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  • 2001.
    Hagelin, Carina Lundh
    et al.
    Stiftelsen Stockholms sjukhem, Karolinska institutet.
    Wengström, Yvonne
    Karolinska institutet.
    Runesdotter, Sara
    Stiftelsen Stockholms sjukhem.
    Fürst, Carl Johan
    Stiftelsen Stockholms sjukhem, Karolinska institutet.
    The psychometric properties of the Swedish Multidimensional Fatigue Inventory MFI-20 in four different populations.2007In: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 46, no 1, p. 97-104Article in journal (Refereed)
    Abstract [en]

    The Multidimensional Fatigue Inventory (MFI-20) scale is widely used for measuring fatigue in cancer care. This questionnaire has been translated into Swedish and used in Swedish cancer populations, and the aim of this study was to test the validity and reliability of the Swedish version in four populations, with a total of 584 patients. The participants were classified into four groups: palliative cancer patients, cancer patients receiving radiation therapy, non-cancer outpatients, and a group of hospital staff. The MFI-20 consists of five subscales of fatigue: General Fatigue (GF), Physical Fatigue (PF), Reduced Motivation (RM), Reduced Activity (RA) and Mental Fatigue (MF). We have tested the convergent validity of the MFI-20 using the Category Ratio instrument (CR-10). The validity and the reliability of MFI-20 were acceptable. All subscales of the MFI-20 were correlated, and all were also correlated with the CR-10 score (p < or = 0.001). General Fatigue was highly correlated with Physical Fatigue for the three patient groups, but this was not the fact for healthy staff. Deleting some items increased Cronbach's alpha of the subscale to which these items belonged (where alpha measures the reliability of the results). The level of non-response was low (less than 1.2%) and there was no pattern to the items omitted. We conclude that the MFI-20 is a valid and reliable instrument for measuring fatigue in patients and in healthy individuals. The results support, to some extent, earlier findings and one item can be removed from the Swedish version of the MFI-20.

  • 2002.
    Hagelin, Carina Lundh
    et al.
    Karolinska institutet, Stiftelsen Stockholms sjukhem.
    Wengström, Yvonne
    Tishelman, Carol
    Fürst, Carl Johan
    Nurses' experiences of clinical use of a quality of life instrument in palliative care.2007In: Contemporary Nurse: health care across the lifespan, ISSN 1037-6178, E-ISSN 1839-3535, Vol. 27, no 1, p. 29-38Article in journal (Refereed)
    Abstract [en]

    This pilot study explored how nursing staff experienced clinical use of a quality of life (QoL) instrument as complement to their standard assessment interview. Twenty-six of 36 Registered Nurses working in one palliative care service responded in writing to six open questions.We found that nurses described positive features in using the QoL instrument related to how it supported their professional role, eased therapeutic contact with patients, and in terms of the outcomes of its use. Others noted difficulties incorporating the tool into the framework of their traditional nursing assessment, noting instrument and situation-specific limitations, with attitudes and comfort with the questionnaire affecting its use. Clinical use of QoL tools may be facilitated by emphasizing their role as a first screening assessment, and acknowledging and supporting the importance of clinical expertise and the patient-nurse relationship in further more focussed assessments and nursing care.

  • 2003.
    Hagelin, Therese
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Sundesson, Sara
    Ersta Sköndal University College, Department of Social Work.
    Önskan om förändring: en studie om mödrar med relationsproblem till sina spädbarn2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2004.
    Hagell, Peter
    et al.
    Högskolan Kristianstad.
    Alvariza, Anette
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Westergren, Albert
    Högskolan Kristianstad.
    Årestedt, Kristofer
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Linnéuniversitetet, Länssjukhuset i Kalmar.
    Assessment of burden among family caregivers of people with Parkinson's disease using the Zarit Burden Interview.2017In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 53, no 2, p. 272-278Article in journal (Refereed)
    Abstract [en]

    CONTEXT: Previous studies have supported the psychometric properties of the 22-item Zarit Burden Interview (ZBI-22) scale among family caregivers of people with various disorders, including Parkinson´s disease (PD). However, its short-forms have not been psychometrically tested among PD family caregivers, and available psychometric analyses have not accounted for the ordinal nature of item-level data.

    OBJECTIVES: To assess the psychometric properties of the ZBI-22 and its short forms among family caregivers of people with PD, while taking account for the ordinal nature of data.

    METHODS: Cross-sectional postal survey ZBI-22 data from 66 family caregiver members (59% women; mean age, 69.6 years) of a local Swedish PD society branch were analysed according to classical test theory methods based on polychoric/polyserial correlations.

