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  • 351.
    Bergsten, Ulrika
    et al.
    Research and Development Centre at Spenshult Hospital, Oskarström, Swede.
    Bergman, Stefan
    Research and Development Centre at Spenshult Hospital, Oskarström, Swede.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Alfredsson, Lars
    Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.
    Berglund, Anita
    Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.
    Petersson, Ingemar F.
    Lund University Hospital, Lund, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Patients’ conceptions of the cause of their Rheumatoid Arthritis: A qualitative study2009In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 7, no 4, p. 243-255Article in journal (Refereed)
  • 352.
    Bergsten, Ulrika
    et al.
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Spenshult Hosp, Ctr Res & Dev, Oskarstrom, Sweden .
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    “Delivering knowledge and advice”: Healthcare providers’ experiences of their interaction with patients’ management of rheumatoid arthritis2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 4, article id 8473Article in journal (Refereed)
    Abstract [en]

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

  • 353.
    Bergsten, Ulrika
    et al.
    Jönköping University, Jönköping, Sweden.
    Bergman, Stefan
    Spenshult Hospital, Oskarström, Sweden.
    Fridlund, Bengt
    Jönköping University, Jönköping, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    "Striving for a good life" - the management of reumatoid arthritis as experienced by patients2011In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 5, p. 95-101Article in journal (Refereed)
    Abstract [en]

    Aim:

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

    Method:

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

    Results:

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

    Discussion:

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

  • 354.
    Bergsten, Ulrika
    et al.
    Spenshult Hospital, Halmstad, Sweden.
    Petersson, Ingemar F.
    Spenshult Hospital, Halmstad, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Perception of tactile massage as a complement to other forms of pain relief in rheumatic disease2005In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 3, no 3, p. 157-167Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 355.
    Bergstrand, Sanna
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Ottosson, Frida
    Halmstad University, School of Social and Health Sciences (HOS).
    Skammen, skulden och tystnaden: Att bli utsatt för sexuella övergrepp, offrets reaktioner och sjuksköterskans förhållningssätt2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sexuella övergrepp är det mest integritetskränkande brottet som en människa kan utsättas för. Sjuksköterskor kommer att stöta på patienter som blivit utsatta för sexuella övergrepp eftersom det är ett växande samhällsproblem. Syftet med litteraturstudien var att belysa vanliga reaktioner samt sjuksköterskans förhållningssätt till vuxna individer som blivit utsatta för sexuella övergrepp. Resultatet delades in i tre teman: reaktioner, sjuksköterskans förhållningssätt och att komma tillbaka efter sexuella övergrepp. Alla människor är olika och får olika reaktioner, dock är de vanligaste reaktionerna efter sexuella övergrepp att känna skam och skuld, ångest och flashbacks. I värsta fall kan drabbade personen utveckla posttraumatiskt stressyndrom. Som sjuksköterska är det viktigt att skapa en god relation till patienten och våga ställa frågor vid misstanke om sexuella övergrepp för att kunna ge en så god vård som möjligt. Att komma tillbaka efter sexuella övergrepp är en lång resa och alla har olika sätt att bearbeta händelsen på. Bearbetningen börjar när patienten har accepterat händelsen och det sker i olika takt. Forskning inom detta område behövs för att på bästa sätt kunna bemöta och hjälpa patienter som blivit utsatta för sexuella övergrepp, även mer utbildning i sjuksköterskeprogrammet efterfrågas.

  • 356.
    Bergström, Emelie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Sager, Simet
    Halmstad University, School of Social and Health Sciences (HOS).
    Hög intensitet av preoperativ stress och oro - en fara vid kirurgiska ingrepp2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Preoperativ stress och oro är vanligt förekommande i dagens sjukvård. Patienter med hög intensitet av preoperativ stress och oro får ofta postoperativa komplikationer såsom längre återhämtningsfas och svårare sårläkning. Syftet med litteraturstudien var att belysa omvårdnadsåtgärder som kan påverka preoperativ stress och oro. Litteraturstudiens resultat bygger på en analys av 16 vetenskapliga artiklar som söktes utifrån litteraturstudiens syfte. Tre omvårdnadsåtgärder som är en del av sjuksköterskeprofessionen eller som finns tillgängliga på vårdavdelningar är information, sjuksköterskans förhållningssätt samt musik. Med hjälp av dessa omvårdnadsåtgärder kan sjuksköterskan hjälpa patienten att reducera preoperativ stress och oro i god tid. Detta resulterar i att patienten upplever trygghet i sin omgivning, slappnar av och blir mottaglig för information. Om intensiteten av stress och oro reduceras preoperativt leder det till kortare sjukhusvistelse och därigenom lägre sjukhuskostnader. För att underlätta sjuksköterskans planering av omvårdnadsåtgärder kan patientdagbok vara till hjälp. Det behövs forskning kring sjuksköterskans upplevelse att arbeta utifrån dessa tre omvårdnadsåtgärder.

  • 357.
    Bergén, Sara
    et al.
    Halmstad University, School of Health and Welfare.
    Björk, Marina
    Halmstad University, School of Health and Welfare.
    Upplevelsen av att vara syskon till ett långvarigt sjukt barn: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 358.
    Berisha, Duresa
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Kadrija, Ibadete
    Halmstad University, School of Social and Health Sciences (HOS).
    Ramadani, Belinda
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskans arbetsmiljös påverkan på patientsäkerhet2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Patientsäkerhet är ett underprioriterat område i hälso- och sjukvården, vilket bör förändras omgående eftersom patienter  kommer till skada och lidande förlängs. För ökad patientsäkerhet bör sjuksköterskans arbetsmiljö uppmärksammas och förbättras. Syftet med litteraturstudien var att undersöka hur olika arbetsmiljöfaktorer påverkar sjuksköterskan i utförandet av patientsäker vård. Litteraturstudien innehåller sjutton artiklar, tolv kvantitativa, fyra kvalitativa och en av både kvalitativ och kvantitativ forskningsansats. Resultatet utgjordes av följande fyra teman: sjuksköterskans ökade arbetskrav och arbetsbelastning, ersonalbemanning och tid, vårdteamets påverkan på arbetsmiljön och emotionella faktorers påverkan på patientsäkerheten . Arbetsmiljöfaktorer som visade sig påverka sjuksköterskan var: personalneddragningar, stödet från ledningen, vårdteamet, ökad arbetsbelastning, ökade arbetskrav, samt övertidsarbete. Nämnda faktorer påverkade patientsäkerheten genom att utlösa stress, trötthet, fatigue och utbrändhet hos sjuksköterskan. Sjuksköterskeutbildningen, men även hälso- och sjukvården bör införa kurser om enbart patientsäkerhet, vilket skulle resultera i att samtliga sjuksköterskor skulle få ökad kunskap inom området. Vidare bör ledningen uppmärksamma sjuksköterskans arbetsmiljö och dess påverkan på patientsäkerheten. I Sverige är arbetsmiljöns påverkan på sjuksköterskans patientsäkra arbete ett relativt outforskat område, därmed behövs vidare forskning och utveckling.

