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  • 251.
    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.

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  • 252.
    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. 

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  • 253.
    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.

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  • 254.
    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.

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  • 255.
    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.

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  • 256.
    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.

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    Livet ur ett annat perspektiv
  • 257.
    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.

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  • 258.
    Brask, Julia
    et al.
    Halmstad University, School of Health and Welfare.
    Andersson, Evelina
    Halmstad University, School of Health and Welfare.
    Glöm inte bort att vi är två: Föräldrars erfarenheter av vården i samband med missfall2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to explore parents’ experience of healthcare in the event of miscarriage. Miscarriage is a complication of pregnancy and affects around half of every pregnancy. Care is often sought by the parents when the woman gets symptoms of miscarriage during pregnancy. Feelings like grief, helplessness, fear, anxious and the feeling that the situation is beyond control is common when miscarrying. The parents may have difficulties in letting expectations they built up for the future go. It is important that parents get care and support during and after the miscarriage. The study was conducted as a general literature study with an inductive approach, where scientific articles with a qualitative design where analysed. The result from the study emerged in three categories: (1) The experience of healthcare environment and the act by healthcare professionals, (2) Experience of information from healthcare and (3) Experience of support from healthcare. The result of the literature study shows that both parents are in need of care when miscarrying. Miscarriage imply both emotional and psychological impact on the parents, where both parents need confirmation, empathy and understanding from the nurse. The parents experienced a need of further information and further support in different forms. To fulfil good care and to meet the parents’ needs in the event of miscarriage, the nurse should inform, meet the parents and answer their questions and thoughts, offer and give support and follow-up care after miscarriage.

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  • 259.
    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.

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  • 260.
    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.

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  • 261.
    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)
  • 262.
    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.

  • 263.
    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.

  • 264.
    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.

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  • 265.
    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

  • 266.
    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)

  • 267.
    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.

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  • 268.
    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.

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  • 269.
    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.

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  • 270.
    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.      

     

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  • 271.
    Broström, Anders
    et al.
    Linköping University, Linköping, Sweden.
    Strömberg, Anna
    Linköping University, Linköping, Sweden.
    Dahlström, Ulf
    Linköping University, Linköping, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS).
    Congestive heart failure, spouses' support and the couple's sleep situation: a critical incident technique analysis2003In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 12, no 2, p. 223-233Article in journal (Refereed)
    Abstract [en]

    Sleep related breathing disorders are common as well as a poor prognostic sign associated with higher mortality in patients with congestive heart failure (CHF). These patients often have a shorter total duration of sleep, disturbed sleep structure and increased daytime sleepiness, which can negatively affect all dimensions of the life situation. The spouse has an important role in supporting the patient in relation to sleep disorders, but this role may be adversely affected by the sleep situation of the couple. The aim of this study was to describe decisive situations that influence spouses' support to patients with CHF in relation to the couple's sleep situation. A qualitative descriptive design using critical incident technique was employed. Incidents were collected by means of interviews with 25 spouses of patients with CHF, strategically selected from two hospital-based specialist clinics in southern Sweden. Two main areas emerged in the analysis: support stimulating situations and support inhibiting situations. Support stimulating situations described how spouses' support was positively affected by their own adaptation in psychosocial or practical situations, and receiving help from others. Support inhibiting situations described how the spouses' support was negatively affected by sleep disturbances as a result of the patient's symptoms, anxiety in relation to the disease, limitations as a result of the sleeping habits, dissatisfaction with care related to the sleep situation, and being left to cope alone with the problems. An increased understanding of the stimulating and inhibiting situations influencing spouses' support for patients with CHF can guide health care personnel in deciding if an intervention is needed to improve the sleep situation for patient and spouse.

  • 272.
    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.

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  • 273.
    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.

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    FULLTEXT01
  • 274.
    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.

  • 275.
    Brännén, Gabriella
    et al.
    Halmstad University, School of Health and Welfare.
    Hellström, Linn
    Halmstad University, School of Health and Welfare.
    Livskvalité vid långvarig smärta2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Långvarig, icke-malign smärta är ett utbrett problem och påverkar många aspekter i livet. Behandling av långvarig smärta är komplext och kräver ett samarbete mellan flera professioner för att uppnå god effekt. Sjuksköterskor har en viktig roll i att stödja och delaktiggöra patienten i att hitta strategier för att bibehålla god livskvalitet. 

    Syftet var att beskriva patienters upplevelse av hur livskvaliteten påverkas vid långvarig smärta. Litteraturstudien utgår från en induktiv ansats med tio vetenskapliga originalartiklar i resultatet, samtliga artiklar har kvalitativ ansats. Innehållet i artiklarna har analyserats och granskats enligt innehållsanalys och tillslut bildat tre teman: psykisk påverkan, förändrad självbild och begränsade sociala kontakter. Resultatet visar att personers upplevelse av påverkan på livskvalitet vid långvarig smärta är starkt sammankopplat med sociala kontakter, strategier för smärthantering och stöd från anhöriga. Personer med långvarig smärta upplever ofta psykisk påverkan och förändrad självbild, samt begränsade sociala kontakter. Det sociala stödet är av betydande roll för personer med smärta och direkt avgörande för hur personerna hanterar och lever med smärta.

