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  • 1.
    Abdi, Samar
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Stang, Inka Emese
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hur är det att leva med stomi: ett förändrat liv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are several diseases that may cause a person to undergo a stoma surgery. Those who get a stoma surgery may need to adjust their lives based on new conditions. Getting adequate information, support and care from the nurse can be of great help to those people who recently received a stoma.

    Aim: The aim was to describe how it is to live with a stoma.

    Method: A literature review was conducted where eleven peer reviewed articles were sought from three databases. The articles were analysed, reviewed and compiled. Differences and similarities identified in the previous research were sought and formed the basis for results.

    Results: Four themes were identified: The first was Life changes, the second: Sexuality and intimacy, the third: Support from nurses and allied and finally: Accept living with the stoma.

    Discussion: In the light of Katie Eriksson`s theories regarding health care and health, aspects such as suffering and awareness that increased knowledge and understanding of people`s own experiences, feeling and thoughts should help to promote health and relieve suffering.

  • 2.
    Abdolmaleki, Zahra
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Deprimerade patienters erfarenheter av bemötande från vårdpersonal2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is a common disease that causes great suffering for patients and their relatives. The disease is often under diagnosed because of comorbidity with physical disorders. Increased knowledge about depression is needed to a good response between patients and health care professionals.

    Aim: The aim of this study was to describe how the patient with depression experiences treatment from healthcare professionals.

    Method: A literature review based on ten scientific articles that were analyzed in accordance with Friberg (2012). Ten qualitative studies were retrieved from the database CINAHL, PsycINFO and PubMed. As a theoretical base used Rosemarie Rizzo Parse's theory.

    Results: The result demonstrates two main themes and the six sub-themes. The first main theme highlights the relationship with the nursing staff with three sub-themes: participation, information, treatment and care available. The second main theme is the interaction with health care professionals with three sub-themes: communication, experience to be listened to and competent and present staff.

    Discussion: The results discussed from Rosemarie Rizzo Parse's theory, and also additional ten scientific articles, with the aim to show that depressed patients who feel a lack trust, commitment from health care professionals and continuity had bad experiences of treatment with health care professionals. The needed a mutual relationship between patients and health care professionals in order to patients to have a good experience with health care professionals.

  • 3.
    Abo-azaz, Mari
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Magan, Sahuur
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Måltidsmiljöns utformning och inverkan på patienter med demenssjukdom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is an incurable disease. Dementia can lead to serious symptoms such as language difficulties, dysfunction and behavioral changes. People with dementia need a special and well-suited environment. People with dementia need security in their daily lives, which becomes an important task for the nurse. In nursing work, the nurse will aim to increase the wellbeing of patients. In this case, the environment is designed in the dining room based on the patient's conditions.

    Aim: To describe the design of the meal environment and how it affects people with dementia.

    Method: A literature review has been carried out. Eleven quantitative scientific articles have been used for the study. The articles have been selected from the CINAHL and PubMed databases corresponding to the purpose. The articles have been analyzed with Friberg’s analysis method to be completed as material for the result.

    Results: The result is based on a theme; the environment around the patients when they eat and three subtemes; the importance of music in the meal situation; the importance of lighting in the meal situation; the meaning of a home-like dining room. These describe the various resources required to increase the well-being of patients with dementia.

    Discussion: The meal environment had a major impact on people with dementia. The environment in the dining room was adapted to the patient's requirements. The changing meal environment increased patient wellbeing. The home-like environment, calm background music and sufficient lighting during the meal were of great importance to the patient. The positive effect could contribute to increased calorie intake and decreased negative behavior in patients.

  • 4.
    Abou-Samra, Zarifa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Schizofreni utifrån ett patientperspektive: En litteraturöversikt om patienters subjektiva upplevelser2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Schizophrenia is a serious mental illness that can lead to physical, psychological and social problems for the victim and adversely affects the quality of life of the patient. There is insufficient knowledge in the treatment of people with schizophrenia. Patients' subjective experiences are often neglected although they are of great importance in the care of patients and patient life. A better understanding of the patient's experiences can lead to better treatment and change of negative attitudes, thus making it possible to provide the care and treatment people with schizophrenia need.

    Aim: To describe patients' subjective experiences of living with schizophrenia.

    Method: A literature review based on ten qualitative studies found in the databases: PsycINFO, PubMed and CINAHL. The studies were processed and analyzed with meta synthesis and common themes identified.

    Results: Five main themes were identified: schizophrenia is a complicated disease with severe symptoms, experiences of diagnosis and treatment, severe emotional experiences during childhood, importance of social relations for recovery and good insight and acceptance is the key to recovery.

    Discussion: Patients' subjective experiences differ significantly from the objective observations and the perceptions of healthcare professionals. Changed attitudes towards schizophrenia in society and between healthcare professionals can contribute to empathetic and better treatment, which can promote living conditions for people with schizophrenia. More qualitative research and better education about patients' subjective experiences are needed.

  • 5.
    Abu Jalalah, Amira
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kader, Lana
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Upplevelsen av att leva med Diabetes Mellitus typ 2: en utmaning i livet: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 6.
    Acin, Helin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jonasson, Hanna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fysisk aktivitet vid fatigue: En litteraturöversikt om fysisk aktivitet och dess påverkan på fatigue hos kvinnor med bröstcancer2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common form of cancer that affects women. Many women experience side effects from breast cancer treatments. One of the most common side effects is fatigue that can be perceived in different dimensions. The nurse has an important role by informing, supporting and motivating the patient to perform self-care activities before, during and after breast cancer treatment.

    Aim: Illustrate different forms of physical activity and its effect on fatigue in women undergoing breast cancer treatment.

    Method: A literature review has been conducted where eleven quantitative studies were selected. The databases used were PubMed, MEDLINE with Full Text and ProQuest Nursing & Allied Health Database. The articles have been reviewed, discussed and summarized in order to distinguish between similarities and differences.

    Results: It was found that physical activity, in various forms, had an effect to reduce fatigue. The result led to a main heading: Physical activity’s effect on fatigue with three subheadings: Aerobic physical activity, Combination of aerobic and muscle strengthening physical activity and Walking as physical activity.

    Discussion: Four parts emerged from the result: The physical activity’s planning and structure, Barriers to perform physical activity, Positive experiences of physical activity and Nurse’s supportive function. The content has been discussed in conjunction with Dorothea E. Orem’s self-care theory and new applied qualitative data.

  • 7.
    Adolfsson Blomqvist, Josefin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Strömsén, Emmy
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Vårdpersonals erfarenheter av patienter med demenssjukdom som vårdas palliativt: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A great amount of elderly people suffer from different forms of dementia and unless these individuals suffer from another terminal disease the dementia will by its nature lead to death of the patient. Palliative care is often associated with cancer and cardiovascular diseases, however the palliative care is beginning to see the introduction of treatment for people with dementia.

    Aim: The aim was to highlight nursing staffs' experiences of patients suffering from dementia within gerontological care in end of life.

    Method: A literature review has been done based on search results from databases CINAHL complete, Pubmed and Ageline. The selected articles consisted of eight qualitative studies and two cross-sectional studies. The authors have based the analysis on Friberg's method of analysis.  

    Results: In the result describes Introduction of palliative care for the people suffering from dementia, nursing staffs´experience of symptom relief, the importance of good communication as well as hindrance and possibilities for good palliative care. It was discovered that it can be perceived as harder to judge when a patient suffering from dementia is in need of palliative care compared to patients with other medical conditions. This also resulted in the caring relationship between patient and nursing staff is of high importance for the recognition of symptoms. Nursing staff perceived there were flaws in the emotional support after having nursed a patient with dementia.

    Discussion: In the method discussion pros and cons regarding the chosen method is discussed, as well as the choice of articles and why some restrictions have been made. In the result discussion the result in relation to the theoretical entry points 6 S:s  is discussed. Correlations to person-centered care is discussed through the discussion of the result.

