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  • 201.
    Andersson, Gunilla
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Johansson, Susannah
    Ersta Sköndal University College, Department of Health Care Sciences.
    Individanpassad aktivering för den äldre dementa i syfte att öka välbefinnandet - faktorer av betydelse ur vårdgivarens perspektiv2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 202. Andersson, Gunnel
    et al.
    Johansson, Jan Erik
    Nilsson, Kerstin
    Sahlberg-Blom, Eva
    Ersta Sköndal University College, Department of palliative care research.
    Perceptions of urinary incontinence among Syrian Christian women living in Sweden.2009In: Journal of Transcultural Nursing, ISSN 1043-6596, E-ISSN 1552-7832, Vol. 20, no 3, p. 296-303Article in journal (Refereed)
    Abstract [en]

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

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

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

  • 204.
    Andersson, Heidi
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Lindström, Tove
    Ersta Sköndal University College, Department of Social Work.
    Det ändamålsenliga stödet efter en allvarlig händelse: en sammanställning av studier om det psykologiska/psykosociala omhändertagandet efter tsumanikatastrofen i Sydostasien 20042007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 205.
    Andersson, Hilda
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Högfeldt, Amanda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Palliativ vård i hemmet: Sjuksköterskors erfarenheter: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Worldwide, approximately 40 million people are in need of palliative care every year. Many people wishes to die in their own homes, palliative home care is therefore a growing form of care. Palliative care is based on the four cornerstones: relieve symptoms, teamwork, communication and relations and family support, which aims to alleviate and prevent patient suffering. The nurse has a leading role in nursing and shall work through an ethical and person-centered approach. The nurse's work is based on respect for the patient's integrity and focus on promoting health, alleviating symptoms and suffering.

    Aim: The aim of the study was to illuminate nurses’ experiences of palliative care in the patient's own home.

    Method: A literature review was made according to Friberg's (2017) method. The databases that were used for the search of scientific articles were as follows: CINAHL Complete, PubMed and Medline. Nine qualitative and one quantitative article were included, since they were assessed to respond to the aim of exploring nurses' experiences of palliative care at home. Selected articles were analyzed using Friberg's method of analysis.

    Results: The results are presented in four themes: The importance of a care relationship, The importance of colleagues, The need of education and Personal impact. The nurses had positive and negative experiences of palliative home care. Good care relationships, good cooperation in the team and satisfaction through work were perceived as positive. Insufficient knowledge, lack of time and difficulties in meeting ethical dilemmas were on the other hand perceived as challenging.

    Discussion: In the method discussion, the authors discusses strengths as well as weaknesses with the literature review. In the result discussion, the main findings in the results are discussed through Katie Eriksson's nursing theory, previous research, background and the authors' own reflections.

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  • 206.
    Andersson, Ida Amanda
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jernberg, Veronika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Personers upplevelser av att leva med insomni: En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sömnproblematik är vanligt förekommande. Ungefär en tredjedel av Sveriges befolkning uppger sig ha problem och av dessa har åtta till tolv procent sömnstörningen insomni. Den behandlingsform som är mest evidensbaserad är kognitiv beteendeterapi för insomni, men den mest förekommande behandlingen är läkemedel.

    Syfte: Syftet var att beskriva vuxna personers upplevelser av att leva med insomni.

    Metod: Litteraturöversikt användes som metod och inkluderade nio artiklar med kvalitativ och en artikel med mixad metod. Databaser som användes var Cinahl Complete och PubMed. Samtliga artiklar kvalitetsgranskades samt analyserades med stöd av Fribergs granskningsfrågor.

    Resultat: Resultatet presenterades i fem teman: 1.Negativ påverkan på vardagen 2.Känslan av att inte vara förstådd 3.Oro 4.Förståelse för behovet av god sömn 5.Längtan efter att bli botad. 

    Diskussion: Resultatet har diskuterats i förhållande till bakgrund, tidigare forskning samt Hendersons omvårdnadsteori. Några ämnen som diskuteras är sömnhygien, psykiatrisk komorbiditet och nattskiftsarbete. Hendersons teori fokuserar på sjuksköterskans ansvarsområden och patientens behov.

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  • 207.
    Andersson, Ida
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Johansson, Ann
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kvinnors behov av omvårdnad efter avslutad bröstcancerbehandling2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 208.
    Andersson, Ida Maria
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kakwandi, Hanna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelse av att leva med inflammatorisk tarmsjukdom: en litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 209.
    Andersson, Ing-Marie
    Ersta Sköndal University College, St Lukas Educational Institute.
    Äldres tankar kring pensionering, åldrande och förluster2012Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att undersöka äldres tankar kring förluster och upplevelser av pensionering och åldrande. Metoden är kvalitativ. Intervjuerna har gjorts med sex kvinnor som har gått i psykodynamisk psykoterapi mellan ett och tre år i samband med sin pensionering. Kvinnorna var mellan 66 och 77 år gamla när intervjuerna genomfördes. Resultatet visar att det viktigaste inför framtiden är en god hälsa och en trygg ålderdom. Samtliga informanter har haft positiva förväntningar inför pensionärstiden. Övergången från att lämna yrkeslivet till att bli pensionär har inneburit olika för var och en. Det framkom både positiva och negativa aspekter. Alla fick någon form av kris i samband med pensioneringen, oavsett om de har valt att fortsätta arbeta eller inte. Det handlar inte om arbetet utan om tillhörigheten. Informanter ansåg sig fått en ny insikt genom psykoterapin. Deltagarna ser positivt på åldrandet, men det går inte att förneka förlusterna, sorgen och oron för hur det kan bli senare i livet.