    RESULTS: Missing item responses were ≤5%. Corrected item-total correlations were ≥0.42 and floor-/ceiling effects were <20%, besides for the briefest (4- and 1-item) short-forms (20% and 40% floor effects, respectively). Reliability was good for all scales (ordinal alpha, 0.89-0.95). External construct validity was in general accordance with a priori expectations. Short-forms demonstrated good criterion-related validity (rs 0.87-0.99) and discriminative ability (AUC, 0.91-0.98) relative to the full ZBI-22.

    CONCLUSION: This study provides support for the reliability and validity of the ZBI-22 and its various short forms for use among PD family caregivers. In studies where caregiver burden is a central outcome, either ZBI-22 or -12 is suggested for use; other short-forms can be used when caregiver burden is of less central focus or for clinical screening.

  • 2005.
    Haglund, Anja
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hatwig, Katja
    Ersta Sköndal University College, Department of Health Care Sciences.
    Övergrepp inom demensvård: betydelsen av ickeverbal kommunikation i interaktionen mellan vårdpersonal och människor med demens2005Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2006.
    Haglund Svensson, Jeanette
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Att ha deltagit i föräldragrupp för anhöriga till beroende: en studie av klienttillfredsställelse2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Being a relative of a person with an addiction disease involves a strong mental and physical stress. An important protection factor for the relatives is breaking the silence and shame and seek help. Ersta Vändpunkten is a clinic for these relatives and offers educational groups with a therapeutic objective. This study focuses on program for parents/relatives to children in the so-called little child group (4-6 years). Focus in the program is to support the parents in how they can help the child to understand what is happening in the family and how to take the child’s perspective. The aim of the study is to share the parent’s experiences of participating in this group. Questions: How has participation in the parenting program affected parenting ability? How has participation in the parent group affected the family? Methods: This is a web-based survey, the questionnaire has been analyzed with descriptive statistics. Results: 30 parents/relatives have been asked to participate of whom 17 responded (57%). The survey reveals that the parent/relative now has an improved relationship with the child and that communication in the family has changed for the better. Other relationships, to relatives, friends and to the addictive part have not changed noticeably. All respondents feel the child’s and their own self-esteem have become much better/better after participating. There is also a consensus among respondents that their ability to set boundaries towards the addicted part has become much better/better. Discussion: While the high non-response rate endangers firm conclusions, the findings are nevertheless promising.

  • 2007.
    Hagnell, Martina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ljung, Charlotta
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans upplevelse av att utsättas för våld av patienter och besökare på arbetsplatsen: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2008.
    Hagos, Betleheim
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Bapir, Sara
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av att vårda flyktingar: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As a result of war, anxiety and oppression, millions of human´s are fleeing the world. Due to this, most health professionals, especially nurses, will face these vulnerable and exposed patients. It´s reported that refugees have complex health needs, which   includes mental and somatic health problems, which have arisen as a result of difficult circumstances, before, during and after the escape. The cultural affiliation can influence the perception of how health, ill-health and illness is perceived, which implies the importance of as a nurse having knowledge of adapting and catering for the patients’ needs based on the individual´s unique cultural context.

    Aim: The aim of this study was to explore nurse´s experiences of caring for refugees.

    Method: The literature review was conducted according to Friberg´s method, with the basis of eleven qualitative scientific articles that were found in the databases CINAHL Complete and PubMed. Analyses of collected data produced the results categories and subcategories.

    Results: The result of the literature review was presented on the basis of four main categories: Communication barriers, The organisation´s influence, Cultural challenges and The   importance of caring relationships. Main categories are presented with associated subcategories: Healthcare systems, Ethical standpoints, Need of knowledge, The caring meeting, Emotional influence and A rewarding work.

    Discussion: The Method discussion is discussed on the basis of strengths, weaknesses, implemented approach and quality review of results articles. The findings of the discussion are discussed on the basis of Madeleine Leninger's theory of transcultural nursing, scientific literature, the background of the study and the authors own reflections. 