  • 8.
    Ahlbäck, Alexandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Linnér, Mimmi
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Vuxna patienters upplevelser av sjuksköterskans affektiva beröring i daglig omvårdnad: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Beröring kommer alltid att vara en del av vården. Affektiv beröring är en typ av frivillig beröring som kan uppstå såväl medvetet som omedvetet. Denna typ av beröring används av sjuksköterskan i det dagliga omvårdnadsarbetet för att trösta, lugna, vårda och lindra patienters lidande. Sjuksköterskors olika beröringsstilar grundas i deras personlighet, livserfarenhet, kulturella bakgrund, utbildning och arbetsstil. Vidare forskning inom området anses vara av betydelse, då kunskaperna kring affektiv beröring är bristande bland sjuksköterskor.

    Syfte: Syftet med denna litteraturöversikt var att belysa vuxna patienters upplevelse av sjuksköterskans affektiva beröring i daglig omvårdnad.

    Metod: En litteraturöversikt baserad på åtta kvalitativa och två kvantitativa vetenskapliga artiklar.

    Resultat: Resultatet tematiserades i sex teman: Att knyta band, betydelsen av kommunikation, kroppsdelarnas olika betydelser, att bli berörd med närvaro, beröring och genus betydelse och betydelsen av att ha kontroll över situationen.

    Diskussion: Resultatet diskuterades mot Virginia Hendersons omvårdnadsteori om människans behov samt relaterades till vetenskapliga artiklar för att stärka resultatet. I denna del diskuteras vuxna patienters upplevelser av affektiv beröring i daglig omvårdnad samt hur sjuksköterskor skall förhålla sig för att patientens hela vårdupplevelse skall upplevas som god.

  • 9.
    Ahlgren, Linnéa
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Willner, Ellen
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En oändlig process: en litteraturöversikt om välbefinnande vid kronisk njursvikt och hemodialys2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 10.
    Ahlin, My
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Högblom, Pål
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hälso- och sjukvårdspersonals attityder gentemot patienter som är eller har varit brukare av heroin: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heroin is an illicit narcotic drug that is highly addictive. The drug has a negative impact on the physical, mental and social health of the user, which implies complex needs of healthcare. Users are exposed to stigmatization in society. One factor that may constitute barriers to good care on equal terms is the healthcare professionals' attitudes towards patients they care for.

    Aim: The aim was to highlight attitudes of health personnel towards patients who are or have been users of heroin. 

    Method: A literature review based upon ten scientific articles was conducted according to Friberg’s method. The articles were based on qualitative and quantitative studies as well as studies performed with mixed method.

    Results: The result shows the presence of positive and negative attitudes. The negative attitudes were more prominent. Further on a polarization of attitudes within the group of healthcare professionals was revealed. However, the difference was not linked to a certain profession but instead linked to education and experiences of working with the current patient group. Those who worked closest to the patients held predominantly positive attitudes and vice versa.

    Discussion: The results are discussed on the basis of key concepts and ideas of Travelbee and how the result fits in relation to science and legal texts. Possible reasons for the presence of negative attitudes are discussed. A ‘we-and-them ' mentality contributes to the difficulties of health professionals in empathizing with patients, which precludes the caring relationship. Awareness-raising, experience and education are highlighted as crucial to the facilitation of change.

  • 11.
    Ahlund, Angelica
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Frank, Lovisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kvinnors sexuella hälsa efter diagnostisering av cervixcancer: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexuality and sexual health are two concepts that belong together. Sexuality means proximity and contact while sexual health means that it is safe and secure to perform sexual activities. Cervix is a part of women's inner reproductive organs. Cervical cancer is globally seen as one of the most common forms of cancer amongst women where pain is a late symptom of cervical cancer. Mortality is higher in developing countries than industrialized countries. Human papillomavirus, HPV is the most common cause of cervical cancer, where surgery, cytostatic and radiation therapy are different types of treatment. Cytological changes do not always mean cancer. Getting a cancer message can induce emotional reactions such as anxiety, anger and concern. At different coping strategies; Active and passive, the woman can adapt to the new life situation. A cancer diagnosis can develop reactions that affect both the physical and the mental health.

    Aim: The purpose was to highlight women’s sexual health after diagnosis of cervical cancer.

    Method: This literature review was compiled by collecting material from previous research within a healthcare knowledge area. Ten scientific articles related to cervical cancer and sexuality are the basis for the outcome. The material was reviewed and analyzed according to Fribergs method and finally summarized into mainthemes and subthemes in a literature review.

    Results: The result is presented in three main themes; Physical aspects, Mental aspects, and Social aspects. The results showed that cervical cancer affected women’s sexuality and sexual health. Positive experiences expressed by the women were an increased estimation on sexual activity after the disease. While negative experiences that were reported was a fear of performing sexual activities where dyspareunia was a cause. Sexual barriers affected the sexual function and created a concern among the women. The treatment of cervical cancer affected the woman through various bodily changes and discomfort during sexual intercourse.  

    Discussion: The physical changes that the woman experience is affecting her sexuality and identity. A need for knowledge about cervical cancer related to sexuality was noted in the women, where the nurse's responsibility is to provide women with this information. Virginia Henderson's behavior theory and the Cancer center care program may be a support for the nurse. 

  • 12.
    Alaiso, Erica
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ljungbacke, Beatrice
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med cancer som ung vuxen: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Cancer är den näst största folksjukdomen och den näst vanligaste dödsorsaken efter hjärt-kärlsjukdomar. Prevalensen av insjuknandet ökar för varje år och innebär därmed att allt fler unga vuxna drabbas. Forskning kring unga vuxnas upplevelser av cancer är undermålig samtidigt som definitionen av unga vuxna är vag. Detta gör att det idag inte finns ett tydligt och hållbart behandlingsprogram för denna patientgrupp. Unga vuxna befinner sig i en fas i livet där stort fokus ligger på att utvecklas och att upptäcka världen. Att som ung vuxen drabbas av en livshotande sjukdom som cancer innebär därför en unik upplevelse och krisreaktion. För att sjuksköterskor ska ha möjlighet att ge de drabbade personcentrerad vård av god kvalitet, krävs en bättre förståelse för deras specifika situation. Syfte: Syftet var att belysa unga vuxnas upplevelser av att leva med cancer. Metod: En litteraturöversikt gjordes i enlighet med Fribergs metod. Resultatet är baserat på tio kvalitativa, vetenskapliga artiklar som beskriver unga vuxnas upplevelser av att leva med cancer. Artiklarna analyserades genom tematisering och kategorisering. Sökningarna gjordes i databaserna CINAHL Complete och PubMed. Resultat: Fyra teman identifierades: Att drabbas av cancer som ung vuxen, Behov av stöd, Identitetsförändringar och Behov av att ta kontroll. Samtliga teman beskriver upplevelser som är typiska för unga vuxna med cancer. En stor del av resultatet innefattar känslor och frågor av existentiell karaktär. Diskussion: Metoden diskuteras utifrån litteraturöversiktens styrkor och svagheter. I resultatet diskuteras framkomna teman med hjälp av ett livsåskådningsperspektiv, detta för att skapa en djupare förståelse för den unika situation som unga vuxna ställs inför i samband med cancer.

  • 13.
    Aleflod, Ebba
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hellgren, Sandra
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Är det här mitt sista andetag - patienters upplevelser av andnöd: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breathlessness is a symptom that makes breathing difficult which can lead to experiences of anxiety and fear. It is one of the most common symptoms experienced by patients with advanced stage disease. Several diseases such as COPD, cancer and heart failure can cause breathlessness. Palliative care aims to alleviate suffering by treating and preventing symptoms, such as breathlessness. Nurses need to be aware of patients´ experiences in order to provide and individually adjust symptomatic relief.

    Aim: Describe patients´ experiences of breathlessness, while receiving palliative care or receiving care for an advanced disease, including their strategies for managing breathlessness.

    Method: A literature review was carried out with data collection from five databases that resulted in 12 scientific articles of which 11 were qualitative and one was quantitative. The data analysis was made with Friberg (2017) method and resulted in two themes.

    Results: The two main themes that emerged were Experiences of breathlessness and Strategies for managing breathlessness. The result showed that breathlessness can cause anxiety and fear, physical fatigue and severe coughing. In addition, breathlessness implied limitations of patients´ daily life and could lead to patients being isolated in their homes, intended or unintended. Different strategies for managing breathlessness are presented.

    Discussion: In the discussion the pros and cons regarding the authors' joint work, challenges and considerations were addressed. The main findings of the result were discussed using Sister Callista Roy’s adaptation model.

