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  • 2251.
    Whitaker, Anna
    Ersta Sköndal University College, Institute for Civil Society Studies.
    The body as existential midpoint—the aging and dying body of nursing home residents2010In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 24, no 2, p. 96-104Article in journal (Refereed)
    Abstract [en]

    The human body has been the object of extensive attention in the social sciences, recently receiving increasing interest from social gerontology as well. However, the issue of old bodies and particularly the body in the fourth age of life remains relatively under-researched. The need to give emphasis to the subjective experiences of the oldest old during their final phase of life has been pointed out. This article is based on data obtained from ethnographic fieldwork carried out on a nursing home ward, and explores and analyses how the residents talk about and regard their own aging and dying bodies. The focus is on the link between the disintegrating body, aging and death in an institution-based care context. It was found that the body is the central entity through which the residents experience daily life, through pain, through the caring process, through diminished physical and cognitive functions, and as such constitutes the existential nucleus of their being. The article includes a discussion on how these experiences also elucidate the way in which the body is a mediator for issues seldom acknowledged such as existential needs.

  • 2252.
    Wiberg, Sanna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Wirström, Elin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Försoning i livets slutskede2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2253.
    Widell, Cecilia
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjöholm, Julia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdpersonalens erfarenheter i mötet med patienter med psykisk ohälsa inom den somatiska vården2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Historically, people with mental illness have been seen as different and been excluded by society. Todays’ society often portrays people with mental illness as crazy and dangerous. Mental illness is now widespread, and to provide high quality care, a holistic approach is essential.

    Aim: The aim is to highlight nursing staffs’ experiences in the encounter with patients with mental illness in somatic care.             

    Methods: A literature review based on eight scientific papers has been carried out, including six quantitative and two qualitative articles. With emphasis on illuminating nursing staff s’ experience in the encounter with patients with mental illness. Theoretical framework has been anchored to Katie Erikson's theory of caring.

    Results: The results indicate that there are negative attitudes towards patients in somatic care. Lack of knowledge, experience, interaction with patients with mental illness and support are seen as contributing factors to these attitudes. This often leads to nursing staff avoiding providing care to these patients. A small part of the nursing staff had a positive outlook, which then was based on the nursing staff having more experience and knowledge of people with mental illness.

    Discussions: There was a desire to get more education and knowledge of mental health among nurses. However, the results showed that only education was not enough to change the negative attitudes that emerged. Because these patients often find themselves on a somatic ward, it is important to reflect on the attitudes towards these patients, and how it affects the nursing care.

  • 2254.
    Widholm Boström, Emma
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Granberg, Mirjam
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kvinnors upplevelser av att leva med bröstcancer: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2255.
    Widlund, Kajsa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Williams, Nwune
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskors reflektioner kring kön inom omvårdnad: en litteraturstudie2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2256.
    Widman, Evelina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Berg, Thérèse
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    HIV-infekterade personers erfarenheter av bemötande från sjukvårdspersonal: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The work of healthcare professionals includes to care for patients with blood-borne diseases such as HIV. Because of the potential risk that the staff themselves get infected with the patient's illnesses, they feel a fear of caring for the patients with HIV. Studies show that healthcare professionals prefer to refrain from nursing for patients with the disease due to fear of being infected themselves and that they are aware that they discriminate patients with HIV.

    Aim: The aim of this literature review was to illustrate how patients with HIV experience the attitudes from healthcare professionals in care.

    Method: A literature review including eleven scientific articles, 2007-2018, from CINAHL compelet and PubMed. The articles are of both quantitative, qualitative and mixed method. The articles were processed with Katie Eriksson's caritative nursing theory.

    Results: The result showed two main themes; Inadequate attitudes and empathetic attitude. Most patients with HIV experienced discrimination and inadequate attitudes from healthcare professionals. Women, immigrants, socially disadvantaged and gay men tended to experience discrimination to a greater extent. The patients with HIV who experienced an empathetic treatment had a close caregiver-patient relationship.

    Discussion: Healthcare professionals knowledge and work experience of HIV is discussed based on Katie Eriksson's nursing theory. It is emphasized that adequate education of HIV and work experience of the healthcare professionals can affect patients both somatic and psychosocial pain. Women tend to experience more discrimination than men.

  • 2257.
    Widén, Malin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Zandrén, Petra
    Ersta Sköndal University College, Department of Health Care Sciences.
    Äldre människors uppfattningar om god vård i livets slutskede2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2258.
    Wieckman, Anna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Pierre, Jessica
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdhundens betydelse för att främja välbefinnande hos äldre på vård och omsorgsboende: En litterturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2259.
    Wijk, Lennart
    Ersta Sköndal University College, Department of Health Care Sciences.
    Andlig omvårdnad i psykiatrisk vårdkontext2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2260.
    Wijkström, Richard
    Ersta Sköndal University College, Department of Health Care Sciences.
    Mötet med den psykiatriska vården: Anhörigas erfarenheter av bemötandet från psykiatrisk vårdpersonal2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To care for someone with a mental illness can be strenuous both mentally, socially and economically. Those close to the patient are often there as support before mental health care can intervene, and they are often there when the patient is discharged from the hospital. A good relationship between mental health care personnel and those close to the patient is of most importance for creating a feeling of participation in the care of the patient. This requires that the mental health care personnel are aware of the needs of those close and have knowledge of how to meet these.

    Aim: To describe how those close to someone - usually a relative or loved one - with a mental illness experience the treatment from mental health personnel

    Method: Literature review based on 17 articles with a qualitative perspective. Analyzed using a descriptive data analysis technique.

    Results: Results show that those close to someone with a mental illness often feel excluded in the care of their loved ones, and mental health personnel fail to satisfy the relative or loved one’s basic needs - especially in the area of providing them with information and showing them respect. This exclusion can be felt when the care provider shows the loved one / family member an authoritarian attitude rather than appreciating or acknowledging the importance of the knowledge that these loved one possess regarding the patient’s mental illness. The results show that in cases when mental health personnel have been accommodating to the needs of the next of kin by making them feel respected, heard and taken seriously the loved one have feelings of inclusion and participation in the caring process.

