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  • 201.
    Edvinsson, Selma
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Wiklund, Sofia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att överleva hjärtstopp: En litteraturöversikt om patienters erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 202.
    Eek, Sandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Larsson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Uppdrag: Syskon: En kvalitativ studie om familjehemmens biologiska barns upplevelser av förändringen i syskonskaran2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to illustrate the consequences of the family home for the biological children when there are changes in the siblingship. We found several contradictions in the children's stories, which we interpret as the mission is complex. The change in the siblingship is partly experienced as challenging. One of the challenges for our respondents has been that they act on a new role, which is a process that has taken a long time to handle. The majority of our respondents speak positively about their changed situation and the assignment as a whole. They believe that the increased responsibility that the assignment meant meant that they had a different role in the family that helped them feel more seriously taken. The new role has proved to mean greater freedom, but also given them new opportunities. However, the change has aroused the need to maintain a certain structure within the family and sometimes to get back to what the family did before the mission began. Several of our respondents express a wish for a place of refuge where they have the opportunity to be "common", which we interpreted as before they got a new position in the siblings. The study results indicate that the assignment is complex. The consequence of getting a new position in the siblingship is partly experienced as challenging and partly as an opportunity. Paradoxically, we have found that the biological children, on the one hand, find the mission and the new expectations that come with the new sibling position as liberation, and on the other hand they express a need to let everything be as usual.

         The study has been conducted with nine respondents through both qualitative semistructured interviews via an interview guide and structured interviews in questionnaire. To understand the empirical material, it has been analyzed using several theoretical concepts from system theory and a sociological role theory. We have also chosen to relate empirin to the previous research done on the subject. The starting point of the study has been that the position in the siblings carries a role as there are different expectations of the different roles. The idea that one's position in sibling carries an individual affects an individual makes it interesting to raise the children in family homes to understand important aspects of acting siblings while changing the position that is used to. The study aimed at clarifying how the biological children experienced the change in the siblingship that the mission meant.

      

  • 203.
    Ehn, Esmeralda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med autism: en litteraturöversikt om upplevelsen att få och att leva med diagnosen autism2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 204.
    Eilegård Wallin, Alexandra
    et al.
    Högskolan Dalarna.
    Udo, Camilla
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Dalarna högskola.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Karolinska institutet.
    Cancer-bereaved siblings’ advice to peers: A nationwide follow-up survey2019In: Death Studies, ISSN 0748-1187, E-ISSN 1091-7683Article in journal (Refereed)
    Abstract [en]

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

  • 205.
    Eilertsen, Mary-Elizabeth Bradley
    et al.
    Norge, Karolinska institutet.
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Wallin, Alexandra Eilegård
    Högskolan Dalarna.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Cancer-bereaved siblings' positive and negative memories and experiences of illness and death: A nationwide follow-up.2018In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 16, no 4, p. 406-413Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 206.
    Eilertsen, M.E
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Norge.
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Wallin, A.E
    Högskolan Dalarna.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    The Voices of Cancer-Bereaved Siblings: A Nation-Wide Long-Term Follow-up2018In: Pediatric blood & cancer: Supplement: Abstracts from the 50th Congress of the International Society of Paediatric Oncology (SIOP) Kyoto, Japan November 16–19, 2018, 2018, Vol. 65, p. 555-556, article id PO-297Conference paper (Refereed)
    Abstract [en]

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

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

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

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

  • 207.
    Eivergård, Kristina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Mittuniversitetet.
    Enmarker, Ingela
    Högskolan i Gävle.
    Livholts, Mona
    Linköpings universitet.
    Aléx, Lena
    Umeå universitet.
    Hellzén, Ove
    Mittuniversitetet.
    The Importance of Being Acceptable: Psychiatric Staffs' Talk about Women Patients in Forensic Care.2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, p. 1-9Article in journal (Refereed)
    Abstract [en]

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

  • 208.
    Ejemyr, Cajsalisa
    Ersta Sköndal Bräcke University College, Department of Diaconal Studies, Church Music and Theology.
    Ignatiansk spiritualitet i Svenska kyrkan2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ignatius av Loyolas konkreta pedagogiska övningar attraherar samtidens kristna från olika samfund och i Svenska kyrkan växer intresset för den ignatianska spiritualiteten. Syftet med denna studie är att genom intervjuer, enkät och teori undersöka den ignatianska spiritualitetens framgång inom Svenska kyrkan i dag.

