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  • 2051.
    Hansebo, Görel
    et al.
    Karolinska institutet.
    Kihlgren, M
    Carers' reflections about their video-recorded interactions with patients suffering from severe dementia.2001In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 10, no 6, p. 737-47Article in journal (Refereed)
    Abstract [en]

    Stimulated recall interviews were used in connection with carers' video-recorded interactions with patients suffering from severe dementia before, during and after a 1-year intervention involving supervision for individualized nursing care. The aim was to illuminate carers' reflections on their everyday life with the patients, and to find out if any changes took place across the intervention. A phenomenological-hermeneutic approach was used in the analysis, which revealed that carers' reflections were focused on the carers themselves, on the patients, on context and on the work itself in the shared everyday life. After repeated stimulated recall interviews, together with supervision every month, an improvement in carers' ability to verbalize their reflections and an awareness and knowledge about their own influence on care quality were seen. The interdependence between carers and patients made it necessary for the carers to cope with many complicated here-and-now situations, and in their reflections the carers kept coming back to their efforts to maintain a sense of dignity for the patients as well as for themselves. Reflection through stimulated recall seems to be an important tool for carers in dementia care to facilitate understanding and to help them learn through lived experience, thus developing their skills in nursing care.

  • 2052.
    Hansebo, Görel
    et al.
    Karolinska institutet.
    Kihlgren, M
    Patient life stories and current situation as told by carers in nursing home wards.2000In: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799, Vol. 9, no 3, p. 260-79Article in journal (Refereed)
    Abstract [en]

    Knowing a patient's life story is important for good nursing care of frail and vulnerable elderly people with cognitive impairments. The aim of the study was to compare patients' life stories and current situations as told by carers before and after 1 year of supervision, in which the Resident Assessment Instrument was used as a basis for individualized nursing care. Qualitative content analysis was used to disclose changes and to enable descriptions of patterns. After the intervention, two overall perspectives emerged from the analysis: the patient as a unique person with resources and abilities, despite limitations, and the carers' awareness of their own professional approach. It seemed as if the supervision and the use of a comprehensive and detailed assessment tool contributed to increased knowledge about the patients and to efforts to see them as real persons behind the dementia surface.

  • 2053.
    Hansebo, Görel
    et al.
    Karolinska institutet.
    Kihlgren, M
    Ljunggren, G
    Review of nursing documentation in nursing home wards - changes after intervention for individualized care.1999In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 29, no 6, p. 1462-73Article in journal (Refereed)
    Abstract [en]

    Using standardized assessment instruments may help staff identify needs, problems and resources which could be a basis for nursing care, and facilitate and improve the quality of documentation. The Resident Assessment Instrument/Minimum Data Set (RAI/MDS) especially developed for the care of elderly people, was used as a basis for individualized and documented nursing care. This study was carried out to compare nursing documentation in three nursing home wards in Sweden, before and after a one-year period of supervised intervention. The review of documentation focused on structure and content in both nursing care plans and daily notes. The greatest change seen after intervention was the writing of care plans for the individual patients. Daily notes increased both in total and within parts of the nursing process used, but reflected mostly temporary situations. Even though the documentation of nursing care increased the most, it was the theme medical treatment which was the most extensive overall. A difference was seen between computer-triggered Resident Assessment Protocol (RAP) items, obtained from the RAI/MDS assessments, and items in the nursing care plans; the former could be regarded as a means of quality assurance and of making staff aware of the need for further discussions. The RAI/MDS instrument seems to be a useful tool for the dynamic process in nursing care delivered and as a basis for documentation. The documentation should communicate a patient's situation and progress, and if staff are to be able to use it in their everyday nursing care activity, it must be well-structured and freely available. The importance of continuing education and supervision in nursing documentation for development of a reliable source of information was confirmed by the present study.

  • 2054.
    Hansebo, Görel
    et al.
    Karolinska institutet.
    Kihlgren, M
    Ljunggren, G
    Winblad, B
    Staff views on the Resident Assessment Instrument, RAI/MDS, in nursing homes, and the use of the Cognitive Performance Scale, CPS, in different levels of care in Stockholm, Sweden.1998In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 28, no 3, p. 642-53Article in journal (Refereed)
    Abstract [en]

