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  • 301.
    Carlstrand, Johanna
    et al.
    Halmstad University, School of Health and Welfare.
    Thorén, Annika
    Halmstad University, School of Health and Welfare.
    Alzheimers sjukdom: Att vara anhörig2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 302.
    Carlström, Michelle
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Christensson, Hanna
    Halmstad University, School of Social and Health Sciences (HOS).
    Johansson, Åsa
    Halmstad University, School of Social and Health Sciences (HOS).
    "Jag kan inte sova!": -miljöfaktorer som kan påverka patienters sömn på sjukhus2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 303.
    Carlström, Michelle
    et al.
    Halmstad University, School of Health and Welfare.
    Wahlgren, Rebecka
    Halmstad University, School of Health and Welfare.
    Självskattad upplevelse av hälsa hos patienter på en psykiatrisk öppenvårdsmottagning2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 304.
    Carvell, Victoria
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Caroline
    Halmstad University, School of Health and Welfare.
    Hälso- och sjukvårdens bemötande av patienter med självskadebeteende ur ett patientperspektiv.: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 305.
    Castenbladh Rafors, Jennifer
    et al.
    Halmstad University, School of Health and Welfare.
    Ivarsson, Madelene
    Halmstad University, School of Health and Welfare.
    Synen på livet med ett öga: En enkätstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 306.
    Castro, Claudia
    et al.
    Halmstad University, School of Health and Welfare.
    Hasselquist, Molly
    Halmstad University, School of Health and Welfare.
    Ögonsjuksköterskans hälsofrämjande åtgärder vid åldersrelaterad makuladegeneration2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 307.
    Cecilia, Johansson
    et al.
    Halmstad University, School of Health and Welfare.
    Kocevic, Fahira
    Halmstad University, School of Health and Welfare.
    Vägen till ändrade levnadsvanor: -erfarenheter från personer med övervikt och fetma2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 308.
    Cederlöf, Åsa
    et al.
    Halmstad University, School of Health and Welfare.
    Ålenius, Piamari
    Halmstad University, School of Health and Welfare.
    Ambulanspersonalens upplevelse av regelbunden strukturerad fysisk aktivitet2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 309.
    Cejku, Egzona
    et al.
    Halmstad University, School of Health and Welfare.
    Boström, Lisa
    Halmstad University, School of Health and Welfare.
    Barnsjuksköterskans hälsofrämjande och förebyggande arbete mot övervikt och fetma hos barn inom barnhälsovården: En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 310.
    Cervin, Johanna
    et al.
    Halmstad University, School of Health and Welfare.
    Smith, Susanne
    Halmstad University, School of Health and Welfare.
    Patientsäkerhet i samband med interhospital transport av intensivvårdskrävande patient: Specialistsjuksköterskors erfarenheter2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 311.
    Chaudary, Mubina
    et al.
    Halmstad University, School of Health and Welfare.
    Dunér, Isabel
    Halmstad University, School of Health and Welfare.
    Att leva med en urinkateter: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 312.
    Christerson, Eva
    et al.
    Halmstad University, School of Health and Welfare.
    Kejonen, Helena
    Halmstad University, School of Health and Welfare.
    Distriktssköterskors upplevelser av hälsofrämjande arbete inom kommunal hemsjukvård2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 313.
    Claesson, Anna
    et al.
    Halmstad University, School of Health and Welfare.
    Ohlsson, Lena
    Halmstad University, School of Health and Welfare.
    Anestesisjuksköterskans upplevelser av att handleda studenter2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 314.
    Claesson, Jenny
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Hallquist, Ewa
    Halmstad University, School of Social and Health Sciences (HOS).
    Patienters behov av information i palliativ omvårdnad2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 315.
    Claesson, Matilda
    et al.
    Halmstad University, School of Social and Health Sciences (HOS). Varberg.
    Hultqvist, Annika
    Halmstad University, School of Social and Health Sciences (HOS). Varberg.
    I nöd och lust: Anhörigvårdens påverkan på parrelationer2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 316.
    Clausson, Eva K.
    et al.
    Högskolan Kristianstad.
    Einberg, Eva-Lena
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Teider, Karin
    Vänersborgs kommun.
    Dokumentation av elevers hälsa2012In: Skolsköterskans hälsofrämjande arbete / [ed] Eva K. Clausson och Siv Morberg, Lund: Studentlitteratur, 2012, 1, p. 121-136Chapter in book (Refereed)
  • 317.
    Clausson, Eva K.
    et al.
    Högskolan Kristianstad, Kristianstad, Sweden.
    Teider, Karin
    Vänersborgs kommun, Vänersborg, Sverige.
    Einberg, Eva-Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    School VIPS: A Swedish Model for Documenting All Aspects of Schoolchildren’s Health2011Conference paper (Refereed)
    Abstract [sv]

    BAKGRUND:

    Dokumentation av skolbarns hälsa kan vara en praktisk och etisk utmaning för skolsköterskor. Då forskning visar att skolbarns psykiska och sociala hälsoproblem har ökat under de senaste decennierna och god omvårdnad innefattar en tillförlitlig dokumentation finns ett uppenbart behov av att utveckla en struktur som underlättar arbetet för skolsköterskor. VIPS-modellen är väl utvärderad och används i en mängd olika vårdsammanhang.

    SYFTE:

    Syftet med projektet var att utveckla en särskild skol-VIPS modell.

    METOD:

    Original -VIPS, Psyk-VIPS och Prim-VIPS användes som förlaga. Modellen expertgranskades samt pilottestades av yrkesverksamma skolsköterskor.

    RESULTAT:

    Resultatet presenteras i en folder utifrån omvårdnadsprocessens huvudrubriker. Sökord relaterade till hälsosamtal och vanliga hälsoproblem bland skolbarn i olika ålder såsom kost och hudproblem är exempel på sådant som kommenteras. Hälsoproblem som kan vara ett dilemma för skolsköterskor att dokumentera är självförvållade skador och könsstympning vilka också kommenteras specifikt. Andra sökord som är relevanta för skolhälsovården är Sexualitet / Reproduktion inklusive pubertetsutveckling där även pojkars utveckling lagts till. I sökordet Psykosocialt ingår skolsituationen och drogmissbruk.

    SLUTSATS:

    En gemensam struktur av dokumentationen i skolhälsovårdsjournalen kan göra det möjligt att jämföra barn och ungdomars hälsoutveckling samt att utvärdera omvårdnadsåtgärder. Möjligheterna till uppföljning av verksamheten och framtida omvårdnadsforskning kan också öka.

