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  • 251.
    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.

  • 252.
    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. 

  • 253.
    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. 

  • 254.
    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.

  • 255.
    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.

  • 256.
    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.

  • 257.
    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

  • 258.
    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.

  • 259.
    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.

  • 260.
    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.

  • 261.
    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.

  • 262.
    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.

  • 263.
    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.

  • 264.
    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.

  • 265.
    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.

  • 266.
    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.

  • 267.
    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.

     

  • 268.
    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.

  • 269.
    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
  • 270.
    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.

  • 271.
    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)
  • 272.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Att träda in i förlossningen: kvinnors tillit till sin egen förmåga att hantera förlossningen och deras upplevelse av det tidiga förlossningsarbetet2015Conference paper (Other academic)
  • 273.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Dagen då allt rasade samman: att bli anmäld som vårdpersonal2011Conference paper (Other (popular science, discussion, etc.))
  • 274.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Delaktighet för barn och unga i hälso- och sjukvård: En realitet eller ett omöjligt uppdrag2016Conference paper (Other academic)
  • 275.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Födandets rum: förlossningsrummet2010Conference paper (Refereed)
    Abstract [en]

    Background: In Sweden, pregnant women are encouraged to remain at home until the active phase of labour. This recommendation is based on evidence, that women who seek care and are admitted in the latent phase of labour are subjected to more obstetric interventions and suffer more complications, than women who remain at home until the active phase of labour. The objective of this study was to obtain a deeper understanding of how women, who remain at home until the active phase of labour, experience the period from labour onset until admission to delivery ward.

    Method: In-depth interviews were conducted with nineteen women after they had given birth to their first child.

    A constructivist grounded theory method was used.

    Findings:Maintaining power” was identified as the core category, explaining the women’s experience of having enough power to deal with the situation, when labour started. Four related categories; “to share the experience with another”, “to listen to the rhythm of the body”, “to distract oneself” and” to be encased in a glass vessel”, explained how the women coped and thereby maintained power.

    Conclusions: The women in this study had a sense of power that was expressed as a driving

    force towards the birth, a bodily and mental strength linked to the conviction that they had the right to decide over their own bodies. This implies that women have the ability to make choices during the birth process that enable them to maintain their power.  The professionals need to be sensitive, supportive and respectful of women’s own preferences in the health care encounter, to promote the existing power throughout the birthing process.

  • 276.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Förlossningens latensfas2011Conference paper (Other academic)
  • 277.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Maintaining power; an asset during early labour process2010Conference paper (Refereed)
  • 278.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Berg, Marie
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Sahlgrenska University Hospital, Gothenburg, Sweden.
    Adolfsson, Annsofie
    Örebro University, Örebro, Sweden.
    Sparud-Lundin, Carina
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Reprioritizing life: A conceptual model of how women with type 1 diabetes deal with main concerns in early motherhood2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1394147Article in journal (Refereed)
    Abstract [en]

    Purpose: Becoming a mother is related to increased demands for women with type 1 diabetes mellitus, and more research is needed to identify their needs for support in everyday living. Thus, the aim of this study was to explore the main concerns in daily life in early motherhood for women with type 1 diabetes and how they deal with these concerns. Method: A grounded theory study was conducted in which 14 women with type 1 diabetes were interviewed individually 7 to 17 months after childbirth. Results: A conceptual model was identified with the core category “reprioritizing life”, and three related categories: adjusting to motherhood, taking command of the diabetes, and seeking like-minded women. Becoming a mother was a turning point towards a greater awareness and acceptance of prioritizing diabetes management and health, and thus, life. There was a gap in provision of diabetes care after birth and during the time of early motherhood compared with during pregnancy. Conclusions: Healthcare contacts already planned before delivery can promote person-centred care during the whole period from pregnancy to motherhood. Moreover, providing alternative sources for health information and peer support could improve the life situation during early motherhood. © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group

