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  • 301.
    Bokström, Malin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS). Halmstad University.
    Törnquist, Malin
    Halmstad University. Halmstad University, School of Social and Health Sciences (HOS).
    För patientens bästa: kommunikation mellan sjuksköterska och läkare2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 302.
    Bolanca, Anna
    et al.
    Halmstad University, School of Health and Welfare.
    Kjellström, Johanna
    Halmstad University, School of Health and Welfare.
    Patienters upplevelser av omvårdnaden på akutmottagningen efter ett trauma2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 303.
    Bolling, Viktor
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Dahl, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS).
    Dahlbäck, Archie
    Halmstad University, School of Social and Health Sciences (HOS).
    Att förstå varandra: Kommunikation i omvårdnaden trots demenssjukdom2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 304.
    Bolse, Kärstin
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Caring for Patients with an Implantable Cardioverter Defibrillator Experiences of Patients and Healthcare Professionals2009Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

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

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

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

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

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

  • 305.
    Bolse, Kärstin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Flemme, Inger
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Ivarsson, Anita
    Sahlgrenska University Hospital, Gothenburg, Sweden.
    Jinhage, Britt-Marie
    Sahlgrenska University Hospital, Gothenburg, Sweden.
    Carroll, Diane
    Massachusetts General Hospital, Boston.
    Edvardsson, Nils
    Sahlgrenska University Hospital, Gothenburg.
    Hamilton, Glenys A.
    Massachusetts General Hospital, Boston.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Life situation related to the ICD implantation: self-reported uncertainty and satisfaction in Swedish and US samples2002In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 1, no 4, p. 243-251Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe changes in the life situation related to the ICD implantation of Swedish and US samples with regard to uncertainty and satisfaction. The life situation was measured by reference to the uncertainty caused by the condition and satisfaction with the life situation. Inferential statistics were used to analyse changes within and between the Swedish and US samples. Uncertainty showed a statistically significant difference between the Swedish and US samples before as well as after the ICD implantation. A higher level of uncertainty was indicated for the US sample prior to the ICD implantation and for the Swedish sample following the implantation. In the Swedish sample, satisfaction with life showed a statistically significant difference within the socio-economic domain, indicating a higher degree of satisfaction 3 months after implantation. Satisfaction within the domains of health and functioning, socio-economics and psychological-spiritual showed a statistically significant difference between the Swedish and US samples both before and after ICD implantation, indicating a higher degree of satisfaction in the US sample. The previous study shows that the ICD-patient's life situation is changed after the implantation and that it is necessary to provide the patient with information and education based on their own preconditions. The fact that US sample was investigated at a later stage after ICD implantation than the Swedish sample may have influenced the results of the study.

  • 306.
    Bolse, Kärstin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Johansson, Ingela
    Department of Medicine and Health Sciences, Division of Nursing Science, Linköping University.
    Strömberg, Anna
    Department of Medicine and Health Sciences, Division of Nursing Science, Linköping University.
    Organisation of care for Swedish patients with an Implantable Cardioverter Defibrillator, a national survey2011In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 17-18, p. 2600-2608Article in journal (Refereed)
    Abstract [en]

    Aim.

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

    Background.

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

    Methods.

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

    Results.

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

    Conclusion.

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

    Relevance to clinical practice.

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

  • 307.
    Boman, Ida
    et al.
    Halmstad University, School of Health and Welfare.
    Tryggvesson, Emmy
    Halmstad University, School of Health and Welfare.
    Sjuksköterskans oberoende omvårdnadsåtgärder för barn med funktionell obstipation: En allmän litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

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

  • 308.
    Bonafé, Fatima
    et al.
    Halmstad University, School of Health and Welfare.
    Donovan, Annie
    Halmstad University, School of Health and Welfare.
    Omvårdnad av patienter med smärta ur ett genusperspektiv: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 309.
    Borcak Walder, Linda
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Caroline
    Halmstad University, School of Health and Welfare.
    Patienters upplevelser av utmattningssyndrom: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

