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  • 1.
    Abassi, Farzad
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Leites, Rafael
    Ersta Sköndal University College, Department of Health Care Sciences.
    Den icke-verbala kommunikationens betydelse för sjuksköterskans omvårdnadsarbete2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2.
    Abdulle, Hawa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vagland-Karseland, Helen
    Ersta Sköndal University College, Department of Health Care Sciences.
    Svårigheter för sjuksköterskan att vidmakthålla autonomi för äldre människor med demenshandikapp2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 3.
    Abied, Juoell
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Eriksson, Linda Louise
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kvinnors upplevelser vid missfall och deras efterfrågade stödinsatser: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Miscarriage is a common phenomenon in our society. It is reported that approximately 17 % of all pregnant women in Sweden go through a miscarriage every year. For many women miscarriage is a tumultuous life event that often has a deep emotional impact. Miscarriage is a subject that often is prohibited to talk about in our western society. Consequently this means that nurses have an important role in the emotional support for these women. This can be a challenge in Sweden since the hospital stay for women who go through a miscarriage is very short and often limited to a day.Aim: This study aims to highlight women's reported experiences of miscarriage and their requested support.Methods: This study is based on twelve original scientific articles, of which ten had a qualitative approach, one had a quantitative approach and one had a mixed approach.Results: The study showed that the experience of miscarriage is individual. How women experience their miscarriage is largely linked to a woman's thoughts about her pregnancy. A miscarriage can evoke complex reactions if the woman starts to fantasize about her child and starts to identify herself as a mother. Many of the women complained about the lack of care that was given to them from the health care, which had a significant role in how they experienced the miscarriage. They requested more acknowledgements and more humanistic treatment and care, as well as follow-ups. The study also showed that women feel that relatives are a support factor to them during the miscarriage.Discussions: The results showed that there are flaws in the care of women who has experienced miscarriage, particularly that the women’s emotional needs are not met. Nurses who work in a gynecological unit require enhanced skills and preparedness in the health care of women undergoing miscarriage.

  • 4.
    Abrahamsson, Fanny
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Elmersson Björklund, Sara
    Ersta Sköndal University College, Department of Health Care Sciences.
    När smärtan är ständigt närvarande: En litteraturstudie om upplevelsen av att leva med långvarig smärta2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic pain is common in the Swedish population. The pain experience is individual and influenced by the many dimensions of life. Chronic pain is difficult to cure and relieve, it causes suffering. To relieve suffering and promote health for these people is an important but not always easy task for the nurse. Therefore, it is necessary to have insight in the experiences related to living with chronic pain. Aim: The aim of this study was to describe the experience of living with chronic pain. Methods: A literature review was used. The study is based on ten qualitative articles that have been investigated and analyzed with influence by Forsberg and Wengström (2013) and Friberg (2012). The scientific evidence is from the databases CINAHL and PubMed and is published year 2000-2013. Results: Three main themes with subthemes represent the result. The first main theme, Feeling that life is limited, describes the negative changes that the pain creates concerning physical, psychological and social aspects. The second main theme, Efforts to overcome the chronic pain, shows that varying strategies are used to overcome the chronic pain. In the third main theme, The struggle to be trusted in their suffering, the invisible pain appears as problematic, suspicion in touch with both family and caregivers occur. Discussions: The result is related to Eriksson´s nursing theory of suffering. The suffering of illness, the suffering of life and the suffering of care is discussed. Attempts to relieve pain as well as adaptation of life patterns and the ability of reconciliation are illuminated. Loneliness and separation is discussed as well as the importance of having time and space to suffer. The role of the fellow people in the suffering, and how the suffering of care may be eased is mentioned as well.

  • 5.
    Acici, Bahriye
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Gräsvik, Susanne
    Ersta Sköndal University College, Department of Health Care Sciences.
    Välbefinnande hos cancerpatienter inom palliativ vård2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 6.
    Adem, Abdulwassi
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Maruffi, Ghomri
    Ersta Sköndal University College, Department of Health Care Sciences.
    Anhörigas upplevelser av vård av en person med demenssjukdom och stödåtgärder för anhörigvårdare2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 7.
    Adilagic, Selma
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Erici, Jennifer
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hopp hos patienter i palliativ vård: En deduktiv litteraturstudie med modellen de 6 S:en som utgångpunkt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In previous studies on the subject hope it has been revealed that hope is an important condition for the experience of health, quality of life and well-being. In the literature hope is described as a great support in life that is vital for a person's life and for how the person manages to become afflicted with a fatal disease. Within palliative care the 6S: s is a person-centered model for care that is directed towards the promotion of patient´s participation, relief from suffering and enablement of well-being and support of the patient and his or her family members. Aim: To describe how patients find hope in their situation in palliative care, and to examine whether there is an interaction between the different dimensions of 6 S: s model and with patients' experiences of hope. Methods: This degree project is literature study. Analysis was made using a deductive analysis with the 6 s:n theory as a theoretical reference frame. Results: The patients were hoping for cure, to live with hope, symptom management and they found hope in activities, symbols and metaphors, dreams and fantasies, humor, spirituality, self-determination, control, relationships, strategies and goals. After the result analysis to this degree project it appeared that all factors of hope corresponded with the dimensions of the 6 S: s: Self-image, Self-determination, Social relationships, Symptom relief, Context and Strategies. Discussions:It has been found that to have hope is important for patients in palliative care as it enables them to deal with their situation and experience meaning, well-being and safety at end of life. It has also been demonstrated that there is an interaction between the different dimensions of 6 S: s model and patients' experiences of hope. Thus, the model can be assumed to facilitate a more systematic way to integrate conversations about hope and accordingly to promote hope among patients in palliative care.