  • 14.
    Aleson, Marie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Häggqvist, Lina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser av att vårdas inom somatisk sjukvård i samband med psykisk ohälsa: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is nowadays considered a public health problem. Patients with mental illness often suffer co-morbidity and are therefore often cared for within somatic care. According to caring science the holistic perspective of the human with both body and soul is advocated where one part can never be excluded. Sensitivity in the caring relationship can be crucial for a patient suffering from mental illness. However, health personnel themselves experience a lack of knowledge caring for patients with mental illness.

    Aim: The aim of the literature review was to illustrate patients´ experiences of being cared for within somatic care in conjunction with mental illness.

    Method: Literature review including ten scientific articles was implemented, eight with a qualitative design and two with a quantitative design. The articles were analyzed according to Friberg’s (2012) method for literature review.

    Results: Six main themes were identified: experiences of meeting health personnel, experiences of being understood, follow-up by the caregiver, experiences of being involved, experiences of barriers for care and security.

    Discussion: The result is discussed according to Eriksson's theory of the caring relationship and suffering. Lack of knowledge within mental illness creates insecurity among health personnel and also creates suffering for the patient. The importance of seeing to the human as a whole is discussed.

  • 15.
    Alevronta, Eleftheria
    et al.
    Göteborgs universitet.
    Skokic, Viktor
    Göteborgs universitet.
    Wilderäng, Ulrica
    Göteborgs universitet.
    Dunberger, Gail
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjöberg, Fei
    Göteborgs universitet.
    Bull, Cecilia
    Göteborgs universitet.
    Bergmark, Karin
    Göteborgs universitet.
    Jörnsten, Rebecka
    Karolinska institutet.
    Steineck, Gunnar
    Göteborgs universitet, Chalmers tekniska högskola.
    Dose-response relationships of the sigmoid for urgency syndrome after gynecological radiotherapy.2018In: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 57, no 10, p. 1352-1358Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To find out what organs and doses are most relevant for 'radiation-induced urgency syndrome' in order to derive the corresponding dose-response relationships as an aid for avoiding the syndrome in the future.

    MATERIAL AND METHODS: From a larger group of gynecological cancer survivors followed-up 2-14 years, we identified 98 whom had undergone external beam radiation therapy but not brachytherapy and not having a stoma. Of those survivors, 24 developed urgency syndrome. Based on the loading factor from a factor analysis, and symptom frequency, 15 symptoms were weighted together to a score interpreted as the intensity of radiation-induced urgency symptom. On reactivated dose plans, we contoured the small intestine, sigmoid colon and the rectum (separate from the anal-sphincter region) and we exported the dose-volume histograms for each survivor. Dose-response relationships from respective risk organ and urgency syndrome were estimated by fitting the data to the Probit, RS, LKB and gEUD models.

    RESULTS: The rectum and sigmoid colon have steep dose-response relationships for urgency syndrome for Probit, RS and LKB. The dose-response parameters for the rectum were D50: 51.3, 51.4, and 51.3 Gy, γ50 = 1.19 for all models, s was 7.0e-09 for RS and n was 9.9 × 107 for LKB. For Sigmoid colon, D50 were 51.6, 51.6, and 51.5 Gy, γ50 were 1.20, 1.25, and 1.27, s was 2.8 for RS and n was 0.079 for LKB.

    CONCLUSIONS: Primarily the dose to sigmoid colon as well as the rectum is related to urgency syndrome among gynecological cancer survivors. Separate delineation of the rectum and sigmoid colon in order to incorporate the dose-response results may aid in reduction of the incidence of the urgency syndrome.

  • 16.
    Alfredsson, Johanna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Venuti, Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kulturkompetens - Ett behov för sjuksköterskor och sjuksköterskestudenter: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Ökad global migration ställer krav på sjuksköterskor i omvårdnadssituationer där patientens etnicitet och sårbarhet behöver beaktas. Sårbarheten kan bestå i flyktingars hälsosituation och den stress flyktingar upplever under migrationsprocessen. Sjuksköterskor och sjuksköterskestudenter behöver ta kulturen i beaktande vid möte med dessa patienter.

    Syfte: Att belysa sjuksköterskors och sjuksköterskestudenters kulturkompetens.

    Metod: Litteraturöversikten grundar sig på tio vetenskapliga artiklar, varav två kvantitativa och åtta kvalitativa.

    Resultat: Sjuksköterskor och sjuksköterskestudenter finner kommunikationsproblemet som största hindret, där språkbarriärer är en tydlig faktor. Detta gör att sjuksköterskor och sjuksköterskestudenter anser att omvårdnaden i dessa fall tar mer tid i anspråk, och att tolkanvändningen förekommer alltför sällan. Sjuksköterskor och sjuksköterskestudenter anser att de har en viss kulturkompetens men att en önskan finns om ytterligare utbildning i ämnet.

    Diskussion: En önskan hos sjuksköterskor och sjuksköterskestudenter om fördjupade kunskaper i kulturkompetens kan utläsas av de resultat som framkommit i litteraturöversikten. Kulturkompetens har i litteraturöversikten diskuterats utifrån Madeleine Leiningers transkulturella omvårdnadsteori.

  • 17.
    Ali, Awin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Abdullahi Ali, Hafsa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med diabetes typ 2: upplevelser av livsstilsförändringar och behovet av stöd2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 18.
    Allenius, Emelie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors upplevelse av vårdrelationen vid självvald inläggning hos personer med emotionell instabilitet: en intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nurse has a responsibility to through a person-centred and relation fostering approach support the patient's recovery process. The professional-patient relationship between nurses and persons with emotional instability within the closed psychiatric care is often characterized by frustration, irritation and misunderstanding, leading to an increased suffering. Brief admission as a method has the purpose to increase the patient’s sense of participation and autonomy, factors which are considered to improve the professional-patient relationship. The method has just recently been introduced in the Swedish health care system. There are however only a limited number of studies concerning brief admission in connection with emotional instability and deliberate self-harm, with no prior studies in Sweden.

    Aim: To describe nurses experience of the professional-patient relationship within brief admission among persons with emotional instability and deliberate self-harm.

    Method: The study was performed using the qualitative method. Eight nurses with experience from brief admission were interviewed and the data was analysed using a qualitative content analysis.

    Results: From the analysis two main categories emerged. The first category “Brief admission   promotes the professional-patient relationship” describes the experience of the interviewees that brief admission creates predictability and structure leading to improved   communication, continuity together with meetings between more equal partners. In the second category “Clarified role of the nurse” the interviewees describes a higher degree of focus on the care within brief admission together with working to support the resources of the patients, which affects the role of the nurses. 

    Discussion: The results of the study are illustrated and discussed using the tidal model and its ten commitments regarding the nurse’s professional responsibility within nursing together with relevant literature.

  • 19.
    Alm, Annie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Åström, Madeleine
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters erfarenhet av faktorer som hindrar eller främjar egenvård vid diabetes typ 2: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes is an increasing problem and self-care is of great importance to prevent complications. Nurses have an important role in supporting or compensating in areas that the patient is not sufficient enough to self-manage. The interest in this topic originated in several clinical encounters with patients showing self-care deficits and tools for supporting these patients are in demand.

    Aim: The aim of this literature review is to illuminate patients’ experiences of barriers and promoters of self-care in type 2 diabetes.

    Method: Literature review. The result is based on 13 scholarly articles. The articles were identified from searching the databases Cinahl Complete, Academic Search Complete, PubMed and Nursing & Allied Health Database. This literature review focused on qualitative studies. A matrix method was used in compiling the results. The results were then analyzed and categorized.

    Results: Many factors affect individuals' ability of self-care. These are presented in the main themes: "Barriers" and "Promotors". Both internal and external factors influence a persons’ ability of self-care. A recurrent problem and barrier were lack of motivation and understanding of the importance of self-care. Coping, compliance and self-efficacy have a positive influence on self-care as demonstrated in the promotors theme.

    Discussion: Self-image and a persons’ emotional state affect his or hers self-care capacity and ability to change habits. Nurses need opportunities to improve their knowledge and understanding about lifestyle and diabetes counselling in order to help these patients. The results of this literature review were partially discussed using Dorothea Orem's "Self-care nursing deficit theory".