  • 359.
    Berndtsson, Karin
    et al.
    Halmstad University, School of Health and Welfare.
    Lekman, Petra
    Halmstad University, School of Health and Welfare.
    Jag är unik men ändå som alla andra: En litteraturstudie om att vara ung och leva med en kronisk sjukdom2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 360.
    Bernhardsdottir, Johanna
    et al.
    Department of Nursing University of Iceland Reykjavik Iceland & Landspitali-The National University Hospital of Iceland Reykjavik Iceland .
    Dimmit Champion, Jane
    School of Nursing The University of Texas at Austin Austin, TX USA .
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). The Institute of Health and Care Science Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden.
    The experience of participation in a brief cognitive behavioural group therapy for psychologically distressed female university students2014In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 21, no 8, p. 679-686Article in journal (Refereed)
    Abstract [en]

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

  • 361.
    Bernhardsson, Lina
    Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS).
    EMG analys av M. Gluteus medius i sex kroppsviktsövningar2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. Body weight resistance training has many applications, such as to become better at a sport, prevent lifestyle diseases, or prevent and rehabilitate injuries. M. gluteus medius (GMed) is a muscle that has strong correlation to injury of the foot, knee, hip and lower back. Research using electromyography (EMG) has examined exercises with the most muscle activity in GMed. Bilateral GMed has not been investigated in previous research for various exercises. More often it is only the dominant leg that is analysed. Aim. The purpose of this study was to investigate whether there was any difference in muscle activity of the GMed for the dominant and the non-dominant leg, total and individual, between A) the same exercise conducted bilaterally and unilaterally, b) similar exercises conducted standing and lying. Furthermore, the purpose was to study which of the six selected body weight exercises, hip thrust and squat performed on one and two legs as well as standing and lying hip abduction, yielded the highest muscle activation in GMed. Methods. 15 subjects (five men and ten women) participated in this study. Subjects warmed up and then preformed a maximal voluntary isometric contraction (MVIC), which was used as a reference value. Test subjects performed six bodyweight exercises, bilateral and unilateral hip thrust and bilateral and unilateral squat and lying and standing hip abduction. Hip thrust and squat on one leg was performed on the dominant leg, the abduction motion in standing and lying hip abduction was performed with the dominant leg. Result. There was a significantly higher muscle activity in the dominant leg in all unilateral exercises compared to bilateral exercises. In standing hip abduction there was a significantly higher muscle activity in the non-dominant side compared to the lying hip abduction and opposite results were measured in the dominant leg. When the total muscle activity was calculated from both right and left sides, hip abduction gave highest muscle activity, unilateral exercises gave higher muscle activity than the same bilateral exercises. Conclusion. For a healthy and injury-free population standing hip abduction is recommended as the most effective of the exercises tested when it comes to training GMed. If variety of exercises for GMed and continued high activity are wanted, this study recommends unilateral exercises in front of bilateral exercises.

  • 362.
    Bernson, Jenny M.
    et al.
    Department of Behavioral and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    Hallberg, Lillemor R.-M.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Elfstrom, Magnus L.
    Department of Psychology, School of Sustainable Development of Society and Technology, Mälardalen University, Eskilstuna, Sweden.
    Hakeberg, Magnus
    Department of Behavioral and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Sweden.
    'Making dental care possible - a mutual affair'. A grounded theory relating to adult patients with dental fear and regular dental treatment2011In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 119, no 5, p. 373-380Article in journal (Refereed)
    Abstract [en]

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

  • 363.
    Berntsson, Ann-Charlott
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Larsson, Annika
    Halmstad University, School of Social and Health Sciences (HOS).
    Att vårda ett brustet hjärta: Kvinnors upplevelse av stöd vid akut hjärtsjukdom2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 364.
    Berntsson, Linda
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Claesson, Lisa
    Halmstad University, School of Social and Health Sciences (HOS).
    Påverkansfaktorer på omvårdad till patienter med cancer och cytostatikabehadnling2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det är få sjukdomar som har lika stor inverkan på en människa som drabbats som just cancer. Varje år ökar antalet drabbade och cirka var tredje människa kommer att drabbas av cancer och cirka 80 % av dessa kommer att behandlas med cytostatika. Eftersom många av dessa behandlingar sker på mottagningar kommer sjuksköterskor i alla vårdformer att möta denna form av patienter. Då är det viktigt att veta vilken omvårdnad som denna specifika patientgrupp behöver och upplever att de får. Syftet med denna litteraturstudie var att belysa faktorer av betydelse för omvårdnad vid pågående cytostatikabehandling hos patienter med cancerdiagnos. Insamling av data skedde genom bearbetning av 22 vetenskapliga artiklar av antingen kvalitativa eller kvantitativ metod. I resultatet framkom två kategorier, Patienters upplevelser samt Patienters delaktighet och behov av stöd. I resultatet framkom att patienter upplevde sina psykiska besvär som mest påtagliga och svårast att på egen hand kontrollera. Det är här som patienter främst vill och behöver sjuksköterskans hjälp. Detta kan uppfyllas ifall sjuksköterskan ser sina patienter utifrån en helhetssyn och utifrån att stödja patienternas egna resurser och göra dem delaktiga i vården, vilket borde genomsyra både den kliniska omvårdnaden och sjuksköterskeutbildningen. Vidare forskning krävs inom ämnet främst inom de existentiella behoven som patienter har.

  • 365.
    Berntsson, Linda
    et al.
    Halmstad University, School of Health and Welfare.
    Kvick, Angelica
    Halmstad University, School of Health and Welfare.
    Se mig, inte min cancer!: Upplevelsen av livskvalitet hos kvinnor med bröstcancer.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 366.
    Berntsson, Maria
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Andersson, Helena
    Halmstad University, School of Social and Health Sciences (HOS).
    Erlandsson, Helena
    Halmstad University, School of Social and Health Sciences (HOS).
    Patienters perspektiv på delaktighet i vården2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Patients have a legal right to participate in their own healthcare and treatment, in spite of this, patients experience a lack of participation in nursing care. The aim of the study was to describe patients ́ experiences of barriers and facilitators for participation in nursing care. The study was conducted as a systematic literature review and the results are based on 15 research articles. Three major themes emerged: individual, the nurse-patient relationship and the care organization and based on these, six categories were identified that described the barriers and facilitators for participation from a patient perspective. Participation for the individual patient depended on factors such as age, background, knowledge, experience and personality. In the nurse-patient relationship, patients experienced barriers and facilitators, which could be due to nurses ́ behaviors and attitudes or factors concerning communication and information. The care organization had significance for the experience of participation. A stressful environment with lack of continuity and time hinders participation. Knowledge about patients ́ experiences of barriers and facilitators is required in order to meet patients ́ needs and further participation. It is therefore vital that already in the education of nurses to highlight the importance of patient participation. Reflecting is important in nursing care and that nurses have a holistic view of the patients in their care. To develop the organization toward a more person-centered approach could promote participation. Further research regarding the organization's importance to participation would be interesting. 

