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  • 201.
    Axelsson, Anna-Karin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Åstradsson, Sandra
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors upplevelser och erfarenheter av att en patient suiciderat under pågående psykiatrisk vård: En intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Annually, about 1500 people die in Sweden as a result of suicide. Approximately one third of the people who commit suicide have an ongoing contact with the psychiatric care. Therefore, a larger group of nurses are left emotionally affected.

    Aim: The aim of this study was to describe nurses' experiences of a patient suicide during ongoing psychiatric care.

    Method:

    The study has a qualitative design with an inductive approach. Twelve nurses who all experienced that a patient they cared for died through suicide was interviewed with a semi-structured questionnaire. Collected data was then analyzed with qualitative content analysis according to Elo and Kyngäs. As a theoretical framework Barker and Buchanan-Barker's tidal model have been used in the discussion of the result.

    Results: Analyzed data resulted in six main categories; Emotional impact, What did we do wrong?, The importance of post-event support, How the event affected the professional role, Suicide leave marks and The perception of suicide along with 13 associated subcategories. A patient suicide often generated an emotional impact for the nurse. Questioning one's own expertise and organization was common. The importance of personalized support after the event is significant. Without sufficient support, there was a risk of negative consequences. The event could generate feelings of discomfort, but in the aftermath also increased security in one's own professional role, increased competence and increased commitment.

    Conclusions: A patient suicide during ongoing psychiatric care affects the nurse emotionally and professionally. The incident not only affects the nurse but also the entire workplace. The need for support after the incident is individual and if it´s perceived as lacking the incident may have negative consequences for the nurse. There is a need to broach this topic and we need an ongoing forum for these issues.

  • 202.
    Axelsson, Joel
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Geijer, Carolina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Den osynliga vården: Att som anhörig vårda en närstående med demenssjukdom2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is the fourth most common endemic disease in Sweden and the number of people diagnosed with dementia is estimated to increase. Dementia includes diseases that affect the brain with symptoms on memory function, mood and communication skills. Several people with dementia is cared for at home by family members. Being an informal caregiver is a large responsibility and affects the whole family.

    Aim: To describe relative’s experiences of caring for a family member with dementia.

    Method: A literature review based on the analysis of ten scientific articles with qualitative design.

    Results: The results showed both positive and negative experiences. Some relatives expressed the feeling of becoming stronger and more resilient as a result of caring for their loved one but there where feelings of anger and frustration as well. The results showed that the relatives where in need of social and formal support but often had a hard time asking for help due to the feeling of being a burden for others and the society. Many experienced that their family member’s identity changed with the disease, which caused a change in the relationship as well. Some expressed role changes within the family and the lack of social and emotional closeness, while others expressed a feeling of becoming closer to each other.

    Discussions: It became clear that there was a complexity in relative’s attitude to social and formal support and nurses in contact with informal caregivers should be aware of this. Knowledge about informal caregiver’s perceived burden and what they perceive as their strength is an important key part for nurses in their work with dementia patients and their relatives. Nurses need to be aware of the occurrence of feelings of anger and frustration in relatives to be able to spot these and make sure the patient welfare is not compromised. Due to differences in men and women’s experiences it could be useful for the nurse to have a gender aspect in their meeting and caring for informal caregivers. The results were discussed from the perspective of Dorothea Orems self-care theory.

  • 203.
    Axelsson, Karin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Viktorsson, Karolina
    Ersta Sköndal University College, Department of Health Care Sciences.
    En god död: omständigheter som kan bidra till en god respektive en dålig död för patienten2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 204.
    Axelsson, Lena
    et al.
    Sophiahemmet högskola, Karolinska institutet.
    Klang, Birgitta
    Karolinska institutet.
    Lundh Hagelin, Carina
    Sophiahemmet högskola, Karolinska institutet, Stiftelsen Stockholms sjukhem.
    Jacobson, Stefan H
    Karolinska institutet, Danderyds sjukhus.
    Gleissman, Sissel Andreassen
    Sophiahemmet högskola, Karolinska institutet, Danderyds sjukhus.
    End of life of patients treated with haemodialysis as narrated by their close relatives.2015In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 4, p. 776-84Article in journal (Refereed)
    Abstract [en]

    AIM: The study aimed to describe end of life for patients treated with maintenance haemodialysis as narrated by their close relatives.

    INTRODUCTION: Many patients undergoing haemodialysis are older, have several comorbidities and underestimated symptoms and are in their last year of life. To improve care, we need to know more about their end-of-life situation.

    DESIGN: Qualitative and descriptive.

    METHODS: Qualitative retrospective interviews were conducted with 14 close relatives of deceased haemodialysis patients (3-13 months after death). Data were analysed using qualitative content analysis. The study is ethically approved.

    FINDINGS: In the last months, a gradual deterioration in health with acute episodes necessitating hospital admissions was described. This involved diminishing living space and expressions of dejection, but also of joy. Three patterns emerged in the last weeks: uncertain anticipation of death as life fades away; awaiting death after haemodialysis withdrawal; and sudden but not unexpected death following intensive care. Findings show complexities of decisions on haemodialysis withdrawal.

    CONCLUSIONS: Different end-of-life patterns all involved increasingly complex care needs and existential issues. Findings show a need for earlier care planning. The identification of organisational factors to facilitate continuity and whole person care to meet these patients' specific care needs with their complex symptom burdens and comorbidities is needed. Findings indicate the need for integration of a palliative care approach in the treatment of patients in haemodialysis care.

  • 205.
    Axelsson, Lena
    et al.
    Sophiahemmet högskola, Karolinska Institutet.
    Klang, Birgitta
    Karolinska institutet.
    Lundh Hagelin, Carina
    Sophiahemmet högskola, Karolinska institutet.
    Jacobson, Stefan H
    Danderyds sjukhus, Karolinska institutet.
    Gleissman, Sissel Andreassen
    Sophiahemmet högskola, Danderyds sjukhus, Karolinska institutet.
    Meanings of being a close relative of a family member treated with haemodialysis approaching end of life.2015In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 3-4, p. 447-56Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe and elucidate the meanings of being a close relative of a severely ill family member treated with maintenance haemodialysis approaching the end of life.

    BACKGROUND: End-stage renal disease together with comorbidities, haemodialysis treatment and high mortality rates also affects the lives of close relatives, who report burdens and impaired quality of life. To improve care, more understanding is needed of close relatives' experiences during these patients' end of life.

    DESIGN: This study has a qualitative interpretative design.

    METHODS: Fourteen retrospective qualitative interviews were conducted with close relatives (aged 48-93 years) of deceased patients who had been treated with haemodialysis. The interview text was interpreted using a phenomenological hermeneutical method in three phases.

    RESULTS: The findings of the structural analysis were formulated as six themes: Striving to be supportive and helpful without doing harm to the ill person's self; Needing increasing strength and support; Balancing the will to help with one's own ongoing life; Increasing responsibility involving dilemmas; Striving for a good life together in the present and Living with awareness of death.