  • 318.
    Clausson, Eva
    et al.
    Högskolan Kristianstad, Kristianstad, Sverige.
    Teider, Karin
    Vänersborgs kommun, Vänersborg, Sverige.
    Einberg, Eva-Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    School-VIPS: a Swedish Model for Documenting All Aspects of Schoolchildren's Health2012Conference paper (Refereed)
    Abstract [sv]

    BAKGRUND:

    Dokumentation av skolbarns hälsa kan vara en praktisk och etisk utmaning för skolsköterskor. Då forskning visar att skolbarns psykiska och sociala hälsoproblem har ökat under de senaste decennierna och god omvårdnad innefattar en tillförlitlig dokumentation finns ett uppenbart behov av att utveckla en struktur som underlättar arbetet för skolsköterskor. VIPS-modellen är väl utvärderad och används i en mängd olika vårdsammanhang.

    SYFTE:

    Syftet med projektet var att utveckla en särskild skol-VIPS modell.

    METOD:

    Original -VIPS, Psyk-VIPS och Prim-VIPS användes som förlaga. Modellen expertgranskades samt pilottestades av yrkesverksamma skolsköterskor.

    RESULTAT:

    Resultatet presenteras i en folder utifrån omvårdnadsprocessens huvudrubriker. Sökord relaterade till hälsosamtal och vanliga hälsoproblem bland skolbarn i olika ålder såsom kost och hudproblem är exempel på sådant som kommenteras. Hälsoproblem som kan vara ett dilemma för skolsköterskor att dokumentera är självförvållade skador och könsstympning vilka också kommenteras specifikt. Andra sökord som är relevanta för skolhälsovården är Sexualitet / Reproduktion inklusive pubertetsutveckling där även pojkars utveckling lagts till. I sökordet Psykosocialt ingår skolsituationen och drogmissbruk.

    SLUTSATS:

    En gemensam struktur av dokumentationen i skolhälsovårdsjournalen kan göra det möjligt att jämföra barn och ungdomars hälsoutveckling samt att utvärdera omvårdnadsåtgärder. Möjligheterna till uppföljning av verksamheten och framtida omvårdnadsforskning kan också öka.

  • 319.
    Clausson, Eva
    et al.
    Högskolan Kristianstad, Kristianstad, Sverige.
    Teider, Karin
    Vänersborgs kommun, Vänersborg, Sverige.
    Einberg, Eva-Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    School-VIPS: a Swedish Model for Documenting all Aspects of Schoolchildren's Health2012Conference paper (Other academic)
    Abstract [sv]

    BAKGRUND:

    Dokumentation av skolbarns hälsa kan vara en praktisk och etisk utmaning för skolsköterskor. Då forskning visar att skolbarns psykiska och sociala hälsoproblem har ökat under de senaste decennierna och god omvårdnad innefattar en tillförlitlig dokumentation finns ett uppenbart behov av att utveckla en struktur som underlättar arbetet för skolsköterskor. VIPS-modellen är väl utvärderad och används i en mängd olika vårdsammanhang.

    SYFTE:

    Syftet med projektet var att utveckla en särskild skol-VIPS modell.

    METOD:

    Original -VIPS, Psyk-VIPS och Prim-VIPS användes som förlaga. Modellen expertgranskades samt pilottestades av yrkesverksamma skolsköterskor.

    RESULTAT:

    Resultatet presenteras i en folder utifrån omvårdnadsprocessens huvudrubriker. Sökord relaterade till hälsosamtal och vanliga hälsoproblem bland skolbarn i olika ålder såsom kost och hudproblem är exempel på sådant som kommenteras. Hälsoproblem som kan vara ett dilemma för skolsköterskor att dokumentera är självförvållade skador och könsstympning vilka också kommenteras specifikt. Andra sökord som är relevanta för skolhälsovården är Sexualitet / Reproduktion inklusive pubertetsutveckling där även pojkars utveckling lagts till. I sökordet Psykosocialt ingår skolsituationen och drogmissbruk.

    SLUTSATS:

    En gemensam struktur av dokumentationen i skolhälsovårdsjournalen kan göra det möjligt att jämföra barn och ungdomars hälsoutveckling samt att utvärdera omvårdnadsåtgärder. Möjligheterna till uppföljning av verksamheten och framtida omvårdnadsforskning kan också öka.

  • 320.
    Clausson, Eva
    et al.
    Högskolan Kristianstad, Kristianstad, Sverige.
    Teider, Karin
    Skolsköterska med medicinskt ledningsansvar Skolhälsovården Vänersborgs kommun, Sverige.
    Einberg, Eva-Lena
    Skolsköterska med medicinskt ansvar Skolhälsovården Höganäs kommun, Sverige.
    SkolVIPS: en modell för omvårdnadsdokumentation i skolhälsovårdsjournalen2010Other (Other academic)
  • 321.
    Clausson, Eva
    et al.
    Högskolan Kristianstad, Kristianstad, Sverige.
    Teider, Karin
    skolsköterska med medicinskt ledningsansvar Vänersborgs kommun, Sverige.
    Einberg, Eva-Lena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    SkolVIPS: En modell för skolsköterskans dokumentation2014Other (Other academic)
  • 322.
    Cojanu, Ionela
    et al.
    Halmstad University, School of Health and Welfare.
    Perby, Perby
    Halmstad University, School of Health and Welfare.
    Musikens effekt på postoperativ smärta2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    All surgical procedures, whatever the extent, cause tissue damage with subsequent pain. Untreated or inadequately treated pain can lead to both physiological and psychological postoperative complications. Pharmacological treatment and especially opioid treatment is often associated with side effects. A complement to pharmacological may be non-pharmacological pain management such as music. Music is an old social phenomenon which has shown to have a positive effect on anxiety, stress and pain. The purpose of the study was to investigate the effects of music on postoperative pain. The study was conducted as a literature study and the result is based on fifteen scientific peer-reviewed articles. The result showed that the majority of patients undergoing surgery and who received music interventions assessed their pain lower than those who did not. Music intervention is a simple, riskfree and cost-effective method which may be a complement to pharmacological treatment of post-operative pain.

