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  • 101.
    Beltrán, Carolina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Neway, Tamirat
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskor erfarenheter av och förutsättningar för att vårda patienter med stroke: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stroke is the second most common cause of death worldwide. There are   several factors that can contribute to the occurence stroke such as smoking, inactivity, diabetes and high age. As a result of the disease,   the individual can suffer from various functional impairments that affect the   ability to move, as well as cognitive, swallowing and communications. In   addition to this, the disease can also cause psychosocial problems. The nurse   has a responsibility in the care of stroke patients, where she helps   the patient to plan and carry out actions that belong to daily life. Nursing aims to improve the wellbeing of the   patient by preventing illness and restoring health.

    Aim: The aim was to describe the nurses' experiences and conditions of   caring for patients with stroke.

    Method: A literature review was conducted using ten scientific articles that   were published between the years 2008-2019. The articles were selected from   the databases PubMed and CINAHL Complete. The keywords used were nurses` experiences,   caring, nurse*, experiences, stroke patients, nurses, stroke, nurse`s   experiences and nurse perspective. The literature review was analyzed   according to Friberg's method. The results of the articles were analyzed   using color coding, where similarities and differences were found, and five   different themes were identified.

    Results: In the results of the literature review, five central themes are   identified that concern 1) the nurse's perception of role; 2) the nurse's   perception of knowledge; 3) relation to patients and their kin; 4)   collaboration with other healthcare professionals and 5) challenges in the environment.

    Discussion: In   the discussion, Katie Eriksson's theory is used as a starting point. Results   of this literature review are discussed on the basis of this nursing theory   with a focus on the concept of health, suffering, selfcare and caring.

  • 102.
    Ben Rouha, Amira Elwira
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mesrour, Ibtissam
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med ett transplanterat hjärta: En litteraturstudie från patientens perspektiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart transplantation has been performed since the 1960s and is today the last treatment option for severe and non-treatable heart failure. After a heart transplant, a lifelong medication is followed which reduces the risk of rejection. Patients need regular check-ups and visits to control drug dosing and to prevent side effects. The nurse has a central role in the care of heart transplant patients. It is important that the nurse has knowledge of how these patients experience their life after the heart transplant, in order to provide support and adequate person-centered care. The nurse's responsibility is to also inform the patients and their relatives about heart transplants.

    Aim: The aim was to describe patients experience of living with a transplanted heart.

    Method: The literature review was based on ten scientific articles. The articles have been analyzed and thematized with color coding. The databases CINAHL Complete and PubMed were used to search for the articles. Only qualitative articles were used in the results.

    Results: The result was presented in four themes. These four themes were Life after a heart transplant meant altered physical abilities, Life with a new heart meant mixed emotions, Life after heart transplant was affected by the donor and A life with a new heart meant a need for support. The result showed that patients' everyday lives had been affected both physically and mentally in conjunction with the heart transplant. The patients expressed this with different conflicting feelings, both positive and negative. The need of support from the family, care team and faith were of great importance in patients' adaptation to the new life situation. The better the support, the more the patients' quality of life increased.

    Discussion: The discussion is divided into two parts. The method discussion contains the strengths and weaknesses of the authors' implementation of the literature review. In the results discussion, the authors chose to discuss the onset of mental illness in patients following a heart transplant and the importance of good information and communication in health care. It concludes with the nurse's importance of knowing the difference between health care in Sweden and in other countries.

  • 103.
    Bengtsson, Eva-Lotta
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    "Konventionsstaterna ska tillförsäkra det barn som är i stånd att bilda egna åsikter rätten att fritt uttrycka dessa i alla frågor som rör barnet.": Barnkonventionen, artikel 12.2019In: Utsatthet och ansvar: Flickan med svavelstickorna i vår tid / [ed] Gunilla Silfverberg, Stockholm: Appell Förlag , 2019, 1, p. 75-75Chapter in book (Other (popular science, discussion, etc.))
  • 104.
    Bengtsson, Eva-Lotta
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    "Socialnämnden ska verka för att barn och unga växer upp under trygga och goda förhållanden.": Socialtjänstlagen, 5 kap. 1 §2019In: Utsatthet och ansvar: Flickan med svavelstickorna i vår tid / [ed] Gunilla Silfverberg, Stockholm: Appell Förlag , 2019, 1, p. 77-77Chapter in book (Other (popular science, discussion, etc.))
  • 105.
    Bengtsson, Linn
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjöblom, Emelie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Närståendes upplevelse i samband med palliativ vård: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care aims to improve the patients and the next of kin’s quality of life, through prevention and relief of suffering at an early stage in life-threatening sickness. Patients in palliative care are often surrounded by next of kin’s, which are the closest persons in the patient’s relations. Next of kin have a great importance for the patient's mood and well-being, thus they have an important role in nursing. To be a next of kin to a patient in palliative care can impact the next of kin in different ways. The next of kin often becomes affected in some way by being in this situation. 

    Aim: The aim of this study was to describe next of kin’s experiences in conjunction with palliative care.

    Method: The chosen method for this essay was a literature review. Eleven scientific articles were included in the result of the essay, ten which was of qualitative method, and one of mixed method. The authors used Friberg’s (2017) approach during the analysis procedure.

    Results: Three main themes with eight subthemes were identified in the result; The last time together with the subthemes;Meaning and quality timeand Presence at the time of death. The second main theme is; Feelings in conjunction with palliative care with the subthemes; Guilt and putting aside own needs, Support in grief management and After the patient passed away. The final main theme consists of the Meeting with health professionalswith the subthemes; Participation and affirmation, Worry and powerless andCommunication and information.

    Discussion: The method discussion presents the authors work procedure and their considerations along with strengths and weaknesses of the essay. The results discussion procures support and guilt related to the caritative theory of Eriksson, as well as traditional and religious aspects of palliative care. 

  • 106.
    Berg, Molly
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Johannesson, Åsa
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Barnombud: En kvalitativ studie om att arbeta med barns rättigheter2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This qualitative study aims to understand and identify the children's right workers - advocates - specific knowledge and experiences in order to be able to contribute a creative discussion about what this can bring to other professional groups working with children and young people. This is done by examining how children advocates work to strengthen children's rights as well as their reflections on and experiences of this work. The study is based on interviews with advocates in non-profit organizations representing children in contact with social welfare institutions. The interviews have been analyzed by applying concepts and theories such as advocacy, empowerment and Roger Hart's Ladder of Participation. The advocates tell about authorities having difficulties making children involved in decisions concerning them, and about children and young people who are denied their rights. A vital part of the work of the advocates is about making children involved in decisions that affect their own lives. This is achieved by listening and creating relationships based on trust, which according to the advocates is a prerequisite for advocacy. The work with relationships can be seen as a part of a process of empowerment that gives children increased self-confidence. It also helps the children realize that their experiences and opinions matter. The advocates strengthen children's participation in authority decisions by being a link between children and the authorities. An important part is to make the information from the authorities understandable. Through the advocacy, the children also increase their knowledge and understanding of their rights. One conclusion is that even seemingly small efforts, such as listening and believing in their stories, can make big differences for the children. Another conclusion is that there is a large gap between existing resources and the need for the advocates’ work. The fact that the UN Convention on the Rights of the Child becomes law in Sweden, will probably be of importance for the future work of the advocates. Several of the advocates claim that more must be done to ensure that children's rights are met.

