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  • 151.
    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.

  • 152.
    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.

  • 153.
    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.

  • 154.
    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.

  • 155.
    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. 

  • 156.
    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.

  • 157.
    Edvinsson, Selma
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Wiklund, Sofia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att överleva hjärtstopp: En litteraturöversikt om patienters erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cardiac arrest is a life-threatening condition and the chance of survival increases if the heart rate is restored within a few minutes. Early alarm, cardiac and lung rescue and defibrillation is the chain that saves lives. Follow-up and post-treatment after cardiac arrest vary depending on where the patient is and is also different between hospitals in Sweden. Nurses need to know patient´s experiences of cardiac arrest in order to be able to personalize treatment and nursing.

    Aim: The purpose was to describe patients' experiences of surviving cardiac arrest.

    Method: A literature review was conducted and based on 16 scientific articles, seven of which were qualitative eight quantitative and one mixed method. The searches were made in the databases CINAHL Complete and Pubmed and analysis was conducted according to Friberg (2017).

    Results: In the result, four themes were formed: physical and mental changes, experiences of care, a new way of living and meaning and community. Cardiac arrest causes both physical and mental changes that are experienced both positively and negatively by the patients. The experience of healthcare, the need for support from family and close relatives, health and quality of life are areas affected by the cardiac arrest. 

    Discussion: The method discussion discusses the strengths and weaknesses of the literature review. The outcome discussion has been discussed on the basis of Watson's theory of human concern, scientific articles, literature and the central parts of patients' experiences as expressed in the results. The authors discuss how care can be personalized and improved according to the results of the literature review.

  • 158.
    Ehn, Esmeralda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med autism: en litteraturöversikt om upplevelsen att få och att leva med diagnosen autism2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Autism is a neurodevelopmental disorder with symtoms that occur in different severity. To diagnose autism, problems are required from two main areas; persistent deficits in social communication and social interaction across contexts and restrictive, repetitive patterns of behavior, interests, or activities. The concept of neurodiversity represents an alternative approach to autism, where the diagnosis is considered as part of human diversity rather than a disability. Previous studies have shown that nurses need a better understanding of autism in order to provide better care for these patients. 

    Aim: The aim of this literature review was to illuminate the experience of recieving and living with a diagnosis of autism.

    Method: A literature review according to Friberg (2012) has been conducted. Ten scientific articles were used for the reults, of which eight qualitative articles and two articles of mixed methods. The articles were collected from the databases Academic Search Complete, Cinahl Complete, Medline and PsycInfo.

    Results: Two main themes with associated subthemes were identified. The participants' emotional responses to diagnosis, the difficulty of receiving a diagnosis that many participants experience and the process of accepting the diagnosis were accounted for under the theme Receiving a diagnosis of autism. Many participants experienced both positive and negative aspects of having autism, which emerged under the theme Living with autism. Social difficulties and mental illness were common but a number of participants had learned strategies to better manage social situations. They expressed a need for support from their surroundings and several participants had acquired extensive knowledge of their own diagnosis that they want the public and professionals to take into account.

    Discussion: The results were discussed in relation to previous studies and the Tidal Model. The author discussed what it meant for the participants to be diagnosed and to live with autism, how autism can be expressed in females and the participants' experiences with healthcare.

  • 159.
    Eilegård Wallin, Alexandra
    et al.
    Högskolan Dalarna.
    Udo, Camilla
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Dalarna högskola.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Karolinska institutet.
    Cancer-bereaved siblings’ advice to peers: A nationwide follow-up survey2019In: Death Studies, ISSN 0748-1187, E-ISSN 1091-7683Article in journal (Refereed)
    Abstract [en]

    The aim of this nationwide survey was to explore, based on an open-ended question, cancer-bereaved siblings’ advice to peers with a brother or sister with cancer. Half of the advice related to being with the ill sibling and cherishing the time together. Other advice related to the value of communicating about the situation, letting go of guilt, and living life as usual. The results highlight the importance of health care professionals, family, and others facilitating for siblings to spend time together and communicate openly.

  • 160.
    Eilertsen, Mary-Elizabeth Bradley
    et al.
    Norge, Karolinska institutet.
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Wallin, Alexandra Eilegård
    Högskolan Dalarna.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Cancer-bereaved siblings' positive and negative memories and experiences of illness and death: A nationwide follow-up.2018In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 16, no 4, p. 406-413Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Our aim was to explore bereaved siblings' positive and negative memories and experiences of their brother's or sister's illness and death.

    METHOD: In our nationwide Swedish study, 174 of 240 (73%) bereaved siblings participated, and 70% responded to two open-ended statements, which focused on siblings' positive and negative memories and experiences of illness and death. The data were analyzed using systematic text condensation.

    RESULTS: The bereaved siblings' responses were categorized into four different themes: (1) endurance versus vulnerability, (2) family cohesion versus family conflicts, (3) growth versus stagnation, and (4) professional support versus lack of professional support. The first theme expressed endurance as the influence that the ill siblings' strong willpower, good mood, and stamina in their difficult situation had on healthy siblings, whereas vulnerability was expressed as the feeling of emptiness and loneliness involved with having an ill and dying sibling. In the second theme, family cohesion was expressed as the bonds being strengthened between family members, whereas family conflicts often led siblings to feel invisible and unacknowledged. In the third theme, most siblings expressed the feeling that they grew as individuals in the process of their brother's or sister's illness and death, whereas others experienced stagnation because of the physical and mental distress they bore throughout this time, often feeling forgotten. In the last theme-professional support-most siblings perceived physicians and staff at the hospital as being warm, kind, and honest, while some siblings had negative experiences.

    SIGNIFICANCE OF RESULTS: The study shows that bereaved siblings can have positive memories and experiences. The significance of the positive buffering effect on bereaved siblings' own endurance, personal growth, family cohesion, and social support should be noted. This knowledge can be valuable in showing healthcare professionals the importance of supporting the siblings of children with cancer throughout the cancer trajectory and afterwards into bereavement.

  • 161.
    Eilertsen, M.E
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Norge.
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Wallin, A.E
    Högskolan Dalarna.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    The Voices of Cancer-Bereaved Siblings: A Nation-Wide Long-Term Follow-up2018In: Pediatric blood & cancer: Supplement: Abstracts from the 50th Congress of the International Society of Paediatric Oncology (SIOP) Kyoto, Japan November 16–19, 2018, 2018, Vol. 65, p. 555-556, article id PO-297Conference paper (Refereed)
    Abstract [en]

    Background/Objectives: Siblings face many challenges and the aim of this paper is to explore bereaved siblings’ memories and experiences of their brother's or sister's illness and death.

    Design/Methods: In this nationwide Swedish study 174 of 240 (73 %) bereaved siblings participated and 70 % responded to two open‐ended questions on siblings’ positive and negative memories and experiences of illness and death. The data were analyzed using systematic text condensation.

    Results: The bereaved siblings’ responses were categorized into four different themes: endurance vs. vulnerability; family cohesion vs. family conflicts; growth vs. stagnation; professional support vs. lack of professional support. Endurance was expressed as the influence that the ill siblings’ willpower, good mood and stamina had on the healthy siblings, whereas vulnerability was expressed as the feeling of emptiness and loneliness. Family cohesion was expressed as the bonds being strengthened between family members, whereas family conflicts often led siblings to feel invisible and unacknowledged. In the third theme, most siblings expressed feeling that they grew as individuals in the process of their brother's or sister's illness and death, whereas others experienced stagnation because of the physical and mental distress they bore throughout this time, often feeling forgotten. In the last theme, most siblings perceived support by physicians and staff at the hospital as being warm, kind and honest, while some siblings had negative experiences.