  • 323.
    Condelius, Anna
    et al.
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Andersson, Magdalena
    City Office, Unit of Research and Development and Social Sustainability Development, Malmö, Sweden.
    Exploring access to care among older people in the last phase of life using the behavioural model of health services use: a qualitative study from the perspective of the next of kin of older persons who had died in a nursing home2015In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, article id 138Article in journal (Refereed)
    Abstract [en]

    Background: There is little investigation into what care older people access during the last phase of their life and what factors enable access to care in this group. Illuminating this from the perspective of the next of kin may provide valuable insights into how the health and social care system operates with reference to providing care for this vulnerable group. The behavioural model of health services use has a wide field of application but has not been tested conceptually regarding access to care from the perspective of the next of kin. The aim of this study was to explore the care accessed by older people during the last phase of their life from the perspective of the next of kin and to conceptually test the behavioural model of health services use.

    Methods: The data collection took place in 2011 by means of qualitative interviews with 14 next of kin of older people who had died in a nursing home. The interviews were analysed using directed content analysis. The behavioural model of health services use was used in deriving the initial coding scheme, including the categories: utilization of health services, consumer satisfaction and characteristics of the population at risk.

    Results: Utilization of health services in the last phase of life was described in five subcategories named after the type of care accessed i.e. admission to a nursing home, primary healthcare, hospital care, dental care and informal care. The needs were illuminated in the subcategories: general deterioration, medical conditions and acute illness and deterioration when death approaches. Factors that enabled access to care were described in three subcategories: the organisation of care, next of kin and the older person. These factors could also constitute barriers to accessing care. Next of kin's satisfaction with care was illuminated in the subcategories: satisfaction, dissatisfaction and factors influencing satisfaction. One new category was constructed inductively: the situation of the next of kin.

    Conclusions: A bed in a nursing home was often accessed during what the next of kin regarded as the last phase of life. The needs among older people in the last phase of life can be regarded as complex and worsening over time. Most enabling factors lied within the organisation of care but the next of kin enabled access to care and contributed significantly to care quality. More research is needed regarding ageism and stigmatic attitudes among professionals and informal caregivers acting as a barrier to accessing care for older people in the last phase of their life. The behavioural model of health services use was extended with a new category showing that the situation of the next of kin must be taken into consideration when investigating access to care from their perspective. It may also be appropriate to include informal care as part of the concept of access when investigating access to care among older people in the last phase of their life. The results may not be transferable to older people who have not gained access to a bed in a nursing home or to countries where the healthcare system differs largely from the Swedish. © 2015 Condelius and Andersson.

  • 324.
    Condelius, Anna
    et al.
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & The Vårdal Institute, The Swedish Institute of Health Sciences, Lund University, Lund, Sweden.
    Edberg, Anna-Karin
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & The Vårdal Institute, The Swedish Institute of Health Sciences, Lund University, Lund, Sweden.
    Jakobsson, Ulf
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Hallberg, Ingalill R.
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & The Vårdal Institute, The Swedish Institute of Health Sciences, Lund University, Lund, Sweden.
    Hospital admissions among people 65+ related to multimorbidity, municipal and outpatient care2008In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 46, no 1, p. 41-55Article in journal (Refereed)
    Abstract [en]

    This study aimed at examine the number of planned and acute hospital admissions during 1 year among people 65+ and its relation to municipal care, outpatient care, multimorbidity, age and sex. Four thousand nine hundred and seven individuals having one or more admissions during 2001 were studied. Data were collected from two registers and comparisons were made between those having one, two and three or more hospital stays and between those with and without municipal care and services. Linear regression was used to examine factors predicting number of acute and planned admissions. Fifteen percent of the sample had three or more hospital stays (range 3-15) accounting for 35% of all admissions. This group had significantly more contacts in outpatient care with physician (median number of contacts (md)=15), compared to those with one (md: 8), or two admissions (md: 11). Main predictors for number of admissions were number of diagnosis groups and number of contacts with physician in outpatient care. Those who are frequently admitted to hospital constitute a small group that consume a great deal of inpatient care and also tend to have frequent contacts in outpatient care. Thus interventions focusing on frequent admissions are needed, and this requires collaboration between outpatient and hospital care. © 2007 Elsevier Ireland Ltd. All rights reserved.

  • 325.
    Condelius, Anna
    et al.
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & The Vårdal Institute, The Swedish Institute for Health Sciences, Lund University, Lund, Sweden.
    Edberg, Anna-Karin
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & The Vårdal Institute, The Swedish Institute for Health Sciences, Lund University, Lund, Sweden.
    Rahm Hallberg, Ingalill
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & The Vårdal Institute, The Swedish Institute for Health Sciences, Lund University, Lund, Sweden.
    Jakobsson, Ulf
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Utilization of medical healthcare among people receiving long-term care at home or in special accommodation2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 2, p. 404-413Article in journal (Refereed)
    Abstract [en]

    Aim: To investigate the utilization of medical healthcare, hospital care and outpatient care, during a 1-year period in relation to informal care, multimorbidity, functional status and health complaints and to long-term care at home or in special accommodation among people aged 65+, with one or more hospital admissions and receiving long-term care.

    Method: A total of 694 people receiving long-term care during the year 2001 were studied. Data were collected by means of the administrative registers Patient Administrative Support in Skåne and PrivaStat and through the study Good Ageing in Skåne. Those at home and those in special accommodation were compared regarding utilization of medical healthcare, informal care, multimorbidity, functional status and health complaints. Multiple logistic regression analysis was performed using at home vs. in special accommodation as the dependent variable and also two multiple linear regression analyses using the number of hospital stays and the number of contacts with the physician in outpatient care separately as dependent variables.

    Findings: Those at home were significantly younger (mean age: 81 vs. 84 years) and less dependent in personal and instrumental activities of daily living (PADL/IADL) than those in special accommodation. A larger proportion of those at home was admitted to hospital three times or more (21 vs. 14%) and they had significantly more contacts with physicians in outpatient care (md: 10 vs. md: 7). Informal care was associated with care at home (OR = 0.074) and with utilization of outpatient care (B = 2.045). Dependency in PADL was associated with care in special accommodation (OR = 1.375) and with utilization of hospital care (B = -0.060) and outpatient care (B = -0.581).

    Conclusion: Medical healthcare seems more accessible to those who live at home are younger, less dependent and who have access to informal caregivers.