  • 107.
    Berg, Simon
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mansour, Maxim
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Faktorer som påverkar upplevt välbefinnande hos patienter inom den palliativa hemsjukvården: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The development of society and the ongoing medical change have contributed to the development of palliative home care. It has become increasingly common for patients to choose to be treated palliatively at home. One of the key concepts in healthcare is the well-being, this term can be seen as a subjective concept and closely linked to quality of life. Well-being means experiencing mild suffering and being satisfied with their life situation. Healthcare professionals working in palliative home care describe several factors that they consider to be of importance to the patient's experience of well-being and good palliative care.

    Aim: To illuminate affecting factors of well-being in adult patients in the palliative home care.

    Method: This degree project has been carried out as a literature review where 13 scientific articles have been studied. The articles were analyzed by Friberg’s method and the foundations and differences regarding the patient's perception of well-being were presented in three themes.

    Results: Based on analysis of scientific articles, three themes were created: relationships, hope and a secure base. The perception of well-being in patients proved to be linked to factors affecting a secure base, hope and relationships.

    Discussion: The method was discussed based on the chosen method and the articles strengths and weaknesses. The result was discussed based on other studies in the same areas as well as Calista Roy’s adaptation model.

  • 108.
    Bergdahl, Elisabeth
    et al.
    Norge.
    Ternestedt, Britt-Marie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Berterö, Carina
    Linköpings universitet.
    Andershed, Birgitta
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Norge.
    The theory of a co-creative process in advanced palliative home care nursing encounters: A qualitative deductive approach over time.2019In: Nursing open, ISSN 2054-1058, Vol. 6, no 1, p. 175-188Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: The aim of this study was to test the theoretical conceptualization of the co-creative process in home care nursing encounters over time.

    Method and design: This was a multiple case study with a deductive analysis of qualitative data over time, using interviews and observations collected from three cases.

    Results: The co-creative process was complex and contained main, sub- and micro-processes. Time was important and valuable, giving the patient and relatives space to adjust the process to their own pace. Some processes were worked on more intensively in accordance with the patients' and relatives' needs, and these are considered the main-process. The further developed theory of the co-creative process and its main, sub- and microprocesses can be understood as a concretization of how good nursing care can be performed within caring relationships in the context of advanced palliative home care.

  • 109.
    Bergdahl, Johan
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Matilda, Ekdahl
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans upplevelser av beslut angående livsuppehållande behandling inom akut- och intensivvård: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year around 400 000 patients arrives at the emergency wards on the hospitals in Stockholm. Emergency and intensive cares purpose is to take care of acute cases of illness and accidents, and the most prioritized cases ends up within the intensive care units, ICU. Intensive care regards specialized medical staff and modern medicinaltechnology equipment. Nurses task involves promoting the patients’ health, with a unique knowledge about the human with a holistic view, with an attitude well-founded in ethics. Nurses within the intensive care units use life-sustaining treatments and measures from respirators to medicines to save lifes. In spite of this, approximately every fifth patient who is hospitalized in the intensive care unit passes away, and many patients condition can be so critical that communication isn’t an option. Nurses within emergency and intensive care comes across a lot of obstacles in their profession to nurse the patients’ health and might have to perform life-sustaining treatments without approval from the patients.

    Aim: The aim of this study was to understand the   nurses experiences and how nurses handle descisions regarding life-sustaining   treatments on patients within emegergency and intensive care.

    Method: The authors made a litterature   review of allready existing data from scientificle articles, to summerize   nurses different experiences regarding descisions of life-sustatining   treatment, and how the nurses handle these situations.

    Results: Nurses described different   obstacles regarding deciscions of life-sustaining treatment which caused emotional   stress. The authors identified these obstacles as communication, cooperation,   planing, environment and an emotional weight. Nurses could find a purpose and   context in thier role as experts of caring even though there was a decision   about ending life-sustaining treatment on terminal patients.

    Discussion: The authours discussed the   choise of method for this study and the different obstacles, experiences and   how the nurses handle psychological and emotional stress, from litterature,   scientifical articales and Aaron Antonovsky’s contexttheory and Callista Roy’s theory about adaptation.

  • 110.
    Berglund, Anna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fält, Kristina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kvinnors upplevelser av bemötandet från vårdpersonal efter våld i nära relation: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intimate partner violence includes psychological, physical and sexual violence that occur between individuals in close relation to each other. It is a public health problem that deteriorates health for the vulnerable. Women who are exposed to violence often come into contact with the health care system because of the damage sustained, but health personnel feel that they have insufficient knowledge in the matter.

    Aim: The aim was to illuminate how the women exposed to intimate partner violence by a male partner experienced treatment of the health personnel.

    Method: A literature review has been carried out. Ten qualitative scientific articles taken from the database PubMed and CINAHL Complete have been used as a basis for the result.

    Results: Five themes appeared in the result. Doubts for seeking care, To receive questions from healthcare staff, Attitudes and treatment from healthcare staff, Lack of privacy and time and Being affirmed, heard and taken seriously.

    Discussion: The overall findings of the result about the importance of healthcare professionals asking whether violence in close relationship, time shortage in healthcare and person –centered care discussed. The discussion is conducted in relation to background of the literature review, other relevant researches, the author’s own reflections and Katie Eriksson’s perspective on suffering and the nurse’s attitude towards the suffering person.

  • 111.
    Berglund, Sanna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Tsarfati, Naomi
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kvinnors upplevelser av att leva med premenstruellt syndrom: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:  The menstruation cycle is a complex cycle that fertile women experience every month. It consists of hormone variations that affect the body in many ways. PMS is a syndrome that appears before the menstruation phase of the cycle and can be experienced up to two weeks before menstruation. Society contains a view of the premenstrual women as weak, unstable and erratic. The nurse's primary professional responsibility is to promote health and alleviate suffering. The nurse should show compassion, responsiveness and respect towards the patients and work towards equality and social justice.

    Aim: The aim of this literature review was to describe women's experiences of living with premenstrual syndrome.

    Method: The method chosen was a literature study with scientific studies that were identified by searching the databases CINAHL, PsycINFO, Medline and through secondary searches. Eight qualitative and two mixed method studies form the basis for the results part. Analysis was carried out with the identification of categories to compile scientific knowledge.

    Results: The results are presented in four categories which describes women's experiences of living with premenstrual syndrome: The influence of bodily and emotional changes in everyday life, to feel affected by one’s own perception and the attitude of others, understanding and support through conversation and to try to manage PMS in everyday life. The results show that women experienced a variation of mental and physical changes during PMS. Women felt that men have negative attitudes about menstruation and PMS. Women also experienced a need for understanding and support.

    Discussion: The authors discussed women’s experiences of living with PMS with the support of Marta C Nussbaum’s capabilities model and ICN’s code of ethics. The discussion was developed further by scientific literature and the authors own reflections related to the result. Suffering from PMS can bring consequences and restrictions to women's daily life. These experiences may also be influenced by society's views on women's health and prevailing social structures. Nurses have a significant role in supporting women in managing PMS and also work for equality in health care.

  • 112.
    Bergman, Erika
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Täckholm Wiblom, Fanny
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    COMPASSION FATIGUE BLAND SJUKSKÖTERSKOR: EN LITTERATURÖVERSIKT ÖVER FAKTORER SOM KAN BIDRA TILL DESS UTVECKLANDE2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: There is currently a shortage of nursing staff in Sweden. Following on from a population increase, this shortage is expected to increase in upcoming years. According to 2014 statistics, one out of ten licensed nurses do not work within a healthcare setting, and one of the main contributing factors to this is stress. Stress is also the main reason for sick leave among nurses. A fairly new concept in Sweden, Compassion Fatigue, is a condition of secondary traumatic stress, which affects healthcare professionals. This condition is relatively unexplored in Sweden.

    AIM: The aim of this literature review was to shed light onhighlight factors that may impact on the development of compassion fatigue among nurses.