  • 367.
    Berntsson, Maria
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Ulrika
    Halmstad University, School of Health and Welfare.
    Warensce, Eva
    Halmstad University, School of Health and Welfare.
    Vård i hemmet - kroniskt sjuka äldre personers upplevelser2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 368.
    Berntsson, Tommy
    Halmstad University, School of Social and Health Sciences (HOS).
    Den prehospitala vårdrelationen ur ambulanssjuksköterskors perspektiv2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The development of the Swedish ambulance service in the last ten years has lead to that ambulance nursing skills has become a requirement for the implementation of advanced patient examinations and treatments in the prehospital environment. Accordingly, the profession's main area “nursing science” has become an important addition to the knowledge area. A nursing scientific model has been developed which describes the prehospital nurse-patient relationship as a number of phases: an orientation, an identification, an exploitation and a resolution phase. The purpose of this study was to explore by direct content analysis how this nurse-patient relationship and its phases emerge in ambulance nurses' descriptions of an ambulance mission. The result shows that the four phases of the prehospital nurse-patient relationship each contain several separate steps from the ambulance nurses' perspective. The different steps are included in varying degrees depending on the character and circumstances of the ambulance mission. In the orientation phase the ambulance nurse create an understanding of the situation. In the identification phase an assessment of the patient is carried out, this leads to caring actions which is performed in the exploitation phase. In the resolution phase the ambulance nurse focuses on the receiving care unit and the handover of the patient. The knowledge of the prehospital nurse-patient relationship, its four phases and their steps could be used as a support for the ambulance nurses in their pre-hospital action plan which is implemented in each ambulance mission. Furthermore, this knowledge could be used in the training of ambulance staff and students in order to make clear that the phases of the prehospital nurse-patient relationship contains several different steps which has to be taken into account.

  • 369.
    Berntsson, Tommy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Den prehospitala vårdrelationen ur ambulanssjuksköterskors perspektiv2010In: Forskningsseminarium 11 november 2010 Kunskapscentrum Prehospen, Högskolan i Borås.: Vårdande möten-möjligheter och hinder, 2010Conference paper (Other academic)
  • 370.
    Berntsson, Tommy
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Den prehospitala vårdrelationens sakaspekt -skapar förutsättningar för att förstå och tillgodose personens behov2013In: PreHospen 2013: Prehospital vård för att värna om patientens hälsa, 2013Conference paper (Other academic)
    Abstract [en]

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

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

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

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

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

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

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

  • 371.
    Berntsson, Tommy
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    The nurse-patient relationship in pre-hospital emergency care: form the perspective of Swedish specialist ambulance nursing students2013In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 21, no 4, p. 257-263Article in journal (Refereed)
    Abstract [en]

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

  • 372.
    Berntsson, Tommy
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Wallinvirta, Eivor
    Arcada högskola Helsingfors, Helsingfors, Finland.
    Nyström, Patrik
    Arcada högskola Helsingfors, Helsingfors, Finland.
    Patientsäkerhet och vårdandets etik2013In: PreHospen 2013: Prehospital vård för att värna om patientens hälsa, 2013Conference paper (Other academic)
    Abstract [en]

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

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

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

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

  • 373.
    Bernzen, Noel
    Halmstad University, School of Business, Engineering and Science.
    Noellator: Vinterrollator2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Idag är det en hög andel av äldre personer, främst kvinnor, som använder rollatorer. De blir allt fler med tiden, då genomsnittsåldern av befolkningen blir allt högre. För att öka livskvalitet för de äldre, är det rekommenderat att promenera utomhus så ofta som möjligt, exempelvis med hjälp av en rollator. Ett problem som uppstår är att ingen rollator är anpassad för användning under vintern. I detta examensarbete har ett rollator-koncept tagits fram, speciellt anpassat för ”fyra årstider”. Detta innebär att konceptet har allt som en vanligt rollator har men även tillbehör som är användarvänliga i vilket väder som helst, såväl vid snö- som isförhållanden. Det innebär en komplettering med specialdesignade tillbehör som är enkla att byta oberoende av väderslag. En årstidsoberoende rollator blir dyrare än en vanligt rollator, men samtidigt skapas ett hjälpmedel som gör det lättare för användaren att vara en del av samhället och förbättra sin hälsa, vilket faktiskt är såväl viktigt som aktuellt

  • 374.
    Bertilsson, Lovisa
    Halmstad University, School of Social and Health Sciences (HOS).
    "Problematiska användanden av hälsokunskap": Hälsoutbildades uppfattningar2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med föreliggande studie var att belysa variationer av fenomenet ”problematiska användanden av hälsokunskap”. Metod: Studien hade en induktiv utgångspunkt och inspirerades av en fenomenografisk metodansats med intervju som datainsamlingsmetod. Deltagarna bestod av 6 hälsoutbildade med varierande yrken och utbildningsbakgrund som kom att beskriva sina uppfattningar av ”problematiska användanden av hälsokunskap”. Materialet har analyserats likt den fenomenografiska analysen. Resultat: Resultatet utgörs av 5 kvalitativt skilda beskrivningskategorier av problematiska användanden av hälsokunskap. Vidare bygger resultatet på de hälsoutbildades uppfattningar av problematiska användanden av hälsokunskap för att synliggöra vad medvetandeakten i uppfattningen riktas mot vilket bidrog till 5 kategorier. Slutsats: Studien har uppmärksammat ett relativt outforskat område kring hälsokunskap, hälsa och livsstil. Resultatet visar att det uppfattas finnas en problematik kring området, som kan ses utifrån en hög kunskap om hälsa. Vidare visar resultatet att denna problematik kan liknas vid vad i idag har kommit att klassa som en sjukdom, nämligen ortorexi. I resultatet blir det även synligt att den kontext där hälsa är central kan uppfattas ha betydelse för fenomenet på ett sätt som gör att vi lär och skapar våra föreställningar av hälsa genom andra. Uppsatsens bidrag och förslag till fortsatt forskning: Studien har kommit att uppmärksamma den hälsorelaterade kontexten som en betydelsefull aspekt för fenomenet. Studiens omfång har påverkat att denna relation inte kommit att bli belyst ingående. Jag ser därför att det är ett område som vi utifrån ett pedagogiskt perspektiv kan belysa närmare. Genom att synliggöra det lärande som skapas i den hälsorelaterade kontexten kan vi öka förståelsen för fenomenet

  • 375.
    Bertzon, Frida
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    von Bothmer, Angelica
    Halmstad University, School of Social and Health Sciences (HOS).
    Diskriminering av homosexuella inom sjukvården2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Historically, there have been several forms of discrimination against homosexuals as

    criminalization and disorder labeling. Research has shown that homosexual individuals

    receive inadequate health care and health information. The purpose of the literature survey

    was to try to find out if the health professionals have a discriminatory attitude towards

    homosexual individuals and if so how this is expressed.

