksamhet för sina intressenter. Metod och material: Kritisk diskursanalys av Apples och HPs hållbarhetsrapporter. Huvudresultat: Apple och HP legitimerar sin verksamhet i sina hållbarhetsrapporter, genom att anpassa det språk och ordval som används. De ordval som görs ger direkta konsekvenser för hur företagen framställs i sammanhanget och påverkar hur de fråntar sig ansvaret av sin verksamhet.

  • 274.
    Bergman, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Flodin, Emma
    Halmstad University, School of Health and Welfare.
    Dagens Polis- Ros eller Ris?: En kvalitativ studie om polisers upplevelser av myndighetens omorganisation2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Unsuccessful organizational changes can imply risks that include anxiety, stress and conflicts within the agency. While the management expects the agency to function as it always has, it is not uncommon for the implementation work to be imposed on the employees. Therefore, there is a risk that organizational changes can have consequences that results in people resigning. This bachelor's thesis aims to examine how the reorganization of the Swedish police which implemented on January 1, 2015 is experienced by cops in Intervention activities. Furthermore, we also intended to create an understanding for how police work has been affected by this particular organizational change. What makes our study unique is that it in a nuanced way highlights new aspects of the reorganization from a sociological approach directed on the police officers own emotions and experiences related to the organizational change. The theories we have chosen to start from deal with organizational change from a structural perspective, but also at the individual level. The organizational models Lean Production, The Bureaucratic organizational form and The organizational change theory we have chosen to apply to create an understanding of how the police experience the reorganization's business idea in practice. We have also used the theories Alienation and The struggle to Recognition to gain a deeper understanding of how the police experience that the reorganization has affected their work and working conditions. Our sociological analysis will be based on all theories, scientific articles and the empirical compilation through a detailed discussion in relation to each other. Our study had been based on a qualitative approach through which we collected the empirical data by semi-structured interviews. The collected empirics, associated with our theoretical basis, formed the foundation for our analysis as well as our concluding reflections and conclusions. The most comprehensive conclusion we can compose from the police officers personal experiences of the reorganization, is that there was a deficient communication and information related to the reform that constituted resistance and frictions within the agency.

  • 275.
    Bergseth Bogsti, Wenche
    et al.
    Högskolan i Gjövik.
    Solvik, Elisabeth
    Högskolan i Gjövik.
    Engelien, Ragna Ingeborg
    Högskolan i Gjövik.
    Larsen Moen, Øyfrid
    Högskolan i Gjövik.
    Sønsteby Nordhagen, Siv
    Högskolan i Gjövik.
    Struksnes, Solveig
    Högskolan i Gjövik.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Styrket veiledning i sykepleierutdanningens praksisperioder2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 1, p. 56-60Article in journal (Refereed)
    Abstract [en]

    Background: A more complex and knowledge-based society has resulted in increasing specialization and greater demands on employees in the fields of practice. At Gjøvik University College, a new supervision model was tested for nursing students in practice. The main elements were: daily supervisors were given increased responsibility for assessing the students, while at the same time participating in three group counseling meetings. A portfolio contained the student’s work requirements. A weekly reflection hour was formalized. Purpose: The purpose was to elucidate how the supervision model influenced the student’s learning situation. Method: The SVIP model was evaluated by the use of focus group interviews. The data were analyzed using qualitative content analysis. Findings: Three categories: structure, inclusion and self-confidence describe the students’ need for clear guidelines and objectives, as well as their need to be included and to be seen. Conclusion: Various aspects of clinical practice, including daily supervision are important for student learning. Counseling meetings where the supervisor role is recognized and developed through the tutor, and daily supervisor sharing of experiences and knowledge, should permeate the cooperation.

  • 276.
    Bergsröm, Patrik
    et al.
    Halmstad University, School of Health and Welfare.
    Idoffsson, Agnes
    Halmstad University, School of Health and Welfare.
    Intern employer branding: Ett verktyg för att vara en attraktiv arbetsgivare2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of our survey is to investigate how internal employer branding is used and how it can be useful to attract and satisfy existing staff. In order to respond to our purpose, we have used three questions: What factors contributing to the employer being perceived as attractive by existing staff? In what way does the organization work internally with employer branding to be an attractive employer?, and how is the work with the employer branding internally communicated within the organization?

    In order to answer our questions and achieve the purpose, we have used a method combination. Quantitative surveys with the staff, too investigate which factors that are considered most important for the employer to be attractive and a qualitative interview with an employer representative, to find out how the employer works with the internal employer branding and how the communication looks like.

    The results show that the social part of the work, with community and support of colleagues proves to be most important for the employer to be considered attractive. Interesting and meaningful work is also considered to be very important by the staff. To investigate the needs of the staff and their expectations can be a good idea. To work internally to be an attractive employer can provide an advantage for employers in an increasingly competitive labor market. Communication in an organization is also extremely important and central to how employees perceive their employers. 