     

  • 8.
    Adler, Åsa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Karhunen, Jennifer
    Ersta Sköndal University College, Department of Health Care Sciences.
    Interaktion mellan sjuksköterska och familj med en kritiskt sjuk förälder: sjuksköterskans stöd till barnet i familjen2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 9.
    Adman, Heléne
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Wursé, Linn
    Ersta Sköndal University College, Department of Health Care Sciences.
    Möjligheter och hinder i sjuksköterskans omvårdnad av patienter med svårläkta sår2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 10.
    Adriazola, Mary Isabel
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kjellström, Thima
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att vara inlagd på flerbäddssal: En litteraturöversikt om hur patienter upplever att vårdas i en flerbäddssal inom somatisk vård.2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Patients may have different experiences while they are cared for in a multiplebed

    room. Those experiences are influenced by the hospital environment,

    atmosphere, lack of space and communication. Dignity can be affected and

    offend in various ways depending on their own perceptions of dignity.

    Aim: The aim of this literature review was to explore how patients experienced

    their own dignity in a multiple-bed room ward within somatic care.

    Methods: This literature review was based on 13 qualitative and one quantitative study

    and found in the databases CINAHL, Medline and PubMed. The results were

    compiled in a chart, where similarly themes were identified to created new

    themes.

    Results: The overall themes for this literature review are presented in six different

    themes. They are: Patients experiences of being independent, patients

    privacy, patients’ participation in being placed in a multiple-bed room,

    patients' experiences of being with others and how staffs’ response affects

    patients' experiences. The patients both positive and negative experiences are

    described.

    Discussions: The authors discuss the results based on Nordenfelt dignity concept, where

    dignity as moral stature, human dignity and the dignity of identity are

    involved.

    Keywords: Multiple-bed rooms, privacy, patients’ experience, dignity

  • 11.
    af Burén, Julia
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Szanto, Anna
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av patienter med substansmissbruksproblematik: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Substance abuse has a negative impact on the body and is contributing to some of the world's diseases. The drug availability has increased, showing an upward trend. Patients with substance abuse who seek care feel that their needs are not taken seriously. The nurse’s role in this is to create a care that is as good and efficient as possible, where patients feel involved and respected.

    Aim: To investigate nurses' experiences of caring for people with substance use problems.

    Method: The literature review consisted of ten scientific articles taken from the databases Cinahl Complete and PubMed. All articles were based on nurses’ experiences of caring for patients with substance abuse. The result was constructed on the similarities and differences between the articles.

    Results: The results showed that nurses from various departments had different experiences of providing care to patients with substance abuse problems. Nurses working on different kind of departments did not have any specific training focused on substance abuse. In contrast, nurses who worked in psychiatry, detoxification centers, and alcohol and drug departments, had more experience of dealing with patients suffering from this sort of disease.

    Discussion: The discussion has been based on Parse's theory Humanbecoming. With help of the theory the discussion included the nurses’ different experiences and how healthcare is formed along this. It concluded with the impact education and healthcare environment has on the care for patients with substance abuse.

  • 12.
    af Klint, Madeleine
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Jonasson, Paulina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ovisshet och väntan: Anhörigas upplevelser av att bli informerade av sjuksköterskor2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning

     

    Bakgrund: Sjuksköterskor har till uppgift att informera anhöriga med hänsyn till tidpunkt, form och innehåll. Anhöriga har behov av att få information från sjuksköterskor. Studier visar att behovet av information inte tillfredsställs och att anhöriga lider i ovisshet och väntan.

     

    Syfte: Beskriva anhörigas upplevelser av att bli informerade av sjuksköterskor.

     

    Metod: En litteraturöversikt enligt Friberg (2006) har gjorts och baserats på nio vetenskapliga artiklar. Likheter i resultaten delades efter innehåll in i teman.

     

    Resultat: Anhöriga vill bli informerade på vardagligt språk, med få medicinska termer och informationen ska vara rak, sanningsenlig och patientnära. De vill inte behöva vänta på att få information, de vill få den kontinuerligt och inte riskera att få motsägelsefull information. Förmedlad information ska syfta till att anhöriga får förståelse för situationen den närstående befinner sig i, utvecklar tillit till sjuksköterskorna och blir delaktiga i vården av den närstående. Dessutom bör förmedlad information lämna utrymme för realistiskt hopp. 

     

    Diskussion: Det händer att sjuksköterskor talar i medicinsk jargong med varandra och då anpassar de inte språket efter de anhörigas förförståelse av sjukvården. Sjuksköterskor bör, således, väga sina ord med större omsorg. Anhöriga söker information från andra källor, vilket ställer högre krav på sjuksköterskor att uppdatera och anpassa sig efter dagens snabba informationsflöde. För att möta anhörigas vilja till delaktighet kan familjeronder öka informationsöverföringen. Anhöriga får där möta människor från olika professioner och ta vara på deras kunskaper om den närstående och på så sätt skapa sig en egen bild över situationen.