  • 279.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Blomqvist, Marjut
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Ethical and methodological issues in qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions: a critical review2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no Sup. 2, article id 1368323Article in journal (Refereed)
    Abstract [en]

    Undertaking research studies in the field of mental health is essential in mental health nursing. Qualitative research methodologies enable human experiences to become visible and recognize the importance of lived experiences. This paper argues that involving people with schizophrenia in research is critical to promote their health and well-being. The quality of qualitative research needs scrutinizing according to methodological issues such as trustworthiness and ethical standards that are a fundamental part of qualitative research and nursing curricula. The aim of this study was to critically review recent qualitative studies involving people with severe and persistent mental illness such as schizophrenia and other psychotic conditions, regarding descriptions of ethical and methodological issues in data collection and analysis. A search for relevant papers was conducted in three electronic databases, in December 2016. Fifteen qualitative interview studies were included and reviewed regarding methodological issues related to ethics, and data collection and analysis. The results revealed insufficient descriptions of methodology regarding ethical considerations and issues related to recruitment and sampling in qualitative interview studies with individuals with severe mental illness, putting trustworthiness at risk despite detailed descriptions of data analysis. Knowledge from the perspective of individuals with their own experience of mental illness is essential. Issues regarding sampling and trustworthiness in qualitative studies involving people with severe mental illness are vital to counteract the stigmatization of mental illness.

  • 280.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Hallberg, Lillemor
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Odberg Pettersson, Karen
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Vad gör vi med latensfasen?2008Conference paper (Refereed)
  • 281.
    Carlsson, Ing-Marie
    et al.
    Länssjukhuset i Halmstad, Halmstad, Sverige.
    Hallberg, Lillemor
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Odberg-Pettersson, Karen
    Lunds universitet, Lund, Sverige.
    Kvinnor som söker vård i tidigt förlossningsskede och deras upplevelse av latensfasen2007In: Reproduktiv Hälsa, Stockholm: Svenska Barnmorskeförbundet , 2007, p. 21-21Conference paper (Refereed)
  • 282.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nygren, Jens M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Patient participation, a prequisite for care: A grounded theory study of healthcare professionals’ perceptions of what participation means in a paediatric care context2018In: Nursing Open, E-ISSN 2054-1058, Vol. 5, no 1, p. 45-52Article in journal (Refereed)
    Abstract [en]

    Aims

    To explore healthcare professionals’ perceptions of what patient participation means in a paediatric care context.

    Design

    A qualitative explorative design with grounded theory.

    Methods

    Fifteen healthcare professionals who worked in paediatric care settings were either interviewed or asked open-ended questions in a survey, during December 2015–May 2016. Grounded theory was used as a method.

    Results

    The study results provide a theoretical conceptualization of what patient participation meant for healthcare professionals in paediatric care and how participation was enabled. The core category “participation a prerequisite for care” emerged as the main finding explaining the concept as ethical, practical and integrated in the care givers way of working. However, the concept was implicit in the organization. Four additional categories illustrated the healthcare professionals’ different strategies used to enhance patient participation; “meeting each child where the child is,” “building a relationship with the child,” “showing respect for each individual child” and “making the most of the moment.” © 2017 The Authors. Nursing Open published by John Wiley & Sons Ltd

  • 283.
    Carlsson, Ing-Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Ziegert, Kristina
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Sahlberg-Blom, Eva
    Hälsoakademin, Örebro University, Örebro, Sweden.
    Nissen, Eva
    Karolinska Institutet, Stockholm, Sweden.
    Maintaining power: Women's experiences from labour onset before admittance to maternity ward2011In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 28, no 1, p. 86-92Article in journal (Refereed)
    Abstract [en]