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  • 276.
    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.

  • 277.
    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.

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  • 278.
    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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    Kandidatuppsats Emellie Bermhed och Hang Bui
  • 279.
    Bundesen, Ing-Marie
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Natural rubber latex: a matter of concern for nurses2008In: AORN Journal, ISSN 0001-2092, E-ISSN 1878-0369, Vol. 88, no 2, p. 197-210Article in journal (Refereed)
    Abstract [en]

    During the past 20 years, the use of protective gloves in health care has increased, as have hypersensitivity reactions to the natural rubber latex (NRL) used in glove manufacture. A study was conducted to determine what nurses who work in environments in which NRL is commonly used know about NRL, including their education about and experience with NRL-related allergies. Nurses replied to a questionnaire with 20 statements pertaining to NRL and NRL-related allergies. The results showed that the nurses had inadequate knowledge about NRL, but nurses in a specialty training program scored significantly higher than professionally active nurses.

  • 280.
    Bussler, Rebecka
    et al.
    Halmstad University, School of Health and Welfare.
    Gotthardsson, Ida
    Halmstad University, School of Health and Welfare.
    Rydiander, Åsa
    Halmstad University, School of Health and Welfare.
    Du får inte köra!: Ögonsjuksköterskans erfarenheter av att informera patienten om att synkraven för körkort inte uppnås.2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It is part of the ophthalmic nurse’s duties to measure functions relating to sight and to report outcomes of such examinations. It can feel difficult to deliver information about sight no longer being sufficient to fulfil the requirements for a drivers’ licence, as such information may negatively impact quality of life. The purpose of this study was to examine the experiences of ophthalmic nurses in informing the patients that their vision no longer fulfils the requirements for holding a drivers’ license. The study comprised interviews in which nine nurses participated. A qualitative content analysis of the collected data was conducted. Three categories emerged: person-centering the delivery of information, reactions of patient affect the delivery of information and circumstances affect the delivery of information. The results show that ophthalmic nurses were deeply involved in drivers’ licence cases, and most of them felt a responsibility to inform patients when their sight fell short of requirements for drivers’ license. By means of a person-centred approach, nurses attempted to create the best conditions in which to involve patients. The time of information delivery was impacted by the reactions of patients, as well as other circumstances such as the type of patient diagnosis and the consequences this information might have for the patient. It was deemed significant that ophthalmic nurses had good knowledge of process and judgment in matters of drivers’ licenses, why such education is recommended. Sufficient time for those meetings was shown to be important. In order to further improve ophthalmic caring, it is important to also highlight the patients’ experience at the time of information.

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  • 281.
    Byhlin, Emelie
    et al.
    Halmstad University, School of Health and Welfare.
    Alzén, Linnéa
    Halmstad University, School of Health and Welfare.
    Att belysa familjeförhållandena i en familj där en förälder lider av bipolär sjukdom2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bipolar disorder is a disorder who makes the victim oscillate between manic and depressive episodes. The perceived disease affects not only the afflicted but also the family members and relatives of the affected’s life. Efforts to help the affected families is important for the nurse, for a well-functioning support from health care can ease the health of those involved drastically. The aim of the study was to highlight what it means to live in a family where a parent is suffering from bipolar disorder. A literature review was conducted and the results are based on eleven scientific articles. After the articles had been analyzed three categories emerged: risks, burdens and support. The results showed that in many ways, help is needed from health care to families where an adult suffering from bipolar disorder for them to be able to get a functioning daily life. There were many risks and the related was carrying multiple burdens. By supporting the families with counseling, information and relief they made daily life bearable. 

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  • 282.
    Bylander, Mårten
    et al.
    Halmstad University, School of Health and Welfare.
    Duphorn, Elvira
    Halmstad University, School of Health and Welfare.
    Att möta det outtalade svåra: Inställningar hos vårdpersonal mot personer med självskadebeteende2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    För att vården ska bli optimal för personer med självskadebeteende krävs adekvat bemötande från vårdpersonal. Bemötande påverkas av vilka inställningar vårdpersonal har mot patientgruppen. För att förbättra vården för personer med självskadebeteende är det av betydelse att undersöka vilka faktorer som påverkar inställningen. Syftet med litteraturstudien var att belysa faktorer som påverkar inställningar hos vårdpersonal gentemot personer med självskadebeteende. Metoden var en litteraturstudie baserad på elva vetenskapliga artiklar vilka analyserades, bearbetades och sammanställdes. Resultatet visade att inställningar hos vårdpersonal mot personer med självskadebeteende påverkades av olika bakomliggande faktorer. Fem teman framkom vid bearbetning av artiklarna och representerar studiernas viktigaste resultat: kunskap, rutin och praktisk möjlighet, upplevd förmåga att vårda, ålder och kön samt personen bakom beteendet. Den faktor som i högst utsträckning gick att påverka var kunskap, det visade sig att god kunskap om självskadebeteende ledde till en mer positiv inställning. Inlärningstillfällen inom självskadebeteende bör erbjudas vårdpersonal samt ingå i alla vårdprofessioners utbildningar. Vidare forskning om betydelsen av vårdpersonals bemötande mot personer med självskadebeteende behövs för att främja omvårdnadsprocessen. 