    Multidimensional functional assessment is the basis of individualized care. It is especially important in the care of elderly, with the complexity of symptomatology and often with cognitive impairment present. An assessment instrument for elderly persons, used in this study, is the Resident Assessment Instrument/Minimum Data Set (RAI/MDS) and its incorporated MDS Cognitive Performance Scale (CPS). The purposes of the study were to demonstrate the cognitive performance in elderly persons in different levels of care by using the CPS and to elicit the views of staff on use of the RAI/MDS. Cognitive impairment was found in 1276 elderly persons in six levels of care studied, an important factor to consider when organizing care of elderly. An intervention study was carried out for 1 year in three nursing home wards, with training and supervision in implementation of the RAI/MDS including individualized and documented care. Part of a questionnaire was used to evaluate staff (n = 50) views on using the instrument. A majority of the staff thought that the RAI/MDS could contribute to the improvement of quality of care, documentation in nursing records, and in co-operation and engagement. Further research is necessary to elicit more knowledge on the usefulness and benefits of the instrument.

  • 2055.
    Hansebo, Görel
    et al.
    Karolinska institutet.
    Kihlgren, Mona
    Carers' interactions with patients suffering from severe dementia: a difficult balance to facilitate mutual togetherness.2002In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 11, no 2, p. 225-36Article in journal (Refereed)
    Abstract [en]

    1. A phenomenological-hermeneutic approach was used to illuminate carers' video-recorded interactions in connection with supervision for individualized nursing care. 2. In order to disclose any changes in the carers' interactions with patients suffering from severe dementia the video recordings were conducted before, during and after the intervention. 3. The content of the videos was transcribed as a text, mainly verbal communication. Due to the rich data the videos and text were kept together as a whole in every step of the analysis. 4. After an initial naïve understanding, different subthemes emerged in the structural analyses: promoting competence, struggling for co-operation, deep communication for communion, showing respect for the unique person, skills in balancing power, distance in a negative point of view, and fragmentary nursing situations. 5. The overall theme was 'Carers' balancing in their interactions, verbal as well as non-verbal, to promote a sense of mutual togetherness with the patient'. 6. The supervision intervention contributed to an improvement in carers' skills in balancing in their interactions. In the caring process carers' and patients' shared experiences and, due to patients' disabilities, interactions depended mainly on carers' qualities and capabilities for this confirming nursing care.

  • 2056.
    Hansebo, Görel
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kihlgren, Mona
    Nursing home care: changes after supervision.2004In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 45, no 3, p. 269-79Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: An intervention project was conducted in three nursing home wards in Sweden. Most patients had severe dementia. The intervention consisted of supervision for individualized and documented nursing care, based on multidimensional assessment. AIM: To illuminate changes in carers' approach after the intervention. METHODS: Several data collections were conducted across the intervention and consisted of nursing documentation, patient life stories as told by carers, video recorded interactions, stimulated recall interviews and a questionnaire. Both quantitative and qualitative methods were used in the analyses. FINDINGS: The findings from the different methods mirrored each other and added to the credibility of the intervention. Communicated knowledge about patients improved in nursing documentation and also as told by carers. Carers were differently skilled in managing the complexity of nursing care situations before as well as after the intervention, but the intervention contributed to developing carers in 'confirming nursing care'. They also improved in their ability to verbalize reflections about their everyday life with patients with dementia. CONCLUSION: Supervision made it possible for carers to share their lived experiences about their day-to-day life with patients, which could promote personal and professional development and thus improve care quality. It also appeared that a detailed assessment tool used as part of the nursing process contributed to seeing a patient as a real person behind a dementia surface.

  • 2057.
    Hansebo, Görel
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kihlgren, Mona
    Örebro.
    The Wiley  international handbook of supervision: Organizational change and supervision2014 (ed. 1)Book (Other academic)
  • 2058. Hansebo, Görel
    et al.
    Kumlien, S
    Apropå DRG och Zebra: RAI sätter patienten i centrum: [Apropos of DRG and Zebra: RAI (Resident Assessment Instrument) puts patient in the center]1991In: Vårdfacket, ISSN 0347-0911, Vol. 15, no 19, p. 20-Article in journal (Other academic)
  • 2059.
    Hansen, Linda
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Lindh, Louise
    Ersta Sköndal University College, Department of Health Care Sciences.
    Leva med en kronisk sjukdom: En litteraturöversikt om inflammatorisk tarmsjukdom och hälsorelaterad livskvalitet2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Inflammatory bowel disease (IBD) encompasses ulcerative colitis and Crohn's disease. They are chronic and occur in relapses when the mucosal becomes inflamed and ulcerated, causing complex symptoms such as acute diarrhoea, rectal bleeding and abdominal pain. The treatment aims to reduce symptoms and prevent the occurrence of relapses. As these diseases affect the daily life it also affects the individual health-related quality of life, which measures the physical, psychological and social aspects of a health problem.