    Discussions: The foundation of the relationship between mental health personnel and those close to the patient is often established within the first meeting. It is therefore of utterly importance that the mental health professionals are aware of how their demeanor and attitude are affecting the next of kins perception of participation. The needs of those close to the patient can, in most cases, be satisfied with relatively small means. Keywords: Relative, relatives of the mentally ill, treatment by mental health care professionals, participation, professional-family relations

  • 2261.
    Wiklund, Birgitta
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Widberg, Cecilia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters erfarenhet av e-hälsa i palliativ vård: En integrative review2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 2262.
    Wiklund, Michael
    Ersta Sköndal University College, Department of Health Care Sciences.
    Betydelsen av fysisk aktivitet för människor med psykisk funktionsnedsättning2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A number of studies have stated that people with mental disabilities, due to the nature of their disorders, have difficulties to get started with physical activities. The atypical drugs that are commonly used in modern psychiatry tend to enhance symptoms of inactivity. People with mental disabilities have a higher degree of obesity and a higher mortality rate related to metabolic effects such as myocardial infarction, stroke and complications from diabetes. Along with the social handicaps that this provides an increasing interest for physical activity, as a way to decrease these symptoms and to improve quality of life, has occurred.

    Aim: To describe physical activity and its impact on people with mental disabilities.

    Method: Literary study using a mixed method approach.

    Result: Physical activity for people with mental disabilities has a positive influence on various levels, both physiological and psychological. Among the physiological gains there are condition improvement, weight loss and improvement of body functions. The main improvements that were shown in the result were the ones on psychological aspects, such as feelings of being involved, social gains and anti stressing effects. Surprising was that physical activity had such a noticeable effect on the caring environment and that in its turn gained the carer-patient relationship. This was described in a number of studies.

    Discussion: The four themes that are presented in the result, give a clear picture of what physical activity can mean to people with mental disabilities. This is consistent with what other scientific studies have shown. It was also shown in the result that the caring environment at the department became calmer and safer. This is something that was not that obvious in the literature that the author went through in the discussion part. The carer-patient relationship has been used as a theoretical framework and it has been recurring and so clear that it has its own headline in the result part. This is to great joy of the author, since he believes that one of the main keys for a person to find motivation is to start training and to create a vital change in life.

  • 2263.
    Wikman, Anna
    et al.
    Uppsala universitet.
    Mattsson, Elisabet
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    von Essen, Louise
    Uppsala universitet.
    Hovén, Emma
    Uppsala universitet.
    Prevalence and predictors of symptoms of anxiety and depression, and comorbid symptoms of distress in parents of childhood cancer survivors and bereaved parents five years after end of treatment or a child's death.2018In: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 57, no 7, p. 950-957Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Symptoms of anxiety and depression and their comorbidity in parents of children diagnosed with cancer, particularly later in the cancer trajectory, need further study. The aim was to investigate the prevalence and predictors of symptoms of anxiety and depression in parents of childhood cancer survivors and bereaved parents, five years after end of treatment or a child's death and to investigate comorbidity between symptoms of anxiety, depression and posttraumatic stress.

    MATERIAL AND METHODS: Participants were 132 parents (68 mothers, 64 fathers) of survivors and 37 bereaved parents (20 mothers, 17 fathers). Chi-square test and t-test were used to explore differences in symptoms of anxiety and depression. Comorbidity was explored using Pearson's correlations and Chi-square test. Multivariable hierarchical linear regressions were used to identify predictors of symptoms of anxiety and depression.

    RESULTS: In parents of survivors, 20% reported anxiety and 14% reported depression. Corresponding figures among bereaved parents were 30% and 35%. Among parents of survivors reporting clinically relevant anxiety and depression, a larger proportion were mothers than fathers. No such difference was found among bereaved parents. Symptoms of anxiety, depression and posttraumatic stress were highly correlated (all r ≥ 0.65, p < .001). Comorbid symptoms were reported by 7-11% of parents of survivors and 14-24% of bereaved parents. In multivariable analyses, more severe symptoms of depression were associated with anxiety, posttraumatic stress and distress related to previous stressful life events. Being a mother, symptoms of depression and posttraumatic stress were associated with more severe symptoms of anxiety.

    CONCLUSION: A subset of parents report clinically elevated symptoms of anxiety and depression, comorbid anxiety, depression and posttraumatic stress. Experiencing distress related to previous stressful life events as well as concurrent comorbidity were associated with more severe psychological distress at five years after end of treatment/a child's death. These results deserve further attention in research and clinical care.

  • 2264.
    Wikström, Filippa
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Möller, Agnes
    Ersta Sköndal University College, Department of Health Care Sciences.
    "Ibland hjälper han mig mer än vad alla ni i personalen gör.": Hur djur i vården påverkar välbefinnandet hos personer med långvarig ohälsa. En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Animals have been shown to have a positive effect on people. The nursing science approach says that a person can experience well-being despite illness. The positive attributes of animals can be used in health care to help ill people experience well-being. An animal-assisted intervention can be a form of activity or therapy involving pets (AAA / AAT) or horses (EAT).

    Aim: The purpose of this study was to elucidate how animals in health care promote well-being for people with long-term illness.

    Methods: Literature review based on fourteen original scientific articles, with both qualitative and quantitative approach.

    Results: The compilation of the results led to four main categories with two subcategories respectively. These were: Physical aspects with subcategories Physical well-being and Bodily functions; Psychic aspects with subcategories Psychic well-being and Reduced psychiatric symptoms; Existential aspects with subcategories Quality of Life and Safety; Social Aspects with subcategories Social behavior and Relationships.

    Discussions: Review and discussion of the selected method. Discussion of the results with the selected theoretical framework: Antonovsky's theory of Sense of Coherence (SOC) and the salutogenic approach. The results were discussed based on the concepts of comprehensibility, manageability and meaningfulness.

  • 2265. Wikström, Lotta
    et al.
    Eriksson, Kerstin
    Årestedt, Kristofer
    Ersta Sköndal University College, Palliative Reserch Centre, PRC. Linnéuniversitetet.
    Fridlund, Bengt
    Broström, Anders
    Healthcare Professionals' Perceptions of the Use of Pain Scales in Postoperative Pain Assessments2014In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 27, no 1, p. 53-58Article in journal (Refereed)
    Abstract [en]

    Aim: To describe how healthcare professionals perceive the use of pain scales in postoperative care.