    Totalt 29 informanter har genom djupintervjuer och enkäter beskrivit sin ignatianska praktik. Informanterna i studien beskriver att den ignatianska spiritualiteten tar deras individuella erfarenheter i bruk. Detta samtidigt som syftet är att de ska förstå vad som är Guds vilja med livet. Informanterna upplever att den ignatianska spiritualiteten har gett dem möjlighet till en personlig gudsrelation samt gett dem nya pedagogiska metoder för att fördjupa sin tro och kunna se Gud i vardagen. Informanterna menar sig ha sökt en fördjupning av sin tro och att de funnit denna fördjupning genom den ignatianska spiritualiteten.

    Studiens teoretiska perspektiv utgörs av religionsfilosofen Charles Taylors teori om ”den subjektiva vändningen”, Linda Woodhead och Paul Heelas ”subjektiveringsteori” samt Karin Johannesons pastoralteologiska reflektion om andlig träning i en luthersk kontext. Taylor menar att kulturen i väst genomgått ett stort skifte som innebär att yttre auktoriteter förlorar i betydelse och den enskildes inre istället blir den främsta auktoritetskällan. Woodhead och Heelas subjektiveringsteori menar att människors immanenta gudstro växer i väst medan den transcendenta gudstron avtar och Johannesson presenterar tre viktiga kännetecken för andlig träning i en luthersk kontext. Hon menar att en sådan bör vara anti-individualistisk, ta sig uttryck i vardagen och sätta den fördjupade gudsrelationen i centrum

    I min studie blir Charles Taylors teori om den subjektiva vändningen synlig. Den ignatianska spiritualiteten talar till det personliga subjektet men förankrar praktiken i den kristna traditionen. Woodhead och Heelas subjektiveringsteori har jag funnit visst stöd för, men något som skiljer sig från teorin är att Gud som auktoritet inte förkastas. Ett intressant resultat som empirin visar är att informanterna uppskattar de auktoritära drag som spiritualiteten bär på. Studiens samlade bild av den ignatianska spiritualitetens funktion är i linje med Johannessons beskrivning av en anti-individualistisk andlighet, som tar sig uttryck i vardagen och som sätter den fördjupade gudsrelationen i centrum. Informanterna upplever att Ignatius pedagogiska metoder kan vara ett sätt att ge svenskkyrkliga handfast ledning i konsten att fördjupa sin tro på ett sätt som är i linje med luthersk teologi. Studien visar att metoderna fungerar väl i senmodernitetens subjektiva vändning utan att Gud som auktoritet överges.