    Aim: The purpose was to describe the experience of health-related quality of life in people with inflammatory bowel disease.

    Method: A literature review has been done where twelve original articles have formed the basis of the results, this creates an overview of existing research. They have been read, summarized and analysed where the similarities and differences were found and themes were formed.

    Results: The four main themes of the result is Physical function, Psychological function, Social function and Rebuilding their quality of life. It emerged in the results that physical symptoms and disease activity are those which essentially controls the psychological well-being as well as social constraints. This was shown in studies to have a negative impact on the health-related quality of life. But overtime the disease became a normal part of one's life and gave a better quality of life experience.

    Discussions: The method approach, benefits and weaknesses will be discussed and analysed. When discussing the results of the current study mainly knowledge, education, and time perspective will be addressed and analysed with Orem’s self-care theory.

  • 2060. Hansen Löfstrand, Cecilia
    et al.
    Nordfeldt, MarieErsta Sköndal University College, Institute for Civil Society Studies.
    Bostadslös!: lokal politik och praktik2007Collection (editor) (Other academic)
  • 2061. Hansen Löfstrand, Cecilia
    et al.
    Nordfeldt, Marie
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Inledning2007In: Bostadslös!: lokal politik och praktik / [ed] Hansen-Löfstrand, Cecilia och Nordfeldt, Marie, Malmö: Gleerups , 2007, p. 11-29Chapter in book (Other academic)
  • 2062.
    Hansson, Charlotta
    Ersta Sköndal University College, Department of Social Work.
    Det tillhör spelets regler: en studie om hemlösa kvinnors utsatthet för sexuellt våld2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2063.
    Hansson, Christina
    Ersta Sköndal University College, Department of Social Work.
    Leva fri från alkohol: en kvalitativ intervjustudie av fyra personer med erfarenhet av alkoholmissbruk om deras nya livsstrategier2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2064. Hansson, Jan-Håkan
    Kunskapsutveckling inom socialtjänsten - om några utmaningar2003In: Perspektiv på kunskapsutveckling inom socialtjänsten: en antologi / [ed] Nils Varg, Stockholm: Socialstyrelsen , 2003, p. 10-25Chapter in book (Other academic)
  • 2065. Hansson, Jan-Håkan
    Organizing normality: essays on organizing day activities for people with severe mental disturbances1993Doctoral thesis, monograph (Other academic)
  • 2066.
    Hansson, Jan-Håkan
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Jegermalm, Magnus
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Whitaker, Anna
    Ersta Sköndal University College, Institute for Civil Society Studies.
    Att ge och ta emot hjälp:  anhöriginsatser för äldre och anhörigstöd - en kunskapsöversikt2000Report (Other academic)
  • 2067.
    Hansson, Jan-Håkan
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Wijkström, Filip
    Basta arbetskooperativ: en amfibie med kooperativ identitet?2000In: Om kooperation & social ekonomi / [ed] Filip Wijkström och Tom Johnstad, Stockholm: Fören. Kooperativa studier , 2000, p. 245-285Chapter in book (Other academic)
  • 2068. Hansson, Jan-Håkan
    et al.
    Wijkström, Filip
    Civilt samhälle, social ekonomi eller nonprofit?: fallet Basta arbetskooperativ : slutrapport från ett forskningsprojekt2001Book (Other academic)
  • 2069.
    Hansson, Maria
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Schärman, Therese
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskors hantering av stress2005Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2070.
    Hansson, Mats J
