1 - 16 of 16
rss atomLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
  • Hulth, Magnus
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Flores Varela, Lisbeth
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hur värderingar i samhället påverkar sjuksköterskans skyldigheter: en litteraturöversikt över hur substansberoende patienter bemöts och behandlas inom vården.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Substansberoende är en medicinsk sjukdom som har bland annat genetiska och sociala orsaker (Agerberg, 2008). I Sverige ökar antalet insjuknade samtidigt som det är ett av de länder i västvärlden som behandlar minst med opioider. Sjuksköterskans legitimation har riktlinjer som bland annat syftar på att vara objektiv i varje patientmöte, men bakomliggande attityder kan påverka denna objektivitet och dess inverkan på vårdrelationen. 

    Syfte: Att undersöka sjuksköterskors upplevelser av substansberoende patienter inom vården.

    Metod: En litteraturöversikt genomfördes där sex kvalitativa artiklar och fem kvantitativa artiklar användes. Dessa analyserades och skapade teman med subteman som utgör resultatdelen.

    Resultat: Presenteras utifrån tre huvudteman med åtta subteman. Resultatets tre huvudteman är: Kunskap och Utbildning, Upplevelsen av rädsla och oro, Attityder. Subteman inkluderade; att erhålla kunskap, kunskap och kunskapsbrist, betydelsen av kommunikation, upplevelse av rädsla, upplevelse av oro, förförståelsens betydelse, aktuella attityder hos sjuksköterskor, konsekvenser av attityderna utifrån ett holistiskt perspektiv.

    Diskussion: Resultatet diskuterades utifrån Peplaus interpersonella teorin där fokus på vårdrelationen är av betydelse. Vidare diskuterades sjuksköterskans attityder som kan vara dömande och hur de kan vara relaterade till både utbildningsnivå och samhällets normer. Detta kan i sin tur påverka de skyldigheter och etiska riktlinjer som legitimationen innebär.

  • Ahlgren, Linnéa
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Willner, Ellen
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En oändlig process: en litteraturöversikt om välbefinnande vid kronisk njursvikt och hemodialys2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Healthy kidneys are a requirement for the body's other organs to function well. Renal failure causes renal function to deteriorate and there are two conditions, acute and chronic. The chronic condition develops slowly over a long time, and in a late stage, some form of continuous dialysis treatment is required to purify the blood. One alternative is hemodialysis treatment performed in a dialysis unit several times a week a requires a lot of time from the patient's everyday life, which may affect well-being in various aspects. Well-being and quality of life are described as subjective experiences, and from the humanistic perspective it can be influenced on physical, mental and spiritual levels. With the help and support of healthcare professionals, it is still possible for patients to experience well-being and quality of life despite chronic illness. 

    Aim: To describe how well-being is affected among patients during chronic renal failure and hemodialysis treatment.

    Method: A literature review based on 13 scientific articles from two databases. The articles were reviewed and analyzed by Friberg’s method to find similarities and differences that later compiled in five themes.

    Results: After the analysis, five themes were identified that describes how well-being is affected by a life with chronic renal failure and hemodialysis treatment: limitations in the everyday life, dependence on humans and machines, the impact of symptoms, emotional impact and also acceptance and coping. 

    Discussion: The method discussion is based on the strenghts and weaknesses of the literature review. The results were discussed in relation to Rosemarie Rizzo Parse’s Humanbecoming theory and the three principles meaning, rhythmicity and transcendence.

  • Mood, Lovisa
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Nilsson, Emma
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Gender is not what you see: Transgender people's experiences of identity, health and well-being- An interview study2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In India transgender people have a legacy of representation and acceptance dating back thousands of years within the Hindu religion. However, studies show that transgender people in today’s indian society experience lack of social rights and are discriminated towards when it comes to employment, housing and healthcare. Being discriminated based on who you are may in turn lead to poor physical and mental health. The healthcare services ability to promote health and give good care to transgender patients is limited due to stigma and lack of knowledge in meeting the needs that transgender people may have when seeking healthcare.