  • 2009.
    Hagren, Birger
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att leva med hemodialysbehandling2004Licentiate thesis, comprehensive summary (Other academic)
  • 2010.
    Hagren, Birger
    Ersta Sköndal University College, Department of Health Care Sciences.
    Läkemedelsräkning med interaktiva övningsuppgifter2008 (ed. 1)Book (Other academic)
  • 2011.
    Hagren, Birger
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Pettersen, Inga-Märta
    Severinsson, Elisabeth
    Lützén, Kim
    Ersta Sköndal University College, Department of Health Care Sciences.
    Clyne, Naomi
    Maintenance haemodialysis: patients’ experiences of their life situation2005In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 14, no 3, p. 294-300Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to examine how patients suffering from CKD on maintenance haemodialysis experience their life situation. The focus was on how treatment encroaches on time and space and how patients experience care. The rationale was that this knowledge is necessary to provide professional support that takes into consideration a person's whole life situation.The experiences of patients with chronic kidney disease (CKD) undergoing maintenance haemodialysis have been studied in many quantitative studies, which translate patients’ subjective experiences into objectively quantifiable data. However, there are few qualitative studies examining the experiences of these patients’ life situation and expressing their experiences within the context of a nursing and caregiver's perspective.Data were collected by interviews with 41 patients between the ages of 29 and 86 years who participated in the study. A content analysis was used to identify common themes that describe the patients’ experiences of their life situation.Three main themes were identified,‘not finding space for living’,‘feelings evoked in the care situation’ and,‘attempting to manage restricted life’. The first theme‘not finding space for living’ consisted of two sub-themes:‘struggling with time-consuming care’ and‘feeling that life is restricted’. The second theme‘feelings evoked in the care situation’ consisted of two sub-themes:‘sense of emotional distance’ and‘feeling vulnerable’.The patients in this study indirectly expressed an existential struggle, indicating that encroachment of time and space were important existential dimensions of CKD. The findings indicated that caregivers were not always aware of this inducing a sense of emotional distance and a sense of vulnerability in the patients.Caregivers in dialysis units have to consider haemodialysis patients’ experience of a sense of emotional distance in their relationship to caregivers. Nurses and doctors need to create routines within nursing practice to overcome this.

  • 2012.
    Hagren, Birger
    et al.
    Karolinska institutet.
    Pettersen, Inga-Märta
    Severinsson, Elisabeth
    Lützén, Kim
    Clyne, Naomi
    The haemodialysis machine as a lifeline: experiences of suffering from end-stage renal disease2001In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 34, no 2, p. 196-202Article in journal (Refereed)
  • 2013.
    Hagstrand, Tabita
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Kostyal, Caroline
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    "Det behövs först någon som kan hjälpa till, sen någon att prata och gråta med": En kvalitativ intervjustudie om erfarenheter och behovet av anhörigstöd för anhöriga till närstående med psykisk funktionsnedsättning2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study is to increase knowledge about the situation for relatives of people with mental health disabilities and to consider their needs in relation to municipal support. The study is based on qualitative interviews with adult relatives of adult people with mental health disabilities. The study shows that the needs of relatives are not compatible with existing municipal support. The primary need for relatives is adequate healthcare and support for their relatives with mental health disabilities and joint action between healthcare and municipal agencies. Individual and psychological needs are secondary. The result is analysed by system theory and the Struggle over needs theory (Fraser 2003). The analysis shows how different societal discourses influence the interpretation of the needs of relatives. The study is important because it highlights and problematizes the discrepancy between the needs of relatives and their access to municipal support. The result is important and relevant for social work since it identifies the absence both of a holistic approach and of joint action between healthcare and municipal agencies, which results in negative consequences for relatives as well as for persons with mental health disabilities. 

  • 2014.
    Hajradinovic, Yvonne
    Ersta Sköndal University College, Department of Health Care Sciences.
    Närståendes erfarenheter av vårdmiljön inom akutsjukvården vid vård i livets slutskede - en fotoeliciteringsstudie: Ramberättelse2016Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: Hospitals are and will continue to be the last place for care for many people, which also means that a lot of people die in these settings, within organizations for acute care. The main focus is not care at end-of-life and it is not prioritized, which means that these acute care environments not are adapted to the needs of dying persons and family members. More studies aiming at end-of-life care in acute care settings are needed.             

    Aim: The aim with this study was to explore important dimensions of the care environment in acute care settings from family members´ perspective during end-of-life care.                                                               

    Method: The design for this study was qualitative and used interpretive description. We recruited two acute care units from different hospitals in south-mid Sweden. The participants were nine family members, six women and three men, aged 23-63 years. They were at one occasion individually interviewed with the use of photo-elicitation and these photographs were participant-produced. These interviews were digitally audio-recorded and transcribed verbatim. The interviews were analysed with interpretive description.                                              

    Findings: These findings show family members´ experiences of the acute care environment, as described in three, interrelated patterns: Sensory experiences in the physical care environment including visual impressions, sound and noises, lighting; Space for privacy and social relations in the personal care environment; and Staff as representatives for the institutional care environment including attitude and manner, orientation, and structure and continuity.                                                                                                                                                             

    Conclusions: According to these findings three patterns are described from family members´ perspective, increasing or decreasing their distress in a demanding situation. Sensory experiences, privacy and social relations are of importance, just as staff. In line with these findings it is crucial with increased awareness among staff of how important the care environment is and the need for focusing more on and taking care of the end-of-life care environment in acute care settings.