     

    Nyckelord: Anhöriga, behov, information, sjuksköterskor                     

  • 13.
    Afzelius, Görel
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hesse, Ylva
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att hjälpa eller stjälpa: patientens delaktighet i vården2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 14.
    Agartz, Julia
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ghebrehiwet, Miriam
    Ersta Sköndal University College, Department of Health Care Sciences.
    Anhörigas upplevelser av palliativ vård2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 15.
    Agaskova, Natalja
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Bakoev, Temur
    Ersta Sköndal University College, Department of Health Care Sciences.
    Anhöriga: Vems liv lever jag?: Litteraturöversikt om anhörigas erfarenheter av att leva med en familjemdelem som lider av psykisk sjukdom2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 16.
    Aghajani, Jana
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Odén, Ann-Charlotte
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patienters erfarenheter av cancerrelaterad smärta i palliativ vård: En litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Smärterfarenheter är subjektiva, enskilda upplevelser, som kan framträda varierande och är vanligt förekommande vid långt gångna cancersjukdomar. Palliativ vård månar om patientens välbefinnande genom att se den hela människan och bland annat tidigt identifiera och behandla olika typer av smärta. I begreppet smärta ingår de olika dimensionerna av fysisk, psykisk, social och andlig/existentiell smärta. Dessa olika smärttillstånd kan samverka med varandra och förstärka den upplevda smärtan. Detta är smärtor som påverkar den cancersjuke patientens välbefinnande och välmående i dennes sista dagar.

    Syfte: Syftet med denna litteraturöversikt var att beskriva patienters erfarenheter av cancerrelaterad smärta i palliativ vård.

    Metod: Litteraturöversikten är grundad på elva vårdvetenskapliga artiklar: sju kvalitativa, två kvantitativa och två med både kvalitativ och kvantitativ ansats. Artiklarnas innehåll analyserades och resultat presenterades med fyra teman.

    Resultat: Resultat av denna litteraturöversikt presenterades med fyra huvudkategorier: smärtans olika uttryck, smärtlindringsstrategier, smärtans inflytande på livssituationen och vårdens hantering och bemötande av patienters smärta. Resultatet visade att patienter erfor fysisk, psykologisk, social och existentiell/andlig cancerrelaterad smärta i palliativ vård. Det framkom att både farmakologiska och icke-farmakologiska smärtlindringsmetoder användes av patienter. Rädsla för biverkningar av opioider belystes av patienter. Det visade sig att smärtan påverkade negativt patienters vardagliga liv, möjligheter att utföra aktiviteter samt bibehålla nära relationer. Patienters rädsla för stigande smärta visade sig ibland vara större än rädsla för döden. Patienter betonade betydelsen av att förbättrad kommunikation, förståelse, förtroende, kompetens och engagemang från vårdpersonal när det gällde patienters smärtbehandling.

    Diskussion: Katie Erikssons vårdteori användes vid resultatdiskussionen. Resultatet visade att patienter med cancerrelaterad smärta i palliativ vård hade liknande erfarenheter, tankar och problem gällande sin smärta, samt sjuksköterskornas sätt att möta smärta. Det framkom ett behov av kompetensutveckling angående sjuksköterskors ansvar och förhållningssätt gentemot patienters smärta i palliativ vård.

  • 17.
    Agic, Aida
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ek, Manuel
    Ersta Sköndal University College, Department of Health Care Sciences.
    Fördomar mot manliga sjuksköterskor2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 18.
    Agnsäter, Elin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Arnesson, Jacob
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patienters upplevelser av en kort vårdtid och ett snabbt vårdförlopp2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 19.
    Ahlberg, Monika Elisabeth
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hur beaktar sjuksköterskan patientens integritet i den slutna psykiatriska vården2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 20.
    Ahlenius, Marie
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sohl, Malin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kvinnors upplevelser av bröstcancer2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Varje år får cirka 7000 kvinnor i Sverige bröstcancer. Beskedet sätter kvinnorna i en kris där hela deras tillvaro hotas. Vardagen förändras och grundtryggheten försvinner vilket skapar starka känslor. Sjuksköterskor har ett ansvar att uppmärksamma och bemöta kvinnors sjukdomsupplevelse utifrån en helhetssyn. För att kunna ge en holistisk och etisk vård till bröstcancerdrabbade kvinnor i olika skeden behöver kunskap tillföras som bidrar till en ökad förståelse för deras situation.

    Syfte: Syftet är att beskriva upplevelsen av att leva med bröstcancer genom sjukdomens olika skeden.

    Metod: Vi har genomfört en litteraturstudie baserad på nio kvalitativa studier. Studierna söktes via CINAHL, MedLine och PubMed. Alla studier är utförda i västvärlden och belyser kvinnors upplevelse av sin sjukdom genom dess olika skeden.

    Resultat: Analysen av artiklarna mynnade ut i fem huvudkategorier: Vardag i förändring, Upplevelser av en förändrad kropp, Att börja se sig själv med nya ögon, Upplevelser av ny mening i tillvaron och Det önskade stödet i förändring. Därtill identifierades ett antal underkategorier. Att gå igenom bröstcancer präglade starkt kvinnornas syn på sig själva och sina kroppar. Genom sjukdomsförloppet gav det dödliga hotet upphov till en kamp för livet kantad av förluster. Kampen väckte en oväntad styrka och en drivkraft att överleva. Att komma ut på andra sidan var en ensam vandring.

    Diskussion: I resultatdiskussionen har begreppet livsvärld och Merleau-Pontys teori om den levda kroppen använts för att belysa kvinnornas förändrade vardagsliv, påverkan av självet och den kvinnliga identiteten genom sjukdomens olika faser. Krisen fick kvinnorna att rikta om sin uppmärksamhet mot det sjuka bröstet vilket gav ett främmandeskap inför sig själv och världen. Att återta tillgången till livet innebar att osäkert känna sig fram steg för steg. Utsattheten ledde till att många kvinnor omvärderade sina liv vilket resulterade i en ny identitet.