    © 2009 Condelius et al. Journal compilation © 2009 Nordic College of Caring Science

  • 326.
    Condelius, Anna
    et al.
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Hallberg, Ingalill R.
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Jakobsson, Ulf
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & Center for Primary Health Care Research, Faculty of Medicine, Lund University, Malmö, Sweden.
    Hospital and outpatient clinic utilization among older people in the 3-5 years following the initiation of continuing care: a longitudinal cohort study2011In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 11, article id 136Article in journal (Refereed)
    Abstract [en]

    Background: Few studies have investigated the subsequent rate of hospital and outpatient clinic utilization in those who receive continuing care and have documented frequent usage over one year. Such knowledge may be helpful in identifying those who would benefit from preventive interventions. The aim of this study was to investigate and compare the subsequent rate of hospital and outpatient clinic utilization among older people with 0, 1, 2, 3 or more hospital stays in the first year following the initiation of continuing care. A further aim was to compare these groups regarding demographic data, health complaints, functional and cognitive ability, informal care and mortality.

    Methods: A total of 1079 people, aged 65 years or older, who received a decision regarding the initiation of continuing care during the years 2001, 2002 or 2003 were investigated. Four groups were created based on whether they had 0, 1, 2 or ≥ 3 hospital stays in the first year following the initiation of continuing care and were investigated regarding the rate of hospital and outpatient clinic utilization in the subsequent 3-5 years.

    Results: Fifty seven percent of the sample had no hospital stay during the first year following the initiation of continuing care, 20% had 1 stay, 10% had 2 stays and 13% had three or more hospital stays (range: 3-13). Those with ≥ 3 hospital stays in the first year continued to have the significantly highest rate of hospital and outpatient care utilization in the subsequent years. This group accounted for 57% of hospital stays in the first year, 27% in the second year and 18% in the third year. In this group the risk of having ≥ 3 hospital stays in the second year was 27% and 12% in the third year.

    Conclusions: There is a clear need for interventions targeted on prevention of frequent hospital and outpatient clinic utilization among those who are high users of hospital care in the first year after the initiation of continuing care. Perhaps an increased availability of medically skilled staff in the day to day care of these people in the municipalities could prevent frequent hospital and outpatient clinic utilization, especially hospital readmissions. © 2011 Condelius et al; licensee BioMed Central Ltd.

  • 327.
    Condelius, Anna
    et al.
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & The Vårdal Institute, the Swedish Institute For Health Sciences, Lund University, Lund, Sweden.
    Hallberg, Ingalill R.
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden & The Vårdal Institute, the Swedish Institute For Health Sciences, Lund University, Lund, Sweden.
    Jakobsson, Ulf
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Medical healthcare utilization as related to long-term care at home or in special accommodation2010In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 51, no 3, p. 250-256Article in journal (Refereed)
    Abstract [en]

    This study aimed to investigate medical healthcare utilization 3-5 years following the decision about long-term care at home vs. in special accommodation in older people. A total of 1079 people who were granted long-term care the years 2001, 2002 or 2003 were studied regarding the number of hospital stays and the number of contacts with physicians in outpatient care in the 3-5 subsequent years. Those living at home and those in special accommodation were compared regarding medical healthcare utilization during the 3-5 subsequent years. Data were collected through the study Good Aging in Skåne (GAS) and through the registers, Patient Administrative Support in Skåne (PASiS) and PrivaStat. Utilization of medical healthcare decreased slightly in the years following the decision about long-term care. Despite younger age and less dependency in activities of daily living (ADL), those living at home utilized hospital and outpatient care to a greater extent than those in special accommodation; these differences remained over time. Thus, it seems as long-term care needs to become more effective in the prevention of medical healthcare utilization among those cared for at home. More, older people who are granted long-term care at home may otherwise imply increased utilization of medical healthcare. © 2009 Elsevier Ireland Ltd. All rights reserved.

  • 328.
    Condelius, Anna
    et al.
    Lund University, Lund, Sweden.
    Jakobsson, Ulf
    Lund University, Malmö, Sweden.
    Karlsson, Staffan
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Lund University, Lund, Sweden.
    Exploring the Implementation of Individual Care Plans in Relation to Characteristics of Staff2016In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 6, no 8, p. 582-590Article in journal (Refereed)
    Abstract [en]

    The aim was to explore the implementation of individual care plans in municipal elderly care in relation to characteristics of staff. Data regarding characteristics of staff were derived through a questionnaire distributed to all staff working in the care for older people, (N = 908, n = 245) in four municipalities in Sweden. The number of care plans established during a one-year period was collected through a contact person in each municipality. In total 47 individual care plans were es-tablished during the study year. Significantly more staff in the municipality that had the most number of established individual care plans agreed that there had been sufficient education (p = 0.017), sufficient time (p = 0.002) and routines established regarding individual care plans (p = 0.014) and had a significantly better job satisfaction (p = 0.001), compared to staff in the other municipalities. Implementation leaders may need to take the working conditions and the percep-tion of available resources among staff into consideration in the on-going process of implementing individual care plans.

  • 329.
    Corderfeldt, Robert
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Olhammer, Jens
    Halmstad University, School of Social and Health Sciences (HOS).
    Anestesisjuksköterskors upplevelser av interhospitala patienttransporter2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurse anesthetist work in several areas but working at an anesthetic clinic is the most common. Working at a clinic involves overseeing patients during interhospital patienttransports. Earlier studies have shown that many specialist nurses are worried and concerned over transporting patients. They experience feelings of insecurity, vulnerability, and a lack of clear guidelines. The responsibility is major and sometimes there are long distances between the hospitals. The aim of the study was to evaluate how the nurse anesthetists experience their participation during the transport of patients. The study was conducted using a quantitative approach and empirical data was collected using a questionair. Descriptive statistics were used to present the results. The results showed that the nurse anesthetists experiences of transporting patients varied greatly. Several responded that they found it difficult to give good care during the transport. There was also a large range of the answers to the question about whether they felt stressed or unconcerned during these assignments, but most were in the middle of the scale. Cooperation between the nurse anesthetists and the ambulance nurses generally worked well, they even had a strong confidence in their competence. One fourth of the nurse anesthetists reported they would prefer not to be involved in interhospital patienttransports. More research is needed in this area is great.

