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  • 151.
    Amsberg, Susanne
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Wijk, Ingrid
    Sophiahemmet högskola.
    Livheim, Fredrik
    Karolinska Institutet.
    Toft, Eva
    Karolinska Institutet, Ersta sjukhus.
    Johansson, Unn-Britt
    Sophiahemmet högskola, Södersjukhuset.
    Anderbro, Therese
    Karolinska institutet, Stockholms universitet.
    Acceptance and commitment therapy (ACT) for adult type 1 diabetes management: study protocol for a randomised controlled trial.2018In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, no 11, p. 1-8, article id e022234Article in journal (Refereed)
    Abstract [en]

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

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

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

    TRIAL REGISTRATION NUMBER: NCT02914496; Pre-results.

  • 152.
    Amundsdotter, Eva
    et al.
    Karlstads universitet.
    Ericson, Mathias
    Göteborgs universitet.
    Jansson, Ulrika
    Karlstads universitet.
    Linghag, Sophie
    Karlstads universitet.
    Motstånd och strategier i jämställdhetsarbete2015Book (Other academic)
    Abstract [sv]

    Jämställdhetsarbete väcker ofta motstånd, det har de flesta som arbetar med jämställdhet erfarenhet av. Men vilka strategier kan förändringsaktörer använda för att bemöta motstånd och komma vidare i jämställdhetsarbetet, är frågan som utforskas i denna bok.

    Jämställdhetsarbete berör ofta angelägna frågor där det kan finnas motstridiga intressen, till exempel kring fördelning av resurser, inflytande och ansvar. Inte sällan uppstår starka känslor hos människor. En del visar öppet sin oro. Andra praktiserar förnekelse på olika sätt. Vissa blir aggressiva. Många protesterar i tysthet. Denna ovilja mot förändring brukar formuleras i termer av motstånd och kan alltså komma till uttryck på många sätt.

    I boken ges ett perspektiv på makt och motstånd som syftar till att bidra till upplevelser av ett större handlingsutrymme för att möta motstånd mot jämställdhetsarbete. Ingången består av material som har skapats i ett forskningsprojekt där jämställdhetsarbetare, medarbetare och chefer, från myndigheter och kommuner har utforskat motstånd och strategier tillsammans med genusforskare. Materialet ger en inblick i vad det kan innebära att arbeta med jämställdhet, vad en förändringsaktör möter och förväntas hantera i jämställdhetsarbetet. Ett bidrag i boken är en rad av idéer på handlingsalternativ för att möta motstånd, som mejslats fram i olika former i projektet. Bokens bidrag handlar också om att förvalta de kunskaper som skapats gemensamt och hur teori kan hjälpa oss att fördjupa, förstå och agera.

    Boken är skriven av fyra genusforskare vid Karlstads universitet respektive Göteborgs universitet och riktar sig till alla som är intresserade av jämställdhet, förändring och utbildning i organisationer och verksamheter.

  • 153.
    Anagrius, Johanna
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att berätta om sig själv eller inte: Rättspsykiatriska vårdares perspektiv2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The care relationship is described as the cornerstone of nursing processes. This relationship is mutual but the caregiver carries the responsibility and shares the patient's story in order to nurse together with rather than only nursing the patient. The dual mission, civil protection and nursing, complicates the relationship in forensic care. Nursing a patient who committed a crime is not as intuitive as relieving the suffering of an innocent patient. Important in forensic psychiatry is everyday socializing where the caregiver finds a balance between personal and private. Negative emotions such as fear can make carers narrow-minded and uncompromising while an unexpected action beyond the daily work routines can prove to be important for patient recovery. The forensic psychiatric patients express a desire for safe, caring relationships but can be met by an exercise of power, negligence, intimidation and violence that create a feeling of containment and non-care. Aim: To describe nurses' thoughts concerning their privacy and what to reveal about themselves to patients in forensic psychiatric care. Method: Qualitative design with focus group interviews for data collection. Two focus group interviews with caregivers in forensic psychiatry were conducted. The material was analyzed using qualitative content analysis. Results: The results generated four main categories and ten subcategories. Influencing factors: the patient's needs and the nature of the crime, timing and information flow. Awareness of caring role: consider who hears and deals with the consequences, ability to set boundaries and communication. Key to relationship: giving in order to receive, honesty, human contact and trust. Indifference and suffering: lies and distance, negative consequences, neither need nor meaning. Discussions: The results are discussed within the theoretical framework of ‘The Symphony of Care’, which discusses the phenomenon of the care relationship. Many caregivers’ reflections that emerge in the results can be identified within this context.

  • 154.
    Anar, Esra
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskors upplevelser av att vårda suicidnära individer: En litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About one million people lose their lives by suicide each year worldwide. There are psychosocial, clinical and biological factors in suicidal acts. Whether suicide developed illustrated in a suicidal process. Care after a failed suicide attempt is experienced mostly uncomfortable and emotional of suicide close to the individual. The goal of treatment is to promote patient safety. For individuals have to feel confidence in the care and caregiver should be a safe and trustful care relationship is created.

    Aim: The aim was to describe nurses' experiences of caring for suicidal individuals.

    Methods: The author has worked out a study of literature in accordance with Friberg (2006). The study is based on ten scientific articles from databases CINAHL with Full Text, MEDLINE with Full Text and PubMed. Specific inclusion- and exclusion criteria were followed. A content analysis and quality assessment was done on selected articles.

    Results: The results of scientific articles compiled in the study of literature in five different categories. These categories are as follows: Feeling of responsibility, Feeling of occupied and lack of time, Feeling of lack of competence, Feeling of insecurity in communication with suicidal individuals and Approach to suicidal individuals.