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  • 210.
    Andersson, Jennie
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Romare-Anjou, Karin
    Ersta Sköndal University College, Department of Social Work.
    Empatisk förmåga är det något som främjas genom socionomutbildningen på Sköndalsinstitutet?: enkätundersökning bland avgångsstudenter med äldreomsorgsinriktning vid Sköndalsinstitutet2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 211.
    Andersson, Jessica
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hannerstam, Emma
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att vårda patienter som självskadar: - en litteraturöversikt över sjuksköterskans upplevelser2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det finns många olika faktorer som påverkar hur sjuksköterskan vårdar en patient, däribland olika känslor och attityder. Samtidigt påverkar dessa faktorer hur patienter upplever mötet med sjuksköterskan samt hur villig patienten är att ta emot vård. i denna studie framkom fyra huvudteman som är kopplade till sjuksköterskans upplevelser. 

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    examensarbete
  • 212.
    Andersson, Johan
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ahlström, Fredrik
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskors upplevelser och attityder i vårdandet av personer med självskadebeteende2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 213.
    Andersson, Josefin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Börjesson, Sandra
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patienters upplevelser av att ligga på flerbäddssal: en litteraturstudie utifrån begreppen integritet, värdighet samt avskildhet2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 214.
    Andersson, Josefin
    et al.
    Ersta Sköndal University College, Department of Social Sciences.
    Karlsson, Malin
    Ersta Sköndal University College, Department of Social Sciences.
    Så bör du vara: En kvantitativ studie av vilka etiska egenskaper socionomstudenter anser är viktiga i socionomens yrkesroll2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna uppsats var att undersöka hur socionomstudenter anser att socionomen bör vara i sin yrkesroll. Detta gjordes genom att studenterna fick ta ställning till tjugotvå olika etiska egenskaper. De etiska egenskaperna placerades i fem olika kontexter för att undersöka om det fanns någon skillnad i värderingen av dem utifrån kontext. Dessa kontexter var: i allmänhet, i kontakt med chef, i kontakt med kollegor, i kontakt med brukare/klienter samt i kontakt med andra organisationer och myndigheter.

    En kvantitativ tvärsnittsundersökning med surveydesign genomfördes med hjälp av enkäter till samtliga socionomstudenter vid Ersta Sköndal högskola vårterminen 2015. Totalt deltog 116 studenter i undersökningen.

    Vid analysarbetet användes sociologen Erving Goffmans dramaturgiska perspektiv samt ett dygdetiskt perspektiv.

    Vi kom fram till att studenterna uppfattat det som att det finns etiska egenskaper av vikt för socionomen i dennes yrkesroll samt att värdering av dessa skiljer sig åt beroende av kontext. Den viktigaste kontexten att ha dessa etiska egenskaper i ansågs vara i kontakt med brukare. De tre etiska egenskaperna som ansågs vara viktigast både i allmänhet och i förhållande till brukare var empati, lyhördhet samt respektfullhet. I kontakt med chef ansågs samarbetsförmåga, tydlighet och ansvarstagande vara de tre viktigaste egenskaperna. I kontakt med kollegor var det samarbetsförmåga, lyhördhet och respektfullhet som ansågs vara viktigast och i kontakt med andra organisationer och myndigheter var det tydlighet, samarbetsförmåga och saklighet som lyftes fram.

    Tidigare erfarenhet, oavsett om det var på utförar- eller mottagarsidan, visade sig inte vara avgörande för vilka etiska egenskaper studenterna angett som viktigast. Den enda grupp vars svar utmärkte sig var de lite äldre studenternas.

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  • 215.
    Andersson, Junia
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Loso, Sanne
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Föräldrars upplevelser av en intrauterin fosterdöd: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: An intrauterine fetal death (IUFD) means losing a child in pregnancy after gestation week 22. Losing a child is rarely included in the image of the future and will affect individuals in different ways. There is usually no explanation to why an IUFD occurs but risk factors such as overweight with the mother, smoking, malformation of the child and placenta failure can cause a sudden death of a child. The prevalence of IUFD is usually higher in low- and middle- income countries. Nurses often find it hard to meet parents who have lost a child. 

    Aim: The aim was to highlight parents experiences of an intrauterine fetal death.

    Method: The method was based on a literature review in accordance to Friberg (2017). The databases that were used was CINAHL Complete, psycINFO and Academic Search Complete. Ten scientific articles were analysed where only qualitative data were included in the result. 

    Results: Two main themes were discovered: Parents emotional responses with subthemes Feelings and thoughts, The relationship with each other after the loss and The memory of the dead child. The importance of support and assistance with subthemes Existential aspects and the beliefs significance and Parents perspectives of healthcare. 

    Discussion: The method discussion brought up weaknesses and strengths. The outcome discussion discussed different subjects out of the nurse perspective with focus on the knowledge of care for bereaved parents and education of nursing care in grief.

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  • 216.
    Andersson, Karin
    Ersta Sköndal University College, St Lukas Educational Institute.
    En utvärdering av psykodynamisk psykoterapi på Stadsmissionens Terapicenter för unga: Analys av självskattade symptomförändringar via SCL-902014Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inledning: Syftet med undersökningen är att få en bild av självskattade symptomförändringar hos de unga vuxna som genomfört en psykodynamisk psykoterapi på Stadsmissionens Terapicenter för Unga, under perioden 2008-september 2013.

    Frågeställningar: Den övergripande frågeställningen var om och i vilken grad patienternas självskattade symptom förändrats under behandlingstiden. Utgångshypotesen för undersökningen var att den skulle visa en signifikant förbättrad självupplevd psykisk hälsa hos de unga vuxna som ingår i studien.

    Metod: Studien har genomförts genom att en statistisk analys gjorts av insamlat självskattningsmaterial i SCL-90, för perioden 2008 - september 2013, från Stadsmissionens Terapicenter för unga. Materialet består av enkätsvar från 209 personer.