  • 277.
    Bergsten, Ulrika
    et al.
    Jonkoping Univ, Sch Hlth Sci, Jonkoping.
    Bergman, Stefan
    Spenshult Hosp, Ctr Res & Dev, Oskarstrom.
    Fridlund, Bengt
    Jonkoping Univ, Sch Hlth Sci, Jonkoping.
    Alfredsson, Lars
    Karolinska Inst, Inst Environm Med, S-10401 Stockholm.
    Berglund, Anita
    Karolinska Inst, Inst Environm Med, S-10401 Stockholm.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Petersson, Ingemar
    Univ Lund Hosp, Dept Rheumatol, S-22185 Lund.
    Patterns of background factors related to early RA patients conceptions of the cause of their disease2011In: Clinical Rheumatology, ISSN 0770-3198, E-ISSN 1434-9949, Vol. 30, no 3, p. 347-352Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to identify patterns of background factors related to the early RA patients' conceptions of the cause of the disease. Conceptions from a qualitative study formed the basis for the stratification of 785 patients from the Swedish EIRA study answering a question about their own thoughts about the cause to RA. Logistic regression analyses were used to explore the associations between patients' conceptions and relevant background factors: sex, age, civil status, educational level, anti-cyclic citrullinated peptide antibody (anti-CCP) and smoking habits. The results were presented as odds ratios (OR) with 95% confidence intervals (CI). A conception of family-related strain was strongly associated with being young (OR 0.50; 95% CI 0.33-0.78 for age 58-70 vs. 17-46), female (OR 0.38; 95% CI 0.25-0.60 for male vs. female) and having a high level of education (OR 2.15; 95% CI 1.54-3.01 for university degree vs. no degree). A conception of being exposed to climate changes was associated with being male (OR 1.99; 95% CI 1.24-3.22 for male vs. female), having a low level of education (OR 0.33; 95% CI 0.18-0.58 for university degree vs. no degree) and positive Anti-CCP (OR 1.72; 95% CI 1.03-2.87 for positive vs. negative Anti-CCP). Linking patients' conceptions of the cause of their RA to background factors potentially could create new opportunities for understanding the complexity of the aetiology in RA. Furthermore, this information is important and relevant in the care of patients with early RA.

  • 278.
    Bergsten, Ulrika
    et al.
    Research and Development Centre at Spenshult Hospital, Oskarström, Swede.
    Bergman, Stefan
    Research and Development Centre at Spenshult Hospital, Oskarström, Swede.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Alfredsson, Lars
    Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.
    Berglund, Anita
    Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.
    Petersson, Ingemar F.
    Lund University Hospital, Lund, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Patients’ conceptions of the cause of their Rheumatoid Arthritis: A qualitative study2009In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 7, no 4, p. 243-255Article in journal (Refereed)
  • 279.
    Bergsten, Ulrika
    et al.
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Spenshult Hosp, Ctr Res & Dev, Oskarstrom, Sweden .
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    “Delivering knowledge and advice”: Healthcare providers’ experiences of their interaction with patients’ management of rheumatoid arthritis2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 4, article id 8473Article in journal (Refereed)
    Abstract [en]

    Rheumatic diseases are often chronic and involve a lifetime of suffering. The focus of rheumatology care is to support patients to manage their lives and master their disease. Healthcare providers and patients have different views on the consequences of living with rheumatic diseases and patients are reporting unmet healthcare needs. There is a need to integrate providers’ perspective to develop the quality of rheumatology care. The aim was to explore healthcare providers’ experiences of their interaction with patients in their management of RA. Interviews with 18 providers from different clinical settings were analysed in accordance with the grounded theory method. A core category; Delivering knowledge and advice was found to be the most important task and involved providing the patient with information about the disease and appropriate forms of treatment. Healthcare providers’ attitudes and patients’ responses influenced the outcome of the delivery of knowledge and advice and three dimensions emerged; completed delivery, adjusted delivery and failed delivery. There were differences in the providers’ experiences in their interaction with patients as well as in reflections on their role as the delivering part. There could be difficulties in the interaction when patients’ expectations and preferences were not taken into account when giving advice. These findings highlight the importance of developing rheumatology care, as no provider or patient benefits if the delivery of knowledge and advice becomes a failed delivery. The healthcare organization must acknowledge the difficulties involved in the interaction with patients in their management of RA and find methods to develop a more person-centred approach to care.

  • 280.
    Bergsten, Ulrika
    et al.
    Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Spenshult Hospital, Oskarström, Sweden.
    Fridlund, Bengt
    Jönköping University, Jönköping, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    "Striving for a good life" - the management of reumatoid arthritis as experienced by patients2011In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 5, p. 95-101Article in journal (Refereed)
    Abstract [en]

    Aim:

    To generate a theoretical model how patients experience their management of rheumatoid arthritis (RA) in everyday life.

    Method:

    An explorative design with the grounded theory approach was used by interviewing 16 informants with RA.