    CONCLUSIONS: Close relatives strive for balance and well-being accompanying their ill family member through the end of life. They are facing moral dilemmas and growing demands as their responsibility increases with the deterioration of their family member. Support from and interaction with the healthcare professionals is then of significance.

    RELEVANCE TO CLINICAL PRACTICE: Findings challenge healthcare professionals in haemodialysis settings to identify close relatives' individual resources and needs towards the patients' end of life. Healthcare professionals in haemodialysis settings need to offer close relatives opportunities to talk about the future and what may be expected at end of life, with or without haemodialysis. They should also contact the closest relative after the death as they may need confirmation and closure.

  • 206.
    Axelsson, Lena
    et al.
    Sophiahemmet högskola, Karolinska institutet.
    Randers, Ingrid
    Sophiahemmet högskola, Karolinska institutet.
    Lundh Hagelin, Carina
    Sophiahemmet högskola, Karolinska institutet.
    Jacobson, Stefan H
    Karolinska institutet, Danderyds sjukhus.
    Klang, Birgitta
    Karolinska institutet.
    Thoughts on death and dying when living with haemodialysis approaching end of life.2012In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 15-16, p. 2149-59Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe inner thoughts and feelings relating to death and dying when living with haemodialysis approaching end of life.

    BACKGROUND: Patients who undergo maintenance haemodialysis suffer a significant symptom burden and an impaired quality of life. The high mortality rate in these patients indicates that about one-fourth of them are in their last year of life, suggesting the presence of death and dying in the haemodialysis unit.

    DESIGN: A qualitative descriptive design was used. Methods.  A total of 31 qualitative interviews were conducted with eight patients (aged 66-87) over a period of 12 months. Qualitative content analysis was used to analyse data.

    RESULTS: The analysis revealed 10 subthemes that were sorted into three main themes. Being aware that death may be near comprises being reminded of death and dying by the deteriorating body, by the worsening conditions and deaths of fellow patients, and by knowing haemodialysis treatment as a border to death. Adapting to approaching death comprises looking upon death as natural, preparing to face death, hoping for a quick death and repressing thoughts of death and dying. Being alone with existential thoughts comprises a wish to avoid burdening family, lack of communication with healthcare professionals and reflections on haemodialysis withdrawal as an hypothetic option.

    CONCLUSIONS: Living with haemodialysis approaching, the end of life involves significant and complex existential issues and suffering, and patients are often alone with their existential thoughts.

    RELEVANCE TO CLINICAL PRACTICE: Nurses and other healthcare professionals in haemodialysis settings need to combine technical and medical abilities with committed listening and communication skills and be open to talking about death and dying, with sensitivity to individual and changeable needs.

  • 207.
    Axelsson, Mikaela
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att leva med diabetes typ 2 - en livslång utmaning: En litteraturöversikt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes is a chronic disease that vigorously increases worldwide. The disease can affect the entire everyday life which usually results in major lifestyle change. The treatment consists largely of self care which the patient itself has great responsibility for. The nurses have an important role in supporting, guiding and teaching the patients. Since every patient is unique the nurse would benefit from an increased knowledge about the patients experiences of what promotes and prevents self care in type 2 diabetes.

     

    Aim: The aim was, from a patient perspective, describe the experience of what promotes and prevents a self care in type 2 diabetes.

     

    Methods: A literature review based on nine scientific articles gathered from the databases CINAHL plus with full text, PubMed and Medline. The articles were analyzed and common denominators were identified and themes created.

     

    Results: The patients promoting and preventing experiences were presented in two main themes with associated subthemes. To live with type 2 diabetes enlightes the patients experiences of personal perception, integration, driving force and interact with the surroundings. To meet healthcare illustrated the patients experiences of the caregivers supporting and informative role.

     

    Discussions: This study's results are discussed, developed and strengthened with other scientific studies, Dorothea E. Orem´s theory of self care, this study´s background and the author´s own reflections. It is revealed that no patient is the other alike and they should be treated as the unique individuals they are to enable the self care to be integrated in their life.

     

    Keywords: Diabetes mellitus type 2, self care, experience and patient

  • 208.
    Axelsson, Sofie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Gruvman, Joanna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans upplevelser av att kommunicera när patienten talar ett annat modersmål: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of migrants worldwide has increased in recent years. For migrants, adapting to the new country is a process and learning the language of the country is demanding and takes time. Migrants who have not yet learned the language experience conversations that occur in health care as particularly challenging. Patients with a migration background feels that communication is lacking and that the nurses do not always take the time to talk, instead they only choose to perform their working tasks.

    Aim: To elucidate nurses' experiences of communicating with patients who speak a different native language.

    Method: A literature review was made based on eleven scientific articles collected from the databases CINAHL Complete and PubMed. Nine articles were qualitative, one quantitative and one with mixed methods where only the qualitative part was used in the result. The articles were analyzed with Friberg’s method and thematised using colour coding. From this, four themes were formed.

    Results: The result showed that good communication is important for creating a good care relationship. The results indicated that there are shared opinions about experiences of using body language or interpreter to more easily communicate with patients who speak a language other than the nurses. It was also found in the result that communication deficiencies can have consequences in care.

    Discussion: In the method discussion the authors discuss the method strengths and weaknesses in the authors’ approach. The authors discuss how communication difficulties contributes to equal care. Further the authors discussed the result related to Leiningers transcultural nursing theory.

  • 209.
    Aychiluhim, Hanna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Stevenson, Åsa
    Ersta Sköndal University College, Department of Health Care Sciences.
    Faktorer som leder till etiskt betingad stress och sjuksköterskors hantering av fenomenet i omvårdnadsarbete: En uppsats med inriktning mot vårdetik2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 210.
    Aydin, Sinem
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Björk, Emilia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Nurses´ perceptions of caring behaviors in clinical practice: A questionnaire study with nurses in Vietnam2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 211.
    Aylward, E H
    et al.
    USA.
    Rosenblatt, A
    Field, K
    Yallapragada, V
    Kieburtz, K
    McDermott, M
    Raymond, L A
    Almqvist, E W
    Hayden, M
    Ross, C A
    Caudate volume as an outcome measure in clinical trials for Huntington's disease: a pilot study.2003In: Brain Research Bulletin, ISSN 0361-9230, E-ISSN 1873-2747, Vol. 62, no 2, p. 137-41Article in journal (Refereed)
    Abstract [en]

    Previous research has demonstrated that longitudinal change in caudate volume could be observed over a period of 3 years in subjects with Huntington's disease (HD). The current pilot study was designed to determine whether measurement of caudate change on magnetic resonance imaging (MRI) is a feasible and valid outcome measure in an actual clinical trial situation. We measured caudate volumes on pre- and post-treatment MRI scans from 19 patients at two sites who were participating in CARE-HD (Co-enzyme Q10 and Remacemide: Evaluation in Huntington's Disease), a 30-month clinical trial of remacemide and co-enzyme Q(10) in symptomatic patients with HD. Results from this pilot study indicated that decrease in caudate volume was significant over time. Power analysis indicated that relatively small numbers of subjects would be needed in clinical trials using caudate volume as an outcome measure. Advantages and disadvantages of using MRI caudate volume as an outcome measure are presented. We recommend the adoption of quantitative neuroimaging of caudate volume as an outcome measure in future clinical trials for treatments of HD.