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

  • 310.
    Borg, Alexandra
    et al.
    Halmstad University, School of Health and Welfare.
    Burman, Evelina
    Halmstad University, School of Health and Welfare.
    "Se mig som en människa": Upplevelser av värdighet i omvårdnad av personer med demens2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 311.
    Borg, Christin
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Spång, Ingela
    Halmstad University, School of Social and Health Sciences (HOS).
    Att leva med en stomi: – upplevelser av livskvalitet2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 312.
    Borge, Fredrik
    et al.
    Halmstad University, School of Health and Welfare.
    Winberg, Lena
    Halmstad University, School of Health and Welfare.
    Patienters erfarenheter av att leva med angina pectoris2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 313.
    Borgkvist, Maja
    et al.
    Halmstad University, School of Health and Welfare.
    Theander, Caroline
    Halmstad University, School of Health and Welfare.
    Livshistoriens betydelse i omvårdnaden av personer med demenssjukdom: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 314.
    Borglin, Lina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Westerlund, Sofia
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskans omvårdnadsåtgärder vid postoperativt illamående2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 315.
    Boson, Sara
    et al.
    Halmstad University, School of Teacher Education (LUT).
    Viktor, Helena
    Halmstad University, School of Teacher Education (LUT).
    "Rummet utan fyra väggar": - en fenomenografisk studie om sex förskollärares uppfattningar om förskolegårdens betydelse för barns motoriska utvecvkling2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    ABSTRAKT

    Idag visar forskning på allt fler stillasittande och inaktiva barn vilket delvis kan bero på samhällets tekniska framfart. För att barn ska ges möjlighet till att utveckla sina motoriska färdigheter visar studier på att förskolan bör erbjuda en utmanande och stimulerande utomhusmiljö men en del forskare menar att förskolors utomhusmiljö kan se väldigt olika ut. Syftet med detta examensarbete har varit att intervjua sex förskollärare om deras uppfattningar angående förskolegårdens möjligheter till att stimulera barns motoriska utveckling. Studien är en fenomenografisk ansats där vi använt oss av en kvalitativ metod och där empirin inom studien utgjort grunden för arbetet. Resultatet i vår studie visar på att även om förskolan ligger centralt eller i utkantanten av en storstad eller en småstad har förskollärarna i stort sätt liknande uppfattningar och tankar om förskolegårdens betydelse för barns motoriska utveckling. Det är enligt förskollärarna en kombination mellan förskolegårdens utformning och faktorer som exempelvis deras egen roll som ger barn de bästa möjligheterna till motorisk utveckling på förskolans utegård.

    Nyckelord; Barn, fenomenografi, förskolegård, förskollärarens roll och motorik

  • 316.
    Boström, Amanda
    et al.
    Halmstad University, School of Health and Welfare.
    Larsen, Rebecca
    Halmstad University, School of Health and Welfare.
    Illamående i samband med cytostatikabehandling2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 317.
    Bothmer, Margareta von
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Studenters hälsovanor – hur ser de ut? Är studenter motiverade att leva hälsosamt?2004In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 81, no 4, p. 319-333Article in journal (Refereed)
    Abstract [sv]

    Tvärsnittsstudie av studenters självskattade hälsa i relation till hälsovanor, motivation och personlighetsvariabler.

  • 318.
    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.

  • 319.
    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. 

  • 320.
    Bramsved, Rebecka
    et al.
    Department of Pediatrics, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Regber, Susann
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Mehlig, K.
    Section for Epidemiology and Social Medicine, Institute of Medicine, University of Gothenburg, Sweden.
    Novak, D.
    Department of Pediatrics, Shalgrenska Academy, University of Gotehburg, Sweden.
    Lissner, L.
    Section for Epidemiology and Social Medicine, Institute of Medicine, University of Gothenburg, Sweden.
    Mårild, S.
    Department of Pediatrics, Shalgrenska Academy, University of Gotehburg, Sweden.
    Parental education and income: independent and combined effects on children's growth and weight status2016Conference paper (Refereed)
  • 321.
    Bramsved, Rebecka
    et al.
    Department of Pediatrics, Institute of Clinical Sciences, The Queen Silvia Children’s Hospital, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
    Regber, Susann
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Novak, Daniel
    Department of Pediatrics, Institute of Clinical Sciences, The Queen Silvia Children’s Hospital, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
    Mehlig, Kirsten
    Section for Epidemiology and Social Medicine (EPSO), Institute of Medicine, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
    Lissner, Lauren
    Section for Epidemiology and Social Medicine (EPSO), Institute of Medicine, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
    Mårild, Staffan
    Department of Pediatrics, Institute of Clinical Sciences, The Queen Silvia Children’s Hospital, The Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
    Effects of family disposable income on development of height and BMI from birth up to eight years of age2016In: European Obesity Summit (EOS) – Joint Congress of EASO and IFSO-EC: ABSTRACTS, Freiburg: S. Karger, 2016, Vol. 9, p. 44-44Conference paper (Refereed)
    Abstract [en]