    Discussions: The author concludes that nurses feel that there are factors that prevent the possibility of good interaction between the suicide and suicidal individuals. These factors are divided summarized as deficient of resources and attainment including communication. It induces in turn feelings of frustration associated with not being able to be helpful enough for these individuals.  

  • 155.
    Anberlin, Tobias
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Challenges of treating pressure ulcers: A qualitative study with nurses in Tanzania2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Wounds have existed at all times and have always been feared because of the risk of infection leading to prolonged bed rest, and risk of complications such as amputation and even in some cases death. Pressure ulcers are included in the group of secondary healing wounds, which means that they heal from the inside only after that the wound is filled by granulation tissue. As a nurse one of the main work assignments is to promote health and care by showing professional liability to meet the patient's needs. In this study, the focus will be to describe the challenges for nurses in Tanzania in preventing and early detection of pressure ulcers.

    Aim: To describe the challenges for nurses in Tanzania in preventing and early detection of pressure ulcers

    Method: A descriptive qualitative design was chosen for this study as the aim was to explore nurses’ experiences of preventing and early detection of pressure ulcers. A qualitative design is most suitable when the researcher seeks to understand the phenomenon under study.

    Results: There were indeed challenges for the nurses in preventing and early detect pressure ulcers. The findings could be divided into three sub-themes: a) Structural challenges and varying educational level among health care personnel, b) Insufficient resources – challenges and strategies, and c) Patients unable to pay for health care

    Discussion: The discussion addressed that education is one of the main strategies for preventing pressure ulcers and is not always a financial issue. Understaffed wards and patients that are not able to pay for healthcare are factors that are ongoing issues at a hospital financed by the government. It also addresses the frustration some nurses expressed towards the problem and often felt helpless concerning patients health.

  • 156.
    Ancillotti, Mirko
    et al.
    Uppsala universitet.
    Eriksson, Stefan
    Uppsala universitet.
    Veldwijk, Jorien
    Nederländerna.
    Nihlén Fahlquist, Jessica
    Uppsala universitet.
    Andersson, Dan I
    Uppsala universitet.
    Godskesen, Tove
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Public awareness and individual responsibility needed for judicious use of antibiotics: a qualitative study of public beliefs and perceptions.2018In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 18, no 1, article id 1153Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 157.
    Ander, Malin
    et al.
    Uppsala universitet.
    Grönqvist, Helena
    Uppsala universitet.
    Cernvall, Martin
    Uppsala universitet.
    Engvall, Gunn
    Uppsala universitet.
    Hedström, Mariann
    Uppsala universitet.
    Ljungman, Gustaf
    Uppsala universitet.
    Lyhagen, Johan
    Uppsala universitet.
    Mattsson, Elisabet
    Uppsala universitet.
    Essen, Louise von
    Uppsala universitet.
    Development of health-related quality of life and symptoms of anxiety and depression among persons diagnosed with cancer during adolescence: a 10-year follow-up study2016In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 25, no 5, p. 582-589Article in journal (Refereed)
    Abstract [en]

    Objective: The main aim was to investigate the development of health-related quality of life (HRQOL) and symptoms of anxiety and depression in a cohort diagnosed with cancer during adolescence from shortly after up to 10 years after diagnosis. Methods: Participants (n = 61) completed the SF-36 and the HADS shortly; six, 12, and 18 months; and two, three, four, and 10 years (n = 28) after diagnosis. Polynomial change trajectories were used to model development. Results: Polynomial change trajectories showed an initial increase which abated over time into a decrease which abated over time for the SF-36 subscales Mental Health and Vitality; an initial decline which abated over time into an increase for HADS anxiety; and an initial decline which abated over time into an increase which abated over time for HADS depression. The SF-36 mental component summary showed no change from two to 10 years after diagnosis whereas the SF-36 physical component summary showed an increase from two years after diagnosis which declined over time. Ten years after diagnosis 29% reported possible anxiety. Conclusions: Development of HRQOL and symptoms of anxiety and depression appears to be nonlinear among persons diagnosed with cancer during adolescence. Well into permanent survivorship an increase in symptoms of anxiety is shown and approximately a third of the participants report possible anxiety. The findings indicate the need for: studies designed to pinpoint the times of highest psychological risk, clinical follow-up focusing on psychological problems, and development of effective psychological interventions for survivors of adolescent cancer

  • 158.
    Anderbro, Therese Carin
    et al.
    Karolinska institutet, Stockholms universitet.
    Amsberg, Susanne
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Moberg, Erik
    Karolinska institutet.
    Gonder-Frederick, Linda
    USA.
    Adamson, Ulf
    Karolinska institutet.
    Lins, Per-Eric
    Karolinska institutet.
    Johansson, Unn-Britt
    Sophiahemmet högskola, Södersjukhuset.
    A longitudinal study of fear of hypoglycaemia in adults with type 1 diabetes.2018In: Endocrinology, diabetes & metabolism, ISSN 2398-9238, Vol. 1, no 2, article id e00013Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 159.
    Andersen, Rebecka
    et al.
    Ersta Sköndal Bräcke University College, Centre for Civil Society Research.
    O'Sullivan, Anna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    De som samhället inte vill se2019In: Utsatthet och ansvar: Flickan med svavelstickorna i vår tid / [ed] Gunilla Silfverberg, Stockholm: Appell Förlag , 2019, 1, p. 80-92Chapter in book (Other academic)
  • 160.
    Andersen, Rebecka
    et al.
    Ersta Sköndal Bräcke University College, The Institute for Organisational and Worklife Ethics.
    Segnestam Larsson, Ola
    Ersta Sköndal Bräcke University College, Department of Social Sciences, The Institute for Civil Society Research.
    Att göra frivilligt arbete ekonomiskt värdefullt: En litteraturöversikt av internationell forskning och policy-relaterade rapporter2016Report (Other academic)
    Abstract [sv]