    Aim: The aim of this study is to examine the experience of identity, health and well-being among transgender people in India.

    Method: A qualitative semi-structured interview study with five participants was made, four of the interviews were used in the result. The participants were interviewed about their experiences of health and well-being as well as the availability and treatment from the healthcare system. The content was analyzed through a content analysis.

    Results: The result was divided into Identity and Society where the theme Identity contained 1. Life-stance related reflection about gender identity. 2. Life-stance related reflections about own body. 3. Strategies to protect one’s dignity and 4. The meaning of relationships and social networks for one’s own identity. The theme Society dealt with the sub-themes 1. Experiences of attitudes among healthcare professionals and 2. Experiences of discrimination outside healthcare.

    Discussion: The discussion was held from a life-stance point of view and touched upon how discrimination and lack of knowledge within the healthcare services can lead to not being seen as a person. Violation of dignity was also discussed and how dignity is connected to integrity and self-image as well as how confidence and self-esteem is important in forming one’s identity.

  • Ingemarson, Maria
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences, The Institute for Civil Society Research. Centrum för kunskapsutveckling i praktiken i Stockholm.
    Bergmark, Åsa
    Mittuniversitetet, Centrum för kunskapsutveckling i praktiken i Stockholm.
    Lundström, Tommy
    Stockholms universitet, Centrum för kunskapsutveckling i praktiken i Stockholm.
    Att planera för boendestöd: Om planer, trepartssamtal och klientmedverkan i socialpsykiatrin2006Report (Other academic)
  • Bäcklin, Helena
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Holmsten, Anna Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kommunikation mellan sjuksköterska och patient i en digital värld: En litteraturöversikt ur ett sjuksköterskeperspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: E-Health is rapid development in healthcare and reduced the distance between nurses and patients and have made healthcare more accessible. E-Health can be seen as a complement to a traditional healthcare meeting and can offer the nurse a direct contact with patients. One of the goals of e-Health is to make the patient more involved in his care, the nurse has an important role in communicating with patients.

    Aim: To illuminate nurses' experiences of communication with the patient via e-Health.

    Method: The chosen method of the study was a literature review. Ten qualitative articles were selected in the databases PubMed and CINAHL Compleate which responded to the aim. The articles were analyzed and thematized. 

    Results: The result was presented in two themes; The meaning of digital technology in communication between nurse and patient and Nurse`s experience of communication through e-Health. Nurse`s express their concern about the loss of interpersonal relationships related to lack of communication skills as well as a difficult digital technology.

    Discussion: The result was discussed based on Travelbees theory of interpersonal relations. E-Health were discussed through a society perspective an illuminated the role of nurse in e-Health. The physical meeting has been replaced by meetings at a distance and the nurse hade to develop communicative skills to create an interpersonal relationship with the patient via e-Health. The nurse lacks support in the use of digital technology, which is perceived as a barrier to communication as it complicates the creation of relationship.

  • Gren, Ylva
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Noréus, Anastasia
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    "Det blir ju till att sålla": En kvalitativ studie om socialarbetares mottagningsfunktion2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Författarna har gjort en ansats att problematisera mottagningsarbetet inom ekonomiskt bistånd. De har gjort ett antagande att mottagarrollen kan vara komplex och fann i sitt resultat att det fanns vissa dubbelheter kring handlingsutrymmet, de etiska riktlinjerna och mottagningsarbetets syfte. Dels handlingsutrymmet beskrevs som begränsat av socialarbetarna, och det framgår av tidigare forskning att det alltid finns ett handlingsutrymme och att socialarbetarens roll är att utmana denna. Mottagningsarbetet börjar med ett inledande samtal via telefon och medborgaren måste gå igenom flera steg för att få ekonomiskt stöd. Socialarbetarna beskriver också sin huvuduppgift att sålla. Detta leder till en etisk diskussion medan riktlinjerna i det förberedande arbetet visar tydligt att det är syftet med mottagningsfunktionen. Resultaten analyseras utifrån relevant forskning och akademikerföreningen SSR etiska riktlinjer. Författarna har intervjuat fem respondenter som hanterar det första mötet med medborgare som ansöker om ekonomiskt stöd.

