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  • Lagerling, Louise
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Det psykoterapeutiska kontraktet ur ett psykodynamiskt perspektiv2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: The purpose of this paper to examine how five psychodynamic oriented private practice psychotherapists define the concept of the psychotherapeutic contract, how they work with the psychotherapeutic contract and what effects they think this work provides.

    Issues: How do you define the concept of psychotherapeutic contract? How do you work practically with the psychotherapeutic contract? What impact do you see your work with the psychotherapeutic contract?

    Method: A qualitative inductive analysis has been used. Five psychodynamic oriented psychotherapists were interviewed with semi-structured questions. The material has thereafter been encoded, thematized, analyzed and compiled.

    Results: The psychotherapeutic contract terms have not been perceived as acknowledged by those interviewed. All uses, however, a psychotherapeutic contract in different ways. All interviewees are experiencing the benefits of working with the psychotherapeutic contract provided it is used correctly.

    Discussion: The psychotherapeutic contract is interpreted and applied in various ways depending on the theoretical orientation. Based on the frames of the essay it can be concluded that psychodynamic psychotherapy is interpreted and practiced in different ways depending on how the psychotherapist relate to the psychotherapeutic contract.

  • Vändahl, Ellen
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av att vårda asylsökande patienter i psykiatrisk vård: En intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Asylum seeking patients often suffer from mental health problems related to stress during flight and harsh living conditions. Being responsible for the care, nurses are responsible to help people with what they themselves have difficulties performing or are unable to do themselves. Due to language difficulties and cultural conditional expectations the caring of patients within this group can sometimes be suffering. In order to work effectively with asylum seeking patients in psychiatric care, it is required to possess a thorough knowledge of how nurses describe their work with asylum seeking patients.

    Aim: The purpose of this paper is to describe nurses' experiences of caring for asylum seeking patients in psychiatric care.

    Method: The study is a qualitative study with the inductive approach in which semi-structured interviews were conducted with five nurses working in psychiatric care. The collected data were analyzed according to qualitative content analysis.

    Results: Data analysis resulted in two categories with five and two subcategories each. The first category describes the nurses' descriptions of the obstacles and opportunities in relation to asylum seekers patients with subcategories: cultural differences, personal impact and the need for guidance, the need of information, approaches, and patient social networks. The second category describes nurses' descriptions of the obstacles and opportunities in relation to external instances, with subcategories; interpreter and asylum process.

    Discussions: The results are discussed from Leininger’s Sunrise Model and other relevant research. Sunrise model provides support for nurses in the meeting with patients with a different cultural background, which can be important to work holistically.

  • Braaf, Lisa
    Ersta Sköndal University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Att inte släppa patienten på irrvägar: Fem psykoterapeutstudenters upplevelser av att lära sig arbeta med Intensive Short-Term Dynamic Psychotherapy2017Independent thesis Advanced level (professional degree), 60 credits / 90 HE creditsStudent thesis
    Abstract [en]

    Introduction: ISTDP, a method with a growing evidence base, requires a greater degree of activity and directness from the therapist than the classical psychodynamic approach. The purpose of this study is to gain knowledge of psychotherapy students' experience of learning ISTDP in parallel with other educational features.

    Questions: Focus on psychotherapy students' experience of learning ISTDP and integrating it with other ways to work in psychodynamic therapy.

    Results: Interviewees describe ambivalence: on one hand an appreciation of having learned the method, on the other the challenges of being active, attentive, and finding appropriate interventions. Growing experience led to greater courage and sense of security in the therapist role. The method was perceived to facilitate clarity, focus, and regulation of anxiety in patient work.

    Discussion: This study demonstrates the difficulties involved when learning a method where working ways differ from those taught in other courses. The study underlines the importance of a balance between challenge and security in the learning situation, considering the students' previous knowledge and limited. Factors that promote and impede learning are discussed.