    Conclusions: Our study shows that bereaved siblings can have positive memories and experiences, even though the death of a sibling is a distressing situation. The significance of the positive buffering effect on the bereaved siblings’ own endurance, personal growth, family cohesion and social support should be noted. The knowledge acquired by listening to the voices of bereaved siblings can be valuable in showing healthcare professionals the importance of supporting siblings of children with cancer throughout the cancer trajectory and afterwards into bereavement.

  • 162.
    Eivergård, Kristina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Mittuniversitetet.
    Enmarker, Ingela
    Högskolan i Gävle.
    Livholts, Mona
    Linköpings universitet.
    Aléx, Lena
    Umeå universitet.
    Hellzén, Ove
    Mittuniversitetet.
    The Importance of Being Acceptable: Psychiatric Staffs' Talk about Women Patients in Forensic Care.2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Currently, women comprise about ten percent of those sentenced to psychiatric forensic clinics in Sweden. Those who are sentenced to forensic care because of offending and violent behaviour have already taken a step away from the usually expected female behaviour. On the other hand, there are many women in forensic care who have not committed crimes, but who instead self-harm. Studies have identified a gender bias in diagnosing and care in psychiatric settings, but there are few studies conducted on women in forensic care. The present study therefore examined how the situation of women patients and female norms are expressed in the staff's talk about these women during verbal handovers and ward rounds at a forensic clinic in Sweden. The aim was to explore how psychiatric staff, in a context of verbal handovers and ward rounds, talk about women who have been committed to forensic psychiatric care, and what consequences this might have for the care of the patients. The content of speech was examined using audio recordings and a method of analysis that was inspired by thematic analysis. The analysis identified that the staff talked about the women in a way that indicates that they expected the women to follow the rules and take responsibility for their bodies in order to be regarded as acceptable patients.

  • 163.
    Eklund, Ann Pirom
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Söderdahl, Niporn
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Upplevelser av att leva med hembaserad dialysbehandling vid kronisk njursvikt: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Kidney failure includes reduced filtration ability and can be categorised into an acute and a chronic form. Acute renal failure develops within a short timeperiod and comes with a heavily reduced glomerular filtration whereas chronic kidney failure progresses slowly during a longer period of time and in the later stages, continuous dialysis treatment becomes necessary. Individuals afflicted by renal failure need dialysis treatment to survive. Many people choose a home-based dialysis including both haemodialysis and peritoneal dialysis. Home -based dialysis necessitates much individual efforts and to live with the disease there is a need for understanding selfcare as well as collaborating with national health care.

    Aim: To review individual experiences from living with home-based dialysis with chronic renal failure.

    Method: A literature review was based on ten scientific articles with qualitative methodology. The articles were obtained from the databases CINAHL complete and PUBMed covering 2009 to 2019.

    Results: Four themes associated with the experiences from living with home-dialysis emerged: A changed self - and body image, Need of support and help during selfcare, Experiences from limitations and adjustments, A sense of freedom and increased quality of life.

    Discussion: In the discussion on methodology, strength and weaknesses of the study is discussed. The results are discussed in the context of the self-care theory of Orem, previous research and guidelines.  A major part of the discussion underlines the importance of the self-care ability of the individual in the context of lifestyle changes and in the process of adjustment. Also the importance of support and help by the health-care system and relatives is emphasised.

  • 164.
    Eklund, Rakel
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Alvariza, Anette
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Capio Palliative vård, Dalen sjukhus, Stockholm..
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    The family talk intervention in palliative care: a study protocol2018In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 17, no 35Article in journal (Refereed)
    Abstract [en]

    Background: In palliative care contexts, support programs for families with a severely ill parent and minor children are few, and even fewer have been evaluated scientifically. The aims of this study are to examine feasibility and potential effects of a modified version of the Family Talk Intervention (FTI) in palliative care.

    Methods: This ongoing family-centered intervention has a quasi-experimental design comparing one intervention and one comparison group. The intervention includes severely ill parents who have minor children (aged 6–19 yrs) and are receiving advanced homecare in Stockholm, Sweden between March 2017 and March 2018. The main goal of the FTI is to support family communication through psycho-education and narrative theory. The modified FTI consists of six meetings with family members, and is held by two interventionists. Each family sets up needs-based goals for the intervention. For evaluation purposes, data are collected by questionnaire before the intervention, within two months after baseline, and one year after baseline. Interviews will be conducted within two months after FTI is completed. Notes taken by one of the interventionists during the family meetings will also be used. Questionnaire data analysis will focus on patterns over time using descriptive statistics. For interview data and notes, content analysis will be used.

    Discussion: This study will add knowledge about palliative care for parents who have minor children. It will contribute by testing use of FTI in palliative care, and point out directions for future evaluations of FTI in palliative care settings.

  • 165.
    El Aamraoui, Naima
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Närståendes upplevelser av närståendesamtal inom specialiserad palliativ slutenvård2017Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: The palliative care aims to improve the quality of life for patients as well as their families, and to offer them support. Family members can be supported in several ways, where good communication is important to reduce uncertainties. In the course of palliative care, there will be held multiple conversations and one of these is the family conversation which is a clinical tool to communicate with the family members. Research describes this conversation as useful for healthcare professionals to relay information and planning care. There is a need for more research focused on the perspective as seen from the family members and which can further investigate which supporting function the conversation can have.Purpose: To describe family members´ expectations and experiences of a family conversation during the ongoing palliative care.

    Method: The study has an explorative design, where the family conversation is explored to reveal new knowledge. Fifteen individual interviews were conducted with family members after they had participated in a family conversation within specialist palliative inpatient care. The interviews were transcribed verbatim and analysed using Sally Thone's interpretive description.

    Results: The family members´ expectations and experiences are presented on the basis of four patterns: family members´ need to get an understanding of the situation, factors that may affect the experience of the family conversation, family members´ situation and need of support and finally family members´ councils and suggestions for the improvement of the family conversation.

    Family members´ expectations prior the conversation are based in an uncertainty and an unfamiliar situation. Their experiences of the family conversation were highly individual and depend on several aspects, which results in a need to individualise and adapt the conversation on the unique situation.

    Discussion: The result is to a certain degree discussed with the basis in the theoretical reference framework participation in the light, participation in the darkness. Family members´ involvement in research is emphasised and discussed as well as "insider research" when the study is conducted within the frame of the own setting.

  • 166.
    Elford, Isa
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kverneng, Madeleine
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Våldsutsatta kvinnors upplevelser av sjukvården: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Violence against women carried out by a partner with whom they have a close relationship is a major problem in our society.  Here, violence is defined as a violent act of a physical, psychological or sexual nature. The violent act carried out against the woman inflicts injury and suffering, regardless of whether the act of violence is committed publicly or at home. When a woman is subjected to violence by a person with whom she has a close relationship, a gradual normalization process takes place. This means that the woman gradually starts to accept acts of abuse and assault that she previously would never have tolerated. Literature on experiences made by health workers show that there is not sufficient guidance and guidelines for health workers on how to best treat women who have been subjected to violence. Violence against women leads to significant costs to society. An estimation puts the annual cost at around 2,7 to 3,3 billion Swedish Krona (SEK). However, it is difficult to assess the exact sum, as women due to fear and the normalization process of abuse, not always state the true reason for seeking health care and treatment.

     

     

    Aim: The purpose was to examine abused women’s experiences of health care.

     

     

    Method: The literary review was conducted in accordance with the Friberg method (2012). Our work is based on ten scientific articles. We have used the Cinahl Complete and PubMed databases in our research. The articles have been analysed and the quality has been controlled.

     

     

    Results: The result of our literary review has been presented in four different categories: The significance of confirmation; When violence is ignored; Women’s feelings of guilt, shame and abandonment; and The significance of the environment and surroundings.

     

     

    Discussion: The result has been discussed with Katie Eriksson’s care theory as a starting point, along with some of her concepts of consensus: suffering, the individual and health. Women subjected to abuse experienced flawed and deficient health care. The health workers’ lack of knowledge of violence in close relationships also meant that abused women were not viewed from a holistic perspective by the health workers.