  • 21.
    Ahlm, Maria
    Ersta Sköndal University College, Department of Health Care Sciences.
    Musikens påverkan på personer med demenssjukdom: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden 160 000 people live with a dementia diagnosis today. Dementia can give several behavioral and psychological symptoms. Research has shown that music can comfort and calm a person. Long term music memory has shown to be intact in people with dementia.

    Aim: To study the impact of music on people suffering from dementia.  

    Method: A literature review according to Friberg's method where the result is based on eleven scientific articles; five qualitative and six quantitative original articles. Databases used were Cinahl and PubMed with the search terms dementia, music, nursing and singing.

    Results: Music at mealtime can decrease agitated behavior. Music during morning care sessions can increase the communication between caregiver and people suffering from dementia and also increase the understanding of the everyday activities. Individually listening to music can decrease agitation and increase communication with the person suffering from dementia.

    Discussion: The results are discussed in relation to the consensus concept caring, where the focus for the discussion was how music can be used as a nursing intervention.

  • 22.
    Ahlqvist, Margary
    et al.
    Division of Medicine and Surgery, Karolinska University Hospital, Stockholm, Sweden..
    Bogren, Agneta
    Hagman, Sari
    Nazar, Isabel
    Nilsson, Katarina
    Nordin, Karin
    Valfridsson, Berit Sunde
    Söderlund, Mona
    Ersta Sköndal University College, Department of Health Care Sciences.
    Nordström, Gun
    Handling of peripheral intravenous cannulae: effects of evidence-based clinical guidelines.2006In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 15, no 11, 1354-61 p.Article in journal (Refereed)
    Abstract [en]

    AIM: This study aimed at evaluating the outcome of implemented evidence-based clinical guidelines by means of surveying the frequency of thrombophlebitis, nurses' care, handling and documentation of peripheral intravenous cannulae. BACKGROUND: Peripheral intravenous cannulae are frequently used for vascular access and, thereby, the patients will be exposed to local and systemic infectious complications. Evidence-based knowledge of how to prevent these complications and how to care for patients with peripheral intravenous cannula is therefore of great importance. Deficient care, handling and documentation of peripheral intravenous cannulae have previously been reported. DESIGN: A cross-sectional survey was conducted by a group of nurses at three wards at a university hospital before and after the implementation of the evidence-based guidelines. METHOD: A structured observation protocol was used to review the frequency of thrombophlebitis, the nurses' care, handling and the documentation of peripheral intravenous cannulae in the patient's record. RESULTS: A total of 107 and 99 cannulae respectively were observed before and after the implementation of the guidelines. The frequency of peripheral intravenous cannulae without signs of thrombophlebitis increased by 21% (P < 0.01) and the use of cannula size 0.8 mm increased by 22% (P < 0.001). Nurses' documentation of peripheral intravenous cannula improved significantly (P < 0.001). CONCLUSION: We conclude that implementation of the guidelines resulted in significant improvements by means of decreased frequency of signs of thrombophlebitis, increased application of smaller cannula size (0.8 mm), as well as of the nurses' documentation in the patient's record. RELEVANCE TO CLINICAL PRACTICE: Further efforts to ameliorate care and handling of peripheral intravenous cannulae are needed. This can be done by means of increasing nurses' knowledge and recurrent quality reviews. Well-informed patients can also be more involved in the care than is common today.

  • 23.
    Ahlström, Linnéa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Gustavsson, Frida
    Ersta Sköndal University College, Department of Health Care Sciences.
    Upplevelsen av att vårdas mot sin vilja: En litteraturstudie om upplevelsen av tvångsvård och tvångsåtgärder - ur ett patientperspektiv2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous studies have shown that patients who were involuntarily treated described the care as problematic when others were taking decisions for them and the staff didn’t listen or talked to them. According to The Law of psychiatric Compulsory Care of 1991, coercive measures should be used with the highest regard considering the patient. Nurses can feel guilty about exposing the patient to coercive measures and some believed that there are no alternatives to it.

    Aim: To describe the patient’s experience of compulsory treatment and coercive measures.

    Methods: A literature review with a qualitative approach. Eleven scientific articles, published between the years 2000-2012, were used in the study. The studies were carried out in Australia, Finland, Canada, The Netherlands, Norway, Great Britain and Sweden. The studies were analyzed and the result was categorized.

    Results: Staff was described as ignorant and disrespectful and the patients wanted genuine regard. Staff exercised power which, for the patients, resulted in an experienced loss of control. Patients reported failure in communication, information, participation and were not having an adequate contact with the staff. Meanwhile some patients narrated that their care was good and offered them a sense of security. The patients’ experiences resulted in four main categories and six sub categories.

    Discussions: The definition of autonomy, by Tännsjö, was chosen to be the theoretical framework and was used in the discussion. Information, decision-making and the power of the staff were some of the topics which were discussed.

  • 24.
    Ahlström, Lisa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ljung, Katarina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Etiska problem vid abortvård och reflektioner kring omvårdnadsansvaret ur ett sjuksköterskeperspektiv2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses are expected to provide care while neither preconceptions, own values, nor emotions effects caring relation. The general nurse´s role in abortion care has been increasing with the increased number of medical abortions, which puts a greater responsibility on nurses. The nurse´s dilemma is to provide high quality care to the women being at the same time responsible to take care of the fetus after the abortion. Ethical, moral and religious aspects of abortion care has always existed being a challenge to navigate between the exert of profession, current abortion law and ethical and moral positions.