    Denna rapports syfte har varit att genomföra en litteraturöversikt av internationell forskning och policy-relaterade dokument som behandlar frågor relaterade till att värdera frivilligt arbete i ekonomiska termer. Utifrån ett antal forskningsfrågor sammanställdes och analyserades de empiriska resultaten i relation till exempel till de definitioner, metoder och resultat som presenterades i materialet. För- och nackdelar med olika metoder samt med att värdera icke-monetära värden har också diskuteras. De empiriska resultaten analyserades sedan i ett andra steg med hjälp av ett ramverk om hur värden skapas, befästs och kommuniceras i allmänhet och mer specifikt utifrån frågan om vilken idealtypisk relation som bäst kan beskriva eventuella samband mellan olika metoder för att värdera det frivilliga arbetet och det frivilliga arbetet i sig. En sammanfattning av de empiriska resultaten visar för det första att det finns ett antal förespråkare och argument till varför frivilligt arbete bör värderas i ekonomiska termer. Ett par av argumenten är exempelvis att synliggöra och uppmärksamma det frivilliga arbetet samt att identifiera dess bidrag till samhällsekonomin. Följaktligen har forskare och policyprofessionella ägnat tid och resurser åt att utveckla olika metoder och tillvägagångssätt för att genomföra denna typ av värderingar. Tre övergripande metoder lyfts fram som konkurrerande alternativ, inklusive frivilligarbetaren som ersättare, som tidsdonator och som samhällsnyttig. En integrerad del av presentationen av de olika metoderna verkar vara att identifiera specifika eller allmänna utmaningar med en viss eller alla försök till att värdera det frivilliga arbetet. Några exempel på dessa utmaningar är risken med att överskatta värdet på det frivilliga arbetet eller problematiken med att beräkna och fastställa ett generellt och applicerbart marknadsvärde på det arbetet som utförs av frivilliga. I den analytiska delen av rapporten framkommer det att de flesta artiklarna och rapporterna härbärgerar fler än en definition av det frivilliga arbetet och fler än en metod för att värdera det frivilliga arbetet. Vidare visar analysen att det finns stora likheter samt till och med överlapp mellan de olika metoderna i form av likartade utgångspunkter och tillvägagångssätt för att värdera det frivilliga arbetet. Utifrån dessa analytiska resultat argumenterar denna rapport för att relationen mellan de tre metoderna som förordas och det frivilliga arbetet i hög grad präglas av en omvänd relation. Det vill säga att de tre övergripande metoderna i första hand verkar ha utvecklats i relation till tidigare versioner av metoderna och konkurrerande metoder snarare än till det frivilliga arbetet i sig och dess egenskaper. Tolkningen att de metoder som figurerar för att ekonomiskt värdera frivilligt arbete i första hand präglas av en omvändrelation kan förklaras på två kompletterande vis. Den första förklaringen är att de som arbetar med att utveckla metoder kopierar och översätter värderingsmekanismer från andra fält. Den andra är att aktörer inom området strävar efter att framstå som innovativa och originella. Båda förklaringarna lyfter fram hur fler studier behövs för att studera och analysera detta fält som exempelvis en teater eller ett skådespel, med tillhörande praktiker, mekanismer och teknologier, som alla är mer eller mindre oberoende av eller till och med särkopplat från det frivilliga arbetet i sig. Ett antal mer praktiknära förslag till framtida forskning och utredningsarbete kan också identifieras. Ett förslag skulle vara att genomföra ytterligare översikter av metoder och resultat för att värdera objekt som saknar antingen värderings-, kalkyler- eller jämförbara egenskaper eller en marknad där objektets värde kan bestämmas i ett utbyte mellan olika aktörer. Med största sannolikhet finns det områden och fält där denna typ av metoder har utvecklats och prövats i en högre utsträckning än de som återfinns inom området för frivilligt 4 arbete. Ett annat förslag är att applicera de tre metoderna, inklusive de olika tillvägagångssätten som förordas, på data och forskning från Sverige. Vilken andel av det svenska BNP skulle det frivilliga arbetet kunna utgöra? Vilken avkastning ger investeringar i det frivilliga arbetet i Sverige? Vad är en rimlig timpeng för det frivilliga arbetet i Sverige? Slutligen, med tanke på både de processuella och principiella invändningar som återfinns i det empiriska materialet, vore det värdefullt och relevant att genomföra en receptionsstudie av hur frivilliga och andra aktörer inom fältet skulle reagera på och påverkas av olika försök till att ekonomiskt värdera frivilligt arbete. Avslutningsvis, utifrån denna rapports inledande citat om de tre domarna, och baserat på rapportens empiriska och analytiska resultat, kan en fjärde domare introduceras. Till skillnad från den första domarens objektivistiska, den andra domarens subjektivistiska eller den tredje domarens relativistiska position, skulle den fjärde domaren antagligen förorda en mer omvänd position i relation till exempelvis det frivilliga arbetet. En position som skulle härbärgera de praktiker, mekanismer och processer som konstituerar frivilligt arbete och som i sin tur skapar, befäster och kommunicerar värden, inklusive huruvida frivilligt arbete är meningsfullt för de som utför det eller bör ses som en gemensam och kollektiv nytta i samhällets tjänst. Denna position ger också utrymme till undersökningar om i vilken grad det frivilliga arbetet främst konstitueras av samtal och konflikter forskare och policyprofessionella emellan.