  • 330.
    Creson, Hadassa
    et al.
    Halmstad University, School of Health and Welfare.
    Juul, Christina
    Halmstad University, School of Health and Welfare.
    Är jag anhörig eller är jag sjuksköterska?: Legitimerade sjuksköterskors upplevelse av att vara anhörig till en närstående som vårdas på sjukhus2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses who care for patients have a responsibility, to care for thepatient and relatives and to support the relationship between the patient and therelatives. Relatives knowledgebase can vary and sometimes a relative can be aregistered nurse. Depending on previous experience and knowledge the experience ofbeing a relative can be different. Aim: The aim of the literature study was to exploreregistered nurses experience of being relative to a hospitalized family member.Method: A literature study was conducted, the results were based on nine qualitativestudies. Results: Out of the nine studies, five themes emerged: Conflicts between thenursing-role and the relative-role, Professional experience, Information needs,Participation and Finding support. The results showed a clear role conflict due to theincreased knowledge of the nurse relatives in comparison to the general relatives.Since the nurse relative possessed more knowledge they demanded more informationand wished to be involved in their family members care when possible. Conclusion: There is a clear conflict between the nurse role and the relative role within relativeswho are registered nurses. In order to be able to encounter relatives with differentlevels of knowledge in health care, research on the subject should be pursued.

  • 331.
    Cronquist, Emma
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Asplund, Sara
    Halmstad University, School of Social and Health Sciences (HOS).
    Att leva med svårläkta sår2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 332.
    Cronqvist, Sofie
    et al.
    Halmstad University.
    Emma, Persson
    Halmstad University.
    Kvinnors upplevelser i samband med en framkallad abort: En allmän litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background In Sweden, approximately 37,000 induced abortions / year are carried out. Reasons for why women carry out an induced abortion can be many. Induced abortion is a sensitive subject where ethics and morals are usually discussed. Aim The aim of this study was to highlight women's experiences in connection with an induced abortion. Methods The metod used for the actual study was a general literature study. Both qualitative and quantitative articles were used. Collected material was analyzed with an inductive approach. Trough the analysis, two main categories and six subcategories emerged. Results The results show that when a woman thinking about undergoing or has undergone an induced abortion the need to receive support and the need to perceive controll is the two most important needs. Main category The need for support has subcategories: Experience of anxiety, Experience of sadness, guilt and shame. Main category Need for control has subcategories: Experience of strength, maturity and taking responsibility, Experience of relief, Experience of discomfort and fear and experience of disappointing and loss. Conclusion of this study reveals that it is important to have good treatment and having support from both nurses and related parties has a significant role. The need for control is also an important factor for the woman that the nurse can contribute to. Depending on how well these two needs are met, different experiences may emerge. The study shows that more research is needed on women's experiences in connection with an induced abortion and which nursing care are important.

  • 333. Cucovic, Amina
    et al.
    Osmani, Arbresha
    Jag kan inte ta av min hudfärg: Sjuksköterskors erfarenheter av patienters rasdiskriminering2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Nurses are exposed to racial discrimination very often which can result in ill health. There is a law in Sweden that prevents from all types of discrimination and legislation that ill health at workplace should be prevented. A study was made in which the aim was to illuminate nurses’ experiences of racial discrimination caused by the patients. To reach the aim, the study was completed by a literature study and eight scientific result articles. Codes and analysis was completed by the result articles. The themes were the expression of racial discrimination and the consequences of racial discrimination. The main theme, which was the consequences of racial discrimination, was divided into two subtitles, which were feelings and coping strategies. The result showed that the patients used comments and facial expressions when they racially discriminated the nurses, which could lead to physical and mental as well as stress related damages. Being exposed to racial discrimination leads to negative feelings. Nurses have embraced different types of coping strategies in order to deal with racial discrimination, and in the worst case scenario if it didn´t work, their last alternative was to leave their workplace.

  • 334.
    Custovic, Belma
    et al.
    Halmstad University, School of Health and Welfare.
    Babic, Dragana
    Halmstad University, School of Health and Welfare.
    Spädbarnskolik - det långvariga, otröstliga gråtandet: En litteraturstudie om föräldrarnas upplevelser2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Infant colic is a common problem that affects every fifth to tenth infant in Scandinavia and is a common reason for parents seeking to child health services for help. The aim of this study was to describe parents' experiences of living with an infant who has colic. The study was conducted as an integrative literature review based on 12 scientific articles. The results showed that infant colic affected the entire family whose living constantly alternated between hope and despair. Parents of children with colic experienced both physical and psychological impact on the health. They had difficulty controlling their emotions, which could cause the child harm. Infant colic complicated partner relationships, affected relationships within the family and reduced parents' social networks. Relief from family and friends, as well as support from the CHC-nurse was of great importance to parents. Many parents, however, felt a lack of support from the CHC-nurse and wanted more confirmation and understanding from the CHC-nurse of what they experienced during the infant's period with colic. 

  • 335.
    Dahl, Isabelle
    et al.
    Halmstad University.
    Niklasson, Emma
    Halmstad University.
    Sjuksköterskors erfarenheter av att vårda patienter när livsuppehållande behandling avslutats: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There is a difference between withholding life-sustaining treatment or withdrawing life sustaining-treatment. Withholding life-sustaining treatment is defined as not initiating or not continue life-sustaining treatment, while withdrawing life-sustaining treatment is about actively stopping the treatment. Through science and proven experience, the benefits and risks associated with life-sustaining treatment should be considered for the dying patients when there is no cure. Aim: The aim was to highlight the nurses' experience of caring for patients when life-sustaining treatment is terminated. Method: The study was conducted as a general literature study. A systematic literature search was performed. Result: The study resulted in ten scientific articles that formed the results. The results revealed three categories: nurse's supporting role, emotional influence and participation in the decision-making process. Conclusion: Caring for patients with life-sustaining treatment was terminated had an emotional impact on the nurses and the nurses had lack of time and knowledge to be able to process their grief. Caring for the close relatives was seen as an important part of the nurse's care in patients. To be included in the doctor's opinion about whether the life-sustaining treatment should be terminated or not, was considered valuable because the nurses were those who followed the patient for a long time. This literature study increases the understanding of nurses' experience of caring for patients where life-sustaining treatment has been terminated. Nurses' are an important component in nursing of patients and it is important for nurses to learn how to process their feelings.