    Background: in Sweden pregnant women are encouraged to remain at home until the active phase of labour. Recommendation is based on evidence, that women who seek care and are admitted in the latent phase of labour are subjected to more obstetric interventions and suffer more complications than women who remain at home until the active phase of labour. The aim of this study was to obtain a deeper understanding of how women, who remain at home until the active phase of labour, experience the period from labour onset until admission to labour ward. Method: interviews were conducted with 19 women after they had given birth to their first child. A Constructivist Grounded theory method was used. Findings: 'Maintaining power' was identified as the core category, explaining the women's experience of having enough power, when the labour started. Four related categories: to share the experience with another', to listen to the rhythm of the body', to distract oneself and to be encased in a glass vessel', explained how the women coped and thereby maintained power. Conclusions: the first time mothers in this study, who managed to stay at home during the latent phase of labour, had a sense of power that was expressed as a driving force towards the birth, a bodily and mental strength and the right to decide over their own bodies. This implies that women who maintain power have the ability to make choices during the birth process. The professionals need to be sensitive, supportive and respectful to women's own preferences in the health-care encounter, to promote the existing power throughout the birthing process. © 2010 Elsevier Ltd.

  • 284.
    Carlsson, Jessica
    Halmstad University, School of Health and Welfare.
    Livslidande hos kvinnor med endometrios2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Endometriosis is a chronic disease that affects 10-15 percent of all women of childbearing potential. The most common symptoms are pelvic pain, menstrual pain, intercourse pain, heavy bleeding, infertility, constipation, and diarrhea. Where symptoms are often diffuse and the knowledge of endometriosis in health care is poor, it takes between 8-11 years from the woman sought treatment for their pain at diagnosis is confirmed. The aim of the study was to describe life-suffering in women with endometriosis. The study was conducted as an integrative literature review, which provides a deeper understanding and a more complete picture of a phenomenon. The women described their life-suffering by it´s lack of understanding and knowledge about the disease. They experienced it particularly from the health care, family, friends, colleagues, and partners. Women's lives and physical functions were limited because of the disease, which affected the daily life. Many women experienced exclusion, having a social life was difficult which lead to a life-suffering.

    To live with uncertainty and anxiety about the future was also life-suffering, where the main concern was about the difficulties in becoming pregnant and to keep the baby. One conclusion was that district nurses should be better able to pay attention to women with endometriosis and belief in their illness experiences. More research is needed to elucidate the life-suffering of women with endometriosis and thereby improve knowledge about how district nurses best can meet these women.

  • 285.
    Carlsson, Sofie
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Josefine
    Halmstad University, School of Health and Welfare.
    Evers Persson, Sara
    Halmstad University, School of Health and Welfare.
    Anestesisjuksköterskans uppfattning av att kunna arbeta evidensbaserat vid ett traumalarm: En intervjustudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Trauma är den vanligaste dödsorsaken under livets första fyra årtionden och kan orsaka stort lidande för den enskilda individen samt höga samhällskostnader. I Sverige saknas nationella och regionala riktlinjer för traumaomhändertagande, men ett flertal projekt pågår för att uppnå en säkrare traumavård. På grund av det låga antalet traumalarm av större dignitet får anestesisjuksköterskan, som ingår i det multiprofessionella traumateamet, efter genomgången Trauma Nursing Core Course (TNCC) -utbildning ringa praktisk övning vilket kan medföra en svårighet i att upprätthålla förvärvad kunskap. Syftet med studien var att beskriva anestesisjuksköterskans uppfattning av att kunna arbeta evidensbaserat vid omhändertagandet av en patient på akutmottagningen i samband med ett traumalarm. Semistrukturerade intervjuer genomfördes med sex verksamma anestesisjuksköterskor och analyserades med kvalitativ innehållsanalys. Efter bearbetning av data framträdde tre kategorier: krav på kunskap, krav på arbetssätt i akutrummet och möjlighet till utveckling. En rad specifika förutsättningar krävs för att anestesisjuksköterskan ska kunna arbeta evidensbaserat i samband med ett traumalarm. Det krävs att anestesisjuksköterskan har erhållit kunskap genom förvärvad erfarenhet i sina vardagliga anestesiologiska arbetsuppgifter, ett giltigt TNCC certifikat, delaktighet vid traumaövningar, debriefing efter traumalarm samt ges möjlighet till utveckling. Resultatet kan bidra till ökad medvetenhet hos anestesisjuksköterskor som medverkar i traumaomhändertagande att arbeta evidensbaserat, vilket i sin tur kan bidra till en ökad patientsäkerhet med förhoppningsvis minskat lidande för den enskilda patienten samt i förlängningen minskade kostnader för samhället.

