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  • 1451.
    Widell, Cecilia
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjöholm, Julia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdpersonalens erfarenheter i mötet med patienter med psykisk ohälsa inom den somatiska vården2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Historically, people with mental illness have been seen as different and been excluded by society. Todays’ society often portrays people with mental illness as crazy and dangerous. Mental illness is now widespread, and to provide high quality care, a holistic approach is essential.

    Aim: The aim is to highlight nursing staffs’ experiences in the encounter with patients with mental illness in somatic care.             

    Methods: A literature review based on eight scientific papers has been carried out, including six quantitative and two qualitative articles. With emphasis on illuminating nursing staff s’ experience in the encounter with patients with mental illness. Theoretical framework has been anchored to Katie Erikson's theory of caring.

    Results: The results indicate that there are negative attitudes towards patients in somatic care. Lack of knowledge, experience, interaction with patients with mental illness and support are seen as contributing factors to these attitudes. This often leads to nursing staff avoiding providing care to these patients. A small part of the nursing staff had a positive outlook, which then was based on the nursing staff having more experience and knowledge of people with mental illness.

    Discussions: There was a desire to get more education and knowledge of mental health among nurses. However, the results showed that only education was not enough to change the negative attitudes that emerged. Because these patients often find themselves on a somatic ward, it is important to reflect on the attitudes towards these patients, and how it affects the nursing care.

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  • 1452.
    Widgren, Maria
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Eklund, Lina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Berör mig!: Beröring som kommunikation2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:Beröring används inom sjukvården som komplement till olika behandlingar som exempelvis taktil massage. Vid beröring frisätts ämnen i kroppen som gör att vi känner välbefinnande. Beröring är också en viktig del i den icke-verbala kommunikationen.

    Syftet är att beskriva hur beröring som kommunikation påverkar vårdrelationen.

    Metod:Detta är en litteraturöversikt där metoden innebar att kvalitativa artiklar söktes fram med sökord som touching, nursing och caring. Dessa analyserades genom att söka gemensamma nämnare och skapa teman. Totalt har tolv artiklar analyserats.

    Resultat:Till resultatet framkom fyra teman: Beröring som tröst, Beröring för att fördjupa relationen, Beröring som maktfaktor och Beröringens sexuella aspekter.

    Diskussion:Beröring är ett medel för att trösta samt skapa och upprätthålla vårdrelationen. Dock kan beröring också upplevas som något kränkande och missförstås som en sexuell antydan. Samhällets normer och det sociala arvet påverkar individens värderingar och attityder till hur beröring uppfattas. Beröringen är komplex till sin natur.

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  • 1453.
    Widlund, Kajsa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Williams, Nwune
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskors reflektioner kring kön inom omvårdnad: en litteraturstudie2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1454.
    Widén, Malin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Zandrén, Petra
    Ersta Sköndal University College, Department of Health Care Sciences.
    Äldre människors uppfattningar om god vård i livets slutskede2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1455.
    Wieckman, Anna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Pierre, Jessica
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdhundens betydelse för att främja välbefinnande hos äldre på vård och omsorgsboende: En litterturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 1456.
    Wijk, Lennart
    Ersta Sköndal University College, Department of Health Care Sciences.
    Andlig omvårdnad i psykiatrisk vårdkontext2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1457.
    Wijkström, Richard
    Ersta Sköndal University College, Department of Health Care Sciences.
    Mötet med den psykiatriska vården: Anhörigas erfarenheter av bemötandet från psykiatrisk vårdpersonal2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To care for someone with a mental illness can be strenuous both mentally, socially and economically. Those close to the patient are often there as support before mental health care can intervene, and they are often there when the patient is discharged from the hospital. A good relationship between mental health care personnel and those close to the patient is of most importance for creating a feeling of participation in the care of the patient. This requires that the mental health care personnel are aware of the needs of those close and have knowledge of how to meet these.

    Aim: To describe how those close to someone - usually a relative or loved one - with a mental illness experience the treatment from mental health personnel

    Method: Literature review based on 17 articles with a qualitative perspective. Analyzed using a descriptive data analysis technique.

    Results: Results show that those close to someone with a mental illness often feel excluded in the care of their loved ones, and mental health personnel fail to satisfy the relative or loved one’s basic needs - especially in the area of providing them with information and showing them respect. This exclusion can be felt when the care provider shows the loved one / family member an authoritarian attitude rather than appreciating or acknowledging the importance of the knowledge that these loved one possess regarding the patient’s mental illness. The results show that in cases when mental health personnel have been accommodating to the needs of the next of kin by making them feel respected, heard and taken seriously the loved one have feelings of inclusion and participation in the caring process.