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  • 283.
    Bäcklund, Anna-Lena
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Näslund, Susanne
    Halmstad University, School of Social and Health Sciences (HOS).
    Torebrink Hylander, Annika
    Halmstad University, School of Social and Health Sciences (HOS).
    Uttryck för lidande inom omvårdnad2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Suffering is a natural and inevitable part of human life. One of the central parts in health care is to alleviate suffering. Consequently, the present knowledge state is of importance to follow up. The aim of this study was to describe suffering in nursing. The study was conducted as a literature review were 15 scientific articles were the basis for the results. The result of this literaturereview was divided into six themes in nursing: "Existential suffering", "Suffering in life", “Suffering in illness", "Suffering in care", "Socioemotional suffering" and ”Perceptions of suffering in nursing staff." Expressions of suffering of the patient are found to be found similar in recent studies compared to the suffering described in research further back. Recent studies additionally indicate other expressions of suffering and approaches to alleviate suffering in nursing. It emerges that the focus in care tends to be primarily focused on treatment of physical symptoms. A holistic focus, with awareness of existential, psychological, cultural and social dimensions, is necessary to promote health and to alleviate suffering. To respond to the patient in its suffering, awareness of the nurse’s own experiences of suffering is required. Further research and illumination of the subject in the nursing program is of importance.

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    Uttryck för lidande inom omvårdnad
  • 284.
    Bökberg, Christina
    et al.
    Department of Health Sciences, Faculty of medicine, Lund University, Sweden.
    Ahlström, Gerd
    Department of Health Sciences, Faculty of medicine, Lund University, Sweden.
    Hallberg, Ingalill R
    Department of Health Sciences, Faculty of medicine, Lund University, Sweden.
    Karlsson, Staffan
    Department of Health Sciences, Faculty of medicine, Lund University, Sweden.
    Janlöv, Ann-Christin
    School of Health and Society, Kristianstad University, Sweden.
    Professional care providers and stakeholders’ views of best practice in the care for persons with dementia in Sweden2013In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 17, no Suppl. 1, p. S369-S370Article in journal (Refereed)
    Abstract [en]

    Introduction: Dementia implies progressive loss of mental and physical functions during the trajectory of the disease (Porter & Kaplan, 2012). Persons with dementia need involvement of various and several care providers throughout the stages of dementia, and more knowledge is needed about best practice strategies in this complexity of care (Gurner, 2001). The aim of the study was to explore professional care providers and stakeholders’ views of best practice in concepts of information, collaboration and communication in the care for persons with dementia in Sweden.

    Method: The study had a qualitative approach based on three focus group interviews with a variation among participants regarding professions and workplaces to represent different types of care for persons with dementia from diagnosis to end of life care. The transcribed verbatim was analyzed with qualitative content analysis.

    Preliminary results: In early stages primary health care specialized in dementia had close collaboration, training and mentoring, with memory clinic and home care. In the later stages the person with dementia had less frequent contacts with primary health care. Day care played an important role in information delivery of the disease, in collaboration with home and institutional care. In the latest stage the family had an important role as a proxy for the person with dementia about desires in the care.

    Conclusion: A well-functioning network in professional care seems to have an impact on persons with dementia to remain at home despite loss of mental and physical functions.

    On the behalf of RightTimePlaceCare consortium. http://www.righttimeplacecare.eu.

  • 285.
    Bökberg, Christina
    et al.
    Department of Health Sciences, Faculty of medicine, Lund University, Lund, Sweden.
    Ahlström, Gerd
    Department of Health Sciences, Faculty of medicine, Lund University, Lund, Sweden.
    Karlsson, Staffan
    Department of Health Sciences, Faculty of medicine, Lund University, Lund, Sweden.
    Hallberg, Ingalill R.
    Department of Health Sciences, Faculty of medicine, Lund University, Lund, Sweden.
    Janlöv, Ann-Christin
    School of Health and Society, Kristianstad University, Kristianstad, Sweden.
    Professional care providers and stakeholders’ views of best practice in the chain of care for persons with dementia in Sweden2013In: Nordic Advances in Health Care Sciences Research: Abstract Book, 2013, p. 98-98Conference paper (Refereed)
    Abstract [en]

    Background: To meet the increasing needs for persons with dementia and their relatives a well-functioning health care system in which resources are used optimally is needed. For this to be achieved requires strategy and planning of synergies between the different cares providers. This study will explore professional caregivers’ and stakeholders’ views of best practice in terms of information, collaboration and communication in dementia care.