  • 212.
    Azad, Avesa
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Al-Nasser, Nadia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Äldres upplevelse av depression: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:Mental health is one of the Swedish largest major diseases and 20 percent of the population over 65 years are suffering. As the number of elderly will increase as well life expectancy increases, the number of people with depression will also follow the developments. The arise of depression in the elderly can have both biological and social factors. Putting the right diagnosis to the elderly group can be difficult as a change of state of mind is sometimes mistaken for signs of aging.

    Aim: To describe elderly's experience of living with depression. 

    Method: In this literature review, ten scientific studies were used and analyzed and preformed according to Friberg’s method. Eight of the selected articles were qualitative studies, one article was using meta-analysis method and one article was by mixed method. Databases used for the search of scientific articles were CINAHL Complete and PubMed.

    Results: The result have analyzed and presented based on Katie Eriksson's nursing theory. Two main theme were designed, the first theme life suffering with subthemes loneliness, hopelessness and shame. The second main theme is suffering from illness with subthemes the physical suffering.

    Discussion:The main findings loneliness and shame are discussed based on Karin Dahlberg's theory of caring, to gain a deeper understanding of the result. The importance of the nurse's role is emphasize by the authors, since better treatment and increased knowledge lead to faster recovery for the elderly.

     

  • 213.
    Azizi, Sanaz
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mashhadi, Shirin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser av att leva med hjärtsvikt: en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 214.
    B. Thörnqvist, Erika
    Ersta Sköndal University College, Department of Health Care Sciences.
    Yrkesidentitet: en intervjustudie med sjuksköterskor inom psykiatrisk vård2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:Nurses working in psychiatric care experience difficulty in articulating their professional identity. The background describes the role of the nurse in psychiatric care from a historical and contemporary perspective. The background shows that nurses tend to leave the psychiatric care when they feel their skills are not utilized, which in turn also affects the patients.

    Aim: The aim of the study was to describe how nurses working in psychiatric care understand their professional identity

    Methods: Five nurses where interviewed with the help of unstructured interviews. A qualitative design was used for the study.

    Result: The results are presented in the theme a complex professional identity and the three categories: nurturing unique people, to be supervisors and their own development as well as eight subcategories

    Discussions: The results are discussed from Imogene King's conceptual role, organizations, authority, power, status and stress, and on the basis of gender theory perspective.

     

     

  • 215.
    Back, Alexandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Olofsson, Annie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Faktorer som påverkar föräldrars beslutsfattande gällande att vaccinera sitt barn mot influensa: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Varje år orsakar influensa stora utbrott av sjukdom där barn och ungdomar drabbas mest frekvent. Vaccin mot influensa ges med avsikt att förhindra smittspridning samt vara samhällsekonomisk lönsam med ett humanitärt utgångsläge. Föräldrars beslutsfattande gällande vaccination av sitt barn kan påverkas av olika faktorer.

    Syfte: Syftet med denna litteraturöversikt var att beskriva vilka faktorer som kan påverka föräldrars beslutsfattande gällande att vaccinera sitt barn mot influensa.

    Metod: En litteraturöversikt har genomförts utifrån sökningar av vetenskapliga artiklar från databaserna CINAHL Complete och Pubmed. Analys av elva artiklar har genererat i teman med underliggande subteman.

    Resultat: De faktorer som påverkade föräldrars beslutsfattande gällande att vaccinera sina barn var: Ansvar för någon annans liv, att fatta beslut för en annan individ samt skydda sitt barn från ohälsa. Information, betydelsen av information samt vad brist på information har för betydelse. Samhällsdebatt och sociala influenser, hur föräldrar påverkas av media, nyhetsrapportering samt familj, släkt och vänner. Biverkningar, oro för vilka konsekvenser som kan uppkomma av att vaccinera sitt barn. Immunförsvaret-vaccinets och dess effekt, övertygelse om immunförsvarets egen förmåga samt oro för vaccinets påverkan. Tidigare erfarenheter, att relatera beslut gällande vaccination till tidigare upplevda händelser.

    Diskussion: I diskussionen belyses sjuksköterskans funktion i mötet med föräldrar i processen av att fatta beslut gällande att vaccinera sitt barn. Hur sjuksköterskan kan bemöta dessa föräldrar med en strävan om en individanpassad vård. Resultatet relateras i diskussionen till Callista Roys adaptionsmodell (RAM).

  • 216.
    Backeström, Linn
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Olsson, Ida
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Caring for women with experiences of intimate partner violence: Nurses’ perspectives in Hanoi, Vietnam2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Intimate partner violence affects 30 percent of women globally and implies physical, sexual or psychological harm to a person, caused by their partner or ex-partner. There exists gender inequality in Vietnam that affects women negatively during their lifetime. Vietnamese nurses follow a similar ethical code to the International Council of Nurses, but are mostly focused on technical tasks at their workplace. Women with experience of intimate partner violence express that their caring needs are not being met.

    Aim:

    The aim was to describe registered nurses’ experiences of caring for women with experiences of intimate partner violence, in hospital settings in Hanoi, Vietnam.

    Method:

    Data was collected through a descriptive qualitative method with semi-structured interviews with eleven participants recruited from two hospitals in Hanoi, Vietnam. A qualitative content analysis was used for analysis and themes were formed.

    Results:

    One main theme emerged from the study: Nurses approach to their profession correlates with their view of life, emotions and actions when caregiving. Five sub-themes was formed from that theme: The relation between nurses view of life and women; Presence and absence of competence when encountering women with experience of intimate partner violence; The process of providing person centered care; Experiencing the emotional strain that emerges out of caring for women with experiences of intimate partner violence; Crossing professional boundaries in nurse-patient relations.

    Discussion:

    Vietnamese nurse’s caregiving is influenced by their view of life which causes them to give bias advice that focus on women’s responsibilities in society. The absence of guidelines results in nurses using their own moral compass when providing care for women with experience of intimate partner violence. The result will be discussed with Jean Watson’s term consciousness in her theory of human caring/caring science.

  • 217.
    Backlund, Elin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Österlund, Julia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ett sår som förändrat mig: En litteraturöversikt om patienters upplevelser av att leva med ett svårläkt sår.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic wounds are an increasing problem in society because we live longer, and the problem is more common when we get older. The criteria of a chronic wound are that it has not healed within six weeks. There are several underlying reasons for this type of wounds; malignancy and venous insufficiency are two examples. A nurse should have evidence based knowledge to be able to provide good care for patients suffering from this type of wounds.

    Aim: The aim of the study was to describe the patients’ experience of living with malignant wounds or venous leg ulcers.

