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  • Johansson, Lisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    "Så liten och skör": Syskon och föräldrars upplevelse av att få ett prematurt barn/syskon2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction A premature birth often provoke a crisis in the family, siblings are often not sufficiently taken in connection with a child is born very prematurely.

    The purpose of this study was to investigate the siblings and parents 'experience with a particular focus on the siblings' experience of getting an extremely premature siblings, that is, Born rows 28 and earlier with a birth weight under one kilogram - v <28 <1000 g. The questions in the survey focused on expectations about getting a sibling, what marked time in the neonatal unit, and how the family can be affected by getting an extremely prematurely given birth.

    A qualitative method was chosen, the study is based on four semi-structured interviews with siblings between the ages of ten to fifteen years and five qualitative parental questionnaires. The results my study correspond well with earlier research findings.

    The neonatal period was characterized by many emotions from strong despair to joy and happiness. A time that was to include a lot of concern for both siblings and parents. Strong conflicting emotions aroused in the parents by not being good enough for both at home and siblings of the prematurely born child. Separation and a broken family experienced by all respondents. Siblings describe a strong absence out of her mother. Everyday life for the families became chaotic, stressful and chaotic with little time for recovery. Discussion several studies demonstrate the vulnerability of the siblings are not sufficiently addressed in the context of a premature birth. Further research in this area from a family perspective is needed. With regard to the family members of the need to manage and process, an often traumatic experience of getting a very premature baby.

  • Eriksson, Kristofer
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Preventivt arbete med våldsutövande män: Behandlarnas syn på framgångsfaktorer, maskulinitet och våld2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The first treatment models for men who abuse women emerged in the United States in the early 1980’s and the Duluth model is the most famous one. The treatment model is based on a structural feminist perspective, in which male dominance, power and control are central in the explanation of violence. In Sweden, treatment for violent men has grown over the past ten years after the government allocated resources in order to take a comprehensive approach to the problem of family violence. There is still a great need for interventions for men who abuse women. Few studies show results and questioning what they really measure is important. The treatment models in Sweden interfere with, among other things, Psychodynamic and Cognitive Behavioral Therapy (CBT) oriented starting points, and therefore have a different approach to individual focused explanations such as biological vulnerability and attachment. The empirical study consists of interviews with therapists in the treatment programmes Alternativ till Våld (ATV) and Manscentrum. A theoretical starting point with masculinity theories has been used to highlight the views on treatment and how the therapists talk about masculinity and violence based on their work methods. The results in the study show that the work alliance is very important in order to achieve trust between the therapist and the man in treatment. This in especially important in making the man in treatment comfortable in addressing the problem and taking responsibility for the violence. The role of the father in the treatment is an important starting point for creating change opportunities through conversations about masculinity. This is also important in getting through to the man’s emotional life through mentalization and attachment. Structural explanations of violence are not used primarily in the treatment, but are an important knowledge for the therapists in understanding one of many underlying factors that shape men and affect them at an individual level.

  • Myrström, Johanna
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Skolkuratorers tankar om användningen av metoder: En kvalitativ intervjustudie med skolkuratorer2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study is to gain an increased understanding of how school counselors think about the use of methods in the school-based work. Based on the purpose of the study, I wanted to find out what methods the interviewed school counselors use in their work, how they look at sources of knowledge in the choice of methods and how they look at the need for further training on methods. The study has a qualitative approach based on five interviews with four school counselors in elementary school and a school counselor at a secondary school from three cities in Sweden. The main results of the study show that school counselors use different types of methods used to drive their school-based work forward, these are; Call methods such as MI, treatment methods such as KBT and various methodologies such as ABC used in conflict management. However, it is also apparent that, as a school counselor, you have a mindset that allows you to apply these methods in an unexplored way by feeling in the mood, mixing methods and trying out without looking at the effects of the methods. The result of the study also shows that research as a source of knowledge in choosing a method is important and it is stated that one works in evidence-based practice which, according to them, is desirable, but according to their stories, it does not appear in practice. This is partly because of the lack of reflection on the effects of methods, and that one chooses not to take time for further training on methods, which an evidence-based practice requires when you have an awareness of the methods used and the effects they have. This approach may pose a risk to the development of the pupil concerned. Finally, the results of the study show that employers do not encourage further education on methods that the school counselors had desired, but at the same time, the school counselors state that it is a priority issue, thinking that the student goes before the need for knowledge about the methods used in school-based work.