  • 2015.
    Hakola, Pia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Changes in professionals' beliefs following a palliative care implemenation programe at a curgical department: a qualitative evaluation2016Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One ambition regarding palliative care is that it should be more accessible to patients and families regardless of care setting. Previous studies show many difficulties and shortcomings in the care of patients with palliative care needs in acute care facilities, but also challenges regarding efforts to implement palliative care. The purpose of this study is to evaluate how the implementation of palliative care, using guidance and tutorial from the specialist palliative care team as an implementation strategy, can change the beliefs of professionals in a surgical department with regard to palliative care.

    Method: In order to explore professionals’ experiential outcome of an educational implementation strategy, a comparative before-after qualitative design was used. The study was based on three focus group discussions. Two discussions were conducted before the educational intervention and one was conducted after. The participants consisted of five nurses and two specialist surgeons from a surgical department in Sweden. The focus group 3 discussions revealed a variety of different attitudes and beliefs, which were analysed using qualitative systematic text condensation.

    Results: Beliefs regarding palliative care were identified in seven areas; the importance of palliative care, working methods in palliative care, team collaboration in palliative care, collegial support, discussions about diagnosis, symptoms at the end of life, and families of patients in palliative care. Changes in beliefs were seen in all areas except one: team collaboration in palliative care.

    Conclusion: It is possible to change the beliefs of health care professionals in a surgical department regarding palliative care through the implementation of palliative knowledge. Beliefs were changed from an individual to a collective development where the group initiated a shared palliative working method. The changes observed were palliative care being described as more complex and participants differentiating between surgical care and palliative care.

  • 2016.
    Hakola, Pia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Tonåringars behov av stöd och delaktighet i samband med att en förälder blir sjuk och dör i cancer: Unga vuxnas råd till personalen2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det mest dramatiska en tonåring kan uppleva är att en förälder dör.Det finns behov av kunskap om hur personer som upplevt detta anser vara ett gott stöd. Vetenskapliga studier, lagar och handlingsplaner om hur vårdpersonalen ska tillgodo se dessa behov finns redan. Dock vet man ytterst lite om vilka råd tonåringar som kommer att förlora en förälder i cancer skulle vilja ge vårdpersonalen.Beskriva tonåringars behov av stöd och delaktighet i samband med att en förälder blir sjuk och dör i cancer.Uppsatsen är en del av en nationell populationsbaserad studie med tonåringar (13-16 år) som förlorat en förälder i cancer 2000-2003. Data insamling gjordes via enkäter 6-9 år efter föräldraförlusten. Uppsatsen utgår ifrån enkätens sista fråga: Vilka råd skulle du vilja ge den personal som vårdar cancersjuka föräldrar till tonårsbarn? En induktiv innehållsanalys har använts som analysmetod.

    De unga vuxna beskriver tonåringens behov av att få veta allt om sin förälders sjukdom. De ger vårdpersonalen en mångfald beskrivningar av råd om hur och när information bör ges. Svaren berör även hur vårdpersonalens agerande påverkar mötet med tonåringen.

    Resultatet i uppsatsen diskuteras bl.a. genom den modell för delaktighet Andershed (1989) utvecklat. Både delaktighet i ljuset och delaktighet i mörkret beskrivs i modellen. Tonåringarna vill veta allt om sin sjuke förälder för att kunna känna delaktighet med sin förälder på ett meningsfullt sätt. Tonåringarnas känsla av delaktighet kan påverkas av hur vårdpersonalen bemöter dem.

  • 2017.
    Hall, Charlotte
    Ersta Sköndal University College, Department of Social Work.
    Mäns våld mot kvinnor i nära relationer – vilken hjälp ger samhället?: En studie som undersöker hur kvinnor som blivit misshandlade i nära relationer upplever den hjälp och det stöd de får från samhället2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2018.
    Hall, Louise
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Westin, Karin
    Ersta Sköndal University College, Department of Social Work.
    "Har jag klarat det här så kan jag klara precis vad som helst...": en kvalitativ studie om ensamstående mödrars upplevelse av sin livssituation och vardag2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2019.
    Hallberg, Anne-Lie
    Ersta Sköndal University College, Department of Health Care Sciences.
    Risk factors for the development of elder mistreatment in nursing homes2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2020.
    Hallberg, Eva
    et al.
    Ersta Sköndal University College, Sköndalsinstitutet. Ersta Sköndal University College, Department of Social Work.
    Richardsson, Camilla
    Ersta Sköndal University College, Sköndalsinstitutet. Ersta Sköndal University College, Department of Social Work.
    Att växa upp i familjehem: åtta kärnbarns berättelser1998Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2021.
    Hallberg, Jessica
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Fardost, Venos
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vad säger patienterna?: En litteraturöversikt om dödshjälp och läkarassisterat självmord2015Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research shows that care staffs’ attitudes towards euthanasia are both positive and negative. Active and physician-assisted suicide is currently illegal in Sweden and in many other countries. There have been studies about medical professionals’ attitudes to euthanasia but the authors of this literature review believe more knowledge about the patients’ perspectives and attitudes is needed.