     

     

  • 167.
    Elmberg, Johan
    et al.
    Högskolan Kristianstad.
    Berg, Charlotte
    Sveriges lantbruksuniversitet (SLU).
    Lerner, Henrik
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Waldenström, Jonas
    Linnéuniversitetet.
    Hessel, Rebecca
    Högskolan Kristianstad.
    Potential disease transmission from wild geese and swans to livestock,poultry and humans: a review of the scientific literature from a One Health perspective2017In: Infection Ecology & Epidemiology, ISSN 2000-8686, E-ISSN 2000-8686, Vol. 7, no 1, article id 1300450Article in journal (Refereed)
    Abstract [en]

    There are more herbivorous waterfowl (swans and geese) close to humans, livestock and poultry than ever before. This creates widespread conflict with agriculture and other human interests, but also debate about the role of swans and geese as potential vectors of disease of relevance for human and animal health. Using a One Health perspective, we provide the first comprehensive review of the scientific literature about the most relevant viral, bacterial, and unicellular pathogens occurring in wild geese and swans. Research thus far suggests that these birds may play a role in transmission of avian influenza virus, Salmonella, Campylobacter, and antibiotic resistance. On the other hand, at present there is no evidence that geese and swans play a role in transmission of Newcastle disease, duck plague, West Nile virus, Vibrio, Yersinia, Clostridium, Chlamydophila, and Borrelia. Finally, based on present knowledge it is not possible to say if geese and swans play a role in transmission of Escherichia coli, Pasteurella, Helicobacter, Brachyspira, Cryptosporidium, Giardia, and Microsporidia. This is largely due to changes in classification and taxonomy, rapid development of identification methods and lack of knowledge about host specificity. Previous research tends to overrate the role of geese and swans as disease vectors; we do not find any evidence that they are significant transmitters to humans or livestock of any of the pathogens considered in this review. Nevertheless, it is wise to keep poultry and livestock separated from small volume waters used by many wild waterfowl, but there is no need to discourage livestock grazing in nature reserves or pastures where geese and swans are present. Under some circumstances it is warranted to discourage swans and geese from using wastewater ponds, drinking water reservoirs, and public beaches. Intensified screening of swans and geese for AIV, West Nile virus and anatid herpesvirus is warranted.

  • 168.
    Elmér, Ingrid
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Från "förälder på heltid" till "förälder på deltid": En kvalitativ studie av fem personers upplevelser2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: In Sweden, 35% of thechildren whose parents are separated have alternating residence i.e. they livehalf of the time with their mother and father respectively. Questions: Howhave separate parents experienced this process of adjustment from having been a"full-time parent"  in the nuclear family to becoming a"part-time parent" and see the child every fortnight and how do theyexperience that their relation to the children and those around has changedafter the adjustment? Method: A qualitative method has been chosen andfive separate parents living apart for at least 3 years have been interviewedin accordance with a semi-structured interview guide. Results: Theresult reveals that a separation is a process whose course of events startswith various strains within the nuclear family and leads to practical,emotional, social and relational changes that vary over time. Discussion:The result has been analysed focusing on the question to what extent it isbased on the three theories: the Transition theory, the Crisis theory and theEx-theory. The experiences of the informants correspond with all the threetheories in different parts. The separation process with alternating residenceinvolves a profound change going on parallelly; in the intrapsychic world (the Crisistheory), changes relating to identity and role and also witin the relationalworld towards the children as well as to other grown-ups (the Ex-theory). TheTransition theory makes a more differentiated description of the processpossible by means of its six factors. 

  • 169.
    El-Tai Abdel-Rehim, Aisha
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Thörn, Erik
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Närståendes upplevelser: I vårdandet av familjemedlemmar med Alzheimers sjukdom En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to WHO, approximately ten million people are affected by dementia each year, of which 60 to 70 percent are suffering from Alzheimer's disease. In Sweden, every fifth adult is an informal caregiver to someone in their environment. Informal care involves the care that relatives give to their care recipient. At the onset of Alzheimer's disease, the need of closeness to the relatives often increases. The nurse has a health promoting and disease preventing function and has a role as an adviser in which he/she guides the care recipient and their relatives.

    Aim: The aim was to illustrate the experiences of relatives in caring for family members with Alzheimer´s Disease. 

    Method: A literature review was conducted where ten articles of qualitative design were examined and analyzed according to Friberg. These articles came from the databases Cinahl Complete, Pubmed, Medline and PsychInFO. Keywords used were "Alzheimers Disease", "Experience," "Relatives," and "Family."

    Results: Four main themes were constructed. The transition from relative to becoming a caregiver, here it emerged that relatives experienced powerlessness, doubt and a loss of autonomy. Dwelling on the past and Feeling worried about the future, relatives experienced a sense of concern for the future both for the care recipient and for themselves. The experience of stigmatization and isolation, relatives felt that they were isolated and felt stigma in society. The loss of togetherness and strengthen it, relatives explained that the relationship with the care recipient changed as a result of the effect of the disease. 

    Discussion: The results was discussed based on Callista Roys theory of adaptation. The discussion was conducted in relation to how the experiences of relatives can be understood based on this theory, and other findings that emerged from the results. Relatives undergo a transition to becoming a caregiver and are in a changing environment where adaptation is sought to find a balance in life. A discussion was held about the nurse's role in the interaction with relatives. 

  • 170.
    Emelie, Johansson
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ulrika, Närfors
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Omvårdnadsåtgärder vid insomni: En litteratursammanställning av kunskap kring omvårdnadsåtgärder för att stödja vuxna personer med insomni2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 171.
    Emma, Hjerpe
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Vallgren, Jennie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kvinnors upplevelser av sexualitet efter gynekologisk cancerbehandling: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Gynecological cancer is the second most common form of cancer in women. There are different treatment options, including surgery and radiotherapy. As a result of effective treatments the number of women who survived in recent years has increased. Complications resulting from the different treatments are common and may affect womens’ sexuality. Since problems with sexuality can arise related to various diseases and treatments the nurse will also come into contact with sexuality issues in meeting with patients.

    Aim: To highlight women´s experiences of sexuality after a gynocological cancer treatment.

    Method: A literature review based on eleven scientific articles. Data collection was conducted on the databases CINAHL Complete, PubMed and Nursing & Allied Health database. The articles were reviewed and similarities identified.

    Results: Three main themes were identified, physical impact, mental impact and partner relationships. It was found that women in many cases experienced a negative change in their sexuality and that the self-image was negatively affected by the cancer and subsequent treatment. The result also showed that it was common among women to feel that they had not received enough information about complications that might arise after cancer treatment.

    Discussion: The result is discussed based on Roys adaption model and the various adaptive functional areas that the model contains and based on scientific articles.

  • 172.
    Emmelie, Eng
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Caroline, Lundberg
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans upplevelse av att arbeta på en akutmottagning: En litteraturöversikt ur ett svenskt perspektiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 173.
    Emterfors, Emelie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ulvestam, Sophie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters uppfattning om god omvårdnad: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The purpose of nursing care is to achieve patient health through a person-centred approach. Many nurses claim that they want to provide good nursing care but the concept varies between nurses. Implementing good nursing care is prevented by structural and organisational barriers that affect patient safety. To reduce the discrepancy between the knowledge of what quality care means and the quality of the actual care provided, increased knowledge of what patients perceive as good nursing care is needed.

    Aim: The aim was to illuminate patients’ perceptions of what good nursing care signifies in an inpatient setting.

    Method: The literature review has been made in accordance with Fribergs method. Searches were conducted using the databases CINAHL complete, PsychINFO and PubMed, resulting in ten qualitative articles that were analyzed and thematized and thus constitute the result.

    Results: Two main themes and five subthemes were identified; A person-centred care with the subthemes; See me, I am unique, The need for a person to person relationship and The importance of the presence of the nurse. The nurses’ approach with the subthemes; Compassion- a caring attitude and The importance of competence and information.