    Resultat: Resultaten visar att det sker en positivt signifikant symptomförändring under behandlingstiden. Störst är den positiva symptomförändringen i det generella genomsnittsvärdet, GSI, samt vad gäller depression, ångest, interpersonell känslighet och tvång. Resultaten visar också att det finns ett betydande bortfall som inte är slumpmässigt, då bortfallet tenderar att överrepresenteras av personer med en högre nivå av psykiska besvär.

    Diskussion: De positiva behandlingsresultaten går tyvärr inte att generalisera på grund av ett betydande bortfall, dessutom saknades i hög utsträckning persondata i databasen vilket bidrar till en brist i resultatdiskussionen. En bredare och mer kontrollerad bortfallsinformation, såväl som ytterligare persondata, skulle vara till gagn för framtida utvärderingar.

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  • 217.
    Andersson, Kim
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ideby, Heny Emilia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Faktorer som kan påverka livskavlitén hos patienter med livslång sjukdom som befinner sig i livets slutskede: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today´s view of palliative care, self-determination and person-centered care are in focus, that is the palliative approach. It consists of both general and specialized palliative care. The nurse in today´s society has the task of relieving suffering and preventing the patient´s suffering. Her task also includes promoting quality of life by looking at the physical, mental, social and existential needs of the patient.

    Aim: The aim was to describe what factors may affect the quality of life of patients with lifelong disease who are in the final stages of life.

    Method: This is a literature review where eight quantitative and three qualitative and one article with mixed method. All of the scientific articles have been analyzed. The authors of this study have used the Friberg analysis model (2012).

    Results: The result highlights factors related to three areas that influence the patients’ quality of life: physical an emotional factors, existential factors and social factors. The results show that these factors can influence the quality of life for patients when they are in the final stages of life.

    Discussion: The result are discussed against Katie Eriksson´s nursing theory about suffering, care and health. The primary result of the literature review showed that there are factors that indicate to have an impact on quality of life when they are in the final stages of life. These factors are primarily linked to symptoms and affect the patient both physically as well as psychologically. Many patients experienced this as a barrier to everyday life, which impaired their quality of life. 

  • 218.
    Andersson, Lars
    Ersta Sköndal University College, Department of Health Care Sciences.
    Alienation: En genomgående linje i Karl Marx' tänkande1997 (ed. 1)Book (Other academic)
  • 219.
    Andersson, Lars
    Ersta Sköndal University College, Department of Health Care Sciences.
    Livsåskådningsvetenskapliga perspektiv på vårdetik2008In: Vårdetisk spegel / [ed] Gunilla Silfverberg, Stockholm: Ersta Sköndal högskola , 2008, p. 97-117Chapter in book (Other academic)
  • 220.
    Andersson, Lars
    Ersta Sköndal University College, Department of Health Care Sciences.
    Några filosofiska kommentarer till livsåskådningssamtal i vården2006In: Nya vägar i vårdetiken / [ed] Gunilla Silfverberg, Lund: Studentlitteratur , 2006, p. 151-177Chapter in book (Other academic)
  • 221.
    Andersson, Lars
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Några filosofiska kommentarer till livsåskådningssamtal i vården2019In: Nya vägar i vårdetiken / [ed] Gunilla Silfverberg, Lund: Studentlitteratur AB, 2019, 2, p. 123-153Chapter in book (Other academic)
  • 222.
    Andersson, Lars
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Lerner, Henrik
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Silfverberg, Gunilla
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En modell för mänsklig värdighet2019In: Nya vägar i vårdetiken / [ed] Gunilla Silfverberg, Lund: Studentlitteratur AB, 2019, 2, p. 29-51Chapter in book (Other academic)
  • 223.
    Andersson, Lars
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Liedgren Dobronravoff, Pernilla
    Högskolan Dalarna.
    Strategies among young Jehovah’s Witnesses in secondary school in Sweden2012Conference paper (Other academic)
    Abstract [en]

    Sweden is among the most secular countries in the world and Jehovah’s Witness is a fundamentalist Christian organization with an ambition to present its interpretation of the Bible as truth. Emerging adults in Jehovah’s Witness are expected to behave and believe according to rules and a view of life which distinguish them from the values and teachings of the Swedish school.  The aim of the paper is to present strategies and reflections among Jehovah’s Witnesses in Swedish secondary school to meet the expectations of the religious community, when these are in conflict with the values and teachings of the school. Interviews with eleven former Jehovah’s Witnesses, now adults, have been conducted in the tradition of grounded theory. Strategies found where; 1) to stand up for their belief; 2) double standard and 3) flight. The reflections concern what it is to be an authentic person and the social context.

  • 224.
    Andersson, Lars-Percy
    Ersta Sköndal University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Psykoterapeutens känslor - risker och möjligheter i terapin2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There are few references in research on the therapeutic relationship that explicitly deals with the psychotherapist's emotions in the relationship. The purpose of this study is to understand more about the psychotherapist's emotions, what triggers them in the therapy relationship and the perceived risks and opportunities with their feelings.  A qualitative methodology with an explorative approach was used for this study. Participants in the study are six psychotherapists; four women and two men, aged 50-65 years. The result shows that psychotherapists do not connect strong feelings in relation to the positive outcome in therapy. They express that as a psychotherapist one should be observant of one´s feelings and that the feelings should be kept in the background of the relationship. In the therapies that participants refer to in the interviews, the results has been good, the patients have been perceived as genuine and the psychotherapists have felt genuinely liked by the patient. Participants do not connect positive treatment outcome and authenticity of the patient in the therapy relationship. Authenticity also among the psychotherapist, both self-knowledge and professional skills are important factors for the performance of the therapeutic work. 