    Results:

    The generated theoretical model emerged in a core category-Striving for a good life with two categories; making use of personal resources and grasping for support from others, which formed the base of managing RA. When relating these categories together, four dimensions emerged which characterised patients' different ways of managing RA: mastering, relying, struggling and being resigned.

    Discussion:

    The management of RA incorporated the use of personal resources and the grasping for support from others. Both self-management strategies and patients' need of support were highlighted as aspects that were of importance when managing RA. Patients' experiences of their need of support to manage RA give extended knowledge that is of importance for nurses and other healthcare providers. The relationship between patients and healthcare providers is always the key to a good encounter. Interventions to increase self-management in RA have to incorporate this knowledge when trying to increase patients' self-efficacy and with their experience of support.

  • 281.
    Bergsten, Ulrika
    et al.
    Spenshult Hospital, Halmstad, Sweden.
    Petersson, Ingemar F.
    Spenshult Hospital, Halmstad, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Perception of tactile massage as a complement to other forms of pain relief in rheumatic disease2005In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 3, no 3, p. 157-167Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate how patients with rheumatic disease perceive tactile massage as a complement to other pain alleviation methods.

    Methods: A phenomenographic approach with semi-structured interviews was employed on a strategic sample of 14 patients with various rheumatic diseases, both inflammatory and non-inflammatory, who had been admitted to Spenshult Rheumatic Hospital.

    Results: Three descriptive categories with a total of nine conceptions emerged. The descriptive categories were: experiencing alleviation, experiencing trust, and gaining insight. Experiencing alleviation described how patients experience relaxation, pleasure and respite. Experiencing trust described how patients experience a sense of security, confirmation and inner peace. Gaining insight described how patients get to know themselves, see possibilities, and experience wholeness.

    Conclusions: When caring for patients who have a chronic illness involving considerable changes to their lives, it is important for health professionals not only to be aware of their physical needs but also to take account of the whole person. This study demonstrates the importance of offering patients a complement to conventional treatment. Tactile massage is a method that promotes a holistic view of patients with chronic pain as well as allowing them to find a new focus in terms of the disease and how they cope with it in their daily lives.

  • 282.
    Bergström, Josefin
    et al.
    Halmstad University, School of Health and Welfare.
    Theandersson, Tina
    Halmstad University, School of Health and Welfare.
    "En väg in": En socialpsykologisk studie om de anställdas upplevelser kring organisationsförändringen "En väg in"2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is that from a social psychological - and relational perspective, create a deeper understanding and explanation of how the employees of customer service "En väg in" in Varberg municipality experienced this organizational change. The sample consisted of six employees and two individuals from the management team. Qualitative approaches with semi structured interviews were used, as well as a hermeneutical approach. In order to analyze and interpret the empirical material previous research and scientific articles were selected and the theories Jacobsen (2013), change management and resistance, Maslow's hierarchy of needs (Aronsson et al 2012), Herzberg two-factor theory (Aronsson et al 2012, Herzberg [1968] / 2003) and McClelland's motivation theory of human needs (Aronsson et al 2012), supplemented by, Scheff (1994) social bonds and differentiation. The most central that emerged in the results is the importance of lack of communication, participation and control. And that the employees had different settings to the change and that the department has not had the time to create a mutual organizational culture. Professional roles inhibit employees to create strong social bonds with each other.

  • 283.
    Bergström, Josefine
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Jennie
    Halmstad University, School of Health and Welfare.
    Lärare eller medarbetare?: En kvalitativ studie om professionstillhörighetens kraft i en stor organisation2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study concerns teacher´s professional identity from three perspectives. Teacher students, professional teachers and HR at two school administrations in Western Sweden. The study deals with how the professional identity of the student and teachers look today, what it is built up of and how HR relates to the teacher’s professional identity. What is the benefit of studying professional identity for the organization and the individuals.  The study is of a qualitative nature and data has been collected through 6 semi-structured interviews. The result shows that the teacher students have a strong professional identity linked to the teacher role, which is created a lot in relation to VFU during the education and  in the expectations of the future professional role. The teacher´s professional identity tends to grow stronger over time and the results for both students and teachers show that the identity is linked to certain parts of the teaching role, parts that the individual himself has the strongest interest for. The result around HR shows that both administrations work with the teacher´s professional identity. Management 1 wishes to eliminate a strong professional identity among the teachers to create a greater tendency for change and focus on the collective efforts and division of labor. Management 2 works to increase the teacher’s specialization and the core assignment that the teachers have. Common to the administrations is their desire for teachers to feel a greater identity also to the organization. From HR it appears that the administrations face a great challenge in the need to reorganize the teacher´s work as a result of the teachers to find a loyalty to the employer. The employer way of retaining and attracting staff is based on understanding the needs of the staff. Understanding the professional identity of their employees can therefor help the organization to form a HR strategy where the teachers perform most effectively in their role.