  • 209.
    Ek, Erika
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Diagnosens makt: En kvalitativ studie om ADHD i arbetslivet2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Personer med ADHD finns representerade i hela samhället och inom en mängd olika yrkesområden. ADHD är en osynlig funktionsnedsättning, det går med andra ord inte att se på en persons yttre om hen har ADHD. Det finns idag arbetsgivare som väljer att inte anställa individer som är öppna med att de har en ADHD-diagnos. Det till trots att det kan falla under en av diskrimineringsgrunderna, att ingen får diskrimineras på grund av funktionsnedsättning. Syftet med studien är att öka förståelsen och kunskapen om hur personer med ADHD-diagnos upplever arbetsgivare och kollegors attityder till ADHD. Studien är kvalitativ och bygger på fyra semistrukturerade intervjuer med personer som har en ADHD-diagnos. Det insamlade materialet har analyserats utifrån tematisk analysmetod. Det teoretiska ramverket utgörs av Goffmans teori om stigma och avvikande. Utöver Goffmans teorier utgör även begrepp kopplade till identitet och identitetsskapande en del av det teoretiska ramverket. Studiens resultat visar att ADHD-diagnosen har förändrat hur informanterna ser och förstår sig själva. Resultatet indikerar även att det generellt finns en betydande kunskapsbrist i samhället kring vad ADHD är och hur det yttrar sig. Studiens informanter vittnar om hur de har mött fördomar och negativa attityder gentemot ADHD inom arbetslivet. De beskriver också att det finns en allmän bild bland kollegor av ADHD som informanterna själva inte kan identifiera sig med. Vidare visar resultatet att det finns en oro kring att vara öppen med sin ADHD diagnos då det kan innebära att andras syn på dem kan förändras och resultera i negativa konsekvenser på arbetsplatsen. Resultat indikerar att det finns belägg för oron, då en av informanterna blivit av med sin anställning då ADHD-diagnosen blev känd för arbetsgivaren.

  • 210.
    Eklund, Ann Pirom
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Söderdahl, Niporn
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Upplevelser av att leva med hembaserad dialysbehandling vid kronisk njursvikt: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 211.
    Eklund, Rakel
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Alvariza, Anette
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Capio Palliative vård, Dalen sjukhus, Stockholm..
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    The family talk intervention in palliative care: a study protocol2018In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 17, no 35Article in journal (Refereed)
    Abstract [en]

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

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

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

  • 212.
    Ekström, Veronica
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Behovet av stöd till våldsutsatta kvinnor2018In: Manifest: För ett socialt arbete i tiden / [ed] Magnus Dahlstedt och Philip Lalander, Lund: Studentlitteratur AB, 2018Chapter in book (Other academic)
  • 213.
    Ekström, Veronica
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Forskning om socialtjänstens arbete med våld i nära relationer2018In: Våld i nära relationer: Socialt arbete i forskning, teori och praktik / [ed] Linn Moser Hällen och Eveliina Sinisalo, Stockholm: Liber, 2018Chapter in book (Other academic)
  • 214.
    Ekström, Veronica
    Ersta Sköndal Bräcke University College, Department of Social Sciences, The Institute for Research on Conditions, Organisation and Outcomes of Social Work.
    Gränsytor under förhandling: – om socialtjänstens ansvar för stöd till kvinnor som utsatts för våld i nära relationer2018In: Socialvetenskaplig tidskrift, ISSN 1104-1420, no 3-4, p. 269-286Article in journal (Refereed)
    Abstract [en]

    This article examines social workers’ perceptions of the social services’ mission and task as regards support for women who are subjected to violence in close relationships and where the social services are considered to be limited. The study is qualitative and based on interviews with 16 social workers in eleven municipalities. The interviews have been analysed with conventional content analysis. The analysis shows that the task or obligation of the social services can be formulated in two different ways: to offer support to women exposed or previously exposed to violence in close relationships, or to offer support to women who have left or intend to leave a relationship where they have been subjected to violence. In the analysis of social workers’ descriptions of support they offer, as well as the boundaries for what is beyond the social services’ responsibility, three levels can be identified. The first level, consisting of financial support, placements at women’s shelters and a social worker to talk to, forms a sort of core for the work in the social services, which most, albeit to varying degrees, offer. The second level describes forms of enhanced support, and the third level describes such support which only a few state that they work with or where responsibility issues are more diffuse.