  • Kuzinaite, Silvija
    Ersta Sköndal University College, Department of Social Sciences.
    "Det här måste vi göra i den mån vi får och kan": En kvalitativ studie om kuratorers upplevelse av att stödja barn som har förlorat en förälder inom palliativ vård2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Eight children loose one of their parents every day in Sweden. The bigger part of them witness the death of the parent after a long-term illness and maybe after being in contact with the palliative care. The Swedish law of Health- and Healthcare was changed in 2010 due to emphasize that the healthcare institutions have to take into account children rights for information, counseling and support in case of a parental illness or death.  Knowledge about how the system of support for these children is functioning is limited until this day. The goal of this thesis is to examine how counselors in the palliative care experience their work with supporting the children who have lost a parent. The result of the interview study with four counselors in the palliative care implies that these counselors experience their job being complex with many different tasks. The counselors try to take into account the children and their needs in their social environments, such as family and school. To reassure that they get the support needed from these environments the counselors try to support the parents in their parenting and also by informing the parents that informing and including the children in these situations has a positive impact on their development. Another important part of the counselors’ job is referring the children to different support groups or another alternatives for support. The counselors job is characterized by the system theoretical/holistic approach which possibly can by explained as a way to work with children but even parental needs in different social environments and on different levels. Some new problematic issues arose from the interviews, such as the contradictive relationship between the children rights to information and support and the rights of the parents to decide for their children, which invites to further discussion and research in the area.

  • Tingström, Katarina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Drömmars plats i sorgeterapi: En kvalitativ studie om drömmars funktion i sorgeterapi2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Summary: Contemporary research about grief focuses on achieving a different relationship to the deceased and managing the separation. The purposes of dreams are to reduce stress, solve conflicts, and consolidate memories. But it’s also a window into representative processes and inner models of relationships, to create a context. Can psychotherapists enhance their understanding of the clients mourning, by using dreams in grief therapy?

    Questions: How do psychotherapists use dreams in their understanding of the clients mourning? What do the psychotherapist feel is working when using the clients dreams in therapy?

    Method: A qualitative studie by interviewing four licensed psychodynamic psychotherapists and one licensed nurse.

    Result: When psychotherapists identify different themes in the dreams, they capture how the dreams frame the clients mourning. What works well when using the dreams in the therapy, is when is it aiding the client in putting words to their grief, getting access to subconscious material and identifying internal conflict. It also helps the client to integrate and normalise the grief, and feeling the comfort of progress, because the dreams confirm it.

    Discussion: The study shows that existing research about grief and dreams is confirmed by the clinical experiences of the interviewees.

  • Stiller Elmqvist, Maia
    et al.
    Ersta Sköndal University College, Department of Social Sciences.
    Vaara, Emma
    Ersta Sköndal University College, Department of Social Sciences.
    Tillitens segregation: ungdomars tillit utifrån social position2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This paper is a quantitative study, which examines 15-year-olds trust towards governmental institutions on the basis of social position in society. The study has been carried out through a survey in class nine in six public schools in the Stockholm region. The study aims to investigate whether there is connection between social position and trust, where we use social position as a generic term for socioeconomic status, class background, immigrant background and gender. The results show that it is possible to see a correlation between lower social position and lower trust and higher social position and higher trust. We can only see gender as a factor according to the general question of trust as well as the question of current experience of safety in the evening/at night in the surrounding area. Where people who define themselves as women perceive less trust and feel less safe in the dark than men. The analysis shows that there is connection between the levels of trust and residential segregation, changes in the welfare state, the parents ' educational background and the extent to which young people been advised by their parents not to trust people in general. The results has been analysed through bivariaty analysis in IBM SPSS Statistics 22. The conclusions we can draw from our analysis is to a large extent consistent with previous research on the topic.

  • Dagnell, Daniel
    Ersta Sköndal University College, Department of Social Sciences.
    Ledarskap i socialt arbete2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this paper is to increase our understanding of what constitutes a good leadership in social work. The questions I've chosen are: what competencies are important for a leader in social work? What values and/or ethical principles are important to have/follow as a leader in social work?

    To get an insight into how you look at leadership in social work in a Swedish context, I have made interviews with fifteen leaders, each and every one of them working within the field of social work. In the interviews I ask open-ended, yet somewhat directed questions, to figure out what characteristics and principles these leaders regard as the foundation of a good leadership. To broaden the studies knowledgebase I've also read, analyzed and summarized previous studies on the subject. I will use these studies to broaden my discussion by looking at similarities.