    Discussions: The foundation of the relationship between mental health personnel and those close to the patient is often established within the first meeting. It is therefore of utterly importance that the mental health professionals are aware of how their demeanor and attitude are affecting the next of kins perception of participation. The needs of those close to the patient can, in most cases, be satisfied with relatively small means. Keywords: Relative, relatives of the mentally ill, treatment by mental health care professionals, participation, professional-family relations

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  • 1458.
    Wiklund, Michael
    Ersta Sköndal University College, Department of Health Care Sciences.
    Betydelsen av fysisk aktivitet för människor med psykisk funktionsnedsättning2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A number of studies have stated that people with mental disabilities, due to the nature of their disorders, have difficulties to get started with physical activities. The atypical drugs that are commonly used in modern psychiatry tend to enhance symptoms of inactivity. People with mental disabilities have a higher degree of obesity and a higher mortality rate related to metabolic effects such as myocardial infarction, stroke and complications from diabetes. Along with the social handicaps that this provides an increasing interest for physical activity, as a way to decrease these symptoms and to improve quality of life, has occurred.

    Aim: To describe physical activity and its impact on people with mental disabilities.

    Method: Literary study using a mixed method approach.

    Result: Physical activity for people with mental disabilities has a positive influence on various levels, both physiological and psychological. Among the physiological gains there are condition improvement, weight loss and improvement of body functions. The main improvements that were shown in the result were the ones on psychological aspects, such as feelings of being involved, social gains and anti stressing effects. Surprising was that physical activity had such a noticeable effect on the caring environment and that in its turn gained the carer-patient relationship. This was described in a number of studies.

    Discussion: The four themes that are presented in the result, give a clear picture of what physical activity can mean to people with mental disabilities. This is consistent with what other scientific studies have shown. It was also shown in the result that the caring environment at the department became calmer and safer. This is something that was not that obvious in the literature that the author went through in the discussion part. The carer-patient relationship has been used as a theoretical framework and it has been recurring and so clear that it has its own headline in the result part. This is to great joy of the author, since he believes that one of the main keys for a person to find motivation is to start training and to create a vital change in life.

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  • 1459.
    Wiklund, Susanne
    et al.
    Stockholms läns landsting; Karolinska institutet.
    Fagerberg, Ingegerd
    Ersta Sköndal University College, Department of Health Care Sciences.
    Örtqvist, Åke
    Karolinska institutet; Stockholms läns landsting.
    Broliden, Kristina
    Karolinska institutet.
    Tammelin, Ann
    Stockholms läns landsting; Karolinska institutet.
    Acquisition of extended spectrum β-lactamases during travel abroad: A qualitative study among Swedish travellers examining their knowledge, risk assessment, and behaviour2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, p. 32378-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Travel to foreign countries involves the risk of becoming a carrier of antibiotic-resistant bacteria, especially when the destination is a country with a high prevalence of this type of bacteria.

    AIM AND METHODS: The aim of this study was to learn about the knowledge of antibiotic resistance, and the behaviour and risk-taking among travellers, who had become carriers of extended spectrum beta-lactamases (ESBL)-producing bacteria during travel to a high-prevalence country. A modified version of grounded theory was used to analyse 15 open interviews.

    RESULTS: The analysis resulted in a core category: A need for knowledge to avoid risk-taking. Before the journey, the participants did not perceive there to be any risk of becoming a carrier of antibiotic- resistant bacteria. The low level of knowledge of antibiotic-resistant bacteria and transmission routes influenced their behaviour and risk-taking during their journey, resulting in them exposing themselves to risk situations. After their trip, the majority did not believe that their personal risk behaviour could have caused them to become carriers of ESBL.

    CONCLUSION: The participants' lack of knowledge of antibiotic-resistant bacteria resulted in unconscious risk-taking during their journey, which may have resulted in becoming carriers of ESBL-producing bacteria.

  • 1460.
    Wiklund, Susanne
    et al.
    Stockholms läns landsting; Karolinska institutet.
    Fagerberg, Ingegerd
    Ersta Sköndal University College, Department of Health Care Sciences. Karolinska institutet.
    Örtqvist, Åke
    Karolinska institutet; Stockholms läns landsting.
    Broliden, Kristina
    Karolinska institutet.
    Tammelin, Ann
    Karolinska institutet.
    Staff experiences of caring for patients with extended-spectrum β-lactamase–producing bacteria: A qualitative study2015In: American Journal of Infection Control, ISSN 0196-6553, E-ISSN 1527-3296, Vol. 43, no 12, p. 1302-1309Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Patients who become carriers of antibiotic-resistant bacteria are sometimes stigmatized by health professionals. Staff members' fears of becoming infected could affect their willingness to care for these patients.

    METHODS:The purpose of this study was to increase the knowledge of what it means for staff in acute care settings and nursing homes to care for patients with extended-spectrum β-lactamase (ESBL)-producing bacteria. Assistant nurses, registered nurses, and physicians from acute care settings and nursing homes were interviewed. A modified version of Grounded Theory was used for the analysis.