  • 215.
    Ekström, Veronica
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Nätbaserat stöd för att minska sin alkoholkonsumtion: Användarnas uppfattningar om Alkoholhjälpen2019Report (Other academic)
  • 216.
    Ekström, Veronica
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Socialatjänstens ansvar enligt lagstiftningen2018In: Våld i nära relationer: Socialt arbete i forskning, teori ich praktik / [ed] Linn Moser Hällen och Eveliina Sinisalo, Stockholm: Liber, 2018Chapter in book (Other academic)
  • 217.
    Ekström, Veronica
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Johansson, Magnus
    Karolinska institutet, Stockholms läns landsting.
    Sort of a nice distance: a qualitative study of the experiences of therapists working with internet-based treatment of problematic substance use.2019In: Addiction science & clinical practice, ISSN 1940-0632, E-ISSN 1940-0640, Vol. 14, no 44, article id 10.1186/s13722-019-0173-1Article in journal (Refereed)
    Abstract [en]

    Internet interventions have been developed and tested for several psychiatric and somatic conditions. Few people with substance use disorders receive treatment and many drug users say that they would prefer getting help from online tools. Internet interventions are effective for reducing alcohol and cannabis use. The aim of the current study is to understand differences between internet-based and face-to-face treatment of problematic substance use. The concept of alliance will be used as a theoretical frame for understanding differences between internet-based treatment and face-to-face treatment, as perceived by therapists.

    The study has a qualitative design and is based on 3 focus group interviews with 12 therapists working with internet-based treatment for alcohol or cannabis use problems within five different programs.

    The analysis revealed five themes in the differences between internet-based and face-to-face treatment: communication, anonymity, time, presence and focus. Treatment online in written and asynchronous form creates something qualitatively different from regular face-to-face meetings between patients and therapists. The written form changes the concept of time in treatment, that is, how time can be used and how it affects the therapist’s presence. The asynchronous (i.e. time delayed) form of communication and the lack of facial expressions and body language require special skills.

    There are important differences between internet-based treatment and face-to-face treatment. Different aspects of the alliance seem to be important in internet-based treatment compared to face-to-face.

  • 218.
    El Aamraoui, Naima
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Närståendes upplevelser av närståendesamtal inom specialiserad palliativ slutenvård2017Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 219.
    Elford, Isa
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kverneng, Madeleine
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Våldsutsatta kvinnors upplevelser av sjukvården: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

     

     

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

     

     

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

     

     

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

     

     

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

     

     

  • 220.
    Elgholm, Camilla
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Hur resonerar och dömer domstolar i vårdnadsmål när det förekommer uppgifter om våld?2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study is to show how courts reasons about violence and determines in judgments concerning custody, housing and child contact when there is information about violence. When parents are incapable of deciding on custody-related issues, they are to turn to the court. Whereby, statistics show that civil cases in custody-related issues have doubled in the past decade. In the past few decades however, major reforms have been implemented in chapter 6 of the Children and Parents Code (1949:381) in which the court will derive its rulings on, when deciding the fate of any custody-related case. Many of the changes have been aimed at increasing the possibility of joint custody, alternating housing and contact with the parent with whom the child does not live. It is not possible to objectively decide on what is in the best interest of a child thus, a court’s verdict will be decisive in any such civil case. The court must take certain aspects into account, such as; the child’s needs of close relation to both parents, the risk of the child getting abused, the child’s own will and the continuity principle. When the court draws a ruling in custody cases containing information about violence, this infomation must always be thoroughly examined, and a risk assessment has to be made. If the court finds a risk of future harm of the child, this should weigh-in heavily in the overall assesment. If a parent uses violence or has previously subjected the child or other family member to violence and other violations, it is basically best that that parent may not have custody of the child. Violence towards children can be anything from pinching and insults to gross sexual abuse and torture. Many children experiencing domestic violence. The thesis´s main empirical object consists of 27 rulings in custody-related cases annonuced between November 2018 and March 2019, all of which contain information about violence. In writing the thesis, several methods have been used. A method of jurisprudence have been used to navigate the work of reporting on what the current law says about child custody and violence against children. With the help of a quantitative content analysis method, I examined the information about violence that appears in the judgments and the extent of that violence. This method also examined what the court determined by judgment. To be able to examine courts rulings more in depth and examine how courts reasons with the given information about violence the quantitative study was supplemented with a discourse analysis. The findings show that courts often diminish alleged violence. The court describes violence with words, such as “unpleasantness” and “loud conflicts” and the statement of a parent who´is subjected to violence, the mother in this study, and a child’s statement are often questioned. In 19 out of the 27 rulings (70 %), the violent parent, the father in this study, is assigned custody and/or contact with the child which shows that the court to a larger extent considers a violent parent as a suitable parent. The court has a crucial role in deciding what is real and possesses great power to decide on the child's future upbringing. The court emphasizes on the importance of a good and close relationship with both parents, in my opinion however, the ”good” relationship cannot be achieved when the child is subjected to direct or indirect violence.