  • Skogeland, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mellan hopp och förtvivlan - patienters erfarenheter av att vänta på en lungtransplantation: En litteraturöversikt2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: With life threatening lung diseases such as chronic obstructive pulmonary disease, cystic fibrosis, interstitial lung disease and primary pulmonary hypertension patients can live longer with a lung transplant. Lung transplantation is only possible if the donor is confirmed brain dead. A prerequisite is that consent has been given by the donor or their next of kin. There is, therefore, a risk that patients on the transplant waiting list die waiting for suitable lungs. Thus, it is necessary to provide medical care and palliative care simultaneously for these patients.

    Aim: The aim of this literature review was to investigate what experiences patients with serious respiratory diseases have while waiting for a lung transplantation.

    Method: A literature review has been completed using models developed by Forsberg & Wengstrom as well as the Polit & Becks "Nine-Stage Model". The literature search was done using PubMed, CINAHL, PsycINFO and Google Scholar. Thirteen articles are included, of these twelve are qualitative and one uses a mixed method. All articles included were quality reviewed according to a template of Willman, Stoltz & Bahtsevani.

    Results: The results highlight three main categories: challenges, sense of security and limitations of daily life, as well as sub- categories. While waiting for transplant, the feelings of fear and uncertainty varied but ran in parallel with gratefulness and the hope of survival. Support from relatives, friends, other who had received transplants and health care professionals was meaningful during this time.

    Discussion: The key findings of this present literature review were discussed in the relation to prior research, and the light of Travelbees, three concepts of suffering, hope and meaning. Additionally, health care personnel’s support was deliberated, as well as the difficulties in deciding if and when to initiate palliative care for these patients.

  • Ehn, Esmeralda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med autism: en litteraturöversikt om upplevelsen att få och att leva med diagnosen autism2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Autism is a neurodevelopmental disorder with symtoms that occur in different severity. To diagnose autism, problems are required from two main areas; persistent deficits in social communication and social interaction across contexts and restrictive, repetitive patterns of behavior, interests, or activities. The concept of neurodiversity represents an alternative approach to autism, where the diagnosis is considered as part of human diversity rather than a disability. Previous studies have shown that nurses need a better understanding of autism in order to provide better care for these patients. 

    Aim: The aim of this literature review was to illuminate the experience of recieving and living with a diagnosis of autism.

    Method: A literature review according to Friberg (2012) has been conducted. Ten scientific articles were used for the reults, of which eight qualitative articles and two articles of mixed methods. The articles were collected from the databases Academic Search Complete, Cinahl Complete, Medline and PsycInfo.

    Results: Two main themes with associated subthemes were identified. The participants' emotional responses to diagnosis, the difficulty of receiving a diagnosis that many participants experience and the process of accepting the diagnosis were accounted for under the theme Receiving a diagnosis of autism. Many participants experienced both positive and negative aspects of having autism, which emerged under the theme Living with autism. Social difficulties and mental illness were common but a number of participants had learned strategies to better manage social situations. They expressed a need for support from their surroundings and several participants had acquired extensive knowledge of their own diagnosis that they want the public and professionals to take into account.

    Discussion: The results were discussed in relation to previous studies and the Tidal Model. The author discussed what it meant for the participants to be diagnosed and to live with autism, how autism can be expressed in females and the participants' experiences with healthcare.

  • Linde, Nina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Upplevelsen av självstigmatisering och stigmas effekter på tillvaron hos patienter med psykossjukdom: En litteraturöversikt2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It´s obvious that stigma reduces life opportunities and make people act throughout an outcast role. Stigma enters spheres where it is made up to protect a group, but only results in painful feelings for the vulnerable. Individuals suffering from psychosis are exposed to discrimination because of fear and prejudices. These are applied upon individuals whereas they stigmatize themselves. 