    METHOD: A literature review according to Friberg’s method which was based on seven quantitative studies, two qualitative studies and one study of mixed methods.

    RESULTS: The results are presented based on five main categories: Demographic factors (age, gender and marital status); Environmental factors (importance of leadership, work load and staff turnover); Occupational factors (level of education, professional experience, working hours and department); Coping (healthy and unhealthy management strategies); Acknowledgement and support (from colleagues, management and relatives).

    DISCUSSION: A lack of knowledge about Compassion Fatigue among nurses as well as management is the main reason for its developtment. Education and supportive measures, based on Watson’s theory of human caring, can be used to prevent Compassion Fatigue.

  • 113.
    Bergman, Love
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Britton, Asabea
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kneck, Åsa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Health-related stigma related to leprosy: What can be learned from nurses in Ghana?2018In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 38, no 2, p. 96-102Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe nurses’ experiences of how stigma affected the care and health of patients with leprosy. Health-related stigma exists worldwide and affects patients, relatives and caregivers. Mere word ‘leprosy’ is often met with disgust, shame and fear. Knowledge of health-related stigma is important for developing care in different parts of the world. The study has a qualitative, descriptive design. Seven semi-structured individual interviews were conducted with nurses working at a hospital specializing in leprosy care. The study was carried out in the central region of Ghana. Data were analysed using qualitative content analysis. The findings are presented as one theme, ‘Increased knowledge and holistic interventions are important in care for patients with leprosy’, and three sub-themes: ‘knowledge and beliefs are intimately interlaced with leprosy-related stigma’, ‘information is important but not enough to change behaviours and attitudes’ and ‘long-term interventions in a social context’. We conclude that caring for patients with leprosy involved long-term interventions, not at least in relation to education on a society level as well as concerning patients’ abilities to learn a skill to make an income in order to be less dependent on healthcare facilities.

  • 114.
    Bergquist, Maja
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Andersson, Agnes
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    ”Det gjorde ont i hjärtat ibland”: - En kvalitativ undersökning om socialsekreterares erfarenheter av etiska dilemman i arbetet med ensamkommande barn och unga under 2015/20162018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study has been to describe and understand social workers’ experiences of dealing with ethical dilemmas that arose in the work with unaccompanied children and young people during 2015/2016, and how social workers’ handled these dilemmas. The study has had a qualitative research method with semi-structured interviews. In total, seven social workers from the county of Västmanland, Sweden, who worked with unaccompanied children and young people during 2015/2016, participated in the study. The results of the study have been analysed and interpreted based on the theory of coping, normative ethics and also previous research in the field. The results of the study show that social workers faced a lot of difficulties, but were not purely ethical dilemmas, but had characters in the form of ethical difficulties and problems. These ethical difficulties have arisen in several arenas, in collaboration with the Swedish Migration Board, from a politically-driven organization with guidelines and economic constraints as well as in the meeting with children and young people. The result also shows that the social wokers have been affected both privately and professionally. Five out of seven social workers have been sick-listed during the period, and several have had difficulty coping with ethical difficulties. The social workers have dealt with these ethical difficulties using different coping strategies.

  • 115.
    Bergsmeds, Veronica
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hedlund, Annelie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med migrän: En litteraturöversikt om personers erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Migraines are a common disease which means more than classical headache, since it is both chronic and hereditary. How migraines are experienced varies from individual to individual. The disease has been known since ages, and according to the research, it occurs more often in women than in men. The process of diagnosing migraine is often long because of lack of knowledge and the disease is not a priority in health care. 

    Aim: To describe people's experiences of living with migraine.

    Method: The articles were analyzed and reviewed according to Friberg's method for literature review and resulted in two themes.

    Results: In the analysis, the authors of the literature review identified the individuals who participated in the studies constantly experiencing and saying that migraines are not taken seriously by caregivers, employers and sometimes even from other environments. The disease, the process of obtaining a diagnosis, having to change lifestyle and being limited is something that awakens emotions.

    Discussion: The authors chose to discuss the result based on Katie Eriksson's Caritative Care Theory. The basis of the caritative care theory is the love of the individual, which means that the nurse should walk with that suffering and relieve her suffering to achieve as optimal health as possible. Linked to Katie Eriksson's theory led to lack of understanding, knowledge and treatment of caregiver and other surroundings for an unjustified care-ward.

  • 116.
    Bergström, Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors möjligheter till självreflektion inom psykiatrisk vård: En litteraturstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Backgound: Self-reflection means being able to observe oneself, their reactions and beingable to talk to themselves about their actions and their experiences. It is a conscious search forunderstanding. Reflection provides the opportunity to develop professional awareness ofone ́s own way of functioning and reacting. Through systematic reflection, the individual candevelop and link theory to practice. The individual must consciously evaluate theirexperiences in order to learn from them.

    Aim: The purpose of this study is to elucidate nurses ́ opportunities for self-reflection inpsychiatric careMethod: An integrative literature study was used as a method. Data were obtained from thedatabases Cinahl Plus, PubMed and PSYCinfo. A total of six articles form the basis for theresult. The material has been analyzed using the Whittemore and Knafls (2005) method.

    Results: Nurses need to create space for self-reflection. The study showed that employersneeded to enable self-reflection to be exercised in the workplace and employees needed toappreciate that self-reflection could serve as an aid in psychiatric nursing. It was alsoeducators, in an educational situation, were interested in the individual ́s learning and hadknowledge of how to teach self-reflection.

    Conclusion: Opportunities for self-reflection are time, knowledge and a permissiveenvironment where the nurse or nurse student can and dare to ask questions and where there isa common norm that values self-reflection in the workplace.

  • 117.
    Berzelius, Erik
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Loheim Hammarberg, Jimmy
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors uppfattningar om tillämpning av omvårdnadsforskning i klinisk verksamhet: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nurses’ responsibility is to give good and safe health care based on nursing science and proved practice, and also keeping up to date with the latest nursing science. The most common use of research utilization is instrumental, which is nursing science directly applied when caring for patients. By acquiring and utilizing new nursing science, the nurse is able to develop safe care for patients. 

    Aim: The aim of this review was to describe nurses’ perceptions of implementing research science in clinical practice.

    Method: A literary review based on studies acquired from the database CINAHL Complete and Academic Search Complete 

    Result: The impact of nursing science describes that nurses believe nursing science as important for the evolvement and quality of the profession, but perceives it to be too complex to utilize. Nurses’ perceptions of barriers and facilitators towards research utilization in nursing science describe what organizational factors affect nurses´ perceptions of research utilization in nursing care. Nurses also describe that they want to utilize research, but they lack the skill to critically appraise scientific literature. Lack of time and low research availability are described as barriers towards research, and support and engagement from nursing administrators are considered a facilitator towards better research utilization.

    Discussion: Despite having a positive attitude towards nursing science, the result shows that the nurses today find it difficult to implement it in a clinical practice. The results indicate that there needs to be support from the management to facilitate research utilization in a clinical practice. 