  • 221.
    Elmberg, Johan
    et al.
    Högskolan Kristianstad.
    Berg, Charlotte
    Sveriges lantbruksuniversitet (SLU).
    Lerner, Henrik
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Waldenström, Jonas
    Linnéuniversitetet.
    Hessel, Rebecca
    Högskolan Kristianstad.
    Potential disease transmission from wild geese and swans to livestock,poultry and humans: a review of the scientific literature from a One Health perspective2017In: Infection Ecology & Epidemiology, ISSN 2000-8686, E-ISSN 2000-8686, Vol. 7, no 1, article id 1300450Article in journal (Refereed)
    Abstract [en]

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

  • 222.
    Elmér, Ingrid
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Från "förälder på heltid" till "förälder på deltid": En kvalitativ studie av fem personers upplevelser2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 223.
    El-Tai Abdel-Rehim, Aisha
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Thörn, Erik
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Närståendes upplevelser: I vårdandet av familjemedlemmar med Alzheimers sjukdom En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 224.
    Elwin, Amanda
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Vad bär jag med mig?: Barnsjukhuskuratorers upplevelser av sin psykosociala arbetsmiljö utifrån ett salutogent perspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 225.
    Emelie, Johansson
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ulrika, Närfors
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Omvårdnadsåtgärder vid insomni: En litteratursammanställning av kunskap kring omvårdnadsåtgärder för att stödja vuxna personer med insomni2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 226.
    Emma, Hjerpe
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Vallgren, Jennie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kvinnors upplevelser av sexualitet efter gynekologisk cancerbehandling: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 227.
    Emmelie, Eng
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Caroline, Lundberg
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans upplevelse av att arbeta på en akutmottagning: En litteraturöversikt ur ett svenskt perspektiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 228.
    Emterfors, Emelie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ulvestam, Sophie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters uppfattning om god omvårdnad: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 229.
    Engel, Charlotte
    et al.
    Ersta Sköndal Bräcke University College, Department of Diaconal Studies, Church Music and Theology.
    Christiansson, Elisabeth
    Ersta Sköndal Bräcke University College, Department of Diaconal Studies, Church Music and Theology.
    Diakonins strukturer: En presentation av tre empiriska studier av den församlingsdiakonala verksamheten i Stockholms stift 2016/20172017Report (Other academic)
    Abstract [sv]

    Svenska kyrkans diakonala uppdrag är att bistå och stödja människor i särskilt utsatta livssituationer. Stockholms stift står inför en situation där behovet av och förväntningarna på Svenska kyrkans diakonala arbete blir allt tydligare samtidigt som förutsättningarna för stiftets 56 församlingar/pastorat att utöva det grundläggande diakonala uppdraget förändras. Stiftet står inför numerärt märkbara pensionsavgångar bland stiftets diakoner, samtidigt som svårigheterna att nyrekrytera diakoner till tjänster är påtagligt. Ett antal diakoner har valt att gå i förtida pension eller att lämna sin församlingstjänst för arbete utanför Svenska kyrkan. Samtidigt synliggör denna utmaning andra, mer djupgående problemområden som Stockholms stift har att hantera. Den här rapporten presenterar resultaten från en studie som analyserar den församlingsdiakonala verksamheten i Stockholms stift utifrån frågor om det diakonala arbetets styrning, ledning och organisering samt om diakonernas kompetens, arbetssituation och rekrytering. Studien har genomförts som tre delstudier. Dessa delstudier tar, utifrån olika perspektiv, tillvara de erfarenheter och kunskaper som finns såväl hos dem som är ”brukare” av diakonernas stöd, konfidenter som samtalar med diakoner, som hos diakonerna själva samt hos personer på ledningsnivå inom Stockholms stift. Studien har genomförts på uppdrag av stiftsstyrelsen i Stockholms stift under 2016/2017.

