Change search
Refine search result
1234567 151 - 200 of 886
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 151.
    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.

  • 152.
    Bullington, Jennifer
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Söderlund, Mona
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Bos Sparén, Elisabeth
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kneck, Åsa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Omérov, Pernilla
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Cronqvist, Agneta
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Communication skills in nursing: A phenomenologically-based communication training approach2019In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 9, p. 136-141Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to present a communication skills training curriculum for nursing students, based upon phenomenology. Research shows that nurses have difficulty prioritizing dialogue with patients, due to lack of time, organizational and cultural factors. Like other health care professionals, nurses may also have difficulties communicating with patients due to personal fears and shortcomings. The communication training curriculum based upon phenomenology aims at systematically training students to stay focused upon patients' and relatives' narratives, allowing them to reflect upon and better understand their current situation. This approach to communication is applicable in any clinical situation where it important to provide space for the patients' experiences. The philosophical principles guiding the training are presented here as well as the practical steps in the program. Finally, the approach is compared to other common communication methods used in nursing (motivational interviewing, caring conversations, empathy training). The authors hope that the article will highlight the nurses’ role as dialogue partner as well as emphasize the importance of communication skills training in nursing education. This approach can be refined, tested and modified in future research and may serve as an inspirational model for creating a generic communicative competence for nurses.

  • 153.
    Burman, Elsa
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Westman, Olle
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Betydelsen av kön och könsfördelning: Socialsekreterares syn på vikten av representation2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    We knew that gender distribution within social services is unevenly matched. When we did our internship, one of us was in a relatively heterogeneous gender-divided group and the other in a more homogeneous. During our internships, we asked ourselves what kind of consequences gender distribution in a working place could have. The purpose of the essay is to problematize the image that an even gender distribution by definition is something good and to spark a discussion about this. We chose to work with a qualitative method in which we conducted eight semi-structured interviews with social secretaries working in the same area of expertise. Four of the interviews were conducted on a unit where gender distribution was relatively heterogeneous and four on a unit where gender distribution was homogeneous. Through the interviews, we wanted to investigate how the social secretaries perceived the importance o fgender and gender distribution. We also wanted to study how they experienced the efforts made to increase the representation of men in social services. The results of the study showed that the informants had many thoughts and experiences about men getting benefits because of their minority position. For example, it emerged that men are more respected by the management and that classic male behaviours are considered desirable, which was particularly evident in the homogeneous group. However, both groups agreed that a heterogeneous gender distribution is preferable as it can benefit the team. In the analysis of the result, we applied Hirdman’s (1988) theory of a gender system, a social constructivist approach and other relevant previous research in the field as ways of understanding the above. In the final discussion, with the view of the gender system applied, we emphasize that as long as the patriarchal structure of society can prevail, the superiority of men will continue to be reproduced. It is therefore important that the view of the sexes as complementary and the view of men as the norm continues to be discussed, so that the profit with more male social secretaries does not go beyond gender equality and the female social secretaries’ work situation.

  • 154.
    Butrus, Neveen
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Inza Correa, Melissa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patientens upplevelser och erfarenheter efter att ha drabbats av hjärtinfarkt: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige är hjärt- kärl sjukdomar den vanligaste dödsorsaken, år 2016 drabbades 25 700 individer av en akut hjärtinfarkt. Efter att ha drabbats av en hjärtinfarkt medför detta förändringar i kroppen och återhämtningsprocessen kan ta tid. För att bemöta dessa patienter med en individanpassad vård behöver sjuksköterskan ha kunskap om vad som påverkar dessa patienter under återhämtningsprocessen och på så sätt hjälpa patienten i deras behov.

    Syfte: Syftet var att belysa patientens upplevelser och erfarenheter av att ha drabbats av hjärtinfarkt upp till ett år efter insjuknandet.

    Metod: En litteraturöversikt där tio kvalitativa artiklar från PsychINFO, PubMed och Cinahl complete har granskats och analyserats.

    Resultat: I denna litteraturöversikt framkommer tre teman: patientens upplevelser som helhet, behovet av stöd samt ett förändrad syn på livet. I dessa teman beskrivs patienternas upplevelser och erfarenheter av att ha drabbats av hjärtinfarkt samt vilka utmaningar de möter i vardagliga livet.

    Diskussion: Patienterna möter olika utmaningar i det vardagliga livet efter att ha drabbats av hjärtinfarkt. Dessa förändringar kan upplevas som utmaningar och medförde frånvaro av välbefinnande och hälsa. Det är inte bara kroppen som påverkas och behöver behandling, patienter som drabbas av hjärtinfarkt påverkas psykiskt och fysiskt. Teoretikern Katie Eriksson menar att människan består av kropp, själ och ande vilket  utgör kärnan för hälsoprocessen. Många patienter upplever oro och rädsla av att återigen drabbas av ny hjärtinfarkt. Resultatet visade på betydelsen av att bli informera av sjuksköterskan om vilka utmaningar som patienten möjligen kan möta, rehabiliteringens betydelse, symtom, samt vilka livsstilsförändringar som kan ha positiv påverkan på hälsan och välbefinnandet.

  • 155.
    Byqvist Nilsson, Matilda
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sörsäter, Lydia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att vara oerfaren sjuksköterska vid vård av patienter i livets slut: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden 90 000-100 000 people die each year, many of whom require palliative care during the last period. End of life care is a part of the late palliative phase and solely involves care that relieves suffering and creates well-being. The nurse has the overall responsibility in the end of life care. However, the nursing universities provide a limited education in palliative care.

    Aim: The aim of the literature review was to describe undergraduate nursing students and new graduated nurses experience of caring for people in the end of life.

    Method: A literature review has been developed, were eleven scholarly articles emerged and analyzed using the Friberg (2017) method. The articles have been qualitative, while two also used a quantitative method. The databases CINAHL Complete and PubMed were used.

    Results: The literature review resulted in three themes: Emotional and communicative challenges, Notions about death and Facing the reality – education, experience and support. The nurses experienced emotional challenges when working in end of life care. Personal experiences and values effected the novice nurses’ ideas of a good death. The education did not prepare the nurses for end of life care.

    Discussion: The authors discussed strengths and weaknesses of the literature review in the method discussion. The result discussion discussed the main findings using Travelbees human-to-human relationship model and previous research.

  • 156.
    Byström, Julia
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Larsson, Emma
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med djävulens sjukdom (ALS) och behovet av livsförlängande behandling: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Amyotrophic lateral sclerosis (ALS) is an unusual disease where the disease progress can be very fast. It is common for patients with ALS to receive life-sustaining treatments to prolong their lives and improve their quality of life. Different types of treatment are used for this group of patients, those described are ventilation and nutritional treatment with gastrostomy. Self-determination, health and quality of life are components of value to understand the patient's perspective.

    Aim: The aim was to describe how it is to live with life-prolonging treatment with the disease ALS.

    Method: A literature review was conducted with scientific articles to highlight the current state of knowledge in the field. Friberg's methodology and method of analysis were used. Twelve scientific articles were used from several countries in the result.

    Results: The results are presented in main themes with associated subthemes. Theme one: Decision making for treatment includes the role of the patient in decision making and the meaning of health care in decision making. Theme two: Accepting treatment is a process. Theme Three: Being in the present and continuing on with treatment includes being in the present and living on.

    Discussion: The theoretical basis used was Virginia Henderson and her theory of needs in the basic healthcare. This essay shows what patients express as important when they are faced with decisions about life-prolonged treatment. Having self-determination, having control and that the care must be trustworthy are important. The acceptance process, support and the opportunity to live on are important for the meaningfulness of patients.

  • 157.
    Bäcklin, Helena
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Holmsten, Anna Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kommunikation mellan sjuksköterska och patient i en digital värld: En litteraturöversikt ur ett sjuksköterskeperspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: E-Health is rapid development in healthcare and reduced the distance between nurses and patients and have made healthcare more accessible. E-Health can be seen as a complement to a traditional healthcare meeting and can offer the nurse a direct contact with patients. One of the goals of e-Health is to make the patient more involved in his care, the nurse has an important role in communicating with patients.