    Discussion: The method of the literature review is discussed from its strengths and weaknesses. The result of the literature review is discussed in relation to the concepts in Jean Watsons’ nursing theory. Good nursing care is characterized according to patients by a present nurse whose personal attitude is characterized by compassion. The attitude favours a human caring relationship and a person-centred approach.

  • 174.
    Engström, Anna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Stenberg, Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att välja medicinen: Aspekter som kan påverka följsamheten till underhållsbehandling för personer med bipolär sjukdom. En integrativ litteraturstudie.2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bipolär sjukdom är en kronisk och allvarlig sjukdom och risken för återinsjuknande är livslång. Risken för suicid och olycksfall är förhöjd under både maniska och depressiva episoder. Farmakologisk långtidsbehandling är den primära behandlingen för att behandla och förebygga maniska och depressiva skov vid bipolär sjukdom. Bristande läkemedelsföljsamhet är den vanligaste orsaken till återinsjuknande och ett stort hälsoproblem.

    Syftet med studien var att utforska aspekter som kan påverka följsamheten till underhållsbehandling hos personer med bipolär sjukdom.

    En integrativ litteraturstudie genomfördes inspirerad av Whittemore och Knafls metod. Totalt 15 studier med kvalitativ, kvantitativ och mixad ansats inkluderades. Som teoretisk utgångspunkt i resultatdiskussionen användes Orlandos teori om en reflektiv omvårdnadsprocess.

    Ur dataanalysen framkom fyra teman vilka innehöll totalt åtta underteman. De fyra identifierade teman var: Patient/sjukdom; Familj och samhälle; Läkemedel samt Behandlingsallians och undervisning.

    Att ha kunskap om avgörande faktorer för läkemedelsföljsamhet kan fungera som ett viktigt verktyg i specialistsjuksköterskans hälsoarbete med patienter med bipolär sjukdom. Behandlingsalliansens betydelse för följsamheten framkom i studien. Samlad kunskap om faktorer som påverkar följsamheten till långtidsmedicinering kan ge ökad förståelse och verktyg för sjuksköterskan i mötet med patientgruppen.

  • 175.
    Erabi, Fatima
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Margol, Natalia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En litteraturöversikt om hur vuxna personer upplever att leva med ADHD2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: ADHD, Attention Deficit Hyperactivity Disorder, is characterized by concentration difficulties with hyperactivity and impulsivity. ADHD also have an impact on a person’s ability to manage their everyday lives.  This disorder is attributed to both genetic and non-genetic factors that are biological and psychosocial reasons. Current assessment of ADHD diagnosis is usually made by an investigating team at a psychiatric clinic. The team assesses the individual's extensive difficulties in managing everyday life. The Swedish health care programs are the basis for individualized treatment and psychosocial support.

    Aim: The purpose of this literature review was to describe how people experience living with ADHD before and after the diagnosis.

    Method: A literature review according to Friberg was conducted. Thirteen qualitative articles were used for the analysis. The articles were retrieved from the databases Cinahl, PsycInfo and PubMed. The following keywords were used: ADHD, symptoms, adults, patient experiences, quality of life and qualitative research.

    Results: The analysis resulted in two main themes Life before the diagnosis and Life after the diagnosis. Participants report difficulties in adapting to daily routines, low self-esteem and senses of isolation before diagnosis. After diagnosis, the participants described the effect of medical treatment and support and explained that this bad contributed to the ability to work in the social environment. Their increased knowledge of ADHD diagnosis and support in daily life leads to improved problem management, giving them a new meaning in life.

    Discussion: The adults' experiences of living with ADHD are discussed in relation to Erikson's theory of suffering and health. The discussion section also focuses on the nurses’ professional role and responsibility during the investigation and the treatment of patients with ADHD.

  • 176.
    Eriksson, Elin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Holmberg, Therese
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Erfarenheter av sjuksköterskerollen vid vårdande i livets slutskede: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Av Sveriges befolkning är ungefär 80 % i ett behov av palliativ vård. Majoriteten av dessa beskrivs vara äldre med en långdragen sjukdomsprocess. I ett palliativt vårdande ska sjuksköterskorna utgå från fyra hörnstenar, vilka Socialstyrelsen utvecklat från WHO:s riktlinjer. Enligt dessa ingår det i sjuksköterskans roll att lindra besvärande symtom, arbeta utifrån ett tvärprofessionellt teamarbete, ha goda kommunikationer och relationer samt att ge stöd till närstående.

    Syfte: Att belysa erfarenheter av sjuksköterskerollen vid vårdande i livets slutskede.

    Metod: En litteraturöversikt gjordes där tio kvalitativa och kvantitativa artiklar användes till resultatet som belyser erfarenheter av sjuksköterskerollen vid vårdande i livets slutskede. Sökningarna gjordes i databaserna, CINAHL Complete, PubMed och Medline with Fulltext. Artiklarna analyserades med hjälp av färgkodning.

    Resultatet: Resultatet visade på sjuksköterskors erfarenheter av att agera patientens advokat, vikten av att arbeta i ett vårdteam, sjuksköterskornas erfarenheter av att vara utbildad och föra sin kunskap vidare samt sjuksköterskornas erfarenhet att vilja främja hälsa.

    Diskussion: Metoddiskussionen belyser tillvägagångssättet, svagheter och styrkor. Resultatdiskussionen lyfts utifrån Watsons caritasprocesser som stärker det sjuksköterskorna återger, där relationen är en nyckelkomponent i vårdandet samt hur brister i kommunikationen kan förstås. Det framgick att sjuksköterskor hade olika erfarenheter av vård i livets slutskede och att de mer erfarna var de som kände sig tryggast. Ur detta ges egna reflektioner av det ideala vårdandet enligt Watson, och hur det kan användas i praktiken av sjuksköterskor.

  • 177.
    Eriksson, Emma
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Wassborg, Ida
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Icke- farmakologiska omvårdnadsåtgärder och dess påverkan på patienter vid smärta: En litteraturöversikt gällande smärtlindring inom palliativ vård2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Pain is a subjective experience and a multi-dimensional concept based on physical, psychological, psychosocial and existential dimensions. Within palliative care, pain is a symptom that is regularly occurring. To achieve pain relief that is individually adapted, the nurses should have the different dimensions of pain in regard. Pain relief in palliative care is seen as inadequate and touches mostly on actions from a medical perspective. The nurses can respond to patients with non-pharmacological nursing measures to treat symptoms of pain.

    Aim: To illuminate non-pharmacological nursing measures and its meaning with pain in palliative care.

    Method: The literature review is based on ten articles in nursing science; two qualitative, four quantitative and three articles based on both methods. The content of the articles has been reviewed and analyzed with Katie Erikssons nursing theory by categories tend to, play and learn.

    Results: From these three concepts the results from the category tend to demonstrated that the non-pharmacological nursing measures which included physical touch gave rise to pain relief. Results from the category play demonstrated that non-pharmacological nursing measures affected the psychological aspect of the patients' pain where social interactions can affect pain relief. From the category learn it was shown that nurses and patients attitudes and approach to non-pharmacological nursing measures can affect the pain relief both positively and negatively.

    Discussion: The result is discussed and linked to Katie Erikssons theory of nursing tend to, play and learn. The writers also reinforces and critiques the result tied to the nursing skills description

  • 178.
    Eriksson, Mats Einar
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    "Händer det något särskilt?": En intervjustudie om män i terapi hos manliga psykoterapeuter.2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inledning: Färre män än kvinnor söker sig till psykodynamisk terapi, och den mesta kunskapen om män i terapi begränsar sig till subgrupper av män med missbruksproblematik eller kriminalitet. Det är därför väsentligt att öka kunskapen om män i mer generellt inriktad psykodynamisk terapi. Tidigare studier indikerar att när både terapeut och patient är män uppstår särskilda förutsättningar i terapin, som kan försvåra den samkönade terapin. Förståelse av vad som händer i manligt samkönade terapier kan underlätta för män som söker hjälp i psykodynamisk terapi.