    Background: Pain scales are important but not an obvious choice to use in postoperative care. No study has explored how healthcare professionals experience the use of pain scales. Methods: An explorative design with a phenomenographic approach was used. The sample consisted of 25 healthcare professionals. Semistructured interviews were performed.

    Results: Four descriptive categories emerged - the use of pain scales facilitated the understanding of postoperative pain, facilitated treatment, demanded a multidimensional approach and was affected by work situations.

    Conclusions: Healthcare professionals described that pain scales contribute to the understanding of patient's postoperative pain. It is important to ensure patient understanding and be aware about variations in pain ratings. Dialogue and observations are necessary to be certain what the ratings mean to the patient. The use of pain scales depends on patient's needs and organization. (C) 2014 Elsevier Inc. All rights reserved.

  • 2266.
    Wilking, Alice
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Nilsson, Rebecca
    Ersta Sköndal University College, Department of Health Care Sciences.
    Upplevelsen av livskvalitet hos yngre kvinnor med bröstcancer2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2267. Wimo, A
    et al.
    Wallin, J-O
    Lundgren, K
    Rönnbäck, E
    Asplund, Kenneth
    Dagvård och gruppboende för åldersdementa: en kostnadsanalys1988In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 85, no 9, p. 729-733Article in journal (Other academic)
  • 2268.
    Wimo, Anders
    et al.
    Umeå universitet.
    Asplund, Kenneth
    Mittuniversitetet.
    Mattsson, Bengt
    Mariehem Primary Health Care Center, Umeå, Sweden.
    Adolofsson, Rolf
    Umeå universitet.
    Lundgren, Kjerstin
    Granloholm Primary Health Care Center, Sundsvall, Sweden.
    Patients with dementia in group living: experiences 4 years after admission1995In: International psychogeriatrics, ISSN 1041-6102, E-ISSN 1741-203X, Vol. 7, no 1, p. 123-127Article in journal (Refereed)
    Abstract [en]

    Sixteen patients with dementia were studied 4 years after admission to group-living (GL) units, an intermediate level of dementia care. Of eight patients who were still alive, four lived in the GL units and four had been institutionalized. The eight patients who had died had spent 89% of their survival time in GL. Aggression was the most frequent cause of institutionalization.

  • 2269. Wimo, Anders
    et al.
    Wallin, Jan-Olov
    Lundgren, Kjerstin
    Rönnbäck, Eva
    Asplund, Kenneth
    Mattson, Bengt
    Krakau, Ingvar
    Impact of Day Care on Dementia Patients–Costs, Well-being and Relatives' Views1990In: Family Practice, ISSN 0263-2136, E-ISSN 1460-2229, Vol. 7, no 4, p. 279-287Article in journal (Refereed)
    Abstract [en]

    Forty-seven patients in psychogeriatric day centre were analysed regarding use of resources, costs and well-being. The level of well-being was based on interviews with staff and relatives and related to the economic outcome--a cost utility analysis. A 6 month period prior to day care was compared with the first 6 months in such care. The use of resources at home increased by 20% while the use of institutional care was reduced by 22%. Fifty-three percent of the patients improved in their well-being after participation in day care. When the cost of utility analysis was applied, the cost for a well-year was 4293 pounds.

  • 2270. Wimo, Anders
    et al.
    Wallin, Jan-Olov
    Lundgren, Kjerstin
    Rönnbäck, Eva
    Asplund, Kenneth
    Umeå universitet.
    Mattsson, Bengt
    Krakau, Ingvar
    Group living, an alternative for dementia patients: A cost analysis1991In: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 6, no 1, p. 21-29Article in journal (Refereed)
    Abstract [en]

    The increasing number of patients with dementia requires new forms of care management. Group living (GL) is an alternative, and two units were established in Sundsvall, Sweden, in 1984. The patients in GL used institutional care to a significantly lower extent (nursing homes, emergency hospital care, psychiatric care) after admission to GL (p < 0.001). The costs for the Municipality and the County Council changed from £49 to £42/day (p=0.21) and patient during the first six-month period in GL compared to the six-month period prior to GL. If the costs for GL are compared to the costs for nursing home care (£68/day), GL is significantly cheaper (p < 0.05).

  • 2271. Winnberg Almqvist, Elisabeth
    et al.
    Huntington Study Group PHAROS Investigators, The
    At risk for Huntington disease: The PHAROS (Prospective Huntington At Risk Observational Study) cohort enrolled.2006In: Archives of Neurology, ISSN 0003-9942, E-ISSN 1538-3687, Vol. 63, no 7, p. 991-6Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To identify the emerging clinical precursors that indicate the early onset of Huntington disease (HD) in a reliable and gene-specific manner. This information is critical for the development of therapeutic trials aimed at postponing clinical onset in HD gene carriers. METHODS: Between July 1999 and January 2004, 1001 adults at 50-50 risk for HD agreed to provide longitudinal clinical data and a blood DNA sample under consent provisions that require their individual clinical and genetic information to never be revealed. RESULTS: The Prospective Huntington At Risk Observational Study (PHAROS) cohort is characterized by a 2:1 predominance of women to men, high educational attainment, and gainful employment. Despite the gender disparity, the demographic, hereditary, and clinical characteristics of the female and male participants were similar. Investigators, who are unaware of individual gene status, characterized the baseline cohort to be highly functional with minimal motor or cognitive impairment; 92.3% of participants were judged to have no or nonspecific motor abnormalities; 6.7%, to have possible or probable motor signs; and only 1.0%, to have unequivocal HD. CONCLUSION: The baseline characteristics of the PHAROS cohort make it well suited to generate objective and prospective data about gene-specific clinical precursors that can be used as outcomes in controlled trials aimed at postponing the onset of HD.