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Andlighet i vetenskapens tidsålder2010In: "Visst längtar jag fortfarande efter något...": om etik och andlighet i vård, psykoterapi och musik / [ed] Gunilla Silfverberg, Stockholm: Ersta Sköndal högskola , 2010, p. 129-153Chapter in book (Other academic)
  • 2071.
    Hansson, Mats J
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Diakonal praxis2003In: Kyrkans kroppsspråk: reflektion om diakonalt arbete / [ed] Urban Engvall, Uppsala: Svenska kyrkan, Nämnden för kyrkolivets utveckling , 2003, p. 153-187Chapter in book (Other academic)
  • 2072.
    Hansson, Mats J
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Diakoni - teologisk reflexion2008In: Diakoni: tolkning, historik, praktik / [ed] Erik Blennberger och Mats J. Hansson, Stockholm: Verbum , 2008, p. 29-64Chapter in book (Other academic)
  • 2073.
    Hansson, Mats J
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Diakonins teologi: ett försök att ställa de rätta grundläggande frågorna1999In: Diakoni: teologi, ideologi, praxis / [ed] Förf: Erik Blennberger, Mats J. Hansson, Rolf Stål, Uppsala: Svenska kyrkans forskningsråd , 1999, p. 11-61Chapter in book (Other academic)
  • 2074.
    Hansson, Mats J.
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Förlåtelse, kyrka och samhälle2007Collection (editor) (Other academic)
  • 2075.
    Hansson, Mats J
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Förlåtelse och moralisk excellens2007In: Förlåtelse, kyrka och samhälle / [ed] Mats J. Hansson, Uppsala: Uppsala universitet , 2007, p. 85-114Chapter in book (Other academic)
  • 2076.
    Hansson, Mats J.
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Inledning2007In: Förlåtelse, kyrka och samhälle / [ed] Mats J. Hansson, Uppsala: Teologiska institutionen, Uppsala universitet , 2007, p. 7-14Chapter in book (Other academic)
  • 2077.
    Hansson, Mats J
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Livets mening och vårdens tvetydighet2006In: Nya vägar i vårdetiken / [ed] Gunilla Silfverberg, Lund: Studentlitteratur , 2006, p. 59-83Chapter in book (Other academic)
  • 2078.
    Hansson, Mats J
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Pedagogik för människovårdande utbildningar2009In: Religionspedagogisk tidskrift, ISSN 2000-4486, no 18, p. 6-7Article in journal (Other academic)
  • 2079.
    Hansson, Mats J
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Teologi för samhällets kompetensbehov1999In: Nya vägar i teologin: festskrift till Anders Jeffner / [ed] Carl Reinhold Bråkenhielm ..., Nora: Nya Doxa , 1999Chapter in book (Other academic)
  • 2080.
    Hansson, Mats J.
    Ersta Sköndal University College, Department of Diaconal Studies, Church Music and Theology.
    Yrket som kall: om personliga drivkrafter och professionella krav2012In: Värdegrunder i kyrka, diakoni och samhälle: En antologi från Ersta Sköndal högskola / [ed] Gunilla Silfverberg, Stockholm: Ersta Sköndal högskola , 2012, p. 85-103Chapter in book (Other academic)
  • 2081.
    Hansson, Sara
    Ersta Sköndal University College, Department of Health Care Sciences.
    Erfarenheter av personcentrerad vård i arbetet med personer med psykossjukdom: En intervjustudie med specialistsjuksköterskor i psykiatrisk vård2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:The new Swedish law for patients from 2015 strengthens the position patients have in relation to health care providers. Person-centred care is something described in the competence description for specialist nurses in psychiatric care, in guidelines of care for persons who have psychosis and research about person-centred care shows that it can improve quality of care. Studies have shown that patients cared for in psychiatric care wish to be more involved in care and to be seen and respected as individuals. Research, however, is inadequate about the experience specialist nurses have of person-centred care in their clinical practice.