  • Eriksson, Mats Einar
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    "Händer det något särskilt?": En intervjustudie om män i terapi hos manliga psykoterapeuter.2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inledning: Färre män än kvinnor söker sig till psykodynamisk terapi, och den mesta kunskapen om män i terapi begränsar sig till subgrupper av män med missbruksproblematik eller kriminalitet. Det är därför väsentligt att öka kunskapen om män i mer generellt inriktad psykodynamisk terapi. Tidigare studier indikerar att när både terapeut och patient är män uppstår särskilda förutsättningar i terapin, som kan försvåra den samkönade terapin. Förståelse av vad som händer i manligt samkönade terapier kan underlätta för män som söker hjälp i psykodynamisk terapi.

    Frågeställning: Hur upplever yrkesverksamma manliga terapeuter terapimötet med manliga patienter?

    Metod: Fem manliga terapeuter intervjuades i semistrukturerade enskilda intervjuer. Materialet bearbetades med tematisk kvalitativ analys.

    Resultat: Resultatet visar att informanterna upplever särskilda förutsättningar i manligt samkönade terapier vad gäller relationen till terapeuten, skam, kontroll, terapimålet och själva terapisituationen. De beskriver att detta kan relateras till mäns tendens att leva upp till normativ maskulinitet även i terapirummet. Dock kan terapeuten fungera som rollmodell och visa på alternativ till normativ maskulinitet.

    Diskussion: Resultaten överensstämmer med tidigare forskning som påvisat mäns svårigheter att avvika från normativ maskulinitet i terapisituationen. Föreliggande studie uppmärksammar dessutom den manlige terapeutens funktion som rollmodell för alternativa maskuliniter, vilket kan sammankopplas med R. W. Connells teorier om maskuliniteter som ett differentierat begrepp. Ytterligare forskning om män i samkönade terapier är angelägen, i syfte att underlätta för hjälpbehövande män att söka terapi samt för att hjälpa terapeuter att möta män.

  • Bruhn, Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av att vårda patienter med aktiv tuberkulos på sjukhus: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Tuberculosis is a serious and airborne infectious disease that annually harvests about two million human lives. The disease can be treated but the time of the treatment is long and the side effects after medication are sometimes difficult for the patient to handle. Providing nursing to a patient with tuberculosis therefore requires knowledge of risk factors such as interrupting treatment. Nurses also need knowledge about transmission to prevent infection spread, but also to erase fears that may affect the treatment.

    Aim: To describe nurses' experiences of caring for patients with active tuberculosis in hospitals.

    Method: A literature review in which the search for articles that corresponded to the purpose was performed in four different databases. The result was eight scientifically reviewed articles analyzed and compiled in three different themes.

    Results: Three themes were identified where the headings became: To feel fear of transmission of infection, to feel insufficient and to feel vulnerable. The results showed that the fear of transmission of infection was to resource deficiencies of protective materials and knowledge of tuberculosis as a disease. In the sense of feeling insufficient, the majority of nurses agreed to feel a shortage of time with the patients and their relatives. Being unable to support and motivate patients during their lengthy treatment meant that many patients discontinued their treatments prematurely to later recuperate but then with a more severe course of illness. The vulnerability experienced by the nurses in the last theme was about the long exposure time with patients treated for active tuberculosis.

    Discussion: The hospitals where nurses in reported results worked, did not give nurses the right conditions to care for patients with active tuberculosis following WHO recommendations and ICN guidelines. The hospitals therefore risked spreading the infection as well as contributing to an increase in the MDR variant of tuberculosis. Erikson's identity theory is applied on the patients since the interaction between the patients and nurses can be crucial for a successful treatment.