    Method: A literature study has been carried out using Friberg’s method. Ten scientific articles used in the literature study were qualitative. The databases that were used in data collection were Academic Search Complete, Cinahl Complete and PubMed.

    Results: The results are summarized into four main themes: Perception of symptoms, A changed identity, Social isolation and Live with a chronic wound. The study showed that the wounds had a negative impact on the patients’ lives and caused them an altered body image. The symptoms were experienced as bothersome and caused anxiety, fear and shame. That led to social isolation. Participants used a variety of coping strategies to manage their situation to manage with their daily life.

    Discussion: The results were analyzed on the basis of Jocalyn Lawler’s somology theory that describes how a patient may experience a nursing situation and how the nurse can promote a caring encounter when seeing the whole patient.

  • 218.
    Backlund, Jenny
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ekeberg, Emelie
    Ersta Sköndal University College, Department of Health Care Sciences.
    Forslund, Sofia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjukhusmiljöns betydelse för patienten - upplevelser och påverkan: en litteraturstudie2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 219.
    Baehrendtz, Emil
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Edlund, Hamid
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patientens upplevelse av tvångsåtgärder inom psykiatrisk omvårdnad2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: De flesta patienter som vårdas i Sverige gör det på frivillig basis, men en liten del av dessa vårdas under tvång. Dessa patienter återfinns i alla hälso- sjukvårdens verksamheter, men är kraftigt överrepresenterade i psykiatrisk omvårdnad, ofta med diagnoserna bipolärsjukdom och i psykotiska tillstånd.

    Syfte: Att beskriva patienternas upplevelse av tvångsåtgärder i psykiatrisk omvårdnad.

    Metod: Författarna har gjort en litteraturöversikt innehållande nio vetenskapliga artiklar, som har tolkas, bearbetats, analyseras och använd i resultatet. Under sammanställningen fann författarna elva olika inriktningar i upplevelsen av tvångsvårds om kunde underkategoriseras de tre komponenterna i KASAM. Dessa var Begriplighet; Förståelse, förlorad självkänsla, Hanterbarhet; en nödvändig handling, maktmissbruk, rädsla. Meningsfullhet; acceptans, en onödig överreaktion, ett avslutat kapitel och bra erfarenheter.

    Teoretisk referensram: Under arbetet har författarna utgått ifrån Antonovskys teori om KASAM och dess tre huvudkomponenter.

    Resultat: I resultatet fann författarna att patienternas upplevelser av tvångsåtgärder till stor del var beroende av patientens KASAM. Kommunikationen mellan vårdare och patient samt rutiner i organisationen hade i flertalet fall negativ effekt på patientens upplevelse. Patienter med högt KASAM hade trotts detta förmåga att se positiva effekter av tvångsvården, detta till skillnad från de med sänkt KASAM som ville lägga upplevelsen bakom sig.

    Diskussion: Relationen mellan de upplevelser som identifierats utifrån den teoretiska referensramen KASAM diskuteras. Betydelsen av känslor, upplevelser, förhållande mellan olika teman som risker och resurser.

  • 220.
    Bagstevold, Ulrika
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Markstedt, Jasmin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Invandrares upplevelse av bemötande i omvårdnaden ur ett mångkulturellt perspektiv2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 221.
    Bahiraei, Ashraf
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att främja tillit hos invandrarpatienter med psykossjukdomar: - en kvalitativ studie om sjuksköterskans erfarenheter2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A multicultural society can be a challenge for. Trust is crucial for building a well functioning relationship between a patient and a caretaker.

    Aim: The aim of this study was to describe nurses' experiences with promoting trust in immigrant patients with psychosis.

    Methods: Five nurses were interviewed with the help of semi-structured interviews. The participants work in psychiatric care units in Stockholm. A qualitative design was used for this study.

    Results: The results are described in four categories and two subcategories that are raised in the study: the importance of communication for creating trust in psychiatric care, with the subcategory interpreted conversation; the importance of body language for trust; cultural differences regarding mental illnesses, with the subcategory cultural differences in describing illnesses; and the signification of relatives in creating at trustful meeting. The results show that language difficulties is a barrier for communication to promote trust in psychiatric patients who are immigrants and suggests that empathy and responsiveness are the foundations for promoting trust.

    Discussions: The results suggests that non-verbal communication becomes important when language is not enough. The study also describes deficiencies in knowledge, education and approach in the meetings with mentally ill immigrant patients and the need for transcultural training in health care.

  • 222.
    Baitar, Bonnie
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Fehlberg, Caroline
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskans bedömning av smärta2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskan har en central roll i vården av patienter   med smärta och ansvarar för skattning, dokumentation och behandling.   Förekomsten av smärta är ett vanligt problem inom vården.

     

    Syfte: Att beskriva hur sjuksköterskan bedömer smärta   hos patienter.

     

    Metod: Litteraturöversikt baserad på tio vetenskapliga artiklar.

     

    Resultat: Sammanställningen av artiklarna resulterade i fyra teman, sjuksköterskans användning av bedömningsinstrument vid bedömning av smärta,   sjuksköterskan och patientens verbala kommunikation vid bedömning   av smärta, sjuksköterskans observation av patientens och dennes   vitalparametrar vid bedömning av smärta och sjuksköterskan bedömer smärta   genom att ta hjälp från tidigare erfarenhet av liknande situationer.

     

    Diskussion: En icke fullgod smärtbedömning kan orsaka ett lidande för patienten och   det är därmed viktigt att sjuksköterskan låter patienten stå i fokus vid smärtbedömningen.

     

  • 223.
    Bakhshi, Parisa
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Grusell, Elisabeth
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Äldre iraniers upplevelser av kommunikationssvårigheter i vården1999Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 224.
    Banfors, Emma
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Jansson, Anna
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patienters upplevelser av information för att stötta egenvård vid diabetes typ 2 i Sverige: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes is a disease that is increasing worldwide and it is associated with living habits. Treatment of type 2 diabetes may or may partially be medical, but a large part of the treatment consists of lifestyle changes and self care. To change living habits can be difficult and requires both knowledge and involvement of the patient in order to achieve good quality of life. The nurse has an important role in order to support the patient in the subjective experience of living with a chronic disease.

    Aim: The aim was to describe about the patients’ experiences of information to support self-care in diabetes type 2 in Sweden.

    Method: This literature review is based on ten scientific articles identified through searches in the database Cinahl Complete. The articles were analysed according to Friberg’s method.

    Results: Patients' experiences of information to support self-management of type 2 diabetes compiled into two main themes: “Patients 'view of type 2 diabetes," with the subthemes: "Misunderstanding" and "Lifestyle changes”. And the second main theme: "Patients' needs for information" with the subtheme: "Need for support".

    Discussion: The results of the literature review are discussed in a discussion of results and method where the method's advantages and disadvantages are discussed. The discussion is related to Orem’s self-care theory and linked to the consensus concept of human. The theory emphasizes care system that can be helpful to understand the patients' need for support for self-care. This can be used as a tool for nurses in the meeting with patients to support their selfcare.