  • 286.
    Carlstrand, Johanna
    et al.
    Halmstad University, School of Health and Welfare.
    Thorén, Annika
    Halmstad University, School of Health and Welfare.
    Alzheimers sjukdom: Att vara anhörig2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Alzheimer´s disease is growing steadily and is expected to have risen to the double by 2050. When a loved one is affected by Alzheimer´s disease it also changes the lives of the relative. As a nurse, it is very important to be aware of this to be able to give the relative information and the necessary support in the best way. Involving the relative in the care of the loved one´s health is very important to get as optimal care possible. The aim was to highlight the relative`s experience of living with a person with Alzheimers´s disease. The study was conducted as a literature review of ten scientific articles, the articles were reviewed, analyzed and coded. The coding resulted i six different categories. The results show that the relative´s life is turned up side down when a loved one is suffering from Alzheimer´s disease. The need of information about Alzheimer´s diease and support of various health care initiatives throughout the disease process is big. The nurse calls for more tools and more knowledge about Alzheimer´s disease in order to provide optimal care. This was strengthened when the relatives felt ill-prepared to provide care because the lack of knowledge.

  • 287.
    Carlström, Michelle
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Christensson, Hanna
    Halmstad University, School of Social and Health Sciences (HOS).
    Johansson, Åsa
    Halmstad University, School of Social and Health Sciences (HOS).
    "Jag kan inte sova!": -miljöfaktorer som kan påverka patienters sömn på sjukhus2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The sleep at the hospital is an important factor for the patient in order to recover. There is a lack of attention from health care professionals about sleeping problems that exist in the hospital. There are environmental factors that affect patients sleep negatively in the hospital. These factors can be improved if the problem identifies and care measures are taken. The aim of the study was to illuminate the environmental factors that may affect the patient's sleep in the hospital. The study was operating as a literature study where 21 scientific articles were collected and examined. The result of the study showed that the main environmental factors that interfered patients sleep was sound, light and temperature. Half of all the noise at the hospital was caused by nurses. The light was often very strong in the hospital, during the night the light was still strong to promote sleep. The temperature within the sleeping area was individual and is partly reflecting what patients are used to from home. By gaining knowledge about environmental factors that can interrupt the patient during sleep in the hospital, interventions can be taken to shorten the length of the stay and the patient can recover faster.

  • 288.
    Carlström, Michelle
    et al.
    Halmstad University, School of Health and Welfare.
    Wahlgren, Rebecka
    Halmstad University, School of Health and Welfare.
    Självskattad upplevelse av hälsa hos patienter på en psykiatrisk öppenvårdsmottagning2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Health development in Sweden is advancing, but the self-rated health is low. Self-assessment is a measure based on the individual's own perception of their health. Health is a subjective estimate where each individual has his views on the experience of health. Autonomy, social community and understandability are different dimensions of the concept of health based on the patients' experience of health. Many measuring devices in healthcare today intends to measure  health by the absence of symptoms. The purpose of this study was to ask how patients in a general psychiatric outpatient clinic self-rate their health on the basis of the dimensions of autonomy, social community and comprehensibility. The method used was a cross-sectional study with quantitative approach. A survey was conducted over three weeks. The result is based on 49 questionnaires. The result shows that the autonomy dimension were estimated lowest average and that the participants estimated highest average on the claim "can care about others." The conclusion of this study is that one reason to low value in the dimension autonomy may depend on the nurses' working environment and medical approaches. Implications of care is that the findings may lead to an increased awareness of self-rated health among both patients and nurses.