  • 20.
    Almgren, Sofia
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kjällman, Jenny
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Är akutmottagningen en plats att dö på?: Sjuksköterskors erfarenheter av att vårda patienter i ett sent palliativt skede på en akutmottagning – en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Palliativ vård bygger på ett förhållningssätt med syfte att lindra lidande och öka livskvaliteten under den sista tiden i livet. Sjuksköterskans uppgift i den palliativa vården är att utifrån en personcentrerad vård skapa förutsättningar för en god död. Trots att det finns möjlighet för vård i hemmet eller på palliativ vårdenhet händer det att patienter i ett sent palliativt skede ändå söker sig till akutmottagningen.

    Syfte: Att beskriva sjuksköterskors erfarenheter av att vårda patienter i ett sent palliativt skede, på akutmottagning.

    Metod: En litteraturöversikt har gjorts för att besvara syftet. Elva vetenskapliga orginalartiklar har inkluderats och dessa har granskats, analyserats tematiserats för att urskilja likheter och skillnader.

    Resultat: Två huvudteman och sex underteman identifierades. Det första huvudtemat var Sjuksköterskans erfarenheter av faktorer som utgör hinder för god palliativ vård, med tillhörande underteman vårdmiljön som ett hinder, avsaknad av nödvändiga resurser, kurativ mentalitet och anhöriga som ett hinder för god palliativ vård. Det andra huvudtemat var sjuksköterskans erfarenheter av faktorer som främjar en god palliativ vård, med tillhörande underteman en underlättande vårdmiljö och resursers betydelse för god palliativ vård.

    Diskussion: Diskussionen framhäver vårdkulturens betydelse för den palliativa vården på en akutmottagning. Författarna diskuterar tre fenomen, resurser, kurativ mentalitet och akutmottagningens utformning i relation till Katie Erikssons caritativa vårdteori.

  • 21.
    Altarabishi Almuslimani, Emelie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Humphreys, Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Livet efter en njurtransplantation: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden there is 300,000–400,000 people with impaired kidney function. with chronic renal failure, patients experience a limited life, with many symptoms affecting their ways negative and dialysis treatment is time consuming and adversely affects their everyday lives. Kidney transplantation is an effective treatment and is the most common organ transplant in Sweden. Patients hope to have an improved quality of life through a kidney transplant despite the risks of transplant rejection. In order for the nurse to be able to provide good nursing after a kidney transplant and to see what the patient has for nursing needs, the nurses then needs a deeper knowledge of patients' experiences of life after a renal transplant.

    The aim was to describe how patients experience life after a kidney transplantation.

    Literature overview based on 10 scientific articles from the database Cinahl Complete, Academic Search Complete and Nursing & Allied Health. The articles are reviewed and analyzed according to Friberg's (2012) method of identifying similarities and differences, then compiled.

    Following the analyses, three main themes were identified: New life with changes, the experience of limited life, anxiety, concern and loneliness, which describes how life after kidney plantation is experienced by the patient

    The method discussion is based on the strengths and weaknesses of the literature review. The result is discussed based on Calista Roy's adaptation theory from the key concepts and adaptive features.

  • 22.
    Alvarez Gustafsson, Alejandra
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Närståendes erfarenheter av att vårda en anhörig med Alzheimers sjukdom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 23.
    Alvariza, Anette
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Capio Palliativ vård, Dalens sjukhus Stockholm.
    Holm, Maja
    Sophiahemmet högskola.
    Palliativ vård i hemmet2019In: Hemsjukvård: olika perspektiv på trygg och säker vård / [ed] Mirjam Ekstedt & Maria Flink, Stockholm: Liber, 2019, p. 83-100Chapter in book (Other academic)
  • 24.
    Alvariza, Anette
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Capio Palliativ vård Dalen.
    Holm, Maja
    Sophiahemmet högskola.
    Benkel, Inger
    Göteborgs universitet.
    Norinder, Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Capio Palliativ vård Dalen.
    Ewing, Gail
    Storbritannien.
    Grande, Gunn
    Storbritannien.
    Håkanson, Cecilia
    Göteborgs universitet.
    Öhlen, Joakim
    Göteborgs universitet.
    Årestedt, Kristofer
    Linnéuniversitetet, Landstinget i Kalmar län.
    A person-centred approach in nursing: Validity and reliability of the Carer Support Needs Assessment Tool.2018In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 35, p. 1-8, article id S1462-3889(18)30058-9Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The Carer Support Needs Assessment Tool (CSNAT) was developed for use among family caregivers in palliative care for assessment of their support needs. The purpose of this study was to translate and evaluate the validity and reliability of the CSNAT in a sample of Swedish family caregivers and nurses in a palliative care context.

    METHODS: Data for this validation study was collected during 2016 in the context of palliative home care in two larger Swedish cities. The study was conducted in three stages to reach conceptual, semantic, operational and measurement equivalence between the original UK version and the Swedish version. Stage I consisted of translation to Swedish. In Stage II, cognitive interviews were performed with 8 family caregivers and 10 nurses. Data were analyzed based on relevance, clarity and sensitivity. In Stage III, the CSNAT and related self-rating measures (caregiver burden, preparedness for caregiving and quality of life) were completed by 118 family caregivers. Data quality, construct validity and test-retest reliability were evaluated.

    RESULTS: The CSNAT items were considered relevant and useful to identify areas of support needs. The Swedish CSNAT showed sound psychometric properties with satisfactory data quality and few problems with missing data across items (1.8%-6.1%). All items except one correlated as expected (rho>0.3) with caregiver burden, supporting construct validity. All items had satisfactory test-retest reliability (κw=0.45-0.75).

    CONCLUSIONS: This study further adds to the validity of the CSNAT and shows in addition that it is reliable and stable for use among family caregivers in palliative care.

  • 25.
    Alvariza, Anette
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Dalens sjukhus, Stockholm.
    Holm, Maja
    Mälardalens högskola, Linnéuniversitet, Växjö.
    Bylund-Grenklo, Tove
    Linnéuniversitetet, Växjö, Karo­linska institutet.
    Goliath, Ida
    Karolinska institutet, Ersta sjukhus, Stockholm.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Viktigt att stärka närståendes möjligheter att förbereda sig2016In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 113, article id D4YCArticle in journal (Other academic)
  • 26.
    Alvariza, Anette
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. CapioPalliativ vård, Dalen sjukhus, Stockholm.
    Årestedt, Kristofer
    Linnéuniversitetet, Länssjukhuset i Kalmar.
    Boman, Kurt
    Umeå universitet.
    Brännström, Margareta
    Umeå universitet.
    Family members' experiences of integrated palliative advanced home and heart failure care: A qualitative study of the PREFER intervention.2018In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 16, no 3, p. 278-285Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Chronic heart failure is a disease with high morbidity and symptom burden for patients, and it also places great demands on family members. Patients with heart failure should have access to palliative care for the purpose of improving quality of life for both patients and their families. In the PREFER randomized controlled intervention, patients with New York Heart Association classes III-IV heart failure received person-centered care with a multidisciplinary approach involving collaboration between specialists in palliative and heart failure care. The aim of the present study was to describe family members' experiences of the intervention, which integrated palliative advanced home and heart failure care.

    METHOD: This study had a qualitative descriptive design based on family member interviews. Altogether, 14 family members participated in semistructured interviews for evaluation after intervention completion. The data were analyzed by means of content analysis.

    RESULTS: Family members expressed gratitude and happiness after witnessing the patient feeling better due to symptom relief and empowerment. They also felt relieved and less worried, as they were reassured that the patient was being cared for properly and that their own responsibility for care was shared with healthcare professionals. However, some family members also felt as though they were living in the shadow of severe illness, without receiving any support for themselves.

    SIGNIFICANCE OF RESULTS: Several benefits were found for family members from the PREFER intervention, and our results indicate the significance of integrated palliative advanced home and heart failure care. However, in order to improve this intervention, psychosocial professionals should be included on the intervention team and should contribute by paying closer attention and providing targeted support for family members.