  • 2272.
    Winnberg, Elisabeth
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Winnberg, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Pohlkamp, Lilian
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hagberg, Anette
    Uppsala universitet.
    What to Do with a Second Chance in Life? Long-Term Experiences of Non-carriers of Huntington's Disease.2018In: Journal of Genetic Counseling, ISSN 1059-7700, E-ISSN 1573-3599, Vol. 27, no 6, p. 1438-1446Article in journal (Refereed)
    Abstract [en]

    Little is known about how people's lives are influenced when going from a 50% risk status of Huntington's disease (HD) to no risk after performing predictive testing. In this study, 20 interviews were conducted to explore the long-term (> 5 years) experiences after receiving predictive test results as a non-carrier of HD. The results showed a broad variety of both positive and negative reactions. The most prominent positive reaction reported was feelings of relief and gratitude, of not carrying the HD mutation for themselves and for their children. Also, the non-carrier status promoted in some individuals' significant life changes such as a wishing to have (more) children, pursuing a career or breaking up from an unhappy relationship. However, negative reactions on their psychological well-being were also described. Some had experienced psychological pressure of needing to do something extraordinary in their lives; others expressed feelings of guilt towards affected or untested siblings, resulting in sadness or clinical depression. The new genetic risk status could generate a need of re-orientation, a process that for some persons took several years to accomplish. The results of the present study show the importance of offering long-term post-result counselling for non-carriers in order to deal with the psychological consequences that may follow predictive testing.

  • 2273.
    Wittefeldt, Katarina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskans kommunikation med patienter på akutmottagningar: faktorer som påverkar omvårdnaden2007Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2274.
    Wolfe, Joanne
    et al.
    USA.
    Jones, Barbara L.USA.Kreicbergs, UlrikaErsta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.Jankovic, MomciloItalien.
    Palliative Care in Pediatric Oncology2018Collection (editor) (Refereed)
    Abstract [en]

    This textbook is the first to focus on comprehensive interdisciplinary care approaches aimed at enhancing the wellbeing of children with cancer and their families throughout the illness experience. Among the topics addressed are the epidemiology of pediatric cancer distress, including physical, emotional, social, and spiritual dimensions; the role of the interdisciplinary team; communication and advance care planning; symptom prevention and management; care at the end of life; family bereavement care; and approaches to ease clinician distress.  The contributing authors are true experts and provide guidance based on the highest available level of evidence in the field. The book has not only an interdisciplinary but also an international perspective; it will appeal globally to all clinicians caring for children with cancer, including physicians, nurses, psychosocial clinicians, and chaplains, among others.

  • 2275.
    Woolford, Caroline
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av samtal med patienter i palliativ vård: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In difficult situations where life comes to a head, it is common that difficult issues and feelings are raised. This also raises the demands on those who care for these patients and knowledge of communication in palliative care is required. Because of this, nurses take on a great responsibility, not only for the patients they care for, but also the entire context patient is in. Therefore, the communication between nurses and patients an important part of health care.

    Aim: To highlight nurses’ experiences of conversations with patients in palliative care.

    Method: A literature review has been constructed by eight scientific articles from CINAHL complete and PubMed. The keywords used are: hospice and palliative nursing, terminal care, conversations, nurse experience och communication.

    Results: The results that emerged were divided and presented under different headings, these were: Nurses' experiences of calls in palliative care and factors that affect conversations in palliative care. Several subheadings were then created. It was revealed that many nurses experienced end-of-life conversations as difficult and it was something that required training and experience to handle in the best way.

    Discussion: The discussion was divided results into two headings: the actual responsibility and the importance of communication. This was also discussed using further literature confirming the result.

  • 2276.
    Wrembicki Nelson, Alexandra
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdhundens betydelse inom demensvården: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2277.
    Wässing, Matilda
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdrelatonen- nyckeln tlll patientdelaktighet: Sjuksköterskans syn på sin betydelse för patientens delaktighet inom den psykiatriska öppenvården för patienter som drabbats av psykos2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 2278.
    Xiang, F
    et al.
    Karolinska institutet.
    Almqvist, E W
    Huq, M
    Lundin, A
    Hayden, M R
    Edström, L
    Anvret, M
    Zhang, Z
    A Huntington disease-like neurodegenerative disorder maps to chromosome 20p.1998In: American Journal of Human Genetics, ISSN 0002-9297, E-ISSN 1537-6605, Vol. 63, no 5, p. 1431-8Article in journal (Refereed)
    Abstract [en]

    Huntington disease (HD) is an autosomal dominant neurodegenerative disorder characterized by motor disturbance, cognitive loss, and psychiatric manifestations. The disease is associated with a CAG trinucleotide-repeat expansion in the Huntington gene (IT15) on chromosome 4p16.3. One family with a history of HD was referred to us initially for predictive testing using linkage analysis. However, the chromosome 4p region was completely excluded by polymorphic markers, and later no CAG-repeat expansion in the HD gene was detected. To map the disease trait segregating in this family, whole-genome screening with highly polymorphic dinucleotide-, trinucleotide-, and tetranucleotide-repeat DNA markers was performed. A positive LOD score of 3.01 was obtained for the marker D20S482 on chromosome 20p, by two-point LOD-score analysis with the MLINK program. Haplotype analysis indicated that the gene responsible for the disease is likely located in a 2.7-cM region between the markers D20S193 and D20S895. Candidate genes from the mapping region were screened for mutations.

  • 2279.
    Yalcin, Ayse
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Bellonius, Margareta
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdpersonalens attityder gentemot patienter med alkoholproblematik2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2280.
    Yassir, Ahlame
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Askar, Run
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Upplevelser i samband med att vårda en sjuk familjemedlem vid ett palliativt skede i hemmet- ett närståendeperspektiv: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care performed at home has greatly increased as most incurably ill individuals wish to be cared for in their own homes during their last time in life. Next of kin of the ill person then pose a crucial role in order to achieve a good palliative care despite the efforts of the health care personnel. The next of kin often take on various caring tasks and are responsible for the ill person's care. Next of kin can therefore experience an increased need for support from the nurse. The nurse has an important supportive role towards next of kin in order to promote both their and the ill person's well-being.Aim: The aim was to describe theexperiences of the next of kin in relation to caring for an ill family memberat a palliative stage at home. Method: The chosen method was a literature review. Twelve scientific articles were included, one of which was of mixed method and eleven of qualitative. These articles were retrieved from the databases Medline and CINAHL Complete and analyzed based on Friberg’s method for compiling scientific knowledge. Results: The result is described in six themes; Wanting to fulfill the wish of the ill person but feeling lonely in the everyday life, to feel insufficient with a great responsibility for the ill person, to feel fear and uncertainty, wanting to be involved and included in the care, communication and information from the health care personnel and to come close and feel relief.Discussion: The result was discussed based on Meleis transition theory and research. The authors discussed the next of kin's experience of loneliness and isolation. The authors found in the result that the next of kin experienced inadequate communication and information. In order to achieve ahealthy transition it is important that the next of kin's feelings ofloneliness and isolation is noticed and that their need for information is satisfied. To support the next of kin in terms of relieve services and satisfy their need for information, was discussed by the authors as an important task for the nurse.