    Discrimination in healthcare takes place in different ways against both homosexual men

    and homosexual women, and manifests itself in different ways. Discriminatory approaches,

    attitudes and actions are some examples of how health care encounters may

    appear which may lead to those homosexual individuals experiencing feelings of loneliness

    and alienation. Also relatives to homosexual patients expressed negative experiences

    when they had been excluded from care situations.

    Nursing education should put more focus on response and attitudes towards individuals

    with other sexual orientation than heterosexual. The directorate in health care settings

    should operate for a safe environment without discrimination.

  • 376.
    Bexell, Tove
    et al.
    Halmstad University, School of Health and Welfare.
    Johansson, Maria
    Halmstad University, School of Health and Welfare.
    Sarman, Stefan
    Halmstad University, School of Health and Welfare.
    Specialistutbildade sjuksköterskans uppfattning av att kunna identifiera patienter med misstänkt stroke inom den prehospitala vården2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

  • 377.
    Bigelius, Ulla
    et al.
    Kalmar County Hospital, Kalmar, Sweden.
    Eklund, Mona
    Department of Health Sciences, Lund University, Lund, Sweden & Faculty of Health and Society, Malmö University, Malmö, Sweden.
    Erlandsson, Lena-Karin
    Department of Health Sciences, Lund University, Lund, Sweden.
    The value and meaning of an instrumental occupation performed in a clinical setting2010In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 17, no 1, p. 4-9Article in journal (Refereed)
    Abstract [en]

    The aim was to investigate how patients in a clinical setting, combining acute stroke care and rehabilitation, perceived the value and meaning attached to a commonly used instrumental occupation, namely "Brewing coffee and making an open-face cheese sandwich with sliced vegetable". Another aim was to validate the ValMO model, proposing that value and meaning are related phenomena. Upon performing the occupation, 38 participants answered questionnaires concerning perceived meaning and occupational value. The results showed that the occupation was highly valued by the participants and that it was perceived as meaningful. No age or gender differences were found. The findings confirmed the proposed link between value and meaning. In conclusion, a commonly used and supposedly meaningful occupation was indeed found to be valued and meaningful by the patients and the findings validated the targeted aspects of the ValMO model. This study was unique in its focus on value and meaning in a clinical context. Futures studies should clarify if the link between meaningful occupation and well-being, which has been shown in many studies of everyday situations and is another of the assumptions in the ValMO model, can be proved in clinical contexts as well. © 2010 Informa UK Ltd.

  • 378.
    Billsten, Johan
    et al.
    Department of Psychology, Linnaeus University, Sweden.
    Fridell, Mats
    Department of Psychology, Lund University, Sweden.
    Holmberg, Robert
    Department of Psychology, Lund University, Sweden.
    Ivarsson, Andreas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Organizational Readiness for Change (ORC) test used in the implementation of assessment instruments and treatment methods in a Swedish National study2018In: Journal of Substance Abuse Treatment, ISSN 0740-5472, E-ISSN 1873-6483, Vol. 84, p. 9-16Article in journal (Refereed)
    Abstract [en]

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

  • 379.
    Birgersson, Rikard
    et al.
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Eliasson, Eric
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Unilateralt och bilateralt genomförande av bänkpress och dess påverkan på varandra sett till muskelaktivering, effekt, och kraftutveckling2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It has been studied whether strength-exercises performed with two arms (bilateral) leads to better performance when compared to exercises performed with only one arm (unilateral), and it has been shown that both implementations result in similar results after a short training period. At the same time, research shows that mixed results between different implementations in terms of muscle activation and force development exists.

    Objective: The main purpose of this study was to see the effect of unilateral or bilateral warm-up in the bench press and its influence on subsequent unilateral and bilateral performance in the bench press, investigating the factors: muscle activation, power, and force development. A secondary purpose was to relate the results of the study to bilateral index, to see if bilateral deficit or bilateral facilitation dominates.

    Method: Strength-trained men (n = 13, age 25 ± 3 years) warmed up with two different implementations (unilateral or bilateral), and after each individual warm-up they performed three submaximal lifts (40 and 80% of 1RM) in unilateral and bilateral bench press. Muscle activity, power, and force development were measured in muscles pectoralis major, anterior deltoid, and triceps brachii, after each individual warm-up during three submaximal lifts (40 and 80% of 1RM) in unilateral and bilateral bench press.

    Results: Significant results were found in unilateral performance in power and force development after unilateral warm-up (184 ± 36 W and 164 ± 31 W; 416 ± 76 N and 412 ± 74 N) compared with bilateral warm-up (p = 0.05). There were no significant differences between the different implementations in bilateral performance. Significant differences were neither found in the muscle activation of any of the implementations. The study also found evidence of a difference between the test participants regarding bilateral deficit and bilateral facilitation in terms of power and force development, where the majority of the test participants had bilateral facilitation.

    Conclusion: Regardless of warm-up, no difference was seen in the strength-trained men regarding muscle activation in the bilateral or unilateral bench press, however, the warm-up  was of importance to performance. Therefore, unilateral warm-up should be applied before unilateral performance, as this showed significant improvement. Although no significant improvement was observed, a bilateral warm-up should also preceed a bilateral performance.

  • 380.
    Bjur, Jenny
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Sangüesa, Paloma
    Halmstad University, School of Social and Health Sciences (HOS).
    Olausson, Sara
    Halmstad University, School of Social and Health Sciences (HOS).
    Ögonsjuksköterskors upplevelser av beslutsstöd vid telefonrådgivning2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Telephone counseling is one of the tasks in ophthalmic nursing and research within this area was found inadequate. The aim was to describe the ophthalmic nurses’ experiences of using a decision making system in when counseling. The method was a descriptive qualitative de sign. Six ophthalmic nurses at three different eye clinics were interviewed. The data were analyzed according to qualitative content analysis. The result was four categories: a source of knowledge source if needed, supportive to the professional role, deficiencies in decision system and good quality of care from a patient perspective. Ophthalmic nurses were positive using a decision making system if inexperienced and in infrequent and complex situations. The use of decision making system facilitated the prioritization and coordination of the care taken, high quality of care from a patient perspective and a sense of security. Decision making system facilitated communication with other health care providers and patients. The system though was not useful in every situation and there was a need of a continuous development and update. Active listening and thinking in the combination of experience and knowledge were considered to be important components in the telephone counseling. Further development of the system in use today is needed.