    RESULTS:The analysis resulted in the core category "to operate as an expert in a chaotic environment" in acute care settings. Despite a lack of resources, hospital staff try to provide the best possible care for patients with ESBL. The analysis of the interviews in the nursing homes resulted in the core category "the employee who, despite uncertainty, provides good care." Despite some fear, and a lack of knowledge, the study participants tried to provide the residents with good care.

    CONCLUSION: Staff in acute care settings and nursing homes must have adequate knowledge and reasonable working conditions to be able to provide high-quality care for patients and residents who are ESBL carriers.

  • 1461.
    Wiklund, Susanne
    et al.
    Stockholms läns landsting; Karolinska institutet.
    Fagerberg, Ingegerd
    Ersta Sköndal University College, Department of Health Care Sciences.
    Örtqvist, Åke
    Karolinska institutet; Stockholms läns landsting.
    Vading, Malin
    Karolinska institutet.
    Giske, Göran
    Karolinska institutet.
    Broliden, Kristina
    Karolinska institutet.
    Tammelin, Ann
    Stockholms läns landsting; Karolinska institutet.
    Knowledge and understanding of antibiotic resistance and the risk of becoming a carrier when travelling abroad: A qualitative study of Swedish travelers2015In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, no 3, p. 302-308Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Increasing globalisation, with the migration of people, animals and food across national borders increases the risk of the spread of antibiotic-resistant bacteria. To avoid becoming a carrier of antibiotic-resistant bacteria when travelling, knowledge about antibiotic resistance is important.

    MATERIALS AND METHODS: We aimed to describe the knowledge and understanding of antibiotic-resistant bacteria, and of the risk for becoming a carrier of such bacteria, among Swedish travellers before their travel to high-risk areas. A questionnaire with three open-ended questions was distributed to 100 individuals before departure.

    RESULTS: The travellers' answers were analysed using content analysis, resulting in the theme 'To be an insecure traveller who takes control over one's own journey'. Our results showed that the travellers were aware of what the term 'antimicrobial resistance' meant, but did not understand its real significance, nor the consequences for the individual nor for society. They also distanced themselves from the problem. Few thought that their travel would entail a risk of becoming a carrier of resistant bacteria. The lack of knowledge caused an uncertainty among the travellers, whom tried to master the situation by using coping strategies. They proposed a number of measures to prevent carriership. The measures were general and primarily aimed at avoiding illness abroad, particularly acute gastro-intestinal infection.

    CONCLUSIONS: In health care and vaccination clinics, there is a need for improved information for persons intending to travel to high-risk areas, both about the risks of contracting antibiotic-resistant bacteria and about effective preventive measures.

  • 1462.
    Wikström, Filippa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Möller, Agnes
    Ersta Sköndal University College, Department of Health Care Sciences.
    "Ibland hjälper han mig mer än vad alla ni i personalen gör.": Hur djur i vården påverkar välbefinnandet hos personer med långvarig ohälsa. En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Animals have been shown to have a positive effect on people. The nursing science approach says that a person can experience well-being despite illness. The positive attributes of animals can be used in health care to help ill people experience well-being. An animal-assisted intervention can be a form of activity or therapy involving pets (AAA / AAT) or horses (EAT).

    Aim: The purpose of this study was to elucidate how animals in health care promote well-being for people with long-term illness.

    Methods: Literature review based on fourteen original scientific articles, with both qualitative and quantitative approach.

    Results: The compilation of the results led to four main categories with two subcategories respectively. These were: Physical aspects with subcategories Physical well-being and Bodily functions; Psychic aspects with subcategories Psychic well-being and Reduced psychiatric symptoms; Existential aspects with subcategories Quality of Life and Safety; Social Aspects with subcategories Social behavior and Relationships.

    Discussions: Review and discussion of the selected method. Discussion of the results with the selected theoretical framework: Antonovsky's theory of Sense of Coherence (SOC) and the salutogenic approach. The results were discussed based on the concepts of comprehensibility, manageability and meaningfulness.