    The leaders have been given a chance to communicate what characterizes a good leader within social work. The main goal of the interviews has been to uncover what characteristics, competencies and ethical values/principles these leaders regard as important. The results clearly show that it's important with education and competencies within leadership. They also show the importance of other competencies such as and understanding of economics, psychology, behavioral sciences, conflict management, etc. Furthermore the interviews show that the softer values and ethical principles such as equal rights, empathy and having a salutogenic perspective are given more focus than education and competence.

    This study shows that leaders in social work praise the transformal leadership model and strive to act according to it themselves. The majority of Swedish leaders in my study don't think there's a difference between leadership in social work versus leadership in other professions. This separates Swedish and American leaders, where a majority of the latter think there's a difference.

  • Lundberg, Helen
    Ersta Sköndal University College, Department of Health Care Sciences.
    Primärvårdens utmaningar och möjligheter vid förskrivning av FaR: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Physical inactivity is causing major costs to the Swedish society (estimated to six billion SEK per year), due to increasing health care costs and a decline in production. There is scientific evidence that physical activity on prescription (FaR®) is an efficient alternative to pharmaceuticals. With this in mind it is therefore of interest how this handled within primary care, since primary care usually are the first contact with future risk groups and could have a great potential to influence by preventing inactivity and encourage health. Personal observations of the author arouse interest to investigate how nurses can contribute to increased health with FaR® as a tool within primary care.

  • Elmberg, Johan
    et al.
    Högskolan Kristianstad.
    Berg, Charlotte
    Sveriges lantbruksuniversitet (SLU).
    Lerner, Henrik
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Waldenström, Jonas
    Linnéuniversitetet.
    Hessel, Rebecca
    Högskolan Kristianstad.
    Potential disease transmission from wild geese and swans to livestock,poultry and humans: a review of the scientific literature from a One Health perspective2017In: Infection Ecology & Epidemiology, ISSN 2000-8686, E-ISSN 2000-8686, Vol. 7, no 1, 1300450Article in journal (Refereed)
    Abstract [en]

    There are more herbivorous waterfowl (swans and geese) close to humans, livestock and poultry than ever before. This creates widespread conflict with agriculture and other human interests, but also debate about the role of swans and geese as potential vectors of disease of relevance for human and animal health. Using a One Health perspective, we provide the first comprehensive review of the scientific literature about the most relevant viral, bacterial, and unicellular pathogens occurring in wild geese and swans. Research thus far suggests that these birds may play a role in transmission of avian influenza virus, Salmonella, Campylobacter, and antibiotic resistance. On the other hand, at present there is no evidence that geese and swans play a role in transmission of Newcastle disease, duck plague, West Nile virus, Vibrio, Yersinia, Clostridium, Chlamydophila, and Borrelia. Finally, based on present knowledge it is not possible to say if geese and swans play a role in transmission of Escherichia coli, Pasteurella, Helicobacter, Brachyspira, Cryptosporidium, Giardia, and Microsporidia. This is largely due to changes in classification and taxonomy, rapid development of identification methods and lack of knowledge about host specificity. Previous research tends to overrate the role of geese and swans as disease vectors; we do not find any evidence that they are significant transmitters to humans or livestock of any of the pathogens considered in this review. Nevertheless, it is wise to keep poultry and livestock separated from small volume waters used by many wild waterfowl, but there is no need to discourage livestock grazing in nature reserves or pastures where geese and swans are present. Under some circumstances it is warranted to discourage swans and geese from using wastewater ponds, drinking water reservoirs, and public beaches. Intensified screening of swans and geese for AIV, West Nile virus and anatid herpesvirus is warranted.