    Aim: The aim of the study was to explore professional care providers’ and stakeholders' views of best practice in concepts of information, collaboration and communication throughout the trajectory of care from diagnosis to end of life care for persons with dementia in Sweden.

    Method: The study had a qualitative approach based on three focus group interviews with a variation among participants regarding professions and workplaces to represent different types of care for persons with dementia from diagnosis to end of life care. The transcribed verbatim was analyzed with qualitative content analysis.

    Preliminary results: In early stages primary health care specialized in dementia had close collaboration, training and mentoring, with memory clinic and home care. In the later stages the person with dementia had less frequent contacts with primary health care. Day care played an important role in information delivery of the disease, in collaboration with home and institutional care. In the latest stage the family had an important role as a proxy for the person with dementia about desires in the care.

    Conclusion: A well-functioning network in professional care seems to have an impact on persons with dementia to remain at home despite loss of mental and physical functions.

  • 286.
    Bökberg, Christina
    et al.
    Health Sciences, Faculty of Medicine, Lund Univiersity, Lund, Sweden.
    Ahlström, Gerd
    Health Sciences, Faculty of Medicine, Lund Univiersity, Lund, Sweden.
    Karlsson, Staffan
    Health Sciences, Faculty of Medicine, Lund Univiersity, Lund, Sweden.
    Hallberg, Ingalill Rahm
    Health Sciences, Faculty of Medicine, Lund Univiersity, Lund, Sweden.
    Janlöv, Ann-Christin
    School of Health and Society, Kristianstad University, Kristianstad, Sweden.
    Best practice and needs for improvement in the chain of care for persons with dementia in Sweden: a qualitative study based on focus group interviews2014In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 14, no 1, article id 596Article in journal (Refereed)
    Abstract [en]

    Background: Persons with dementia receive health care and social services from a wide range of professional care providers during the disease trajectory, presenting risks of miscommunication, duplication and/or missed nursing interventions. Accordingly, the aim of this study was to investigate professional care providers' views on conditions for best practice in terms of collaboration and improvement needs in the chain of care from early to end-of-life stage for persons with dementia in Sweden.

    Methods: The study had a qualitative design based on three focus group interviews. A strategic sample of 23 professional care providers was included. Data were subjected to content analysis based on the three stages of dementia (early, moderate, end-of-life).

    Results: The results were divided into five categories: Diagnosis is a prerequisite for specialized dementia care, Creating routines in the chain of care, Competent staff a prerequisite for high-quality care, Day care facilitates transition in the chain of care and Next-of-kin participation is a prerequisite for continuity in the chain of care. It was clear that, according to the participants, best practice in dementia care in Sweden is not achieved in every respect. It appeared that transitions of care between different organizations are critical events which need to be improved. The further the disease progresses, the less collaboration there seems to be among professional care providers, which is when the next of kin are usually called upon to maintain continuity in the chain of care.

    Conclusions: The results indicate that, according to the care providers, best practice in terms of collaboration is achieved to a higher degree during the early stage of dementia compared with the moderate and end-of-life stages. Lack of best practice strategies during these stages makes it difficult to meet the needs of persons with dementia and reduce the burden for next of kin. These are experiences to be taken into account to improve the quality of dementia care. Implementation research is needed to develop strategies for best practice on the basis of national knowledge-based guidelines and to apply these strategies in the moderate and end-of-life stages. ©  Bökberg et al.; licensee BioMed Central Ltd. 2014

  • 287.
    Bökberg, Christina
    et al.
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Ahlström, Gerd
    Older People's Health and Person-centred Care & Swedish National Graduate School for Competitive Science on Ageing and Health (SWEAH), Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Leino-Kilpi, Helena
    University of Turku, Finland & Turku University Hospital, Finland.
    Soto-Martin, Maria
    Gerontopôle Alzheimer´s Disease Research and Clinical Center, Toulouse University Hospital, France.
    Cabrera, Esther
    School of Health Sciences, TecnoCampus, University Pompeu Fabra, Mataró (Barcelona), Spain.
    Verbeek, Hilde
    Department of Health Services Research, Maastricht University, The Netherlands.
    Saks, Kai
    Department of Internal Medicine, University of Tartu, Estonia.
    Stephan, Astrid
    School of Nursing Science, Witten/Herdecke University, Germany.
    Sutcliffe, Caroline
    Personal Social Services Research Unit, School of Nursing, Midwifery, and Social Work, University of Manchester, England.
    Karlsson, Staffan
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Care and Service at Home for Persons With Dementia in Europe2015In: Journal of Nursing Scholarship, ISSN 1527-6546, E-ISSN 1547-5069, Vol. 47, no 5, p. 407-416Article in journal (Refereed)
    Abstract [en]

    Purpose: To describe available and utilized formal care and service at home for persons with dementia, from diagnosis to end-of-life stage, in eight European countries.