  • 289.
    Carvell, Victoria
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Caroline
    Halmstad University, School of Health and Welfare.
    Hälso- och sjukvårdens bemötande av patienter med självskadebeteende ur ett patientperspektiv.: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The health professionals’ attitude reflects in the meeting with patients with self-injury disorder and is crucial for the patients’ treatment. Therefore, it is important to highlight the patients’ experience of the meeting, which is the purpose of this literature study. The study is a systematic literature study with searches performed in three databases, Cinahl, PubMed and PsycINFO. The results were ten qualitative original articles, which have been reviewed, analysed and summed up. In the result three categories emerged: to be seen, environment and care contact, which showed that positive perceptions about health care was the feeling of being taken seriously, the promotion of integrity and that the health care professionals listened. Negative results that emerged was when patients felt pre-judged and also when they felt that the caregivers didn’t really care, which led to further guilt and shame. Previous negative experiences lead to patients feeling reluctant of seeking help. The literature overview shows that more research from a patient's perspective is needed to reach an evidence based and improved way of care giving for health professionals that meet and treat patients with self-injury behaviour.

  • 290.
    Castenbladh Rafors, Jennifer
    et al.
    Halmstad University, School of Health and Welfare.
    Ivarsson, Madelene
    Halmstad University, School of Health and Welfare.
    Synen på livet med ett öga: En enkätstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    At the moment there is little research about the outcome of people who have had an eye surgically removed. This may result in an ophthalmic nurse giving insufficient information to patients and relatives. Therefore, it would be interesting to investigate the vision related quality of life in relation to the eyesight of persons who have undergone an eye amputation. The purpose was to illustrate the vision related quality of life of people who have been subject to an eye amputation and have an eye prothesis. The study is a cross-sectional study with a descriptive design. The data collection was conducted using the questionnaire NEI-VFQ-25 together with supplementary questions which was sent to adults who have undergone an eye amputation in the last five years. The results showed that eye amputees had lower vision-related quality of life than participants in a control group from the H70 study 2014/2015 with and without visual symptoms. The biggest inconvenience for the participants was peripheral vision and both near activities and distance activities. The results of the study can provide the ophthalmic nurse with a deeper knowledge to be used working with personcentered care and provide thourough information to support persons how has went through an eye amputation to manage their new life situation. Further research on eye amputees vision-related quality of life nationally is needed because the result is based on a limited study group.

  • 291.
    Castro, Claudia
    et al.
    Halmstad University, School of Health and Welfare.
    Hasselquist, Molly
    Halmstad University, School of Health and Welfare.
    Ögonsjuksköterskans hälsofrämjande åtgärder vid åldersrelaterad makuladegeneration2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Age-related macular degeneration (AMD) is a chronic eye disease and is the most common cause of irreversible vision loss amongst elderly people within the industrial world. Underlying causes can be both genetical and environmental, prevention and treatment of AMD can increase quality of life and reduce visual impairment and all dysfunctionalities related to it. The aim of this study was to highlight ophthalmic nurses' health promoting work with patients with age-related macular degeneration. This integrative literature review showed that the level of awareness of AMD was low among both the general population and patients. Even patients with severe vision loss due to one or several eye diseases was unaware of their diagnosis. Patients with AMD felt that they were not given enough information about the disease, the risk factors, available health examinations and what possible treatments were available. To be affected with AMD entails a significant negative effect on patients quality of life. It was shown that there was a strong connection between vision loss and symptoms of depression. None of the studies were from Sweden or highlighted the Swedish conditions but highlights the importance of health promotion, awareness about chronic eye disease and its risk factors as very important. It would be of great interest to investigate the Swedish conditions for comparison. 