  • 284.
    Bergström-Wuolo, Maya
    et al.
    Public Health Center, Norrbotten County Council, Luleå, Sweden.
    Dahlström, Josefin
    Health Counselor in Luleå, Luleå, Sweden.
    Hertting, Krister
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Kostenius, Catrine
    Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    My heart has no hurt: The health of young immigrants2018In: International Journal of Migration, Health and Social Care, ISSN 1747-9894, E-ISSN 2042-8650, Vol. 14, no 3, p. 290-304Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this paper is to explore health from the perspective of young immigrants in Sweden.

    Design/methodology/approach: A total of 25 newly arrived young immigrants attending Swedish language classes in northern Sweden participated by drawing and writing open letters. They continued the open-ended sentence “Now I’ll draw and describe a day when I was feeling good, that was […].”

    Findings: The phenomenological analysis resulted in three themes: longing to be in control for a better life, searching for power in the good and the bad, and striving for a sense of belonging in the new society. The findings illuminate young immigrants’ perspectives of a health-promoting everyday life consisting of agency, reflection and a sense of community. The findings also highlight the young immigrants’ experiences when health-promoting aspects are lacking, characterized by disillusionment, anxiety and loneliness. The findings are discussed with health promotion, health literacy and young immigrants in mind.

    Practical implications: According to young immigrants, meeting basic needs such as food, sleep and housing is health promoting but easily taken for granted. Being able to have a say in matters concerning everyday life, social inclusion and finding power in memories – positive and negative – can promote health in young immigrants.

    Originality/value: The young immigrants were able to communicate via drawings and words to overcome language barriers. © 2018, Emerald Publishing Limited.

  • 285.
    Bergvall, Emil
    et al.
    Halmstad University, School of Health and Welfare.
    Karlsson, Kristofer
    Halmstad University, School of Health and Welfare.
    Sverigedemokraterna och medias objektivitet: En kvalitativ innehållsanalys av två dagstidningar kring valet 20142015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Objektivitet i journalistiken är viktigt för demokratin, men i rapporteringen om Sverigedemokraterna finns det mycket osäkerhet. Detta påverkar bilden väljarna får av SD. Syftet med denna studie är att granska objektiviteten i Dagens Nyheter och Hallandspostens konstruktion av Sverigedemokraterna kring valet 2014. Här används Westerståhls definition av objektivitetsbegreppet för att svara på om rapporteringen var sann, relevant, balanserad och neutral. Det diskuteras även om nyhetsrapportering kan sägas vara objektiv utan att uppfylla alla fyra kategorier. Kvalitativ innehållsanalys används på tidningsartiklar i Dagens Nyheter och Hallandsposten under en tvåveckorsperiod kring valet. Det framkommer att 30 % av DN-artiklarna och 21 % av HP-artiklarna var helt objektiva enligt Westerståhls definition, att Dagens Nyheter bättre uppfyllde tre av fyra kategorier, och att relevans och neutralitet är avgörande för nyhetsartikelns totala objektivitet.

  • 286.
    Bergén, Sara
    et al.
    Halmstad University, School of Health and Welfare.
    Björk, Marina
    Halmstad University, School of Health and Welfare.
    Upplevelsen av att vara syskon till ett långvarigt sjukt barn: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The healthy child is affected by living with a sibling that has a chronic disease the same way as it affects the whole family. It is important that the nurse includes the healthy siblings in the care, sees them as a part of the family and helps them to a sense of coherence. The aim in this literature study was to describe the sibling´s experience of having a brother or sister with a chronic disease. The result includes ten articles and from them three themes with subthemes emerged. The first theme is changes for the sibling with subthemes as challenges for the family and challenges in everyday life. The second theme that emerged was the sibling’s needs with four subthemes: need of the family, need in everyday life, need of knowledge and need of support. The last theme was the sibling´s feelings with the following subthemes: feelings about the family, feelings about themselves and feelings about the environment. The siblings want to be seen as a part of the family and they feel that the sibling relationship deepens. They want to be involved in the care of the sick child and they have a need of information about what they can do, but also the need for increased knowledge about diagnosis, treatment and prognosis. 

  • 287.
    Berisha, Lendita
    et al.
    Halmstad University, School of Health and Welfare.
    Lindhe Escobar, Jessika
    Halmstad University, School of Health and Welfare.
    "Det är väldigt många bollar i luften": - Kvalitativ studie med fokus på hur socialsekreterare resonera kring arbetsbelastningen på deras arbetsplats.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to investigate which aspects of social secretaries profession in theorganization that they feel contributes to high workloads, how they describe their handling of itand how they possibly improve their work situation and what work factors they perceive asmeaningful and that makes them still work in social services. To answer the purpose of the studywe used a qualitative approach in the form of semi-structured interviews. These interviews havesince been interpreted to find similarities and differences which then has been analyzed usingsociological theories about the organization's role, requirements and control and sense ofcoherence. The study results show that social workers in periods experienced heavy workload.The result also discusses the various strategies that the social workers made use of to be able tohandle this. The results also showed that social workers felt that there are a lot of rewards andthat they still see their work as meaningful. Our conclusion was that the workload does not needto be seen as a problem as long as the cooperation between management and employees worked.