    Aim: To illuminate nurses' experiences of communication with the patient via e-Health.

    Method: The chosen method of the study was a literature review. Ten qualitative articles were selected in the databases PubMed and CINAHL Compleate which responded to the aim. The articles were analyzed and thematized. 

    Results: The result was presented in two themes; The meaning of digital technology in communication between nurse and patient and Nurse`s experience of communication through e-Health. Nurse`s express their concern about the loss of interpersonal relationships related to lack of communication skills as well as a difficult digital technology.

    Discussion: The result was discussed based on Travelbees theory of interpersonal relations. E-Health were discussed through a society perspective an illuminated the role of nurse in e-Health. The physical meeting has been replaced by meetings at a distance and the nurse hade to develop communicative skills to create an interpersonal relationship with the patient via e-Health. The nurse lacks support in the use of digital technology, which is perceived as a barrier to communication as it complicates the creation of relationship.

  • 158.
    Börjeson, Martin
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Är norska socionomer mer osjälvständiga?: Anmälan av Hansen & Solem "Sosialt arbeid. En situert praksis".2018In: Fontene forskning, ISSN 1890-9868, E-ISSN 1892-7947, no 1, p. 95-Article, book review (Other academic)
  • 159.
    Börjesson, Camilla
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av att vårda personer med demenssjukdom i livets sista tid: en intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care is a care provided when cure is not possible and the focus will be supportive, focusing on holistic care according to the four cornerstones, symptom relief, teamwork, support to caregivers and communication. Dementia is a collective name and a diagnosis of a number of symptoms caused by brain damage. Dementia is usually divided into three phases where the third is described as severe and when the sick approaches the final phase of life, and palliative care should be the obvious focus on care to relieve symptoms and increase the quality of life for this patient group. The care of the dementia should be done with a person-centered approach where the life story help nurses and caregivers to make nursing more personal.

    Aim: The purpose of the study was to investigate and describe nurses' role and experiences of caring for persons with dementia in the last days of life.

    Method: The method chosen was a qualitative interview study with descriptive design. Nine nurses were interviewed using a semi-structured questionnaire and the material was analyzed with qualitative content analysis.

    Results: The outcome of the interviews resulted in two categories of The nurse has a supporting role and the nurse and teamwork, and were detailed in eight sub-categories where the nurses experience describes that they regard themselves as supportive and inventive. But also that it is fun, responsibly and difficult.

    Discussion: Parts of the result has been discussed based on current research and McCormack & McCance's (2006) mid-range theory for person-centred nursing. The result was that the nurses' experiences of caring are based on a person-centred approach.

  • 160.
    Carlgren, Gunilla
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Psykoanalytikers upplevelser av att patienten finns med i deras inre värld: utanför terapins tid och rum2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: The relationship between analyst and patient in the therapeutic setting is of great importance in therapy, but what is the importance of this relationship outside the therapeutic setting?

    Question: The purpose of this study is to examine psychoanalysts’ experiences of the patient’s presence in their inner world, outside the therapeutic setting, how the analyst, the therapeutic collaboration and the therapeutic process are affected by this.

    Method: Five analysts were interviewed using semistructured qualitative interview. The interviews were analyzed using IPA.

    Results: The analysts described experiences of a calm, creative, fluid, dreamlike presence of the patient, of a burdening presence characterized by concern, of a presence characterized by feelings of both affection and concern, of a transference and counter transference characterized by aggression, where the analyst feels occupied by the patient, and of the patient’s presence linked to frame break.

    Discussion: All analysts stated that the patients had become internal objects, and a permanent part of their inner world. This could be experienced as both enriching, with feelings of joy, satisfaction and creativity, and demanding, with feelings of concern, frustration and anger. In both cases this presence was, however, experienced as an asset and a tool in the therapeutic process.

  • 161.
    Carlson, Linda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hur sjuksköterskor identifierar och bedömer fysisk smärta hos personer med demenssjukdom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
  • 162.
    Carlsson, Anna
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    ”Hej, hej, tjena, please”: En kvalitativ intervjustudie om levd erfarenhet av tiggeri på Stockholm gator.2018Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The occurrence of poor EU citizens begging to improve their financial situation has become a common sight in Sweden. The freedom of movement of persons within the EU means that people from less privileged countries in the European Union have the possibility to temporarily leave their home countries to beg in the streets of Sweden in order to create a better life for themselves and their families. They live a challenging life and many of them they lack access to human rights such as running water, sanitation and health care as well in their home countries as in Sweden. Despite this, there is little knowledge about their own perceptions of their life situation and stay in Sweden. The aim of this study is to explore the experiences of EU citizens begging in Sweden, how they perceive the act of begging and how it affects their well-being. Data was gathered through 9 semi-structured interviews conducted on Romani chib using an interpreter. The interviews were recorded, transcribed and analyzed using qualitative content analysis. The theme shame and the feeling of not having any other choice but to beg for their livelihood is what emerges most clearly in the result. Furthermore, the participants feel physical and emotional stress due to begging, but they also feel joy and gratitude as begging and the money they receive gives them the opportunity to give their children a better life and future. To discuss the empirical result, Johan Asplund's theory of social responsiveness and asocial responselessness, as well as Marcel Maus’s theory of the gift exchange have been used.

  • 163.
    Carlsson, Anna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Christensen, Ellen
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av palliativ sedering: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative sedation refers to an intentional lowering of consciousness of a patient in the end of life who is suffering from unbearable symptoms. The care is performed by a multi-professional team where the nurses’ duties are to prepare, administer and evaluate prescribed pharmaceuticals. In addition to the practical skills required by the nurses, this treatment also requires ability to reflect as well as critical and ethical thinking.

    Aim: The aim of this literature review was to explore nurses’ experiences of palliative sedation.

    Method: A literature review was conducted and ten scientific articles were chosen for analysis. Literature searches were made in the databases CINAHL Complete and PubMed.

    Results: Three themes with subthemes were identified. Good palliative care included giving palliative sedation to offer patients, families and the staff a peaceful ending and to meet the patient’s wishes. Palliative sedation and euthanasia could be difficult to separate and there was a sense that palliative sedation hastened the patient’s death. Teamwork was an important factor for how nurses experienced working with palliative sedation. It was easier if the decision to sedate was taken jointly and support within the team was meaningful to nurses during their work with palliative sedation.

    Discussion: The results were discussed in relation to Jean Watson’s Theory of Human Caring and the three caritas processes The practice of loving kindness and equanimity, Promotion and acceptance of the expression of positive and negative feelings and Developing and sustaining a helping-trusting caring relationship. 

  • 164.
    Carlsson, Tommy
    et al.
    Sophiahemmet högskola; Uppsala universitet.
    Balbas, Banaz
    Uppsala universitet.
    Mattsson, Elisabet
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Written narratives from immigrants following a prenatal diagnosis: qualitative exploratory study.2019In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 19, no 1, p. 1-7, article id 154Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Expectant parents often have optimistic expectations of the obstetric ultrasound examination and are unprepared for a diagnosis of foetal anomaly. Research that gives voice to the experiences of immigrants faced with a prenatal diagnosis is scarce, and there is a need for more exploratory research that provides insights into the experiences of these persons. The aim of this study was to explore narratives of experiences of immigrants with Arabic or Sorani interpreter needs when presented with a prenatal diagnosis of foetal anomaly.

    METHODS: A web-based tool with open-ended questions was distributed via Arabic and Kurdish non-profit associations and general women's associations in Sweden. Responses were received from six women and analysed with qualitative content analysis.

    RESULTS: The analysis resulted in three themes: (1) an unexpected hurricane of emotions, (2) trying to understand the situation though information in an unfamiliar language, and (3) being cared for in a country with accessible obstetric care and where induced abortion is legal.

    CONCLUSIONS: Immigrant women described an unexpected personal tragedy when faced with a prenatal diagnosis of foetal anomaly, and emphasised the importance of respectful and empathic psychological support. Their experiences of insufficient and incomprehensible information call attention to the importance of tailored approaches and the use of adequate medical interpreting services. There is a need for more descriptive studies that investigate decision-making and preparedness for induced abortion among immigrants faced with a prenatal diagnosis.