  • 118.
    Beyermann, Alexandra
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors stöd till närstående till personer med als inom den specialiserade palliativa hemsjukvården: Ramberättelse2019Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
  • 119.
    Bielsten, Therése
    et al.
    Linköpings universitet.
    Hellström, Ingrid
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Linköpings universitet.
    A review of couple-centred interventions in dementia: Exploring the what and why - Part A.2017In: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, article id 1471301217737652Article in journal (Refereed)
    Abstract [en]

    Introduction Symptoms of dementia bring about challenges to couples' relationships. Relationship-focused support has been highlighted to be of significant importance for sustained relationship quality and to reduce the negative impact of dementia on the dyadic relationship. This review aimed to explore the 'what' and 'why' of interventions aimed at couples where one partner has a diagnosis of dementia and in which the couple jointly participate. Method Searches were performed in Academic Search Premier, CINAHL, PsycINFO, PubMed, Scopus and Web of Science from January 2000 to August 2017. Results Six studies were included. Objectives for the person with dementia was related to cognitive function and for the care partner the objectives were related to well-being. The majority of the outcomes were mirrored by the objectives and focused on cognitive function for people with dementia and depression and relationship quality for care partners. Our findings indicate that people with dementia should be included in the assessment of the relationship in order to gain an overall picture of relationship dynamics and to increase tailored support in couple-centred interventions. Conclusions The findings of this review indicate that joint interventions for people with dementia and care partners are lacking a genuine dyadic approach where both partners' views of their relationship are valued. In order to identify targets for support and to use the appropriate outcome measures, the quality of the relationship should be recognised and taken into account. Moreover, there is a lack of a salutogenic approach in couple-centred interventions in which couples' strengths and resources can be identified and supported.

  • 120.
    Birgisdóttir, Dröfn
    et al.
    Lunds univeristet.
    Bylund Grenklo, Tove
    Karolinska institutet, Högskolan i Gävle.
    Nyberg, Tommy
    Karolinska institutet & Storbritannien..
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Steineck, Gunnar
    Göteborgs universitet.
    Fürst, Carl J
    Lunds universitet.
    Losing a parent to cancer as a teenager: Family cohesion in childhood, teenage, and young adulthood as perceived by bereaved and non-bereaved youths.2019In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to investigate levels of perceived family cohesion during childhood, teenage years, and young adulthood in cancer-bereaved youths compared with non-bereaved peers.

    METHODS: In this nationwide, population-based study, 622 (73%) young adults (aged 18-26) who had lost a parent to cancer 6 to 9 years previously, when they were teenagers (aged 13-16), and 330 (78%) non-bereaved peers from a matched random sample answered a study-specific questionnaire. Associations were assessed using multivariable logistic regression.

    RESULTS: Compared with non-bereaved youths, the cancer-bereaved participants were more likely to report poor family cohesion during teenage years (odds ratio [OR] 1.6, 95% CI, 1.0-2.4, and 2.3, 95% CI, 1.5-3.5, for paternally and maternally bereaved youths, respectively). This was also seen in young adulthood among maternally bereaved participants (OR 2.5; 95% CI, 1.6-4.1), while there was no difference between paternally bereaved and non-bereaved youths. After controlling for a number of covariates (eg, year of birth, number of siblings, and depression), the adjusted ORs for poor family cohesion remained statistically significant. In a further analysis stratified for gender, this difference in perceived poor family cohesion was only noted in females.

    CONCLUSION: Teenage loss of a parent to cancer was associated with perceived poor family cohesion during teenage years. This was also noted in young adulthood among the maternally bereaved. Females were more likely to report poor family cohesion. Our results indicate a need for increased awareness of family cohesion in bereaved-to-be families with teenage offspring, with special attention to gender roles.

  • 121.
    Birkeros, Anna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Rådström, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Livet är en dosfråga: Ett liv med insulinpump ur ett föräldraperspektiv: en litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 122.
    Birol, Suzan
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hagman, Karin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Faktorer som påverkar sjuksköterskans Empowerment inom Hälso- och sjukvården: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Empowerment means power and the ability to have control over one’s own life. Empowerment is used in many different sectors such as healthcare , education and economics. Empowerment can be used by anyone who in any way works to help people in both private and public sectors. It is therefore of interest to investigate what is important for nurses to feel empowerment.

  • 123.
    Bjerkenstedt, Monica
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att arbeta enligt ACT-modellen: Specialistsjuksköterskans erfarenheter av sin kompetens i teamet2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The ACT model developed in the 70's and 80's when many psychiatric clinics were closed in the United States. The original ACT model can be seen as a full service model but has since been modified and adapted to the current conditions of society and health care. As it appears today, several models have been developed based on the ACT model but can be distinguished by which components are included. The model has shown positive results regarding patient participation and recovery. The nurse has a wide professional background and is considered to be an important part of the team. With their skills, they have the basic knowledge to perform medical and psychiatric care, but several studies have shown that there is a need for specialist educated nurses, as many of the patients are severely ill.

    Aim: The aim of this study was to describe the psychiatric specialist nurse's experience of their competence and role in teams working under the ACT model.

    Method: A qualitative design has been selected. Data collection was done with semi-structured interviews. A qualitative content analysis with inductive approach was used to process the material.

    Results: The content analysis resulted in two main categories, skills in the team and the versatile nurse, with six associated subcategories.

    Discussions: The result was discussed based on the two main categories, skills in the team and the versatile nurse. In support of the discussion, relevant topics and literature were used as well as Phil Barker's ten obligations as a starting point.

  • 124.
    Bjurling, Natalie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jörgenstam, Sandra
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans erfarenheter av dödshjälp: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Euthanasia is a debated subject that concerns nurses’ duties. Several countries and states have legalized euthanasia. Euthanasia can be seen as a way of respecting patients wishes, relieving suffering and preserving dignity. However, it can also be considered against healthcare personnels own autonomy or ICN ethical code, which means that the health care task is to alleviate and cure and not harm the patient. Healthcare professionals describe difficulties in dealing with situations where these components differ in a variety of ways.

    Aim: The aim of the study was to highlight nurses’ experiences and factors that may affect experiences of working with people who want or will undergo euthanasia.

     Method: A literature review according to Friberg was conducted. The result is based on ten original articles that were obtained through systematic search. The analysis was conducted by thematization and color-coding.

    Results: Workning with assistens in death was experienced differently depending on the type of euthanasia that was carried out, the experiences of patients and relatives, participation in decision making, ethical codes and laws, as well as nurses’ own values and experiences. This led to both positive and negative experiences for the nurse. These experiences could also be managed through formal or informal support, which in turn contributed to nurses’ experiences.

    Discussion: The discussion is based on Travelbees theory of interpersonal relationships and how care without rolls can contribute to better care, but also affect nurses’ experiences of care. In addition, there is discussion about how nurses own values ​​and understandings affect experiences in health care.

  • 125.
    Bjälvegård, Mikaela
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Köhler, Erika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans inställning till att bli vaccinerad mot influensa: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Globally, the debate regarding vaccinations in both healthcare and society is increasing. Each year, a new flu vaccine adapted for the virus that is believed to dominate during the season is also created. Nurses working in health care indirectly need to take a personal position on whether they want to vaccinate themselves or not against influenza.

    Aim: The aim was to describe nurse’s attitude towards being vaccinated against influenza.  

    Method: A qualitative method was used to describe the nurses' experiences regarding vaccination. The Cinahl complete and Medline with full text databases were used to find scientific articles as the basis for the literature review. A total of ten qualitative articles were analyzed to form themes in response to the purpose.

    Results: The result consists of five themes: influenza vaccine was perceived as less important, negative experiences of influenza vaccination, autonomy and the desire for more information.

    Discussion: The nurses had a negative attitude towards influenza vaccination and they stated their own knowledge about such vaccination as inadequate. In health care, it is important that nurses possess evidence-based knowledge in order to be able to educate patients regarding influenza and influenza vaccination. In accordance with Jean Watson's holistic description of the nurse's work, the nurse also has a moral responsibility to protect and guard the patient's safety against disease and spread of infection.