    Aim: The aim of this literature review is to highlight patients’ attitudes in a palliative stage to euthanasia.

    Method: A literature review based on ten reviewed scientific articles whereof eight of them are qualitative, one is quantitative and one has a mixed method. They are collected from the databases Cinahl, Medline, PubMed and Psyc-info. The search terms that are used are active, euthanasia, patient, aspects, attitudes, perspective, nurse, meaning, physician, desire and wish. The articles are reviewed in order to find similarities and differences that was put together in four themes such as self-determination and its’ effects of the wish for euthanasia, suffering and its’ effects of the wish for euthanasia, legislation and non-legislation of euthanasia and the approach of nursing care reflects the wish for euthanasia.

    Results: Many of the patients believed that self-determination and autonomy was important regarding the issue of euthanasia and expressed that every individual has the right to decide how and when to die - as long as they have the ability to make their own decisions. Intolerable suffering was also a big element which demonstrated that a lot of patients wanted to undergo euthanasia, since they experienced being a burden to their loved ones. The fear of regretting the decision caused an uncertainty about euthanasia. Moreover, the patients’ anxiety of doctors’ misuse was something that appeared in the literature review where the patients were afraid that euthanasia was carried out on patients that the doctors themselves thought were too sick. The health cares’ approach to the patients had a big influence on them and their wish for euthanasia.

    Discussion: Earlier studies relates to the results of the essay that show that many believe that one should decide when and how to die since one has the right to decide when and how to live (Palazzani, 2004). There are patients that have a concern about misuse of euthanasia but Tännsjö (2009) believe that the risk for misuse decreases since it is only people “in the right mind” that have this opportunity. The authors draw the conclusion that if the factors presented by Naess and Antonosky’s KASAM are not fulfilled, the patients will not experience life quality neither health which results in the patients' positive attitudes towards euthanasia. Meanwhile there are patients that despite the experience of suffering can perceive meaning of life, quality of life and KASAM with help from their religious belief.

  • 2022.
    Hallberg, Sofia
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Miekkavaara, Pertti
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att vårda patienter i livets slutskede: Sjuksköterskors upplevelser av att arbeta i palliativ hemsjukvård2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Palliativ hemsjukvård utgår från ett helhetsperspektiv när det gäller såväl den sjuke som de anhöriga och vården ges av ett tvärprofessionellt team. Detta sker vid en tidpunkt då det inte längre är möjligt att bota patienten utan då det istället handlar om att lindra. Enligt forskning kommer befolkningen att bli allt äldre med tiden och de som är sjuka lever längre samt fler patienter önskar att få vårdas och dö hemma. Därför kommer behovet av fler sjuksköterskor som arbetar med palliativ hemsjukvård att öka.

    Syfte: Syftet med studien var att beskriva sjuksköterskors upplevelser av att arbeta i palliativ hemsjukvård. 

    Metod: Litteraturöversikt användes som metod för att sammanställa befintlig forskning inom ämnet. Studien byggde på nio vetenskapligt granskade vetenskapliga artiklar. Benner och Wrubels omsorgsteori användes som teoretisk utgångspunkt.

    Resultat: Resultatet handlade om upplevelse av stöd som behov och brist, upplevelse av frustration samt upplevelse av stress. Dessa kategorier beskrev sjuksköterskors upplevelser av att arbeta i palliativ hemsjukvård.

    Diskussion: Studien visade att det behövs mycket stöd till sjuksköterskor som arbetar i palliativ hemsjukvård. Dock framkom det att det ibland brast i form av stöd och handledning till sjuksköterskorna. Därför är det viktigt att dessa erbjuds stöd såväl organisatoriskt som individuellt. Sjuksköterskorna upplevde även frustration och stress i sitt arbete. Trots detta fann sjuksköterskorna arbetet givande.

    Nyckelord: Palliativ hemsjukvård, sjuksköterskors upplevelser, döende, stöd.