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  • 1463.
    Wilking, Alice
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Nilsson, Rebecca
    Ersta Sköndal University College, Department of Health Care Sciences.
    Upplevelsen av livskvalitet hos yngre kvinnor med bröstcancer2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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    FULLTEXT01
  • 1464.
    Wittefeldt, Katarina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskans kommunikation med patienter på akutmottagningar: faktorer som påverkar omvårdnaden2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1465.
    Woldamanuel, Yohannes Tsegaye
    Ersta Sköndal University College, Department of Health Care Sciences.
    Type II diabetes: web-baserade interventionsstudier av egenvård2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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    Uppsats- Yohannes
  • 1466.
    Wrembicki Nelson, Alexandra
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdhundens betydelse inom demensvården: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1467.
    Wässing, Matilda
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdrelatonen- nyckeln tlll patientdelaktighet: Sjuksköterskans syn på sin betydelse för patientens delaktighet inom den psykiatriska öppenvården för patienter som drabbats av psykos2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 1468.
    Yalcin, Ayse
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Bellonius, Margareta
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdpersonalens attityder gentemot patienter med alkoholproblematik2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1469.
    Zakrisson, Camilla
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Nylander-Andersson, Eva
    Ersta Sköndal University College, Department of Health Care Sciences.
    Personer med cancersjukdom och deras upplevelse av massage2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 1470.
    Zälle, Ann-Kristin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Löfqvist, Anna-Karin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ambulanssjuksköterskans omvårdnad av akut sjuka patienter i samband med transport2001Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1471.
    Ädel, Karin
    Ersta Sköndal University College, Department of Health Care Sciences.
    God vård i hemmet - möjligheter och hinder: sjuksköterskors, patienters och anhörigas perspektiv2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1472.
    Ångman, Hanna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hörnblad, Ania
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vem vårdar sjuksköterskan?: En litteraturöversikt om hur arbetet som sjuksköterska kan leda till negativ stress2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskans yrkesområde har förändrats mycket under de senaste decennierna. Detta gäller även arbetsmiljön på sjukhus och andra vårdinstanser. Ökade effektiviseringskrav, ett minskat inflytande för personalen och splittrade arbetsuppgifter är vanligt förekommande på många arbetsplatser idag. Till följd av detta är sjuksköterskor en riskgrupp när det kommer till att drabbas av så kallad negativ stress. 

    Syfte: Att beskriva faktorer i det dagliga arbetet som kan leda till negativ stress hos sjuksköterskan.  

    Metod: Examensarbetet är en litteraturöversikt. Resultatet grundar sig på 13 stycken vetenskapliga artiklar, fem kvalitativa och åtta kvantitativa. Vid analysen lästes artiklarna ett flertal gånger och likheter och skillnader identifierades. 

    Resultat: Resultatet visade att det fanns många olika faktorer på sjuksköterskans arbete som kan leda till negativ stress. Dessa faktorer delades upp i tre huvudkategorier: Brister i organisationen och ledarskapet, med två underrubriker Underbemanning, tidsbrist och otillräckliga resurser och Långa arbetspass och växlande arbetstider, Att inte kunna tillgodose patienten med adekvat vård och Brister i den psykosociala miljön. 

    Diskussion: Resultatet diskuterades främst utifrån Aaron Antonovskys salutogena modell om Känsla av sammanhang (KASAM).  Resultatet visade sig stämma överens med tidigare utförd forskning inom området. Den negativa stressen påverkade inte enbart sjuksköterskan utan även omvårdnaden med en försämrad vårdkvalitet, försämrad patientsäkerhet och en ökad risk för att begå misstag.

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  • 1473.
    Ångström-Brännström, Charlotte
    et al.
    Umeå universitet.
    Dahlqvist, Vera
    Ersta Sköndal University College, Department of Health Care Sciences.
    Norberg, Astrid
    Ersta Sköndal University College, Palliative Research Centre, PRC. Umeå universitet.
    Victor and the Dragon: A Young Child’s Experiences of Discomfort and Comfort, From Diagnosis Until Death2013In: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 15, no 8, p. 464-470Article in journal (Refereed)
    Abstract [en]

    Children with progressive cancer often suffer during treatment and at the end of their life, and they need comfort. This study's aim was to describe a child's experiences of being cared for until death, with a focus on discomfort and comfort. Conversations, field notes, drawings, and interviews with the child and his mother and nurse were content analyzed. The themes enduring unbearable situations, expressing emotional suffering, and finding comfort were constructed. The children's parents and other family members are often a significant source of help for the children to endure discomfort and find comfort. Emotional suffering can be expressed in drawing and crying, but sometimes, a child is inconsolable and must endure discomfort. Comfort for a dying child is enhanced by having the family close, experiencing normal daily activities such as drawing and playing, and feeling at home in life despite approaching death.

  • 1474.
    Ångström-Brännström, Charlotte
    et al.
    Umeå universitet.
    Dahlqvist, Vera
    Ersta Sköndal University College, Department of Health Care Sciences.
    Strandberg, Gunilla
    Umeå universitet.
    Norberg, Astrid
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Umeå universitet.
    Descriptions of Comfort in the Social Networks Surrounding a Dying Child2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, no 3, p. 4-8Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe how comforters of one dying child were comforted, described by the child's mother and nurse.

    Background: The death of a child is one of the greatest losses parents can sustain and a stressful experience for nurses. Those who provide comfort may also need comfort, yet little is known about how comforters are comforted.

    Method: The interviews with mother and nurse were analysed using content analysis. Persons and activities mentioned as comforting were outlined in a sociogram.

    Findings: The findings show that the mother received comfort from her child and family, the nurse, extended family and others close to the family. She found comfort in being involved in the care and sharing worries with the nurse and in self-comfort. She described that siblings found comfort in each other, in living everyday life, in music and in expressing their feelings in drawings. The nurse gained comfort from sharing hardships with colleagues and a relative and from making a difference to the child.

    Conclusion: The findings provide a picture of interacting comforting social networks surrounding one dying child.