  • 126.
    Björhn, Jennie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hellström, Therese
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Äldres upplevelse av ensamhet och social isolering: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Loneliness and social isolation are a widespread problem among older people and may contribute to bad health and premature death. As the population grow older loneliness and social isolation are expected to become an increasing problem in society and will require greater need for care. Although nurses and other healthcare professionals are aware of the negative effects of loneliness and social isolation it is low prioritized.

    Aim: The aim was to illustrate how older people over 65 years experiences loneliness and social isolation.

    Method: A literature review was performed with results from eleven qualitative articles collected from the databases CINAHL Complete, MEDLINE, PubMed and PsycINFO. The results of the articles were color-coded to identify similarities and differences that were sorted into six themes.

    Results: The result showed six themes; Feelings of loneliness, Social loneliness and lack of affinity, Loss of partner and close relatives, Physical barriers and losses, Loneliness linked to time and space and Loneliness as a sense of freedom. Older people’s experiences of loneliness and social isolation is subjective and unique and wide-ranging emotionally linked to different life events. The older people expressed painful feelings and suffering while others stated positive feelings of freedom.

    Discussion: Since loneliness and social isolation can lead to serious consequences, it is important that the health care system identify older people at risk through preventive and health promotive work. Katie Eriksson's theory of relieving suffering has been used as an in-depth part of the performance discussion as support for the nurse's work in understanding and responding to lonely and socially isolated elderly people. A holistic view of humanity is of importance for alleviating suffering and for considering the basic needs of the elderly, which are meaningfulness and solidarity. The nurse responsibility is to prevent older people from bad health and social discomfort through realizing what knowledge is needed and how to apply it.

  • 127.
    Björk, David
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Interventioner för mental hälsolitteracitet hos personer med depression: En systematisk litteraturstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:   Mental hälsolitteracitet har definierats som förmågan att ”förstå hur god psykisk hälsa uppnås och bibehålls, förstå psykiatriska diagnoser och hur de behandlas, minska stigma relaterat till dem och effektivisera hjälpsökande”. Behovet av god mental hälsolitteracitet i samhället blir allt större i takt med att den psykiska ohälsan ökar. Om den mentala hälsolitteraciteten brister ökar detta risken för att människor söker hjälp för sent, söker somatiska förklaringar till sina psykiska besvär och att de förlitar sig på alternativa och icke evidensbaserade behandlingsmetoder. I förlängningen kan det också innebära att sjuksköterskans arbete försvåras.

    Syfte: Syftet med denna studie är att beskriva vilka interventioner som finns för att öka den mentala hälsolitteraciteten hos personer som lider av depression.

    Metod: Detta är tolkande deskriptiv litteraturstudie med kvalitativ ansats. Tio kvalitativa forskningsstudier har analyserats enligt Evans fyrstegsmetod.

    Resultat:  Resultatet visar att de interventioner för mental hälsolitteracitet som finns, är i huvudsak baserade på Kognitiv beteendeterapi (KBT) och psykoedukation. Det finns även nationella utbildningsprogram som syftat till att förbättra den mentala hälsolitteraciteten på samhällsnivå. Detta framför allt i Australien, där majoriteten av forskningen på mental hälsolitteracitet bedrivits. Interventionerna har också haft vissa positiva effekter, både avseende den mentala hälsolitteraciteten och på depressiva symtom.

    Diskussion: Resultatet i denna studie diskuteras utifrån Virginia Hendersons omvårdnadsteori, som sammanfattats i ”The nature of nursing: A definition and its implications for practice, research and education - reflections after 25 years”. Diskussionen innehåller också reflektioner kring hur underbeforskat mental hälsolitteracitet är som ämne, och hur det skulle kunna utvecklas för att tjäna psykiatrisjuksköterskans arbete på bästa sätt i framtiden.

  • 128.
    Björklund, Alexandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hammarström, Sara
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Låt mig bara få dö: En litteraturöversikt om patienter med en terminal sjukdom som uttryckt en önskan om dödshjälp i livets slutskede2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Lifespan in society is constantly increasing with the constant development of technology and medicine, at the same time there is an increasing number of people living with severe diseases and suffering. The palliative care in Sweden aim to alleviate multifaceted suffering at the end of life. More and more countries in the world are legalizing euthanasia. Euthanasia is not legal in Sweden but the subject is constantly present through debates in which euthanasia is discussed from different point of views and through ethical aspects. Although euthanasia is not legal, there are patients who are requesting euthanasia.

    Aim: The aim was to identify factors and experiences that lead to terminally ill patients at the end of life request euthanasia.

    Method: A literature review including ten qualitative scientific original articles from PubMed and Cinahl COMPLETE.

    Results: Two main themes were identified, autonomy and suffering. Sub theme to autonomy was right to decide over one's own death and die with dignity. The sub themes to suffering were pain, losses and burden.

    Discussion: The results were discussed with help of Beauchamp and Childress ethical principles. Patients request euthanasia primarily because of pain and from the experience of being a burden. However, if these are alleviated, the desire for euthanasia can cease. Self-determination and quality of life are important factors for patients to maintain at the end of life.

  • 129.
    Björnfot, Emma
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Persson, Simon
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Upplevelser av att som ung vuxen med långvarig sjukdom övergå från barnsjukvård till vuxensjukvård: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden children and youths with chronic diseases commonly receive hospital care in pediatric clinics. At the age of 18 these patients are transferred to adult care. One main difference between pediatric and adult care is that in pediatric care there is an ambition to involve the whole family in the care of the young person, whereas in adult care the young person is expected to be independent and to take full responsibility for his or her own care. Being young, having a chronic disease and to undergo a transition of care are factors that together make up a vulnerable situation.

    Aim: To describe the experiences of young adults with a chronic disease transitioning from pediatric to adult healthcare.

    Method: An integrative literature review based on twelve qualitative scientific articles.

    Results: Five themes emerged: emotions and expectations associated with the transition, perceived barriers to a successful transition, perceived readiness to transition, perceived differences between pediatric and adult health care, and experiences of changes in role function associated with the transition.

    Discussion: The main findings were discussed in relation to the Roy adaptation model, previous research and the rights of young adults transitioning to adult care. 

  • 130.
    Blanck Ullenius, Felicia
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Vood Argos, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hur personer med HIV upplever hälso- och sjukvården: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: People with HIV has an increased risk of various infections due to their low immune system. Care needs for people with HIV can be a good oral health, nutrition and psychological support. Healthcare professionals can have a bad attitude towards people with HIV and low levels of knowledge about the disease.

    Aim: The purpose of this literature review was to illuminate how people with HIV experience the healthcare.

    Method: A literature review with eleven scientific articles have been compiled.

    Results: The result is presented in four main themes: Meeting with healthcare professionals, Support and knowledge and Contagion and confidentiality, Other instances and aspects that affected the experience of healthcare.

    Discussion: The discussion illustrates how patients with HIV experienced treatment from the healthcare staff and how the healthcare staff's level of knowledge can affect the treatment, and that patients experience a lack of knowledge about HIV. The key parts of the result were discussed with help of scientific articles and Katie Eriksson´s theory of tending, playing and teaching, as well as the concept of suffering related to care. It is important to carry out health care procedures based on the patient needs to suffering related to care.

  • 131.
    Blom, Sofie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Löfgren, Ellinor
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sexuell hälsa hos kvinnor efter gynekologisk cancer: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden approximately 3000 women fall ill in gynecological cancer each year. Gynecological cancer occurs in women’s genitals. Treatment for gynecological cancer can have different side effects. Sexual health is unique for each individual and is influenced by gender roles, identity, pleasure and erotism. Sexual desire, arousal and orgasm are segments of sexual health. The nurse’s role includes person centered care with a holistic perspective. All aspects of the patient’s needs should be included; therefore, sexual health should not be excluded. 