  • 165.
    Carlsson, Tommy
    et al.
    Uppsala universitet.
    Bergman, Gunnar
    Karolinska institutet.
    Karlsson, Anna-Malin
    Uppsala universitet.
    Wadensten, Barbro
    Uppsala universitet.
    Mattsson, Elisabet
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Experiences of termination of pregnancy for a fetal anomaly: A qualitative study of virtual community messages.2016In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 41, p. 54-60Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to explore experiences described by posters in Swedish virtual communities before, during and after termination of pregnancy due to a fetal anomaly.

    DESIGN: cross-sectional qualitative study of messages in virtual communities. The messages were purposefully selected in 2014 and analyzed with inductive qualitative manifest content analysis.

    SETTING: two large and active Swedish virtual communities.

    SAMPLE: 1623 messages from 122 posters (112 females, 1 male, and 9 did not disclose their sex), written between 2008 and 2014. The majority of the posters were females (91%) with recent experience of termination of pregnancy following different prenatal diagnoses (63% less than one year since the termination).

    MEASUREMENTS AND FINDINGS: before the termination, posters experienced an emotional shock and a difficult decision. During the termination, they needed compassionate care from present caregivers, experienced intense emotional and physical pain, lacked an understanding about the abortion, and expressed varied feelings about the option to view the fetus. After the termination, posters used different strategies to come to terms with and accept the decision, experienced a perinatal loss, expressed fears of recurrence, and longed for a new child.

    KEY CONCLUSIONS: spanning across the time before, during and after the abortion, women who terminate a pregnancy due to a fetal anomaly express considerable physical and emotional pain, with psychosocial and reproductive consequences.

    IMPLICATIONS FOR PRACTICE: information and preparation, including the decision whether or not to view the fetus, are important aspects to consider when caring for individuals who have decided to terminate a pregnancy for a fetal anomaly. The findings indicate a need for structures that offer support to women who suffer from fears of recurrence in future pregnancies.

  • 166.
    Carlsson, Tommy
    et al.
    Uppsala universitet.
    Landqvist, Mats
    Södertörns högskola.
    Mattsson, Elisabet
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Communication of support and critique in Swedish virtual community threads about prenatal diagnoses of fetal anomalies.2016In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 16, no 1Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: A prenatal diagnosis of a fetal anomaly involves acute grief and psychological distress. The Internet has the potential to provide virtual support following the diagnosis. The overall aim was to explore communication of support and critique in Swedish virtual community threads about prenatal diagnoses of fetal anomalies.

    METHODS: Systematic searches in Google resulted in 117 eligible threads. Fifteen of these were purposefully selected and subjected to deductive content analysis.

    RESULTS: The virtual support involved mainly emotional support (meaning units n = 1,992/3,688, 54 %) and was described as comforting and empowering. Posters with experience of a prenatal diagnosis appreciated the virtual support, including the opportunity to gain insight into other cases and to write about one's own experience. Critique of the decision to continue or terminate the pregnancy occurred, primarily against termination of pregnancy. However, it was met with defense.

    CONCLUSIONS: Peer support, mainly emotional, is provided and highly appreciated in threads about prenatal diagnoses of a fetal anomaly. Critique of the decision to terminate the pregnancy occurs in virtual community threads about prenatal diagnoses, but the norm is to not question the decision. Future studies need to investigate if virtual peer support promotes psychosocial function following a prenatal diagnosis and what medium would be most suitable for these types of supportive structures.

  • 167.
    Carlsson, Tommy
    et al.
    Uppsala universitet.
    Mattsson, Elisabet
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Emotional and cognitive experiences during the time of diagnosis and decision-making following a prenatal diagnosis: a qualitative study of males presented with congenital heart defect in the fetus carried by their pregnant partner.2018In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 18, no 1, article id 26Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Expectant fathers consider the second-trimester obstetric ultrasound examination as an important step towards parenthood, but are ill prepared for a detection of a fetal anomaly. Inductive research is scarce concerning their experiences and needs for support. Consequently, the aim of this study was to explore the emotional and cognitive experiences, during the time of diagnosis and decision-making, among males presented with congenital heart defect in the fetus carried by their pregnant partner.

    METHODS: Twelve expectant fathers were consecutively recruited through two tertiary referral centers for fetal cardiology in Sweden, after they had been presented with a prenatal diagnosis of congenital heart defect in the fetus carried by their pregnant partner. The respondents were interviewed via telephone, and the interviews were analyzed using inductive qualitative content analysis.

    RESULTS: The respondents experienced an intense emotional shock in connection with detection. However, they set their own needs aside to attend to the supportive needs of their pregnant partner, and stressed the importance of an informed joint decision regarding whether to continue or terminate the pregnancy. When terminating the pregnancy, they experienced a loss of a wanted child, an emotionally intense termination procedure, needs of support neglected by professionals, and worries about the risk of recurrence in future pregnancies. When continuing the pregnancy, they tried to keep a positive attitude about the coming birth, but were simultaneously worried about the postnatal situation.

    CONCLUSIONS: The findings illustrate the importance of inclusive care and adequate follow-up routines for both expectant parents following a prenatal diagnosis. This includes the initial emotional shock, the decisional process, and depending on decision reached, the termination or continuation of the pregnancy. Expectant fathers presented with a fetal anomaly need adequate follow-up routines to address worries about risk of recurrence in future pregnancies and worries about the postnatal situation.

  • 168.
    Carlsson, Tommy
    et al.
    Uppsala universitet.
    Melander Marttala, Ulla
    Uppsala universitet.
    Wadensten, Barbro
    Uppsala universitet.
    Bergman, Gunnar
    Karolinska institutet.
    Axelsson, Ove
    Uppsala universitet.
    Mattsson, Elisabet
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Quality of Patient Information Websites About Congenital Heart Defects: Mixed-Methods Study of Perspectives Among Individuals With Experience of a Prenatal Diagnosis.2017In: Interactive Journal of Medical Research, E-ISSN 1929-073X, Vol. 6, no 2Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: When a heart defect is prenatally diagnosed in the fetus, expectant parents experience a great need for information about various topics. After the diagnosis, the Web is used for supplemental information, and the scarcity of research calls attention to the need to explore patient information websites from the perspectives of the intended consumers. OBJECTIVE: The overarching aim of this study was to explore the quality of Swedish patient information websites about congenital heart defects, from the perspectives of individuals with experience of a prenatal diagnosis of congenital heart defect in the fetus. METHODS: This was a mixed-methods study of websites identified through systematic searches in the two most used Web-based search engines. Of the total 80 screened hits, 10 hits led to patient information websites about congenital heart defects. A quality assessment tool inspired by a previous study was used to evaluate each website’s appearance, details, relevance, suitability, information about treatment choices, and overall quality. Answers were given on a 5-point Likert scale, ranging from 1, representing the lowest score, to 5, representing the highest score. Each website was assessed individually by persons with experience of continued (n=4) and terminated (n=5) pregnancy following a prenatal diagnosis. Assessments were analyzed with Kendall’s coefficient of concordance W, Mann-Whitney U test, Friedman’s test, and a Wilcoxon-Nemenyi-McDonald-Thompson test. In addition, each assessor submitted written responses to open-ended questions in the quality assessment tool, and two joint focus group discussions were conducted with each group of assessors. The qualitative data were analyzed with inductive manifest content analysis. RESULTS: Assessments represented a low score (median=2.0) for treatment choices and moderate scores (median=3.0) for appearance, details, relevance, suitability, and overall quality. No website had a median of the highest achievable score for any of the questions in the quality assessment tool. Medians of the lowest achievable score were found in questions about treatment choices (n=4 websites), details (n=2 websites), suitability (n=1 website), and overall quality (n=1 website). Websites had significantly different scores for appearance (P=.01), details (P<.001), relevance (P<.001), suitability (P<.001), treatment choices (P=.04), and overall quality (P<.001). The content analysis of the qualitative data generated six categories: (1) advertisements, (2) comprehensiveness, (3) design, (4) illustrations and pictures, (5) language, and (6) trustworthiness. Various issues with the included websites were highlighted, including the use of inappropriate advertisements, biased information, poor illustrations, complex language, and poor trustworthiness. CONCLUSIONS: From the perspectives of the intended consumers, patient information websites about congenital heart defects are, to a large extent, inadequate tools for supplemental information following a prenatal diagnosis. Health professionals should initiate discussions with patients about their intentions to use the Web, inform them about the varied quality in the Web-based landscape, and offer recommendations for appropriate Web-based sources.