  • 2281.
    Yassir, Amale
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Meygag, Hodo
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Stöd från vårdpersonal inom palliativ hemsjukvård - närståendes upplevelser: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care at home is also called palliative home care and means care performed at home. It aims to maintain quality of life for relatives and patients as well as to minimize suffering. Relatives are essential for achieving a good palliative care. They take on the responsibility for the care but it´s also given to them. The number of relatives who provides care is increasing in connection with that more patients wish to get palliative home care. Being a relative to patients in palliative home care can thereby have a negative impact on the relatives quality of life and thereof it´s important that nurses support relatives.

    Aim: The aim was to highlight how relatives experience support of care staff in palliative home care.

    Method: In the literature review the chosen databases were Cinahl Complete, PubMed and Medline.12 scientific articles of qualitative design was selected and then quality-reviewed and analyzed according to Friberg´s method.

    Results: The result generated in five themes; Experience of the home healthcare team´s support, the meaning of relation, continuity and acknowledgement to experience support, the meaning of the information to experience support, the caring responsibility and the experience of support after the caring period.

    Discussion: The result is discussed based on the background, the scientific concept of health, Meleis theory and other research. To achieve a healthy transition it´s required that relatives are offered support. The result showed that relatives experienced lack of emotional and informative support. Preparing relatives and offering support was discussed as a central task for nurses, there factors to inadequately support appeared to be lack of knowledge, time and identification of relatives in need of support.

  • 2282.
    Yifter, Lilly
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienter med aggressivt beteende och en förklaringsmodell om vad som kan trigga igång aggressivitet: En Integrativ litteraturöversikt2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The care environment within psychiatric inpatient care has been described to create different emotions and is characterized as a hard environment where patients sometimes are treated against their will and can be exposed to coercive measures and restrictions. Aggressiveness is common at these wards and is considered a problem. There is a knowledge gap when it comes to patients and situations that increase the risk for aggressiveness in the context of psychiatric inpatient care.

    Aim: To identify characteristic features of aggressive patients and to identify aspects that effects situations where threats and violence has occurred in psychiatric inpatient care and to synthesise an explanatory model.

    Method: An integrative literature overview containing both qualitative and quantitative articles. The data were analysed using Whittemore and Knafl’s (2005) working procedure.

    Results: The result generated in three main themes and ten subthemes. Following three main themes were identified: the patient as a trigger, the care environment as a trigger and the staff as a trigger.

    Discussion: The method is discussed in relation to these concepts: trustworthiness, dependability, confirmability and transferability. The results are discussed with support of previous research and in relation to Phil Barker's theory the Tidal model.

  • 2283.
    Ytterberg Tornlund, Angelica
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Oxenberger, Therese
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Unga vuxnas upplevelser av att ha cancer: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Cancer is one of the most common diseases today along with diabetes, COPD and cardiovascular disease. Cancer is a serious illness that changes the meaning of life and raises thoughts of death. Young adults are an under-studied target group that lacks a clear definition and therefore challenges the nurse's approach. Finding out about young adults experience of cancer can result in good nursing where the patient's health and autonomy are taken into consideration.

  • 2284.
    Yusuf, Suleyga
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att vara fånge i sitt tvång: att leva med Anorexia Nervosa: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Anorexia Nervosa (AN) är en ätstörning som kännetecknas av upprätthållandet av en signifikant låg kroppsvikt. AN är av de allvarligaste psykiska störningarna som kan drabba en människa, med högre mortalitet än andra psykiska störningar. Störningen orsakar stort lidande hos den drabbade.

    Syfte: Syftet med denna litteraturstudie var att undersöka patienters upplevelser av att leva med AN.

    Metod: Författaren gjorde en litteraturöversikt i enlighet med Fridberg (2017). Tio kvalitativa vetenskapliga artiklar analyserades. Artiklarna hämtades från CINAHL complete, PsycINFO och Nursing & Allied Health Database.

    Resultat: Resultatet genererade tre huvudteman med tolv underteman. Det första huvudtemat var livslidande med fyran underteman: nedstämdhet och att vara ledsen, svårigheter att identifiera och uttrycka känslor, dömd, avvisad och påverkad av omgivningen och starka känslomässiga reaktioner. Det andra huvudtemat var sjukdomslidande med fyra underteman: kroppsuppfattning, att vara isolerad, att vara fånge i sin egen sjukdom - den anorektiska sjukdomsrösten och rädsla för att inte vara anorektisk längre. Det tredje och sista huvudtemat är vårdlidande med fyra underteman: dålig emotionell respons hos sjukvårdspersonal, otillräcklig kunskap om Anorexia Nervosa hos sjukvårdspersonalen, kontrollerande sjukvårdspersonal och behov av förutsägbarhet och delaktighet.

    Diskussion: Författaren har valt att resonera kring vårdlidande eftersom det är ett av sjuksköterskans ansvarsområden att förhindra och eliminera vårdlidande. För att förhindra vårdlidande hos patienter krävs det att sjuksköterskan är empatisk, har adekvat kunskap om patientens tillstånd, gör patienten delaktig i sin egen vård samt främjar självbestämmande.  