  • 288.
    Berndtsson, Karin
    et al.
    Halmstad University, School of Health and Welfare.
    Lekman, Petra
    Halmstad University, School of Health and Welfare.
    Jag är unik men ändå som alla andra: En litteraturstudie om att vara ung och leva med en kronisk sjukdom2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    To live with a chronic disease as an adolescent or a young adult is combined with a lifelong reliance on, and frequent contact with the healthcare system. Young people have both life dreams and thoughts of the future that may have to be revalued due to their chronic disease. The study was made as inductive literature review. The aim was to illuminate the experience of adolescence and young adult living with a chronic disease. Four themes emerged: experience of wanting to feel normal, perception of health and quality of life, experiences in relation to the future and experience of independence. The young people with a chronic disease had a desire to be accepted and treated as anyone else. Mental strength and adaption to life were seen as important factors of health. The conclusion was that young people experienced a varying need of support why it is needed knowledge among health care professionals to adapt this. Further research about this specific age group is needed and increased knowledge about this phenomenon is vital for nurses meeting adolescence and young adults with chronic disease.

  • 289.
    Bernhard, Dörte
    et al.
    Linköping University, Linköping, Sweden.
    Barow, Thomas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Die Reform der "Gymnasiesärskola" in Schweden2015In: Die UN-Behindertenrechtskonvention und ihre Umsetzung: Beiträge zur Interkulturellen und International vergleichenden Heil- und Sonderpädagogik / [ed] Annette Leonhardt, Katharina Müller & Tilly Truckenbrodt, Bad Heilbrunn: Verlag Julius Klinkhardt, 2015, p. 258-265Chapter in book (Refereed)
    Abstract [de]

    Im Zuge der schwedischen Gymnasialreform wird derzeit auch die so genannte „Gymnasiesärskola“, die gymnasiale Sonderschule für Jugendliche mit geistiger Behinderung umgestaltet. Diese Schulform soll stärker mit der allgemeinen gymnasialen Stufe zusammenarbeiten. Auch sollen mehr Berührungs­punkte zwischen Schule und Arbeitsleben geschaffen werden, um den Übergang der Jugendlichen in die Berufswelt zu erleichtern. Im Beitrag wird die Schulreform diskutiert, wobei eine stärkere Betonung der Qualifizierungsfunktion von Bildung deutlich wird.

  • 290.
    Bernhard, Dörte
    et al.
    Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
    Barow, Thomas
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Stand und Perspektiven des Krankenhausunterrichts in Schweden2013In: Sonderpädagogische Förderung heute, ISSN 1866-9344, Vol. 58, no 3, p. 323-326Article in journal (Other academic)
  • 291.
    Bernhardsdottir, Johanna
    et al.
    Department of Nursing University of Iceland Reykjavik Iceland & Landspitali-The National University Hospital of Iceland Reykjavik Iceland .
    Dimmit Champion, Jane
    School of Nursing The University of Texas at Austin Austin, TX USA .
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). The Institute of Health and Care Science Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden.
    The experience of participation in a brief cognitive behavioural group therapy for psychologically distressed female university students2014In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 21, no 8, p. 679-686Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to elucidate the experience of participation in four sessions of cognitive behavioural group therapy for psychological distress for female university students' (n = 19), aged 22–45 years. Data were gathered with semi-structured interviews during March and April 2008 and analysed according to thematic content analysis. The results identified four themes: ‘Gaining knowledge and understanding’, ‘Becoming more balanced and positive in thinking’, ‘Feeling more self-confident and in control’ and ‘Opportunities for practice and in-depth reflections’. Future recommendations include an increase in sessions from four to five, with one booster session to follow-up on newly acquired skills. © 2013 John Wiley & Sons Ltd.

  • 292.
    Bernson, Jenny M.
    et al.
    Department of Behavioral and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Elfstrom, Magnus L.
    Department of Psychology, School of Sustainable Development of Society and Technology, Mälardalen University, Eskilstuna, Sweden.
    Hakeberg, Magnus
    Department of Behavioral and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    'Making dental care possible - a mutual affair'. A grounded theory relating to adult patients with dental fear and regular dental treatment2011In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 119, no 5, p. 373-380Article in journal (Refereed)
    Abstract [en]

    Dental fear is a common and widespread problem, which can cause severe stress. Even so, most patients with dental fear undergo regular dental treatment in spite of their fear and many enjoy good oral health. The aim of this study was to obtain a deeper understanding of how patients with dental fear manage to undergo dental treatment. Fourteen patients with dental fear, who undergo regular dental care, were interviewed. Qualitative analysis of the transcribed interviews was performed according to the principles of grounded theory. A conceptual framework was generated, and the main concern was identified as 'making dental care possible - a mutual affair'. Four additional categories explained how patients handled their dental fear and how dental care became possible. The strategies were labelled 'taking part in a mental wrestling match', 'trust-filled interaction with dental staff', 'striving for control' and 'seeking and/or receiving social support'. The results showed that making dental care possible for patients with dental fear is a mutual challenge that requires interplay between dental staff and patients, involving verbal and non-verbal communication reflecting respect, attention, and empathy. Moreover, a balance between nearness and distance and between professional and personal treatment is required.