    Introduction: Low socioeconomic position (SEP) is a known risk factor for development of obesity in childhood. e level of parental education is commonly used as proxy for SEP, but family disposable income is likely to also be of importance for SEP. e aim of this study was to determine the e ects of family disposable income on BMI and height trajectories from birth up to eight years of age, and the development of obesity at eight years of age.

    Methods: Growth data from birth to eight years age were collected for 3030 Swedish children. Register data on family disposable income was re- trieved from Statistics Sweden, and dichotomized for the analysis by the median value for the group. Register-derived information on parental ed- ucation and national background, maternal BMI, age and smoking status were considered as covariates in longitudinal mixed models and regres- sion analyses.

    Results: Mean birth weight was lower in families of lower income, 3.51 kg (SD 0.54) vs. 3.60 kg (SD 0.53) for children of higher-income parents, p < 0.0001. By age 5.5 years and 8 years, however, a reversed relation between groups was seen, where the children of lower income families showed signi cantly higher mean BMI. is di erence was no longer sig- ni cant when adjusting for covariates. Considering height, lower income was strongly related to lower height at 5.5 and 8 years, di erences were strengthened a er adjusting for confounders, -0.44 cm (95% CI -0.75,- 0.13) for age 5.5 years and -0.56 cm (95% CI -0.88, -0.23) at 8 years. e OR of obesity at 8 years age was 1.69 (95% CI 1.05–2.7) for the group of low income compared to the group of high income.

    Conclusions: Low family disposable income is related to increased risk of childhood obesity at 8 years of age. is could be attributed to a di erent growth pattern compared to children of high income. Our ndings that children of lower family income had lower mean birth weight and dis- played lower height later in childhood suggest that these children might have an unfavourable metabolic pro le and increased risk of developing the metabolic syndrome. © 2016 S. Karger GmbH, Freiburg 

  • 322.
    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.

  • 323.
    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.

  • 324.
    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.

  • 325.
    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.

  • 326.
    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.

  • 327.
    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.

  • 328.
    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.

  • 329.
    Bremander, Ann
    et al.
    Spenshult Hosp Rheumat Dis, Ctr Res & Dev, S-31392 Oskarström, Sweden .
    Bergman, Stefan
    Spenshult Hosp Rheumat Dis, Ctr Res & Dev, Oskarström, Sweden .
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Perception of multimodal cognitive treatment for people with chronic widespread pain: changing one's life plan2009In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 31, no 24, p. 1996-2004Article in journal (Refereed)
    Abstract [en]

    Purpose.

    The aim of this study was to gain a deeper understanding of chronic widespread pain patients' perception of a multimodal treatment with a cognitive approach.

    Methods.

    A reformulated grounded theory study based on interviews with 16 participants in the programme was conducted at the end of a 6-month treatment period.

    Results.

    The result describes a conceptual model of the informants' perception of the treatment. The core category 'changing one's life plan' comprised of three categories: 'changing one's perception of life', 'depending on support' and 'managing one's life'. Changing one's perception of life could be deep and overwhelming 'overall life changes' or more superficial 'life adjustments'. Support by health professionals and the patient group were of importance. At the end of the rehabilitation program managing one's life was perceived as either 'reorientation' or 'stagnation'. The informants who experienced overall life changes achieved reorientation with support by others, while those who experienced life adjustments did not change their way of managing one's life to any great extent.

    Conclusion.

    The core category changing one's life plan included the categories; changing one's perception of life, depending on support and managing one's life. Informants experiencing overall life changes were more likely to achieve reorientation than those who experienced life adjustments

  • 330.
    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)
  • 331.
    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.

  • 332.
    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.

  • 333.
    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.