  • 169.
    Carlsson, Tommy
    et al.
    Uppsala universitet.
    Melander Marttala, Ulla
    Uppsala universitet.
    Wadensten, Barbro
    Uppsala universitet.
    Bergman, Gunnar
    Karolinska institutet.
    Mattsson, Elisabet
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Involvement of persons with lived experience of a prenatal diagnosis of congenital heart defect: An explorative study to gain insights into perspectives on future research2016In: Research Involvement and Engagement, E-ISSN 2056-7529, Vol. 2, no 35Article in journal (Refereed)
    Abstract [en]

    Background A prenatal diagnosis of a congenital heart defect in the fetus is a traumatic life event for pregnant women and their partners. Previous research indicates a need for research that takes steps to support these individuals following the diagnosis. Patient and public involvement is a proposed method of identifying relevant research topics, leading to patient-focused research protocols and relevant support interventions.The overarching aim of this study was to gain insights into relevant future research topics among persons faced with a prenatal diagnosis of congenital heart defect in the fetus. Methods One group of parents to prenatally diagnosed children with a congenital heart defect (n = 5) and one group of individuals with experience of termination of a pregnancy following a prenatal diagnosis of a congenital heart defect (n = 5) were purposefully recruited. Each group of representatives was involved in a face-to-face focus group discussion, analyzed through qualitative content analysis. Results The representatives suggested a need for future research that addresses informational support in the forms as supplemental written information or follow-up consultations. Moreover, interventions that offer emotional support were suggested, in the forms of peer support or additional professional psychosocial support. Conclusion Several interventions were suggested by patient representatives, indicating a need for multiple intervention studies to be conducted in the context of a prenatal diagnosis of a congenital heart defect in the fetus. We recommend that future studies test supplemental written information, follow-up consultations, peer support, and additional professionals psychosocial support following the diagnosis.

  • 170.
    Carlsson, Tommy
    et al.
    Uppsala universitet.
    Starke, Veronica
    Uppsala universitet.
    Mattsson, Elisabet
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    The emotional process from diagnosis to birth following a prenatal diagnosis of fetal anomaly: A qualitative study of messages in online discussion boards2017In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 48, p. 53-59Article in journal (Refereed)
    Abstract [en]

    Objective: to explore written statements found in online discussion boards where parents currently expecting, or with previous experience of expecting, a child with a prenatally diagnosed congenital anomaly communicate about their emotional process from diagnosis to birth. Design: cross-sectional qualitative study of messages in public online discussion boards. Setting: Swedish public discussion boards about reproductive subjects. Sample: ten pregnant women and eight parents (of children with prenatal diagnoses) who had written 852 messages in five threads in Swedish online discussion boards identified via systematic searches. Measurements and findings: three phases were identified in the process of moving from the diagnosis to the birth: shock, existential crisis, and life remodeling. The people posting message (‘posters’) moved from initial shock to existential crisis and, lastly, a phase of remodeling life later in the pregnancy. During the pregnancy, considerable worries about both antenatal and postnatal aspects were expressed. To cope with their situation, the posters distanced themselves from the diagnoses, vented their feelings, sought control, and obtained practical support from friends and relatives. Key conclusions: expectant parents faced with a prenatal diagnosis move from initial shock to a phase of life remodeling and acceptance. Burdened with considerable worries, expectant parents cope with their situation through informational, emotional, and instrumental support from health professionals, family, friends, and peers. Implications for practice: health professionals should make sure that expectant parents feel involved in planning their children’s postnatal care, that they are offered sufficient information, and that they have access to emotional and instrumental support structures. 

  • 171.
    Carlsson, Yvonne
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Barnets bästa med ett diskursanalytiskt perspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 172.
    Carlsund, Åsa
    et al.
    Swedish Family Care Competence Centre (NKA), Mittuniversitetet .
    Johansson, Pauline
    Linnéuniversitetet, Swedish Family Care Competence Centre (NKA).
    Hammare, Ulf
    Ersta Sköndal Bräcke University College, Uppdragsutbildningsenheten. Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Linnéuniversitetet, Swedish Family Care Competence Centre (NKA).
    Support for children as next of kin and systematic follow up: Group leaders’ and managers’ perspectives within non-profit organizations in Sweden2017In: Open Family Studies Journal, ISSN 1874-9224, Vol. 9, p. 49-59Article in journal (Refereed)
    Abstract [en]

    Method: The aim of this study was to explore the systematic follow up of supportive activities in non-profit organizations targeted at childrenas next of kin. Managers and group leaders were interviewed, and findings were content analysed.

    Result: The findings indicated that a child focus, education, safety and trust were important. These factors were observed as the primarytasks and the key reason for being involved in supportive activities. Managers expressed concern about not retaining funding, if the organization was unable to demonstrate the effects of their activities. Namely, to enhance the health and wellbeing of children. In order to continuously develop their work most organisations explained that they used some form of system for follow up. However,there was a wide variation in how non-profit organizations worked with follow ups.

    Conclusion: Overall, it was evident that there was a major need for education and support in this area.

  • 173.
    Carson, Anna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Grimgarn, Tove
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Depression hos äldre: Vårdpersonals beskrivning och förståelse - en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is common in old age and can have a significant impact on older patients’ health. Depression among the elderly differs in several aspects from depression in younger patients. The differences occur in the appearance of symptoms, causes, and risk factors for depression. Somatic comorbidity is common among older patients which can worsen the course of depression and obstruct identification and treatment.  

    Aim: The aim of the review was to describe approaches to depression in the elderly among health care personnel in somatic care.

    Method: A literature review was conducted based on ten scientific articles, nine qualitative and one mixed method. The content was analyzed and organized in categories. Databases used were: CINAHL complete, PubMed and PsycINFO.

    Results: Three categories with subcategories were constructed. In Health personnel's understanding of depression three subcategories emerged; Underlying causes and risk factors, Obstacles to identify and screen for depression, and Knowledge and training. The category Attitudes towards depression is divided in two subcategories; Stigma in old age and Depression as a normal part of ageing. In the category Health personnel’s conditions to manage depression in older patients, two subcategories emerged; Roles and functions of health personnel and Timeframes in healthcare.        

    Discussion: The results of the literature review are discussed from the perspective of previous studies as well as the theoretical framework of the review, the tidal model. To indicate the relevance and significance of health personnel’s approaches to depression in old age the results are also discussed from a patient perspective. 

  • 174.
    Chigbu, Ihuoma Angela
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Pettersson, Teruna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Närståendes upplevelser av att vårda en familjemedlem i hemmet vid livets slut: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Palliativ vård syftar till att förbättra livskvaliteten för både patienter och närstående som drabbats av livshotande sjukdom. Hela familjen påverkas när en familjemedlem drabbas av en livshotande sjukdom. Palliativ vård kan utföras på sjukhuset eller i hemmet beroende på medicinska förhållanden och vad patienten eller närstående föredrar. Idag vill många med livshotande sjukdom vårdas i hemmet. När palliativ vård sker i hemmet får närstående ofta ta en informell vårdande roll, vilket kräver ett stor engagemang från dem. Syfte: Att beskriva närståendes upplevelser av att vårda en familjemedlem i hemmet vid livets slut. Metod: Litteraturöversikten baserades på tio kvalitativa artiklar. Artiklar mellan 2008-2018 hämtades från databasen CINAHL Complete och PubMed. Data analyserades enligt Fribergs fyra steg. Resultat: Resultatet grupperades i fem huvudteman; 1) Transition från närstående till informell vårdgivare, 2) Utmaningar i den vårdande rollen, 3) När döden närmar sig, 4) Meningsfullhet och 5) Närståendes upplevelser av stöd från vårdpersonal. Diskussion: Resultatet diskuterades med Antonovskys teori Känsla av sammanhang (KASAM) som teoretisk utgångspunk. KASAMs tre dimensioner Begriplighet, Hanterbarhet och Meningsfullhet mappas mot närståendes upplevelser för djupare förståelse av närståendes situation och hälsa. KASAMs styrkor och svagheter som analysmetod tas också upp, samt kliniska implikationer och förslag på vidare forskning.