  • 293.
    Berntsson, Linda
    et al.
    Halmstad University, School of Health and Welfare.
    Kvick, Angelica
    Halmstad University, School of Health and Welfare.
    Se mig, inte min cancer!: Upplevelsen av livskvalitet hos kvinnor med bröstcancer.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Breast cancer is the most common cancer among women, it is therefore important forthe healthcare services to know how it affects the women’s experience of quality oflife. The aim of this study was to examine the experience of quality of life in womenwith breast cancer. From a systematic review of the literature, three themes emerged:physical changes, emotional reactions and meaning of support. The womenexperienced physical reactions such as fatigue, sleeping difficulties and pain whichnegatively affected their quality of life. The quality of life was also affected by thechange of body image which could arise at treatment. The women experienced thatthey didn’t receive enough information from the health care personnel, this also hadan impact on their quality of life. They emphasized the importance of meaningfulrelationships and that social support could increase their quality of life. It is importantthat the health care personnel become aware of the fact that the quality of life isaffected by several aspects in the women’s life to help her maintain her quality of life.It is clear the further qualitative research should be carried out in order to achieve abetter understanding of how to help women achieve a better quality of life whenconfronted with this disease.

  • 294.
    Berntsson, Maria
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Ulrika
    Halmstad University, School of Health and Welfare.
    Warensce, Eva
    Halmstad University, School of Health and Welfare.
    Vård i hemmet - kroniskt sjuka äldre personers upplevelser2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The amount of elderly receiving care in their homes is increasing, where informal care account for a large part. The purpose of this study is to highlight the experiences of receiving care at home for elderly, chronically ill. The study was conducted as an integrative literature review, which contributes to a deeper understanding and an overall view of a certain phenomenon. Elderly felt alienated as a result of being treated as objects. Sense of affinity in mutual relationships with family and caregivers inflicted a positive experience of receiving care at home. Elderly, which completely or partly received informal care, felt that they were cared for by someone who knows their routines and needs. Informal care felt natural, but it also gave the care receiver a sense of anxiety and fear of being a burden. The home is an important place for the elderly chronically ill, since the home represents identity, integrity and history and gives a feeling of inner peace. The study showed that more time, personnel and knowledge is required in home care in order to consider the needs of the elderly and to reduce their sense of alienation. More qualitative studies are necessary to highlight their experience and to extend the knowledge of how the caregivers can respond to the elderly chronically ill in their homes.

  • 295.
    Berntsson, Tommy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Den prehospitala vårdrelationen ur ambulanssjuksköterskors perspektiv2010In: Forskningsseminarium 11 november 2010 Kunskapscentrum Prehospen, Högskolan i Borås.: Vårdande möten-möjligheter och hinder, 2010Conference paper (Other academic)
  • 296.
    Berntsson, Tommy
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Den prehospitala vårdrelationens sakaspekt -skapar förutsättningar för att förstå och tillgodose personens behov2013In: PreHospen 2013: Prehospital vård för att värna om patientens hälsa, 2013Conference paper (Other academic)
    Abstract [en]

    Background: To be able to further develop the pre-hospital emergency care from a nursing perspective, both in the clinical setting and in the educational setting, it is important to get a better understanding and clarification of the pre-hospital nurse-patient relationship. Therefore, a study was conducted (Berntsson and Hildingh, 2012) to explore how the phases of the pre-hospital nurse–patient relationship described by Suserud (Dahlberg et al., 2003), emerge in 17 specialist ambulance nursing students (SANs) descriptions of ambulance missions. 

    Methods: The study has a descriptive design and uses a qualitative research method. An analysis method, qualitative content analysis with a directed approach, was used. A directed approach means that the analysis is based on existing theory or prior research (Hsieh and Shannon, 2005). In this study we decided to use Suserud’s description (Dahlberg et al., 2003) of the phases of the prehospital nurse–patient relationship to govern the analysis and the identification of categories. 

    Results: In the orientation phase of the pre-hospital nurse–patient relationship, there was an ongoing analysis process in which the SANSs were seeking to obtain an initial picture of the situation, this was made by: understand the situation with support from the EMD team, from a collegial discussion, from one’s own first assessment, from the patients and relatives or witnesses description, from the colleague’s actions, from some other health-care professional’s assessments and actions. 

    In the identification phase of the nurse–patient relationship, the SANSs made an extended assessment of the situation to understand the patient’s current needs, this was made by; assess the airway, the breathing, the circulation, the consciousness, the level and experience of pain, perform a head to toe assessment, collecting the patients’ health history and note aggravating environmental factors for care and transfer. 