  • 161.
    Andersen, Rebecka
    et al.
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Segnestam Larsson, Ola
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Åberg, Pelle
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Svenska ideella organisationers mervärde i biståndet2014Report (Other academic)
    Abstract [sv]

    Syftet med denna rapport är att beskriva och analysera olika aktörers uppfattningar om svenska ideella organisationers mervärde inom biståndet. Med hjälp av intervjuer med ett antal representanter för olika aktörer med kunskap och erfarenhet av det svenska biståndsarbetet och analyser av existerande dokument behandlas i denna rapport de svenska ideella organisationernas roller, särarter och mervärden inom det svenska biståndet. De empiriska resultaten visar att organisationernas roller visserligen har förändrats över tid, från att fungera som pionjärer till att mer fungera som röstbärare och organisatörer av tjänster, men att de ideella organisationerna anses vara fortsatt betydelsefulla i biståndet, även i framtiden. Särarterna framträder tydligast i jämförelser med antingen ideella organisationer i andra länder eller med företag och offentliga organisationer i Sverige, och inkluderar alltifrån organisationernas historia och folkrörelsebakgrund till den icke‐vinstdrivna profilen, organisationernas värdegrund samt förmågan att kunna agera autonomt och verka i olika kontexter. Ett antal mervärden identifieras också, till exempel den svenska kontexten och folkrörelseförankring, mångfalden i det svenska civila samhället, arbetet med demokratiska och mänskliga rättigheter, röstbärarrollen och påverkansarbetet, effektivitet till följd av lång erfarenhet och kunskap, lokal förankring och välutvecklade nätverk samt ett partnerskap där stödet sträcker sig utöver det finansiella och långsiktigheten i partnerskapen. Rapporten visar också hur det förekommer föreställningar om att särarterna och mervärdena har förändrats över tid. Det är dock oklart om de minskar eller ökar i kraft eller om det mer handlar om förändringar från en form till en annan. Avslutningsvis efterlyses ett mer nyanserat förhållningssätt till svenska ideella organisationers mervärde i biståndet.

  • 162.
    Andersen-Larsson, Tintin
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Morath, Peter
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    “Ensamkommande ‘barn’ behöver kläder och skor. Stora skor. Jättestora skor.”: En kritisk diskursanalys av hur begreppet “ensamkommande” konstruerades på Twitter under 2015.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study has been to analyze - by the use of critical discourse analysis - how constructions of ensamkommande (unaccompanied minors) were expressed on Twitter in 2015. The purpose of this analysis has been to investigate what consequences these constructions might have for how people interpret and understand unaccompanied minors and what kind of impact that could have on the social work carried out for the target group. The material was comprised by every tweet written in Swedish and containing the word ensamkommande on Twitter during 2015. The study has been made from a social constructionist  perspective and the method for analysis has been Fairclough’s three dimensional model. The result showed that eight discourses could be identified. The majority of these could be said to have a negative attitude towards unaccompanied minors and portrayed them in a very negative way. The few discourses that could be said to have a positive attitude towards the target group also contributed to the very negative construction of them. The result also showed that the main producers of the material, and thereby the negative construction of unaccompanied minors, were private individuals, politicians, journalists and media. The conclusion is that the construction of unaccompanied minors could have a negative impact on social work since it can affect how people in general perceive the target group. This could lead to both structural and individual impact regarding the social work with unaccompanied minors. How people interpret and understand the concept of unaccompanied minors could affect how people vote in general elections which could lead to changes in legislation and policies to better answer towards the very negative construction of unaccompanied minors. Such changes of legislation and policies could have a negative impact on the social workers ability to maneuver in their work with the target group. There is also a risk that social workers incorporate the construction of unaccompanied minors so that the work with the target group may be based on prejudiced and general assumptions about them.

  • 163.
    Andershed, Birgitta
    Ersta Sköndal University College, Department of palliative care research.
    Närståendes behov i palliativ vård2004In: Närståendes behov: Omvårdnad som akademiskt ämne III / [ed] Östlinder, Stockholm: Svensk sjuksköterskeförening , 2004Chapter in book (Other academic)
  • 164.
    Andershed, Birgitta
    Ersta Sköndal University College, Department of palliative care research.
    Relatives in end-of-life care – part 1: a systematic review of the literature the five last years, January 1999–February 20042006In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 15, no 9, p. 1158-1169Article in journal (Refereed)
  • 165.
    Andershed, Birgitta
    Ersta Sköndal University College, Department of palliative care research.
    The situation of relatives and their involvement in palliative care2003In: Australien-Asian Journal of Cancer, Vol. 2, no 2, p. 174-181Article in journal (Refereed)
  • 166.
    Andershed, Birgitta
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Norwegian University of Science and Technology, Gjövik, Norway.
    Ewertzon, Mats
    Ersta Sköndal University College, Department of Health Care Sciences.
    Johansson, Anita
    Skaraborgs sjukhus.
    An isolated involvement in mental health care: Experiences of parents of young adults.2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 7-8, p. 1053-1065Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of this study was to explore parents' involvement in the informal and professional care of their young adult child with mental illness. A further aim was to examine concepts in the caring theory of "Involvement in the light - involvement in the dark" in the context of mental health care.

    BACKGROUND: Mental illness has increased among young people in high-income countries and suicide is now the leading cause of death for this group. Because of their disease, these young people may have difficulty in carrying out daily, taken-for-granted, tasks. Consequently, they often become dependent on their parents, and their parents shoulder a considerable responsibility.