  • 225.
    Bangala, Addy
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Olad, Hamdi Ahmed
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patienters upplevelse av att vårdas i isolering: en litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Isolation care may be necessary when a patient is carrying infection or is being inflicted with disease that causes deficit immune system. Being isolated means that the patient is in a confined space and may stay only there. Even in ancient times, people discovered the importance of isolating people carrying an infection from the rest of society. According to the Infectious Diseases Act, patients should be isolated in order to reduce the spread of infection both from the patient to the surroundings as well as the opposite. Isolation care can be psychologically stressful for some patients. They feel alone and abandoned, which eventually leads to suffering for patients. The increased prevalence of multidrug-resistant bacteria has set high standards in health care because it is challenging to care for patients isolated to reduce the spread. Aim: The aim was to illustrate patients’ experience of being nursed in isolation. Methods: a literature review with qualitative approach based on ten health science articles. The articles were analyzed using Friberg (2012) study analysis. Results: The literature review revealed four themes; difference experience of being isolated in an alien environment and needs of communication and information, feelings of alienation, the need for the presence and proximity of kin and staff. The results showed that patients experienced isolation care both negative and positive, depending on whether patients had previous experience of isolation care and the information they received from staff. Common in all patients was that isolation care contributed to a feeling of loneliness. The results showed that patients lacked staff attendance and touch which had great significance for the relief of the negative feelings. Discussion: The discussion highlights the importance of the patients socializing with other people, patient participation, and the importance of information and communication. With the nurse's awareness of patients' experience of isolation care he/she can help the patient and provide good care.

  • 226.
    Barbulescu, Ioana Rodica
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjöberg, Charlotta
    Ersta Sköndal University College, Department of Health Care Sciences.
    Livskvalitet hos personer med övervikt eller fetma som har genomgått bariatriska operationer: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Obesity is one of the greatest public health problems in the world. Obesity is a product of multiple genetic, socio-cultural, socio-economic and environmental factors and leads to physical, mental and social illness. This has been shown to have a negative impact on these individuals' quality of life since they often face bias and experience limitations in their daily life. As a consequence of this epidemic, bariatric surgeries have become a common and effective treatment alternative. Aim: To describe the quality of life and how it changes over time in overweight and obese patients treated with bariatric surgery. Method: A literature review based on ten scientific studies, one qualitative study and nine quantitative studies. These studies were obtained from the databases Cinahl Complete, PubMed, ProQuest Nursing & Allied Health Source. The studies were reviewed, summarized, analyzed and compiled in tables that contained similarities and differences. Results: The outcomes have been divided into three themes; Different ways of measuring quality of life, factors influencing changes in quality of life and changes across time. Shortterm outcomes show significant improvements in all domains of quality of life after the surgery due to massive weight loss. However, the long-term outcomes in this review show that weight loss in some cases stops and that the participants may even gain weight, which negatively affect the changes of the psychosocial quality of life. The outcomes show improvements in comparison with the participants' preoperative values, but they do not achieve the standard values of the general population. Discussions: This review’s outcomes are discussed on the basis of the concept of health in the nursing meta-paradigm in relation to the concept of quality of life. In conclusion, an important gain with these surgeries is that, thanks to a massive weight loss, have greater comorbidities improved or resolved completely, the psychosocial quality of life has improved due to the fact that patients experience fewer restrictions in their social life. This means that these surgeries resulted in improvements in all physical, psychological and social domains of quality of life. However in order to maintain these positive effects, considerable lifestyle changes and a continued committed post-operative work are required from the patients and the health care providers.

  • 227.
    Baresso, Gabriella
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jans, Linda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fysisk aktivitet vid typ 2-diabetes: Sjuksköterskors upplevelser av att motivera patienter till fysisk aktvitet2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: With an increasing prevalence of type 2-diabetes worldwide a large number of individuals risk developing cardiovascular diseases, stroke, kidney diseases and eye diseases as secondary diseases from type 2- diabetes. Smoking, a sedentary lifestyle, genetic predisposition and obesity increases the risk of developing type 2-diabetes. Nurses therefor plays an important role in noticing individuals who risk developing type 2-diabetes as well as supporting and motivate them into making neccassary life style changes.

    Aim: The aim of this study is to describe how nurses experience motivating patients to physical activity at type 2-diabetes

    Method: A litterature review. Articles were sought out in the databases CINAHL Complete, PubMed and Medline. From these searches 10 scholarly articles emerged.

    Results: The result is presented as three different themes: Health promotion, Challenges and Need for knowledge. Challenges could among other be related to the nurses experience of insufficient knowledge and the patients lack of insight and their unwillingness to change. The nurses experienced that health interventions that were offered via patient educations increased the patients knowledge of their disease.

    Discussion: In the method discussion the authors discuss strengths and weaknesses with the litterature review. The result is being discussed using Dorothea Orems Self-Care Deficit Nursing Theory

  • 228.
    Barin, Yasemin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Franco, Caroline
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patientens upplevelse av att vara smittad av MRSA: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 229.
    Barkland, Hanna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hagerman, Josefin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Våldet mot det kvinnliga könsorganet: en litteraturöversikt om kvinnlig könsstympning ur sjukvårdspersonals perspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Female genital mutilation is performed in about 30 countries in Africa, Asia, and South America. Nearly 200 million girls and women have undergone circumcision and annually 3 million are at risk. Female genital mutilation includes all forms of harm towards the outer female genitals without any medical indications. It results in severe complications and is even fatal. The reasons vary, sometimes they are explained as cultural traditions or religious traditions, and sometimes just to control women's' sexuality. The procedure is illegal in most western countries, Sweden included. The aim was to illuminate knowledge and attitudes among health care professionals regarding female genital mutilation. A literature review was conducted according to Friberg. Three databases were used: Academic Search Complete, CINAHL Complete and PubMed. This resulted in five quantitative articles, four qualitative articles and two with mixed method. The main findings were that there is a lack of knowledge among health care professionals. Also, attitudes differ but many of the participants agreed that it is violating human rights. In practicing countries there were often ambivalent feelings towards female genital mutilation. Even though the global migration is as high as ever, the knowledge among health care professionals is insufficient. The attitudes differ, both in countries where the tradition is practiced and in countries where it is not practiced. The lack of educational information is mentioned as a reason to why health care professionals feel unsure on how to handle meeting a mutilated woman. The results were discussed with Leininger's nursing theory as a model.