  • 230.
    Engström, Anna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Stenberg, Maria
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att välja medicinen: Aspekter som kan påverka följsamheten till underhållsbehandling för personer med bipolär sjukdom. En integrativ litteraturstudie.2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

  • 231.
    Engström, Malin
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Ramsten, Hanna
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Tidigt förebyggande arbete med barn - hur vi värnar om framtidens medborgare: Ska socionomen vara en del av framtidens barnhälsovård?2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study wants to identify how the early prevention work looks in the society as well as how it could be developed. The purpose with this study is to exam the early prevention work for children, also if an implementation of a social worker in the children health care could develop the early prevention work that exist today. The study has a qualitative approach and an inductive view. A general strategy has been used to reach the empirics, that is gathered through four semi structed interviews and a review of current research in the field. The problem perspective is a foundation for processing and coding the interviews in the study. The study uses the bioecological model as the theory to process the coding and analysis of the interview empirics. From the theory three of the systems are used, micro-, exo and macrosystems. The study reaches conclusions from the systems that are:

    Micro conclusion: Early prevention work must be taken more seriously and occur in a greater extent.

    Exo conclusion: The interprofessional team should exist, along with the social worker, to perform early prevention work of good quality.

    Macro conclusion: To focus on early prevention will reduce high costs in the future.

  • 232.
    Engström, Stina
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Hamrén, Elin
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Att våga investera sina känslor: En kvalitativ studie om upplevelsen av att vara och bli familjehem2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study is to examine what it means to be a foster parent and what it means to take care of a child who is not one's own and to increase the knowledge of why families choose to become and be a family home. The study has been carried out through qualitative semi-structured interviews with six foster parents. Geographically, the informants of the study are scattered across central Sweden. The interviews have given material that has been analyzed with help from emotional sociology, attachment theory and the concept of life plan, as well as previous research. The study's results show that the motives for becoming a foster home are of varying nature. Some of the informants mention that the main motive is that they in some way want to live with a child in the family. Others tell of the willingness to help on a social level and save children from the social heritage. As a family home there are expectations to create a connection to the child that has been placed in their care and at the same time be prepared that the placement can end. The study's results show that even though there is uncertainty about whether the child will stay in the family home, it does not prevent foster parents from entering wholeheartedly with their feelings. The result shows that foster homes do not regard the task as an assignment but rather as “regular" parenting. The study also shows that foster parents see great value in maintaining a good relationship with the biological parents, while at the same time it is one of the most challenging parts of the assignment.

  • 233.
    Erabi, Fatima
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Margol, Natalia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En litteraturöversikt om hur vuxna personer upplever att leva med ADHD2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 234.
    Ericson, Martin
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Gustafsson, Åsa
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Relationellt ledarskap i boendestöd för personer med neuropsykiatrisk funktionsvariation2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study examines the importance of leadership for working groups in the field of housing support for people with neuropsychiatric disabilities, focusing on relational leadership. Issues such as how and when leaders get a complex structure to work well and with good quality, for both users and staff, are issues that are the basis for the work. The study is qualitative and based on interviews with five housing assistants and five managers, active in four different activities. The results shows that the residents and managers have the consensus that good communication within the issues of work and common target image can improve support efforts, but this is not always done. The result is illustrated by Karaseks and Theorell's theory of demand-control-support. The discussion section compares the perspectives of leaders and housing supporters on the importance of relative leadership and that the outcome indicates relationships between factors such as communication, motivation and well-being for housing supporters and managers. Factors that affect if you want to stay in the housing support profession are also discussed, and that the study can not cover the above-mentioned relationship, but calls for further research in the field.