    DESIGN AND METHODS: A secondary descriptive design with a deductive content analysis was used. Ten parents who have a son or daughter with long-term mental illness (aged 18 - 25) were interviewed. The deductive analysis was based on the caring theory of "Involvement in the light - Involvement in the dark".

    RESULTS: The results are described using the following concepts in the theory: "Knowing", "Doing", "Being" and "Attitude of the health professionals". The result are to a great extent consistent with the "Involvement in the dark" metaphor, which describes an isolated involvement in which the parents were not informed, seen or acknowledged by the health professionals. Continuous support by professionals with a positive attitude was described as being of decisive importance for meaningful involvement. This article is protected by copyright. All rights reserved.

  • 167.
    Andershed, Birgitta
    et al.
    Ersta Sköndal University College, Department of palliative care research.
    Harstäde, Carina Werkander
    Next of kin's feelings of guilt and shame in end-of-life care.2007In: Contemporary nurse : a journal for the Australian nursing profession, ISSN 1037-6178, Vol. 27, no 1, p. 61-72Article in journal (Refereed)
    Abstract [en]

    In this study the aim was to explore and describe next of kin's feelings of guilt and shame in end-of-life care via secondary analysis of 47 qualitative interviews. In the analysis categories and subcategories emerged which conveyed how the next of kin experienced guilt; not having done or talked enough, being absent at important events or making errors of judgement. Categories conveying feelings of shame were situations where the next of kin felt inferior, was ashamed on behalf of the dying person and when family conflicts became apparent. Receiving help and support in order to make the remaining period as pleasant as possible can facilitate the next of kin's sense of having fulfilled their duties and responsibilities and therein reduce feelings of guilt and shame. It is apparent that these feelings should be taken into account and the next of kin should receive support to increase their well-being during the remaining time in end-of-life care and the grieving period.

  • 168.
    Andershed, Birgitta
    et al.
    Ersta Sköndal University College, Department of palliative care research.
    Olsson, Kristina
    Review of research related to Kristen Swanson's middle-range theory of caring.2009In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 23, no 3, p. 598-610Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to identify and describe how Kristen Swanson's middle-range theory has been used in nursing practice/research presented in international journals. A total of 120 studies were included in the review and 23 were analysed further. An overview of the studies is presented, followed by four categories of how the theory has been used: referring to the theory (97 papers), applications of the theory to practice/research and/or theoretical discussions (nine papers), relating findings to and/or validation of the theory (eight papers), and development of measurements from and/or testing of the theory (six papers). The use of the theory and conclusions of the studies related to criteria for evaluation of theories were discussed.

  • 169. Andershed, Birgitta
    et al.
    Ternestedt, Britt-Marie
    Being a close relative of a dying person. Development of the concepts: Involvement in the light and in the dark.2000In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 23, p. 151-159Article in journal (Refereed)
  • 170.
    Andershed, Birgitta
    et al.
    Ersta Sköndal University College, Department of palliative care research.
    Ternestedt, Britt-Marie
    Ersta Sköndal University College, Department of palliative care research.
    Development of a theoretical framework of understanding about relatives´ involvement in palliative care.2001In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 34, no 4, p. 554-562Article in journal (Refereed)
  • 171. Andershed, Birgitta
    et al.
    Ternestedt, Britt-Marie
    Involvement of relatives in the care of the dying in different care cultures. Development of a theoretical understanding.1999In: Nursing Science Quarterly, ISSN 0894-3184, E-ISSN 1552-7409, Vol. 12, no 1, p. 45-51Article in journal (Refereed)
  • 172. Andershed, Birgitta
    et al.
    Ternestedt, Britt-Marie
    Involvement of relatives in the care of the dying in different care cultures. Involvement in the dark or in the light?1998In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 21, no 2, p. 106-116Article in journal (Refereed)
  • 173. Andershed, Birgitta
    et al.
    Ternestedt, Britt-Marie
    Patterns of care for patients with cancer before and after the establishment of a hospice ward1997In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 11, no 1, p. 44-52Article in journal (Refereed)
  • 174. Andershed, Birgitta
    et al.
    Ternestedt, Britt-Marie
    The illness trajectory - for patients with cancer in two different cultures of care.1998In: Omega, ISSN 0030-2228, E-ISSN 1541-3764, Vol. 37, no 4, p. 251-272Article in journal (Refereed)
  • 175.
    Andershed, Birgitta
    et al.
    Ersta Sköndal University College, Palliative Research Centre, PRC.
    Ternestedt, Britt-MarieErsta Sköndal University College, Palliative Research Centre, PRC.Håkanson, CeciliaErsta Sköndal University College, Palliative Research Centre, PRC.
    Palliativ vård: begrepp & perspektiv i teori och praktik2013Collection (editor) (Other academic)
  • 176.
    Anderson, Charlotte
    Ersta Sköndal University College, Department of Social Work.
    Socialtjänstens arbete med utsatta flickor i starkt patriarkala familjer: en kvalitativ studie2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 177.
    Andersson, Anna
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Bäckström, Sabina
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Research on the care of patients with dementia in Sweden: a review study2000Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 178.
    Andersson, Ann-Charlotte
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Anrén, Helena
    Ersta Sköndal University College, Department of Social Work.
    Kärlekens möjligheter: en studie av parrelationen utifrån ett salutogent perspektiv2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 179. Andersson, B
    et al.
    Öhlén, Joakim
    Göteborgs universitet.
    Being a hospice volunteer2005In: Palliative Medicine: A Multiprofessional Journal, ISSN 0269-2163, E-ISSN 1477-030X, Vol. 19, p. 602-609Article in journal (Refereed)
  • 180.
    Andersson, Beatrice
    Ersta Sköndal University College, Department of Social Work.
    "Så lätt att vara blomma, bara knoppa och slå ut. Slippa genomlida livet ensam, till dess svarta slut...": en studie om mobbning och hur elever och lärare uppfattar Friends förebyggande arbete mot mobbning2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 181.
    Andersson, Birgitta
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Johansson, Astrid
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Interaktionens betydelse i samspelet mellan sjuksköterskor och patienter med cancersjukdom i sluten vård1999Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 182.
    Andersson, Camilla
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sandstedt, Lisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En litteraturöversikt om compassion fatigue hos sjuksköterskor2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 183.
    Andersson, Carina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patientens erfarenhet och behov av stöd och information vid Inflammatorisk tarmsjukdom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 184.
    Andersson, Carina
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Gustafsson, Katarina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kvinnors sexualitet efter hysterektomi: En litteraturöversikt2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Hysterectomy is one of the most common surgical procedures women undergo and it is common that the woman’s sexuality is affected. Sexuality is difficult to define and includes more than just the sexual act; it is a part of being human. How women express their sexuality depends on many different factors such as age, social and/or cultural aspects.