  • 292.
    Cecilia, Johansson
    et al.
    Halmstad University, School of Health and Welfare.
    Kocevic, Fahira
    Halmstad University, School of Health and Welfare.
    Vägen till ändrade levnadsvanor: -erfarenheter från personer med övervikt och fetma2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Some factors that contribute to overweight and obesity are lifestyle related and comprise a lack of physical activity and poor nutrition. Overweight and obese individuals may seek medical attention and acquire advice on how to lose their weight. The purpose of this study was to look into the experiences of the overweight and obese patients pertaining to lifestyle conversations with the district nurse. The study was conducted as an integrative literature overview, which enables a better understanding of a certain phenomenon within medical service. The results consist of sixteen scientific articles. The analysis reveals four categories: the significance of becoming motivated, the significance of one’s own attitude towards conversations about lifestyle, the significance of the district nurse’s communicative skills and the district nurse’s knowledge and competence. The communicative skills of the district nurse played a pivotal role in how the conversations about lifestyle were perceived by the patients. When the district nurse and the patient set individual goals together, the patient appeared more motivated to make a lifestyle change. On the other hand, the motivation of the patient decreased when the advice received was too generalized. Moreover, some patients believed that the district nurse was not adequately knowledgeable to deal with overweight and obesity. The categories correlate with Pender's health-promoting model as an explanation of patients' motivation in changing their lifestyles.

  • 293.
    Cederlöf, Åsa
    et al.
    Halmstad University, School of Health and Welfare.
    Ålenius, Piamari
    Halmstad University, School of Health and Welfare.
    Ambulanspersonalens upplevelse av regelbunden strukturerad fysisk aktivitet2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Ambulance personnel (specialist nurses and paramedics) are expected to self-manage the risk of both physical and mental strain while performing safe patient care. It is mainly physical strain that can lead to musculoskeletal disorders among ambulance personnel. These musculoskeletal disorders can result in work-related repetitive strain injuries in the neck, shoulders, lower back and knees. The aim of the study was to investigate how regular structured physical activity can positively impact ambulance personnel. The study was conducted with qualitative design and with an inductive approach where six male informants were interviewed. The conducted analysis process resulted in three distinct categories; self-perceived health benefits, safer caretaking and injury prevention. All respondents reported that they experienced improved stamina, sleep and faster recovery. Also, they experienced less musculoskeletal problems than prior to undertaking regular physical activity. Furthermore, the informants felt that regular physical activity as such, had an indirect influence on patient safety.

  • 294.
    Cejku, Egzona
    et al.
    Halmstad University, School of Health and Welfare.
    Boström, Lisa
    Halmstad University, School of Health and Welfare.
    Barnsjuksköterskans hälsofrämjande och förebyggande arbete mot övervikt och fetma hos barn inom barnhälsovården: En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesityin children is a global public health problem. The Child Health Care(CHC) havean important role in thepreventionof childhoodobesity and in the promotion ofchildren’s growth and development. The aimof this study was to illustrate thehealth promotion and preventativework of pediatricnurse’s against overweight and obesity in the CHC. Method: An interview study was conductedbased on a qualitative content analysis. The data collection was based on semi structured interviews with seven pediatric nursesworking at CHC:s.A qualitative content analysiswas used in the analysis process. Results: The result is dividedintofour categories based on the analysis: Assessment and follow-up of overweight and obesity, The good choices,Factors that concern the pediatric nurse’s work and The individual Child Care center.The pediatric nurse’shealth promotionand preventative work against overweight and obesity in children in the Child Health Care is based on promoting the good choices and creating a trustful relationship with the family. Conclusion: Hopefully thisstudy canhighlightthe pediatric nurse’shealth promotiveand preventative work against overweight and obesity in children.