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  • 225.
    Andersson, Lisa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Moberg, Melina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Mer än enkla åtgärder: En litteraturöversikt om hur personer med långvarig smärta beskriver egenvård2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Pain is a multidimensional and subjective experience that can affect anyone. Pain is the most common reason to seek medical care and is the main cause to disability and inability to work. People with chronic pain need to independently manage a large part of their treatment and care in the form of self-management. One part of the nursing role is to encourage and support patients to perform self-management, however there is no clear definition of the term self-management.

    Aim: To illustrate how people with chronic pain describes self-management.

    Method: The literature review was based on ten scientific articles, with qualitative and quantitative approaches. The articles were found through searches in the databases CINAHL Complete and MEDLINE, with publication between the years 2005-2015. The articles were analyzed using Fribergs method of analysis.

    Results: The literature review showed that people with chronic pain described that self-management was multidimensional. Self-management was considered to involve both personal abilities, mental and practical strategies. People with chronic pain also believed that education and support from healthcare was essential for self-management.

    Discussion: The result has been discussed against Dorothea Orems nursing theory about self-care and relevant scientific publications. The ​​meaning of self-management for people with chronic pain has been compared with various definitions of self-management that are applied in healthcare. Furthermore the definitions of self-management were put in relation to how the healthcare provide supporting self-management interventions.

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  • 226.
    Andersson, Lisen
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Larsson, Helena
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Sjuksköterskans arbete med barn med psykosocial problematik2000Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 227.
    Andersson, Malin
    Ersta Sköndal University College, Department of Social Work.
    Varför sviker förskollärarna barnen som far illa?: förskollärares utsatthet i organisationsstrukturen, analyserad genom fem sociologiska teorier och ett samverkansperspektiv2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 228.
    Andersson, Maria
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Beganovic´, Mirela
    Ersta Sköndal University College, Department of Health Care Sciences.
    Icke-verbal kommunikation mellan sjuksköterskor och patienter utifrån Travelbee's omvårdnadsteori2005Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 229.
    Andersson, Maria
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Cedergren, Anita
    Ersta Sköndal University College, Department of Health Care Sciences.
    Omvårdnadsdiagnostikens del i omvårdnadsprocessen: en litteraturstudie2001Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 230.
    Andersson, Marika
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Karlsson, Emma
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att vilja ha hjälp att dö: En litteraturöversikt om sjuksköterskors erfarenheter av, samt attityder kring dödshjälp.2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Dödshjälp är endast lagligt i ett fåtal länder och stater i världen, men det förekommer att patienter förmedlar en önskan om dödshjälp till vårdpersonal, även i andra länder. Läkare beskriver bördan med att hantera förfrågningar om dödshjälp och försöker undvika dessa genom att behandla patienters fysiska samt psykiska behov. Anhöriga till individer som dött genom dödshjälp, menade att den döende individens livskvalitet förbättrades i slutet av deras liv relaterat till beslutet gällande dödshjälp. Syfte: Att beskriva sjuksköterskors attityder till, samt erfarenheter kring dödshjälp. Metod: En litteraturöversikt, i enlighet med Friberg genomfördes. Systematisk sökning har utförts i databaserna CINAHL Complete och PubMed. Resultatet av översikten baseras på 13 originalartiklar.  Resultat: Sjuksköterskors attityder varierar oavsett om de arbetar i länder där dödshjälp är lagligt eller inte. Tendenser tyder på att sjuksköterskor är mer positivt inställda till eutanasi än läkarassisterat självmord. De underliggande aspekter som påverkar sjuksköterskors attityder grundas på deras personliga värderingar utifrån professionell kunskap, erfarenheter och religiösa övertygelser. Sjuksköterskor kan rättfärdiga sina handlingar genom så kallad dubbel-effekt, där goda handlingar utförs trots att det kan leda till negativa konsekvenser. Palliativ vård fungerar som preventiv strategi, vilket tidvis minskar antalet förfrågningar om dödshjälp. Diskussion: Resultaten är diskuterade utifrån Beauchamp och Childress etiska principer, samt vårdande utifrån deras tolkning av vårdande etik. Det uppstår konflikter mellan sjuksköterskors personliga värderingar, yrkesprofessionella kunskap, lagar och de etiska principerna i vårdandet av döende individer med obotliga sjukdomar.

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  • 231.
    Andersson, Maude
    Ersta Sköndal University College, St Lukas Educational Institute.
    En illusion och dess samtid: det förnekade lidandet ur ett psykoanalytiskt perspektiv2012Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The study´s aim is that from a psychodynamic perspective to study what impact our individualistic culture may for the individual with respect to issue of lack, desire and suffering. To explore the contemporary mental suffering is the expression of these matters denied, was interviewed five psychodynamic practioner psychotherapists whose experiences bear a reflection of patients´suffering. Question is: What are the major patient problems today in a group of psychotherapists in private activity? What do this clinically employed psychotherapists be its cause? The method is qualitative analyzed using the EPP method. The result show that patients suffering from desirelessness, lack of relationship and performance requirements. The investigation identified two ways in which the patient try to menage their suffering: it assigns itself an illusory imago in the form of ideal I and by making its value socially determined.

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  • 232.
    Andersson, Mikael
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Rosengren, Linn
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fysisk aktivitet i samband med rehabilitering efter hjärtinfarkt: patienters upplevelser och tankar: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cardiovascular disease is classified as a public disease in today’s Sweden and affected 26000 people in 2016. The mortality has decreased since nursing wards opened in the 1960s. Despite this improvement, physical activity is underutilized in Sweden associated with rehabilitation, even though it is an important protection factor. Personalized care and motivation is important for the patients’ self-care and their rehabilitation process.