    Design: A descriptive cross-country design concerning eight European countries as a part of the European research project RightTimePlaceCare.

    Methods: The research team in each country used a mapping system to collect country-specific information concerning dementia care and service system. The mapping system consists of 50 types of care and service activities. Sixteen of the 50 predefined activities concerning care and service at home were selected for this study and subdivided into three categories, following the stages of dementia.

    Findings: Availability was reported to be higher than utilization, and the findings indicated more similarities than differences among the eight countries involved. Even though there were several available activities of "basic care and services" and "healthcare interventions," they were utilized by few in most countries. Furthermore, "specialized dementia care and services" were sparsely available and even more sparsely utilized in the participating countries.

    Conclusions: The findings indicated that persons with dementia in Europe received formal care and service on a general, basic level but seldom adjusted to their specific needs.

    Clinical Relevance: This study describes the gap between service provision and utilization enabling nurses to develop individually adjusted care plans for persons with dementia during the progress of the disease. The findings do not include matters of quality of care or how to best organize effective care and services. However, the activities of care and services presented here should shed light on what room there is for improvement when it comes to enabling persons with dementia to go on living at home. © 2015 Sigma Theta Tau International.

  • 288.
    Bökberg, Christina
    et al.
    Lund University, Lund, Sweden.
    Ahlström, Gerd
    Leino-Kilpi, Helena
    Soto-Martin, Maria E.
    Cabrera, Esther
    Verbeek, Hilde
    Saks, Kai
    Stephan, Astrid
    Sutcliffe, Caroline
    Karlsson, Staffan
    Care and Service at Home for People With Dementia in Europe2015In: Abstractbook Nordic Conference on Advances in Health Care Sciences Research, 2015, p. 22-22Conference paper (Refereed)
    Abstract [en]

    Purpose: To describe available and utilized professional care and service at home for people with dementia, from diagnosis to end-of-life stage, in eight European countries. Design: A descriptive cross-country design concerning eight European countries as a part of the European research project, RightTimePlaceCare (RTPC).

    Methods: The research team in each country used a mapping system to collect countryspecific information on a general level concerning dementia care and service system. The mapping system consisted of fifty types of care and service activities. Sixteen of the fifty predefined activities concerning professional care and service at home were selected for this study and subdivided into three categories, following the stages of dementia.

    Results: Availability was reported to be higher than utilization and the results indicated more similarities than differences among the eight countries involved. Even though there were several available activities of Basic care and services and Health care interventions they were utilized by few in most countries. Furthermore, Specialized care and services for people with dementia were sparsely available and even more sparsely utilized in the participating countries.

    Conclusions: The results indicated that people with dementia in Europe received professional care and service on a general, basic level but seldom received care and service adjusted to their specific needs.

    Clinical Relevance: This study highlights available and utilized types of care and service activities enabling nurses to develop individually adjusted care plans for people with dementia during the progress of the disease. Knowledge of care and services in other countries provides nurses with an important tool for the improvement of dementia care. However assessing the quality of care requires an indication of informal care provision in different countries.

  • 289.
    Börjesson, Åsa
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Göransson, Emelie
    Halmstad University, School of Social and Health Sciences (HOS).
    Vestberg, Natalie
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskans hälsofrämjande arbete inom slutenvård: Faktorer som påverkar2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ett hälsofrämjande perspektiv ska genomsyra hela hälso- och sjukvården där sjuksköterskan uppmanas att främja patienters hälsa. Trots detta visar studier att arbetssättet inom slutenvården gör det svårt försjuksköterskan att ägna tid åt hälsofrämjande insatser. Syftet med studien var att klargöra sjuksköterskans hälsofrämjande arbete inom slutenvården samt vilka faktorer som påverkar arbetet. En litteraturöversikt gjordes där 12 vetenskapliga artiklar bidrog till ett resultat. I resultatet framkom att majoriteten sjuksköterskor såg hälsofrämjande som en del i deras profession men det framkom även att tvetydighet råder om begreppets innebörd. Stor arbetsbörda och tidsbrist inom slutenvården utgjorde de största hindren för sjuksköterskans hälsofrämjande arbete. För att sjuksköterskan inom slutenvård ska arbeta med hälsofrämjande insatser krävs mer tid, stöttning från ledning och kollegor, vidareutbildning inom området samt tydligare riktlinjer om olika praktiska strategier.