  • 334.
    Brobeck, Elisabeth
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Bergh, Håkan
    Region Halland, Halmstad, Sverige.
    Odencrants, Sigrid
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Motivational interviewing as method in health promotion practice: A Swedish study2012In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 22, no Suppl. 2, p. 207-207Article in journal (Refereed)
  • 335.
    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

  • 336.
    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)

  • 337.
    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.

  • 338.
    Broomé, Sabina
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Angelica
    Halmstad University, School of Health and Welfare.
    Effekt av kosttillskotten, vassle- och kaseinprotein: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Den fysiska aktiviteten bland motionärer är allt mer prestationsinriktad. Vassle- och kaseinprotein är de mest använda kosttillskotten och används i syfte att öka muskeltillväxt och påskynda återhämtning efter träning. Studiens syfte var att belysa förekomst och effekter av proteintillskotten, vassle och kasein ur ett folkhälsoperspektiv. En systematisk databassökning gjordes i tre olika databaser, PubMed, SportDiscus och Cinahl. 16 artiklar publicerade i vetenskapliga tidskrifter användes i analysen. Databearbetningen bestod av en dataanalys där tre teman framkom; kroppsliga effekter, motstridiga effekter i samband med fysisk aktivitet samt att felkonsumtion av vassle- och kaseinprotein kan ge hälsorisker. Det huvudsakliga resultatet i studien var att proteintillskotten, vassle och kasein inte påverkar prestation i samband med fysisk aktivitet däremot har vassle- och kaseinprotein effekt på muskelmassa, muskelskador och återhämtningsförmåga. Relevanta framtida forskningsprojekt skulle kunna vara att studera proteintillskott under längre perioder för att se långtidseffekter och reella effekter av användning av proteintillskotten samt studera det exakta innehållet i proteintillskotten då faktisk kunskap saknas.

  • 339.
    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.

  • 340.
    Brorsson, S.
    et al.
    Health and Welfare, Dala Sports Academy, Dalarna University, Falun, Sweden.
    Thorstensson, C.
    Department of Clinical Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
    Nilsdotter, A.
    Department of Research and Education, Halmstad County Hospital, Halmstad, Sweden.
    Bremander, Ann
    Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden.
    Two different sets of handexercises improved grip strength after after eight weeks in patients with arthritis2014In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 73, no Suppl. 2, p. 1210-1210Article in journal (Refereed)
    Abstract [en]

    Background Hand function measured as grip force and finger extension force is often impaired in patients with rheumatoid arthritis (RA) and hand osteoarthritis (HOA) affecting performance of daily activities why hand exercises are recommended. A number of hand exercises are often used in the clinic but there is little information about “the effects of a minimal set of hand exercises” and if the choice of exercises is important to improve strength and function in the hand.

    Objectives To study the effect on grip- and finger extension strength and patient reported hand function from two different sets of handexercises performed over 8 weeks using a randomized study design.

    Methods Female patients with arthritis (RA and HOA, n=121) were randomly assigned to two different sets of handexercises (HE) for 8 weeks. The four hand exercises applied in the program were exercises commonly used in traditional hand training programs. The exercises were split into two groups depending on if the muscle activation (measured with EMG) were greater in forearm flexor (HE I, n=62) or in extensor muscles (HE II, n=59) (REF). HE I: isolated finger opposition (digits II-V) and rolling the putty with a flat hand, HE II: squeezing the putty and finger extension with putty resistance. The two HE were performed daily and each set was repeated 15 times, training time per day was maximum 5 minutes 7 days/week.

    Grip strength was measured with Grippit and finger extension strength with EX-it both validated instruments (unit: N). Pain was measured with a Visual Analogue Scale (VAS), 0-10 (best to worst). Hand functions were evaluated with the patient reported questionnaire Quick Disability Arm Shoulder and Hand (QuickDASH), 0-100 (best to worst).

    Results Mean grip strength (p=0.01) and mean finger extension force (p=0.004) increased after the training period in the group using HE I. In HE II the mean finger extension force increased (p=0.044), table 1. Hand function was stable over the training period.

    Table 1.

    Descriptive data of finger extension (EXIT) force and grip strength in the right hand, hand function (QuickDASH) and VAS pain presented as mean ± SD (min–max)

    Conclusions Five daily minutes with two hand exercises resulted increased grip strength and finger extension force after eight weeks. We suggest that hand exercises should be combined and selected to improve both flexor and extensor muscle strength of the forearm.