    In the exploitation phase of the pre-hospital nurse–patient relationships, the SANSs focus was on the hands-on care of the patient, this was made by; provide care by managing ABC problems, assessing the cause for the disability problem, managing head-to toe problem, performing actions to prevent hypothermia, creating an intravenous access, managing pain problems, transferring the patient to the stretcher and the ambulance, assessing the patient’s vital signs and by selecting appropriate driving speed.

    In the resolution phase the SANSs targeted their attention towards the receiving care unit and the forthcoming care, this was made by; pre-warn or speak with the receiving unit, inform the patient about the continuing care in the receiving care unit, transfer the patient from the ambulance stretcher on the receiving unit, report to the receiving care unit, finish the nurse–patient relationship and follow up the patient’s condition.

    Conclusion: The results of the study show that the phases in the nurse–patient relationship, as described by Suserud (Dahlberg et al., 2003), appeared in the SANSs descriptions of ambulance missions. Furthermore, the study reveals that each phase of pre-hospital nurse–patient relationship includes several parts; these findings extend Suserud’s (Dahlberg et al., 2003) description.

  • 297.
    Berntsson, Tommy
    et al.
    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).
    The nurse-patient relationship in pre-hospital emergency care: form the perspective of Swedish specialist ambulance nursing students2013In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 21, no 4, p. 257-263Article in journal (Refereed)
    Abstract [en]

    The development of the Swedish ambulance service has resulted in three different competence levels in Swedish ambulance teams: specialist ambulance nurses, registered nurses and emergency medical technicians. A nursing scientific model developed by Peplau (Peplau, H., 1991. Interpersonal Relations in Nursing. Springer Publishing Company, New York.) breaks down the nurse-patient relationship into a number of phases: an orientation, an identification, an exploitation and a resolution phase. This model has then been adapted to the pre-hospital emergency care by Suserud (Dahlberg, K., Segesten, K., Nyström, M., Suserud, B.-O., Fagerberg, I., 2003. Att förstå vårdvetenskap [To Understand Caring Science]. Studentlitteratur, Lund.). The purpose of this study was to explore, by direct content analysis, how the phases of the pre-hospital nurse-patient relationship described by Suserud (Dahlberg et al., 2003), emerge in 17 specialist ambulance nursing students descriptions of ambulance missions. The results show that the four phases of the pre-hospital nurse-patient relationship could be identified and each phase includes several different parts. Furthermore, the results show that the parts of each phase can vary depending on the patient's condition and the environmental circumstances of the ambulance mission. This improved understanding of the four phases of the pre-hospital nurse-patient relationship, and their parts, could be used by ambulance team members as a support during the pre-hospital caring process in ambulance missions. This new knowledge could also be used in education. © 2012 Elsevier Ltd.

  • 298.
    Berntsson, Tommy
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Wallinvirta, Eivor
    Arcada högskola Helsingfors, Helsingfors, Finland.
    Nyström, Patrik
    Arcada högskola Helsingfors, Helsingfors, Finland.
    Patientsäkerhet och vårdandets etik2013In: PreHospen 2013: Prehospital vård för att värna om patientens hälsa, 2013Conference paper (Other academic)
    Abstract [en]

    Background: An international collaborative project has been ongoing since 2009 between the Ambulance training program in Nursing at the University of Halmstad and the program in Emergency Care at Arcada University of Applied Sciences. The purpose is to jointly develop knowledge about patient safety and caring ethics, through participation in experiential skills development in innovative environments. The focus areas of collaboration are: 1) To learn safety by preventing and creating resistance to human errors and malpractices in health care 2) To become aware of the outer and inner ethics, as a basis of use of the self 3) To create conditions for inner leadership and personal responsibility in health care. The course content planning is guided by an integrative pedagogy, which contains an active simulation exercise.

    Methods: Simulation exercises are given to interdisciplinary student teams at a one week exchange program in Helsinki in spring and in Halmstad in autumn. The assessment is a written work, and the student deepens understanding in evidence-based research.

    Results: Simulation has given students opportunities for an active and motivational approach to learning, where a high degree of knowledge, creativity and reflection co-exist. Students have expressed that they have learned to think and act in terms of patient safety and ethics. The concepts have been concrete and visibly demonstrated by simulating everyday prehospital emergency situations: e.g. a situation in which the patient refuses to be transported. The simulation exercises have explained theory and built bridges to practice.

    Conclusions: The discussions of reflection in interdisciplinary groups and after the simulations have been fruitful, due to students´ different experiences, but also because of awareness of cultural similarities and differences. Students have adopted permanent values of concrete models for how to act safely and ethically at the individual, community and organizational level.