  • Larsson, Sanna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Åhlander, Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mer än en påse på magen: En litteraturöversikt om patienter med enterostomi och hur de upplever sin sexualitet2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are many reasons as to why a person receives a bowel ostomy, and this can affect the person’s view of their own body. A person's perception of the body is strongly linked to sexuality that is an important part of people's lives. Stoma surgery can also cause physical damage that causes problems in the sex life of the operated person. Patients with stoma will appear in all care settings, and it is therefore important for all nurses to be able to treat them.

    Aim: The aim was to illustrate how patients with an ostomy experience their sexuality

    Method: The method was a literature review where 15 scientific articles were reviewed, five of which were qualitative, nine quantitative and one used mixed method. The articles were identified through combinations of different keywords in the databases CINAHL Complete and Pubmed with a time span of the years 2008-2017.

    Results: In the results four main themes and six sub themes could be identified. The main themes were A Changed Body, Physical Sexual Function, A Changed Sex Life and Support from the Surroundings. The results showed that many patients experience problems with their sexuality related to their stoma, both physical problems and obstacles as a result of the patient's own thoughts about one's stoma. An increased need for support and information was also identified by the patients, both from an eventual partner and from the healthcare.

    Discussion: The result is discussed based on Parse's theory of humanbecoming. The discussion addresses topics about the lack of support and information for patients from the healthcare. The lack of research into women's sexual experiences with a stoma in comparison to the research that exists around men is also discussed.

  • Brännström, Miriam
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Livet som ohälsa eller hälsa - patientens upplevelse av sjuksköterskans vårdande: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskan ska ge vård med respekt för människors lika värde. Sjuksköterskans omvårdnad är till för att lindra symptom och att patienten skall fungera i vardagen. Patienter med allvarlig psykisk ohälsa avlider i genomsnitt 20 år tidigare än övriga befolkningen, de avlider ofta av behandlingsbar fysisk ohälsa. Att närma sig lidande är svårt, när patienter inte uttrycker sitt lidande, har sjuksköterskan svårt att identifiera det. Tvångsvård och tvångsmedicinering skapar starka känslor, regelsystemet prioriteras före patientens autonomi. Patienter avstår behandling på grund av bemötandet. Men ett bra socialt nätverk, bra erfarenheter, liksom positiva tankar och attityder kring behandlingen, påverkar följsamheten positivt.

    Syfte: Syftet med litteraturöversikten var att beskriva patientens upplevelse av sjuksköterskans bemötande vid psykisk ohälsa.

    Metod: Metoden var litteraturöversikt. Tio artiklar valdes ut. De lästes, översattes, analyserades med hjälp av färgkodning och sammanställdes under olika huvudteman och subteman. Databasen Cinahl plus Full Text användes uteslutande för att det visade sig att sökorden gav samma träffar på Pub Med, även att Chinahl plus Full Text är en stor vårdvetenskaplig databas.

    Resultat: Resultatet presenteras som en tillfriskningsprocess med tre huvudteman; Livet som ohälsa, Livet som hälsa och Livet som framtid.

    Diskussion: I diskussionen används Travelbees (1966/2012) omvårdnadsteori Interpersonal human to human relationship och konsensus-begreppet vårdande.

  • Järnegard Fogelvik, Samuel
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Smitterberg, Jakob
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ramadan Sawm: Upplevelser av Ramadan hos fastande muslimer i möte med vården – en litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Celebrating the month of Ramadan and the thereto belonging fast is one of the five Pillars of Islam and is practiced by Muslims all over the world. The last decades have seen an increase in the immigration to Sweden of ethnic groups with Islam as their cultural referent. This population will eventually encounter the public health care of western secular society. Ramadan – which implies a month of daily fasting – has an impact on somatic health and it is of importance to possess knowledge of how this affects the fasting population and to understand how Muslims relate to Ramadan.

    Aim: The aim of this study was to examine fasting Muslim’s experience of physical and psychological health during Ramadan in the context of public health care.

    Method: A literature review with inductive thematic analysis was used for this study.