  • 381.
    Bjurling-Sjöberg, Petronella
    et al.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Sect Caring Sci, Uppsala, Sweden.;Uppsala Univ, Ctr Clin Res Sormland, Uppsala, Sweden..
    Jansson, Inger
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Wadensten, Barbro
    Uppsala Univ, Sect Caring Sci, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Engström, Gabriella
    Florida Atlantic Univ, Christine E Lynn Coll Nursing, Boca Raton, FL 33431 USA..
    Pöder, Ulrika
    Uppsala Univ, Sect Caring Sci, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Prevalence and quality of clinical pathways in Swedish intensive care units: a national survey2014In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 20, no 1, p. 48-57Article in journal (Refereed)
    Abstract [en]

    Rationale, aims and objectivesTo identify the prevalence of clinical pathways (CPs) in Swedish intensive care units (ICUs) and to explore the quality, content and evidence base of the documents. MethodsA descriptive and explorative survey of all Swedish ICUs (N84) and a review of submitted examples of CPs (n12) were conducted. ResultsCPs were in use at 20% of the Swedish ICUs. There was a significant geographic variation but no relationship between the use of CPs and category of hospital, type of ICU, size of ICU or type of health record applied. In total, 56 CPs were reported within a range of scopes and extensions. The content of the ICUs' CPs, as well as the degree to which they were interprofessional, evidence based, and renewed varied. ConclusionsProgress has been made in relation to CPs in recent years, but there is potential for further improvements. None of the ICUs had CPs that contained all key characteristics of a high-quality, interprofessional and evidence-based CP identified in the literature. Greater knowledge sharing and cooperation within the field would be beneficial, and further research is needed.

  • 382.
    Bjärbo, Magnus
    Halmstad University, School of Health and Welfare.
    Barn som anhöriga i ett västsvenskt ambulansområde: En pilotkartläggning2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Children as next of kin to patients who are treated by an ambulance nurse in Swedish ambulance service in unknown. Children under 18 years of age may sometimes be present when their parent or other next of kin, has to call the ambulance service due to illness or accident. How many children who experience their next of kin transported to hospital within a Western Swedish ambulance service district is unknown. The purpose of this survey is to identify how many children actually are present when their next of kin may need care and treatment from an ambulance service.

    Purpose: Survey how many children are present when an ambulance nurse cares and treats a next of kin due to illness or an accident, prioritized as priority 1 or 2.

    Method: a survey conducted by ambulance nurses in a western Swedish ambulance service. The survey has a quantitative design.

    Children as next of kin are present within a Swedish ambulance service district, in this survey 155 children was identified in a total of 95 ambulance missions. Children as next of kin are seen as adults, in most cases, a parent as well as children usually a sibling. Many children are present when their relative shows sign and symptoms of severe illness.

  • 383.
    Bjärne, Jenny
    et al.
    Halmstad University, School of Health and Welfare.
    Thulin, Linn
    Halmstad University, School of Health and Welfare.
    Patienters upplevelse av hopp i palliativ vård: En allmän litteratudstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to highlight how hope is experienced by patients in a palliative care context. The background notes that about 90 000 palliative patients die in Sweden each year. The patients in palliative care experience several dimensions of pain, both physical and psychological. Hope is described as something that can lead patients towards more positive goals and actions and is therefore of great importance for their wellbeing. The method of this study is a general literature study based on qualitative research. The analysis is performed with an inductive approach. Following similarities identified 17 subcategories, six categories and two overall themes that where established. The result illustrates how hope is expressed in palliative care patients. Unchanged hope, transformational hope, strategic hope, overcoming hope and everyday hope were categories that emerged as hopeful. In contrast to the hope there were also a hopelessness. The hopelessness was identified as an obstacle to hope which increased passivity and the feeling of helplessness. The conclusion of this study is that the experience of hope is expressed in different ways through the care process. There are several categories that are recurring in earlier research. Most discoveries are identified as hopeful and proved to increase the quality of life for patients in the palliative care context. However, there is no research about how patients would like to be treated regarding their hope.

  • 384.
    Björck, Carolina
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Svensson, Ingrid
    Halmstad University, School of Social and Health Sciences (HOS).
    Organisationsfaktorer som påverkar sjuksköterskans omvårdnadsarbete2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    How healthcare is organized is significant to the nurse’s condition to perform nursing care. Leadership and the work environment are parts of the organization which influences the work of nurses. The purpose of this study was to examine which organizational factors that influence the work of nursing. A literature review was conducted in which 12 articles were reviewed and analyzed. Five categories emerged Support and Communication, Nurses' job satisfaction, Nurse’s experience of resource allocation effects, Nurse’s increased workload, and Changed terms of nursing care. The results showed that when the leader shared responsibility with the nurse, communicated and gave support he/she created a greater opportunity for nurses to provide adequate care. The leader influenced the nurse’s job satisfaction, which also favored patient satisfaction. It was considered important that the nurse felt in control over the work situation and that they were provided with enough resources to provide adequate nursing care. The technological development could increase the workload and lead to downsizing. The conclusions were that the workload could reduce patient safety and that the leader could create development possibilities for nurses and create a more patient-focused care, for example by increasing the collaboration among the workers. Future research should focus on organizational changes from the patients view, nurse’s experience before, during and after organizational changes and advantages and disadvantages with current organizational forms.

  • 385.
    Björk, Anders
    et al.
    Halmstad University, School of Health and Welfare.
    Haag, Jonathan
    Halmstad University, School of Health and Welfare.
    Psykologin bakom skadeprevention inom tyngdlyftning, styrkelyft, Crossfit och kroppsbyggning.: En Kvalitativ studie ur coachers perspektiv2015Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [sv]

    Huvudsyftet med föreliggande studie var att undersöka på vilket sätt coacher inom tyngdlyftning, styrkelyft, Crossfit och kroppsbyggning implementerar preventiva strategier designade för att förebygga skador genom inverkan på psykologiska riskfaktorer. Vidare var det av intresse att undersöka vilka personlighetsdrag hos en idrottare som coacher upplevde ökade risken för skador. Ett ytterligare syfte var att studera coachernas erfarenheter av relationen mellan idrottares stressnivå och skaderisk. Totalt genomfördes nio semistrukturerade intervjuer med coacher på distrikt till internationell nivå lokaliserade i Sverige. Samtliga coacher hade tidigare erfarenhet med skadade idrottare. Resultatet sammanställdes genom en deduktiv innehållsanalys. Under intervjuerna identifierades flera interventionsstrategier som kunde relateras till Williams och Andersens (1998) stress­skademodell. Det framgick att coacherna i studien fokuserar mycket på fysiologiska och stressrelaterade aspekter och inte personlighetsdrag när de implementerar interventioner för att förebygga skador. Implikationer för skadeförebyggande träning samt förslag på framtida forskning ges.