    Aim: To investigate the experience of self-stigma and stigmas effects on life for patients suffering from psychosis.

    Method: 24 scientific articles have been used and analyzed together with Whittemore and Knalfs integrative method (2005) for the result in this literature review.  

    After formulating a problem literature has been searched, evaluated, and analyzed in four steps which are presented. The literature was found through databases, free searching compounds and through references. As a theoretic framework the figure Existentiell ensamhet hos personer med psykiska funktionshinder from the doctoral Berättelser om ensamhetens vardag has been used. 

    Results: The psychiatric contact, to be a psychiatric patient and being labeled with a psychiatric diagnosis affected the way individuals labeled themselves. Individuals wanted to be seen as unique and listened to. The diagnosis contributed to feelings of shame and affected self-esteem and self-ability. Through acceptance of the disease participants could become something different than just a patient in the psychiatric services. Through other people the participant’s self-image could be built up. Social stigmas were described in all levels of society and also within the family. Relationships were important and a link to live a normal life and recover. Normality was desirable and said to occur through activities such as work and studies.

    Discussion: Was discussed through relevant research and Anette Erdners figure Existentiell ensamhet hos personer med psykiska funktionshinder from the doctoral Berättelser om ensamhetens vardag.

  • Juteräng, Staffan
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Legitimerade psykoterapeuters upplevelser och hantering av behandlingen av krigs- och tortyrskadade flyktingar2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: The need for trauma treatment for refugees has increased. The psychotherapist testifies to stories that concern suffering, fear and pain. The purpose of this study is to investigate how psychotherapists experience their work in dealing with war and torture injured refugees.

    Research questions: How do psychotherapists experience the work of war and torture injured refugees? Are psychotherapists using coping strategies to handle their experiences in the work of war and torture-injured refugees? If so, which?

    Method: Qualitative method with phenomenological, descriptive approach was chosen. Five psychotherapists working with war and torture injured refugees were interviewed.

    Results: ”Oscillating between powerlessness and creative change" is a theme that represents the underlying latent message, what is said "between the lines" and represents the red thread found in all the interviews. The manifest results show that the therapists experience their work as a privilege and as burdensome. The therapists use conscious coping strategies to deal with emotional stress.

    Discussion: The therapists' description of their work on war and torture injured is in line with previous research. Therapists' experience of their work can be understood by the concepts of transference, projective identification, vicarious traumatization, secondary traumatic stress and posttraumatic growth.

  • Lublin, Ann-Kristin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Terapeuters upplevelser av ett mellanmänskligt möte i terapier med kvinnor som upplevt våld i nära relation2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Listening to a woman who has been exposed to intimate partner violence (IVP) may be a challenge for the therapist, as it involves listening to how the woman has been exposed to violence from someone who is close to her. It can be painful remainder of the darker sides of human existence and can evoke strong feelings within the therapist who is listening.

    Aim: The aim of this paper is to explore what practices that psychotherapists consider helpful in establishing a therapeutic alliance with a woman who has been exposed to IVP? What kind of transference and countertransference reactions does the therapist typically experience? How do these reaction affect the therapist, and how can they be used in therapy?

    Method: Therapists who conducted therapies with women who had been exposed to IVP were interviewed about their experiences. The material was analysed using inductive thematic analysis, which can be described as data-driven analysis or “bottom-up”.

    Conclusion: The results show that the establishment of a therapeutic alliance with a woman who has experienced IVP can take a long time, sometimes several months or years. The participants described the importance of an interpersonal meeting and of being genuinely interested to the accounts of the victimized woman. A therapeutic alliance was described as beginning when the woman felt to be understood by her therapist. The therapists also describe that they needed to be more active in therapies with woman who had been exposed to IVP than in other therapies, and that they used psycho-educative methods in these therapies. Many countertransference reactions were described, which could be physical, cognitive and emotional.

    Discussion: The therapists described the challenge of listening to and identifying with the women’s experiences of both threats and violence from a close partner. For the therapist, it is important to be aware of, and not to act out on their countertransference reactions to be able to create and maintain a therapeutic alliance with the victimized woman.