  • 2285.
    Yuwanich, Nuttapol
    et al.
    Mälardalens högskola.
    Mattsson, Karin
    Mälardalens högskola.
    Pietilä Rosendahl, Sirpa
    Mälardalens högskola.
    Thai nurses experiences of utilizing gerontological knowledge within general nursing care: A qualitative study2016In: Developing Educational Leadership in Gerontology Worldwide, 2016Conference paper (Refereed)
    Abstract [en]

    Around the globe the number of older adults is increasing as the life expectancy tends to be longer. Although many nursing programs provide education related to caring for older adults, the connection to and utilization of gerontological knowledge within nursing is vague and still not well understood. The Double Degree Bilingual Nursing Program (DDBNP) is a collaboration between two universities, one in Thailand and one in Sweden, where the nursing students from the Thai University, study their fourth and final year of the program at the university in Sweden. Some of these DDBNP students may become the future leaders of health care in Thailand. While in Sweden, the DDBNP students study a course in gerontology and the fundamentals of nursing care for older adults together with other international students. Within the gerontology course, lecturers/doctoral students in nursing from the Thai University were invited to participate as co-teachers in the course, thus the Eastern and Western cultural views on aging as well as on pedagogy were combined. The first batch of students attending DDBNP have graduated and have now been working as registered nurses (RNs) for more than a year. By interviewing these RNs from the DDBNP, we will be able to explore their utilization of the gerontological knowledge that they gained from the course, and see how they are applying this knowledge in their work as nurses. The study thus aims to explore the Double Degree nurses’ experiences with implementing gerontological knowledge within nursing care. Research designs: A narrative qualitative inquiry will be applied in this study. This inquiry is able to explore what the gerontology course have meant to the nursing students and how have they had use of the gerontological knowledge in their nursing careers. Data collection:In-depth interviews will be performed with 10 general nurses in Thailand. The participants graduated from the Double Degree Bilingual Nursing Program and had participated in a gerontology course at a Swedish university. Data analysis:Transcribed interviews will be analyzed using content analysis.

    Objective 1: After attending this activity, participants will be able to discuss how gerontological knowledge is being utilized by the Double Degree Bilingual Nursing Program graduates within their work in general nursing environments.

    Objective 2: The participants will also be able to discuss and share experiences about challenges and opportunities implementing gerontological knowledge within nursing care.

  • 2286.
    Zakrisson, Camilla
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Nylander-Andersson, Eva
    Ersta Sköndal University College, Department of Health Care Sciences.
    Personer med cancersjukdom och deras upplevelse av massage2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2287.
    Zotterman, Anna Nygren
    et al.
    Luleå tekniska universitet.
    Skär, Lisa
    Blekinge tekniska högskola.
    Olsson, Malin
    Luleå tekniska universitet.
    Söderberg, Siv
    Mittuniversitetet.
    Being in Togetherness: Meanings of encounters within primary healthcare setting for patients living with long-term illness2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 19-20, p. 2854-2862Article in journal (Refereed)
    Abstract [en]

    Aims and objectivesThe aim of this study was to elucidate meanings of encounters for patients with long-term illness within the primary healthcare setting.BackgroundGood encounters can be crucial for patients in terms of how they view their quality of care. Therefore, it is important to understand meanings of interactions between patients and healthcare personnel.DesignA phenomenological hermeneutic method was used to analyse the interviews.MethodsNarrative interviews with ten patients with long-term illness were performed, with a focus on their encounters with healthcare personnel within the primary healthcare setting. A phenomenological hermeneutical approach was used to interpret the interview texts.ResultsThe results demonstrated that patients felt well when they were seen as an important person and felt welcomed by healthcare personnel. Information and follow-ups regarding the need for care were essential. Continuity with the healthcare personnel was one way to establish a relationship, which contributed to patients' feelings of being seen and understood. Good encounters were important for patients' feelings of health and well-being. Being met with mistrust, ignorance and nonchalance had negative effects on patients' perceived health and well-being and led to feelings of lower confidence regarding the care received.ConclusionsPatients described a great need to be confirmed and met with respect by healthcare personnel, which contributed to their sense of togetherness. Having a sense of togetherness strengthened patient well-being.Relevance to clinical practiceBy listening and responding to patients' needs and engaging in meetings with patients in a respectful manner, healthcare personnel can empower patients' feelings of health and well-being. Healthcare personnel need to be aware of the significance of these actions because they can make patients experience feelings of togetherness, even if patients meet with different care personnel at each visit.

  • 2288.
    Zotterman, Anna Nygren
    et al.
    Luleå tekniska universitet.
    Skär, Lisa
    Luleå tekniska universitet.
    Olsson, Malin
    Luleå tekniska universitet.
    Söderberg, Siv
    Luleå tekniska universitet.
    District nurses' views on quality of primary healthcare encounters2015In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 3, p. 418-425Article in journal (Refereed)
    Abstract [en]

    Good encounters are fundamental for good and professional nursing care, and can be described as treating patients with respect and protecting their integrity and autonomy. This study describes district nurses' views on quality of healthcare encounters in primary healthcare. A purposive sample of 27 district nurses participated in five focus group interviews. The focus groups interviews were digitally recorded and transcribed verbatim. The interview texts were analysed using a thematic content analysis. The analysis resulted in four themes, including being aware of the importance and difficulties during encounters, being the patient's advocate, being attentive to the unique person and being informed when a meeting turned out poorly. The results show that district nurses believed that encounters formed the basis of their work and it was vital for them to be aware of any difficulties. District nurses found that acting in a professional manner during encounters is the most significant factor, but this type of interaction was sometimes difficult because of stress and lack of time. The district nurses considered themselves to be the patients' advocate in the healthcare system; in addition, the acts of seeing, listening, believing and treating the patient seriously were important for providing good quality care. If a poor encounter occurred between the district nurse and the patient, the district nurses found that it was necessary to arrange a meeting to properly communicate what problems arose during the interaction. The district nurses highlighted that providing an apology and explanation could improve future encounters and establish a better nurse–patient relationship. In conclusion, this study shows the importance of confirming and respecting patients' dignity as the fundamental basis for a good quality encounter in primary healthcare

  • 2289.
    Zälle, Ann-Kristin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Löfqvist, Anna-Karin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ambulanssjuksköterskans omvårdnad av akut sjuka patienter i samband med transport2001Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2290.
    Ädel, Karin
    Ersta Sköndal University College, Department of Health Care Sciences.
    God vård i hemmet - möjligheter och hinder: sjuksköterskors, patienters och anhörigas perspektiv2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2291.
    Åhgren, Clara
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Lindström, Miriam
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Endometrios - En livsomvälvande sjukdom: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronic disease that approximately one out of ten women suffer from. The disease affects many aspects of the women’s lives. The health care’s lack of knowledge results in a delayed diagnosis, which increases the risk of infertility, a negative psychological impact and an unnecessary suffering. The professionals describe the lack of knowledge as a barrier which complicates the interactions and care they want these women to receive. The women´s partners describe a feeling of being powerless and a concern about women´s wellbeing and the consequences of the disease.

    Aim: Was to describe women´s experience of living with endometriosis.

    Method: Literature review of 15 scientific articles.