  • 27.
    Alwin, Anhar
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Eskander, Johan
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors upplevda svårigheter vid vård av patienter med palliativ diagnos: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care for health professional means trying to achieve the maximum dying person's quality of life and ease suffering. The palliative care for health professionals means to try to achieve the dying person's maximum quality of life and alleviate suffering. The care inclined towards the Swedish national health care program for palliative care and the International Council of Nurses, ICN. The nurse's role and tasks in health care are described where even the four cornerstones elucidated.

    Aim: To elucidate the nurses perceived difficulties in nursing patients with palliative diagnosis.

    Method: The thesis is a literature review based on Friberg's analysis. This literature review includes ten scientific articles that have been searched in the databases CINAHL Complete and PubMed. As a theoretical base, Patricia Benner's theory from novice to expert was selected as a discussion of the results discussion.

    Results: The nurses perceived difficulties of caring for patients with a palliative diagnosis resulted in four main themes in the literature; communication, family and relationship, the health care team as well as knowledge and experience.

    Discussion: The results of the literature review are discussed based on Benner's theory. The nurses' perceived difficulties irradiated by four themes – knowledge and experience, family support, communication between colleagues and towards the patient as well the culture as perceived difficulties.

  • 28.
    Alzghoul, Johan Yahya
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kvinnors upplevelse av att leva med fibromyalgi: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Fibromyalgia is a lifelong disease. The exact cause is unknown, but pain is one of the fundamental symptoms that affects the mobility of the patient. The disease affects about two percent of the world's population and 75-85 percent are women. The etiology behind the disease is not entirely known. It is difficult to diagnose fibromyalgia and patients go through many medical examinations. It usually takes up to five years to receive a diagnosis.

    Aim: The purpose was to describe women’s experience of living with fibromyalgia.

    Method: A literature review based on eight qualitative studies from the databases PubMed and CINAHL.

    Results: Four main categories were identified: The experience of pain and fatigue, experience of total change in the daily life with three subcategories: Limitation in daily routines, limitations in social life and limitations at work. The third main category is the experience of losing identity. The fourth is to be mistrusted with the associated subcategories: To be mistrusted by the surrounding, to be mistrusted by the medical care.

    Discussion: The discussion contains of a method discussion where the weaknesses and strengths of the review are discussed. In the result discussion, the results were discussed using Katie Eriksson's Nursing Theory. Fibromyalgia has a major impact on women’s lives. Pain and fatigue have been described as the basis for all limitations. According to Katie Eriksson theory this can be defined as different kinds of suffering that the woman living with fibromyalgia have experienced.

  • 29.
    Amanbaeva, Asel
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Föräldrar som förlorat en son eller dotter genom ett plötsligt dödsfall: Föräldrars upplevelser i samband med förlusten av ett barn genom plötsligt dödsfall samt möjliga psykiatriska omvårdnadshandlingar i samband med detta2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Parents who suddenly lose a child can be put into a traumatic crisis with mental illness and need for psychiatric care as a result. Studies show that the loss generates mental and physical impairments in parents, clearly noticeable both in private and in working life in the early years. Symptoms of anxiety, hopelessness, fatigue, shame and guilt, insulation, sleep problems are slowing down each year, but memory problems and suicidal thoughts often remain for many years. Increased mental stress in parents affects health negatively and increases mortality over several years due to increased alcohol consumption, smoking, reduced physical activity and unnecessary eating habits.

    Aim: Describe parents' experiences in connection with the loss of a child through sudden deaths as well as possible psychiatric nursing actions in connection with this.

    Method: Qualitative approach comprising a literature study of 12 scientific studies analysed using Evan's descriptive synthesis.

    Results: The result shows that parents needed psychiatric support and follow-up meetings to work through the process of mourning. Furthermore, parents need to have their suffering accepted and that psychiatric healthcare professionals listen to them and that they are properly addressed in their life. People felt the desire for others' understanding and needed to talk about the child's passing away. Not being able to talk to someone about the deceased child was experienced as the most burdensome experience.

    Discussion: In order to respond professionally to these needs, the nurse in psychiatric care needs to reflect on the encounter with mourning parents, give time for conversation, initiate, ask parents about their needs, see each parent as unique, help to find an opinion and to accept the loss, show enthusiasm and compassion as well as offer follow-up meeting.

  • 30.
    Amsberg, Susanne
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Wijk, Ingrid
    Sophiahemmet högskola.
    Livheim, Fredrik
    Karolinska Institutet.
    Toft, Eva
    Karolinska Institutet, Ersta sjukhus.
    Johansson, Unn-Britt
    Sophiahemmet högskola, Södersjukhuset.
    Anderbro, Therese
    Karolinska institutet, Stockholms universitet.
    Acceptance and commitment therapy (ACT) for adult type 1 diabetes management: study protocol for a randomised controlled trial.2018In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, no 11, p. 1-8, article id e022234Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Integrating diabetes self-management into daily life involves a range of complex challenges for affected individuals. Environmental, social, behavioural and emotional psychological factors influence the lives of those with diabetes. The aim of this study is to evaluate the impact of a stress management group intervention based on acceptance and commitment therapy (ACT) among adults living with poorly controlled type 1 diabetes.

    METHODS AND ANALYSIS: This study will use a randomised controlled trial design evaluating treatment as usual (TAU) and ACT versus TAU. The stress management group intervention will be based on ACT and comprises a programme divided into seven 2-hour sessions conducted over 14 weeks. A total of 70 patients who meet inclusion criteria will be recruited over a 2-year period with follow-up after 1, 2 and 5 years.The primary outcome measure will be HbA1c. The secondary outcome measures will be the Depression Anxiety Stress Scales, the Swedish version of the Hypoglycemia Fear Survey, the Swedish version of the Problem Areas in Diabetes Scale, The Summary of Self-Care Activities, Acceptance Action Diabetes Questionnaire, Swedish Acceptance and Action Questionnaire and the Manchester Short Assessment of Quality of Life. The questionnaires will be administered via the internet at baseline, after sessions 4 (study week 7) and 7 (study week 14), and 6, 12 and 24 months later, then finally after 5 years. HbA1c will be measured at the same time points.Assessment of intervention effect will be performed through the analysis of covariance. An intention-to-treat approach will be used. Mixed-model repeated measures will be applied to explore effect of intervention across all time points.

    ETHICS AND DISSEMINATION: The study has received ethical approval (Dnr: 2016/14-31/1). The study findings will be disseminated through peer-reviewed publications, conferences and reports to key stakeholders.

    TRIAL REGISTRATION NUMBER: NCT02914496; Pre-results.

  • 31.
    Ancillotti, Mirko
    et al.
    Uppsala universitet.
    Eriksson, Stefan
    Uppsala universitet.
    Veldwijk, Jorien
    Nederländerna.
    Nihlén Fahlquist, Jessica
    Uppsala universitet.
    Andersson, Dan I
    Uppsala universitet.
    Godskesen, Tove
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Public awareness and individual responsibility needed for judicious use of antibiotics: a qualitative study of public beliefs and perceptions.2018In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 18, no 1, article id 1153Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: High consumption of antibiotics has been identified as an important driver for the increasing antibiotic resistance, considered to be one of the greatest threats to public health globally. Simply informing the public about this consequence is insufficient to induce behavioral change. This study explored beliefs and perceptions among Swedes, with the aim of identifying factors promoting and hindering a judicious approach to antibiotics use. The study focused primarily on the medical use of antibiotics, also considering other aspects connected with antibiotic resistance, such as travelling and food consumption.

    METHODS: Data were collected through focus group discussions at the end of 2016. Twenty-three Swedes were recruited using an area-based approach and purposive sampling, aiming for as heterogeneous groups as possible regarding gender (13 women, 10 men), age (range 20-81, mean 38), and education level. Interview transcripts were analyzed using qualitative content analysis. The Health Belief Model was used as a theoretical framework.

    RESULTS: Antibiotic resistance was identified by participants as a health threat with the potential for terrible consequences. The severity of the problem was perceived more strongly than the actual likelihood of being affected by it. Metaphors such as climate change were abundantly employed to describe antibiotic resistance as a slowly emerging problem. There was a tension between individual (egoistic) and collective (altruistic) reasons for engaging in judicious behavior. The individual effort needed and antibiotics overprescribing were considered major barriers to such behavior. In their discussions, participants stressed the need for empowerment, achieved through good health communication from authorities and family physicians.