  • 336.
    Dahlberg, Sandra
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Melkić, Melisa
    Halmstad University, School of Social and Health Sciences (HOS).
    Effekter av fysisk aktivitet efter hjärtinfarkt2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patients know the importance of being physically active but   few know why, which leads to lack of motivation. After myocardial infarction patients don´t have enough knowledge about lifestyle changes and the effects of secondary prevention. Nurses have got the responsibility to give information and guidance after myocardial infarction. The purpose with the literature study was to describe the effects of physical activity as secondary prevention after myocardial infarction. In the study 17 scientific articles was used. The result shows that physical activity has got a lot of advantages after myocardial infarction. The study shows that even a short period of heart rehabilitation has got god effects and leads to duration in physical activity. High intensity and variation in training gives better result which prevent a re-infarction. Physical activity also reduces stress which can be a big advantage for heart patients. In the aftercare of myocardial infarction patients it can be suitable to introduce a standard treatment plan to inform about the effects of physical activity. To maintain an enduring lifestyle change monitoring times are important. Nurses could use more evidence-based knowledge about the effects of physical activity to be able to provide safe healthcare. Further science about the patient experience of effects in relation with physical activity could be relevant to reach wider broad knowledge.

  • 337.
    Dahlgren, Malin
    et al.
    Halmstad University, School of Health and Welfare.
    Kullberg, Linnea
    Halmstad University, School of Health and Welfare.
    Kvinnors kroppsuppfattning efter mastektomi: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Mastektomi är en vanlig behandlingsform vid bröstcancer vilket innebär att hela bröstet opereras bort. Upplevelsen av en mastektomi är individuell och framkallar olika känslor. Det är därför viktigt att sjuksköterskan har kunskap om hur kroppsuppfattningen kan påverkas hos kvinnan efter en mastektomi. Syftet med studien var att belysa kvinnors kroppsuppfattning efter en mastektomi. En litteraturstudie genomfördes och relevanta sökord användes i databassökningen utifrån syftet. Studiens resultat bestod av 12 vetenskapliga artiklar som granskades och analyserades. I studien framkom två teman och sex kategorier vilka var Förlust i relation till kroppsuppfattning: Att förlora ett bröst, Att förlora sin femininitet och identitet samt Tacksamhet över förlusten och Kvinnans förhållningssätt efter mastektomin: Kvinnans begränsningar i vardagen, Att distansera sig och Att sträva efter en förbättrad kroppsuppfattning. Resultatet visade att det var vanligt med en negativ kroppsuppfattning efter mastektomin. Det fanns även kvinnor som inte upplevde att mastektomin förändrade deras kroppsuppfattning. Det är viktigt att sjuksköterskan får mer kunskap om kvinnors kroppsuppfattning efter en mastektomi för att kunna identifiera och vårda dessa kvinnor. Vidare forskning behövs angående vilka omvårdnadsåtgärder en sjuksköterska kan utföra för en kvinna med negativ kroppsuppfattning. 

  • 338.
    Dahlqvist Jönsson, Patrik
    et al.
    Region Halland, Halmstad, Sweden.
    Sandlund, Mikael
    Umeå University, Umeå, Sweden.
    Schön, Ulla-Karin
    Dalarna University, Falun, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    The meaning of Shared decision making for persons with long-term mental illness2013In: Breaking barriers 2013, 2013, p. 19-19Conference paper (Refereed)
  • 339.
    Dahlqvist Jönsson, Patrik
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Department of Research, Development and Education (FoUU), Region of Halland, Halmstad, Sweden.
    Schön, Ulla-Karin
    School of Health and Social Work, Dalarna University, Falun, Sweden.
    Rosenberg, David
    Umeå University, Umeå, Sweden.
    Sandlund, Mikael
    Umeå University, Umeå, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.
    Service users’ experiences of participation in decision making in mental health services2015In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 22, no 9, p. 688-697Article in journal (Refereed)
    Abstract [en]

    Service user participation in decision making is considered an essential component of recovery-oriented mental health services. Despite the potential of shared decision making to impact service users knowledge and positively influence their experience of decisional conflict, there is a lack of qualitative research on how participation in decision making is promoted from the perspective of psychiatric service users. In order to develop concrete methods that facilitate shared decision making, there is a need for increased knowledge regarding the users' own perspective. The aim of this study was to explore users' experiences of participation in decisions in mental health services in Sweden, and the kinds of support that may promote participation. Constructivist Grounded Theory (CGT) was utilized to analyse group and individual interviews with 20 users with experience of serious mental illness. The core category that emerged in the analysis described a ‘struggle to be perceived as a competent and equal person’ while three related categories including being the underdog, being controlled and being omitted described the difficulties of participating in decisions. The data analysis resulted in a model that describes internal and external conditions that influence the promotion of participation in decision making. The findings offer new insights from a user perspective and these can be utilized to develop and investigate concrete methods in order to promote user's participation in decisions. © 2015 John Wiley & Sons Ltd.

  • 340.
    Dahlstrand, Anna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Söderblom, Sofie
    Halmstad University, School of Social and Health Sciences (HOS).
    Lust, hopp och saknad: Kvinnors upplevelser av sexualitet efter hysterektomi2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Knowledge about women’s experiencesof sexuality after hysterectomy isdeficient among healthcareprofessionals. Since sexuality is acomplex phenomenon further researchis required to illustrate women’sexperiences and consequently alter thebehaviour of the healthcareprofessionals and the approach ofnursing. The aim of the study was toexplore women’s experiences ofsexuality after hysterectomy. The studywas conducted as a systematic literaturereview in which the results were basedon eleven research articles. The resultsshowed that sexuality is a subjectivephenomenon that by women isexperienced to be a part of the femaleidentity. Women who have undergonehysterectomy were likely to experience amaintained or improved sexual function postoperatively. A few womenexperienced a severely impaired sexualfunction postoperatively, which seemedto depend on several factors other thansurgery. Many women considered thereproductive ability to have a strongcorrelation with sexuality. In themeeting with women who haveundergone hysterectomy, the nurseshould have a holistic approach. Moreknowledge about the phenomenonsexuality should be involved in theeducation of nurses to improve theability of communication about intimacy.Further research of qualitative characterabout the female sexuality is needed inorder to alter the nursing to women’sneeds.

  • 341.
    Dahlén, Anneli
    et al.
    Halmstad University, School of Health and Welfare.
    Korsheden, Liza
    Halmstad University, School of Health and Welfare.
    Se mig för den jag är: Homosexuella personers erfarenheter av omvårdnad2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Heteronormativity prevails in today's society. In the field of healthcare, everyone is entitled to equal care. However, there may be attitudes among nurses who can contribute to unequal care for homosexual persons. The purpose of the literature study was to illustrate homosexual persons´ experiences of nursing. The literature study was based on nine qualitative scientific articles and one quantitative article. The results showed that homosexuals experienced negative attitudes, ignorance and discrimination in nursing, which appeared in different ways. This led to shortcomings in communication between the nurse and the patient and many homosexuals felt that they were at risk of poorer care if they chose to be open with their sexuality. The result of this could be that they avoided the medical care for fear of being discriminated against. Homosexuals could use different strategies in contact with healthcare to facilitate the treatment. Homosexuals who had experiences of meeting nurses without prejudices made them feel confirmed and seen for whom they were. The nurse may have processed her own values, which has resulted in a value base for sexual identity in order to ensure that all patients receive an equal care. The results of the study can be used in the education of nurses and professional nurses to raise awareness of this norm perspective.

  • 342.
    Dahlén, Johanna
    et al.
    Halmstad University, School of Health and Welfare.
    Andersson, Isabelle
    Halmstad University, School of Health and Welfare.
    Kellgren, Linn
    Halmstad University, School of Health and Welfare.
    Sjuksköterskans omvårdnad till patienter med bipolär sjukdom2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bipolar disorder is a common mental illness throughout the world. The disease means that a patient commutes between manic and depressive phases. The disease debuts at all ages, but most common between puberty and the age of 35. The disease is difficult to diagnose because it is common for other problems to be involved. Bipolar disorder is stressful to the patient who has suffered and usually requires drug treatment in combination with support from the nurse. The purpose of the study was to illuminate nursing care for patients with bipolar disorder. A literature study has been performed, where scientific articles has been critically reviewed. The processing of the data revealed three main categories. The result is based on trust, support, and information and education to highlight the nursing care of patients with bipolar disorder. The result showed that the nurse’s support and guidance to self-care are important factors of good nursing care. The result revealed that patients feel both health and illness in their bipolar state. Mutual trust, respect and being taken seriously were something that was highly valued for the patients as well as information and education being a major part of the nursing care. Further research could lead to increased knowledge and a deeper understanding of patients with bipolar disorder. 

  • 343.
    D´Alesio, Mitya
    Halmstad University, School of Social and Health Sciences (HOS).
    En pilotstudie för medicinsk yogaintervention - ett verktyg för egenvård2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Stress reducing breathing exercises gives the ability to prevent psychosocial issues that may give an extended risk of illness. Yoga, breathing exercises and meditation (mindfulness) are tools, which the individual can use to influence his/her wellbeing for the better. With the tool of medicinal yoga the individual is taught self-care that could generate improved wellbeing.Use: To describe differences of medicinal yoga by vitality, self-efficacy (faith in his/her own ability), depression, anxiety- and stress symptoms before and after yoga intervention. Method: The selection for the pilot study was randomly selected. The participants reported themselves to medicinal yoga class that was held for 10 weeks. Thirty-seven participants trained yoga and they got to before and after completed yoga class fill in a self-assessment form containing the measure instruments SF-36, General Self-Efficacy Scale [GSES] and Depression Anxiety and Stress Scale [DASS-21]. T-test was used to compare data before and after yoga intervention.Results: Result shows that adults can reduce their anxiety and perceived stress by support of medicinal yoga and that this training approach could be a possible tool of self-care.Conclusion: In long term being able to evolve new areas of treatment requires more science about efficiency mechanisms of medicinal yoga that could be of importance to our health.

  • 344.
    Danielsson, Carl
    et al.
    Halmstad University, School of Health and Welfare.
    Frid, Kira
    Halmstad University, School of Health and Welfare.
    Patienters upplevelser av hur vårdpersonal bemöter patienter med beroendeproblematik2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In today's society, alcohol and drug problems are common. Alcohol and drug problems lead to negative changes in everyday life. From a societal perspective, there is the stigma of alcohol and drug problems, which leads to people that avoid seeking care. Purpose: To describe how patients with alcohol and/or drug problems experience the treatment of healthcare professionals in the healthcare sector. Method: General literature study with inductive approach. Result: The result is presented in two themes which are supportive treatment and obstructive treatment. In the result, it was found that the care staff's treatment was experienced as supportive because the care staff listened and treated patients professionally and that the care staff showed that they had good knowledge in the meeting with patients. Furthermore, it emerged in the results that patients perceived the treatment of care staff as an obstacle in the care process because the care staff treated patients insufficiently and unworthily in the form of discrimination, stigmatization and abuse of power. Conclusion: The result is presented in two themes, which are supportive treatment and obstructive treatment. The result can contribute to increased understanding among healthcare professionals who meet people with alcohol and/or drug problems, which can thus contribute to better conditions for good treatment.

  • 345.
    Danielsson, Louise
    et al.
    Halmstad University, School of Health and Welfare.
    Ekdahl, Caroline
    Halmstad University, School of Health and Welfare.
    HIV är en del av mig: Upplevelsen av att leva med humant immunbristvirus som ungdom och ung vuxen2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The number of HIV-positive individuals in the world is increasing and nurses therefore need adequate knowledge about living with human immunodeficiency virus (HIV). Living with HIV as a youth and young adult can be hard since these individuals are in a sensitive transition age. The purpose of this literature study was to highlight the experiences of living with human immunodeficiency virus (HIV) as a youth and young adult. This study is a general literature study where a content analysis was used to reach the results. Ten different categories were identified which resulted in four themes: When life stops, I in relations to others, Health-care related factors and When life goes on. Living with HIV as a youth was found to be difficult and was affected by stigmatization in society. Trying to keep the diagnosis a secret could affect sexual health and drug adherence. Relationships with healthcare professionals were found to be significant, which together with support groups could contribute to increased self-confidence and acceptance about the disease. It’s vital for nurses to have correct knowledge about HIV and a holistic approach to be able to provide a person-centred care. More research on the experience of living with HIV is needed.

  • 346.
    Danielsson, Sara
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Karlsby, Pia
    Halmstad University, School of Social and Health Sciences (HOS).
    Trösta mig!: Betydelsen av tröst i omvårdnad2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    People are in need of comfort throughout life, it is a part of health care from a holistic approach. It is therefore important that the nurse understands the value of comfort in their work and the importance for the patient. The aim was to highlight what consolation is in nursing. The study was conducted as a literature review where 13 scientific articles were the basis for the results. Often patients have many emotional feelings such as concern, anxiety and are in need of consolation in nursing. The nurse comforted by listening, being quiet, talking and sitting next to the patient calmly, which reassured the patient and relieving suffering. The family was as a support and a comfort because they knew the patient's needs. Consolation often occurred when patients with the same diagnosis were conversing with each other. They felt that they could talk about everything, even the experiences that they couldn’t share with their family. Patients also found solace within themself, and they could control their own anxiety, worry and nervousness. It is of great importance that comfort emerges in nursing education, research and out in the field for a better understanding of consolation.