    Aim: To describe experiences that specialist nurses have of person-centred care in work with people with psychosis in psychiatric outpatient care.

    Method: The study was carried out with a qualitative design and the data was collected with semi-structured interviews with five specialist nurses in psychiatric outpatient care. Qualitative content analysis was used to analyze the data.

    Results: The data generated three main categories and 14 subcategories. The main categories were named: To shape a person-centred care, the importance of the caring relationship and to give space to the person cared for.

    Discussions: The result of the study was discussed in relation to The Tidal model, which is a theory for psychiatric nursing funded by Barker. The result was also discussed in relation to research, guidelines of care, competence description for specialist nurses and law.

  • 2082.
    Hansson, Tarja
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Batrapo, Wasana
    Ersta Sköndal University College, Department of Health Care Sciences.
    Döva/hörselskadade individers erfarenheter av bemötandet inom sjukvården: En litteraturöversikt2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2083.
    Hansson, Ulrika
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Lampell, Johanna
    Ersta Sköndal University College, Department of Health Care Sciences.
    Faktorer som påverkar sjuksköterskors attityder gentemot patienter med HIV/AIDS2005Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2084.
    Hansson-Malmsborg, Ingrid
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vuxna patienters andliga behov2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2085.
    Haraldsson, Rose-Marie
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Löfgren, Annika
    Ersta Sköndal University College, Department of Social Work.
    Den randiga sorgen: om barns reaktioner när en förälder dör2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2086.
    Harding, Richard
    et al.
    Storbritannien.
    Marchetti, Stefano
    Italien.
    Onwuteaka-Philipsen, Bregje D
    Nederländerna.
    Wilson, Donna M
    Kanada.
    Ruiz-Ramos, Miguel
    Spanien.
    Cardenas-Turanzas, Maria
    USA.
    Rhee, YongJoo
    Sydkorea.
    Morin, Lucas
    Karolinska institutet.
    Hunt, Katherine
    Storbritannien.
    Teno, Joan
    USA.
    Håkanson, Cecilia
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Houttekier, Dirk
    Belgien.
    Deliens, Luc
    Belgien.
    Cohen, Joachim
    Belgien.
    Place of death for people with HIV: a population-level comparison of eleven countries across three continents using death certificate data.2018In: BMC Infectious Diseases, ISSN 1471-2334, E-ISSN 1471-2334, Vol. 18, no 1, article id 55Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: With over 1 million HIV-related deaths annually, quality end-of-life care remains a priority. Given strong public preference for home death, place of death is an important consideration for quality care. This 11 country study aimed to i) describe the number, proportion of all deaths, and demographics of HIV-related deaths; ii) identify place of death; iii) compare place of death to cancer patients iv), determine patient/health system factors associated with place of HIV-related death.

    METHODS: In this retrospective analysis of death certification, data were extracted for the full population (ICD-10 codes B20-B24) for 1-year period: deceased's demographic characteristics, place of death, healthcare supply.

    RESULTS: i) 19,739 deaths were attributed to HIV. The highest proportion (per 1000 deaths) was for Mexico (9.8‰), and the lowest Sweden (0.2‰). The majority of deaths were among men (75%), and those aged <50 (69.1%). ii) Hospital was most common place of death in all countries: from 56.6% in the Netherlands to 90.9% in South Korea. The least common places were hospice facility (3.3%-5.7%), nursing home (0%-17.6%) and home (5.9%-26.3%).iii) Age-standardised relative risks found those with HIV less likely to die at home and more likely to die in hospital compared with cancer patients, and in most countries more likely to die in a nursing home. iv) Multivariate analysis found that men were more likely to die at home in UK, Canada, USA and Mexico; a greater number of hospital beds reduced the likelihood of dying at home in Italy and Mexico; a higher number of GPs was associated with home death in Italy and Mexico.

    CONCLUSIONS: With increasing comorbidity among people ageing with HIV, it is essential that end-of-life preferences are established and met. Differences in place of death according to country and diagnosis demonstrate the importance of ensuring a "good death" for people with HIV, alongside efforts to optimise treatment.

  • 2087.
    Harju, Anne
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Ramén, Rose-Marie
    Ersta Sköndal University College, Department of Social Work.
    Skolan en pedagogisk miljö och en mänsklig arbetsplats?: en studie om ungdomars subjektiva upplevelse av stress2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2088.
    Harrius, Johan
    et al.
    Ersta Sköndal University College, Department of Social Sciences.
    Jonson, Marcus
    Ersta Sköndal University College, Department of Social Sciences.
    Sociala problem formulerade i hiphop: En innehållsanalys av samtida svensk hiphopmusik2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie har undersökt hur sociala problem beskrivs inom samtida svensk hiphopmusik. Syftet var att öka kunskapen om hur sociala problem formuleras. Därför har studien syftat till att undersöka vilken social problematik som beskrivs i hiphoptexterna samt hur och varför redogörelserna ser ut som de gör. I studien användes en innehållsanalys för att analysera 105 svenska hiphoptexter. Goffmans teori om stigma och Wacquants begrepp territoriellt stigma har applicerats vid analysen av de empiriska resultaten. Resultaten visar att svensk hiphopmusik tar upp sju sociala problem; missbruk, rasism, fattigdomkriminalitet, utanförskap, prostitution samt hemlöshet. Dessa sociala problem beskrevs i texterna utifrån teman om förort och kamp. Slutsatserna visar att sociala problem fungerar stigmatiserande för individer och grupper och att detta stigma påverkar såväl livsval och uppfattningen av möjliga livsval. Studiens slutsatser utgör viktig kunskap för det sociala arbetets kontakt med utsatta människor.