    CONCLUSIONS: Knowledge about antibiotic consumption and resistance, as well as values such as altruism and trust in the health care system, has significant influence on both perceptions of individual responsibility and on behavior. This suggests that these factors should be emphasized in health education and health promotion. To instead frame antibiotic resistance as a slowly emerging disaster, risks diminish the public perception of being susceptible to it.

  • 32.
    Anderbro, Therese Carin
    et al.
    Karolinska institutet, Stockholms universitet.
    Amsberg, Susanne
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Moberg, Erik
    Karolinska institutet.
    Gonder-Frederick, Linda
    USA.
    Adamson, Ulf
    Karolinska institutet.
    Lins, Per-Eric
    Karolinska institutet.
    Johansson, Unn-Britt
    Sophiahemmet högskola, Södersjukhuset.
    A longitudinal study of fear of hypoglycaemia in adults with type 1 diabetes.2018In: Endocrinology, diabetes & metabolism, ISSN 2398-9238, Vol. 1, no 2, article id e00013Article in journal (Refereed)
    Abstract [en]

    Aims: To investigate fear of hypoglycaemia (FoH) longitudinally in a cross-sectional study of adult patients with type 1 diabetes. Specifically, we investigated two subgroups of patients who over 4 years either showed a substantial increase or decrease in level of FoH to identify factors associated with changes in FoH.

    Methods: The Swedish version of the Hypoglycaemia Fear Survey (HFS) along with a questionnaire to assess hypoglycaemia history was sent by mail to 764 patients in 2010. The responders in 2010 (n = 469) received another set of the same two questionnaires in 2014. HbA1c, insulin regimen, weight and creatinine from 2010 and 2014 were obtained from medical records. Those with an absolute difference in HFS scores ≥ 75th percentile were included in the subgroup analyses. Statistical analyses included one-sample t tests, chi-square and McNemar's test.

    Results: The absolute difference in the HFS total score (n = 347) between 2010 and 2014 was m = ±7.6, SD ± 6. In the increased FoH group, more patients reported a high level of moderate hypoglycaemic episodes as well as impaired awareness of hypoglycaemia in 2014 compared with the decreased FoH group. There were more subjects in the increased FoH group with insulin pumps in 2014 and in 2010. In the decreased FoH group, more patients had a high frequency of daily self-monitoring of blood glucose (SMBG) in 2010 and in 2014.

    Conclusions: Fear of hypoglycaemia is stable across time for most patients. Changes in fear level are associated with changes in hypoglycaemia frequency. Thus, asking patients about changes in hypoglycaemia experiences is of great importance.

  • 33.
    Andersson, Camilla
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sandstedt, Lisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En litteraturöversikt om compassion fatigue hos sjuksköterskor2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Compassion fatigue among nurses is described as a reduced ability to feel empathy due to being exposed to other peoples trauma, at the same time empathy is seen as one of the core values in nursing. Many nurses lack knowledge about the subject but affected nurses describes it as an overwhelmingly feeling that something is wrong. This may lead to a lot of nurses thinking about leaving the profession.

    Aim: The purpose was to identify the factors that lead to compassion fatigue in nurses.

    Method: A literature review according to Friberg´s method that is based on eleven quantitative articles and one qualitative article.

    Results: The results were presented on the basis of four themes: empathy, feelings of guilt and morol distress, personal and social factors, work related and organizational factors and also age, work experience and professionalism. Some of the factors that cause compassion fatigue were degree of empathetic ability and personal coping strategies.

    Discussion: Watson´s theory of human caring and Conti O´Hare´s theory of the nurse as a wounded healer was used as theoretical frame of reference. Watson describes empathy as one of the core values in her theory of human caring, at the same time the results of the literature review showed that nurses with a higher degree of empathy were at higher risk to develop compassion fatigue. This can be seen as contradictory when empathy is a condition in caring. Conti O´Hare´s theory and the result agree in the regard that if trauma is not handled in a positive way it may lead to illness.

  • 34.
    Andersson, Carina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patientens erfarenhet och behov av stöd och information vid Inflammatorisk tarmsjukdom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Inflammatory bowel disease is a chronic intestinal disease that often requires a lifelong treatment. With the occurrence of an interruption the patient may be stricken by episodes that is difficult to treat. Eventually an untreated inflammatory bowel disease could evolve to colorectal cancer.

    Aim: The aim was to describe the patient’s experiences and its need for support and information regarding the inflammatory bowel disease.

    Method:A literature review according to Friberg, (2017) have been carried through. The literature review is established on eight scientifically studies, which out of four was carried on with mixed methods, three with a quality method and one on quantitative method. The articles were provided via the data platforms; PubMed, Cinahl Complete and Academic Search Complete.

    Results: The result is presented under two major themes and five sub themes. First theme being: Information of disease and treatment with three sub themes; Content of information for a patient with IBD, how information about treatement is given to a patient with IBD and the need of education to nurses to fulfill the patient’s need of information and the second theme being: relationship between nurse and the patient and two sub themes being; The patient’s need of a good relation to its nurse and the patient’s need of a good relationship with the nurse from child to adult care.

    Discussion: The result has been discussed towards prior studies a to wards prior studies a towards Travelbees theory in care taking. There is support for believing that the patient needs information and a good relation towards the nurse.

  • 35.
    Andersson Elmtoft, Natasja
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Att gå i psykoterapi efter pension: En kvalitativ studie av yngre äldre kvinnors behov avpsykoterapi2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Health psychology among elderly is a neglected topic and social authorities ask foralternative treatment methods to medication. Several studies conclude there is alack of research regarding psychotherapy with elderly. Due to this, the aim of thepresent study is to examine the specific issues and life-problems that concernpsychotherapy attending seniors today, and what they consider as helpful intherapy. A qualitative research design was used with interviews conducted withfive women, who had all chosen to attend psychotherapy after retirement. Thewomen were between 64 and 73 years old when the interviews took place. Theresults showed that four of the five women had gone through some kind ofpersonal crisis in connection with their retirement. The women had all soughtpsychotherapy during the life span, due to a variety of reasons and life-problems.The women in this study think that psychotherapy is helpful after retirement, butthat the psychotherapy should be adapted to the specific needs that elderly peopledo have., which is in line with earlier research.

  • 36.
    Andersson, Junia
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Loso, Sanne
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Föräldrars upplevelser av en intrauterin fosterdöd: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: An intrauterine fetal death (IUFD) means losing a child in pregnancy after gestation week 22. Losing a child is rarely included in the image of the future and will affect individuals in different ways. There is usually no explanation to why an IUFD occurs but risk factors such as overweight with the mother, smoking, malformation of the child and placenta failure can cause a sudden death of a child. The prevalence of IUFD is usually higher in low- and middle- income countries. Nurses often find it hard to meet parents who have lost a child. 

    Aim: The aim was to highlight parents experiences of an intrauterine fetal death.

    Method: The method was based on a literature review in accordance to Friberg (2017). The databases that were used was CINAHL Complete, psycINFO and Academic Search Complete. Ten scientific articles were analysed where only qualitative data were included in the result. 

    Results: Two main themes were discovered: Parents emotional responses with subthemes Feelings and thoughts, The relationship with each other after the loss and The memory of the dead child. The importance of support and assistance with subthemes Existential aspects and the beliefs significance and Parents perspectives of healthcare. 

    Discussion: The method discussion brought up weaknesses and strengths. The outcome discussion discussed different subjects out of the nurse perspective with focus on the knowledge of care for bereaved parents and education of nursing care in grief.

  • 37.
    Andersson, Kim
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ideby, Heny Emilia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Faktorer som kan påverka livskavlitén hos patienter med livslång sjukdom som befinner sig i livets slutskede: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today´s view of palliative care, self-determination and person-centered care are in focus, that is the palliative approach. It consists of both general and specialized palliative care. The nurse in today´s society has the task of relieving suffering and preventing the patient´s suffering. Her task also includes promoting quality of life by looking at the physical, mental, social and existential needs of the patient.

    Aim: The aim was to describe what factors may affect the quality of life of patients with lifelong disease who are in the final stages of life.

    Method: This is a literature review where eight quantitative and three qualitative and one article with mixed method. All of the scientific articles have been analyzed. The authors of this study have used the Friberg analysis model (2012).