  • 235.
    Eriksson, Elin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Holmberg, Therese
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Erfarenheter av sjuksköterskerollen vid vårdande i livets slutskede: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

  • 236.
    Eriksson, Emma
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Wassborg, Ida
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Icke- farmakologiska omvårdnadsåtgärder och dess påverkan på patienter vid smärta: En litteraturöversikt gällande smärtlindring inom palliativ vård2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 237.
    Eriksson, Johanna
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Ulrika, Löfholm
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Föräldrar som har drabbats av utmattningssyndrom2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to investigate how parenting and family situations were affected by fatigue syndrome. The study has a qualitative approach with an inductive orientation. The data collection contained eight semi-structured interviews. The empirical data has been analysed with the role theory, analytical concepts, models and with previous science.

    The results of the study showed that the parents' fatigue syndrome influenced the parenting and family situation in different ways. They were struggling to perform basic duties in the parenting role, such as organizing everyday life and having the energy to be with the children. The result shows that the roles in the family often reversed and the parents experienced some form of role loss. For those who were single, it was particularly difficult when they both had family responsibilities and were financially limited due the sick leave. Parents' impaired abilities made the children take more responsibility, which was not only negative but also positive because they learned to take responsibility and to rely more on the help of the other parent.

    The circumstances that contributed to the fatigue syndrome of the parents were multi- dimensional and it was difficult to distinguish one from the other, there are several different sources of stress. But the results show that special circumstances like specific stresses, double loyalty and high performance requirements combined with poor self-esteem, increased vulnerability to suffering. The results of the study also indicate that a distinction is made between family and work, although research shows that sick leave due to stress can accommodate many different dimensions.

  • 238.
    Eriksson, Kristofer
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Preventivt arbete med våldsutövande män: Behandlarnas syn på framgångsfaktorer, maskulinitet och våld2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The first treatment models for men who abuse women emerged in the United States in the early 1980’s and the Duluth model is the most famous one. The treatment model is based on a structural feminist perspective, in which male dominance, power and control are central in the explanation of violence. In Sweden, treatment for violent men has grown over the past ten years after the government allocated resources in order to take a comprehensive approach to the problem of family violence. There is still a great need for interventions for men who abuse women. Few studies show results and questioning what they really measure is important. The treatment models in Sweden interfere with, among other things, Psychodynamic and Cognitive Behavioral Therapy (CBT) oriented starting points, and therefore have a different approach to individual focused explanations such as biological vulnerability and attachment. The empirical study consists of interviews with therapists in the treatment programmes Alternativ till Våld (ATV) and Manscentrum. A theoretical starting point with masculinity theories has been used to highlight the views on treatment and how the therapists talk about masculinity and violence based on their work methods. The results in the study show that the work alliance is very important in order to achieve trust between the therapist and the man in treatment. This in especially important in making the man in treatment comfortable in addressing the problem and taking responsibility for the violence. The role of the father in the treatment is an important starting point for creating change opportunities through conversations about masculinity. This is also important in getting through to the man’s emotional life through mentalization and attachment. Structural explanations of violence are not used primarily in the treatment, but are an important knowledge for the therapists in understanding one of many underlying factors that shape men and affect them at an individual level.