    Frågeställning: Hur upplever yrkesverksamma manliga terapeuter terapimötet med manliga patienter?

    Metod: Fem manliga terapeuter intervjuades i semistrukturerade enskilda intervjuer. Materialet bearbetades med tematisk kvalitativ analys.

    Resultat: Resultatet visar att informanterna upplever särskilda förutsättningar i manligt samkönade terapier vad gäller relationen till terapeuten, skam, kontroll, terapimålet och själva terapisituationen. De beskriver att detta kan relateras till mäns tendens att leva upp till normativ maskulinitet även i terapirummet. Dock kan terapeuten fungera som rollmodell och visa på alternativ till normativ maskulinitet.

    Diskussion: Resultaten överensstämmer med tidigare forskning som påvisat mäns svårigheter att avvika från normativ maskulinitet i terapisituationen. Föreliggande studie uppmärksammar dessutom den manlige terapeutens funktion som rollmodell för alternativa maskuliniter, vilket kan sammankopplas med R. W. Connells teorier om maskuliniteter som ett differentierat begrepp. Ytterligare forskning om män i samkönade terapier är angelägen, i syfte att underlätta för hjälpbehövande män att söka terapi samt för att hjälpa terapeuter att möta män.

  • 179.
    Eriksson, Mikaela
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hedström, Felice
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Se mig för den jag är och inte för vad som hänt mig: En litteraturöversikt om kvinnors upplevelser av vård efter sexuella övergrepp2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual assault is an offensive action against human rights and is internationally a threat to women's security. Worldwide 36 percent of all women will at some point during their lifetime experience some kind of sexual assault. These abuses can affect both the physical and mental well-being and create suffering. Health-care have a responsibility to provide the woman with both medical and psychosocial care and promote health and alleviate suffering. But health professionals express a lack of knowledge how to treat women who are victims of sexual assault.

    Aim: To illustrate the factors that affect the experience of care for women who have been victims of sexual assault.

    Method: The literature review has been designed according to Friberg's (2012) method. Ten articles were included. Seven have qualitative design, one quantitative design and two have mixed design. The results in the literature occurred by similarities found from the results of the articles and then formed main topics and themes.

    Results: Three main themes were identified: Available healthcare and current health and care personnel, Reception from health- workers and Engaged in their own care. These factors have been perceived negatively and/or positively by victims of sexual abuse and made them experienced suffering or well-being in care.

    Discussion: The results from the review are discussed in relation to Eriksson's (2015) theory of suffering and other relevant literature to the topic as reinforce women's experiences of care as influences by various factors. How the health-care professionals and work in alleviating the suffering of women can occur. The discussion also highlights the importance of culture in how women perceive health care and how to culturally adapt health care.

  • 180.
    Eriksson, Sofie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Murkisch, Sabine
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med långvarig ryggsmärta: En litteraturöversikt om individers upplevelser2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Long-lasting pain is a subjectively persistent pain that lasts for more than three months. The pain recurs in relapces where localization, intensity and type of pain can differ between the episodes. In long-lasting pain is back pain the most common type and mostly localized in lumbar, shoulder or neck. The pain experience needs to be seen in its entirety, where individuals use different resources and strategies to get through the pain episodes.

    Aim:

    The purpose of this literature review was to illuminate individuals’ experiences and manageability of living with long-lasting back pain

    Method:

    The databases used to search for articles were CINAHL Complete, PubMed and PsycINFO, which resulted in twelve qualitative articles. The articles were finally analyzed according to Friberg's model for analysis.

    Results:

    The result consists of three main themes. The first theme is Individuals emotional perception of long-lasting back paincontaining four sub-categories. These sub-categories are Emergence of negative emotions, Social aspects, Experience of insomnia and Fear. The second theme is How individuals approach long-lasting back paincontaining three sub-categories. These sub-categories are Management strategies, Impact of medicines and Acceptance. The third theme is Individuals experiences of health care.

    Discussion:

    Individuals with long-lasting back pain are affected daily by their phenomenon. In order to live with and manage the pain, they need a good assistance from the health care. The social environment plays a crucial role in how they handle the phenomenon. If they are not treated satisfactorily, it contributes to fear of aggravating the pain experience.

  • 181.
    Eriksson, Stefan
    et al.
    Uppsala universitet.
    Godskesen, Tove
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Andersson, Lars
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Helgesson, Gert
    Karolinska institutet.
    How to counter undeserving authorship2018In: Insights: the UKSG journal, E-ISSN 2048-7754, Vol. 31, no 1, p. 1-6Article in journal (Refereed)
    Abstract [en]

    The average number of authors listed on contributions to scientific journals has increased considerably over time. While this may be accounted for by the increased complexity of much research and a corresponding need for extended collaboration, several studies suggest that the prevalence of non-deserving authors on research papers is alarming. In this paper a combined qualitative and quantitative approach is suggested to reduce the number of undeserving authors on academic papers: 1) ask scholars who apply for positions to explain the basics of a random selection of their co-authored papers, and 2) in bibliometric measurements, divide publications and citations by the number of authors.

  • 182.
    Erngren, Lisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Healthcare-associated infections in Kenya: An interview study about nurses’ experience2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Healthcare associated infection (HCAI) is a global issue and one of the most frequent adverse events in healthcare. HCAI is a major burden for patients’ and leads to added pain and higher cost for the society. The most important measure to prevent the transmission of HCAI is hand hygiene. In developing countries can insufficient equipment and supplies, lack of financial support and understaffed hospital units have a negative effect for the patients safety and makes it difficult to reduce HCAI.

    Aim: The aim of the study was to get knowledge about Kenyan nurses’ experiences of healthcare-associated infections.

    Method: The author used a qualitative method. Individual semi-structured interviews were made with four nurses at a government financial hospital in Eldoret, Kenya. The interviews were analyzed with a manifest analysis.

    Result: The analysis of the transcribed text made five categories, Education for healthcare workers, students and patients, Lack of equipment and supplies, The issues with crosscontamination, Prevention of HCAI and Understaffed hospital. The results were discussed with Dorothea Orem’s Self-care Theory with a focus on the Theory of Nursing system and other studies relating to the results.

    Conclusion: Knowledge about HCAI is one of the first steps to be able to reduce infections. Cross-contamination is the main risk factor for HCAI and multiple interventions are an effective strategy to successfully increase hand hygiene.

  • 183.
    Ewertzon, Mats
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Alvariza, Anette
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Capio Palliativ vård Dalen, Stockholm.
    Winnberg, Elisabeth
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Leksell, Janeth
    Högskolan Dalarna, Uppsala universitet.
    Andershed, Birgitta
    Norge.
    Goliath, Ida
    Karolinska institutet, Ersta sjukhus.
    Momeni, Pardis
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kneck, Åsa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Skott, Maria
    Karolinska institutet, Norra Stockholms psykiatri Stockholms läns landsting.
    Årestedt, Kristofer
    Linnéuniversitetet, Linköpings universitet, Länssjukhuset i Kalmar.
    Adaptation and evaluation of the Family Involvement and Alienation Questionnaire for use in the care of older people, psychiatric care, palliative care and diabetes care.2018In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 74, no 8, p. 1839-1850Article in journal (Refereed)
    Abstract [en]

    AIM: To adapt the Family Involvement and Alienation Questionnaire for use in the care of older people, psychiatric care, palliative care and diabetes care and to evaluate its validity and reliability.

    BACKGROUND: Involvement in the professional care has proven to be important for family members. However, they have described feelings of alienation in relation to how they experienced the professionals' approach. To explore this issue, a broad instrument that can be used in different care contexts is needed.