  • 1475.
    Ångström-Brännström, Charlotte
    et al.
    Umeå universitet.
    Norberg, Astrid
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Umeå universitet.
    Comforting measures described by staff working in paediatric units.2017In: Nursing children and young people, ISSN 2046-2344, Vol. 29, no 4, p. 24-30Article in journal (Refereed)
    Abstract [en]

    Aim Children with cancer identify staff members, who work with them in paediatric units, as their most important comforters. This study aimed to shed light on how those staff members deliver this comfort. Methods Semi-structured interviews were performed and the content then analysed. Nine families (n=9) and eight staff members (n=8) participated in the study. Findings The staff described caring for the children and the whole family. They implemented certain comforting measures with the child, and described how they provided support to parents. Staff described how they felt comforted by relating to the children they were caring for. Conclusion Staff working in paediatric units develop good relationships with children and parents and comfort them using methods described in the literature. The quality of the staff's positive relationships with the children marked all their actions.

  • 1476. Ångström-Brännström, Charlotte
    et al.
    Norberg, Astrid
    Ersta Sköndal University College, Department of Health Care Sciences. Ersta Sköndal University College, Enheten för forskning i palliativ vård.
    Strandberg, Gunilla
    Söderberg, Anna
    Dahlqvist, Vera
    Parents' experiences of what comforts them when their child is suffering from cancer.2010In: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 27, no 5, p. 266-75Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe parents' narratives concerning what they find comforting when they have a child suffering from cancer. Interviews were conducted with 9 parents--8 mothers and 1 father--of children aged 3 to 9 years who were admitted to a pediatric oncology ward and had undergone their first treatment. The findings showed that the parents derived comfort from being close to their child, perceiving the child's strength, feeling at home in the ward, being a family and being at home, and receiving support from their social network. Comfort experienced in communion with the child and others became important and helped the parents build a new normality perceived as being at home in life despite all their difficulties. Within the frame of communion, the parents seemed to experience moments of hope for their child's recovery and survival.

  • 1477.
    Åström, Cecilia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Smak- och luktförändringar hos patienter inom specialiserad palliativ vård2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Många patienter i palliativ vård rapporterar en minskad, eller förändrad, förmåga att känna smak och lukt. Smak-och luktförändringar (SoL-förändringar) kan innebära lidanden för den enskilde patienten, men kan även påverka näringsintag samt få negativa följder i det dagliga livet.

    Syfte: Syftet var att rapportera om cancerpatienters erfarenheter av smak- och luktförändringar och påverkan och hantering av dessa i det dagliga livet när de är i palliativ fas.

    Metod: Kvantitativ data samlades in från åtta deltagare, under tre mättillfällen per deltagare, via ett frågeformulär. Kvalitativ data beståendes av kommentarer till frågorna, redovisades som citat.

    Resultat: Det var fem huvudfynd som framkom i resultatet. Ett övergripande tema som kunde urskiljas var sårbarheten och lidandet i samband med SoL-förändringar.  Vidare framkom att SoL-förändringar rapporterades av samtliga deltagare, dock inte vid alla mättillfällen. En definitionssvårighet av SoL-förändringar uppmärksammades också bland svaren. Ytterligare var aptitnedsättningar lågt rapporterade bland deltagarna. Detta stod i kontrast till illamående som rapporterades av samtliga deltagare.

    Diskussion: Sårbarheten och lidandet som uppkom i samband med Sol-förändringar kunde ge en negativ påverkan på det dagliga livet. Drivkraften att tillgodogöra sig föda för sin överlevnad återges med insikten att det ofta inte är för njutningens skull som måltider intas.  Resultatet visade på vikten av att SoL-förändringar uppmärksammas inom den palliativa sjukvården.

     

     

     

     

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  • 1478.
    Åström, Liselotte
    Ersta Sköndal University College, Department of Health Care Sciences.
    Utevistelsens betydelse för personer med demenshandikapp - vårdarens perspektiv2003Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 1479.
    Öhlen, Joakim
    et al.
    Karolinska institutet.
    Andershed, Birgitta
    Ersta Sköndal University College, Department of palliative care research.
    Berg, Christina
    Frid, Ingvar
    Palm, Carl-Axel
    Ternestedt, Britt-Marie
    Ersta Sköndal University College, Department of Health Care Sciences. Ersta Sköndal University College, Enheten för forskning i palliativ vård.
    Segesten, Kerstin
    Relatives in end-of-life care--part 2: a theory for enabling safety2007In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 2, p. 382-390Article, review/survey (Refereed)
    Abstract [en]

    AIM: To develop a goal-oriented praxis theory for enabling safety for relatives when an adult or older patient is close to end-of-life.BACKGROUND: This is the second part of a project focusing on the situation and needs of relatives in end-of-life care. Our interpretation of the existing corpus of knowledge pertaining to the needs of close relatives in this situation showed the significance of relatives' need for safety.