     Aim: To describe the ethical problems that nurses encounter in the care of women undergoing abortion, and how they deal with and reflect on their responsibility in nursing.

     Method: Literature review of ten qualitative articles according to Friberg (2012) was performed.

     Results: The literature study results in issues; what moral/ethical problems nurse experiences in abortion care, the nurses´ experiences in dealing with this problems and what support and what strategies are needed in order to process difficult situations within the abortion care. The study resulted in four main themes; Ethical aspects regarding termination of pregnancy, Factors that influence how the nurses deal with their responsibilities in nursing, Strategies for dealing with the responsibilities in nursing and The nurse's need for support.The nurses were in great need to reflect on their demanding work in abortion care in order to preserve their own health and to pursuit a good person-centered care. 

     Discussions: The discussion based on the themes that emerged from the results was performed using Peplaus (1991) theory of the interpersonal process between nurse and patient and Sherwins (1998) feminist ethics. The discussion focuses on how the interpersonal relationship, the opportunity for reflection and the importance of a feminist approach may improve the care relationship and nurses´ management of difficult experiences in abortion care.

  • 25.
    Ahmed, Hayat
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Löf Arvaniti, Anastasia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Anhörigas upplevelser av att vårda en närstående i hemmet i livets slutskede: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The goal of palliative care is to facilitate patients and their family member’s quality of life through holistic views and by working in coherence with four cornerstones: symptom relief, family support, teamwork and communication. It is more common that patients with incurable diseases want to be cared at home at the end of life. The family’s role is challenging in many ways when they care for and support their relatives at home at the end of life. These carers often need emotional or practical support from health care professionals in order to achieve good health but also for their relatives to have a good and dignified death.

    Aim: To describe the relatives’ experiences of caring for a loved one at home at the final stages of life and to develop nurses' knowledge and effort to provide appropriate support.

    Method: Data were collected from the databases CINAHL Complete and Medline with full text constraints and Peer reviewed as well as a demarcation between the years of 2003 to 2015. Ten qualitative studies were selected and analyzed.

    Results: The results showed that relatives felt a great responsibility and burden when caring for their loved ones at home at final stages of life. It affected their work, income, and health and leisure time in negative manor. They also experienced a feeling of inadequacy, isolation and loneliness, due to the lack of support from other family members, friends as well as from the health care system. Even though, care giving attributed was experienced as negative the relatives also felt a validity, satisfaction and meaningfulness of caring for their loved ones.

    Discussion: The results were discussed on the basis of Roy’s adaptation model and to the consensus concept of health. Relatives need different types of support in order to adapt more easily to their role as carers and to promote their health. Furthermore, also discussed the relatives experienced lack of support from family members, friends and the health care professionals. The nurse`s supporting role can have a significant impact to how families can adapt to the caring role and to promote their health, quality of life and well-being.

  • 26.
    Ahnwall, Agnetha
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hemlin, Åsa
    Ersta Sköndal University College, Department of Health Care Sciences.
    Den fysiska beröringens betydelse för omvårdnaden2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 27.
    Ahrnberg, Eva
    Ersta Sköndal University College, Department of Health Care Sciences.
    Taktil massage/beröring: Relation och icke-verbal kommunikation inom omvårdnaden2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 28.
    Airlend, Peter
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Holving, Rasmus
    Ersta Sköndal University College, Department of Health Care Sciences.
    Upplevelser av att vara familjemedlem till en person med depression: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is one of the biggest and fastest growing causes of ill-health in the world. Depression strikes a persons life from aspects like reduced health and function and causes also social consequences. Care of depression today focuses much on the patient, where treatment, nursing and therapy occupies most of the space, and simultaneously family members are left in the shadow of the patient. Also there is an uncertainty among care providers, when trying to determine whether a patient´s symptoms have a somatic cause. This can make it more difficult for the patient to get the right treatment, which can impair the somatic state of health and lead to more suffering.

    Aim: To illuminate experiences of being a family member to a person having a depression.

    Method: The study was carried out as a literature review with help from ten scientific articles that answered to the intention of the study.

    Result: The result showed that family members experience a lot of stress and worry in connection to being related to someone affected by depression. Family members as well lack information that could help them promote both their related and their own health. Family members feel uneasiness with the future and their relateds´ present state. At the same time it was found that family members had a large role in the patient´s life, treatment and nursing.

    Discussion: The result was discussed on the basis of SOC (sence of coherence), and the concept of consensus health. The authors show a connection to how health is affected on the basis of SOC. The results confirmed among other things that information to family members is a master key to be able to support both the patient and family members and increase understanding of the disease.

  • 29.
    Akkoc, Beatrice
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Enblom, Helena
    Ersta Sköndal University College, Department of Health Care Sciences.
    Anhörigas upplevelser och behov i kontakten med sjuksköterskan2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 30.
    Aldehag, Veronica
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vad gör jag nu?: En studie om anhörigas behov av stöd och sjuksköterskans bemötande när patienten hastigt insjuknar i infarkt i hjärna eller hjärta2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 31.
    Aldrin, Ellinor
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Björkqvist, Klara
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hur kan jag hjälpa dig?: Hur sjukvården kan bistå personer med diabetes typ 2 i deras egenvård.2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en kronisk sjukdom som behöver bemötas dagligen. En av hörnstenarna i behandlingen är egenvård som personen själv utför vilket är nödvändigt för att bromsa eller förhindra komplikationer. För att personer med diabetes skall kunna utföra egenvården behövs kunskap om sjukdomen. Hur det är att leva med diabetes är en subjektiv upplevelse och behöver bemötas utifrån det. Människor kan uppleva det mödosamt att bryta vanor och beteenden, det är lätt att falla tillbaka till gamla vanor. Vården har ett ansvar att främja patienters hälsa och välmående och att ge verktyg för att sköta om sin diabetes.