    DESIGN: A psychometric evaluation study, with a cross-sectional design.

    METHOD: The content validity of the Family Involvement and Alienation Questionnaire was evaluated during 2014 by cognitive interviews with 15 family members to adults in different care contexts. Psychometric evaluation was then conducted (2015-2016). A sample of 325 family members participated, 103 of whom in a test-retest evaluation. Both parametric and non-parametric methods were used.

    RESULTS: The content validity revealed that the questionnaire was generally understood and considered to be relevant and retrievable by family members in the contexts of the care of older people, psychiatric care, palliative care and diabetes care. Furthermore, the Family Involvement and Alienation Questionnaire (Revised), demonstrated satisfactory psychometric properties in terms of data quality, homogeneity, unidimensionality (factor structure), internal consistency and test-retest reliability.

    CONCLUSION: The study provides evidence that the Family Involvement and Alienation Questionnaire (Revised) is reliable and valid for use in further research and in quality assessment in the contexts of the care of older people, psychiatric care, palliative care and diabetes care. This article is protected by copyright. All rights reserved.

  • 184.
    Ewertzon, Mats
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Nationellt kompetenscentrum anhöriga.
    Hanson, Elizabeth
    Linnéuniversitetet & Nationellt kompetenscentrum anhöriga.
    Support Interventions for Family Members of Adults with Mental Illness: A Narrative Literature Review.2019In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, p. 1-13Article in journal (Refereed)
    Abstract [en]

    The aim of this review was to describe research related to support interventions for adult family members of people with mental illness and the significance that support may have. The results indicate the importance of flexible and individualized forms of support from both professionals and people with personal experience as a family member of someone with mental illness. In many cases, the intervention studies revealed that family members' burden decreased, their knowledge of the disease and treatment increased, and their ability to cope with the situation was improved. The results highlight the importance of support both from professionals and peers.

  • 185.
    Fagerfrid, Evelina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Adenbäck, Tina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors upplevelser av humor i vården: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 186.
    Falk, Matilda
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Muse, Salma
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mötet mellan HIV-smittade homosexuella män och hälso-och sjukvårdpersonal internationellt: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: in the late 1970s, HIV had a sudden outbreak in Africa, and in the late 1980 ́s the rest of the world was informed about the epidemic. Due to increased level of the infected people around the world HIV has been the cause of many deaths worldwide, and unfortunately HIV continues to spread. HIV is today, considered to be a incurable virus disease, but due to antiviral medication that allows individuals who are infected with HIV cancause of spreading HIV during 1980, which subjected these men to stigmatizing and discriminatory attitudes, especially in health care. 

    Aim: To explore how homosexual HIV-infected men describe their experiences of treatment from healthcare professionals.

    Method:  A literature review based on six qualitative articles, three quantitative article and one mixed approach article

    Results: The result consisted of one main themes and three subthemes. The first theme is experienced lack of knowledge with three subthemes: experiences of worthy care, experience of being denied care and the experiences of stigmatizing and/ or discriminatory attitudes. The main theme highlights how healthcare professionals lack of knowledge affects healthcare. The different subthemes discusses HIV-infected homosexual men ́s experiences of healthcare as both negative and positive.

    Discussion: The discussions are divided into four sections: the need for increased knowledge, experiences of being denied care and/or experiences of worthy care, stigmatization and discriminatory attitudes impact on patients care and geographical differences. This section was discussed by using Katie Eriksson nursing theory about care suffering, the background of the literature review and by using new research. 

  • 187.
    Fernlund, Camilla
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Nurses’ experiences of caring for patients living with HIV in Kerala, India: A qualitative interview study2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Kerala, India, healthcare is available to people with HIV through antiretroviral therapy (ART) centres. From a patient perspective, it has been shown that patients with HIV often experience stigmatization in society as well as in healthcare context. Studies show that patients are afraid that the diagnosis could be revealed, and this may constitute barriers to care. Nursing knowledge and approach is of importance.

    Aim: To describe nurses’ experiences of caring for patients with HIV in Kerala, India.

    Method: A qualitative interview method of semi-structured design was performed. Four individual interviews were conducted with nurses working in four Antiretroviral therapy (ART) centres in Kerala, India. The data was analysed using qualitative content analysis.

    Results: Three themes emerged from the content analysis. Getting personally involved contains nurses’ diverse experiences of caring in a deeper sense. The importance of a comforting relationship covers various aspects of how comfort and support can contribute to a better care. Caring for patients struggling with stigma involves the importance of nurses’ consciousness and awareness of stigma in patients’ daily life.

    Discussion: The result is discussed using Katie Eriksson’s theory of caritative caring and in relation to relevant literature and scientific articles.

  • 188.
    Fjell, Astrid
    et al.
    Karolinska institutet, Norge.
    Cronfalk, Berit Seiger
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Karolinska institutet.
    Carstens, Nina
    Norge.
    Rongve, Arvid
    Norge.
    Kvinge, Lars M Rosseland
    Norge.
    Seiger, Åke
    Karolinska institutet.
    Skaug, Knut
    Norge.
    Boström, Anne-Marie
    Karolinska institutet, Norge.
    Risk assessment during preventive home visits among older people.2018In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 11, p. 609-620Article in journal (Refereed)
    Abstract [en]

    Background: Preventive home visits (PHV) may contribute to identify risks and needs in older people, and thereby delay the onset of functional decline and illness, otherwise often followed by home care or admission to hospital or nursing homes. There is a need to increase knowledge about which factors are associated with different risk areas among older people, so that the PHV questionnaire focuses on relevant tests and questions to make the PHV more specific and have a clear focus and purpose.

    Objective: The objective of this study was to examine associations between five kinds of risks: risk of falls, malnutrition, polypharmacy, cognitive impairment, and risk of developing illness and factors related to lifestyle, health, and medical diagnoses among older people living at home.

    Methods: A cross-sectional study design was applied. PHV were conducted by nurses among 77-year-old people in an urban municipality and among ≥75-year-old people in a rural municipality. A questionnaire including tests and a risk assessment score for developing illness was used. Descriptive and inferential statistics including regression models were analyzed.

    Results: The total sample included 166 persons. Poor perceived health was associated with increased risk of developing illness and risk of fall, malnutrition, and polypharmacy. Lifestyle and health factors such as lack of social support, sleep problems, and feeling depressed were associated with risk of developing illness. Risk of falls, malnutrition, polypharmacy, and cognitive impairment were also associated with increased risk of developing illness. None of the independent factors related to lifestyle, health, or medical diagnosis were associated with risk of cognitive impairment.

    Conclusion: Poor perceived health was associated with health-related risks in older persons living at home. Preventive health programs need to focus on social and lifestyle factors and self-reported health assessment to identify older people at risk of developing illnesses.

  • 189.
    Flink, Maria
    et al.
    Karolinska institutet.
    Tessma, Mesfin
    Karolinska institutet.
    Cvancarova Småstuen, Milada
    Norge.
    Lindblad, Marléne
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Karolinska institutet.
    Coleman, Eric A
    USA.
    Ekstedt, Mirjam
    Karolinska institutet, Linnéuniversitetet.
    Measuring care transitions in Sweden: validation of the care transitions measure.2018In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 30, no 4, p. 291-297Article in journal (Refereed)
    Abstract [en]

    Objective: To translate and assess the validity and reliability of the original American Care Transitions Measure, both the 15-item and the shortened 3-item versions, in a sample of people in transition from hospital to home within Sweden.

    Design: Translation of survey items, evaluation of psychometric properties.

    Setting: Ten surgical and medical wards at five hospitals in Sweden.

    Participants: Patients discharged from surgical and medical wards.

    Main outcome measure: Psychometric properties of the Swedish versions of the 15-item (CTM-15) and the 3-item (CTM-3) Care Transition Measure.