  • 2089.
    Hartman, Amanda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Familjebehandling under tvång: Familjebehandlares upplevelser kring den terapeutiska alliansens betydlese inom kommunal familjebehandling2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: The study investigates how family treatment done under coercion affects the ability of family therapists to create therapeutic alliance with families, and if this affects the therapist’s feelings of the possibility of creating changes. Questions: How family therapists are affected in their work to create a therapeutic alliance when the family is under / threatening care of young persons act (LVU)? Are there important relational elements in treatment that contribute to change when there is LVU or threat of LVU? Method: Qualitative interview investigation and thematic analysis. Results: The results of the study show that therapists feel it is of the utmost importance that they prove to be a "normal person", are given the opportunity to co-operate with the family and that they raise strengths rather than weaknesses, to reach an alliance. The result also shows that respondents experience it as aggravating when it comes to the creation of alliance, as collaboration with social services is sometimes complicated. They find it easier to create alliance when the family themselves ask for treatment. They believe that change is possible, albeit more difficult, when coercion exists. Discussion: The outcome of the study is discussed, partly from an intersubjective and systemic perspective.

  • 2090.
    Hartman, Amanda
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Kraska, Lisa
    Ersta Sköndal University College, Department of Social Work.
    "Den hemliga leken": en uppsats om hur beslut fattas kring vårdnad och boende för barn där misstanke finns om sexuella övergrepp2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2091.
    Hayward, Charlotte
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Karlsson, Maria
    Ersta Sköndal University College, Department of Health Care Sciences.
    Faktorer som lindrar ensamhet hos äldre människor: en guide för omvårdnadspersonal2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2092.
    Hedberg, Lena
    Ersta Sköndal University College, Department of Social Work.
    Barnperspektiv i vuxenpsykiatri2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2093.
    Hedberg, Malin
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Lundin, Katarina
    Ersta Sköndal University College, Department of Social Work.
    "Jag kommer aldrig att glömma...men lära mig leva med det": fyra ungdomars upplevelser kring Stödprogrammet för unga brottsutsatta i Tyresö kommun2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2094.
    Hedberg Nyqvist, Kerstin
    et al.
    Uppsala universitet.
    Rosenblad, Andreas
    Uppsala universitet.
    Volgsten, Helena
    Uppsala universitet.
    Funkquist, Eva-Lotta
    Uppsala universitet.
    Mattsson, Elisabet
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Early skin-to-skin contact between healthy late preterm infants and their parents: an observational cohort study2017In: PeerJ, ISSN 2167-8359, E-ISSN 2167-8359, Vol. 5, p. e3949-Article in journal (Refereed)
    Abstract [en]

    Background Skin-to-skin contact (SSC) is an important factor to consider in the care of late preterm infants (born between 34 0/7 and 36 6/7 completed weeks of gestation). The literature suggests that SSC between preterm infants and their mothers facilitates breastfeeding. However, more studies are needed to explore potential dose-response effects between SSC and breastfeeding as well as studies that explicitly investigate SSC by fathers among late preterm infants. The aim was to investigate the duration of healthy late preterm infants’ SSC with the mother and father, respectively, during the first 48 h after birth and the associations with breastfeeding (exclusive/partial at discharged), clinical and demographic variables. Methods This was an observational cohort study in which parents to healthy late preterm infants, born between 34 5/7 and 36 6/7 completed weeks of gestation, recorded duration of SSC provided by mother and father, respectively. Demographic and clinical variables were retrieved from the medical records and were used as predictors. Multiple linear regression analysis was used to assess the association between the predictors and the outcome, SSC (hours), separately for mothers and fathers. Results The mean (standard deviation [SD]) time per day spent with SSC with mothers (n = 64) and fathers (n = 64), was 14.7 (5.6) and 4.4 (3.3) hours during the first day (24 h) after birth and 9.2 (7.1) and 3.1 (3.3) hours during the second day (24 h), respectively. Regarding SSC with mothers, no variable was significantly associated with SSC during the first day, while the mean (95% confidence interval [CI]) time of SSC during the second day was 6.9 (1.4–12.4) hours shorter for each additional kg of birthweight (p = 0.014). Concerning SSC with fathers, the mean (95% CI) time of SSC during the first day was 2.1 (0.4–3.7) hours longer for infants born at night (p = 0.015), 1.7 (0.1–3.2) hours longer for boys (p = 0.033), 3.2 (1.2–5.2) hours longer for infants born by caesarean section (p = 0.003), and 1.6 (0.1–3.1) hours longer for infants exclusively breastfed at discharge (p = 0.040). During the second day, the mean (95% CI) time of SSC with fathers was 3.0 (0.6–5.4) hours shorter for each additional kg of birthweight (p = 0.014), 2.0 (0.5–3.6) hours longer for infants born during night-time (p = 0.011), 2.9 (1.4–4.4) hours longer if the mother was primipara (p &lt; 0.001), and 1.9 (0.3–3.5) hours shorter if supplementary artificial milk feeds were given. None of the other predictors, i.e., mother’s age, gestational age, or induction of labor were significantly associated with infants’ SSC with mothers or fathers during any of the first two days after birth. Conclusion Future studies are warranted that investigate duration of SSC between late preterm infants and their parents separately and the associations with breastfeeding and other variables of clinical importance.