  • 386.
    Björk, Jessica
    et al.
    Halmstad University, School of Health and Welfare.
    Lindholm, Alina
    Halmstad University, School of Health and Welfare.
    Att respektera varandras kompetenser: Sjuksköterskors erfarenheter av att arbeta i interprofessionella team2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In the healthcare sector, interprofessional collaboration has proven to enhance patient safety. Nurses are often a part of interprofessional teams and collaboration is one of the core competencies of nurses. Knowledge about what affects collaboration is  needed to fulfill this core competence. The purpose was therefore to illustrate nurses experiences of interprofessional collaboration. The study was conducted as a literature review of nursing research. The literature review was based on 13 scientific articles whos results were analyzed with guidance from a qualitative content analysis and four categories of nurses experiences arose from the analysis. These categories were to respect each others competences, to have a clear job allocation, to work with different personalities and to work towards a common goal. According to nurses experiences, clinical competence, social competence, respect, communication, trust, education, understanding of roles and common goals were essential for succesfull collaboration. To prepare nursing students for interprofessional collaboration, theoretical and practical education with other healthcare students are suggested. Education for staff already working in the healthcare sector is also believed to be valuable. To enhace nurses competence in collaboration, further research of nurses experiences of interprofessional collaboration is necessary.

  • 387.
    Björk, Josefine
    et al.
    Halmstad University, School of Health and Welfare.
    Skär, Sanna
    Halmstad University, School of Health and Welfare.
    Wahlberg, Cia
    Halmstad University, School of Health and Welfare.
    Att leva med fekal inkontinens: Ett begränsat liv2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to illustrate experiences of living with fecal incontinence. Fecal incontinence, also known as FI, is a symptom that up to 15% of the population suffers from. The symptom is physical, but can also have a negative impact on quality of life, both on an emotional and social level. The stigmatization of FI makes many individuals suffer in silence. The results from the literature study is based on eleven scientific articles, and resulted into seven categories: Loss of control, Social isolation, Body image and self-esteem, Desire for affirmation, Life limitations, Inadequate treatment of health care, Feelings of shame, humiliation and To keep fecal incontinence a secret. The results showed that the taboo surrounding FI led to feelings of shame of those who lives with the symptom. The results also showed that individuals with FI usually limited their social life, resulting in a reduced quality of life and self-esteem. The shameful experience of FI correlates with lack of knowledge about the symptom. More knowledge generally leads to reduced feelings of shame. The health care may provide the individual with information and insight about their symptoms. It is important for the health professionals to have adequate education about the appearance of negative feelings, in order to help individuals with FI managing their feelings of shame. In this way, the health professionals can treat and support individuals on an individualized level. Hence the need for further research conducted on the subject. 

  • 388.
    Björk, Julia
    Halmstad University, School of Business, Engineering and Science.
    The effect of a weight lifting belt and the use of valsalva maneuver on power output and velocity in a squat2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A squat is a common exercise that is used in many areas of strength training and for different purposes and the literature is inconclusive when it comes to whether the weight lifting belt (WB) affects performance and/or is injury-preventing. The use of breathing techniques is common during heavy lifting and therefore the practice of the breathing teqnice; valsalva maneuver (VM) may be of interest to study and if this along with the WB can provide some advantages in power output and velocity. Aim: The specific aim of the study was to evaluate whether the velocity in the eccentric and the concentric phase of the squat, and the peak velocity in the concentric phases are affected in power output through the use of the VM when the subjects use or did not use a WB. Method: Fifteen subjects (10 men and 5 women) volunteered freely to participate and did a total of 12 squats divided in four different sets with three repetitions each on 75% of their self-reported one repetition maximum (1RM). The first two sets were either with or without WB and the third and fourth sets were either with or without the practice of the VM. The three conditions (with WB, with WB + VM and VA only) were compared to each other and to the control group (without any instructions and no WB) in terms of power output and velocity in the eccentric, concentric and peak velocity in the concentric phase of the squat. Result: There was no significant difference in power output when comparing the four different test conditions. The velocity in the eccentric, concentric and peak velocity in the concentric phase did not have a significant difference between the different test conditions. Conclusions: This study shows a different output compared to previous literature. The WB and the practice of VM did not affect the power output and velocity in a squat, alone or together. 

  • 389.
    Björk, Julia
    Halmstad University, School of Business, Engineering and Science.
    Upper- & lower body strength and its correlation to performance in swimming2018Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: To learn how to swim with proper technique takes fairly large amount of time and practice to learn and anelite swimmer spends 6-7 days training for improving aerobic capacity, anaerobic capacity and strength training for energy saving technique. Freestyle is the fastest swimming style and is performed in many different distances, 50m is classified as a sprint and the 400m as a middle-distance. The research is inconclusive if there is a correlation in the lower body and the time in 50m and 400m and mostly in the middle distance which gives this study the importance reducing these uncertainties. Aim: The aim of this study was to determine the strength of the correlation between the upper- and lower body muscle strengthwith time in 50m and 400m freestyle and to analyze which of the variables of height, sex, upper- and lower body strength contribute to velocity in sprint and middle distance in competitive swimmers. Method:A total of 14 participants (3 men and 11 women) participated in the study. The participants were tested at three occasions. The first was to determine their three-repetition maximum (3RM) in the squat and lat-pulldown. The second occasion was the collection the time in 50m freestyle and the third was to collect the time in 400m freestyle. Relative strength (kg/kg BW; %) and absolute strength (kg) in 1RM was calculated and correlated with the time in 50m and 400m freestyle. Analysis was done to see which variables of height, sex, relative strength in the squat and lat-pulldown contribute the most to the time in freestyle. Result: The result show that there was a high correlation between the absolute strength in the squat and the time in 50m (r=-0.769) a moderate correlation in the absolute strength in lat-pulldown and the 50m freestyle sprint (r=-0.513). There was also a moderate correlation for the relative strength in the lat-pulldown and 50m freestyle (r=-0.599). The 400m correlate with the relative strength in both lat-pulldown(r=-0.563) and the squat (r=-0.555). The lat-pulldown contributed most to the time in 50m freestyle as well as the male sex. Conclusions: The absolute strength in the squat had a high correlation to the time in 50m freestyle swim. The 400m there was a moderate correlation to the relative strength in the squat and lat-pulldown showing that for the overall performance in middle-distance the relative strength has the advantage over absolute strength. The relative and absolute strength in upper body correlated to both 50m and 400m freestyle and could therefore strengthen the importance of upper body strength in sprint and middle distance as previous researchers has stated. The upper body strength is the best predictor of time in 50m.