  • 175.
    Christenson, Jenny
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Betydelsen av yoga och mindfulness för patienter med depression: En litteraturstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: More than 300 million people in the world suffer from depression, which creates a great deal suffering. The psychiatric health care system should work according to a holistic approach and the nurse should support the patient's self-care ability. Yoga and mindfulness have shown to have a health-promoting effect on many somatic states.

    Aim: To describe the importance of yoga and mindfulness for patients with depression.

    Method: Literature review based on ten scientific articles with qualitative, quantitative and mixed design. Data was analyzed based on the Wittenmore and Knafls (2005) method for integrative content analysis.

    Results: The result of the yoga's significance resulted in two themes; “Internal Process” and “Recovery” and eight categories; Coping tools, Empowerment, Depressive symptoms, Knowledge and competence, Mental change, Physical health, Holistic experience and Perceived difficulties.  

    The yoga was experienced as a coping tool for symptom relief and led to increased internal strength and empowerment. It reduced the depressive symptoms. The participants gained knowledge of how the body and mind interact and they gained an increased self-acceptance. Yoga training provided peace and relaxation as well as physical health improvements. Many experienced a sense of belonging and to be part of a larger context. Experienced difficulties were physical limitations, concentration difficulties, internal pressures, poor conscience and planning.

    Discussion: The results are discussed based on Phil Barker's Tide Model and relevant research.

  • 176.
    Christine, Bratt
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Scheele, Sofie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kvinnors upplevelse av sexualitet efter ryggmärgsskada: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One-fifth of those who suffer from spinal cord injury are women. There is little research that illustrates women's experience of sexuality after spinal cord injury that caused paraplegia or tetraplegia.

    Aim: To describe the women's experience of sexuality after acquired spinal cord injury.

    Method: A literature review according to Friberg (2012) has been conducted. Ten scientific articles were selected, six of which were of qualitative design, two with quantitative design and two articles with mixed method. The databases Cinahl Complete, Pubmed and Nursing & Allied Health database were used to search the articles. The articles were read and analyzed regarding similarities and differences in results, theory, perspective and methodology (Friberg, 2012). Similarities were color-coded and divided into themes.

    Results: The literature review resulted in five themes. In the theme self-esteem it was found that spinal cord injury changed the sexual identity, body perception and self-esteem. The theme information revealed how the women experienced information and how the information was perceived as inadequate. The theme sex and intimacy revealed how women revised their expectations for the intercourse. The theme relations and the social environment describe how the women experienced that they were perceived by society as well as difficulties in establishing and maintaining intimate relationships. In the theme of physical barriers and practical barriers, various bodily aspects that influenced sexuality emerged.

    Discussion: The result was discussed based on Roy’s adaptation model (Roy, 2009). Nurse’s educational function, the women’s experience of information, peer learning and how the internet could be used to meet the women’s need for information was discussed. The effect a spinal cord injury had on relationships, as well as being a single woman with a spinal cord injury and its effect on sexuality was also discussed. Norms of the society and how these affect the woman’s self-image are described.

  • 177.
    Claesson, Therese
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fernández, Gregorio
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors attityder gentemot patienter med psykisk sjukdom: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is a widespread and growing problem in society. People living with mental illness are often met with negative and skeptical attitudes in society as well as by health care professionals. In their daily working lives, nurse meet patients with mental illness in both somatic and psychiatric care and it is the nurses’ duty to care for all patients on equal terms.

    Aim: The aim was to highlight the attitudes of nurses towards patients with mental illness.

    Method: A general literature review has been performed to highlight the attitudes of nurses towards patients with mental illness. The result is based on ten scientific articles, two of which are qualitative and eight quantitative, retrieved from the databases CINAHL Complete and PubMed. All of the articles were reviewed according to quality.

    Results: This literature review shows that nurses expressed primarily positive but also negative attitudes towards patients with mental illness. Education and experience proved to be the factors that were primarily relevant to nurses´ attitudes but also organization, healthcare climate, age and gender had significance in various ways.

    Discussion: Increased knowledge in the form of education and experience, can improve the attitudes of nurses and, consequently, the treatment of patients. According to the results, there seems to a need for nurses for more education regarding mental illness, management strategies for difficult situations and opportunities for self- reflection.

  • 178.
    Cleeve, Helena
    et al.
    Karolinska institutet.
    Tishelman, Carol
    Karolinska institutet.
    Macdonald, Alastair
    Storbritannien.
    Lindqvist, Olav
    Karolinska institutet, Umeå universitet.
    Goliath, Ida
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet, Ersta sjukhus.
    Not just things: The roles of objects at the end of life.2018In: Sociology of Health and Illness, ISSN 0141-9889, E-ISSN 1467-9566, Vol. 40, no 4, p. 735-749Article in journal (Refereed)
    Abstract [en]

    While the study of objects in care contexts is an emerging research field, it is largely overlooked in end of life (EoL) care. In this study, we empirically and inductively explore the roles of objects at the EoL from the perspective of bereaved family members. Open individual interviews were conducted with 25 family members recruited from palliative in-patient and homecare units, as well as residential care facilities. After verbatim transcription, the interviews were analysed thematically. Based on these interviews, we conceptualise the roles of objects as relating to temporality, transformations of the everyday, and care. Through analysis we offer two main insights, the first relating to interdependency between objects and people, and the second to the recognition of objects as simultaneously flexible and stable in this interdependent relationship. The capacity and challenge of objects as part of EoL care lies in their ability to encompass various viewpoints and relationships simultaneously. This might provide valuable insights for staff caring for dying persons and their families. We propose that staff's ability to navigate objects in care practices could be meaningful in supporting the relationships between individuals in EoL situations.

  • 179.
    Cronfalk, Berit Seiger
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet, Høgskolen Stord/Haugesund.
    Norberg, Astrid
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Umeå universitet.
    Ternestedt, Britt-Marie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    They are still the same: Family members' stories about their relatives with dementia disorders as residents in a nursing home.2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 1, p. 168-176Article in journal (Refereed)
    Abstract [en]

    In order to better understand the context of suffering from dementia disorders, greater efforts should be made to understand and identify what persons with such disorders experience when living in a nursing home. The aim of this qualitative study was to gain further understanding of how persons with dementia disorders experienced and coped with their changed life situation after being relocated to a nursing home as described by their family members' perceptions. Qualitative data were collected from ten interviews with family members and evaluated using content analysis. The main findings suggest that residents with dementia disorders largely maintained their personality intact throughout the trajectory of illness as they were able to keep their habits and interests. The local environment of the nursing home and the residents' relationships to staff were important in order to feel accepted. Four categories were discerned during the analysis: living in limbo; coming to peace; keeping old habits and relationships; and thoughts about impending death. It is reasonable to believe that old habits and interests may be preserved as the embodiment of such habits are deeply rooted and connected to a person's identity even when going through various changes and transitions in life. Therefore, to be accepted as the person you are requires care and services to specific needs, i.e. person-centeredness. Lack of understanding from staff may therefore have an adverse effect on a person's self-respect and identity. For that reason, staff needs to reflect on their attitudes and relationships as well as extending their knowledge about how to address sensitive topics such as the residents' impending death. To achieve this support from managers is pivotal. Future research should focus on support to nursing staff to further knowledge and understanding about the individual changes resident go through near the end of life.