  • 2095.
    Hedblad, Maria
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kilström, David
    Ersta Sköndal University College, Department of Health Care Sciences.
    Tillsammans skapar vi lärande: Om lärande i grupp hos personer med långvarig sjukdom med utgångspunkt i Dorothea Orems Teori om omvårdnadssystem2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Living with long term illness means losses for the individual and demands for adaptation. An important part of the nurse's work on strengthening the health of people in need of care is to support learning. An important part of learning is interaction and participation. As a nursing-science basis Dorothea Orem’s "Theory of nursing system" has been used and this theory describes the interaction between the nurse and the person she cares for.

    Aim: The purpose was to gain knowledge about how nurses can work with learning in a group of persons with long-term illness with basis in Dorothea Orem’s "Theory of nursing systems."

    Method: A literature review was carried out where ten quantitative studies have been compiled through analysis with Dorothea Orem’s "theory of nursing system" as a basis.

    Results: The results how how the various programs of the studies worked with learning in a group among people with long-term illness, where similarities and differences in the roles of the participants and the nurses emerged. Similarities were found in the programs focus on the interaction between participants as well as on the facilitating role of the nurse. An important difference was revealed in the extent of participants' influence on the content of the group sessions, where some programs let participants' needs and interests guide while some programs previously had determined the content.

    Discussions: In the discussion of the results it is argued that man's self-identified learning needs should direct learning. Learning should encourage the development of the person’s self-direction. The results show that participants in the interaction between each other have inherent resources used to promote learning among themselves and others. Strengths and weaknesses regarding the chosen method for this literature review are highlighted in the method discussion.

  • 2096.
    Hedblad, Simon
    Ersta Sköndal University College, Department of Social Work.
    Bekymringssamtal: en kvalitativ undersökning av metoden och dess användning2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2097.
    Hedelin, Maria
    et al.
    Göteborgs universitet.
    Skokic, Viktor
    Göteborgs universitet.
    Wilderäng, Ulrica
    Göteborgs universitet.
    Ahlin, Rebecca
    Göteborgs universitet.
    Bull, Cecilia
    Göteborgs universitet.
    Sjöberg, Fei
    Göteborgs universitet.
    Dunberger, Gail
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Bergmark, Karin
    Göteborgs universitet.
    Stringer, Andrea
    Australien.
    Steineck, Gunnar
    Göteborgs universitet, Karolinska institutet.
    Intake of citrus fruits and vegetables and the intensity of defecation urgency syndrome among gynecological cancer survivors.2019In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, no 1, article id e0208115Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Despite the experimental evidence that certain dietary compounds lower the risk of radiation-induced damage to the intestine, clinical data are missing and dietary advice to irradiated patients is not evidence-based.

    MATERIALS AND METHODS: We have previously identified 28 intestinal health-related symptoms among 623 gynaecological-cancer survivors (three to fifteen years after radiotherapy) and 344 matched population-based controls. The 28 symptoms were grouped into five radiation-induced survivorship syndromes: defecation-urgency syndrome, fecal-leakage syndrome, excessive mucus discharge, excessive gas discharge and blood discharge. The grouping was based on factor scores produced by Exploratory Factor Analysis in combination with the Variable Cutoff Method. Frequency of food intake was measured by a questionnaire. We evaluated the relationship between dietary intake and the intensity of the five syndromes.

    RESULTS: With the exception of excessive mucus discharge, the intensity of all syndromes declined with increasing intake of citrus fruits. The intensity of defecation-urgency and fecal-leakage syndrome declined with combined intake of vegetables and citrus fruits. The intensity of excessive mucus discharge was increased with increasing intake of gluten.

    CONCLUSION: In this observational study, we found an association between a high intake of citrus fruits and vegetables and a lower intensity of the studied radiation-induced cancer survivorship syndromes. Our data suggest it may be worthwhile to continue to search for a role of the diet before, during and after radiotherapy to help the cancer survivor restore her or his intestinal health after irradiation.