    METHOD: The theory was developed step-by-step, through triangulation of critical review of empirical research in the field, our own clinical experiences from end-of-life care, renewed literature searches and theoretical reasoning.

    THEORY: The foundation for the theory is taken from the ethical intention of the philosopher Paul Ricoeur. From this, the theory focuses on relatives in the context of end-of-life care with the goal of enabling safety. This is proposed by four aphorisms functioning as safety enablers and these are directed towards the professional's approach and attitude, the relative's concern for the patient, the specific situation for the relative and the patient's end-of-life period as a period in the life of the relative.

    RELEVANCE TO CLINICAL PRACTICE: Implications for end-of-life practice are considered and include aspects for promotion of just institutions in end-of-life care, the significance of negotiated partnership in end-of-life care, enabling safety for relatives living in existential and practical uncertainty in connection with end-of-life care and diversity of relatives' preferences as they live through this particular period.

  • 1480.
    Öhlén, Joakim
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Göteborgs universitet.
    Cohen, Joachim
    Vrije Universiteit Brussel (VUB), Belgium; Ghent University, Belgium.
    Håkanson, Cecilia
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Determinants in the place of death for people with different cancer types: A national population-based study2017In: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 56, no 3, p. 455-461Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Place of death has for the past decade increasingly come to be regarded as a robust indicator of how palliative care is organized and provided, and is also recognized as an important factor for well being at the end of life. Variations in place of cancer deaths have previously been reported in the context of country-specific healthcare organization, but without differentiating between cancer types and national regional variations. Our aim was to examine, at a population level, where people with cancer diseases die in Sweden, and to investigate associations of place of death and cancer type with individual, socioeconomic and geographical characteristics of the deceased.

    MATERIAL AND METHODS: This population level study is based on death certificate data (sex; age; underlying cause of death and place of death) and population register data (educational attainment, marital status, living arrangements, area of residence, degree of urbanization, and healthcare region) of all 2012 cancer deaths in Sweden, with a registered place of death (hospital, nursing home, home, other places). Data were explored descriptively. To investigate associations between place of death and cancer types, and individual, socioeconomic and environmental characteristics, a series of multivariable logistic regression analyses were performed.

    RESULTS: The most frequent type of cancer death occurring at home was upper gastrointestinal cancer (25.6%) and the least frequent was hematological cancer (15.2%). Regional variations in cancer deaths occurring at home ranged from 17.1% to 28.4%. Factors associated with place of death by cancer type were age, educational attainment, marital status, healthcare regions and degree of urbanization.

    CONCLUSION: Large healthcare regional variations in place of death among different cancer types were found. The socioeconomic inequality previously demonstrated for screening, diagnostic and treatment processes, rehabilitation and survival thus also seems to be reflected in the place of death.

  • 1481.
    Öhlén, Joakim
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Göteborgs universitet.
    Russell, Lara
    University of Victoria, Canada.
    Håkanson, Cecilia
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Lunds universitet; Karolinska institutet .
    Alvariza, Anette
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Lunds universitet; Karolinska institutet .
    Fürst, Carl Johan
    Lunds universitet; Karolinska institutet .
    Årestedt, Kristofer
    Linnéuniversitetet; Linköpings universitet.
    Sawatzky, Richard
    Trinity Western University, Canada.
    Variations in care quality outcomes of dying people: Latent class analysis of an adult national register population.2017In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 53, no 1, p. 13-24Article in journal (Refereed)
    Abstract [en]

    CONTEXT: Symptom relief is a key goal of palliative care. There is a need to consider complexities in symptom relief patterns for groups of people in order to understand and evaluate symptom relief as an indicator of quality of care at end of life.

    OBJECTIVES: The aims of this study were to distinguish classes of patients who have different symptom relief patterns during the last week of life and to identify predictors of these classes in an adult register population.

    METHODS: In a cross-sectional retrospective design, data was used from 87,026 decedents with expected deaths registered in the Swedish Register of Palliative Care in 2011 and 2012. Study variables were structured into patient characteristics, and processes and outcomes of quality of care. A latent class analysis was used to identify symptom relief patterns. Multivariate multinomial regression analyses were used to identify predictors of class membership.

    RESULTS: Five latent classes were generated: "relieved pain", "relieved pain and rattles", "relieved pain and anxiety", "partly relieved shortness of breath, rattles and anxiety" and "partly relieved pain, anxiety and confusion". Important predictors of class membership were age, sex, cause of death, and having someone present at death, individual PRN prescriptions and expert consultations.

    CONCLUSION: Inter-individual variability and complexity in symptom relief patterns may inform quality of care and its evaluation for dying people across care settings.

  • 1482.
    Örnbrand, Yasmine
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Örnelid, Lina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Upplevelser av att leva med stomi: ur ett patientperspektiv2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1483.
    Örsell, Susanna
    Ersta Sköndal University College, Department of Health Care Sciences.
    Medberoende eller god omvårdnad: en kvalitativ intervjustudie med sjuksköterskor inom beroendevården med fokus på substansbrukssyndrom2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The background describes aspects of the nurse’s profession and care responsibility within both general care and in dependent care. Furthermore, it describes the patient group with its problems, the concept of co-dependency and how it can impact the choice of nursing.  