    Aim: The aim was to illustrate the experience of sexual health in women who have been treated for gynecological cancer.

    Method: The literature review was based on 11 qualitative studies collected from CINAHL Complete, Nursing and Allied health database and PubMed. The articles were reviewed in order to find similarities and differences.

    Results: The results were categorized into four main themes; The experience of a changed sexual life, An altered view on oneself, Relationship and A new view on sexual health. Within The experience of a changed sexual life two subthemes were identified; The sexual desire and The sexual act. Further on, two subthemes were identified in An altered view on oneself; The meaning of womanhood for women and Body image.

    Discussion: The chosen method for the literature review was discussed. To create understanding and support for the results Callista Roys adaptation model, previous research and our own thoughts were used to discuss the findings of the literature review.

  • 132.
    Blomqvist, Maja
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Sundin, Tove
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    En polisanmälan i grundskolan - för barnets bästa?: En kvalitativ studie om skolkuratorers perspektiv och erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Today it is common for Swedish compulsory schools to write police reports about incidents caused by pupils below the age of criminal responsibility. 

    The purpose of this study was to examine school counselors perspective on police reports in compulsory schools, in order to describe and understand the role they play in assessing. Another purpose was to examine whether the school counselors believe that a police report is consistent with the principle of the best interests of the child and if they believe that a police report affects the child.

    The study is based on qualitative semi-structured interviews with eight school counselors in both municipal and independent schools in Stockholm county. The material from the interviews has been analyzed using professional theory, labeling theory and selected literature. The result shows that school counselors see police reports of children as a complex phenomenon and that they have an ambivalent attitude towards the application. The school counselors’ experience is that police reports can affect the child both positively and negatively. Positive experiences are described as a child's unwanted behavior can come to an end. Negative experiences are described as the fact that the police-reported child can get a label as an outlier, which in the long run can lead to negative consequences for the child. Furthermore, the result shows that the principle of the best interests of the child, according to the school counselors, is that children reach the knowledge goals in school. School counselors does not seem to have reflected on whether school-related police notifications are consistent with the principle of the best interests of the child. The majority, however, have a negative attitude towards police reports towards children in compulsory schools and mean that there are other, better ways to work with children's unwanted actions. Despite the fact that the school counselors express that police reports may adversely affect the child, the study shows that they are rarely involved when a decision is made to report a child to the police. 

    Through his profession, social workers have an assignment to represent children in vulnerable situations and should therefore carrier for the best interests of the child. The fact that school counselors do not participate in the assessment and thus do not represent the child is considered problematic. It appears that the school counselors look at their function and are loyal to the school organization rather than to attend to their assignment as social workers. Finally, the result shows that more knowledge is needed about the role of the school counselor, as well as the phenomenon of police reports toward children in compulsory schools and what their consequences are for the children.

  • 133.
    Bolinder, Emma
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Andersson, Sandra
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att känna sig sexuell i en förändrad kropp: En litteraturöversikt om upplevelser av sexualitet efter en stomi-operation2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To get a stoma involves a life setting where the person has to change previous living habits. The person must adapt to the new body image. Body image, quality of life and sexuality can affect each other. Studies show that nurses lack knowledge in the area of ​​sexuality and that it is difficult to talk with patients about it. 

    Aim: To illustrate the sexuality of patients living with a bowel stoma.

    Method: The method of this study was a literature review with ten qualitative and quantitative scientific articles analysed according to Fribergs model in three steps.

    Results: The results of the literature review are divided into three main themes and three sub-themes. The first main theme is Bodily experiences related to sexuality. The second main theme is Changed body image related to sexuality. The third main theme is Social experiences related to sexuality with three sub-themes: Fear of being perceived differently, Experiences in the meeting with healthcare professionals and Being intimate with others.

    Discussion: The result is discussed based on Callista Roy's nursing theory about adaption. The patient's need for support from the care after a stoma operation illustrates and how it is perceived from a nursing and social perspective. 

  • 134.
    Boman, Nellie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Askestad, Frida
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En litteraturöversikt om hur sjuksköterskor och sjuksköterskestudenter upplever vårdande situationer i mötet med personer som lever med HIV2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: HIV was discovered in the US in 1981 but the disease probably originated earlier. HIV is a virus that is stored in the body's genetic material. At the end of year 2015 it was estimated that 36.7 million people worldwide were living with HIV. In sub-Saharan Africa it is estimated to be approximately 25.6 million, while in Sweden there are about 7000 people living with HIV. Communicable diseases act (smittskyddslagen) is to prevent the spread of infectious diseases. Medical legislation (hälso och sjukvårdslagen) is for everyone to obtain good and equal healthcare. The nursing profession code of ethics by the International Council of Nurses (ICN) sets a direction for nurses work. Nurses encounter patients with blood-borne infections in their daily work which can entail certain risks for nurses.

    Aim: To examine nurses and nursing students experience regarding persons with HIV in caring situations. 

    Method: A literature review of data collection from databases CINAHL Complete, PubMed and Nursing & Allied Health Database.

    Results: Positive experiences with the importance of education level for nursing attitudes and increased understanding as subcategories. Negative experiences that occurred with four subcategories that constituted fear of becoming infected, stigmatization, ethical stress and demographic differences. Negative experiences were mainly related to fear and the remaining subcategories came as a result of these

    Discussion: The authors have based their discussion on Katie Eriksson consensus concept of caring. The authors have discussed some specific parts of the literature review results. The mainly discussion were fear of becoming infected, since it was slightly overall. Other results discussed was stigmatization and education level, but also a small profit of gender aspects that the authors found interesting.

  • 135.
    Bonander, Maya
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Liberg Bruhner, Nadia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser kring tvångsåtgärden fastspänning i den psykiatriska slutenvården: En systematisk litteraturöversikt2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mechanical restraint is relatively common in Sweden and several other countries within the psychiatric inpatient care. Research on nurses' experience of restraining shows that it’s perceived as something ethically difficult. Mechanical restraints is also considered to be something necessary in terms of safety. Little is known scientifically about what the patient’s experiences of mechanical restraints are, and there’s no current literature review.

    Aim: The purpose of the present study was to describe patients’ experiences of the coercive measure mechanical restraint in psychiatric inpatient care.

    Method: A systematic review of literature based on a compilation of nine qualitative articles. The data analysis was carried out according to Evans interpretive data analysis method.

    Results: Three main themes emerged in the experience of restraints, which were: before restraint, during restraint and after restraint. Ten subthemes emerged: Patients' experience of a lacking and provocative care, patients' needs in the experience of a lacking and provocative care, powerlessness and fear, the feeling of being totally extradited and defenseless, a lost sense of reality, restraint as something safe and secure, patients' perception of the staff's treatment, patients' thoughts on the staff's treatment, patients' need to share their thoughts and create opportunities for being understood and negative consequences of restraint. The themes and sub-themes led to a total synthesis in the form of: The exposed patients' longing for a caring communication.

    Conclusion: Restraint is in most cases a very negative experience for patients. Patients' experience of restraint can, however, be improved if the nurse before, during and after restraint provides a caring communication with patients.

  • 136.
    Bozkir, Mehtap
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Randhawa Kaur, Simranjit
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Omvårdnad vid smärta hos äldre patienter med cancer: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: Pain is common in older patients and is a subjective experience. Pain occurs in different types: nociceptive pain, neuropathic pain and mixedpain. Pain is one of the most common symptoms in cancer patients and can affect the quality of life in older patients. If the pain is not treated, it can cause increased suffering.