    Aim: Describe patients' experiences or thoughts about physical activity associated with rehabilitation after suffering from myocardial infarction.

    Method: This literature review has been based on eight qualitative and two quantitative articles collected from CINAHL complete, PubMed and Web of Science. The articles were reviewed and analyzed in accordance with Friberg to obtain the result that was compiled in different themes.

    Results: Fear and anxiety were experienced by many patients’ during physical activity after a myocardial infarction. Lack of knowledge and motivation resulted in that patients did not participate in training programs. The healthcare professions, relatives and patient's own assets and social network had a positive impact on the patient's experience of physical activity. The result is presented in four main themes; “Psychic experiences – fear, worries and anxiety”, “social support - relatives, family, participants and healthcare professionals”, “knowledge, understanding and physical factors” and “music as a strategy for motivation in physical activity”.

    Discussion: Dorothea Orem's self-care theory, articles and patients’ experiences formed the discussion. Lack of knowledge and motivation reduces the self-care capacity. Healthcare professions, relatives and own resources are important for motivating and supporting the patient in his self-care.

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  • 233.
    Andersson, Monya
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Önnerstedt, Kristina
    Ersta Sköndal University College, Department of Social Work.
    Tolkens syn på socialarbetarnas tolkanvändning2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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    FULLTEXT01
  • 234.
    Andersson, Peter
    Ersta Sköndal University College, Department of Social Work.
    Att som äldre möta sorg i grupp: ..."tillsammans, men ändå ensam..."2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 235.
    Andersson, Sandra
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Midsander, Marlene
    Ersta Sköndal University College, Department of Health Care Sciences.
    Allmänsjuksköterskans bemötande av patienter med psykisk störning inom somatisk vård2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 236.
    Andersson, Sara
    et al.
    Ersta Sköndal University College, Institutionen för socialvetenskap.
    Klang, Niclas
    Ersta Sköndal University College, Institutionen för socialvetenskap.
    Jag finns men jag syns inte: En studie om hur barn synliggörs och deras bästa beaktas i förvaltningsrättens prövningar av ekonomiskt bistånd2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Den aktuella studien syftar till att utifrån en innehållsanalys visa och förklara hur barn lyfts fram, berörs och beskrivs i förvaltningsrättens prövningar av ekonomiskt bistånd. Underlaget bestående av biståndsprövningar där barn på ett eller annat sätt ingår i de sökandes hushåll, undersöks med avseende på rättens synliggörande av barnen och beaktande av ett barnperspektiv. Studien visar och förklarar även hur förvaltningsrättens hänsynstagande till de berörda barnens behov är relaterade till domstolens bedömningar och slutgiltiga motiveringar till beslut.

    Resultatet visar att barnperspektivet beaktas i endast tio procent av sammanlagt 134 prövningar. I lite drygt hälften av det totala antalet domar synliggörs barnen heller inte som subjekt eller som särskilda individer med egna anspråk. I resterande fall uppmärksammas barnen genom deras behov, men då främst i referatet av de klagandes egna yrkanden. Av studiens resultat framgår även att domskäl med fokus på förälderns skyldigheter ges företräde framför ett särskilt beaktande av barns bästa.

    De i domarna frånvarande beskrivningarna av barnen kan i enlighet med rättssociologisk teori förklaras med en i förvaltningsrätten normrationell tillämpning av socialtjänstlagen. Pliktnormer, som anger de kriterier som bör uppfyllas för att rätt till bistånd ska anses föreligga, prioriteras på bekostnad av målinriktade lagar som ser till barns behov. Materiell rättsäkerhet med krav på beaktande av sociala värden får i förvaltningsrättens bedömningar stå i skymundan för en formell rättsäkerhet, som i första hand prövar själva legalitetsaspekterna av socialnämndens beslut. Studien visar att nya rättsprinciper och utfärdade riktlinjer gällande barns bästa förbises till förmån för en rättstillämpning rättfärdigad av ett i förvaltningsrätten traditionellt förfarande. 

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  • 237.
    Andersson, Sofia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Transpersoners upplevelser av vårdpersonalens bemötande inom den öppna hälso- och sjukvården: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The term transgender is an umbrella term that include all people whosegender identity and/or gender expression is not congruent with theirassigned sex at birth. The prevalence of transgender people is difficult toestimate and due to stigma the numbers might be underreported.Transgender people are discriminated and exposed to violence and assault.Many end up in vulnerable socioeconomic situations that include socialexclusion, unemployment and loss of household which increases the risk fordepression, anxiety, suicide, abuse and mental distress.

    Aim: To illuminate transgender peoples experiences of health care staff’s attitudestowards them in the general health care.

    Method: A literature review was conducted to answer the aim. Eight scientificarticles were analyzed focusing on similarities and differences.

    Results: The results are presented in five main themes: Supporting the self-concept,To disclose ones gender identity, Knowledge and attitudes within the healthcare system, Discriminated due to ones identity and The responsibility lieson the patient.

    Discussion: The discussion emphasize how health care staff can gain understanding fortransgender peoples needs related to Husserl’s theory of the life world. Theconcept of care are discussed related to the substandard patient-caregiverrelationship that many transgender people report about. The lack ofknowledge within the health care system is discussed as well as how it willeffect transgender peoples access to care and the need of education.