  • 180.
    Dagdelen, Fatima
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Agnebrink, Moa
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    “I want to become a role model for them”: A qualitative study in a Philippine context about social workers perceptions of poverty2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There is much said about how to support a client as a social worker. Much is based on the country's politics, structure, organization, norms, but also on the values, knowledge, and responsiveness of social workers. When a country is exposed to poverty, social work takes a certain kind of shape and direction based on several viewpoints. The world has its eyes on developing countries with many poverty reduction recommendations, but how do social workers, living and working in a country with high poverty, express their reality?                       This study aims to, in a Philippine context, examine professional social workers perception of poverty and identify their approach to poverty alleviation and clients living in poverty. A qualitative study, with eight semi-structured interviews was hold plus one group interview including two respondents. All respondents were professional social workers that worked with poverty reduction in various ways. The thematic analysis was made with the framework of Human Development and Amartya Sen’s Capability Approach theory. The result shows that the efforts to reduce poverty in the Philippines require long-term thinking where respondents' mostly have the task of changing communities and clients' values. The respondents’ perceptions of poverty is that it is a condition that can be changed as long as the individual living in poverty makes active choices. The conclusions show that the major approach the respondents have, is to work with clients potentials and mindset by aware them to see what they actually can do for themselves. Almost all of the respondents use their own background as a motivator to support clients out of poverty and they approach their clients with patience, attention, belonging, and love, which can lead to minimizing obstacles that may be in the way of increasing the well-being of clients. On the other hand, the results show that it is the individual's responsibility to change his or her situation and a common perception among the respondents' is that education is the key to reduce poverty.

  • 181.
    Dahlberg, Anna
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Erfarenheter av att få avslag om sjukpenning: en kvalitativ studie om hur avslag om sjukpenning från Försäkringskassan påverkar personer med stressrelaterad psykisk ohälsa2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Stress-related disorders have increased and accounts for the longest duration of sick leave. Changes in the health insurance system and decisions to reduce the sick-leave have had consequences such as an increased number of rejection of sickness benefits.

    The aim of this study was to investigate the experience for people having a stress-related disorder and being rejected sickness benefits from the Social Insurance Fund, to describe and understand the importance for their disease image and recovery. The study is qualitative and has been conducted through semistructured interviews with five participants who suffered from stress-related disorders and received a refusal of sickness benefits from the Social Insurance Fund. The material gathered through the interviews has been analyzed with Ulrich Beck’s theory of risk society and Randall Collin’s theory of symbolic interaction-chains and previous research.

    The result of this study indicates that the refusal of sickness benefits affects the recovery rate negatively for the participants in the study. The participants felt that the refusal extended the disease time, and they experienced reduced opportunities to recover and a worse diseases image. The result also shows a consistent picture of the experience of receiving a refusal of sickness benefits from the Swedish Social Insurance Agency. The participants do not feel that the case officers at the Social Security Fund believe them and thus they feel offended.

  • 182.
    Danielsson, Emelie
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    ”Socialtjänsten är inget farligt, det är en möjlighet, en tillgång.”: En kvalitativ studie om professionellas erfarenheter av tillit hos föräldrar med intellektuell funktionsnedsättning2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study has been to increase knowledge about social and political trust among parents with intellectual disabilities - ID - which can be understood as a consequence of, and a reason for, the challenges facing parents and professionals in creating a partnership. People with ID tend to be stigmatized and have a history of bad experiences with authorities and social services, which generally makes them “distrusters”. They are aware of this stigma when they become parents, and have a tendency of denying their need of support because of the fear of losing custody of their children.Nine social workers have been interviewed about their experience of working with parents with ID. The data was placed into three categories and analyzed through the framework of trust and social capital. These categories were: Support from the social network, Customized support from professionals and Knowledge and attitudes. This study shows that community participation such as parent groups gives the parents a chance to increase their social trust by expanding their social network. Their special needs require customized support for developing parenting skills, where the alliance with the social worker as a part of the social services can increase their overall political trust. This study also shows that the attitudes of the professional is an essential part of solving the problem with distrust. The stigmatization the parents are facing makes it challenging to change their status in society, as well as their deeply rooted lack of social and political trust.

  • 183.
    Danielsson, Ulrika
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Sandström, Linda
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Betydelsen av reflektion: En kvalitativ studie om upplevelsen av reflektion hos socialsekreterare och biståndshandläggare i socialtjänsten2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie handlar om socialarbetares egna uppfattningar kring reflektion i deras dagliga arbete i socialtjänsten. Syftet med studien är att undersöka reflektionens betydelse inom socialt arbete i socialtjänsten. Studien har en abduktiv ansats och är genomförd med kvalitativa semistrukturerade intervjuer. Det empiriska materialet som har analyserats består av sex intervjuer med sex socialsekreterare/biståndshandläggare inom socialtjänsten i en kranskommun till Stockholm. Intervjuerna har analyserats utifrån en teoretisk referensram kring begreppet reflektion. Studiens resultat visar att reflektion kommer till uttryck på flera olika sätt i det dagliga arbetet och är en naturlig och viktig del i intervjupersonernas arbetsdag. I det praktiska arbetet sker en ostrukturerad reflektion; på egen hand och spontant tillsammans med kollegor eller mer strukturerat; vid inplanerade tillfällen under ledning till exempel i handledning och möten. Vidare framkommer det i resultatet att innebörden av reflektion handlar om ett lärande och ett välmående i arbetet. Intervjupersonerna beskriver att reflektion behövs då det sociala arbetet är komplext och känsloladdat samt att varje klient och dess problematik är unik.

  • 184.
    De Sousa, Caroline
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Gustafsson, Caroline
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Upplevelser av att leva med ofrivillig barnlöshet: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Infertility is described as a disease in the reproductive organs where pregnancy after twelve months or more with unprotected intercourse failed. Infertility affects about 10-15 percent of the world's population. The role of the nurse becomes relevant at the fertility clinic where they meet infertile couples who are undergoing investigation or treatment. The role of the nurse is largely about providing support, dialog and information. Treatment of infertility can be given in the form of, for example, insemination or test tube fertilization. If treatment would not result in a biological child, adoption can be a alternative to having a biological child.

  • 185.
    Deines, Karin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Klienters upplevelser av Bildterapi inom en Psykodynamisk terapi2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Art therapy/Art psychotherapy is a method in which image creation is used for therapeutic purposes. Art therapy as a method is found in different psychotherapeutic orientations, but the psychodynamic theory is most common. In recent years, several overview studies and RCT studies on Art Therapy as a treatment method have been published. Studies where clients have come to terms and shared their experience of the method are so far less widespread. This study aims to investigate clients' subjective experience of Art Therapy in psychodynamic therapy.

    Issues: How does the client experience Art Therapy in a psychodynamic therapy? How does the client experience the impact of Art Therapy on the relationship with the therapist? How does the client experience that Art Therapy affects the understanding of him or herself?

    Method: The study is based on interviews from five women between 36 and 63 years of age who participated in Art Therapy in psychodynamic therapy. Interview data were analyzed using Interpreting Phenomenological Analysis.

    Result: Therapeutic alliance proved to be of great importance and, according to the participants, was mainly due to the therapist's professionalism and ability to create security. Art Therapy was further perceived as a method that facilitated expressing, becoming aware and managing emotions and a method that helped the participant to let go of control and lessen the defence. The participants emphasized the fact that the image revealed both conscious and unconscious feelings and thoughts in a concrete way. Finally, the results showed that the participants’ expressed that they had gained self-understanding and changed their self-image. All the participants in the study emphasized the impossibility that in words to express everything that the images could reveal.

    Discussion: The outcome was discussed, inter alia, from other therapies where great emphasis is placed on consciousness, expressing and managing emotions. The therapeutic relationship was considered to be crucial but did not appear to be primarily a result of the Art Therapy method. The fact that the images were saved and were available for later consideration and discussion was, according to the participants, that their own change process became apparent in a visible way. Finally, the importance of giving space in research for clients’ subjective experience was discussed.  

  • 186.
    Deinum, Mimmi
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Ersta Sköndal Bräcke Högskola.
    Nurses experinces of the providing of care to patients suffering from substance use disorder in south africa2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Substance use disorder is a common health related problem in South Africa. Previous studies have shown facilitators as well as barriers affecting the providing of care to patients suffering from substance use disorder from a nurse- and patient perspective. Even if healthcare for patients suffering from substance use disorder is present at different levels of healthcare in South Africa are the descriptions of nurses experiences in this context limited.  