  • 347.
    de Mauleon, Adelaide
    et al.
    Department of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, France.
    Sourdet, Sandrine
    Department of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, France.
    Renom-Guiteras, Anna
    Institut fuer Allgemeinmedizin und Familienmedizin, Universitaet Witten/Herdecke, Witten, Germany.
    Gillette-Guyonnet, Sophie
    Department of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, France.
    Leino-Kilpi, Helena
    Department of Nursing Science, University of Turku, Turku, Finland.
    Karlsson, Staffan
    Department of Health Sciences, Lund University, Lund, Sweden.
    Bleijlevens, Michel
    Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
    Zabalegui, Adelaida
    Hospital Clinic de Barcelona, Barcelona, Spain.
    Saks, Kai
    Department of Internal Medicine, University of Tartu, Tartu, Estonia.
    Vellas, Bruno
    Department of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, France.
    Jolley, David
    Personal Social Services Research Unit, University of Manchester, Manchester, UK.
    Soto, Maria
    Department of Geriatric Medicine, Gerontopole, Toulouse University Hospital, INSERM 1027, Toulouse, France.
    Associated Factors With Antipsychotic Use in Long-Term Institutional Care in Eight European Countries: Results From the RightTimePlaceCare Study2014In: Journal of the American Medical Directors Association, ISSN 1525-8610, E-ISSN 1538-9375, Vol. 15, no 11, p. 812-818Article in journal (Refereed)
    Abstract [en]

    Objectives: To determine factors associated with the antipsychotic (AP) prescription for people with dementia (PwD) recently admitted to institutional long-term carefacilities (LTCFs) and to ascertain differences in the use of this medication in 8 European countries.

    Design: An exploratory cross-sectional study.

    Setting: LTCFs from 8 European countries (Estonia, Finland, France, Germany, The Netherlands, Spain, Sweden, and England).

    Participants: A total of 791 PwD recently admitted to an LTCF and their caregivers.

    Measurements: Baseline data from RightTimePlaceCare survey was used. Patients' medical conditions, neuropsychiatric symptoms, physical and cognitive status, and medications were recorded. Multiple logistic regression models were used to assess associations with the AP use. 

    Results: A group of 296 patients (37.4%) of 791 patients recently admitted received AP medication. The prevalence of the use of 1 or more APs varied between study countries, ranging from 12% in Sweden to 54% inSpain. Factors independently associated with the AP use were living in Sweden [odds ratio (OR) 0.12, 95% confidence interval (CI) 0.05-0.30], Finland (OR 0.26, 95% CI 0.14-0.48), Germany (OR 2.75, 95% CI 1.55-4.86) and Estonia (OR 6.79, 95% CI 3.84-12.0). The odds of AP use decreased with the presence of a dementia specific unit inthe LTCF (OR 0.60, 95% CI 0.39-0.92), but was higher among residents with a hyperactivity behavior (OR 2.12, 95% CI 1.41-3.18).

    Conclusion: The current study shows that more than one-third of the residents recently admitted received APs and that prescription frequency across countries varied significantly. This study raises the possibility that the presence of a dementia-specific unit might play a role in the AP use. Further studies should investigate this association and seek better understanding of what will achieve optimal quality of AP use among newly admitted residents in LTCF. © 2014 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

  • 348.
    de Morais, Wagner Ourique
    et al.
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS).
    Sant'Anna, Anita
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS).
    Wickström, Nicholas
    Halmstad University, School of Information Technology, Halmstad Embedded and Intelligent Systems Research (EIS).
    A Wearable Accelerometer Based Platform to Encourage Physical Activity for the Elderly2008In: Gerontechnology : international journal on the fundamental aspects of technology to serve the ageing society, ISSN 1569-1101, Vol. 07, no 02, p. 129-181Article in journal (Other academic)
    Abstract [en]

    The growth in the elderly population will pose great pressure on the healthcare system to treat common geriatric problem. Preventive approaches like encouraging elderly people to perform physical exercises can decrease the risk of developing chronic diseases. In cases when diseases already have developed, further developments could possibly be retarded. In this work a wearable platform to recognize user’ s    movements    presented.    The    platform    provides interactions with simple computer games designed to promote physical activity.

  • 349.
    de Ruiter, Hans
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). University of Mantako.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Introducing a Future-Oriented Approach to Healthcare Technologies and Welfare Techniques: A Swedish innovative ethics project2019In: Creative Nursing, ISSN 1078-4535, E-ISSN 1946-1895Article in journal (Refereed)
  • 350.
    Dehlin, Lena
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Mårtensson Rag, Lena
    Research and Development Unit, Varberg Hospital, Varberg, Sweden.
    Adolescents' experiences of a parent's serious illness and death2009In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 7, no 1, p. 13-25Article in journal (Refereed)
    Abstract [en]

    Objective:

    Adolescence is characterized by increasing liberation from parents as the young person evolves into an independent individual. Experiencing the serious illness and death of a parent during this phase implies great stress. Serious illness involves uncertainty, worry, and hope at the same time that it is necessary for everyday life to function. This study sought to describe adolescents' experiences in the serious illness and death of a parent.

    Methods:

    The study was carried out using a qualitative method. Data were collected in interviews with five adolescents who were 14-17 years of age when one of their parents died.

    Results:

    The results show that the parent's illness was a strong threat, as the adolescents understood that their own and the family's lives would be greatly changed by the illness/death. The incomprehensibility of the parent's serious illness and death was a threatening condition on its own. The adolescents strived to make the inconceivable more conceivable to understand what was happening. They also described the necessity of finding different ways of relating to and managing the threat, such as restoring order, seeking closeness, adapting, gaining control, avoiding talking about the illness, not accepting and counting the parent out. The adolescents described feelings of being alone and alienated, even though they were close to family and friends and they did not actively seek support. The lives of the adolescents were changed by their experiences, beyond their bereavement over the parent. They felt that they had become more mature than their friends and that there had been a change in their thinking about life, changes in values, and changes in their views of relationships with other people.

    Significance of results:

    The results of the present study can form a basis for developing a support program whose purpose would be to prevent effects on health.

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