    Results: We compared the fit of nine models among a sample of 194 Swedish patients. Cronbach's alpha was 0.946 for CTM-15 and 0.74 for CTM-3. The model indices for CTM-15 and CTM-3 were strongly indicative of inferior goodness-of-fit between the hypothesized one-factor model and the sample data. A multidimensional three-factor model revealed a better fit compared with CTM-15 and CTM-3 one factor models. The one-factor solution, representing 4 items (CTM-4), showed an acceptable fit of the data, and was far superior to the one-factor CTM-15 and CTM-3 and the three-factor multidimensional models. The Cronbach's alpha for CTM-4 was 0.85.

    Conclusions: CTM-15 with multidimensional three-factor model was a better model than both CTM-15 and CTM-3 one-factor models. CTM-4 is a valid and reliable measure of care transfer among patients in medical and surgical wards in Sweden. It seems the Swedish CTM is best represented by the short Swedish version (CTM-4) unidimensional construct.

  • 190.
    Flodin, Olivia
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jalke, Marcus
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Transpersoners uppelvelser av hälso- och sjukvården: en litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Transgender people are a vulnerable group with a higher risk of mental health issues, discrimination and a lower usage of healthcare services. Stigmatisation and discrimination from society at large have also been observed to lead to transgender people fearing to be treated badly by healthcare service personnel.

    Aim: To illustrate transgender persons’ experiences of meeting with healthcare professionals.

    Method: A literature review of eleven articles of qualitative, quantitative and mixed method design that dealt with transgender persons’ experiences in healthcare settings.

    Results: The results are divided into three main themes; To be seen and respected,   Discriminations on the grounds of gender identity and A lack of knowledge about transgender persons and their experiences.

    Discussion:The discussion illustrates how transgender persons experience meeting with healthcare professionals and how this can be understood from the view of Travelbees theory of human-to-human relationship. Further discussed is the lack of knowledge and it’s effects on the meeting in relation to past research as well as a discussion of discrimination and positive experiences of healthcare.

     

  • 191.
    Forell, Lisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Genusperspektiv i psykoterapi2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: There are few studies about the role of gender perspective and it’s use in psychotherapy. The purpose with this study is to describe how a group of legitimized psychotherapists use gender perspective in the therapeutic room and how they define the concept.

    Question formulations: How do psychodynamic orientated psychotherapists define gender perspective and its meaning for them? In what way do they use gender perspective in the therapeutic work?

    Method: A qualitative investigative method has been used where five legitimized psychotherapists, all women was interviewed in-depth. The result was analyzed and processed through thematic analysis method.

    Result: The participants share awareness of the different conditions between men and women in society. The study shows that the therapists have different approach to the practice with gender perspective. Some of the informants believe that openness and transparency with gender perspective towards the patient is required while others bring it as a silent knowledge into the therapy room.

    Discussion: The results are discussed from earlier research on feministic theory. The problem with connecting the own knowledge to the practice agree with earlier research and studies.

  • 192.
    Fors, Annie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Letelier, Andrea
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ett livsviktigt möte - Sjuksköterskors upplevelser och attityder i mötet med suicidnära patienter: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Suicide is a global health problem that result in approximately 800 000 deaths every year in the world. In Sweden suicide is the most common external cause of death and in 2016 about 1130 persons died due to suicide. Nurses have a responsibility to assess risks and provide prescribed treatments, as well as being empathetic and able to console.

    Aim: The purpose of this literature review was to highlight the nurse's experiences and attitudes when meeting suicidal patients. 

    Method: A literature review based on 11 scientific articles published in the databases CINAHL Complete, PubMed and PsychINFO. The analysis was carried out after reviewing the results of the current studies, which was summarized and analyzed based on their similarities and differences. The analysis generated two main themes and six subthemes. 

    Results: Nurses experiences of meeting suicidal patients are described as an often emotional and challenging care situation. There is a will to help, however, many feel an uncertainty in the care of suicidal patients. An uncertainty that is partly linked to a perceived lack of competence and that these patients raise thoughts within the nurse themselves, relating to previous experiences, as well as ethical and existential issues. Nurses try to deal with this by regulating their emotions. The results also highlight a broad range of attitudes of both positive and negative nature that nurses carry in the encounter with suicidal patients. 

    Discussion: To gain emotional control was considered a prerequisite for providing a good and safe care. Ability to control emotions has a close connection with emotional intelligence, which may therefore be important to integrate into nursing education. The uncertainty that nurses experience and often relate to their own competence, illustrates the importance of targeted education efforts focusing on suicidology. Increased knowledge of suicide and its causes could have a positive impact on negative attitudes, reduce stigmatization and contribute to a more holistic perspective of the patient. This may lead to improvements in the care for suicidal patients.

  • 193.
    Forsman, Annie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Forsell, Sofia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hälso- och sjukvårdspersonalens upplevelser av att vårda patienter med missbruksproblematik: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In today's society, the word addiction is often stigmatized and has a negative tone. The use of illegal drugs increases in society, which means a greater burden on healthcare. According to the Health Care Act the aim is to promote good health and provide equal treatment for the entire population. The care should be given with respect for the equal worth of all people and the dignity of the individual. Studies show that patients with substance abuse experienced a stigmatized behaviour from healthcare professionals.

    Aim: The aim of this literature review was to describe the healthcare professionals' experiences of caring for patients with substance abuse.

    Method: This literature review was made by studying ten scientific articles. The articles have been analysed according to Friberg's method of analysis where the authors found similarities and differences of experiences, which were reported in various main themes and sub themes.

    Results: Based on the analysis, two main themes were created: Negative experiences and Positive experiences. Negative experiences were divided into four sub themes: Education and knowledge, Fear and lack of confidence, Feeling insufficient and Stigmatization.

    Discussion: The main findings of the result have been discussed in relation to the background of the literature review and Joyce Travelbee's Human-To-Human Relationship Model as a reference frame. 

  • 194.
    Forss, Margaretha
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Anknytningsstil hos ledare och medarbetare och dess betydelse för upplevelser av arbete, arbetssituation och hälsa2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: The attachment system has proven influence on both how we seek security and safety and on the HPA-axis, the stress regulation system. The study aims to investigate the influence of attachment style among leaders and employees and on their experiences of work and health.

    Research question: 1. Does insecure attachment (dismissive/preoccupied/fearful) have a negative influence on experiences of work and health? 2. Do employees of managers with secure attachment have more positive experiences of work and health?

    Method: 432 officials in Swedish companies answered a web form consisting of the Relationship Questionnaire (RQ), Salutogenic Health Indicator (SHIS), Work Experience Scale (WEMS).

    Results: Employees with preoccupied or fearful attachment had worse experiences of some aspects of work. Employees with secure attachment experienced work more positively. The managers´ attachment style did affect the subordinates´ perception of some aspects of work and health. 

    Discussion: Insecure attachment has a negative correlation with work experience which could indicate less effective stress regulation. Negative experiences among subordinates concerning physical health, self-determination and leadership are associated with insecure attached managers and could be a consequence of ineffective caring orientation of these managers. The importance of structure and security, which Swedish labor law provides, should be further discussed.

  • 195.
    Fransson, Emelie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Pernehagen, Helena
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En osynlig sjukdom: En litteraturöversikt om kvinnors upplevelser av att leva med endometrios2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a disease that affects about 10% of women with uterus in fertil age. The reason for the emergence of endometriosis is not fully clarified, there are several theories. Knowledge of endometriosis is inadequate. As a nurse, it is important to pay attention to symptoms that may be related to endometriosis. Common symptoms of endometriosis include menstrual pain, chronic pelvic pain and dysparanuea. Endometriosis can affect women's fertility.

    Aim: The aim was to illustrate women’s experiences of living with endometriosis. 

    Method: The method used was a literature review according to Friberg (2017), based on ten scientific articles retrieved from the CINAHL Complete and PubMed databases. To find articles, the keywords Endometriosis, Living with and experiences were used.Seven of the articles were of qualitative method and three of the articles were quantitative.