  • 295.
    Cervin, Johanna
    et al.
    Halmstad University, School of Health and Welfare.
    Smith, Susanne
    Halmstad University, School of Health and Welfare.
    Patientsäkerhet i samband med interhospital transport av intensivvårdskrävande patient: Specialistsjuksköterskors erfarenheter2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The frequency of inter-hospital transport (IHT) of intensive care patients is increasing and research shows that adverse events related to transportation are common. When transporting a critical care patient a specialist nurse often accompanies. In this complex health care environment, according to the laws, patient safe care should be conducted. Research shows that specialist nurses who accompanies IHT experiences insecurity associated to not having an overall control of the care of the patient. There are a limited number of scientific publications of specialist nurses' experiences and management of patient safety in these situations and it seems relevant to examine how specialist nurses proceed.Purpose: The purpose of this study was to describe the specialist nurses' experiences and management of patient safety associated to terrestrial inter-hospital transport of intensive care patients. Method: A qualitative method with inductive approach. Data collection was conducted through 15individual semi-structured interviews. Collected data were analyzed using qualitative content analysis. Results: The results revealed four main categories and twelve subcategories. The four main categories were: Clear and targeted communication is a basic requirement for patient safety., Knowledge of and adherence to routines provides equivalent patient safety., The skills of the Working Group on IHT should be composed correspondingly to the patient's care needs., The working environment can be an asset or a threat. Conclusion: To work in an environment that did not belong to routine and sometimes in a combination with unknown staff made the specialist nurses experience the mission as a solo work where patient safety was depending on his/her past experiences and expertise. Implication: An effort to achieve equivalent safe care requires a comprehensive plan for IHT and to work towards national guidelines for IHT. Since it is a rare work it means a small volume of patients per specialist nurse and year performing IHT. Work performed less frequently by a larger number can be compensated with team training and regular follow-ups.

  • 296.
    Chaudary, Mubina
    et al.
    Halmstad University, School of Health and Welfare.
    Dunér, Isabel
    Halmstad University, School of Health and Welfare.
    Att leva med en urinkateter: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is important for nurses to create understanding about the impact aurinary catheter can have on people’s lives to be able to provide as good care aspossible. Aim: The aim of this study was to explore the experiences of patients livingwith a urinary catheter. Method: The study was conducted through a structuredliterature review with a systematic search. An analysis according to Friberg’sinstructions was performed, based on eight qualitative articles. Results: Four themeswere identified based on different aspects of how patients experienced their lives witha urinary catheter: Possibilities and limitations in everyday life, Not having sufficientknowledge, Fear and discomfort as well as Self-image and relationships with others.Something that became clear was the importance of the patients’ experiencesregarding the introduction of the catheter and how that effected the rest of thepatients’ lives with it. Implication: For nurses, it is important to remember that thepatients must live with the catheter for the rest of their lives. For further research, itmay be interesting to research how patients deal with the problems that arise and hownurses can inform, support and prepare the patients for a life with the catheter.

  • 297.
    Christerson, Eva
    et al.
    Halmstad University, School of Health and Welfare.
    Kejonen, Helena
    Halmstad University, School of Health and Welfare.
    Distriktssköterskors upplevelser av hälsofrämjande arbete inom kommunal hemsjukvård2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Health promotion is important in all of the health care system, where the district nurse has big responsibility. Since the “ädelreform”, most counties are taking responsibility for providing health care, including the care takers who live at home. Orem´s nursing theory focuses on self-care and believes that man is an active and free being capable of achieving wellness through self-care. The aim of the study was to describe nurses' experiences of health promotion in municipal home care. A qualitative method with inductive approach was used and five interviews were performed, with district nurses from two counties in northwest Skåne. The interviews were analyzed using qualitative content analysis. The study revealed categories: caring is health promotion, health promotion lacks priority and the home as the arena. District nurses felt that health promotion is based on a holistic approach and the foundation for all nursing work, while they leaned towards their medical expertise. Furthermore, they felt that health promotion has low priority by lack of skills in the health care team, lack of time and short-term interventions. Health promotion efforts were affected since the home was the arena, where the individual's terms and conditions governed the work. Future studies based on the resident's perspective could further develop the results of this study while being a step in the healthcare developments in municipal home care.