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  • 238.
    Andersson, Stina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Lindström, Sofie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser av att vara MRSA-bärare: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There is a continuous increase in antibiotic-resistant bacteria in Sweden, but the situation is still relatively manageable compared to other countries. The development of resistance is a result of the amount of antibiotics used in today's society. The bacteria Staphylococcus aureus is the cause of many types of infections, from mild to life threatening. The bacteria have caused problems at hospitals since 1955 and are the most notorious cause of healthcare-associated infections. Methicillin-resistant Staphylococcus aureus (MRSA) is one of the associated strains of Staphylococcus aureus that have developed resistance to antibiotics. The communicable diseases act (smittskyddslagen) stipulates that methicillin-resistant Staphylococcus aureus (MRSA) is a dangerous disease. General dangerous diseases are infectious and cause suffering, prolonged periods of illness and other serious consequences.

    Aim: To describe patients’ experiences of being MRSA-carrier.

    Method: A literature review according to Fribergs` method where ten scientific articles were elected to the result. The articles were selected from Cinahl Complete and Medline.

    Results: In the articles analyzed the authors identified six themes: getting a diagnosis, experiences of isolation, experiences of treatment, experiences of knowledge and information, fear of infecting others and thoughts about the future.

    Discussion: Based on Callista Roys adaptation theory, the concept of health, background and other research the result is being discussed. The main findings chosen for discussion are the isolation impact, lack of knowledge and adaptation to life with MRSA.

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  • 239.
    Andersson, Tuva
    Ersta Sköndal University College, Department of Social Sciences.
    Hur löser vi det här?: En diskursanalys av kvinnojourernas riksförbunds konstruktion av mäns våld mot kvinnor som socialt problem2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna uppsats är en diskursanalys över Sveriges kvinno- och tjejjourers två riksförbunds (Roks och Unizon) konstruktion av mäns våld mot kvinnor som socialt problem. Syftet är att belysa hur riksförbunden bidrar till förståelsen av mäns våld mot kvinnor som socialt problem och hur riksförbunden bidrar till konstruktionen och beskrivningen av det sociala problemets orsaker och lösningar. Materialet består av pressmeddelanden från respektive förbund under perioden 2013–2015.

    Med socialkonstruktionismen som forskningsansats och Faircloughs kritiska diskursanalys som teori och metod har samtliga texter analyserats och sedan sammanfattats i en schemamodell skapad av Håkan Jönsson. Resultatet visar på fyra diskurser inom diskursordningen; två för förbunden gemensamma (strukturkritisk diskurs och diskursen om offentlig sektor som inkompetent samarbetspartner) samt två diskurser specifika för var sitt förbund (Roks professionaliseringskritiska diskurs och Unizons våldspreventiva lösningsorienterade diskurs).

    Uppsatsen avslutas med en diskussion kring vidare forskning utifrån frågorna hur sociala problem kan konstrueras och förstås med hjälp av civilsamhällets aktörers kommunikation utåt och i relation till resultatet hur civilsamhällets aktörers upplevelser kring samarbetet med offentlig sektor ser ut och kan tänkas förbättras.

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  • 240.
    Andersson, Ulrika
    et al.
    Ersta Sköndal University College, Department of Social Sciences.
    Al- Zaibari, Lina
    Ersta Sköndal University College, Department of Social Sciences.
    Barnen med den lyckliga fasaden: Om socialarbetares erfarenheter av att arbeta med barn som far illa i ekonomiskt resursstarka familjer2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien är att utifrån socialarbetares erfarenheter öka kunskapen om barn som far illa i ekonomiskt resursstarka familjer. Vi har använt oss av en kvalitativ metod bestående av semi-strukturerade intervjuer med fyra socialarbetare som har erfarenhet av att arbeta med ovannämnda målgrupp. De fyra teman som har behandlats under intervjuerna är: aktualisering av och arbete med barn och ungdomar som far illa i ekonomiskt resursstarka familjer, dominerande problematik, mötet mellan socialarbetare och familj samt socialarbetarens möjligheter.

    Enligt de intervjuade socialarbetarna har det framkommit att barn som far illa i ekonomiskt resursstarka familjer många gånger inte kommer till socialtjänstens och/eller fältteamets kännedom. Det finns flera anledningar till mörkertalet, bland annat att ekonomiskt resursstarka familjer har flera strategier att dölja missförhållanden. Även skola och grannar har en tveksam inställning inför att göra en orosanmälan när det gäller barn som far illa i ekonomiskt resursstarka familjer. Samtliga intervjuade socialarbetare var noga med att poängtera att deras arbetsrutiner och förberedelser är lika oavsett vilken socioekonomisk grupp barnet tillhör. I resultatet redogörs vilka arbetsrutiner socialarbetarna har i arbetet med barn som far illa. Resultatet visar även att inte heller mötet påverkas av familjens socioekonomiska status. Däremot förekommer att ekonomiskt resursstarka familjer anlitar advokater vid mötet med socialarbetarna. De dominerande ärendetyperna i socialtjänst och fältteam som gäller barn och ungdomar i studiens målgrupp är: relationskonflikter, alkohol-och drogproblem, prestationsångest och psykisk ohälsa. Problematiken som framkommer i studien drabbar nödvändigtvis inte bara ekonomiskt resursstarka barn och ungdomar. Dock kan familjens ekonomi ha en inverkan på hur problematiken utformas och utvecklas.

    Materialet har sedan analyserats med hjälp av tidigare forskning om barn som far illa i ekonomiskt resursstarka familjer. Slutligen har författarna besvarat frågeställningarna och diskuterat om barn som far illa i ekonomiskt resursstarka familjer, utifrån ett socialarbetarperspektiv. 

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    Barn som far illa i ekonomiskt resursstarka familjer
  • 241.
    Andersson, Victoria
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att ersätta ett beroende: Sjuksköterskors uppfattningar och erfarenheter av fysisk aktivitet i alkoholvården2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Alcohol consumption contributes to disease, disability and increased morbidity worldwide. Treatment options for those with problematic alcohol use are primarily medical- and/or therapeutic interventions. Relapse in the problematic behaviour is relatively common. There is therefore a need to continue to develop the care provided to people undergoing alcohol treatment. Physical activity is a nursing intervention that the nurse can use to promote healthy lifestyles and alleviate disease. There is preliminary research on the positive impact that physical activity have for patients with alcohol use disorders but no research is to be found on whether the intervention is used in the clinical practice.