    Aim: The aim was to explore nurses experiences of the providing of care to patients suffering from substance use disorder in South Africa

    Method: A qualitative research design with an inductive approach was applied. Eleven nurses working at three different rehabilitation centres in South Africa participated in the study. Semistructured interviews were used in order to collect data and the collected material was analysed using qualitative content analysis.

    Results: Patients participation emerged as a main category in the results. Different factors were seen as facilitating and constituting barriers for patients participation. Patients anger, threats of violence and violence were considered challenges for the providing of care to these patients, leading to nurses fear their own safety. Nurses had different strategies to calm a patient and, in this way, prevent violence. The structure and organization of the rehabilitation centres were considered important for the providing of care and was maintained by rules, an ability to set boundaries and limits and by professionals working together and in collaboration. Lack of support from patients and nurses families were seen as causing setbacks for the providing of care.

    Conclusion: The present study results contribute to further understanding of the opportunities and challenges in the providing of care to patients suffering from substance use disorder in a South African context.

  • 187.
    Delfechresh, Marija
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Liljevret, Josefine
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors omvårdnad av äldre patienter i palliativ vård: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 188.
    Despres, Sara
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Wikström, Mark
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Närståendes upplevelser av palliativ vård på intensivvårdsavdelningar: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The care in the intensive care units intends to save lives. In spite of that aim, 20 percent of the deaths in Sweden occur at the intensive care units and the transition between curative and palliative care can be very quick. Death often occurs shortly thereafter, and this can be experienced in different ways depending on how the staff informs and communicates with the next-of-kin.

    Aim: The purpose of the literature review is to examine how the next-of-kin experience palliative care in intensive care units.

    Method: A literature review was made and ten scientific articles were selected. Six were quantitative and four qualitative.

    Results: Five main themes with subthemes were identified. Information on diagnosis and prognosis was crucial. Communication was also important. The next of kin appreciated emotional and existential support. Interaction, as in practical involvement and as in the physical and existential presence, turned out to be very important. Finally, results show that the environment with a lot of technical equipment and little space for privacy and tranquility affects the experience for next-of-kin.

    Discussion: The results are discussed in relation to Andershed’s theoretical framework “Involvement in the light - Involvement in the dark.” and her main concepts“ to know”, “to be” and “to do”. In addition, Andershed’s concepts of humanistic approach and “extra resources” are being discussed.

  • 189.
    Detterfelt, Emma
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Wallman, Anna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med schizofreni: Sociala aspekter av livskvalitet2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 190.
    Dino, Hala
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors attityder gentemot personer med psykisk ohälsa inom somatisk och psykiatrisk vård2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 191.
    Doverland, Johanna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Löfstrand, Jessica
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelse av att drabbas av vårdskador: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patient safety involves the prevention of adverse events and is a global and serious issue. In Europe one out of ten patients is expected to suffer from an adverse event that could have been prevented. Except the economic costs adverse events cause suffering for both patients and medical staff. The patient may experience that the body´s boundaries have been exceeded when another human being touched the body, the medical staff who had been involved in an adverse event are affected both on a professional and personal level.

    Aim: The aim of this study was to explore patients’ experiences of suffering from adverse events.

    Method: A literature review and analysis of eleven qualitative articles according to Friberg.

    Results: The literature review resulted in five main themes and five subthemes. Experiences of lack of information and communication were usual and also that life became restricted because of the adverse event. The adverse events also caused stress of both physical and psychological nature. Many patients wanted to prevent that the same thing would happen to someone else in the future. A few felt that they could turn the stressful experience into something positive

    Discussion: Patients must receive honest and complete information on what happened after an adverse event, it is more likely that the patient's response is positive then. If the patient is treated with dignity it may relieve the individual patient's suffering. Patients who have experienced reconciliation with the incident can ascribe the suffering a meaning. There is a need to talk about the adverse event, both for the patients and for the involved professionals, which in this context is called the second victim.

  • 192.
    Drangel-Wulcan, Anna-Karin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av att tillsammans med närstående ge omsorg till den döda kroppen inom hospice: En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
    Abstract [en]

    Background:  In the hospice care specialized palliative care is practiced on patients that are at the end of their lives, and nurses meet grieving relatives on a daily basis, both after and before the event of death. When the patient is deceased the relatives are offered to be present in the room while the nurses provide care for the deceased individual. It’s not as well-known if the relatives are offered to help the nurses care for the dead body.

    Aim: The purpose of the study is to investigate whether nurses’ have experiences of    caring for the dead body together with the relatives.

    Method: A qualitative method has been used with semi-structured telephone interviews. The material has been analyzed with a qualitative content analysis according to Granheim and Lundman (2004). Eight nurses in the hospice care, in the middle and south of Sweden, have been interviewed. From these eight nurses, five have experiences of providing care for the dead body together with the relatives.

    Results: The analysis resulted in a main theme, participation in the light, with three subthemes, mutual caring which is beneficial both for nurses and relatives, professional approach which is based on experience and knowledge, as well as collegial learning. Nurses that have the experience of caring for the dead body with the relatives, are seen to have a readiness for action and to provide the care in a respectful fashion. Central for nurses are their interest in participating and to offer others to join in.

    Discussions: The discussion is based on Andershed’s (1998) theoretical frame of understanding, with the metaphor participation in the light, as well as current research. In the discussion the concepts to know, to be, to do are used. The nurses in the study are contented to provide the care for the dead body together with the relatives. They feel gratification with the relatives’ participation, as they share the experience with them. It provides closure.

  • 193.
    Dudmish, Jennie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Personers upplevelser att leva med diabetes typ 1: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes type 1 involves a chronic shortage of insulin that will regulate a person´s blood sugar. The condition puts the person at risk for diabetes-related complications if it is not treated correctly. The main care is self-care, which can be challenging for the person both practical and emotionally in everyday life with type 1 diabetes.

  • 194.
    Durrani, Riddi
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Nielsen, Amanda
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    I've become hopeful again: A qualitative study of how the work of NGOs can be beneficial for teenage mothers in the Philippines.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study aims to examine how the work of NGOs can be beneficial for teenage mothers’ in the Philippines. We wanted to study why they sought support of an NGO and how their lives were impacted after they made contact with an NGO. Teenage pregnancy rates have been rising in the Philippines and mostly affect the young mothers negatively i.e. they often have to quit school and be financially dependent on their parents. They are a stigmatized group and to understand their situation you have to comprehend how the context in the Philippines comes to affect them. 

    The study was conducted using a qualitative inductive method. By using semi-structured interviews, we have collected our material by interviewing eight young mothers who were in contact with two different organizations. 

    The result of the study shows that the work of NGOs has a significant influence in improving the young mothers’ lives both mentally and physically. When becoming pregnant they get rejected by their social circle and are left on their own because they are viewed as a disgrace. To analyze our result, we have used stigmatization and empowerment as theoretical framework. The study has shown that the environment is crucial for the outcome of their lives and that the organizations’ play an important role in their lives to empower them to take action and start something new.  

  • 195.
    Eckerström, Joachim
    et al.
    Karolinska institutet; Röda Korsets högskola; Norra Stockholms psykiatri, Stockholms läns sjukvårdsområde, Region Stockholm.
    Allenius, Emelie
    Norra Stockholms psykiatri, Stockholms läns sjukvårdsområde, Region Stockholm.
    Helleman, Marjolein
    Nederländerna.
    Flyckt, Lena
    Karolinska institutet.
    Perseius, Kent-Inge
    Karolinska institutet; Röda Korsets högskola.
    Omérov, Pernilla
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Brief admission (BA) for patients with emotional instability and self-harm: nurses' perspectives - person-centred care in clinical practice.2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, p. 1-13, article id 1667133Article in journal (Refereed)
    Abstract [en]

    Purpose: Emotional instability and self-harm pose major problems for society and health care. There are effective interventions in outpatient care, but when patients need inpatient care, nurses often struggle meeting their patient's needs. Brief admission (BA) is a newly implemented crisis intervention and novel form of inpatient care. The aim of this study is to describe nurses' experiences working with BA related to patients with emotional instability and self-harm.