    Results: The result highlights factors related to three areas that influence the patients’ quality of life: physical an emotional factors, existential factors and social factors. The results show that these factors can influence the quality of life for patients when they are in the final stages of life.

    Discussion: The result are discussed against Katie Eriksson´s nursing theory about suffering, care and health. The primary result of the literature review showed that there are factors that indicate to have an impact on quality of life when they are in the final stages of life. These factors are primarily linked to symptoms and affect the patient both physically as well as psychologically. Many patients experienced this as a barrier to everyday life, which impaired their quality of life. 

  • 38.
    Andersson, Mikael
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Rosengren, Linn
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fysisk aktivitet i samband med rehabilitering efter hjärtinfarkt: patienters upplevelser och tankar: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cardiovascular disease is classified as a public disease in today’s Sweden and affected 26000 people in 2016. The mortality has decreased since nursing wards opened in the 1960s. Despite this improvement, physical activity is underutilized in Sweden associated with rehabilitation, even though it is an important protection factor. Personalized care and motivation is important for the patients’ self-care and their rehabilitation process.

    Aim: Describe patients' experiences or thoughts about physical activity associated with rehabilitation after suffering from myocardial infarction.

    Method: This literature review has been based on eight qualitative and two quantitative articles collected from CINAHL complete, PubMed and Web of Science. The articles were reviewed and analyzed in accordance with Friberg to obtain the result that was compiled in different themes.

    Results: Fear and anxiety were experienced by many patients’ during physical activity after a myocardial infarction. Lack of knowledge and motivation resulted in that patients did not participate in training programs. The healthcare professions, relatives and patient's own assets and social network had a positive impact on the patient's experience of physical activity. The result is presented in four main themes; “Psychic experiences – fear, worries and anxiety”, “social support - relatives, family, participants and healthcare professionals”, “knowledge, understanding and physical factors” and “music as a strategy for motivation in physical activity”.

    Discussion: Dorothea Orem's self-care theory, articles and patients’ experiences formed the discussion. Lack of knowledge and motivation reduces the self-care capacity. Healthcare professions, relatives and own resources are important for motivating and supporting the patient in his self-care.

  • 39.
    Andersson, Stina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Lindström, Sofie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser av att vara MRSA-bärare: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There is a continuous increase in antibiotic-resistant bacteria in Sweden, but the situation is still relatively manageable compared to other countries. The development of resistance is a result of the amount of antibiotics used in today's society. The bacteria Staphylococcus aureus is the cause of many types of infections, from mild to life threatening. The bacteria have caused problems at hospitals since 1955 and are the most notorious cause of healthcare-associated infections. Methicillin-resistant Staphylococcus aureus (MRSA) is one of the associated strains of Staphylococcus aureus that have developed resistance to antibiotics. The communicable diseases act (smittskyddslagen) stipulates that methicillin-resistant Staphylococcus aureus (MRSA) is a dangerous disease. General dangerous diseases are infectious and cause suffering, prolonged periods of illness and other serious consequences.

    Aim: To describe patients’ experiences of being MRSA-carrier.

    Method: A literature review according to Fribergs` method where ten scientific articles were elected to the result. The articles were selected from Cinahl Complete and Medline.

    Results: In the articles analyzed the authors identified six themes: getting a diagnosis, experiences of isolation, experiences of treatment, experiences of knowledge and information, fear of infecting others and thoughts about the future.

    Discussion: Based on Callista Roys adaptation theory, the concept of health, background and other research the result is being discussed. The main findings chosen for discussion are the isolation impact, lack of knowledge and adaptation to life with MRSA.

  • 40.
    Andersson, Åsa
    et al.
    Karolinska institutet.
    Frank, Catharina
    Karolinska institutet.
    Willman, Ania Ml
    Malmö universitet.
    Sandman, Per-Olof
    Karolinska institutet.
    Hansebo, Görel
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Factors contributing to serious adverse events in nursing homes.2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e354-e362Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To identify the most common serious adverse events that occurred in nursing homes and their most frequent contributing factors to the improvement of safe nursing care.

    BACKGROUND: There is a need to improve safe nursing care in nursing homes. Residents are often frail and vulnerable with extensive needs for nursing care. A relatively minor adverse event in nursing care can cause serious injury that could have been preventable.

    DESIGN: This was a retrospective study, with a total sample of data regarding adverse events (n = 173) in nursing homes, concerning nursing care reported by healthcare providers in Sweden to the Health and Social Care Inspectorate. The reports were analysed with content analysis, and the frequencies of the adverse events, and their contributing factors, were described with descriptive statistics.

    RESULTS: Medication errors, falls, delayed or inappropriate intervention and missed nursing care contributed to the vast majority (89%) of the serious adverse events. A total of 693 possible contributing factors were identified. The most common contributing factors were (i) lack of competence, (ii) incomplete or lack of documentation, (iii) teamwork failure and (iv) inadequate communication.

    CONCLUSIONS: The contributing factors frequently interacted yet they varied between different groups of serious adverse events. The resident's safety depends on the availability of staff's competence as well as adequate documentation about the resident's condition. Lack of competence was underestimated by healthcare providers.

    RELEVANCE TO CLINICAL PRACTICE: Registered nurses and assistant nurses need to have awareness of contributing factors to adverse events in nursing care. A holistic approach to improve patient safety in nursing homes requires competence of the staff, safe environments as well as resident's and relative's participation.

  • 41.
    Andrews, Pamela
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Trångteg, Josefin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Känsla av hopp hos patienter med cancer i livets slutskede: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The most common form of cancer in Sweden is prostate- and breast cancer. A large proportion of the patients diagnosed with cancer are in a need of palliative care at the hospice or at home care. These patients often end up in grief, and hope is central to that vulnerable situation. The nurse should enable patients to receive a dignified death, promote quality of life and support close relatives.

    Aim: The aim was to investigate the feeling of hope among patients with cancer in palliative care and palliative home care.

    Method: The literature review method was formed after Friberg. Ten scientific articles were selected from the databases Cinahl Complete, PubMed and PsychINFO. The articles were both qualitative and quantitative.

    Results: The result was divided into three main themes and seven sub-themes; Aspects of hope with the subthemes Hope and Hopelessness and Quality of life; The creation of hope with the subthemes Need of hope, Autonomy; Contradictory emotions at the end of life with the subthemes Acceptance and Facing death. The result showed that the feeling of hope in patients with cancer in palliative care often commutes between hope and hopelessness.

    Discussion: The findings discuss the two keyresults hope and hopelessness that appeared in the results. Katie Eriksson’s theory of hope, the caring relationship and suffering is discussed. Further, it describes patients significance of hope and how this differs among different patient groups. Even patients' mental health is discussed when anxiety and depression can occur among these patients.

  • 42.
    Ankarsköld-Flück, Cassandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    McCoy, Nina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Djurens betydelse för den äldre människans välbefinnande: En litteraturöversikt om faktorer av välbefinnandet hos patienter inom äldreomsorgen som får djurassisterad intervention som ett komplement i vården2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Life expectancy in Sweden has never been as high as in recent years, which will have a big influence on the care of the elderly. The situation is complex and affects primarily the patients in the clinical care. Previous studies show that the elderly patients are at greater risk of loneliness, depression and lack of stimulation for various reasons. In order to meet these needs as nurses in clinical care, we want to investigate whether alternative methods can serve as a complement to the care provided. Alternative methods have become more common in recent years, an example is using animals for therapeutic purposes. We therefore want to illuminate the factors of well-being in patients affected by animal-assisted intervention as a complement to health care.

    Aim: The aim was to illuminate the factors of well-being in patients of the geriatric nursing who receive animal-assisted intervention as a complement to standard care.   

    Method: A literature review has been done, where eleven scientific articles from 2008 to 2018 form the results. The articles that were included were national or international. The data collection has been made in three different databases; CINAHL Complete, PsycINFO and PubMed.

    Results: After analysis of the result, four factors emerged for the well-being; physical, mental, social and existential. The result showed that animal-assisted interventions may have positive, negative and / or no effects at all for the well-being of older patients. This type of intervention can serve as a supplement in the care of primary care in the treatment of mental and social interaction.

    Discussion: Patients in elderly care are a risk group for impaired well-being and where pharmacological treatments are commonplace. Animal-assisted intervention can be seen as a non-pharmacological treatment, where well-being can be promoted from a holistic perspective to the elderly patient in standard care. More research is needed on how animal-assisted intervention can replace certain pharmacological treatment. Callista Roys adaptation model supports the nurse's work for understanding patients' ability to adapt to the environment and influence the environment in a self-assertive manner.

  • 43.
    Anna, Nygren
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Julia, Nygren
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Orsaker till föräldrars beslut att inte vaccinera sina barn: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 44.
    Ardelius Lindgren, Sally
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Vasberg, Linnéa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Nurses’ experiences of caring for migrant patients: A qualitative interview study conducted in San José, Costa Rica2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 45.
    Arnsvik, Elin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Malm, Jenny
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Anhörigas upplevelse av att stötta sin partner med en kurativ cancersjukdom: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A large number of individuals are affected by cancer disease every year, but due to improved treatment and early discovery many are cured. The illness, also affect the patient´s significant other and may increase their risk of own health-related problems.

    Aim: The aim was to describe significant others´ experiences when supporting a partner in curative phase of cancer disease.

    Method: The results are based on twelve scientific articles and categorized in seven themes. The Roy Adaptation model was used to discuss the result. Data were collected from the CINAHL and PUBMED databases, including articles from the years 2007-2017.

    Results: The results show that significant others´ own needs were put aside during their partner´s illness. Their identities were affected as they were adapting their everyday life to be able to support their partner. A partner´s illness also changed the couple’s roles as the couples responsibility changed within the relationship. If the significant other experienced the support as burdensome their health could be negatively affected. Significant others´ experienced their relationship to their partner to improve during the illness.

    Discussion: The four adaptation modes by Roy are related to each other and are hard to distinguish and the holistic view of each person is important. We conclude that it is important that the health care system also acknowledges the significant other´s needs and situations and thereby provide support needed to elude future health issues.

  • 46.
    Arrak, Milad
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Madlool, Aya
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Äldres upplevelse av depression: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In today's Sweden the rise of psychological illness has increased with eachpassing year, and is now one of the greatest ailments in our society. The maincontributer to this rise correlates to the diagnoses of depression. The latestfigures shows that 20 percent of our elders suffers from psychological illness.The origins of depression, both for young and old alike, may stem frombiological and social factors. The difficulty in establishing a diagnosis ofdepression with elderly - unlike with the young - is partly because elderlydepression manifests itself differently.

  • 47.
    Asadi, Soudabeh
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans omvårdnad för att minska aggressivitet hos personer med demenssjukdom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [sv]

    Demenssjukdom är en av de största framtida sjukdomarna. 30 procent av inlagda patienter över 65 år lider av demenssjukdom. Medellivslängden ökar eftersom gruppen äldre ökar, vilket medför att även antalet personer med demenssjukdom ökar för varje år. Beteendemässiga och psykiska symptom vid demens (BPSD) är vanligt förekommande som en följd av demenssjukdom. Den sjuke visar ett beteende som är svårt att hantera för vårdgivare och det orsakar stor påverkan på den sjukes omgivning. Fysisk eller verbal aggressivitet inte ett helt ovanligt beteende hos dessa patienter. Syftet var att belysa sjuksköterskans omvårdnad för att minska aggressivitet hos personer med demenssjukdom. I resultatet framkom ett huvudtema och fyra underteman för förebyggande av aggressivitet. Vårdmiljöns betydelse, betydelsen av sjuksköterskans kunskap, betydelsen av sjuksköterskans kommunikation och betydelsen av drabbades livshistoria var förutom huvudtemat Förebyggande av aggressivitet, de fyra teman som belystes i resultatet.

  • 48.
    Asgedom, Dina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Bogale, Serkalem
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att vårda en person med HIV: Närståendes upplevelser2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bakgrund: HIV is a chronic disease that affects people worldwide and is associated with shame, guilt and vulnerability. Both the person with an HIV and the related are physically and psychologically exposed. Studies have shown that relatives of the patients with chronic diseases are often neglected. In today's society, it has become more common for relatives to care - so it is important that their experiences are taken into consideration in order to be offered the right support. The nurse has a responsibility to include and support the related persons in order to maintain their role as carers. Aim: The aim of this literature study was to highlight the family caregivers’ experiences of caring for a person who has HIV. Method: A literature review consisting of ten scientific articles found in three different databases. The articles have both qualitative and mixed design. The content analysis was conducted according to Friberg. Results: The results exposed different categories and subcategories; The emotions of the family caregivers with the subcategories Fear, Frustration, Hope and hopelessness as well as the family caregivers’ positive experiences of caring; Consequences that family caregivers faced during caring for relatives with the subcategories Stress, Care burden and Responsibility as well as Stigmatization. The other main categories are Knowledge and lack of knowledge as well as support and luck of support. Discussion: The outcome discussion explains how stigmatism has different consequences for the relatives in association with the care of a person with HIV. The premises are primarily taken from Eriksson's caritative theory, focusing on the concepts of health and suffering. Knowledge and lack of knowledge for the relatives are also discussed based on the family caregiver’s conditions to care for the person who has HIV.

  • 49.
    Asperheim, Therese
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Heda, Kolleta
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fysiska aktiviteter och välbefinnande hos patienter med reumatisk artrit: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Rheumatic arthritis is an inflammatory disease that affects man both mentally, physically and socially. The disease causes the presence of pain, stiffness and fatigue which affects patient's level of activity and sense of well-being. The consequence of rheumatic arthritis means life changes as well as adjustments to the disease and reduced level of physical activity.

    Aim: To highlight how physical activity affects well-being in patients with rheumatic arthritis.

    Method: A literature review was conducted and based on ten scientific articles. Included articles consisted of eight quantitative articles, a qualitative as well as a mixed design article. The analysis was conducted using Friberg (2017) and resulted in two themes.

    Results: The result showed that physical activity gave patients greater well-being. Factors for motivation and limitation of physical activity were identified. Physical activity was feasible and accepted for patients with rheumatic arthritis. Disease activity was not affected by increased physical activity and therefore motivated patients to be active and maintain physical activities.

    Discussion: Patients needed knowledge about the management of the disease's symptoms and how inactivity affected wellbeing. Sedentary behavior was common in patients with rheumatic arthritis, where the nurse's ability to detect this was important. Adapting to life with rheumatic arthritis was important to increase well-being and maintain the balance between activity and rest. Self-efficacy motivated patients to maintain physical activity.

  • 50.
    Astvik, Elin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Andersson, Amanda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Filipino nurses’ experiences of nursing in the public health care settings in the Philippines: A qualitative interview study2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The Philippines gained independency year 1946. Health services in the country were decentralized year 1991 and was moved from a national level to local government. The public health care system still appears obscure among the growing population and concerns over the public health care settings’ accessibility and quality remain. Religion is significant for the 95 percent Christians who lives in the country and the population obtain a deep faith in God. As the leading exporter of health workforce, nurses that remain in the public health care setting face challenges of workload in a challenging work environment. This study has been made to obtain deeper understanding of Filipino nurses’ experiences of practicing nursing in the public health care settings in the Philippines.

    Aim: The aim was to describe Filipino nurses’ experiences of practice nursing in the public health care settings in the Philippines.

    Method: The design is a descriptive qualitative interview study consisting of semi-structured interviews with nine nurses in Palawan, Philippines. The material was analyzed using qualitative content analysis with an inductive approach.

    Result: Nurses in this study experience challenges caused by lack of resources and restricted budget. This results in an increased workload and an inadequate nurse to patient ratio which in order create experiences of threatened patient’s safety. Nurses experience feelings of insufficiency in the profession and therefore, have an increased risk of burnout and errors.

    Discussion: The discussion addresses nurses’ challenges of practice nursing in public health care settings. The nurses are not able to deliver the care they want due to an oppressive workload and time constraint which in order affect the interaction with patients. Several nurses’ experience patient safety being threatened and mention their way of practicing nursing as unsafe which cause feelings of being helpless and insufficient among the nurses in this study. Christianity plays a significant role for the participants in practicing nursing. Nurses coming on and off shifts have daily prayers together which is experienced as energizing for the nurses, as they find strength and wisdom through the beliefs in God.

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