    Aim: The aim of this study has been to explore nurses’ view of what characterizes good care and co-dependency within the closed depending care.

    Method: This study has a qualitative design with an inductive approach. Seven nurses at a   depending care unit in Stockholm were interviewed using an unstructured method. The material was then analyzed using qualitative content analysis.

    Results: The result from the interviews developed into three categories: The nurse’s view of what   constitutes good care within depending care, The view of the phenomenon of co-dependency within depending care and finally, The nurse’s perception of what differentiates good care and co-dependency. The result reveals, among   other things, the fact that while the nurse, intellectually, had no major problems in separating the concepts of good care and co-dependency, in practice it proved to be harder to implement.

    Discussions: The results are discussed in the context of previous research, other relevant literature and from Ida Jean Orlando’s interaction theory. In the discussion it reveals, among other things, how the nurses responsibility of care can develop into co-dependency.

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  • 1484.
    Örtenholm, Eva
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patienters erfarenheter att leva med övervikt eller fetma2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 1485.
    Österberg, Emma
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    El messaoudi, Yasmin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Humors betydelse för sjuksköterske- och patientrelationen i cancervården: En litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Humor är ett komplex begrepp som färgas av den subjektiva upplevelsen och är föränderlig över tid. Tidigare forskning visar på att humor har använts som en copingmekanism för patienter med cancer, för att distansera sig från sin tillvaro och diagnos. Även sjuksköterskor har använt sig av humor för att skapa relation med patienten. Humor har använts för att hjälpa patienterna att hålla humöret upp genom att skifta deras fokus.

    Syfte: Syftet med denna litteraturöversikt var att belysa humor i sjuksköterske- och patientrelationen inom cancervården.

    Metod: Denna uppsats är en litteraturöversikt där innehållet av sju kvalitativa och tre kvantitativa vetenskapliga artiklar analyserades.

    Resultat: Tio artiklar analyserades där tre huvudteman framkom: Humor i sjuksköterske- och patientrelationen belyser att en relation mellan parterna bör finnas innan humor introduceras. Humor som ett omvårdnadsmässigt dilemma belyser när humor är tillämpbart och när det inte är accepterat. Positiv attityd och humor belyser vikten av en positiv attityd hos patienten för att kunna uppskatta och vara humoristisk.

    Diskussion: Diskussionen baseras på litteraturöversiktens resultat där det framkom att en etablerad relation mellan sjuksköterskan och patienten bör finnas innan humor kan användas. Oftast är det patienten som initierar humorn i relationen och det kan ses som en indikator på när humor kan användas. Åsikterna går isär kring huruvida om det är humor som skapar en positiv attityd eller tvärtom. Utifrån Katie Erikssons teori diskuteras relationsbildning som ansning, humor som lek och hur leken sedan utmynnar i lärande.

     

     

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  • 1486.
    Österholm, Anna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sörholm, Eva
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskans bemötande av personer med alkoholberoende2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1487.
    Österlind, Jane
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hemmet på hemmet: att vårdas och vårda inom särskilda boendeformer för äldre. En beskrivning om livets sista tid på sjukhem och ålderdomshem ur ett personalperspektiv2002Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 1488.
    Österlind, Jane
    et al.
    Ersta Sköndal University College, Enheten för forskning i palliativ vård.
    Hansebo, Görel
    Ersta Sköndal University College, Department of Health Care Sciences.
    Andersson, Janicke
    Linköpings universitet.
    Ternestedt, Britt-Marie
    Ersta Sköndal University College, Enheten för forskning i palliativ vård. Ersta Sköndal University College, Department of Health Care Sciences.
    Hellström, Ingrid
    Linköpings universitet.
    A discourse of silence: professional carers resoning of death and dying in nursing homes2011In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 31, no 4, p. 529-544Article in journal (Other academic)
    Abstract [en]

    Nursing homes are a setting in which death and dying is common. How death and dying is articulated and the actions that take place in a nursing home constitute adiscourse that guides the staff in their work. The aim of this studywas to explore thediscourse of death and dying in nursing homes from the perspective and understandingof the staff. The study draws on Foucault’s discourse analysis. Data arefrom fivefocus-group discussions held with 28 staff of four different nursing homes in Sweden. The findings show that the discourse had three characteristics :(a) dying was silent and silenced, (b) emotions were pushed into the background,and (c) attentiveness to death arose after the moment of the elderly person’s death. The structure of the discourse was characterised by a movement between twopositions, avoiding and confronting death, themain focus being on avoidance. Thearticulation and practices of silence highlight a need to regard dying as a processthat requires attention. One way to ensure appropriate attention could be to instil the philosophy of palliative care in nursing homes, including training and supportfor the staff in their work. The study demonstrates that nursing-home staff needmore knowledge and support to enable them to feel that they do a good job.