    Syfte: Syftet med litteraturstudien är att belysa hur sjukvården kan stötta personer med diabetes typ 2 för bättre kontroll av diabetessjukdomen.

    Metod: Metoden för denna studie har varit litteraturöversikt. Ett utbrett sökande av vetenskapliga artiklar och efterföljande analys samt sammanställning har gjorts. De elva artiklarna som valts ut har varit av både kvalitativ och kvantitativ karaktär.

    Resultat: Författarna har kommit fram till tre teman. Det första temat är Utbildning och har tre subteman; Egenvårdsutbildning, Personcentrerad utbildning, och Utbildning i grupp. Det andra temat är; Motiverande samtal. Det tredje temat är; Skapa relationer och har tre subteman; Avsätta tid och lyssna, Personligt bemötande och Engagemang.

    Diskussion: Litteraturöversikten visar på att egenvårdsutbildningar ger viktiga kunskaper så att personer med diabetes tar riktiga beslut och utför egenvård korrekt. Vidare är relationen mellan sjuksköterskan och patienten viktig vilket även styrks av Dorothea Orems egenvårdsteori. Närstående kan också ha en positiv inverkan på egenvården om de är engagerade i den.

  • 32.
    Aldén, Mårten
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Holmberg, Åsa
    Ersta Sköndal University College, Department of Health Care Sciences.
    Lantz, Jenny
    Ersta Sköndal University College, Department of Health Care Sciences.
    Humor - en resurs i omvårdnad?2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 33.
    Aldérus, Peter
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Björk, Stefan
    Ersta Sköndal University College, Department of Health Care Sciences.
    Edlundh, Niclaz
    Ersta Sköndal University College, Department of Health Care Sciences.
    Humorns betydelse i omvårdnaden: en litteraturstudie2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 34.
    Ali, Hamdi
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Nordgren, Klara
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hur livet kan förändras under och efter strålbehandling -upplevelser av personer med cancer: En litteraturöversikt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Every year more and more people are affected with cancer and numerous people have many thoughts, concerns and feelings associated with both the disease itself and the provided treatment. Radiation therapy is one of the most common forms of treatment for cancer today. Radiation will almost always mean that the patient is forced to undergo a number of more or less unpleasant side effects to become free from their   cancer. There is therefore a risk that the patients health and wellbeing becomes inferior. That is why it is important to gain a deeper understanding of the patients situation during and after radiotherapy so that we as nurses should be able to provide good care.

    Aim:

    The aim of this study was to describe the experience in connection with radiation therapy for people with cancer.

    Methods:

    Literature Review by Friberg's method (2012) where 11 articles with qualitative design were analyzed for the results.

    Results:

    Three main themes emerged: Experience of the care environment, Whole life is affected and Social isolation and interpersonal   relationships. The environment of the radiotherapy room was perceived as frightening and claustrophobic. The patients lives were affected in form of   physical and psychological consequences. Fluid and nutrition problems dominated by radiation of the head and neck, leading to malnutrition and weight loss. Most of the participants experienced social isolation, either because of the isolation in the treatment room or they did not want to meet people because of the physical symptoms that occurred.

    Discussions:

    The result that meant physical, psychological and social consequences of radiotherapy is related to Katie Eriksson's concept of suffering; disease suffering, care suffering and suffering of life is discussed in relation to the main themes that emerged.

    Keywords:

    Cancer, radiation therapy, experiences, side effects

  • 35.
    Alkacir, Tülay
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Moaven, Morvarid
    Ersta Sköndal University College, Department of Health Care Sciences.
    Anhörigvårdarens upplevelser och behov av stöd vid vård av en person med demenssjukdom2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 36.
    Allahyar, Shirin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Språksvårigheters påverkan i tvärkulturellt omvårdnadsarbete2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 37.
    Allgulander,, Karin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Andersson, Eva
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hur sjuksköterskan kommunicerar med sin patient2005Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 38.
    Alm Persson, Ingrid
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vem bestämmer?: vårdares upplevelser av utvecklingsstörda människors möjligheter samt vilja till självbestämmande i en basal omvårdnadssituation2002Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 39.
    Almegård, Julia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskans omvårdnad vid psykisk ohälsa inom den öppna vården: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is increasing in society and is today the leading cause off sick leave and extended sick leave in Sweden. The care of patients with mental illness are time consuming, and the need for resources that this group of patients requires are opening up for new ways for nurses to work, beyond their traditional profession.

    Aim: The aim of this literature review is to describe the nursing care for patients with mental illness in general outpatient care.

    Method: The method that was used in this paper is a literature review. Eight scientific articles were reviewed, four were of qualitative design, three of quantitative design and one of mixed method.

    Results: The literature review resulted in two main themes, divided in four and two sub themes. The main theme, performed nursing care, describes how the nurse is working with assessments, information, education, guidance, continuous talks and psychotherapy. The second main theme, the effects of the implemented nursing care, describes the impact of how nursing care measures may have affected the nurse’s commitment as well as on the patient’s symptoms and treatment.

    Discussion: The nursing care described in the results are discussed with the view of the nurse as a contributing labor in outpatient care for patients with mental illness. The findings are also discussed from the tidal model of nursing theorist Phil Barker, and the consensus concept of man.