  • 2023.
    Hallberg Äijä, Maria
    Ersta Sköndal University College, St Lukas Educational Institute.
    Det Omedvetnas återkomst: En tvärvetenskaplig litteraturstudie i fältet mellan psykoanalys och neurobiologi2011Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There are differences today amongst psychoanalysts regarding if psychoanalysis should limit itself to being exclusively a hermeneutic discipline or if psychoanalysis should find points of contact with neurobiology. The purpose of this essay is to touch upon the larger issue that creates the different points of view: Can psychoanalysis become enriched by finding points of contact with neurobiology, and should psychoanalysis be regarded as belonging to a broader scientific field than being exclusively a human science? The question at issue is: Can modern neurobiology contribute to a development of the psychoanalytic concepts; compulsion to repeat, transference/countertransference and talking cure? The method used is a literature study. The result shows that: Freud’s theories regarding traumatic compulsion to repeat can be linked with LeDoux’s theory of "emotional memory". Freud’s theory of the death instinct as an explanation to the compulsion to repeat can be replaced by a modern neurobiological theory of "emotional memory". The part of the countertransference that is an emotion transferred from the patient to the analyst can happen with the assistance of mirror neurons through "embodied simulation". This suggests that the phenomenon of the analyst being able to experience the patients emotion in himself does not have to imply that projection or intersubjective pressure have played a part in it. To be able to include this phenomenon in the concepts of transference and countertransference these need to be broadened or revised. It is possible to link and develop Freud’s theory of the talking cure with Deacon’s theory about symbolic communication. The results clinical implications are: Understanding of the traumatic compulsion to repeat as an expression of "emotional memory" demands work with this as an expression of memory processes. Understanding of the transference of emotion in transference/countertransference as possible through reflexive simulation processes, implies that projection or interpersonal pressure should not be preconceived in an emotion transference situation. It also implies that the emotional activation in the analyst should not by necessity be seen as an activation of the analyst’s internal objects together with emotions towards these. Deacon’s theory of symbolic communication implies that the talking cure should be used with awareness of its negative tendencies, visual thinking should not necessarily be considered non-symbolic and focus should be put on multiple ways of communication in the clinical situation.

  • 2024.
    Halldorsdottir, Gudrun
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Bemötande av patienter med fibromyalgi i ett omvårdnadsperspektiv1999Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2025.
    Halldorsdottir, Kristin
    Ersta Sköndal University College, St Lukas Educational Institute.
    Hjälp att få?: 255 SIS-placerade ungdomars upplevelse av hjälp med familjeproblem2014Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Each year over 1000 adolescents are placed within the National Board of Institutional Care (SiS) of which half stay in the facilities for treatment. The essay is built from information gathered through ADAD interviews (Adolescent Drug Abuse Diagnosis) performed during registration and discharge of adolescents from SiS. The questions that are meant to be answered are; “How do the treatment placed adolescents in SiS apprehend the help they get with their family related problems?” and “Are there visible connections between gender or ethnic origin and the adolescent’s experience of help with the family related problems during the placement period?” During the registration the boys gave an expression of not being in need of help, the girls gave an expression of being in need of help, significance (p<.05). At discharge no clear differences appears in degree of satisfaction. The results also show a significant difference (p<.05). that foreign-born adolescents greater than Swedish-born stated that it is important to get help with family problems during the investment period. At discharge no clear differences appears in degree of satisfaction.

  • 2026.
    Hallenius-Henrysson, Maria
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Hjerpe, Carola
    Ersta Sköndal University College, Department of Social Work.
    Du finns till för din egen skull: en kvalitativ studie av utgångspunkterna för arbetet mot prostitution, inom socialtjänsten och polisen2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2027.
    Hallgren, Elin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ottenvang, Anna
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att mötas i sorgen: om sjuksköterskans upplevelser och hantering av de känslor som kan uppstå när en patient dör2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2028.
    Hallin, Eva
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Biles, Lis
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att vara sjuksköterska i ett mångkulturellt samhälle: kulturella aspekter på smärtbeteenden2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2029.
    Hallin, Malin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Mörth, Annette
    Ersta Sköndal University College, Department of Health Care Sciences.
    Omvårdnadsrelaterade faktorer som medverkat till nykterhet hos personer med alkoholberoende2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Alcohol is a major health problem. It leads to suffering for individuals and families. Studying nursing factors contributing to the recovery / sobriety may in turn contribute to the knowledge leading to better treatment and better care. The aim of this study is to elucidate nursing related factors contributing to the sobriety of people with alcohol dependence. The study is made in a qualitative research tradition in which interviews with people from 'Det Fria Sällskapet Länkarna' has been the basis for examining our purpose. In the study Aaron Antonovsky's theory of Sense of Coherence and Meaning (SOC) was used as a theoretical framework. Data were analysed using qualitative content analysis. In total eleven different sub-categories were found which in different ways fits into three categories, own factors, private and community efforts and family and friends. The categories found in this study have similarities to the formulation of SOC (comprehensibility, manageability and meaningfulness). The study shows that there are complex interactions between nursing, sobriety and SOC. Without the will to change it is difficult to achieve sobriety. Sobriety is based and maintaned by healthcare advisory bodies will to create participation, trust and a respectful treatment of those who have alcohol addiction but / and also to have a stable network of relations with family and friends. Network and relations with the family and friends, organizations or good care, gives meaning to stay sober.