    Our aim is to describe women’s sexuality after hysterectomy

    A literature review based on 14 scientific articles whose results showing how a hysterectomy affects women's sexuality. The articles were published in different continents and all the women in the studies were adult women who had undergone hysterectomy due to benign causes. The theoretical framework used is Joyce Travelbee´s theory of interpersonal relations.

    Psychosexual factors that were affected were for instance lubrication, orgasm, sexual desire and pain. How the procedure affected the women’s sexuality differed is individual and it is difficult to say which factor who is most affected by the procedure. Furthermore, social and psychological factors contribute to women's experience of her sexuality.

    How hysterectomy affects women's sexuality is varying and individual. Women’s natural ageing which affects women’s sexuality is something that is not taken in consideration. Information and education which is included in the task of nursing is according to the women in the study important for them. In addition, women’s partners have an important role in supporting the woman but they are in need of information and knowledge. There are major shortcomings within nursing regarding sexuality and it is common that nurses blame lack of time as a factor why sexuality is not spoken about.

  • 185.
    Andersson, Cicilia
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Espinoza Tapia, Paulina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Drogberoende och smärta - patienters upplevelser av bemötandet i vården: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses in general find it difficult to provide patients with pain relief because pain is a subjective phenomenon. Nurses emphasize that there is a lack of knowledge and guidelines for the handling of pain. Nurses who encounter drug dependent patients in pain find it to be stressful and complicated. The reason for this is that the nurses felt that it was fraught with their own inner conflicts and moral dilemmas.

    Aim: The aim of this study was to describe patient experiences of health care professionals treatment when the patient experiences pain and when they are at the same time addicted to drugs.

    Method: A literature review based on ten scientific articles was made. The articles was analysed with Fribergs (2012) method where the authors searched for similarities and differences out of a phenomenon that created the results themes.

    Results: The results of this litterature review are presented in two main themes. In the first main theme – Obstruct in the health care professionals treatment the authors could find five sub themes. These sub themes highlights how patients experience negative treatment from the health care professionals. In the second main theme: Preconditions in the treatment the authors could find one sub theme. This sub theme highlights how patients with drug addiction experience a caring relationship and how it can evolve.

    Discussion: The authors have discussed the results main findings in relation to the literature review background, the authors aspects and with Katie Erikssons “caritative” theory used as a theoretical framework

  • 186.
    Andersson, Denise
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Holje, Per
    Ersta Sköndal University College, Department of Health Care Sciences.
    Köld- och kompressionsmanschett som smärtlindrande metod inom postoperativ omvårdnad2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 187.
    Andersson, Elisabeth
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Greenhalgh, Louisa
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kvinnors upplevelser av att leva med fekal inkontinens: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Fekal inkontinens innebär en ofrivillig förlust av lös/fast avföring. Fekal inkontinens är ett relativt vanligt förekommande tillstånd, och mörkertalet anses vara stort. Stigmat kring tarmsjukdomar och eliminering gör tillståndet till ett tabubelagt ämne. Att lida av fekal inkontinens försvårar många aspekter av livet och forskning har visat att tillståndet har negativ inverkan på kvinnors livskvalitet.

    Syfte: Att belysa kvinnors upplevelser av att leva med fekal inkontinens.

    Metod: En litteraturöversikt genomfördes för att svara an på syftet. Tio kvalitativa artiklar analyserades med fokus på likheter och skillnader i kvinnornas upplevelser. Dessa blev till teman och subteman som utgör litteraturöversiktens resultat.

    Resultat: Resultatet presenteras i fem teman och nio subteman. Resultatets fem teman är: Begränsningar, Ett förändrat jag, Möte med vården, Strategier att hantera fekal inkontinens och Hinder och möjligheter att tala om fekal inkontinens.

    Diskussion: Resultatet diskuteras utifrån livsvärldsteorin. Fekal inkontinens hade stor inverkan på kvinnornas liv och begränsade deras tillgång till världen. Trots att tillståndet endast är ett kroppsligt symtom påverkade det alla dimensioner av kvinnornas liv. Stigmatiseringen kring tarmfunktion och eliminering skapar svårigheter i kontakten med sjukvården. Vidare beskrivs hur ett livsvärldsperspektiv kan användas för att få en djupare förståelse av kvinnornas upplevelser av att leva med fekal inkontinens.

  • 188.
    Andersson, Ellinor
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Bäckström, Lisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kvinnors upplevelser av att leva med bröstcancer: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 189.
    Andersson Elmtoft, Natasja
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Att gå i psykoterapi efter pension: En kvalitativ studie av yngre äldre kvinnors behov avpsykoterapi2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 190.
    Andersson, Emelie
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Bolin, Sophia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Känslan av att inte veta - Att vara närstående till en person med psykisk ohälsa: Att vara närstående till en person med psykisk ohälsa2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Cirka 20-40 procent av Sveriges befolkning drabbas av psykisk ohälsa vilket även påverkar deras närstående. Efter avinstitutionaliseringen har ansvaret för den psykiskt sjuka förflyttats från institution till de närstående. Trots det ökade ansvaret som de närstående fått rapporterar sjuksköterskor svårigheter i att involvera de närstående i vårdandet.  

    Syftet var att belysa närståendes upplevelse av att vara närstående till en person med psykisk ohälsa.

    Litteraturöversikt i enlighet med Friberg (2012). Databaser som användes var CINAHL plus with Full Text och PsycINFO. Författarna valde ut sju kvalitativa, en kvantitativ artikel och en som var både kvalitativ- och kvantitativ. Artiklarna skulle besvara frågeställningarna: Hur påverkas de närståendes vardagliga liv när de lever nära en person med psykisk ohälsa? och vilka upplevelser belyses rörande det vardagliga livet och mötet med vården som följer av att vara närstående till en person med psykisk ohälsa? Den teoretiska referensram som valdes var systemteorin enligt Strømsnes Ekern (2003).

    Resultatet visar att närstående upplever att deras liv påverkas och att de exkluderas när det kommer till vårdandet av patienten. De önskar att deras behov blir tillgodosedda av den psykiatriska vården och att de blir mer delaktiga i vårdandet.

    Den psykiatriska vården bör se till de närståendes behov och erbjuda stöd då detta kan leda till minskad upplevd börda och ohälsa, vilket även påverkar patienten positivt. Kvinnor deltar i högre grad i valda studier och rapporterar även högre upplevd börda, något som även det bör uppmärksammas av sjukvården. Genom att använda systemteorin kan sjuksköterskan få en insikt av hur patient och dennes närstående påverkar varandra, vilket kan leda till en mer tillfredsställande omvårdnad.

  • 191.
    Andersson, Emelie
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Dahlberg, Charlotta
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att vara barn till en förälder som har cancer: En litteraturöversikt2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Children as visitors to the hospital was accepted in the 1980s, previously it was considered that the child could be exposed to psychological trauma. Nowadays we know that it is important to include the child in care. A parent’s illness affects the whole family and nurse´s today is therefore faced with the challenge of caring for the patient, while ensuring the child's needs. Nurse’s duty to respond to the needs of children as family is clear in the legislation.

    Aim:To describe the child's needs and strategies the child uses to handle a situation when their parent has cancer.

    Method: A literature study about children’s (6-12 years) needs and strategies to deal with the situation have been implemented. Ten scientific papers have been reviewed by Fribergs criteria for the analysis of scientific studies. The theoretical framework we used is Dahlberg and Segestens theory of health, welfare and security.

    Results: Children have a great need to get information, knowledge, support, to be a child and that there is an open communication in this situation. The strategies that emerged to address the situation were to: Maintain a normal life, to take advantage of the valuable and positive, to keep informed, different types of distraction and a willingness to help parents with both practical and social support. Child's way of handling the situation when that parent has cancer can have long term negative effects later in life.

    Discussion:The discussion formed four new themes: Lack of information and knowledge leads to insecurity, information creates a sense of ownership, need to be a family and long term consequences. A discussion took place related to the concepts of health, welfare and security. We have found that the nurse must take into account the interdependence that exists between child and parent to meet child's needs and promote a sense of security.

     

  • 192.
    Andersson, Emma
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Edsman, Anna
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskors upplevelser av sexuella trakasserier på arbetsplatsen: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual harassment is defined as an act alluding to sex and that is unwelcome by the person towards whom the action is directed. It is an illegal action that risks violating and harming a person’s dignity. The problem can be found in the field of healthcare and amounts to precariousness in the work environment that affects the health of the nurse as well as the quality of the care.

    Aim: The aim was to describe nurses’ experiences of sexual harassment in the workplace.

    Method: The authors have carried out a literature review and identified and analyzed the knowledge prevalent in the paper's specific area of study. Twelve scientific articles function as the fundament for this paper: seven of a qualitative, three of a quantitative and two of a both qualitative and quantitative study design.

    Results: The overview of accessible literature resulted in three main categories with two and three subcategories. In the main category titled Descriptions of sexual harassment, with the subcategories Different appearances and The perpetrator, there is a description of the nurses' impressions of the perpetrator as well as the way sexual harassment are expressed. In the second main category, titled The effects of sexual harassment with the subcategories Feelings, Action and strategies and Consequences, the nurses' reactions to sexual harassment both during and after the event are described. In the third main category Explanations, with the subcategories Definition and boundaries and Interpretation, what the nurses perceive as sexual harassment and how they understand what has occurred are described.

    Discussion: The result is discussed from the standpoint of the different coping strategies that presented themselves. Possible explanations and solutions of the problem as well as consequences are discussed.

  • 193.
    Andersson, Emma
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Gustafsson, Niclas
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att ta humor på allvar: om humor i ett vårdande perspektiv2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 194.
    Andersson, Erica
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Olsson, Jenny
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Personers upplevelser av att leva med kronisk obstruktiv lungsjukdom: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Kronisk obstruktiv lungsjukdom är en folkhälsosjukdom som finns i hela världen och som främst drabbar rökare. Sjukdomen är livslång och upplevs individuellt av varje drabbad person. Med sjukdomen tillkommer förändringar i vardagen för de som drabbas.