  • 298.
    Claesson, Anna
    et al.
    Halmstad University, School of Health and Welfare.
    Ohlsson, Lena
    Halmstad University, School of Health and Welfare.
    Anestesisjuksköterskans upplevelser av att handleda studenter2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The competence description says that nurses will be involved in tutoring, teaching, and assessment of new nurses or colleagues. As a nurse/ supervisor, you are responsible for patient safety and determine if the mentee has sufficient knowledge to perform nursing actions. Previous studies show that lack of time, lack of support and lack of experience and knowledge is of great importance to be able to give a good supervision. The question is how we can influence the supervisors to be able to provide better supervision. The purpose of this study is to describe the nurse anesthetist experience of tutoring students. The results are based on interviews which were analyzed using qualitative content analysis. The result shows three categories: development, the need for cooperation and the need for expertise. The supervisors think it is fun, stimulating and instructive with students. The supervisors have good support from the university and main facilitators regarding the training tasks and goals for the students. Although most do not have supervisors they feel safe in the role of supervisor. The time available for instruction and reflection for students is still too small and desires are about dedicating more time to the benefit of the students' development in their professional role. Further research into the guidance and anesthesia nurses' experiences of tutoring students needed because many studies complain of short comings in and around the tutoring process.

  • 299.
    Claesson, Jenny
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Hallquist, Ewa
    Halmstad University, School of Social and Health Sciences (HOS).
    Patienters behov av information i palliativ omvårdnad2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It is complex in a palliative stage to provide accurate and personalized information to patients. It is therefore important that nurses maintain an ethical approach to identify the need of the patient. The aim was to illuminate the patient's need of information in palliative care. A literature review was carried out in which fifteen scientific articles processed and examined. Five main themes emerged, highlighting the need for information to gain insight into their illness, need of information to be living with the disease, need of information to cope near death, the need of tailored information, need to get information from the right person. The patients had a need of information about their specific disease and symptoms to cope with their daily life, forecast to plan their future and the end of life. Individualized information from staff with specific knowledge was considered important. The information would be honest without any false hopes and was thus able to increase the life quality. A major problem as the patient was the lack of information and how it was performed. It is therefore important that the education of the nurse includes education and training in difficult and sensitive conversations. More research is needed to spread the knowledge how the nurse should approach the patient and provide personalized information correctly.

  • 300.
    Claesson, Matilda
    et al.
    Halmstad University, School of Social and Health Sciences (HOS). Varberg.
    Hultqvist, Annika
    Halmstad University, School of Social and Health Sciences (HOS). Varberg.
    I nöd och lust: Anhörigvårdens påverkan på parrelationer2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Anhörigvårdsom innefattar vård av partner är något som blivit allt mer vanligt. Detta pågrund av ekonomiska nedskärningar inom vårdorganisationen, brist påsjukhusplatser samt ökad livslängd hos befolkningen. Syftet med studien var attsynliggöra hur relationen påverkas av att vårda eller att vårdas av sinpartner. Studien är en litteraturöversikt där 17 artiklar valdes ut efterkvalitetsgranskning, då samtliga besvarade syftet. Ur artiklarna framkomresultatet där fyra teman synliggjordes, trygghetoch belastning i relationen, förändrade roller, avsexualiserad relationsamt minskat socialt liv. Det ärviktigt i sjuksköterskans hälsofrämjande arbete att vara medveten omanhörigvårdens positiva och negativa inverkan i människors liv, för att kunnaförhålla sig till situationen på bästa sätt. Då endast begränsad forskningfinns inom området vård av maka/make bör forskningen utökas och bli meromfattande för att individer inte skall lida i tystnad och utveckla ohälsa.

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