    Results: The result is presented in three main themes with a total of four sub themes. In these, it is shown that pain affects all aspects of women's lives. Endometriosis also affects women's experiences of their own identity. Work, social contexts and relationships are also affected by the endometriosis. How healthcare treats women living with endometriosis is a factor that affects how women experience their situation.

    Discussion: Women’s experiences of lack of knowledge and understanding of endometriosis is discussed against previous research, the background of the litterature rewiev and the authors’ reflections. Women’s experiences of endometriosis are discussed based on Katie Eriksson’s definitions of sufferings and the health coursework.

  • 196.
    Fredriksson, Charlotta
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors syn på faktorer som bidrar till god teamkommunikation i palliativ vård: En intervjustudie med sjuksköterskor inom kommunens hemsjukvård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Working as a nurse in the municipality's home care system involves meetings with patients who have a life-threatening illness. This work includes collaborating in the team in order to be accessible based on the patient's needs and wishes. To achieve this, a mutual view of care is required within in the team  which depends on good communication.

    Aim: The purpose was to investigate what nurses in palliative care consider contributing to good communication within the team.

    Method: In order to investigate what nurses consider contributing to good communication within the team, a qualitative design was chosen. Ten nurses working in general palliative care in a municipality in southern Sweden were interviewed. The material was analyzed with inductive content analysis.

    Results: The analysis resulted in two main categories: Collaboration in the team and Planning with all of the team. The collaboration category has two subcategories which describe the importance of different meetings in the daily work team to obtain advice and support in the care of patients with a life-threatening illness. Category Planning has two subcategories which describe the importance of consensus and security in the team. This means, for example, that it was important for everyone in the team to communicate with each other in order to achieve consensus on the goals in the end of life care.

    Discussion: The result is discussed in relation to current research in the subject area with Habermas   communicative dialogue ethics as the starting point.

  • 197.
    Fredriksson, Hanna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser av psykiatrisk tvångsvård och tvångsåtgärder: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 198.
    Frostell, Aleksandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Stark, Annika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med Crohns sjukdom och ulcerös kolit: en litteraturöversikt över patienters upplevelser av det dagliga livet2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Crohn's disease and ulcerative colitis are chronic inflammatory bowel diseases that have increased significantly in recent decades. The diseases can debut at all ages, and they have a negative effect on the patients´ quality of life. A nurse has an important part of ensuring that patients receive sufficient information and support to manage their self-care.

    Aim: The purpose was to illuminate how patients with Crohn's disease and ulcerative colitis experienced the effects of the symptoms in their daily lives and how they adapted to the disease.

    Method: A literature review based on eleven nursing studies with qualitative design was conducted. The studies were analyzed based on the chosen purpose and key findings were compiled under two main themes.

    Results: The literature review illustrated how the participants experienced the symptoms of the disease and what impact they had on everyday life. The impact on family life, relationships, social contexts and working life were described. In summary, the disease was an obstacle. The emotional impact of the disease and how the participants perceived that they suffered from an invisible disease were described. Finally, what attitudes the participants had towards life, what strategies were used to manage the disease, and that acceptance of the disease was important for learning to handle it.

    Discussion: The findings have been discussed based on Callista Roys adaptation model and linked to other scientific studies. Life with a chronic disease involves constant changes, and the nurse can help the patient to achieve balance by identifying factors that affect the adaptation.

  • 199.
    Fröberg, Maria
    et al.
    Gustavsbergs vårdcentral, Karolinska institutet.
    Leanderson, Charlotte
    Karolinska institutet.
    Fläckman, Birgitta
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hedman-Lagerlöf, Erik
    Gustavsbergs vårdcentral, Karolinska institutet.
    Björklund, Karin
    Karolinska institutet.
    Nilsson, Gunnar H
    Karolinska institutet.
    Stenfors, Terese
    Karolinska institutet.
    Experiences of a student-run clinic in primary care: a mixed-method study with students, patients and supervisors.2018In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 36, no 1, p. 36-46Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To explore how a student-run clinic (SRC) in primary health care (PHC) was perceived by students, patients and supervisors.

    DESIGN: A mixed methods study. Clinical learning environment, supervision and nurse teacher evaluation scale (CLES + T) assessed student satisfaction. Client satisfaction questionnaire-8 (CSQ-8) assessed patient satisfaction. Semi-structured interviews were conducted with supervisors.

    SETTING: Gustavsberg PHC Center, Stockholm County, Sweden.

    SUBJECTS: Students in medicine, nursing, physiotherapy, occupational therapy and psychology and their patients filled in questionnaires. Supervisors in medicine, nursing and physiotherapy were interviewed.

    MAIN OUTCOME MEASURES: Mean values and medians of CLES + T and CSQ-8 were calculated. Interviews were analyzed using content analysis.

    RESULTS: A majority of 199 out of 227 student respondents reported satisfaction with the pedagogical atmosphere and the supervisory relationship. Most of the 938 patient respondents reported satisfaction with the care given. Interviews with 35 supervisors showed that the organization of the SRC provided time and support to focus on the tutorial assignment. Also, the pedagogical role became more visible and targeted toward the student's individual needs. However, balancing the student's level of autonomy and the own control over care was described as a challenge. Many expressed the need for further pedagogical education.

    CONCLUSIONS: High student and patient satisfaction reported from five disciplines indicate that a SRC in PHC can be adapted for heterogeneous student groups. Supervisors experienced that the SRC facilitated and clarified their pedagogical role. Simultaneously their need for continuous pedagogical education was highlighted. The SRC model has the potential to enhance student-centered tuition in PHC. Key Points Knowledge of student-run clinics (SRCs) as learning environments within standard primary health care (PHC) is limited. We report experiences from the perspectives of students, their patients and supervisors, representing five healthcare disciplines. Students particularly valued the pedagogical atmosphere and the supervisory relationship. Patients expressed high satisfaction with the care provided. Supervisors expressed that the structure of the SRC supported the pedagogical assignment and facilitated student-centered tuition - simultaneously the altered learning environment highlighted the need for further pedagogical education. Student-run clinics in primary health care have great potential for student-regulated learning.

  • 200.
    Frögli, Elin
    et al.
    Karolinska Institutet.
    Rudman, Anna
    Karolinska Institutet.
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Gustavsson, Petter
    Karolinska institutet.
    Problems with task mastery, social acceptance, and role clarity explain nurses’ symptoms of burnout during the first professional years: A longitudinal study2019In: Work, ISSN 1051-9815, Vol. 62, no 4, p. 573-584Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:Symptoms of burnout among new professionals is a well-recognized problem but there is a lack of prevention programs. Effective interventions are based on an understanding of the processes that contribute to the development of a problem and suggest how it may be addressed. OBJECTIVE:Using the framework of organizational socialization, the objective of this study was to investigate if development of the socialization processes role clarity, social acceptance, and task mastery affects development of symptoms of burnout among new professionals and may specifically be targeted in transition-to-practice programs to prevent symptoms of burnout from occurring. We conducted this investigation by examining the relations between role clarity, social acceptance, task mastery, and symptoms of burnout the first year after professional entry, as well as the relations between changes in the socialization processes and changes in symptoms of burnout during the first three years following professional entry in a sample of new nurses. METHOD:Relationships between the socialization processes and symptoms of burnout were modeled using a linear latent growth model and data from a nationally representative sample of 1210 new registered nurses. RESULTS:Role clarity, social acceptance, and task mastery were related to symptoms of burnout cross-sectionally and longitudinally. Task mastery was the most important explanatory variable. CONCLUSIONS:The results suggest that an intervention designed to support the development of the socialization processes may be effective in preventing symptoms of burnout among new nurses. Interventions targeting role clarity, social acceptance, and task mastery during the first professional year may be expected to have effects during the following years as well, extending the value and importance of such interventions.

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