  • 2030.
    Hallqvist, Petra
    Ersta Sköndal University College, Department of Social Work. Ersta Sköndal University College, Sköndalsinstitutet.
    Etnisk och kulturell mångfald i Sverige1998Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2031.
    Halonen, Tarja
    Ersta Sköndal University College, Department of Social Work.
    Eftersom de här människorna inte förstår sitt bästa: en studie om brukarinflytande2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2032.
    Halvarsson, Stina
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Tomás, Graciela
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdideal - vårdverklighet: en litteraturstudie ur ett sjuksköterskeperspektiv2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2033.
    Halvorsen, Camilla
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Söderholm, Elina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Stress - ett hot mot sjuksköterskans hälsa: Belysa stressfaktorer samt upplevelser av stress hos sjuksköterskor inom akutsjukvården. En litteraturöversikt.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    entails large responsibilities and high demands for the nurse. We had an interest to highlight how stress affects the nurse in her work.

    Aim: To highlight stress factors and experiences of stress in nurses in emergency care.

    Method: A literature review of eight qualitative and four quantitative articles has been made. The results have been arranged into six themes.

    Results: The six themes were: lack of support and appreciation, understaffing, work load and lack of time, lack of influence over the work situation and power- sharing, conflicts and bullying in the work place, physical work environment and caring for severely ill patients.

    Discussion: The results have been discussed in relation to Antonovsky’s theory of SOC, Sense of Coherence, where comprehensibility, meaningfulness and manageability have been related to the nurse’s experience of stress. The results have also been discussed in relation to previous research and our own reflections.

  • 2034.
    Hamberg, Annelie
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Westerberg, Ulrika
    Ersta Sköndal University College, Department of Health Care Sciences.
    Fenomenet att dölja och förneka sin ohälsa/sjukdom i relation till dysfagi och hjärtinfarkt2001Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2035.
    Hambraeus, Märta
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Leino, Minttu
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hur patienter med psykisk ohälsa upplever den somatiska vården: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is becoming globally more common. In addition to the inconveniences that the illness brings with it, the affected are also forced to deal with discrimination, stigma and negative attitudes from their surroundings. Many people with a psychiatric diagnosis therefore experience inadequate healthcare treatment. In addition co-morbidity and poorer physical health are also more common in this population.

    Aim: Examine how patients with mental illness experience somatic care.

    Method: A literature review was conducted consisting of both qualitative and quantitative research designs, which were derived from the databases CINAHL complete and PsykINFO . The journal articles where analysed using Friberg’s (2012) method and where then color-coded to get an overview.

    Results: Three main themes were identified: negative experiences, importance of the environment and as well positive experiences. Three sub-themes were also created under negative experiences; Perception of discrimination, not being taken seriously and perceived obstacles.

    Discussion: Travelbee’s interpersonal relationships nursing theory is used as the theoretical framework with the results discussed based on the theory. Knowledge and how it should be used is discussed with focus on communication, and how communication skills can influence stigma. The importance of continuity and the environment will also be discussed.

  • 2036.
    Hamilton, Britt-Marie
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Yaghi, Mona
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Barnets röst: om barns rätt att komma till tals vid familjebehandling2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2037.
    Hammar, Ivan
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Azez, Dana
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att göra det som behövs: sjuksköterskors upplevelser av att tvångsvårda och att utföra tvångsåtgärder2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2038.
    Hammarberg, Emma
    Ersta Sköndal University College, Department of Social Work.
    "Antingen så är du pitbull eller så är du pudel": en kvalitativ undersökning om socialarbetares syn på kön i deras arbete med hemlösa män2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2039.
    Hammarberg, Sofia
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Johansson, Regina
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Sjuksköterskans roll i att stödja patienter med hiv/aids att finna livsmening: hinder och möjligheter2000Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2040.
    Hammare, Ulf
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Kompetens i de sociala professionerna2004Book (Other academic)
  • 2041.
    Hammare, Ulf
    Ersta Sköndal University College, Department of Social Sciences, The Institute for Civil Society Research. Institutionen för socialt arbete, Stockholms universitet.
    Mellan löften om särart och krav på evidens: En studie av kunskap och kunskapssyn i socialt inriktade ideella, privata och offentliga organisationer2013Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Between the Promise of Specificity and the Demand for Evidence – A study of knowledge and the approach to knowledge in socially oriented non-profit, private and public sector organizations

    In the social work field it is possible to identify two parallel processes in time. On the one hand a qualitative developmental process―even towards a form of standardization―where central concepts are academisation, professionalization, scientifically produced knowledge, expertise and evidence based methods. Simultaneously, there is a drive to create the conditions for increased diversity, where hopes are especially being pinned on the non-profit sector. In spite of representations and expectations concerning the non-profit sector and its so-called specificity, however, much of existing research lacks a comparative perspective, i.e., studies where non-profit organizations are related to comparable activities in the private and public sector.