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    Sjuksköterskans hälsofrämjande arbete
  • 290.
    Cabrera, Esther
    et al.
    School of Health Sciences TecnoCampus, University Pompeu Fabra, Barcelona, Spain.
    Sutcliffe, Caroline
    Personal Social Services Research Unit, University of Manchester, Manchester, UK.
    Verbeek, Hilde
    Department of Health Services Research, CAPHRI, Maastricht University, Maastricht, the Netherlands.
    Saks, Kai
    Department of Internal Medicine, University of Tartu, Estonia.
    Soto-Martin, Maria
    Department of Geriatric Medicine, Gerontopole, INSERM 1027, University Hospital de Toulouse, Toulouse, France.
    Meyer, Gabriele
    Medical Faculty, Institute for Health and Nursing Science, Martin-Luther-University Halle-Wittenberg, Germany.
    Leino-Kilpi, Helena
    University of Turku, Turku, Finland/Turku University Hospital, Turku, Finland.
    Karlsson, Staffan
    Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.
    Zabalegui, Adelaida
    Nursing Hospital Clinic of Barcelona, Spain.
    Non-pharmacological interventions as a best practice strategy in people with dementia living in nursing homes: A systematic review2015In: European Geriatric Medicine, ISSN 1878-7649, E-ISSN 1878-7657, Vol. 6, no 2, p. 134-150Article in journal (Refereed)
    Abstract [en]

    Background: Two-thirds of nursing home residents suffer from dementia and there is a need for effective and efficient interventions with meaningful outcomes for these individuals. This study aims to identify current best practices in non-pharmacological interventions in nursing homes.

    Methods: A systematic literature review was conducted, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) declaration guideline. Studies and Randomized Controlled Trials (RCT) evaluating non-pharmacological interventions focused on improving the Quality of Care (QoC) and/or Quality of Life (QoL) of people with dementia (PwD) living in nursing homes were included. For individual study evaluation, the Cochrane Collaboration risk of bias assessment tool was used.

    Results: A total of 31 articles were included and five main categories emerged: psychosocial and educational, physical activity, sensorial therapies, staff-focused interventions and complex interventions. Psychosocial interventions were the most exhaustively studied and evaluated interventions. Few studies related to physical therapy were identified and they did not provide enough evidence of their effectiveness. Therapeutic touch was revealed to have positive effects on residents with dementia.

    Conclusion: Psychosocial interventions have been shown to have the potential to improve the QoL and QoC of people with dementia in nursing homes. Before implementation of the intervention, it is recommended that activities are adjusted according to residents' characteristics and external factors controlled to achieve effectiveness and to structure a well-designed intervention. However, there is not enough evidence to support the effectiveness of non-pharmacological interventions in general. Further well-designed research is needed on non-pharmacological interventions in nursing facilities. (C) 2014 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.

  • 291.
    Calais, Ann-Sofi
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Holm, Karin
    Halmstad University, School of Social and Health Sciences (HOS).
    Att leva med åldersrelaterad makuladegeneration: En systematisk litteraturstudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Åldersrelaterad makuladegeneration är den vanligaste orsaken till uttalad synnedsättning hos äldre i västvärlden. Denna studie genomfördes som en litteraturstudie med syfte att beskriva upplevelsen av att leva med synnedsättning hos personer med AMD.

    Sju kategorier trädde fram: Behov av stöd och information, Förlust av självständighet, Utmaningar i vardagen, Anpassadestrategier, Påverkan på sociala livet, Rädsla och osäkerhet och Acceptans och hopp. Det visade sig att de upplevde en osäkerhet i förhållandet med hälso- och sjukvården då de kände att de inte fick tillräcklig information för att klara av sin situation. Minskad självständighet relaterat till ett ökat hjälpbehov var vanligt och att förlora möjligheten att köra bil var en viktig faktor i förlusten avsjälvständighet. AMD begränsade individens vardag på många nivåer och därmed även deras sociala aktiviteter och möjligheten att ta hand om sig själva och andra. Flera skapade olika strategier för att klara av vardagssysslor. Utmaningarna för dessa patienter ledde till en mångfald av emotionella reaktioner, många accepterade sin situation men levde ändå med en alltid närvarande rädsla för ytterligare försämring av synen. En tredjedel visade på depressiva symptom. Hälso- och sjukvården bör identifiera individers förmåga att kunna delta i aktiviteter som de tycker om, med hjälp av den informationen kan hälso- och sjukvården få ett hjälpmedel till att finna personer med risk för depression. Det är av vikt att hälso- och sjukvården fångar upp dessa individer för att kunna erbjuda dem hjälpmedel och stöd för att klara sin vardag.

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  • 292.
    Calebrant, Honey
    Halmstad University, School of Social and Health Sciences (HOS).
    Anestesisjuksköterskans bedömning av patientens intraoperativa vätskebehov samt efterföljande åtgärder2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Vätskebehandling är en kontroversiell fråga inom den perioperativa vården. Studier visar olika metoder för behandling, bland andra restriktiv och liberal vätskebehandling dock menar vissa att ingen metod är rätt utan behandlingen måste vara individ anpassad. Sexton anestesisjuksköterskor intervjuades med ett syfte att undersöka anestesisjuksköterskans bedömning av patientens intraoperativa vätskebehov samt efterföljande åtgärder. Tre kategorier uppstod genom innehållsanalys: Självständigt beslutsfattande, Stöd i beslutsfattande och Osäkerhet i beslutsfattande. Den första kategorin innefattade subkategorierna Preoperativt beslutsfattande och Kontinuerligt beslutsfattande. I kategorin Stöd i beslutsfattande ingick subkategorierna Stöd av anestesiolog samt Stöd av andra i teamet. I kategorin Osäkerhet i beslutsfattande framkom subkategorierna Saknar riktlinjer, Saknar utvärdering/respons samt Svårbedömd patient. Det finns motstridiga åsikter angående tillvägagångssätt för bedömning av patientens vätskebehov samt om det ska användas riktlinjer för vätskebehandling. Riktlinjer på arbetsplatsen skulle kunna förenkla anestesisjuksköterskans vätskebehandling samt tydliggöra detta ansvarsområde. Betydelsen av denna studie kan vara att anestesisjuksköterskans tillvägagångssätt för att bedöma patientens intraoperativa vätskebehov uppmärksammas i klinisk verksamhet samt att riktlinjer utformas som stöd för anestesisjuksköterskans bedömning och val av åtgärder.

  • 293.
    Calebrant, Honey
    et al.
    Halmstad University, School of Health and Welfare.
    Sandh, Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Jansson, Inger
    Institutet för hälsa och vårdvetenskap, Sahlgrenska Akademi, Göteborg, Sweden.
    How the Nurse Anesthetist Decides to Manage Perioperative Fluid Status2016In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 31, no 5, p. 406-414Article in journal (Refereed)
    Abstract [en]

    Purpose

    To determine the factors that affect how nurse anesthetists in a county in Sweden decide how to manage perioperative fluid status.

    Design

    A cross-sectional qualitative study was conducted at two surgical wards in a county hospital.

    Methods

    Sixteen nurse anesthetists were interviewed to explore how nurse anesthetists assess patients' intraoperative fluid requirements and the subsequent measures adopted.

    Finding

    Three categories emerged through content analysis: clinical criteria and the thought process that drives decision making, interdependence in decision making, and uncertainty in decision making.

    Conclusions

    This study revealed differences with regard to fluid management among nurse anesthetists in a county in Sweden. For the assessments and subsequent measures that are carried out to ensure optimal fluid therapy, more research is needed to provide evidence, and evidence-based guidelines need to be developed in Sweden. © 2016 American Society of PeriAnesthesia Nurses.

  • 294.
    Camilla, Bomgren
    et al.
    Halmstad University.
    Emma, Karlson
    Halmstad University.
    Sjuksköterskors hantering av yrkesrelaterad stress2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Many registered nurses are exposed to stress because of the works high job demands. Stress in healthcare can lead to negative consequences when it comes to registered nurses health. The negative consequences affects the nurse output of work which entails a less good quality in caring for the patients. This problem entails a lack of security for the patients and the nurse. A long lasting stress increases the risk of burnout which leads to major costs for the society. Purpose: The purpose was to illustrate how the registered nurses cope with occupational stress. Method: A literature study was conducted with three qualitative and nine quantitative articles. The articles were reviewed and the results were coded in four categories, who answered to the study’s purpose. Result: The study resulted in four categories which were by optimism, self control, relaxation and support. Conclusion: The result showed that the registered nurses have different strategies to cope with occupational stress. The study highlights the importance of handling with occupational stress to avoid the negative consequences of stress. More research with focus on how to minimize and cope with stress is in need to make a better work environment for nurses.

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  • 295.
    Cardell, Amanda
    et al.
    Halmstad University, School of Health and Welfare.
    Mattsson, Jennie
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors erfarenheter av avledning i samband med venpunktion på barn: - En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Smärta i samband med venpunktion är en vanlig smärtsam procedur som barn utsätts för inom sjukvården. Avledning handlar om att rikta barnets uppmärksamhet från proceduren och på så sätt minska smärtupplevelsen.

    Syfte: Syftet var att belysa sjuksköterskors erfarenheter av avledning i samband med venpunktion på barn i åldrarna 2-5 år.

    Metod: Utifrån en kvalitativ design genomfördes en intervjustudie. Datainsamlingen utgick från semistrukturerade intervjuer med 13 sjuksköterskor inom barn- och ungdomssjukvården. Dataanalysen genomfördes via en kvalitativ innehållsanalys.

    Resultat: Resultatet presenteras utifrån tre kategorier: Positiva erfarenheter av avledning. Förutsättningar för en effektiv avledning och Metoder för avledning vid venpunktion. Sjuksköterskorna arbetade för att avledningen skulle anpassas efter barnet och därmed bidra till positiva erfarenheter av sjukvården.

    Slutsats: Det framkom att sjuksköterskorna hade positiva erfarenheter av avledning i samband med venpunktion på barn. Erfarenheten var att det bidrog till en lugn och trygg situation för såväl barnet, föräldrar, närstående som sjuksköterskan. Vidare forskning hade kunnat öka kunskapen om avledning och därmed skapa en bättre sjukvård för barn och ungdomar.

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  • 296.
    Carlson, Susanne
    Halmstad University, School of Health and Welfare.
    Distriktssköterskans hälsofrämjande och förebyggande arbete med nyanlända flyktingar: En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

      

    Multicultural health and medical care has increased in Sweden during the last few years due to war in Syria and unrest in other countries among others in the Middle East and in Afghanistan. This has led to human tragedies and big streams of refugees. Sweden has received a large number of these refugees. This poses new demands on district nurses who at an early stage meet the refugees. The purpose of the study was to describe district nurses experience of health promoting and preventive care of newly arrived refugees from a perspective of the care centre. Method: A qualitative interview study with seven district nurses from different care centres within a region in West Sweden. The material was analysed with a qualitative analysis of content. Result: The analysis resulted in eight subthemes and four themes. Main themes were: The importance of self-care in order to promote health, Preventive work from a perspective of the care centre, To communicate through a third party and Co-ordination between parties. Conclusion: District nurses health promoting and preventive care was important for newly arrived refugees as the district nurse was one of the professionals they met at an early stage. Advice on self-care characterized the health promoting work with newly arrived refugees but could be difficult, as many refugees were used always to meet a doctor in their home countries. Characteristic for the preventive work was above all the follow-up of vaccinations, which required big and demanding efforts for district nurses.

     

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  • 297.
    Carlson, Susanne
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Cejku, Egzona
    Halmstad University, School of Social and Health Sciences (HOS).
    Omvårdnad vid missfall: En utmaning för sjuksköterskor2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Statistics indicate that at least 21 % of all women in Sweden who give birth to a child also have experienced a miscarriage. A miscarriage evokes many different emotions for affected couples such as loss, grief, guilt, anxiety and existential reflections. Miscarriage can be a traumatic experience for all parties involved and the role of nurses in supporting these needs is pivotal in ensuring a physical and psychological recovery. Nurses are required to identify the needs of individuals and apply the appropriate nursing intervention to support families during this time. The purpose of the literature review was to illustrate the nursing interventions provided by nurses when women suffering of miscarriages. This literature review on 13 scientific articles illustrated the following concepts used in the VIPS-model to source appropriate information, referrals or assistance: information/education, support, care, pain/sensory impression, observation/supervision, medical management, psychosocial and coordination. Another useful tool for nurses is Swanson’s theory of caring which offers insight on optimal nursing practices during the event of a miscarriage which may be integrated in the VIPS-model. The nurses need to gain increased knowledge of miscarriage to be able to take a holistic approach to the care required to ensure recovery both physically and psychologically. Therefore more research is needed to develop nursing care when women suffering of miscarriage.

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  • 298.
    Carlsson, Caroline
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Tellberg, Christel
    Halmstad University, School of Social and Health Sciences (HOS).
    Distrikssköterskans preventiva åtgärder - att förebygga fotsår hos patienter med diabetes - en observationsstudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 299.
    Carlsson, Frida
    et al.
    Halmstad University, School of Health and Welfare.
    Larsson, Caroline
    Halmstad University, School of Health and Welfare.
    Nguyen, Linda
    Halmstad University, School of Health and Welfare.
    Effekterna av akupunktur, kognitivbeteendeterapi och ljusterapi hos vuxna med insomni2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Humans spend a third of life sleeping. The nightly sleep is vital for the development of energy and recovery. Insomnia is associated with reduced quality of life and is ranked as one of the most common reasons that adults seek contact with a physician. Many adults are prescribed hypnotics associated with hospitalization and then renew prescriptions, without the need for follow-up. Drug sensitivity increases with age, and therefore a non-pharmacological treatment should be a priority. The purpose of this study is to elucidate the effect of acupuncture, cognitive behavioral therapy and light therapy as a treatment for adults with insomnia. When categorizing the results four themes appear: time in bed, sleep quality and sleep efficiency, nighttime awakenings, total sleep time and sleep latency. The result shows that acupuncture and cognitive behavioral therapy proved to be effective in insomnia. Light therapy showed improvement in the subjective data but not on objective data. Further research is required to raise awareness among nurses in healthcare. Therefore, it is important to highlight the effects of non-pharmacological measures and how they can be applied in healthcare.

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  • 300.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Att söka förlossningsvård i tidigt förlossningsskede2008In: Forskningskonferens: Konferens med fokus på forskning inom omvårdnad/vård, folkhälsovetenskap, handikapp, socialt arbete och idrottspsykologi, 2008, p. 16-16Conference paper (Other academic)
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