  • 390.
    Björk, Maria
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Göransson, Christine
    Halmstad University, School of Social and Health Sciences (HOS).
    Sjuksköterskans upplevelser av att vårda patienter med HIV/Aids2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Today about 33 million people have conflicted HIV/Aids. A total of about 30 million people have died of Aids since the first case was diagnosed in 1981. In the Industrial states people infected with HIV have close contact with medical care units, since they attend regular examinations. Due to this, nurses often come in contact with these patients. In the developing countries it is unfortunately not like that, HIV-infected has sparse or none contact with medical units. The purpose of this study was to illustrate nurses' experiences when caring for patients diagnosed with HIV/Aids. The study was carried out as a literature study where 14 scientific articles were reviewed, processed and analyzed. The result shows that nurses' experiences during their care of HIV/Aids patients varies. Among the positive experiences could be noticed that nurses felt that their work was important and was developing them. Among the negative experiences occurred fear and lack of resources. Medical care of patients with HIV/Aids demands good knowledge about the disease and adequate nursing care. Additional education is needed during nurses' basic education. A suggestion concerning further research includes researching what suggestions nurses have on how to correct faulty views of the disease and how to correct areas that need improvement.

  • 391.
    Björk, Oscar
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Post-activation Potentiation in Moderately Heavy Squats following a Heavy Pre-load Squat2014Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Post-activation potentiation (PAP) is a phenomenon where force output is acutely enhanced

    following muscular contraction. Previous research has documented enhanced performance in

    power-type light exercise following a heavy pre-load, such as vertical jumps following heavy

    squats. To date, the effect of PAP on moderately heavy exercise following a heavy pre-load

    has not been investigated. Purpose: The purpose was to examine whether PAP could be

    elicited in moderately heavy squats following a heavy squat pre-load, and if so, what intensity

    (as percentage of one repetition-maximum [1RM]) of pre-load elicited the highest PAP effect

    (measured as mean power, mean force and number of repetitions performed). Subjects:

    Seventeen resistance-trained males (age 24±2 years, length 182±8 cm, body mass 84.7±13.1

    kg, squat 1RM 147.6±29.6 kg) with at least 2 years of experience of the squat exercise.

    Methods: After testing parallel squat 1RM at a separate session, subjects performed three

    testing sessions in a randomized order in a cross-over design; performance test at 80% of

    parallel squat 1RM (control), one repetition at 85% of 1RM followed 8 minutes later by the

    same performance test (PAP85), and one repetition at 93% of 1RM followed 8 minutes later

    by the same performance test (PAP93). Sessions were separated by six days. Force and power

    output was recorded using a linear encoder. Friedman’s test was used to reveal differences

    between conditions, and a Wilcoxon signed rank test was used to identify these differences.

    Results: There was an increase in number of repetitions performed for PAP85 (p=0.009) and

    PAP93 (p=0.001) compared to control, but not for mean power or mean force. There was no

    significant difference between PAP85 and PAP93 for number of repetitions (p=0.091).

    Conclusion: PAP can be elicited to improve performance in moderately heavy squats

    following a heavy squat pre-load in trained subjects, but only measured as number of

    repetitions performed, not force or power. PAP could therefore be useful not only for

    designing power training, but also for strength and hypertrophy training.

    KEYWORDS: squat, post-activation potentiation, PAP, strength, power, hypertrophy.

  • 392.
    Björkegren, Adam
    Halmstad University.
    Mindfulness2015Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
  • 393.
    Björklund, Cecilia
    et al.
    Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Erlandsson, Lena-Karin
    Department of Health Sciences, Lund University, Lund, Sweden.
    Lilja, Margareta
    Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Gard, Gunvor
    Division of Health and Rehabilitation, Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Temporal patterns of daily occupations related to older adults' health in northern Sweden2014In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 22, no 2, p. 127-145Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to identify characteristics of temporal patterns of daily occupations that could be related to high and low subjective health among older adults in Northern Sweden. A cross-sectional design imprinted by time-geographic methodology was used and participants 70 years and older were purposively selected and divided into groups of high and low health using the SoC-29 and SF-36 questionnaires. Daily occupations data were registered and analysed using VISUAL Time-PAcTS and related to health conditions using SPSS. The results showed that the participants in the high- and low-health groups showed similar patterns of participation in occupations during the 24-hour sequences describing their daily routines. Some differences in patterns of frequency and duration of occupations were shown between health groups during the 24-hour sequences as well as within six intervals. The low-health group showed higher frequencies and longer durations for “care for oneself” and “reflection and recreation” occupations and lower for “house-keeping” and “procure and prepare food” occupations compared to the high-health groups. There were few significant differences between the high- and low-health groups' mean durations for occupations. The results of this study could contribute to the support and assistance of occupations of older adults in society. © 2014 The Journal of Occupational Science Incorporated.

  • 394.
    Björklund, M.
    et al.
    Centre for Health Promotion Research, Halmstad University, Halmstad and the Ear Clinic, Nordvastra Skanes Sjukvardsdistrikt, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Cancer patients' experiences of nurses' behaviour and health promotion activities: a critical incident analysis1999In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 8, no 4, p. 204-212Article in journal (Refereed)
    Abstract [en]

    Patients with head and neck cancer report several disease- and health-related problems before, during and a long time after completed treatment. Nurses have an important role in educating/supporting these patients about/through the disease and treatment so that they can attain well-being. This study describes the cancer patients' experiences of nurses' behaviour in terms of critical incidents after nurses had given them care to promote health. The study had a qualitative, descriptive design and the method used was the critical incident technique. Twenty-one informants from the Nordic countries diagnosed with head and neck cancer were strategically selected. It was explained to the informants what a critical incident implies before the interviews took place; this was defined as a major event of great importance, an incident, which the informants still remember, due to its great importance for the outcome of their health and well-being. The nurses' behaviour was examined, and critical incidents were involved in 208 cases-150 positive and 58 negative ones-the number of incidents varying between three and 20 per informant. The nurses' health promotion activities or lack of such activities based on the patients' disease, treatment and symptoms, consisted of informing and instructing the patients as well as enabling their participation. Personal consideration and the nurses' cognisance, knowledge, competence, solicitude, demeanour and statements of understanding were found to be important. Continuous health promotion nursing interventions were of considerable value for the majority of this group of cancer patients. Oncology nurses could reconfirm and update the care of head and neck cancer patients by including health promotion activities in individual care plans. By more frequent use of health promotion models, such as the empowerment model, the nurses could identify and focus on those individuals who needed to alter their Life-style as well as tailor their approach towards these patient by setting goals for well-being and a healthy life-style.