    Aim: The purpose of this literature review was to describe how older patients with cancer experience nursing care in pain.

    Method: The literature review is based on ten health science articles. The content of the articles was analyzed and the results were presented in three main themes.

    Results: The results of this literature review are presented in three themes, the importance of the healthcare relationships, the importance of communication and information about pain and pain relief. The result showed that if the healthcare relationship failed and patients who did not get time from nurses experienced more pain and did not get confirmation from the nurses. A poorer relationship with patients gave less autonomy and involvement to their pain management. Information about pain and pain treatment given to patient from nurses were inadequate. Patients wished that more educational materials were available so that they could easily get access to it. In addition, patients also wanted an improvement in verbal and non-verbal communication

    Discussion: The discussion of the results was based on Katie Eriksson's theory. It showed that the nurses' skills and knowledge about pain and pain relief were inadequate and there was an increased need to develop this.

  • 137.
    Branner, Aron
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Hur gör vi egentligen?: Vilka interventionstyperupplever psykoterapeuter att de använderför att skapa behandlingsallians medpatienter som har svårigheter med mentalisering? –En explorativ studie.2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inledning: Att undersöka hur psykoterapeuterarbetar kliniskt med patienter som har svårigheter med mentalisering kan ge en tydligare uppfattning om vad som är hjälpsamt i skapandet av behandlingsallians. Psykoterapiforskning har visat att olika typer av interventioner kan vara verksamma i fråga om att skapa behandlingsallians. I denna studie undersöks vilka interventionstyperfem psykoterapeuter beskriver sig använda i försök att skapa behandlingsallians med patienter som har svårigheter med mentalisering.

    Frågeställningar: Vilka interventionstyperuppleverpsykodynamiskt orienterade psykoterapeuter är till hjälp för att skapa behandlingsallians med patienter som har svårt att mentalisera?

    Metod: I undersökningen tillämpades en kvalitativ, deskriptiv metod där data samlades in med hjälp av ljudinspelade, semistrukturerade intervjuer. Bearbetningsmetoden som används är tematisk analys.

    Resultat: Studien visar terapeuters olika syn på vad som är till hjälp när det handlar omatt skapa behandlingsallians hos personer som har svårt att mentalisera. Trots skillnader i teoretiska förhållningssätt trädde fyra gemensamma teman fram. De fyra centrala temanasom trädde fram i bearbetningen av intervjuerna var affekter, transparens, samarbete samt överföring.

    Diskussion: De beskrivna interventionstypernaochhur interventioner regleras efter reflektionsförmågadiskuteras. Vilka interventiontypersom upplevsverksamma jämförs med aktuell teoribildningi ämnet. Det framkommer olika teoretiska referensramar angående hur interventionstyperna skapas. Trotsolikateoretiska referensergår det att utkristalliseragemensamma interventionstyper.

  • 138.
    Bratell, Klara
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jangnäs, Matilda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Stress och patientsäkerhet: En litteraturöversikt om sjuksköterskans arbetsrelaterade stress och dess påverkan på patientsäkerheten2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Occupational stress in healthcare is a growing issue, and the demands in relation to inadequate resources, creates a high workload which can lead to stress and illness. The nursing profession involves a big responsibility. As a nurse, you have to give good health care to everyone who needs it, and at the same time supervise and organize the nursing care. The occupational stress can lead to consequences such as psychological problems, reduced attention span and sleeping disorder.

    Aim: The aim of this study was to examine occupational stress among nurses and its possible impacts on patient safety.

    Method: A literature review was carried out and the result is based on twelve qualitative and quantitative studies which has been chosen from the databases PubMed and Cinahl Complete.

    Results: The literature review resulted in two main themes and five sub themes which describes the most common occupational stress factors among nurses and how these factors affect the patients. The two main themes that emerged were: Occupational stress factors which affects the nurse and Factors that affects patient safety. The five sub themes that emerged were: Workload, Cooperation and work management, Shift work, Social interactions and Healthcare detriment and longer hospital stays.

    Discussion: The method was discussed from the perspective of the strengths and weaknesses of the literature review. The result was discussed out of three of Jean Watsons carative factors: Generate hope and faith, Support, protect and/or improve the psychological, physical, social and spiritual environment and Cater to human needs. The discussion is conducted in relation to Jean Watsons care theory, the background of the literature review, the authors own reflections and other relevant researches. The purpose is to create a deeper understanding for the occupational stress among nurses and the effect on patient safety.

  • 139.
    Broberg, Malin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Karlsson, Ida
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans kunskap, attityd samt erfarenhet gällande kvinnlig könsstympning: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Female genital mutilation (FGM) involves performing, for non-medical reasons, a partial or total removal of the external female genitalia. There are four different types of female genital mutilation with varying degrees of severity. Plausible reasons are to control the woman's sex life as well as cultural structures. Every year, 3.9 million women undergo FGM in Africa, the Middle East and Asia. The practice is most often done on girls between the ages of four and 14.

    Aim: The aim of this literature review was to enlighten the knowledge, attitudes and experiences of female genital mutilation among nurses. 

    Method: A literature review according to Fribergs method that included ten articles with different methods, five qualitative and five quantitative articles. The databases used to find the articles were Cinahl Complete and PubMed. The analysis was done using thematic synthesis to identify different themes. 

    Results: Results were presented in three separate themes together with three subthemes. The level of knowledge regarding FGM varied, different attitudes towards female genital mutilation were identified and the majority of the health personnel expressed difficulties in caring for women with FGM. 

    Discussion: In general, nurses have low knowledge of FGM, where the attitude towards the practice varies worldwide. This due to, among other things, the lack of education, awareness, a non-equal society, cultural influence and financial gain. Madeleine Leininger's sunrise model forms the basis of the discussion. 

  • 140.
    Brolin, Susanna
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Vad krävs för att skapa förändring?: en makt- och organisationsanalys kring Stockholms stads handlingsplan för att förbättra arbetssituationen för socialsekreterare2018Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    This essay focuses on the following issues:• What are the effects of Stockholm's Action Plan on both decision-makers and social security officers in the field?• How is the outcome of the Action Plan and the work environment affected by methods, organisation and control systems?• Why are conflicts between stakeholders and the organization handled in the way they are done?

    The overall purpose of the essay is to a critically study of New Public Management, the ongoing personnel crisis in services for children and young people.  Where yhe crisis is resulting in significant staff turnover and high health statistic. What is being done and can be done within the local Action Plan to address this, and whether or not the Stockholm City Action Plan to improve the working situation of the Social Security Officer and Assistant Handler, or is it the organization itself and how is it managed in that case?

    The paper is supported by Michel Foucault's theories on power and by Christopher Hood's work on New Public Management. In addition, I interviewed four Social Security Officers working in children and young peoples' services, along with four decision-makers (including politicians, managers and union representatives) and have incorporated information gained from those interviews in this essay.

    The main result in the essay is that: There are common expectations of the action plan's output and that in the long term it will lead to a better working environment, but the decision-makers had more confidence about what can actually be resolved.  However, there is a concern that changes should have been implemented earlier. The crucial challenges are clearly linked to the economy and today's management systems, such as New Public Management (NPM).  NPM has changed over time and within different welfare areas.  There are also clear links between NPM and deficiencies in the working environment in Social Services. The essay addresses a number of these shortcomings and the strategies that Social Security Officers use to address the situation. However, more and more require other reforms, but at present there is no legitimate alternative, although this is being studied at state level in Sweden and Denmark. Conflicts between stakeholders revolve around the power that the organisation has produces; the organisation disciplines its employees as well as the clients, who are the same as society's residents. This has resulted in a culture of silence, where staff are focused on doing and reporting the right things, rather than looking at long-term results. The Action Plan challenges and balances these structures.