  • 239.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Att möjliggöra barns delaktighet2019In: Barns rätt som anhöriga: En antologi om att göra barn delaktiga / [ed] Åsa Lundström Mattsson, Stockholm: Allmänna Barnhuset , 2019, 2, p. 35-49Chapter in book (Other academic)
  • 240.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Att se andra: Problem och förändring2019In: Utsatthet och ansvar: Flickan med svavelstickorna i vår tid / [ed] Gunilla Silfverberg, Stockholm: Appell förlag , 2019, 1, p. 95-112Chapter in book (Other academic)
  • 241.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Särskild sårbarhet: Våldsutsatta kvinnor och barn som upplever våld2019In: Våldsutsatta kvinnor: Samhällets ansvar / [ed] Gun Heimer, Annika Björck, Ulla Albért, Ylva Haraldsdotter, Lund: Studentlitteratur AB, 2019, 4, p. 97-127Chapter in book (Other academic)
  • 242.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Tidiga och samordnade insatser för att förebygga barns utsatthet för våld2018In: Ju förr desto bättre - vägar till en förebyggande socialtjänst: Delbetänkande av utredningen Framtidens socialtjänst, Stockholm: Norstedts Juridik AB, 2018, p. 171-211Chapter in book (Other academic)
  • 243.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Våld i parrelationer och familjerättens arbete2018In: Våld i nära relationer: Socialt arbete i forskning, teori och praktik / [ed] Eveliina Sinisalo och Linn Moser Hällen, Stockholm: Liber, 2018, 1, p. 202-213Chapter in book (Other academic)
  • 244.
    Eriksson, Maria
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Appel Nissen, Maria
    Aalborg University.
    Categorization and changing service user positions2017In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 7, no 3, p. 183-187Article in journal (Refereed)
  • 245.
    Eriksson, Maria
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Appel Nissen, Maria
    Aalborg universitet.
    Social work, health and health care2018In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 8, no 2, p. 101-104Article in journal (Other academic)
  • 246.
    Eriksson, Maria
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Bjerge, Bagga
    Aarhus universitet.
    Negotiating the social work profession2019In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 9, no 1, p. 1-4Article in journal (Other academic)
  • 247.
    Eriksson, Maria
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences. Mälardalens högskola.
    Bruno, Linnéa
    Mälardalens högskola.
    Klingstedt, Marie-Louise
    Mälardalens högskola.
    Samverkansteam: Barns och föräldrars situation och upplevelser2018In: Slutrapport: Samverkansteam - för stöd till barn och föräldrar i samband med separation, Stockholm: Stiftelsen Allmänna Barnhuset , 2018, p. 96-144Chapter in book (Other academic)
  • 248.
    Eriksson, Maria
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Gabrielsson, Marianne
    Allmänna Barnhuset.
    Supporting Children and Parents in Sweden Through Collaboration Teams2019In: Family Court Review, ISSN 1531-2445, E-ISSN 1744-1617, Vol. 57, no 3Article in journal (Refereed)
    Abstract [en]

    Coordinated, multidisciplinary collaboration teams have been developed in Sweden with the purpose of preventing or mitigating conflicts between parents and promoting effective parental cooperation. The screening and assessment tool, known as the Family Law Detection of Overall Risk Screen (FL-DOORS), was used to assess the children ’s and parents’ situation and need for support or protection. The overall results based on the children ’s and the parents’ situations and experiences demonstrate that a collaboration team is a promising model. The development project (2014 –2017) has demonstrated the importance of offering children and families preventative support at an early stage in order to avoid prolonged and conflict-ridden separations.

  • 249.
    Eriksson, Maria
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences. Mälardalens högskola.
    Gottzén, Lucas
    Stockholms universitet.
    Andersson Bruck, Kjerstin
    Örebro universitet.
    Franzén, Anna
    Stockholms universitet.
    Lindberg, Daniel
    Mälardalens högskola.
    Utvärdering av Mentorer i våldsprevention: Slutrapport2018Report (Other academic)
  • 250.
    Eriksson, Maria
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Pringle, Keith
    Uppsala universitet.
    Children's perspectives informing professional welfare practice: A comparative view2019In: Critical practice with children and young people / [ed] Martin Robb, Heather Montgomery and Rachel Thomson, Bristol: Policy Press , 2019, 2, p. 127-142Chapter in book (Other academic)
2345678 201 - 250 of 886
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