    Aim: To describe nurses' perceptions and experiences of physical activity for patients with alcohol use disorders.

    Method: Qualitative design with semi-structured interviews was conducted with seven nurses working at outpatient dependence clinics. Qualitative content analysis was used to analyse the data.

    Results: The nurses described the physical activity as a fundamental element of health and as a necessity in the patient's everyday life. Physical activity was a way for the patient to break habits associated with alcohol. Physical activity was considered to decrease many of the comorbid conditions related to alcohol use, increased the patient's self-esteem and was a way for the patient to independently affect their health. The nurses searched to inform and motivate the patient to the right level of physical activity. There was a lack of structure in the everyday clinical practice and nurses demanded practical possibilities and better guidelines within the organization to facilitate the promotion of physical activity to patients.

    Discussions: The results are discussed from Orems self-care theory and relevant research.

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  • 242.
    Andersson, Åsa
    Ersta Sköndal University College, Department of Health Care Sciences.
    Äldres erfarenheter av omvårdnad efter stroke: ett genusperspektiv2007Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 243.
    Andersson, Åsa
    et al.
    Karolinska institutet.
    Frank, Catharina
    Karolinska institutet.
    Willman, Ania Ml
    Malmö universitet.
    Sandman, Per-Olof
    Karolinska institutet.
    Hansebo, Görel
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Factors contributing to serious adverse events in nursing homes.2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e354-e362Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To identify the most common serious adverse events that occurred in nursing homes and their most frequent contributing factors to the improvement of safe nursing care.

    BACKGROUND: There is a need to improve safe nursing care in nursing homes. Residents are often frail and vulnerable with extensive needs for nursing care. A relatively minor adverse event in nursing care can cause serious injury that could have been preventable.

    DESIGN: This was a retrospective study, with a total sample of data regarding adverse events (n = 173) in nursing homes, concerning nursing care reported by healthcare providers in Sweden to the Health and Social Care Inspectorate. The reports were analysed with content analysis, and the frequencies of the adverse events, and their contributing factors, were described with descriptive statistics.

    RESULTS: Medication errors, falls, delayed or inappropriate intervention and missed nursing care contributed to the vast majority (89%) of the serious adverse events. A total of 693 possible contributing factors were identified. The most common contributing factors were (i) lack of competence, (ii) incomplete or lack of documentation, (iii) teamwork failure and (iv) inadequate communication.

    CONCLUSIONS: The contributing factors frequently interacted yet they varied between different groups of serious adverse events. The resident's safety depends on the availability of staff's competence as well as adequate documentation about the resident's condition. Lack of competence was underestimated by healthcare providers.

    RELEVANCE TO CLINICAL PRACTICE: Registered nurses and assistant nurses need to have awareness of contributing factors to adverse events in nursing care. A holistic approach to improve patient safety in nursing homes requires competence of the staff, safe environments as well as resident's and relative's participation.

  • 244. Andersson, Åsa
    et al.
    Hansebo, Görel
    Ersta Sköndal University College, Department of Health Care Sciences.
    Elderly peoples' experience of nursing care after a stroke: from a gender perspective.2009In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 65, no 10, p. 2038-2045-Article in journal (Refereed)
    Abstract [en]

    andersson å. & hansebo g. (2009) Elderly peoples' experience of nursing care after a stroke: from a gender perspective. Journal of Advanced NursingAbstract Title. Elderly peoples' experience of nursing care after a stroke: from a gender perspective. Aim. This paper is a report of a study conducted to explore, from a gender perspective, older people's experiences of nursing care after a stroke. Background. Little attention has been given to gender differences in nursing care. The majority of people who have a stroke are older. Improving knowledge of the gender perspectives of older men and women regarding nursing care after stroke is crucial. Method. This was a qualitative study based on interviews with five women and five men between 66 and 75 years of age, who had received nursing care at a ward for stroke rehabilitation. The data were collected in 2006. Qualitative content analysis of the interviews was carried out. Findings. A main theme and five categories, all common to both men and women, were identified. The main theme, to promote recovery of the body, encompassed the categories. There were, however, gender differences in how the nursing care received was experienced. The ways patients experienced nursing care seemed to be linked with their lives as women and men before they had the stroke. Their perceptions are linked with their lives as women and men before they had their stroke. Both men and women will reclaim former abilities but what they perceive to be the goals of nursing care and rehabilitation may differ. Conclusion. Nurses need to increase their awareness and knowledge concerning the similarities and gender differences in the experiences and needs of older people, both men and women.

  • 245.
    Andersson, Åsa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hedenqvist, Petra
    Ersta Sköndal University College, Department of Health Care Sciences.
    Liksom regnbågen, en gnista, ett hopp och en verklighet som inte går att undfly. Äldres erfarenheter av cytostatikabehandling.: En litteraturöversikt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 246.
    Andiné, Maria
    Ersta Sköndal University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Hur upplever och beskriver psykoterapeuter den terapeutiska alliansen i ISTDP?2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: The therapeutic alliance is considered an important factorregardless of therapeutic technique or theory. This essay discusses the affectivefocusedpsychotherapeutic method named Intensive short-term dynamicpsychotherapy (ISTDP) with focus on the therapeutic alliance. The aim of thisstudy is to examine how psychotherapists experience and describe the therapeuticalliance in ISTDP.

    Issues: How do psychotherapists experience and describe the therapeutic alliancein ISTDP?