  • 299.
    Bexell, Tove
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Maria
    Halmstad University, School of Health and Welfare.
    Sarman, Stefan
    Halmstad University, School of Health and Welfare.
    Specialistutbildade sjuksköterskans uppfattning av att kunna identifiera patienter med misstänkt stroke inom den prehospitala vården2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I Region Skåne finns tydliga behandlingsriktlinjer gällande prehospitalt omhändertagande av patienter med misstänkt stroke i vårdprogrammet "Rädda hjärnan". Det saknas ett enhetligt bedömningsinstrument som specialistutbildade sjuksköterskor inom ambulans kan använda för att känna sig säkrare och tryggare i sin identifiering av patienter med misstänkt stroke. Syftet med studien var att undersöka specialistutbildade sjuksköterskors uppfattning av att kunna identifiera patienter med misstänkt stroke inom den prehospitala vården. Studien genomfördes med en kvantitativ ansats i form av enkätundersökning som delades ut till 35 specialistutbildade sjuksköterskor. Resultatet av studien visade att en majoritet av respondenterna upplevde att det hade underlättat med ett enhetligt bedömningsinstrument i deras bedömning av patienter med misstänkt stroke. Det framkom även att respondenterna upplevde en större säkerhet med att fastställa debuttiden med hjälp av anhöriga eller vittnen, jämfört med om bedömningen gjordes enbart med hjälp av patienten. Det framkom även att respondenterna kände sig relativt säkra på när vårdprogrammet skulle aktiveras, trots att över hälften upplevde att det inte fanns klara direktiv om hur en neurologisk undersökning skall utföras. Vår rekommendation för vidare utbildning är en gemensam stroke dag för alla medarbetare i vårdkedjan. Om fler patienter kommer under behandling snabbare kan det vara en samhällsekonomisk besparing på grund av mindre restsymtom och kortare vårdtider.

  • 300.
    Billsten, Johan
    et al.
    Department of Psychology, Linnaeus University, Sweden.
    Fridell, Mats
    Department of Psychology, Lund University, Sweden.
    Holmberg, Robert
    Department of Psychology, Lund University, Sweden.
    Ivarsson, Andreas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Organizational Readiness for Change (ORC) test used in the implementation of assessment instruments and treatment methods in a Swedish National study2018In: Journal of Substance Abuse Treatment, ISSN 0740-5472, E-ISSN 1873-6483, Vol. 84, p. 9-16Article in journal (Refereed)
    Abstract [en]

    Organizational climate and related factors are associated with outcome and are as such of vital interest for healthcare organizations. Organizational Readiness for Change (ORC) is the questionnaire used in the present study to assess the influence of organizational factors on implementation success. The respondents were employed in one of 203 Swedish municipalities within social work and psychiatric substance/abuse treatment services. They took part in a nationwide implementation project organized by the Swedish Association of Local Authorities and Regions (SALAR), commissioned by the Swedish National Board of Health and Welfare. Aim The aims were: (a) to identify classes (clusters) of employees with different ORC profiles on the basis of data collected in 2011 and (b) to investigate ORC profiles which predicted the use of assessment instruments, therapy methods and collaborative activities in 2011 and 2013. Design and recruitment The evaluation study applied a naturalistic design with registration of outcome at consecutive assessments. The participants were contacted via official e-mail addresses in their respective healthcare units and were encouraged by their officials to participate on a voluntary basis. Statistics Descriptive statistics were obtained using SPSS version 23. A latent profile analysis (LPA) using Mplus 7.3 was performed with a robust maximum likelihood estimator (MLR) to identify subgroups (clusters) based on the 18 ORC indexes. Results A total of 2402 employees responded to the survey, of whom 1794 (74.7%) completed the ORC scores. Descriptive analysis indicated that the respondents were a homogenous group of employees, where women (72.0%) formed the majority. Cronbach's alpha for the 18 ORC indexes ranged from α = 0.67 to α = 0.78. A principal component analysis yielded a four-factor solution explaining 62% of the variance in total ORC scores. The factors were: motivational readiness (α = 0.64), institutional resources (α = 0.52), staff attributes (α = 0.76), and organizational climate (α = 0.74). An LPA analysis of the four factors with their three distinct profiles provided the best data fit: Profile 3 (n = 614), Profile 2 (n = 934), and Profile 1 (n = 246). Respondents with the most favorable ORC scores (Profile 3) used significantly more instruments and more treatment methods and had a better collaborating network in 2011 as well as in 2013 compared to members in Profile 1, the least successful profile. Conclusion In a large sample of social work and healthcare professionals, ORC scores reflecting higher institutional resources, staff attributes and organizational climate and lower motivational readiness for change were associated with a successful implementation of good practice guidelines for the care and treatment of substance users in Sweden. Low motivational readiness as a construct may indicate satisfaction with the present situation. As ORC proved to be an indicator of successful dissemination of evidence-based guidelines into routine and specialist healthcare, it can be used to tailor interventions to individual employees or services and to improve the dissemination of and compliance with guidelines for the treatment of substance users. © 2017

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