  • 141.
    Brostedt, Lovisa
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ntioley, Silvia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En litteraturöversikt om sjuksköterskors och sjuksköterskestudenters inställningar till att vårda patienter som lever med HIV/AIDS2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are 36,7 million people living with HIV/AIDS around the world. About 7000 of these are living in Sweden. HIV/AIDS is a blood infection that is classified by the Swedish Communicable Disease Act. AIDS is the most advanced stage of the HIV disease. The knowledge of nurses and student nurses about HIV/AIDS varies in the world and their attitudes are described by PLHA as varying.

    Aim: To describe nurses’ and nursing students’ attitudes towards caring for patients living with HIV/AIDS.

    Method: A literature review to look over the current knowledge concerning the selected subject-matter was conducted by analysing ten selected scientific articles. The qualitative and the quantitative articles were from the CINAHL Complete and PubMed databases.

    Results: Five main themes and four sub themes emerged in this literature review. The main themes concerned the view about HIV/AIDS and PLHA, fear of contagion and safety precautions related to attitudes, willingness to care for PLHA related to experience, attitudes related to education and factors affecting the attitudes to caring for PLHA. The result showed both positive and negative attitudes that nurses and nursing students had. As well as how knowledge, experience, education and gender could relate to their attitudes.

    Discussion: The strengths and weaknesses of the authors’ execution of this literature review were discussed in the method discussion. The main findings in this literature review are discussed in the result discussion in relation to Joyce Travelbees theory, the background and complementary scientific articles. Also, nurses’ and nursing students’ way of caring for PLHA in relation to the knowledge and attitude they have against PLHA and how that is perceived by the patients are discussed.

  • 142.
    Bruhn, Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av att vårda patienter med aktiv tuberkulos på sjukhus: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 143.
    Brunius, Åsa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    GE UPP, STÅNGA HUVUDET I VÄGGEN ELLER HITTA EN NY VÄG: en intervjustudie om hur sjuksköterskor kan främja hälsoprocessen vid psykisk sjukdom2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research shows that there is a need for greater focus on supporting the patient to find an meaning in life and to accept life as it is and from that insight move on to new goals. Research also shows that mental ill health is a public health problem that leads to an increased risk of dying prematurely. It appears that the search for meaning in life, belonging and independence is important and crucial to the health experience. It appears that all people can develop and have a potential that can be made the most of. Influence and participation are crucial for good care and patients want to feel that they can influence and shape their own lives.

    Aim: The purpose was to describe how nurses in psychiatric care support patients with mental illness to begin a changing process with a view to a better mental well-being.

    Method: A qualitative method, with interviews of five nurses in psychiatric care. The interviews were recorded and transcribed. A qualitative content analysis with inductive approach was used for the analysis.

    Results: How nurses work to support patients is presented in three main categories: Relationship-building actions, Strengthening and fortifying the patient, The nurse as a leader, organizing and making decisions.

    Discussion: It is the nurse that is the tool, not the model itself. To meet as human beings as well as to build relationships that are the key to helping another person begin a change process and find new goals in life.

  • 144.
    Brytting, Tomas
    Ersta Sköndal Bräcke University College, The Institute for Organisational and Worklife Ethics.
    Rationalizing Deviances: Avoiding Responsibility2018In: Challenges in Managing Sustainable Business: Reporting, Taxation, Ethics and Governance / [ed] Susanne Arvidsson, Basingstoke, Hampshire: Palgrave Macmillan, 2018, p. 295-312Chapter in book (Refereed)
    Abstract [en]

    Only one in five instances of fraud is detected by internal and external audits and IT controls. Instances of corruption are most probably even less visible. How come, and what to do about it? This article treats deviances as a social and psychological problem. Rationalizations both from the fraudsters’ and the bystanders’ side will be discussed as important factors that obstruct the prevention of deviances. These rationalizations are interpreted as a kind of perverted modern virtues, something that might explain their persuasive power.

  • 145.
    Brytting, Tomas
    Ersta Sköndal Bräcke University College, The Institute for Organisational and Worklife Ethics.
    Äga, leva, dö: från föremål till egodel – en moralisk betraktelse av tingen2019 (ed. 1)Book (Other academic)
  • 146.
    Brännström, Miriam
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Livet som ohälsa eller hälsa - patientens upplevelse av sjuksköterskans vårdande: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

  • 147.
    Bullington, Jennifer
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ett samtal med Moira2019In: Utsatthet och ansvar: Flickan med svavelstickorna i vår tid / [ed] Gunilla Silfverberg, Stockholm: Appell Förlag , 2019, 1, p. 66-70Chapter in book (Other academic)
  • 148.
    Bullington, Jennifer
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Samtalskonst i vården: Samtalsträning för sjuksköterskor på fenomenologisk grund2018Book (Refereed)
  • 149.
    Bullington, Jennifer
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Well-being and being-well: A Merleau-Pontian perspective on psychosomatic health2018In: Routledge Handbook of Well-Being / [ed] Kathleen T. Galvin, London: Routledge, 2018, 1, p. 58-67Chapter in book (Refereed)
    Abstract [en]

    This chapter provides a framework by drawing upon the work of Maurice Merleau-Ponty in order to conceptualize health as a mind-body-world phenomenon. The case of psychosomatic ill health will be  used in order to show how insights on the lived body provide a fruitful grounding of health and well-being as a multi-dimensional phenomenon. International research points to the increasing prevalence of patients with psychosomatic health-related issues seeking health care within primary health care. Clinicians in primary care are seldom prepared for the patients in terms of expertise, treatment strategies or communication skills. Phenomenology is the philosophical movement in Continental philosophy arising from the philosophical works of Edmund Husserl. When psychosomatic health and well-being is established, one's way of being-in-the-world is characterized by the seamless flow of the lived body. The ability to allow different "poles" of this mind-body-world unity to dominate is reinstated.

  • 150.
    Bullington, Jennifer
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Cronqvist, Agneta
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Group supervision for healthcare professionals within primary care for patients with psychosomatic health problems: A pilot intervention study2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In primary health care, efficacious treatment strategies are lacking for these patients, although the most prominent symptoms accounting for consultation in primary care often cannot be related to any biological causes.

    AIM: The aim was to explore whether group supervision from a specific phenomenological theory of psychosomatics could provide healthcare professionals treating patients with psychosomatichealth issues within primary care a deeper understanding of these conditions and stimulate profession-specific treatment strategies. Our research questions were as follows: (i) What is the healthcare professionals' understanding of psychosomatics before and after the intervention? (ii) What are the treatment strategies for this group of patients before and after the intervention?

    METHODS: The study was an explorative qualitative intervention pilot study. The six participants from a primary healthcare setting in a medium-sized city in Sweden participated in the study. A supervision group was formed, based on a mix of professions, age, gender and years of clinical experience. Supervision consisted of one 75-minutes meeting every month during the course of 6 months. Participants were interviewed before and after the supervision intervention.

    FINDINGS:The study showed two distinct categories emerged from the data. One category of healthcare professionals espoused a psycho-educative approach, while the other lacked a cohesive approach. The supervision improved the second category of healthcare professionals' understanding of psychosomatics. The psycho-educative group did not change their understanding of psychosomatics, although they felt strengthened in their approach by the supervision. Profession-specific strategies were not developed.

    IMPLICATIONS: This pilot study indicates that a relatively short supervision intervention can aid clinicians in their clinical encounters with these patients; however, further research is necessary to ascertain the value of the specific phenomenologically based supervision intervention.

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