  • 40.
    Almström, Ulrika
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Mantzios, Olivia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Möten mellan vården och patienter med HIV: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: HIV-infection among humans received attention throughout the world 35 years ago from the dramatic increase in deaths. The deadly virus has spread globally with intensity in the African continent. The virus has been somewhat falsely characterized as the “homosexual disease” even though this group represents a minority of all people living with HIV. Global programs are taking action to decrease the amount of deaths and the knowledge and attitude towards the virus has improved in Sweden through the last decades. Despite this, there are still dramatic misunderstandings in knowledge about HIV and attitudes towards HIV-infected people. Care should be given with respect no matter diagnosis, and adequate communication is of vital importance to be able to perform individualized care in a proper functioning healthcare setting.

    Aim: How HIV-infected patients experience interaction with healthcare professionals.

    Method: A literature review was conducted to analyze and compile data of existing knowledge from eleven scientific articles within a specific area of study.

    Results: The results of the review are presented in two main themes. The first main theme is positive experiences of interactions within healthcare that includes following sub themes: relationship-building values, the support given by caregivers, a positive professional-patient relation and closeness – a sign of acceptance. The second main theme is negative experiences of interactions within healthcare which includes following sub themes: differential treatment because of HIV, precautions exceeded by caregivers, inappropriate encounters, emotions and actions exceeded by caregivers and confidentiality breaches. These themes describe how patients experienced encounters within healthcare settings negatively.

    Discussion: The result findings are discussed from nurses and nursing students perspectives on knowledge about HIV. The importance of both knowledge about HIV and communication is highlighted, and how healthcare professionals should acquire these understandings. This has been discussed using Joyce Travelbee´s nursing theory.

  • 41.
    Alsberg, Pernilla
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Jakobsson, Charlotta
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdpersonalens tankar och uppfattningar om närstående till äldre vårdtagare2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 42.
    Alsterlind, Ingrid
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Beck-Friis, Camilla
    Ersta Sköndal University College, Department of Health Care Sciences.
    Som en "naturlig" kvinna: en studie om äldre kvinnor och sexualitet2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 43.
    Alström, AnnaMaria
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vikten av det personliga samtalet i vården: patientcentrerad kommunikation mellan patient och sjuksköterska2005Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 44.
    Al-suhaili, Hind
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Friberg, Sofia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ingen visste hur det var hemma: En litteraturöversikt över vuxna barns upplevelser av att ha vuxit upp med en psykiskt sjuk förälder2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is a common health problem in Sweden, and may not only cause patient suffering, but also his or the patient`s family, particularly under aged children. Parents with mental illness may neglect or be less attentive to the children`s basic needs, and according to the stress-vulnerable model this may cause poor health under unnecessary life-long suffering for the child. It is the nurse`s responsibility to also ensure the patient`s family members´ health.

    Aim: To gain knowledge of adult children’s experiences of having a parent with mental illness during his or her childhood, as well as how they experience their own health.

    Method: Literature review by Friberg´s method. This literature review includes ten studies, which are taken from Cinahl complete, Medline with full text and Pubmed. Abstract was read by helicopter perspective and both qualitative and quantitative studies were selected. The authors discussed the similarities and differences in the results of the studies. Themes and subthemes were defined.

    Results: Three themes were defined; experiences of role change, the emotional experiences and experiences of health of an adult.

    Discussion: The three most characteristic themes of the study are discussed in relation to Travelbee's nursing theory of interpersonal relationships, the importance of information given to the underaged child, and how to work preventive in order to promote the experience of health in children with mentally ill parents.

  • 45.
    Alvarez-Netterlid, Thelma
    Ersta Sköndal University College, Department of Health Care Sciences.
    Närståendes behov av stöd vid palliativ vård i hemmet: en litteraturstudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 46.
    Alvariza, Anette
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Lövgren, Malin
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Bylund-Grenklo, Tove
    Karolinska institutet.
    Hakola, Pia
    Stockholms Sjukhem.
    Fürst, Carl Johan
    Lunds universitet, Region Skåne.
    Kreicbergs, Ulrika
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    How to support teenagers who are losing a parent to cancer: Bereaved young adults' advice to healthcare professionals-A nationwide survey.2016In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 15, no 3, 313-319 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The loss of a parent to cancer is considered one of the most traumatic events a teenager can experience. Studies have shown that teenagers, from the time of diagnosis, are already extremely worried about the consequences of a parent's cancer but tend to be left to manage these concerns on their own. The present study aimed to explore young adults' advice to healthcare professionals on how to support teenagers who are losing a parent to cancer.

    METHODS: This work derives from a Swedish nationwide survey and employs a qualitative approach with a descriptive/interpretive design to obtain answers to an open-ended question concerning advice to healthcare professionals. Of the 851 eligible young adults who had lost a parent to cancer when they were 13-16 years of age within the previous 6 to 9 years, 622 participated in our survey (response rate = 73%). Of these 622 young adults, 481 responded to the open-ended question about what advice to give healthcare professionals.

    RESULTS: Four themes emerged: (1) to be seen and acknowledged; (2) to understand and prepare for illness, treatment, and the impending death; (3) to spend time with the ill parent, and (4) to receive support tailored to the individual teenager's needs.

    SIGNIFICANCE OF RESULTS: This nationwide study contributes hands-on suggestions to healthcare staff regarding attitudes, communication, and support from the perspective of young adults who, in their teenage years, lost a parent to cancer. Teenagers may feel better supported during a parent's illness if healthcare professionals take this manageable advice forward into practice and see each teenager as individuals; explain the disease, its treatments, and consequences; encourage teenagers to spend time with their ill parent; and recommend sources of support.