    Results: The analysis yielded four main themes illuminating Muslim’s experience of fasting and their encounters with health care during Ramadan: Ramadan as a social phenomenon, The person’s experience of health and fasting during Ramadan, Islam as life-world, and Contact with health care in connection with Ramadan. These themes reflect the individual’s experience of religion and health, its spiritual dimension, and interaction with western health care.

    Discussion: Antonovsky’s Sense of Coherence (SOC) is proposed as a tool for use among health care practitioners to better understand the life-worlds of persons with a religious world-view. The result illustrates how Muslim persons often experience neglect in the encounter with a health care that do not respect the significance religion has in the patient’s health narrative. The importance of dialogue as a tool in person centred care is emphasised and the origins of professional nursing in Nightingale’s views on nursing as a spiritual vocation are discussed.

  • Sundström, Kristin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans omvårdnad av självmordsnära patienter: en litteraturstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Suicide is widely represented all over the world and affects many millions of people directly or indirectly. Psychiatric disease states and other social and biological conditions lie as a basis when a person takes one’s life. Nursing in suicide problems is central and nurses' attitude and the care relationship between nurse and patient is important in nursing suicidal thinking patients.

    Aim: The purpose of the study was to describe nursing care that may be significant as well as difficulties that may exist from nurses in psychiatric care and suicidal patients.

    Method: Literature review with 12 articles using qualitative, quantitative and mixed methodology. Data was analyzed by Thomas and Hardens thematic synthesis.

    Results: The result formed two main themes; "Prerequisites for proper care for suicidal patients" and "Nursing feelings – A challenge in nursing of suicide patients". Subtopics for the respective main themes describes "Observation and Security", "Assessment", "Teamwork", "Communication", "Knowledge and Support" and "Time" and for the main theme two "Uncertainty", "Nurse’s approach: Empathy - Empathy" and "Compassion and nurse’s initiation of hope for the patient".

    Discussions: The result is discussed based on Joyce Travelbee's theoretical theory and highlighting the unique human and interpersonal relationship, the significance of the hope for the suffering person, and how we understand the experiences of others through time and communication.

  • Engel, Charlotte
    et al.
    Ersta Sköndal Bräcke University College, Department of Diaconal Studies, Church Music and Theology.
    Christiansson, Elisabeth
    Ersta Sköndal Bräcke University College, Department of Diaconal Studies, Church Music and Theology.
    Diakonins strukturer: En presentation av tre empiriska studier av den församlingsdiakonala verksamheten i Stockholms stift 2016/20172017Report (Other academic)
    Abstract [sv]

    Svenska kyrkans diakonala uppdrag är att bistå och stödja människor i särskilt utsatta livssituationer. Stockholms stift står inför en situation där behovet av och förväntningarna på Svenska kyrkans diakonala arbete blir allt tydligare samtidigt som förutsättningarna för stiftets 56 församlingar/pastorat att utöva det grundläggande diakonala uppdraget förändras. Stiftet står inför numerärt märkbara pensionsavgångar bland stiftets diakoner, samtidigt som svårigheterna att nyrekrytera diakoner till tjänster är påtagligt. Ett antal diakoner har valt att gå i förtida pension eller att lämna sin församlingstjänst för arbete utanför Svenska kyrkan. Samtidigt synliggör denna utmaning andra, mer djupgående problemområden som Stockholms stift har att hantera. Den här rapporten presenterar resultaten från en studie som analyserar den församlingsdiakonala verksamheten i Stockholms stift utifrån frågor om det diakonala arbetets styrning, ledning och organisering samt om diakonernas kompetens, arbetssituation och rekrytering. Studien har genomförts som tre delstudier. Dessa delstudier tar, utifrån olika perspektiv, tillvara de erfarenheter och kunskaper som finns såväl hos dem som är ”brukare” av diakonernas stöd, konfidenter som samtalar med diakoner, som hos diakonerna själva samt hos personer på ledningsnivå inom Stockholms stift. Studien har genomförts på uppdrag av stiftsstyrelsen i Stockholms stift under 2016/2017.