    Results: The result of the study describes women’s experiences of living with endometriosis. The authors concluded the women’s experiences in five different themes, pain, fertility, psychological impact, health care encounters and limitations of life. These themes describe the disease’s impact on women’s lives and what limitations they experience due to endometriosis, but also the women’s health care encounters, which for the most part is described as negative and trivializing.

    Discussion: The discussions are based on the following headings, life with endometriosis, the Swedish National Board of Health's guidelines, education might be the answer and the multidisciplinary work. The authors discussed women’s experience of the disease and how the guidelines from The Swedish National Board of Health´s are supposed to improve care of endometriosis patients. They also discussed how education of both caregivers and patients can improve these women’s situation, and lastly what roll the multidisciplinary team can play. The discussion originated from Katie Eriksson’s nursing theory. 

  • 2292.
    Åhlin, Johan
    et al.
    Umeå universitet.
    Ericson-Lidman, Eva
    Umeå universitet.
    Eriksson, Sture
    Umeå universitet.
    Norberg, Astrid
    Umeå universitet.
    Strandberg, Gunilla
    Umeå universitet.
    Longitudinal relationships between stress of conscience and concepts of importance2013In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 20, no 8, p. 927-942Article in journal (Refereed)
    Abstract [en]

    The aim of this observational longitudinal cohort study was to describe relationships over time between degrees of stress of conscience, perceptions of conscience, burnout scores and assessments of person-centred climate and social support among healthcare personnel working in municipal care of older people. This study was performed among registered nurses and nurse assistants (n = 488). Data were collected on two occasions. Results show that perceiving one's conscience as a burden, having feelings of emotional exhaustion and depersonalization and noticing disturbing conflicts between co-workers were positively associated with stress of conscience. No significant changes were observed during the year under study, but degrees of stress of conscience and burnout scores were higher than in previous studies, suggesting that downsizing and increased workloads can negatively affect healthcare personnel. Following and expressing one's conscience in one's work, and perceiving social support from superiors are of importance in buffering the effects of stress of conscience.

  • 2293.
    Åhlin, Johan
    et al.
    Umeå universitet.
    Ericson-Lidman, Eva
    Umeå universitet.
    Norberg, Astrid
    Ersta Sköndal University College, Palliative Research Centre, PRC. Umeå universitet.
    Strandberg, Gunilla
    Umeå universitet.
    Care providers’ experiences of guidelines in daily work at a municipal residential care facility for older people.2014In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 2, p. 355-363Article in journal (Refereed)
    Abstract [en]

    Background: Guidelines are used as a way of promoting high-quality health care. Most research concerning guidelines has focused on physician behaviour and to improve one specific aspect of care. Care providers working within municipal residential care of older people have described that working with multiple guidelines sometimes exposed them to contradictory demands and trouble their conscience.

    Aim: To describe care providers' narrated experiences of guidelines in daily work at a municipal residential care facility for older people.

    Design: A qualitative descriptive design was adopted.

    Methods: Interviews with eight care providers were carried out between February and March 2012 and analysed by qualitative content analysis.

    Results: Care providers described experiences that guidelines are coming from above and are controlling and not sufficiently anchored at their workplace. Furthermore, they described guidelines as stealing time from residents, colliding with each other, lacking practical use and complicating care, and challenging care providers' judgment. The overall understanding is that care providers describe experiences of struggling to do their best, prioritising between arcane guidelines while keeping the residents' needs in the foreground.

    Conclusion: In order to prevent fragmented use, guidelines have to be coordinated and adapted to the reality of daily practice before implementation. It seems essential to provide opportunities for discussions between care providers, registered nurses and management about how to make guidelines work within their daily practice. Sufficient support, knowledge and involvement are likely key issues that can help care providers to constructively work according to guidelines and thus, by extension, improve the quality of care.

  • 2294.
    Åkerstedt, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Låt oss prata om sex: Sjuksköterskors samtal om sexualitet inom psykiatrisk öppenvård - En intervjustudie.2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients in psychiatric care are, to the same extent as others, sexual beings. However, mental illness and pharmacological treatment can affect sexuality and the connection between mental health and various forms of sexual problems is well documented. The nurse seems to have a natural role in addressing sexuality with patients as part of nursing, yet research has shown that there are many barriers to this even when deemed relevant. In psychiatric care there are few studies that investigate nurses’ conversations about sexuality. Sexuality in psychiatric care still seems to have a low priority.

    Aim: To explore nurses’ conversations about sexuality in psychiatric outpatient care.

    Method: The study has a qualitative design with inductive approach. Ten nurses active in psychiatric outpatient care were individually interviewed based on a semistructured interview guide. The material was analyzed with qualitative content analysis.

    Results: The results from the interviews could be separated into three main categories: nurses’ experiences, reflecting the will and knowledge but also difficulties, notions of conditions for conversations, where opportunities and obstacles were identified and finally perceptions of sexuality within psychiatric outpatient care, where the role of sexuality as well as the role of the nurse was highlighted.

    Discussion: The results were discussed using Phil Bakers care theory The Tidal Model as well as relevant literature and research.

  • 2295.
    Ångman, Hanna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hörnblad, Ania
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vem vårdar sjuksköterskan?: En litteraturöversikt om hur arbetet som sjuksköterska kan leda till negativ stress2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sjuksköterskans yrkesområde har förändrats mycket under de senaste decennierna. Detta gäller även arbetsmiljön på sjukhus och andra vårdinstanser. Ökade effektiviseringskrav, ett minskat inflytande för personalen och splittrade arbetsuppgifter är vanligt förekommande på många arbetsplatser idag. Till följd av detta är sjuksköterskor en riskgrupp när det kommer till att drabbas av så kallad negativ stress. 

    Syfte: Att beskriva faktorer i det dagliga arbetet som kan leda till negativ stress hos sjuksköterskan.  

    Metod: Examensarbetet är en litteraturöversikt. Resultatet grundar sig på 13 stycken vetenskapliga artiklar, fem kvalitativa och åtta kvantitativa. Vid analysen lästes artiklarna ett flertal gånger och likheter och skillnader identifierades. 