  • 1489.
    Österlind, Jane
    et al.
    Ersta Sköndal University College, Department of palliative care research.
    Hansebo, Görel
    Ersta Sköndal University College, Department of Health Care Sciences.
    Lantz, Göran
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ternestedt, Britt-Marie
    Ersta Sköndal University College, Department of Health Care Sciences. Ersta Sköndal University College, Enheten för forskning i palliativ vård.
    Pathways in end-of-life care for older people: care managers' reasoning.2008In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 14, no 9, p. 420-5Article in journal (Refereed)
    Abstract [en]

    Seven care managers employed by a large municipality in Sweden were interviewed concerning their reasoning regarding end-of-life care for older people. Data were analyzed using a hermeneutic approach. The results showed that end-of-life care was considered to constitute a small part of the care managers' work and was something they did not focus on in general when assessing care needs. Two different pathways to death--the natural and the medical--were identified. In the natural pathway, death was invisible and the care was more routine-oriented. In the medical pathway, death was visualised and the care more individualised. Neither of the pathways paid attention to communication or existential needs. Thus, there is a need for a palliative pathway to death based on the philosophy of palliative care, which could provide guidance for care managers and promote opportunities for older people to achieve a dignified dying and death.

  • 1490.
    Österlind, Jane
    et al.
    Ersta Sköndal University College, Department of palliative care research.
    Hansebo, Görel
    Ersta Sköndal University College, Department of Health Care Sciences.
    Lindqvist, Rikard
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ternestedt, Britt-Marie
    Ersta Sköndal University College, Department of palliative care research.
    Moving on a roundabout at the end of life-What counts? Waiting times for transfer to sheltered accommodation for older people in Sweden.2009In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 91, no 2, p. 183-8Article in journal (Refereed)
    Abstract [en]

    In Sweden, increased care in ordinary housing has contributed to a reduction of rooms in sheltered accommodation. The allocation of rooms has become stricter. Only those whose care needs cannot be met in any other ways are allocated such accommodation. The aim was to explore the waiting time between the transfer decision and the accomplishment of the move from the initial form of care to sheltered accommodation as well as whether there were differences in waiting time in relation to certain demographic data. METHOD: 445 decision documents were analysed. Mean and 95% confidence intervals (CI) for waiting time and date of the move to sheltered accommodation were calculated. Differences between mean age and waiting time were analysed using Student's T-test. Effects of age, gender and cohabitation on waiting time were estimated by means of multifactor linear regression. RESULTS: The main finding was that the difference in mean waiting time was shortest when moving from hospital, irrespective of destination. There were no significant differences in waiting time in relation to gender, age or cohabitation. CONCLUSION: The reason for a move was often described by means of abstract standard formulations. There is a need for standardised models and assessment instruments in order to ensure older people's safety and to compare different forms of accommodation.

  • 1491.
    Österlind, Jane
    et al.
    Ersta Sköndal University College, Department of palliative care research. Ersta Sköndal University College, Department of Health Care Sciences.
    Ternestedt, Britt-Marie
    Ersta Sköndal University College, Department of Health Care Sciences. Ersta Sköndal University College, Enheten för forskning i palliativ vård. Karolinska institutet.
    Hansebo, Görel
    Ersta Sköndal University College, Department of Health Care Sciences. Karolinska institutet.
    Hellström, Ingrid
    Ersta Sköndal University College, Department of palliative care research. Ersta Sköndal University College, Department of Health Care Sciences. Linköpings universitet.
    Feeling lonely in an unfamiliar place: Older people's experiences of life close to death in a nursing home2017In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 12, no 1, p. 1-8, article id e12129Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of the study was to deepen the understanding of how older persons living in a nursing home experience life close to death.

    Background: A move to and a life in a nursing home while being close to death is a reality for many older people in Sweden. Being able to express thoughts and feelings about death has been described as both crucial for sustaining personhood as well as for establishing a meaningful existence at the end of life. Important are the experiences of older people living in nursing homes who are approaching death.

    Method: Six older people were interviewed on one to four occasions. A total of 16 interviews were conducted with the participants. An interpretative approach was chosen.

    Findings: The main interpretation, Feeling lonely in an unfamiliar place, is based on three themes (i) Waiting for death, with the subthemes death as a release and thinking of oneself as dead; (ii) Subordinate oneself to values and norms of the staff, with the subthemes feeling offended and feeling trapped; and (iii) Keep the courage up. The older people's lives were characterised by feelings of aloneness in an unfamiliar place which contributed to a sense of existential loneliness. They experienced few opportunities to discuss their thoughts of life and death, including preparations for passing away.

    Conclusion and implication for practice: It is of importance for professionals to be able to meet older people as they are and respect them as human beings in their transitions, before, during and after the move to a nursing home. It is important to find ways to support older people's wellbeing and identity near death.

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