  • 395.
    Björkman, Jasmine
    Halmstad University, School of Business, Engineering and Science.
    Are there any difference between the levels of serum leptin, visceral fat area and body mass index in patients with symptomatic knee osteoarthritis, with and without radiographic changes?2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
  • 396.
    Björkqvist, Kornelia
    et al.
    Halmstad University, School of Health and Welfare.
    Svantesson, Eva
    Halmstad University, School of Health and Welfare.
    Omvårdnad av patienter med smärta i palliativ vård.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The definition of palliative care is to provide a diligent care to all patients no matter what disease they suffer from in the end of life. To manage pain with nursing care in palliative care is important and the nurse has a significant role. Pain in palliative care is a symptom that often occurs and can be manage through nurse interventions. The aim is to describe nursing care of patients with pain in palliative care. A content analysis was made where nine scientific articles were audited. The nine scientific articles that were audited resulted in three categories; Pain assessment, Complementary treatment methods, Psychosocial support. The results of this study indicated that nurse interventions can relieve pain; heat and cold, distraction, change of position, relaxation and touch. Psychosocial support is given to both patients and relatives through information and communication. Teamwork in the palliative team is important to assess and manage pain in palliative care. Pain assessment can be hard because some patients cannot verbally tell that they suffer from pain. When family members were mistrustful of the care it was hard for the nurse to assess and manage pain. In order to relieve pain with the help of nursing documents, knowledge, experience and good communication skills are required. Within the subject there is a need for further studies such as; how the use of pain assessment instruments and documentation can be expanded in palliative care.

  • 397.
    Björn, Wihlborg
    et al.
    Halmstad University, School of Health and Welfare.
    Malin, Yderhag
    Halmstad University, School of Health and Welfare.
    Ledarskap: en viktig nyckel till hälsa i arbetslivet: En litteraturstudie om transformativt ledarskap2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Psykosocial hälsa har en stor roll i bestämmandet av hälsa på arbetsplatser, svag psykosocial hälsa kan kopplas till försämrad allmän hälsa samt förhöjd sjukfrånvaro. Samtidigt visar forskning på hur transformativt ledarskap kan påverka arbetsmiljön och anställda vilket resulterade studiens syfte.

    Syfte: Syftet var att undersöka transformativt ledarskaps påverkan på anställdas psykosociala hälsa och arbetsmiljö.Metod: Studiedesign som antogs var en systematisk litteraturstudie där sju databaser genomsöktes och totalt 19 vetenskapliga artiklar som svarade på syftet användes. Alla artiklar genomgick granskning av vetenskaplig kvalité och en kvalitativ innehållsanalys som resulterade i tre kategorier.

    Resultat: Tre kategorier hittades och de benämns som medför positiva effekter på psykosocial hälsa, betydelse för den psykosociala arbetsmiljön samt hälsovinster i ett större perspektiv. Resultatet indikerar att transformativt ledarskap kan användas som ett kraftfullt salutogent verktyg för hälsopromotion på arbetsplatsen och att ledarskapet kan skapa bättre förutsättningar för förbättrad psykosocial hälsa.

    Implikation: Ytterligare forskning krävs för att kartlägga transformativt ledarskap i skilda kulturella, geografiska och praktiska kontexter samt att kvalitativa studier kan ge en mer nyanserad bild av effekterna och på så vis kan ge en tydligare indikation på hur integreringen av transformativt ledarskap kan ske i organisationer och verksamheter.

  • 398.
    Björnell, Rebecha
    et al.
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Kristensson, Michaela
    Halmstad University, School of Business and Engineering (SET), Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine.
    Kan ett 5-veckors hembaserat träningsprogram förbättra smärtan hos personer med fibromyalgi?2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med denna studie var att undersöka om ett 5-veckors enkelt styrketräningsprogram i hemmet minskar den upplevda smärtan hos personer med fibromyalgi.

    Metod: Antal deltagare med fibromyalgi var 10 stycken som rekryterades för att genomföra ett 5 veckors träningsprogram med fokus på styrka i buk-, rygg- och magmuskulatur. Före och efter träningsprogrammet mättes styrka (rygg, mage och ben – 3 tester) och smärta (Visual Analog Skala - VAS). Fyra frågor kring smärta besvarades med VAS-skala. Skillnad mellan undersökning före påbörjad träning (pretest) till undersökning efter avslutad träning (posttest) analyserades. Wilcoxons rangtest användes för att undersöka om där fanns en signifikant skillnad mellan pretest och posttest.

    Resultat: Efter avslutat träningsprogram hade inte smärtan förbättrats. I styrketesterna framkom signifikant förbättrad benstyrka medan rygg- och magstyrka var oförändrad. För sju av tio av deltagarna förbättrades styrkan i magtestet utan signifikant skillnad och för fem av tio deltagare förbättrades styrkan i ryggtestet utan signifikant skillnad. Smärtan var efter avslutad träning förbättrad, dock ej signifikant skillnad.  

    Slutsats: Det studerade styrketräningsprogrammet under 5 veckor ledde inte till en minskning av smärta.

  • 399.
    Björnerhag, Linette
    et al.
    Halmstad University, School of Health and Welfare.
    Kärrbrand, Maria
    Halmstad University, School of Health and Welfare.
    Sjuksköterskors erfarenheter av faktorer som påverkar bemötandet av närstående i sorg2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Grief may occur in many stages in life and nurses are meeting grieving people throughout their work. Nurses responsibility is to prevent illness in both families and patients and with the complexity in the grieving process nurses can find it difficult to meet grieving people adequately.

    The aim of this study was to describe nurses’ experiences of factors influencing the meeting with families in grief.

    Method: The study was conducted as a structured literature review with an inductive approach.

    The result was constructed by nine scientific articles compiled in four categories: Stressful work environment, Coping with own uncertainty, Motivation and Nursing relationship.

    Conclusion: Several different factors contributed to the nurses experiencing a stressful work environment, affecting their meeting with families in grief negatively. Nurses experienced uncertainty in their meeting with families in grief, which they linked to a lack of experience and education. Even though it was difficult, the nurses felt motivated to meet families in grief and a deep relationship could be formed between them which affected the grieving process positively. Further research is needed to enable an improvement of nurses meeting families in grief.

  • 400.
    Björnstad, Maria
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Karlsson, Linda
    Halmstad University, School of Social and Health Sciences (HOS).
    Larynxmask: - en metod för att möjliggöra fri luftväg och adekvat ventilation2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Airway obstruction can in the case of an unconsciousness patient be caused by the tounge that falls back in the throat or by secretion, blood, stomach fluid or foreign body. The knowledge of airway management of the unconsciousness patient is a necessary qualification in every nurse anesthetist. The purpose of this study was to describe if laryngeal mask airway is a safe method to establish a secure airway and adequate ventilation. The study was performed as a literature study in which 19 articles were analysed. During the analyse five themes occurred: LMA is a secure way for airway management, LMA is a secure way to maintain adequate ventilation, the staff competence when using LMA, the risk of aspiration when using LMA with subtheme LMA in overweight and LMA in elective and acute situations. The result of the study shows that LMA is a secure way to establish a safe airway and adequate ventilation. Further studies could study if LMA can be used to elective patients with increased risk of aspiration, for example in cesarean and obesity surgery. Studies could also focuse on the patients´ postoperative experiences between LMA and tracheal intubation.

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