  • 230.
    Barsetti, Enrico
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Gisslén, Andrea
    Ersta Sköndal University College, Department of Health Care Sciences.
    I gränslandet: sjuksköterskors attityder och dess inverkan på suicidnära patienter och deras anhöriga2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 231.
    Bartak, Ewa
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Bohagen, Christine
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Utbrändhet hos sjuksköterskor: vilka faktorer påverkar? : uppfattningar om och upplevelser av ett tidstypiskt fenomen2000Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 232.
    Barton, Eva
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Fjällrud, Cecilia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Närhet och distans - betydelsefull i samtal mellan sjuksköterska och patient inom palliativ omvårdnad: en litteraturstudie2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 233.
    Barud, Liselott
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hur sjuksköterskor förbereder sig inför oplanerade hembesök till patienter de aldrig träffat.: En intervjustudie med sjuksköterskor inom Avancerad Sjukvård I Hemmet2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Att arbeta som sjuksköterska inom Avancerad Sjukvård I Hemmet (ASIH) innebär möten med patienter som har en rad olika livshotande diagnoser. Som en del av det dagliga arbetet ingår att kunna vara tillgänglig för patienten vid försämringar. Detta innebär att sjuksköterskor kan komma att med kort varsel behöva göra oplanerade hembesök till patienter de aldrig träffat.

    Syfte: Syftet var att beskriva hur sjuksköterskor som arbetar inom ASIH-verksamhet i Stockholms län förbereder sig inför oplanerade hembesök till patienter de aldrig träffat.

    Metod: För att ta reda på och beskriva hur sjuksköterskor förbereder sig inför oplanerade hembesök valdes en kvalitativ design med en induktiv ansats. Åtta sjuksköterskor med i genomsnitt 8,5 års erfarenhet från arbete inom ASIH intervjuades. Materialet analyserades enligt en kvalitativ induktiv innehållsanalys.

    Resultat: Analysen resulterade i två huvudkategorier: I ständig beredskap och När någon larmat. I ständig beredskap har två kategorier och fem underkategorier vilka beskriver sådant som ingår i det dagliga arbetet samtidigt som det även är förberedelser inför oplanerade hembesök. Dessa förberedelser kan vara att ha ordning på sin utrustning och att hålla sig informerad om inskrivna patienter. När någon larmat har två kategorier och sex underkategorier vilka beskriver förberedelser som görs efter att ett samtal som föranleder ett oplanerat hembesök inkommit. Dessa förberedelser innebär till exempel att sjuksköterskorna tar reda på så mycket som möjligt om patienten för att kunna bilda sig en uppfattning om vad som behöver göras och hur bråttom det är.

    Diskussion: Resultatet diskuteras i förhållande till annan forskning samt till de tre grundläggande delarna begriplighet, hanterbarhet och meningsfullhet, i Antonovskys salutogena modell KASAM, känsla av sammanhang.

  • 234.
    Basthagen, Malin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Lindau, Camilla
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att vara närstående till en patient i livets slutskede: en litteraturstudie2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 235.
    Basun, Annika
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Dahl, Alina
    Ersta Sköndal University College, Department of Health Care Sciences.
    En pågående inre kamp: En litteraturöversikt om upplevelsen av egenvård vid diabetes typ 22013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes is a chronic disease that is increasing worldwide. The treatment is based on lifestyle-related measures that often mean a change in diet and exercise habits. Self-management in chronic illness is described as a process that is influenced by various factors. Nurses have a key role in supporting the person in this process based on each individual's needs and experiences. In order to provide adequate support, it is important to get a better understanding of the experience of self-management in type 2 diabetes.

    Aim: The aim was to describe the experience of self-management among people with type 2 diabetes.

    Methods: A literature review based on ten scientific articles. All articles were qualitative and found in the databases CINAHL and PubMed. The articles were analyzed and the similarities were highlighted and created new themes.

    Results: The overall theme representing the result is the experience of an inner struggle. The theme describes how self-management is experienced as a constant struggle between the disease demands and what is valuable in life. The sub-theme, the experience of integrating self-management in daily life, affects the self-management process. The remaining sub-themes describe the barriers to and facilitators of integrating self-management in daily life.

    Discussions: The authors discuss the difficulty of integrating new habits in life and what influences the process. The discussion includes autonomy, view of the future and the need to gain control. The discussion also relates to Meleis' Transition Theory.

  • 236.
    Batalha, Anton
    Ersta Sköndal University College, Department of Health Care Sciences.
    Polisers upplevelse av mötet med personer med psykisk ohälsa.2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 237.
    Batebi-Sh, Niloufar
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Babadivand, Mojgan
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Sjuksköterskors upplevelse av kommunikation med äldre invandrare inom vården och omsorgen1999Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 238.
    Bauer, Roxana
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Rydberg, Rebecca
    Ersta Sköndal University College, Department of Health Care Sciences.
    Icke-verbal kommunikation i vården: mellan vårdpersonal och patient2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Det finns två olika typer av kommunikation; verbal kommunikation och icke-verbal kommunikation. Den icke verbala-kommunikationen rör allt som inte har med ord att göra exempelvis kroppsspråk, beröring och ögonkontakt. Studier visar en brist på icke-verbal kommunikation i akuta vårdsituationer samt att patienter önskar mer icke-verbal kommunikation från vårdpersonalen. Det är även viktigt att vårdpersonal ser patienter som unika individer.

    Syfte: Syftet meddenna studie är att beskriva hur icke-verbal kommunikation mellan vårdpersonal och patient uttrycks i vården.

    Metod: Detta examensarbete är baserat på en litteraturstudie där relevant litteratur för syftet sökts i diverse databaser. Tio stycken artiklar valdes ut som alla berörde den icke-verbala kommunikationen mellan vårdpersonal och patient.

    Resultat: Tre teman kunde identifieras; Rädsla och osäkerhet hos vårdpersonal, Vårdpersonalens personliga förutsättningar och Beröring – en balansgång mellan genuinitet och förtryck. Studien visar att det finns en oro och rädsla hos vårdpersonal för att göra fel och att missförstånd ska uppstå genom den icke-verbala kommunikationen. För att kunna bygga en vårdrelationmåste vårdpersonalen se patienten som en unik individ samt ha kunskap om icke-verbal kommunikation. Även vårdpersonalens personlighet spelar en roll i när den icke-verbala kommunikationen används.

    Diskussion: Enligt omvårdnadsteoretikern Joyce Travelbee genomgår vårdpersonalen och patienten flera faser för att kunna skapa en människa-till-människa relation. Det är därför viktigt att identiteter får framträda både hos vårdpersonalen och patienten. Att använda sig av icke-verbal kommunikation skapar även arbetstillfredsställelse både kort- och långsiktigt hos vårdpersonalen.

  • 239.
    Baumgardt, Jessie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Leufvén, Lina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans erfarenheter av psykisk ohälsa i öppenvård: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Psykisk ohälsa har blivit ett globalt folkhälsoproblem. Paraplybegreppet psykisk ohälsa inbegriper psykisk sjukdom och psykiska besvär. Psykisk sjukdom uppfyller kriterier för diagnos, medan psykiska besvär är en obalans eller symtom som oro, ångest, nedstämdhet eller sömnsvårigheter. Vid psykisk ohälsa är den vårdande relationen extra viktig och sjuksköterskans bemötande är betydande för patientens rehabilitering.

    Syfte:

    Syftet var att belysa sjuksköterskans erfarenhet inom psykisk ohälsa i vården.