    Resultat: Resultatet visade att det fanns många olika faktorer på sjuksköterskans arbete som kan leda till negativ stress. Dessa faktorer delades upp i tre huvudkategorier: Brister i organisationen och ledarskapet, med två underrubriker Underbemanning, tidsbrist och otillräckliga resurser och Långa arbetspass och växlande arbetstider, Att inte kunna tillgodose patienten med adekvat vård och Brister i den psykosociala miljön. 

    Diskussion: Resultatet diskuterades främst utifrån Aaron Antonovskys salutogena modell om Känsla av sammanhang (KASAM).  Resultatet visade sig stämma överens med tidigare utförd forskning inom området. Den negativa stressen påverkade inte enbart sjuksköterskan utan även omvårdnaden med en försämrad vårdkvalitet, försämrad patientsäkerhet och en ökad risk för att begå misstag.

  • 2296.
    Ångman, Karin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ivarsson, Annsofie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans attityd till att vårda patienter med psykisk ohälsa: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2297.
    Ångström-Brännström, Charlotte
    et al.
    Umeå universitet.
    Dahlqvist, Vera
    Ersta Sköndal University College, Department of Health Care Sciences.
    Norberg, Astrid
    Ersta Sköndal University College, Palliative Research Centre, PRC. Umeå universitet.
    Victor and the Dragon: A Young Child’s Experiences of Discomfort and Comfort, From Diagnosis Until Death2013In: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 15, no 8, p. 464-470Article in journal (Refereed)
    Abstract [en]

    Children with progressive cancer often suffer during treatment and at the end of their life, and they need comfort. This study's aim was to describe a child's experiences of being cared for until death, with a focus on discomfort and comfort. Conversations, field notes, drawings, and interviews with the child and his mother and nurse were content analyzed. The themes enduring unbearable situations, expressing emotional suffering, and finding comfort were constructed. The children's parents and other family members are often a significant source of help for the children to endure discomfort and find comfort. Emotional suffering can be expressed in drawing and crying, but sometimes, a child is inconsolable and must endure discomfort. Comfort for a dying child is enhanced by having the family close, experiencing normal daily activities such as drawing and playing, and feeling at home in life despite approaching death.

  • 2298.
    Ångström-Brännström, Charlotte
    et al.
    Umeå universitet.
    Dahlqvist, Vera
    Ersta Sköndal University College, Department of Health Care Sciences.
    Strandberg, Gunilla
    Umeå universitet.
    Norberg, Astrid
    Ersta Sköndal University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Umeå universitet.
    Descriptions of Comfort in the Social Networks Surrounding a Dying Child2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, no 3, p. 4-8Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe how comforters of one dying child were comforted, described by the child's mother and nurse.

    Background: The death of a child is one of the greatest losses parents can sustain and a stressful experience for nurses. Those who provide comfort may also need comfort, yet little is known about how comforters are comforted.

    Method: The interviews with mother and nurse were analysed using content analysis. Persons and activities mentioned as comforting were outlined in a sociogram.

    Findings: The findings show that the mother received comfort from her child and family, the nurse, extended family and others close to the family. She found comfort in being involved in the care and sharing worries with the nurse and in self-comfort. She described that siblings found comfort in each other, in living everyday life, in music and in expressing their feelings in drawings. The nurse gained comfort from sharing hardships with colleagues and a relative and from making a difference to the child.

    Conclusion: The findings provide a picture of interacting comforting social networks surrounding one dying child.

  • 2299. Ångström-Brännström, Charlotte
    et al.
    Norberg, Astrid
    Ersta Sköndal University College, Department of Health Care Sciences. Ersta Sköndal University College, Enheten för forskning i palliativ vård.
    Strandberg, Gunilla
    Söderberg, Anna
    Dahlqvist, Vera
    Parents' experiences of what comforts them when their child is suffering from cancer.2010In: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 27, no 5, p. 266-75Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe parents' narratives concerning what they find comforting when they have a child suffering from cancer. Interviews were conducted with 9 parents--8 mothers and 1 father--of children aged 3 to 9 years who were admitted to a pediatric oncology ward and had undergone their first treatment. The findings showed that the parents derived comfort from being close to their child, perceiving the child's strength, feeling at home in the ward, being a family and being at home, and receiving support from their social network. Comfort experienced in communion with the child and others became important and helped the parents build a new normality perceived as being at home in life despite all their difficulties. Within the frame of communion, the parents seemed to experience moments of hope for their child's recovery and survival.

  • 2300.
    Årestedt, Kristofer
    et al.
    Linnéuniversitetet, Linköpings universitet.
    Alvariza, Anette
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Capio palliativ vård Dalens sjukhus Stockholm.
    Boman, Kurt
    Umeå universitet.
    Öhlén, Joakim
    Göteborgs universitet.
    Goliath, Ida
    Karolinska institutet.
    Håkanson, Cecilia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Sophiahemmet högskola.
    Fürst, Carl Johan
    Lunds universitet, Region Skåne.
    Brännström, Margareta
    Umeå universitet.
    Symptom Relief and Palliative Care during the Last Week of Life among Patients with Heart Failure: A National Register Study.2018In: Journal of Palliative Medicine, ISSN 1096-6218, E-ISSN 1557-7740, Vol. 21, no 3, p. 361-367Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Heart failure is a disease with high morbidity, mortality, and physical and psychological burden. More knowledge about the care provided for patients with heart failure close to death is needed.

    OBJECTIVE: The aim was to describe key aspects of palliative care during the last week of life in patients with heart failure, as reported by healthcare professionals.

    DESIGN: This is a national register study.

    SETTING/SUBJECTS: The study included 3981 patients with diagnosed heart failure as the underlying cause of death.

    MEASUREMENTS: Data were obtained from the Swedish Register of Palliative Care, a national quality register that focuses on patients' last week of life, independent of diagnosis or care setting. The register includes information about care interventions connected with key aspects of palliative care. Data are reported retrospectively by a nurse or physician at the healthcare unit where the patient dies.

    RESULTS: Only 4.2% of patients with heart failure received specialized palliative care. In their last week of life, symptom prevalence was high, validated scales were seldom used, and symptoms were unsatisfactorily relieved. Around one-fifth (17%) of the patients in the study died alone. Less than half of family members had been offered bereavement support (45%). Moreover, one-third (28%) of the patients and more than half (61%) of the family members were reported to have had end-of-life discussions with a physician during the illness trajectory.

    CONCLUSION: The results indicate inadequate palliative care for patients with heart failure during their last week of life.

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