  • 2098.
    Hedelin, Petra
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Lindell, Hanna
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Den dödliga omtanken: En litteraturstudie över svenska riktlinjer, handböcker och vårdprogram för Münchhausen by proxy2018Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: This study addresses the complex phenomenon of Münchhausen by proxy (MBP). MBP means that a parent finds or creates illnesses with his or her child. The child is allowed to undergo medical examinations, treatments and sampling. MBP has been included in the definition of child abuse since the beginning of the 2000s, a definition which is supposed to guide the work with vulnerable children in Sweden. Problem area: As MBP is defined as a form of physical child abuse in SOU 2001:72, this means shared social responsibility among societal actors. Health care is according to the Health Care Act (HSL, 2017:30) responsible for investigating and treating the physical care of the child, while the social services is responsible for investigating the child's protection and needs. According to the Social Services Act (SoL, 2001:453), the Social Services Board is responsible for securing safe and good conditions for children and young people. The Social Services Board shall also ensure that children and young people receive the protection and support they need. The fact that the health care system and the child welfare system share the responsibility for working with MBP can lead to challenges for practice, as the issue is located at the interface between different policy areas and professional fields of practice. As there is very limited research on MBP in Sweden, policy will play an important role in everyday practice regarding MBP. Aim: The aim of this study was to explore how the phenomenon of MBP is constructed in Swedish welfare policy, specifically in relation to social services and health care. Furthermore, the aim of the study was to investigate the construction of MBP in national and international research, to see how national policy relates to the research situation. Method and theory: A literature study with an abductive approach was carried out, examining national and international research, public documents from government agencies and authorities, Swedish public inquiries and guidelines for social work and health care in Sweden. The analysis is based upon the theory of the construction of social problems. Findings: MBP has been constructed as a problem in research, healthcare and social work in different extent. The guidelines and manuals that exist today for the social services work on child protection are few but extensive, although none of them mentions MBP. In existing Swedish legislation, there is no law available that explicitly mentions MBP, while there are various proposals for legislative changes that mentions MBP. For health care in Sweden there are national guidelines and regional care programs for the work of child abuse, that mentions MBP. There is statutory responsibility for the social work and health care to cooperate in the case of children at risk (SoL and HSL). The two different parts of the welfare system have different working methods, which means that the joint work in child welfare investigations can sometimes be problematic. Discussion and conclusion: Since the late 2000s, MBP has been discovered as a social problem in Sweden, defined as a form of physical child abuse, and fields of responsibility and guidelines have been developed, primarily within health care. Since social work has no guidelines about MBP, there is no organizational support for social workers to pay attention to cases of MBP. In the study we have made an effort to visualize the construction of MBP in Swedish context today, which has resulted in the founding of a gap and development opportunities for the social work guidelines on how MBP is being constructed today.

  • 2099.
    Hedenlind, Sara
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Berg, Sara
    Ersta Sköndal University College, Department of Health Care Sciences.
    När ett barn dör: En litteraturöversikt över föräldrars upplevelser av vårdpersonales stöd efter att deras barn dött2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Losing a child is a great sadness that is expressed in different ways by different individuals. Grief affects not only the family but also health professionals who describe difficulties identifying parents' needs for support. Therefore, it is important to explore how parents perceive the health care professionals support after their child died.

    Aim: The aim of this literature review was to describe the parents' perceptions of support from health care professionals after the death of their child.

    Method: The studies concern parental perceptions of health professionals’ support after their child died and was selected from the database CINAHL complete and through two manual searches. The literature review was based on Friberg’s method and presents results from ten English scientific research articles.

    Results: The result includes three main themes: The need for conversation and information, The need of continuity and a good relationship and The need of follow up and commitment.

    Discussion: Method discussion describes the literature reviews strengths and weaknesses and what may have influenced both the design and approach. The literature reviews results discusses how parents whose children died in hospitals experienced health care professionals support after information about the child's diagnosis, what is important at the moment of death and after the child died and how follow-up affects parents. The result also discusses what parents want from health care professionals in the different phases. The results are also discussed based on Travelbees nursing theory with focus on the concept of man.

  • 2100.
    Hederos, Annhelen
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Schönbeck, Marie
    Ersta Sköndal University College, Department of Social Work.
    När allt inte blev som man hade tänkt sig...: studie av en förebyggande verksamhet för nyblivna mammor i behov av extra stöd2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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