    Syfte:

    Syftet var att beskriva personers upplevelser av att leva med kronisk obstruktiv lungsjukdom.

    Metod:

    Litteraturstudie baserad på tio vetenskapliga studier, samtliga kvalitativa. Artiklarna är hämtade från Cinahl Complete och PubMed. Artiklarna har analyserats och redovisats i fyra huvudtema.

    Resultat:

    Resultatet redovisas i fyra tema; Att känna rädsla inför en oviss framtid, Att skämmas och anklaga sig själv, Att känna sig begränsad och missförstådd i vardagen, Att känna ångest och oro.

    Diskussion:

    Resultatdiskussionen fokuserar på hur vardagslivet påverkas för personer som lever med KOL. Vetenskaplig litteratur och Jean Watsons teori används för att belysa resultatet.   

  • 195.
    Andersson, Eva
    Ersta Sköndal University College, Department of Health Care Sciences.
    Motion som egenvård: en studie om personer med erfarenhet av självupplevd psykisk ohälsa och psykiatrisk vård2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Backround: Many studies indicate that people with mental illness often suffer from physical illness. Many people with mental illness do not exercise even though they often have knowledge about the benefits of physical activity. Studies suggest that psychiatric patients have the desire to have an everyday life with more content. It is apparent in studies that healthcare professionals believe that it is the patients' own responsibility to keep themselves physically active.

    Aim: The primary objective with this study is to examine motivation and possible obstacles to exercise for persons with self-perceived mental illness and experience of psychiatric care. The secondary objective is to investigate how psychiatric care may be of importance to people with mental illness when it comes to exercise.

    Methods: Semi-structured interviews. A qualitative content analysis was used.

    Results: The results were presented in five categories; exercise as self-care, to make your day meaningful, not knowing your limits, mental illness and inactivity, how health care motivates exercise. Some of the categories contained subcategories.

    Discussions: The results of the study were discussed by Dorothea Orem´s self-care theory. People with mental illness may have difficulty with motivation and lack of initiative related to their illness, and by that unable to cope without the support to exercise or perform physical activity. The nurse may have a very important role to compensate for what is lacking in the patient´s knowledge and ability. The author believes that psychiatric care should implement exercise as part of treatment.

  • 196.
    Andersson, Ewa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ronsten, Barbro
    Ersta Sköndal University College, Department of Health Care Sciences.
    Bekräftande mentorskap: en studie om mentorskapets betydelse för sjuksköterskor och logopeder under deras första år efter examen2002Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 197.
    Andersson, Gunilla
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Johansson, Susannah
    Ersta Sköndal University College, Department of Health Care Sciences.
    Individanpassad aktivering för den äldre dementa i syfte att öka välbefinnandet - faktorer av betydelse ur vårdgivarens perspektiv2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 198. Andersson, Gunnel
    et al.
    Johansson, Jan Erik
    Nilsson, Kerstin
    Sahlberg-Blom, Eva
    Ersta Sköndal University College, Department of palliative care research.
    Perceptions of urinary incontinence among Syrian Christian women living in Sweden.2009In: Journal of Transcultural Nursing, ISSN 1043-6596, E-ISSN 1552-7832, Vol. 20, no 3, p. 296-303Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The purpose of this study was to describe the perception of urinary incontinence (UI) among Syrian women living in Sweden. DESIGN: A qualitative, descriptive design with focus group discussions (FGDs) was used and analyzed with content analysis. Fourteen Syrian women were interviewed in three FGDs. FINDINGS: Three categories emerged, "Thoughts on UI," "Managing UI," and "Communication With the Health Care System." Among the interviewees, UI was a common, and expected, problem, which could be managed. However, some expressed shame and embarrassment. Some talked about communication problems with health care. DISCUSSION: The health care system should be adjusted to the women's needs, with awareness of the communication difficulties, which could result in misunderstanding and neglected treatments.

  • 199. Andersson, Gunnel
    et al.
    Johansson, Jan-Erik
    Nilsson, Kerstin
    Sahlberg-Blom, Eva
    Ersta Sköndal University College, Department of palliative care research.
    Accepting and adjusting: older women's experiences of living with urinary incontinence.2008In: Urologic nursing, ISSN 1053-816X, Vol. 28, no 2, p. 115-21Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to describe experiences of living with urinary incontinence (UI) among persons who do not desire further assessment and treatment. METHODS: This was a qualitative, descriptive interview study, and the method was phenomenological. Eleven women were interviewed; all had been in contact with a district nurse to obtain a prescription for sanitary protection. None of the women desired further treatment for UI. FINDINGS: The women described living with UI as a manageable problem with which they had learned to live. They showed strength and desire to manage on their own. In many cases, other health problems overshadowed leakage problems. Several women saw health care services as a barrier that needed to be overcome before help could be obtained. Three key constituents emerged in the analysis: "learning to live with it despite difficulties," "other illnesses are more important," and "reluctance to seek care." For these women, the essence of the phenomenon of living with urinary incontinence (UI) can described as "a situation to accept and adjust to."

  • 200.
    Andersson, Heidi
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Lindström, Tove
    Ersta Sköndal University College, Department of Social Work.
    Det ändamålsenliga stödet efter en allvarlig händelse: en sammanställning av studier om det psykologiska/psykosociala omhändertagandet efter tsumanikatastrofen i Sydostasien 20042007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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