  • 47. Aléx, Lena
    et al.
    Hammarström, Anne
    Gustafson, Yngve
    Norberg, Astrid
    Ersta Sköndal University College, Department of palliative care research. Ersta Sköndal University College, Department of Health Care Sciences.
    Lundman, Berit
    Constructions of various femininities among the oldest old women.2006In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 27, no 10, 853-72 p.Article in journal (Refereed)
    Abstract [en]

    This study forms part of the Umeå 85+ Study, and the aim was to explore various gendered constructions of femininities among the oldest old women. Femininities are seen as various ways of shaping oneself as a woman in relation to the impact of historical, social, and cultural circumstances. Thematic narratives were analyzed using qualitative content analysis. Through interpreting these narratives in the light of gender theories, we were able to discern four femininities: "being connected," "being an actor," "living in the shadow of others," and "being alienated." The oldest old women displayed complex outlooks on femininities, and no femininity was interpreted as being in the center related to the other femininities. Further research is needed in order to disclose the complexity of femininities related to factors such as social class, ethnicity, and financial situation among the oldest old, and to acquire a greater knowledge of various femininities.

  • 48. Aléx, Lena
    et al.
    Hammarström, Anne
    Norberg, Astrid
    Ersta Sköndal University College, Department of palliative care research. Ersta Sköndal University College, Department of Health Care Sciences.
    Lundman, Berit
    Balancing within various discourses--the art of being old and living as a Sami woman.2006In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 27, no 10, 873-92 p.Article in journal (Refereed)
    Abstract [en]

    The aim of this part of the Umeå 85+ Study was to explore how indigenous women narrate their lives and their experience of being old as Sami women. Interviews with 9 old Sami women were analyzed using grounded theory. The categories identified were "reindeer as the basis of life," "longing for significant Sami values," "feeling valued as a Sami woman," and "changing for survival;" these evolved into the core category: "balancing within various discourses-the art of being old and living as a Sami woman." Knowing how to balance provided the ability to make use of available opportunities.

  • 49. Aléx, Lena
    et al.
    Hammarström, Anne
    Norberg, Astrid
    Ersta Sköndal University College, Department of palliative care research. Ersta Sköndal University College, Department of Health Care Sciences.
    Lundman, Berit
    Construction of masculinities among men aged 85 and older in the north of Sweden.2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 4, 451-9 p.Article in journal (Refereed)
    Abstract [en]

    AIM: The aim was to analyse the construction of masculinities among men aged 85 and older. BACKGROUND: All societies have a gender order, constructed from multiple ideas of what is seen as feminine and masculine. As the group of men aged 85 and older is increasing in size and their demand for care will increase, we must recognize the importance of studying these men and various discourses of masculinities. DESIGN: Qualitative explorative. METHODS: Qualitative content analysis was used to analyse thematic narratives. Masculinity theories provided the point of departure for the analysis. RESULTS: The analysis coalesced into three masculinities. 'Being in the male centre', developed from subthemes as: taking pride in one's work and economic situation; being in the centre in relation to others; regarding women as sexual objects; and belonging to a select group. 'Striving to maintain the male facade' developed from subthemes as: emphasizing 'important' connections; having feelings of loss; striving to maintain old norms and rejecting the fact of being old. 'Being related' was formulated from subthemes as: feeling at home with domestic duties; being concerned; accepting one's own aging; and reflecting on life. CONCLUSIONS: Our study indicates the importance of being aware of the existence of multiple masculinities, in contrast to the generally unproblematic and unsubtle particular healthcare approaches which consider men as simply belonging to one masculinity. Relevance to clinical practice. Diverse masculinities probably affect encounters between men and healthcare providers and others who work with an older population and therefore our results are of importance in a caring context.

  • 50.
    Amanbaeva, Asel
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Swierszcz, Bernadetta
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att vårdas för MRSA: En litteraturöversikt om patienters upplevelser av MRSA-vård2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Methicillin-resistant Staphylococcus aureus (MRSA) is increasing drastically in healthcare both in Sweden and worldwide. The bacteria is spread most commonly from patient to patient by health-care professionals when restrictions on basic hygiene is not followed. Becoming infected with MRSA can lead to severe consequences for the patients in terms of surgical site infection, the implanted prostheses, the heart valves, lungs, the meninges. Patients with MRSA are cared for in isolation to prevent MRSA from spreading further, which could cause distress in patients. 

    Aim: This paper aims to describe patients' experiences of MRSA care. 

    Methods: Nine scientific qualitative articles form the basis of this literature review. The articles were analyzed and compiled, and new themes emerged after the similarities that emerged from their performance parts. 

    Results: The result shows that caring changed after MRSA diagnosis. This is recognized by the following six themes and two subthemes: Patients' knowledge about MRSA, Experiences of becoming infected with MRSA, Patients experiences of staff knowledge and information, experiences of treatment by staff, isolation with two subthemes: Negative experiences of isolation and positive experiences of isolation and Concerns for the future. 

    Discussions: The results are discussed from the patient's perspective, with Katie Erikson's theory of the suffering person as a theoretical base. The nursing staff can affect how caring is experienced. Deficiencies in knowledge of MRSA in health care staff, their attitude and adherence to hygiene causes health suffering in patients with MRSA. The nurse's role is to prevent / alleviate the suffering of patients. 

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