  • 341.
    Brorsson, Sofia
    et al.
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Lundgren, Lina
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS).
    Olsson, Charlotte
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS).
    Ett fysiologiskt perspektiv på fysisk aktivitet och hälsa2010In: Hälsa & Livsstil: forskning och praktiska tillämpningar / [ed] Lillemor R-M Hallberg, Lund: Studentlitteratur, 2010, 1, p. 87-112Chapter in book (Other academic)
  • 342.
    Brorsson, Sofia
    et al.
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS).
    Nilsdotter, Anna
    Department of Research and Education, Halmstad County Hospital, Halmstad, Sweden.
    Pedersen, Eja
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS).
    Bremander, Ann
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS).
    Thorstensson, Carina
    Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
    Relationship between finger flexion and extension force in healthy women and women with rheumatoid arthritis2012In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 44, no 7, p. 605-608Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Balance between flexor and extensor muscle activity is essential for optimal function. The purpose of this pilot study was to compare the relationship between maximum finger flexion force and maximum finger extension force in women with rheumatoid arthritis and healthy women.

    METHODS: Twenty healthy women (median age 61 years) and 20 women with rheumatoid arthritis (median age 59.5 years, median disease duration 16.5 years) were included in the study. Finger extension force was measured with an electronic device, EX-it, and finger flexion force using Grippit. The Grip Ability Test and the score from the patient-reported outcome Disability Arm Shoulder and Hand were used to evaluate activity limitations.

    RESULTS: Patients with rheumatoid arthritis showed significantly decreased hand function compared with healthy controls. A correlation was found between extension force and flexion force in the healthy group (r = 0.65, p = 0.002),but not in the rheumatoid arthritis group (r = 0.25, p = 0.289).

    CONCLUSION: Impaired hand function appears to influence the relationship between maximum finger flexion and extension force. This study showed a difference in the relationship between maximum finger flexion and extension force in healthy controls and those with rheumatoid arthritis. © 2012 Foundation of Rehabilitation Information.

  • 343.
    Brorsson, Sofia
    et al.
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS). Health and Welfare, Dala Sports Academy, Dalarna University, Falun, Sweden.
    Nilsdotter, Anna
    Department of Research and Education, Halmstad County Hospital, Halmstad, Sweden.
    Thorstensson, Carina
    Department of Clinical Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden & Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
    Bremander, Ann
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS). Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden & Research and Development Center, Spenshult, Oskarström, Sweden.
    Differences in muscle activity during hand-dexterity tasks between women with arthritis and a healthy reference group2014In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 15, no 1, article id 154Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Impaired hand function is common in patients with arthritis and it affects performance of daily activities; thus, hand exercises are recommended. There is little information on the extent to which the disease affects activation of the flexor and extensor muscles during these hand-dexterity tasks. The purpose of this study was to compare muscle activation during such tasks in subjects with arthritis and in a healthy reference group.

    METHODS: Muscle activation was measured in m. extensor digitorium communis (EDC) and in m. flexor carpi radialis (FCR) with surface electromyography (EMG) in women with rheumatoid arthritis (RA, n = 20), hand osteoarthritis (HOA, n = 16) and in a healthy reference group (n = 20) during the performance of four daily activity tasks and four hand exercises. Maximal voluntary isometric contraction (MVIC) was measured to enable intermuscular comparisons, and muscle activation is presented as %MVIC.

    RESULTS: The arthritis group used a higher %MVIC than the reference group in both FCR and EDC when cutting with a pair of scissors, pulling up a zipper and-for the EDC-also when writing with a pen and using a key (p < 0.02). The exercise "rolling dough with flat hands" required the lowest %MVIC and may be less effective in improving muscle strength.

    CONCLUSIONS: Women with arthritis tend to use higher levels of muscle activation in daily tasks than healthy women, and wrist extensors and flexors appear to be equally affected. It is important that hand training programs reflect real-life situations and focus also on extensor strength. © 2014 Brorsson et al.; licensee BioMed Central Ltd.