    Metod:

    Litteraturöversikten genomfördes med elva vetenskapliga artiklar, åtta med kvalitativ design och tre med kvantitativ design

    Resultat:

    Tre huvudteman och tre stycken underteman identifierades: Sjuksköterskans kunskap vid mötet med psykisk ohälsa, med undertemat sjuksköterskans självförtroende vid mötet med psykisk ohälsa. Därefter följer huvudtemat relation mellan patient och sjuksköterska och underteman kommunikation mellan sjuksköterska och patient och sjuksköterskans förhållningssätt vid psykisk ohälsa. Huvudtemat sjuksköterskans samarbete vid psykisk ohälsa avslutar resultatet.

    Diskussion:

    Utifrån Phil Barkers omvårdnadsteori Tidvattenmodellen diskuteras betydelsen av att etablera relation mellan sjuksköterskan och patienten, samt hur kunskapsbrist kring psykisk ohälsa resulterar i osäkerhet hos sjuksköterskan och sämre vård för patienten.

  • 240.
    Baumgartner, Rita
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Broman, Anette
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hemkänslan på äldreboende2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 241.
    Baxter, Amanda
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Khelachwili, ,Mezhgan
    Ersta Sköndal University College, Department of Health Care Sciences.
    Den äldre människans upplevelser av att flytta till ett särskilt boende2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 242.
    Beck, Eleonore
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Söder, Kristina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Livsstilsförändring – Livsvärld i förändring: Konsten att ro i rätt riktning för patienter med hjärt- och kärlsjukdom2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 243.
    Beernaert, Kim
    et al.
    Belgien.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Fürst, Carl Johan
    Lunds universitet.
    Nyberg, Tommy
    Karolinska institutet; University of Cambridge, United Kingdom.
    Steineck, Gunnar
    Karolinska institutet; Sahlgrenska akademin, Göteborgs universitet.
    Bylund-Grenklo, Tove
    Karolinska institutet; Linnéuniversitetet.
    Distrust in the End-of-Life Care Provided to a Parent and Long-Term Negative Outcomes Among Bereaved Adolescents: A Population-Based Survey Study2017In: Journal of Clinical Oncology, ISSN 0732-183X, E-ISSN 1527-7755, Vol. 35, no 27, p. 3136-3144Article in journal (Refereed)
    Abstract [en]

    Purpose: Previous research shows that the death of a parent places children at risk for a number of negative outcomes. The role of trust in health care at the end of life has been acknowledged as crucial for patients and adult family members. However, the consequences of children’s distrust in the care provided to their parents remain unknown. Therefore, we investigated the negative long-term outcomes of cancer-bereaved sons’ and daughters’ distrust in the care that was provided to a dying parent.

    Methods: We used a population-based nationwide survey to investigate self-reported distrust in the care provided and possible negative outcomes in 622 (73%) participants who had lost a parent as a result of cancer 6 to 9 years earlier, at ages 13 to 16 years. All participants were 18 years or older at the time of the survey.

    Results: In those who reported no or little trust (ie, distrust) in the health care provided to their dying parents, we found statistically significantly higher risks of various negative outcomes at the time of survey: bitterness toward health care professionals for not having done everything that was possible (crude risk ratio [RR], 3.5; 95% CI, 2.3 to 5.1) and for having stopped treatment (RR, 3.4; 95% CI, 2.1 to 6.0), self-destructiveness (eg, self-injury [RR, 1.7; 95% CI, 1.2 to 2.4]), and psychological problems (eg, moderate to severe depression according to the Patient Health Questionnaire–9 [RR, 2.3; 95% CI, 1.5 to 3.5]).

    Conclusion: In cancer-bereaved former adolescents, distrust in the health care provided to the dying parent is associated with a higher risk of negative long-term outcomes. The health care professionals involved in this care might play an important role in safeguarding the trust of adolescents.

  • 244.
    Beernaert, Kim
    et al.
    Belgien.
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Jeppesen, Jørgen
    Danmark.
    Werlauff, Ulla
    Danmark.
    Rahbek, Jes
    Danmark.
    Sejersen, Thomas
    Karolinska institutet.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Parents' Experiences of Information and Decision Making in the Care of Their Child With Severe Spinal Muscular Atrophy: A Population Survey.2019In: Journal of Child Neurology, ISSN 0883-0738, E-ISSN 1708-8283, article id 883073818822900Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:: This study aims to assess the experiences and wishes of parents of children with severe spinal muscular atrophy regarding information and decision-making throughout the course of the illness.

    STUDY DESIGN:: A full population survey, conducted in 2015, among parents of children with severe spinal muscular atrophy who were born in Denmark between January 1, 2003, and December 31, 2013. We used a study-specific questionnaire with items about experiences and wishes concerning the provision of information about diagnosis, treatment, and end-of-life care.

    RESULTS:: Among the 47 parents that were identified, 34 parents of 21 children participated. Eleven of them were nonbereaved and 23 were bereaved parents. All parents stated that health care staff did not take any decisions without informing them. A proportion of parents indicated that they were not informed about what spinal muscular atrophy entails (32%), possible treatment options (18%), or the fact that their child would have a short life (26%) or that death was imminent (57%). Most of the bereaved parents who had wishes concerning how and where their child would pass away had their wishes fulfilled.

    CONCLUSIONS:: The study showed that health care staff did not take treatment decisions without parents being informed. However, there is room for improvement concerning information about what spinal muscular atrophy entails, treatment options, and prognosis. Possibilities of palliative care and advance care planning should be investigated for these parents, their child, and health care staff.

  • 245.
    Befekadu, Marta
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Basti, Frida
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kommunikationens betydelse i vårdrelationen mellan patienter med afasi och vårdpersonalen2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 246.
    Bekteshi, Doruntina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sharif, Shukri
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Discrimination and stigma – an interview study with nurses concerning persons living with HIV/AIDS in Nairobi2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are approximately 1.5 million people living with HIV in Kenya. The prevalence is at a lower level than at the peak of the epidemic because of free antiretroviral treatment, education and new methods to HIV testing. The nurses’ work situation is difficult trying to reach persons living with HIV in a society where stigma is common and therefore we were curious to learn more about nurses’ personal experiences, to get a wider understanding of the situation. 

    Aim: The aim was to describe nurses’ perspective of the complexity of caring for persons with HIV/AIDS in Nairobi, Kenya.

    Method: The chosen design was a descriptive qualitative study consisting of semi-structured interviews with eight nurses in Nairobi, Kenya.The material was analyzed using qualitative content analysis.

    Results: Two main categories were identified in this study: Nurses’ strategies and approach to initiate care and Challenges in caring for people with HIV/AIDS. Four sub-categories were then formed out of the main categories: Approaching and building relationships with people that live with HIV/AIDS, strategies for reaching out to people that live with HIV/AIDS, structural barriers among people living with HIV/AIDS and practical obstacles within the healthcare system.