  • Valsinger, Robert
    Ersta Sköndal University College, Department of Social Sciences.
    Hög standard: en studie av sjukhuskuratorers dokumentation2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det sociala arbetet inom hälso- och sjukvården färgas idag av en new management-kultur och verksamheten förväntas vara evidensbaserad. Med denna utveckling ökar inslaget av fasta arbetsverktyg och standarder. Denna utveckling bemöts både med hurra-rop såväl som stark kritik. Studiens syfte har varit att bidra till detta forskningsområde genom att fokusera på ett av Stockholms största sjukhus och deras arbete med kuratorernas dokumentation. Studien bygger på 3 kvalitativa intervjuer med personerna som ansvarat för satsningen kring ”dokumentationsmallen” och ”dokumentationsutbildningen”. Den empiriska redovisningen och analysen utgår från ett teoretiskt ramverk med fokus på standardisering. Huvuddragen från dessa visar att både inom- och utomorganisatoriska krafter ligger bakom satsningen, och även om satsningen främst ämnar påverka presentationen av kuratorsarbetet kan det förekomma viss påverkan även på kuratorernas praxis. Studien lyfter relationen mellan idén bakom satsningen, hur denna paketerats samt den möjliga inverkan som arbetet har på verksamheten och yrkesgruppen. Satsningen förväntas bidra till en ökad samverkan inom sjukhuset samt en ökad förståelse för kuratorsarbetet och kuratorns professionella identitet. Det studerade arbetet innebär också ett försök att likrikta delar av kuratorsarbetet och även om många reagerat positivt på arbetet presenteras även viss kritik och problematik kring satsningen. Studien lyfter införandet av en standard i det sociala arbetet inom hälso- och sjukvård och bidrar till den tidigare forskningen med en fördjupad bild av den eventuella påverkan detta kan ha på det sociala arbetet inom hälso- och sjukvård.

  • Nyström, Dennis
    Ersta Sköndal University College, Department of Social Sciences.
    Aggressiva barn på grund av våldsamma datorspel?: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Playing computergames is to many children a fun and popular hobby and there are various kinds of games that children play. Many children play violent computergames which has attracted attention in schools. They have observed that children who played violent computergames played in an aggressive and violent manner in the schoolyard. Within science the connection between violent computergames and children has been observed and there has been much research in the field to find out if children who plays violent computergames becomes more aggressive and violent when they play these games. Research on the other hand is contradictory whether children who play violent computergames becomes more aggressive and violent. Purpose of the study is to investigate what are the support for in research who speaks for or against that children who plays violent computergames becomes aggressive and violent and why research is contradictory in this area. The result in the study is when only the connection between violent computergames and aggressiveness is measured the connection seems to be stronger that children who plays violent computergames also exhibit higher levels of aggression. What speaks against that children who plays violent computergames exhibit higher aggression levels is that when other background variables is considered the connection between violent computergames and aggression seems to decrease or disappear. How the term aggression is interpreted and that some scientist conducts research that shows a relation that children who plays violent computergames becomes more aggressive when playing these games and other scientists conducts research that shows the opposite are reasons that research are contradictionary in the area.

  • Sahlén, Ola
    Ersta Sköndal Bräcke University College, Department of Diaconal Studies, Church Music and Theology.
    Why should a contemporary Lutheran church bother with animal suffering?: Reasons for an extended circle of compassion2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Suffering is at the very heart of the Christian faith. But traditionally non-human suffering is viewed as aethical and amoral. In being superior, endowed with the Imago Dei, and given dominion over the animal kingdom, human kind is freed from responsibility, it is believed.

    The traditional interpretation often however gives rise to inconsistencies and it is not satisfactory after the industrialization. It is early in the development of a Christian theology that takes into account the rights of animals, and the issue is sometimes considered controversial. But it need not be that way. Questioning a theology that stresses difference and otherness, rather than similarities, could be a source of a revitalization of the Christian faith.  

  • Mattsson, Karin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Mälardalens högskola.
    Pietilä Rosendahl, Sirpa
    Mälardalens högskola.
    Teaching gerontology in globalized academics: a qualitative study of Thai nursing students' views on ageing when studying abroad.2017In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 53, no 1, 36-47 p.Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Negative views towards ageing and older adults may be a reason why nurses do not choose to work in gerontological nursing. Studying in another cultural context can challenge these views. The Objective was to explore nursing students' views on ageing and older adults before and after a gerontology course held abroad.

    DESIGN AND METHOD: A qualitative approach based on content analysis of responses to open-ended questions by 30 Thai nursing students studying a gerontology course in Sweden.

    RESULTS: Three main categories: positive imprints of ageing, ageing takes its toll, and knowledge leading to action, emerged through sub-categories carrying a view of older adults as not only in need of care, but also as resourceful and competent. Professional healthcare, besides family was seen as potential caregivers in old age.

    CONCLUSIONS: Studying gerontology abroad can widen views towards ageing and older adults, inspiring nurses to work in gerontological nursing.