  • 344.
    Brorsson, Sofia
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Lugnet Institute of Sport Science, Dalarna University, Falun, Sweden.
    Nilsdotter, Anna
    Department of Research and Education, Halmstad Central Hospital, Halmstad, Sweden.
    Thorstensson, Carina
    Research and Development Centre, Spenshult, Oskarström, Sweden.
    Bremander, Ann
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS). Research and Development Centre, Spenshult, Oskarström, Sweden.
    Hand flexor and extensor muscle activity in daily activities and hand exercises in women with rheumatoid arthritis or hand osteoarthritis2012In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 71, no Suppl. 3, p. 754-754Article in journal (Refereed)
    Abstract [en]

    Background: Impaired hand grip function is common and occurs early in the course of disease in patients with rheumatoid arthritis (RA) and hand osteoarthritis (HOA), affecting daily life activities and quality of life.

    Objectives: To evaluate muscle force and muscle activity in forearm flexors and extensors during daily activities and clinically well-known hand exercises in women with RA and HOA compared with healthy controls

    Methods: The RA group was consecutively included from a specialist clinic and had a disease duration of at least one year.  Women with HOA were allocated from out-patients primary health care clinics in the same area and clinically diagnosed with symptomatic HOA. The age matched control group had no history of hand/arm injuries, inflammatory or muscle disease. Full active finger extension ability was required for all subjects. Hand force (Newton) was measured with EX-it (extension) and Grippit (flexion), both validated instruments. Muscle activity was measured in m. extensor digitorum communis (EDC) and m. flexor carpi radialis (FCR) with surface EMG (S-EMG) on the dominant hand while performing four daily activities (ADL) and four hand exercises and described as percent of maximal voluntary isometric contraction (% MVIC) based on data from EX-it and Grippit. Pain was measured with Visual Analogue Scale (VAS) 0-10 (best to worst). Differences between groups were analyzed and controlled for age.

    Results: Fifty-six women were included; 20 with RA (age mean (SD) 59.2 (10.7) years, VAS pain 2.2 (1.6)), 16 with HOA (age 67.5 (9.3) years, VAS pain 4.1 (1.9)) and 20 healthy controls (age 56.0 (9.7) years). Women with RA and HOA showed decreased extension and flexion force compared with healthy women (p<0.03).There was a tendency towards higher % MVIC in all tests for women with RA or HOA compared with healthy women, with a statistically significant difference between HOA and healthy women for EDC (p<0.05).

    ADL activities “writing with a pen”, and “cutting with scissors” showed the highest % MVIC in both EDC and FCR in all groups. The exercises “isolated opposition”, and “rolling the dough with flat hands”, had high % MVIC in EDC, while “squeezing the dough” and “isolated opposition” had high % MVIC in FCR.

    Conclusions: Women with RA and HOA tend to use a higher % MVIC than healthy women in many daily activities and in hand exercises. Strengthening exercises should include both extensor and flexor specific training.

    Disclosure of Interest: None Declared

  • 345.
    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.

  • 346.
    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.      

     

  • 347.
    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.

  • 348.
    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.

  • 349.
    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.

  • 350.
    Brännén, Angela
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Bursell, Anna
    Halmstad University, School of Social and Health Sciences (HOS).
    Efter hjärtinfarkt: -att lyckas med livsstilsförändringar2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Många personer drabbas årligen av hjärtinfarkt, ofta rekommenderas livsstilsförändringar i rehabiliteringsfasen. Det är en utmaning för hälso- och sjukvårdspersonal att motivera och stödja patienten i deras strävan mot en förbättrad livsstil. Syftet med studien var att belysa de faktorer som underlättar respektive försvårar patientens livsstilsförändringar efter en hjärtinfarkt. Studien genomfördes som en litteraturstudie och baserades på 12 vetenskapliga artiklar. I resultatet framkom sex kategorier. Dessa var socialt stöd, professionellt stöd, rehabiliteringsprogram, självcentrerat perspektiv, existentiellt perspektiv samt miljö. I omvårdnaden är det viktigt att hänsyn tas till den enskilda individen vid livsstilsförändringar, det krävs då både medvetenhet och kunskap från hälso- och sjukvårdspersonal. De sex kategorier som framkom ger kunskap som underlättar arbetet med patienter som drabbats av hjärtinfarkt. Beträffande framtida forskning vore det intressant att se vad som påverkar den eventuella varaktigheten av livsstilsförändringar, då följsamheten är viktig för att undvika att patienten drabbas av ytterligare hjärtinfarkter.

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