    Discussion: The discussion addresses difficulties among nurses when it comes to persuading persons living with HIV/AIDS to receive treatment. The nursing role consists of caring for the patient, counseling and giving hope. Nurses are being affected emotionally when approaching persons living with HIV/AIDS since factors like stigma and fear of abandonment stand in the way for reaching out and giving treatment. Lack of resources in healthcare is another factor that causes frustration among nurses. 

  • 247.
    Beltrán, Carolina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Neway, Tamirat
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskor erfarenheter av och förutsättningar för att vårda patienter med stroke: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stroke is the second most common cause of death worldwide. There are   several factors that can contribute to the occurence stroke such as smoking, inactivity, diabetes and high age. As a result of the disease,   the individual can suffer from various functional impairments that affect the   ability to move, as well as cognitive, swallowing and communications. In   addition to this, the disease can also cause psychosocial problems. The nurse   has a responsibility in the care of stroke patients, where she helps   the patient to plan and carry out actions that belong to daily life. Nursing aims to improve the wellbeing of the   patient by preventing illness and restoring health.

    Aim: The aim was to describe the nurses' experiences and conditions of   caring for patients with stroke.

    Method: A literature review was conducted using ten scientific articles that   were published between the years 2008-2019. The articles were selected from   the databases PubMed and CINAHL Complete. The keywords used were nurses` experiences,   caring, nurse*, experiences, stroke patients, nurses, stroke, nurse`s   experiences and nurse perspective. The literature review was analyzed   according to Friberg's method. The results of the articles were analyzed   using color coding, where similarities and differences were found, and five   different themes were identified.

    Results: In the results of the literature review, five central themes are   identified that concern 1) the nurse's perception of role; 2) the nurse's   perception of knowledge; 3) relation to patients and their kin; 4)   collaboration with other healthcare professionals and 5) challenges in the environment.

    Discussion: In   the discussion, Katie Eriksson's theory is used as a starting point. Results   of this literature review are discussed on the basis of this nursing theory   with a focus on the concept of health, suffering, selfcare and caring.

  • 248.
    Ben Rouha, Amira Elwira
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mesrour, Ibtissam
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med ett transplanterat hjärta: En litteraturstudie från patientens perspektiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart transplantation has been performed since the 1960s and is today the last treatment option for severe and non-treatable heart failure. After a heart transplant, a lifelong medication is followed which reduces the risk of rejection. Patients need regular check-ups and visits to control drug dosing and to prevent side effects. The nurse has a central role in the care of heart transplant patients. It is important that the nurse has knowledge of how these patients experience their life after the heart transplant, in order to provide support and adequate person-centered care. The nurse's responsibility is to also inform the patients and their relatives about heart transplants.

    Aim: The aim was to describe patients experience of living with a transplanted heart.

    Method: The literature review was based on ten scientific articles. The articles have been analyzed and thematized with color coding. The databases CINAHL Complete and PubMed were used to search for the articles. Only qualitative articles were used in the results.

    Results: The result was presented in four themes. These four themes were Life after a heart transplant meant altered physical abilities, Life with a new heart meant mixed emotions, Life after heart transplant was affected by the donor and A life with a new heart meant a need for support. The result showed that patients' everyday lives had been affected both physically and mentally in conjunction with the heart transplant. The patients expressed this with different conflicting feelings, both positive and negative. The need of support from the family, care team and faith were of great importance in patients' adaptation to the new life situation. The better the support, the more the patients' quality of life increased.

    Discussion: The discussion is divided into two parts. The method discussion contains the strengths and weaknesses of the authors' implementation of the literature review. In the results discussion, the authors chose to discuss the onset of mental illness in patients following a heart transplant and the importance of good information and communication in health care. It concludes with the nurse's importance of knowing the difference between health care in Sweden and in other countries.

  • 249.
    Benavente, Helena
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Nardi, Nicole
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskors attityder till och upplevelser av att vårda personer med emotionellt instabil personlighetsstörning2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients with borderline personality disorder represent a large group in healthcare who are struggling with painful emotions in life. Caring should be based on strengthening health processes by focusing on the patients, but research made by the patient's perspective has shown that this population rather felt that their health processes was counteracted, than promoted. The patients felt that the nurses displayed a negative attitude towards them. Attitudes are defined as a system of values, emotions and actions towards others.

     

    Aim: the purpose of this study was to highlight the attitudes and experiences of nurses towards caring for people with borderline personality disorder

     

    Methods: A study on the literature based on nine scientific papers was performed. The articles have been analyzed, systematically coded and compiled into a new unit.

     

    Results: This study shows that nurses have an overall negative attitude towards patients with borderline personality disorder. Three main categories emerged, which was lack of knowledge, difficult patients and experiences influence. The nurses expressed the lack of knowledge as a feeling of not being competent enough to provide the right care and because of the fact that they had little faith in the care options that existed. Difficult patients was the biggest theme which showed that patients were seen as strong, dangerous ruthless forces that evokes powerlessness among nurses. Something that was seen as consistent throughout the study was that the patients were seen as dishonest and manipulative. The third main theme

    ”experiences influence” showed that experiences affects and touches the nurse that then contributes to the selection of treatment strategies.

     

    Discussions: It appears that there is a gap between nurses' attitudes and the needs of patients resulting in health suffering. This is discussed by Katie Erikson's theory of care suffering from nursing science theory of health and care, patients 'and nurses' views on health promotion.

     

    Keywords: Borderline personality disorder, experiences, attitudes, nursing, nurse, nurses.

     

     

  • 250.
    Bende, Jenny
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Krantz, Martina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att möta närstående i sorg: En litteraturöversikt om sjuksköterskans upplevelser av mötet med närstående vid plötsligt dödsfall2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The grief experienced by the bereaved next of kin after a sudden death can result in both physiological and psychological outcomes. The nurse is often faced with the acute crisis that may arise. The meeting with dying patients is emotionally stressful for the nurse, who may experience a disbelief in their own capacity.

    The aim of the study was to highlight the nurse’s experiences of meeting with the next of kin after a sudden death.

    A literature review based on five studies with qualitative design and four with quantitative design. Searches were made in the databases CINAHL Complete, PubMed and Nursing & Allied Health Source. Coping strategies and the concept of health were used as theoretical frameworks.

    The results consist of five themes. The nurse’s experienced role in the meeting with next of kin which showed that the majority of the nurses experienced the meeting with the bereaved next of kin as their responsibility. Emotional stress of the meeting was for example helplessness, stress, failure and guilt. Fear of the next of kin’s possible reactions meant the nurses fear for the reaction from the next of kin. The experience of education and lack of knowledge were considered as an important foundation in the meeting with the next of kin, and The experience of lack of resources that showed a lack of resources and guidelines.

    Stress and other external factors may affect nurses’ health negatively; the use of different coping strategies can assist the nurse in affectively handling such stress. The nurse is required to be in good health to adequately meet the next of kin and their needs. Training in and knowledge of the meeting with the next of kin can contribute positively towards the nurse’s well-being.

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