    Method: The data collection method is qualitative semi-structured interviews.The material was analysed by using the processing method of empirical thematicanalysis.

    Results: The result of the interviews are first presented by the informants´descriptions of the therapeutic alliance in ISTDP, followed by five emergingthemes; Responsiveness, Tempo/Pace, Body language, Press and Skill.

    Discussion: The essay shows that the psychotherapist experience and describethe ISTDP method as a way to jointly with the patient create, a strong consciousand unconscious therapeutic alliance and a healing relationship. The result wassimilar in all respondents and consistent with theory and previous research.Possible future studies are suggested.

  • 247.
    Andreae, Christina
    et al.
    Department of Medicine, Mälar Hospital, Eskilstuna.
    Ekstedt, Mirjam
    Ersta Sköndal University College, Department of Health Care Sciences.
    Snellman, Ingrid
    School of Health, Care and social Wellfare, Mälardalen university college.
    Patients' Participation as It Appears in the Nursing Documentation, When Care Is Ruled by Standardized Care Plans2011In: ISRN Nursing, ISSN 2090-5483, E-ISSN 2090-5491, Vol. 2011, no Article ID 707601, p. 1-7Article in journal (Refereed)
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    patients participation in nursing documentation
  • 248.
    Andrew, S E
    et al.
    Kanada.
    Goldberg, Y P
    Kremer, B
    Squitieri, F
    Theilmann, J
    Zeisler, J
    Telenius, H
    Adam, S
    Almquist, E
    Anvret, M
    Huntington disease without CAG expansion: phenocopies or errors in assignment?1994In: American Journal of Human Genetics, ISSN 0002-9297, E-ISSN 1537-6605, Vol. 54, no 5, p. 852-63Article in journal (Refereed)
    Abstract [en]

    Huntington disease (HD) has been shown to be associated with an expanded CAG repeat within a novel gene on 4p16.3 (IT15). A total of 30 of 1,022 affected persons (2.9% of our cohort) did not have an expanded CAG in the disease range. The reasons for not observing expansion in affected individuals are important for determining the sensitivity of using repeat length both for diagnosis of affected patients and for predictive testing programs and may have biological relevance for the understanding of the molecular mechanism underlying HD. Here we show that the majority (18) of the individuals with normal sized alleles represent misdiagnosis, sample mix-up, or clerical error. The remaining 12 patients represent possible phenocopies for HD. In at least four cases, family studies of these phenocopies excluded 4p16.3 as the region responsible for the phenotype. Mutations in the HD gene that are other than CAG expansion have not been excluded for the remaining eight cases; however, in as many as seven of these persons, retrospective review of these patients' clinical features identified characteristics not typical for HD. This study shows that on rare occasions mutations in other, as-yet-undefined genes can present with a clinical phenotype very similar to that of HD.

  • 249.
    Andrew, S
    et al.
    Kanada.
    Theilmann, J
    Almqvist, E
    Norremolle, A
    Lucotte, G
    Anvret, M
    Sorensen, S A
    Turpin, J C
    Hayden, M R
    DNA analysis of distinct populations suggests multiple origins for the mutation causing Huntington disease.1993In: Clinical Genetics, ISSN 0009-9163, E-ISSN 1399-0004, Vol. 43, no 6, p. 286-94Article in journal (Refereed)
    Abstract [en]

    Results of association studies can be significantly biased if the ancestry of the control population is not similar to that of the affected population. One approach to overcome such a bias is to use distinct populations where controls and affected individuals are likely to be of similar descent. We have examined homogeneous populations of French, Danish and Swedish ancestry for nonrandom allelic association between Huntington disease (HD) and several markers previously shown to be in association with HD. No evidence for nonrandom allelic association between HD and these markers was shown in these populations. The demonstration of association in a United Kingdom (UK) sample of similar size, and lack of significant differences in allele frequencies between the French, Danish, Swedish and UK populations suggested that the absence of association was not predominantly a consequence of allele frequencies or sample size. To investigate further the number of potential HD chromosomes, DNA haplotypes were constructed for the Danish, French, Swedish and UK populations. The minimum of two HD haplotypes observed in each of the French, Danish and Swedish populations, compared to the one haplotype in the UK population of a similar size, is an important factor accounting for the absence of association between HD and the DNA markers in these populations. Furthermore, these data are in favour of multiple independent origins for the mutation causing HD.

  • 250.
    Andrews, Pamela
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Trångteg, Josefin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Känsla av hopp hos patienter med cancer i livets slutskede: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The most common form of cancer in Sweden is prostate- and breast cancer. A large proportion of the patients diagnosed with cancer are in a need of palliative care at the hospice or at home care. These patients often end up in grief, and hope is central to that vulnerable situation. The nurse should enable patients to receive a dignified death, promote quality of life and support close relatives.

    Aim: The aim was to investigate the feeling of hope among patients with cancer in palliative care and palliative home care.

    Method: The literature review method was formed after Friberg. Ten scientific articles were selected from the databases Cinahl Complete, PubMed and PsychINFO. The articles were both qualitative and quantitative.

    Results: The result was divided into three main themes and seven sub-themes; Aspects of hope with the subthemes Hope and Hopelessness and Quality of life; The creation of hope with the subthemes Need of hope, Autonomy; Contradictory emotions at the end of life with the subthemes Acceptance and Facing death. The result showed that the feeling of hope in patients with cancer in palliative care often commutes between hope and hopelessness.

    Discussion: The findings discuss the two keyresults hope and hopelessness that appeared in the results. Katie Eriksson’s theory of hope, the caring relationship and suffering is discussed. Further, it describes patients significance of hope and how this differs among different patient groups. Even patients' mental health is discussed when anxiety and depression can occur among these patients.

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