  • Tavakolinia Hansen, Fanny
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    THE IMPORTANCE OF HYGIENE ROUTINES AND PRACTICES.: AN INTERVIEW STUDY WITH NURSES IN BALI, INDONESIA.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Hygiene routines and practices is an important part of healthcare. Without hygiene routines there might not be a functional health care system nor would the hospitals be a safe environment. Patient safety is one of our most important tasks as nurses and in order to achieve that, we need good education. Of the actively working nurses in Indonesia 29% have a diploma, 1% has a higher degree and the remaining 60% only obtains a high school level of knowledge and education. Although the country is in development there are currently still problems in the education of nursing.

    The aim was to describe nurses’ experiences of hygiene routines and practices in hospitals in Bali, Indonesia.

    A qualitative interview study with semi structured interviews was carried out at hospitals in Bali, Indonesia. A qualitative content analysis was used to transcribe and analyze data from four interviews with different educated nurses.

    The result shows four themes and ten subthemes. In addition to hygiene and education, teamwork was also frequently mentioned. To make sure the patient was happy was also an answer given many times during the interviews.

    Some participators had a hard time explaining their experiences of hygiene routines and practices, which made it seem like they were lacking in knowledge due to shortage of context in education.

  • Olaison, Anna
    et al.
    Linköpings universitet.
    Torres, Sandra
    Uppsala universitet.
    Forssell, Emilia
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Needs asessment practice within elder care: does length of work experience make a difference in how care managers percieve professional discretion?2018In: 8th European Conference for Social Work Research: Book of Abstracts, Edinburgh: University of Edinburgh , 2018, p. 151-151, article id Abstract ID: 444Conference paper (Refereed)
    Abstract [en]

    This presentation departs from the ongoing debate about how care managers - who often function as ‘street level bureaucrats’ – perceive different aspects of professional discretion in needs assessment practice. Few studies within gerontological social work today have explored if length of work experience affect how care managers experience discretion in the decision-making process which is why this paper focuses on this. The presentation is based on a study that uses focus group interviews (n=12) with 60 care managers in Sweden. The findings show that care managers struggle with ambiguous expectations in balancing clients’ needs and requests against organizational systems, local guidelines and resources. Length of work experience seems to play a role in how they use their discretion and cope with the lack of clarity embedded in the needs assessment process. Experienced care managers describe how they deviate from the guidelines and in this way create an increased scope of action for themselves in decision making. Those with less time in the profession describe, greater difficulties in this respect. The results partially support the critical debate that professional discretion can be experienced in different ways by ‘street level bureaucrats’. The study also adds knew knowledge to this discussion by showing that length of work experience and other work experience-related aspects can play a role in the actual way in which care managers reason about and assess clients’ needs in the decision making process.

  • Birkeros, Anna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Rådström, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Livet är en dosfråga: Ett liv med insulinpump ur ett föräldraperspektiv: en litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 1 is an autoimmune disease which requires daily insulin administration. When a child is treated with insulin pump, the demands on self-care is high and the parents’ spend a lot of time to support their child. Nurses are responsible for the education and support related to self-care.

    Aim: The aim of the study was to highlight parents’ experiences of a child treated with insulin pump therapy.

    Method: A literature review based on four qualitative articles, two quantitative articles and four articles with mixed methods. These were analyzed by a model by Friberg. 

    Results: The result highlights the changing everyday-life and its challenges which arise in life with a child treated with an insulin pump, as well as the parents’ transition from concern to acceptance of their life situation. The parents’ wishes to normalize their life, as well as their hopes of simplifying their everyday-life was desired. The result also showed the difficulties of the parenting role and finding the balance between responsibility and control related to the child’s independence.

    Discussion: The result was discussed in the light of Orem’s self-care theory. The theory is generally implementable to insulin pump therapy since self-care is important for metabolic control. The primary result of the review demonstrated the parents’ need for support both for themselves and for their child. The nurse shall make self-care actions adapted to the family for an increased self-care balance and enable parents’ to transfer self-care capacity to the child.