    The aim of the study―with special focus on issues concerning evidence based knowledge in social work―is to compare and analyse whether and in that case how employee conceptions differ between the sectors, and whether and in what way non-profit employees and their activities can be said to fulfil the expectations of contributing to increased diversity. Data is from a questionnaire directed to about 1300 social work employees.

    The results show a greater interest in research and more marked efforts at professionalization in the public sector, while above all in the non-profit sector there was skepticism about science paired with reservations about work carried out in a professional way. In the non-profit, but also in the private sector, issues of ethics, views of humanity and values were paid greater attention. Also stressed here was the importance of creating relationships, the unique human encounter, genuine commitment, and human kindness. However, there was significant uniformity across all sectors in the use of methods, where three dominated: solution focused measures, network support/therapy, and psychosocial work.

  • 2042.
    Hammare, Ulf
    Ersta Sköndal University College, Department of Social Sciences.
    Offentligt, privat, ideellt: likhet och särart2014In: Äldreomsorgen: praktiken, debatten och framtiden, Stockholm: Carlsson Bokförlag, 2014, p. 85-104Chapter in book (Other academic)
  • 2043.
    Hammare, Ulf
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Pappor som brukade: om en gruppverksamhet vid Ersta Vändpunkten2006Report (Other academic)
  • 2044.
    Hammare, Ulf
    Ersta Sköndal University College, Department of Social Work. Ersta Sköndal University College, Sköndalsinstitutet.
    Samverkan: en analys av ett samverkansprojekt mellan socialtjänst och polis1998Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2045.
    Hammare, Ulf
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Samverkan för barn och ungdom: en antologi om konsten att bedriva projekt1998Book (Other academic)
  • 2046.
    Hammare, Ulf
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Utrymme för flexibilitet: Värdegrund, särart och mervärde i en socialt inriktad idébaserad organisation2010Report (Other academic)
    Abstract [sv]

    Två tidsmässigt parallella skeenden kan iakttas inom det sociala arbetet. Å ena sidan pågår en process mot att höja arbetets kvalitet. Helt centralt är här att den sociala praktiken ska styras genom enhetliga riktlinjer och bygga på vetenskaplig, forskningsbaserad kunskap. En form av standardisering som initialt har riktats mot den kommunala socialtjänsten, även om arbetet i ideell och privat sektor också har berörts. Å den andra sidan kon­trakterar stat, kommuner och landsting ut alltmer socialt inriktad verksamhet på alternativa utförare i idébaserade organisationer och på företag. En förhoppning finns om att dessa verksamheter ska bidra med ökad metodologisk och värdemässig mångfald. Inte sällan tillskrivs just de idébaserade organisationerna en särart som i sig sägs kunna skapa mervärden och som i en förlängning skulle utgöra grunden till en efterfrågad pluralism. Hur förhåller man sig i en socialt inriktad idébaserad organisation när de här två parallella utvecklingslinjerna möts, när förväntningar om särart och pluralism korsas av krav på standardisering och en evidensbaserad praktik?

     I rapporten Utrymme för flexibilitet får vi följa hur verksamma inom Credo, familjehemsvärdar som arbetar för Credo samt uppdragsgivare som anlitar Credo, utifrån sina tre specifika perspektiv beskriver Credos verksamhet. Hur tar sig värdegrunden uttryck i det praktiska arbetet, beskriver man någon form av särart i Credos verksamhet och vad för den i så fall med sig av eventuella mervärden? Hur beskriver man de metoder som Credo arbetar med och hur förhåller man sig till frågor om evidensbasering och kvalitet?

  • 2047.
    Hammare, Ulf
    et al.
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Lundström, Tommy
    Socialt inriktade barn- och ungdomsorganisationer: vilka är de, vad gör de och vad vet forskarna?2001Book (Other academic)
  • 2048.
    Hammare, Ulf
    et al.
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Stenbacka, Susanne
    Socialt inriktade organisationer som arbetar mot missbruk: vilka är de, vad gör de och vad vet forskarna?2003Book (Other academic)
  • 2049.
    Hammarqvist, Anne-Sofie
    Ersta Sköndal University College, Department of Health Care Sciences.
    Omvårdnad i antroposofiskt perspektiv2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2050.
    Hammarström, Britt
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hellman, Cecilia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att leva med fibromyalgi2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
38394041424344 2001 - 2050 of 5158
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