    Methods: Eight nurses were interviewed according to a semi-structured interview guide. The data was analysed using qualitative content analysis.

    Results: Four main categories emerged regarding nurses' experiences with BA: provides security and continuity, fosters caring relationships, shifts focus towards patient's health and empowers the patient. The nurse's role shifted from "handling problems" to establishing caring relationships with a focus on the person's health and possibilities for recovering instead of psychiatric symptoms.

    Conclusions: Previous studies on patients' perspective of BA describe positive experiences such as increased autonomy and participation in the healthcare process. This study supports those findings, albeit from the perspective of nurses. Our findings suggest that BA may reduce work-related stress experienced by nurses while caring for persons with emotional instability and self-harm. BA may also support nurses in their ability to provide more meaningful and constructive psychiatric inpatient care.

  • 196.
    Edfast, Fanny
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Forsgren, Linnéa
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    "Det viktigaste är att barnen ska bli sedda": en kvalitativ studie om skolkuratorers ansvar angående barnmisshandel2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose with this study was to investigate school counsellors area of responsibility when it comes to child abuse by parents. To fulfil or purpose we have had an abductive approach and conducted seven qualitative semistructured interviews with school counsellors. The empirical material has thenceforth been analysed through theories about professions, and with support of theories about violence to help us analyse how we can understand child abuse. Through the analysis we identified five pairs of concepts or tensions between different approaches, which constitute the core of our results. Therefore, our results build on the following concepts: (1) Structural or individual focus; (2) Child or adult perspective; (3) Proactive or reactive approach; (4) Generalist or specialist; (5) Divided or connected understanding of child abuse.

    Through our results section we can establish that the school counsellors area of responsibility varies from school to school. This is partly because there are no clear job descriptions, which means that school counsellors themselves shape the work. This liberty of choice means that some counsellors focus their work on structural tasks on a more general and preventively level, and other on individual with more individual counselling. Furthermore, we saw a difference in if they work more proactively or reactively, that is, to what extent they actively work to discover violence towards children or if they only handle it when a child tells the adults. Regardless of their focus we can see that the respondents take their time to see and listen to the pupils, which we interpret as that them having a child perspective. The result shows that the respondents mainly aim to be generalists where they do not specialise in child abuse, and that they indicate a divided understanding about the subject. Because they regard only some types of violence as included in child abuse, they also make a difference in how they work and educate themselves within the school. Lastly, the result show that there is an absence of respondents who work both individually and proactively, which means that in practice all of the respondents place the responsibility on the pupils to speak up about the violence.

  • 197.
    Edlund, Carina
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    En kvalitativ studie om personliga assistenters attityd och inställning till assistansberättigades sexualitet2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 198.
    Edlund, Louise
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Saliba, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Polariseringen kring orsaksförklaringarna om hedersrelaterat våld: En kvalitativ diskursanalys om hur sju svenska forskningsverk beskriver orsaksförklaringarna om hedersrelaterat våld.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this thesis work is to investigate how research on honor-related violence is structured and how this can potentially affect social work. The scientific problem we see is about the fact that the polarized debate regarding honor-related violence is a growing problem, not only in Sweden, but also in other Nordic countries. Honor-related violence is an effect of when the honor becomes affected and the person who is subjected to honor-related violence is controlled by the family´s norms and rules, this can lead to sanctions in the form of mental and physical violence.

    Our research question aims to investigate how research on honor-related violence in Sweden is structured and how the polarized explanations of culture and intersectionality can influence the social work on honor-related violence. We argue that the polarized and shifting explanations of cause for the honor-related violence affect the social work and the education of social workers. The research question and the related issues have been studied through a qualitative inductive research approach and the empirical material has been analyzed based on Laclau and Mouffe’s social constructivist discourse analytical instruments. We analyzed seven research works written by researchers in Sweden. What we intend to study is how these researchers portray and structure honor-related violence based on the two causal explanations of culture and intersectionality. The result shows that the cultural explanation model is more prevalent than the intersectinal line of argument regarding the honor-related violence. The empirical material define the nature of honor-related ciolence in a similar way, but that the explanations of cause separates them.

    Our conclusion is, among other things, that we see how one cannot relate to honor-related violence without looking at culture, but that the intersectional analysis of violence also is necessary in order to be able to absorb all surrounding influencing factors. The intersectional perspective on honor-related violence, however, emphasizes that the cultural explanation becomes a fact when research has not succeeded in solving how social work practice should deviate from a cultural stereotyping when it comes to the issue of honor-related violence.

  • 199.
    Edraki, Julia
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Wabingga- Lehmann, Cherryl
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hundars betydelse för att främja hälsa hos personer med demenssjukdom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Demenssjukdomar är en av världens största folksjukdomar. Sjukdomen karakteriseras av nedsatt kognition, perceptionssvårigheter och personlighetsförändringar. Samtidigt kan demenssjukdomen medföra sekundära symtom såsom depression och aggression. Dessa symtom kan uppkomma till följd av att individen upplever hot för sin identitet som därmed påverkar individens hälsa negativt. Sedan många hundra år tillbaka i tiden har hundar ansetts ha en positiv effekt på människors hälsa. I samband med att den medicinska vetenskapen fokuserade mer på läkemedlens botande möjlighet hamnade djurens effekt i skuggan. Idag kan hundar användas som behandlingstillägg inom många olika områden och som olika behandlingsformer. 

    Syfte: Syftet med studien är att belysa hundens betydelse som resurs för att främja god hälsa hos personer med demenssjukdom.

    Metod: En litteraturöversikt har genomförts i detta examensarbete, där det analyserades 10 vårdvetenskapliga artiklar av kvantitativ forskningsdesign. 

    Resultat: Resultatet består av fyra kategorier: hundens påverkan på psykisk hälsa, hundens påverkan på beteende, hundens påverkan på kognition och hundens påverkan på fysisk funktion. Minskad depression, aggression, förbättrad social kompetens och kognition kunde påvisas av interventioner med hund. Det har dock inte framkommit att antidepressiva läkemedel reducerades i samband med interventionen. En studie har kunnat påvisa effekten av hundar på fysisk funktion hos personer med demenssjukdom. 

    Diskussion:Hundar har genom sin närvaro en positiv inverkan på hälsan hos personer med demenssjukdom genom att dämpa symtom som sjukdomen medför. Lite underlag kunde även hittas för att hundar kan positivt påverka den fysiska funktionen genom att uppmuntra personen med demenssjukdom till ökad aktivitet. Dessa djur kan vara den enkla och eleganta resursen som Barker förespråkar för att främja hälsa hos personer med demenssjukdom. 

  • 200.
    Edvardsson, Caroline
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Engman, Amanda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att känna sig som ett hot mot sin omgivning: patienters erfarenheter av att vara smittade med MRSA : en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Methicillin resistant Staphylococcus aureus (MRSA) is a growing problem in Sweden and worldwide. It is common to be a   carrier of MRSA without having any symptoms. However, MRSA can also cause infections that are painful and difficult to treat. The treatment options are few when infection is caused by MRSA and the antibiotic options that remain are expensive and can cause serious side effects. The most important measure for reducing the spread of MRSA in hospitals is that healthcare professionals have strict compliance with basic hygiene routines.

    Aim: To describe patients’ experiences of being infected with MRSA

    Method: A literature review was conducted and ten scientific papers were reviewed. Eight of the articles had a qualitative design, one were quantitative and one had a mixed method design. The articles were analyzed and data was organized into themes.

    Results: The   results of the literature review were arranged into two main themes and five sub themes. The first main theme: Patients'   experiences of living with MRSA have two associated subcategories: The impact on patients' daily lives and Stigmatization. Under the second main theme Patients' experiences of being cared for MRSA following sub themes are found: Experiences of isolation, Lack of knowledge and Information and lack of knowledge in healthcare professionals.

    Discussion: The   results of the literature review are discussed on the basis of Katie Eriksson's theory of suffering with the following concepts in focus: disease suffering, care suffering and life suffering. The main findings discussed are lack of knowledge, isolation and the treatment of health care professionals.

1234567 151 - 200 of 886
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf