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  • 251.
    Eriksson, Mikaela
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hedström, Felice
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Se mig för den jag är och inte för vad som hänt mig: En litteraturöversikt om kvinnors upplevelser av vård efter sexuella övergrepp2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual assault is an offensive action against human rights and is internationally a threat to women's security. Worldwide 36 percent of all women will at some point during their lifetime experience some kind of sexual assault. These abuses can affect both the physical and mental well-being and create suffering. Health-care have a responsibility to provide the woman with both medical and psychosocial care and promote health and alleviate suffering. But health professionals express a lack of knowledge how to treat women who are victims of sexual assault.

    Aim: To illustrate the factors that affect the experience of care for women who have been victims of sexual assault.

    Method: The literature review has been designed according to Friberg's (2012) method. Ten articles were included. Seven have qualitative design, one quantitative design and two have mixed design. The results in the literature occurred by similarities found from the results of the articles and then formed main topics and themes.

    Results: Three main themes were identified: Available healthcare and current health and care personnel, Reception from health- workers and Engaged in their own care. These factors have been perceived negatively and/or positively by victims of sexual abuse and made them experienced suffering or well-being in care.

    Discussion: The results from the review are discussed in relation to Eriksson's (2015) theory of suffering and other relevant literature to the topic as reinforce women's experiences of care as influences by various factors. How the health-care professionals and work in alleviating the suffering of women can occur. The discussion also highlights the importance of culture in how women perceive health care and how to culturally adapt health care.

  • 252.
    Eriksson, Sofie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Murkisch, Sabine
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med långvarig ryggsmärta: En litteraturöversikt om individers upplevelser2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Long-lasting pain is a subjectively persistent pain that lasts for more than three months. The pain recurs in relapces where localization, intensity and type of pain can differ between the episodes. In long-lasting pain is back pain the most common type and mostly localized in lumbar, shoulder or neck. The pain experience needs to be seen in its entirety, where individuals use different resources and strategies to get through the pain episodes.

    Aim:

    The purpose of this literature review was to illuminate individuals’ experiences and manageability of living with long-lasting back pain

    Method:

    The databases used to search for articles were CINAHL Complete, PubMed and PsycINFO, which resulted in twelve qualitative articles. The articles were finally analyzed according to Friberg's model for analysis.

    Results:

    The result consists of three main themes. The first theme is Individuals emotional perception of long-lasting back paincontaining four sub-categories. These sub-categories are Emergence of negative emotions, Social aspects, Experience of insomnia and Fear. The second theme is How individuals approach long-lasting back paincontaining three sub-categories. These sub-categories are Management strategies, Impact of medicines and Acceptance. The third theme is Individuals experiences of health care.

    Discussion:

    Individuals with long-lasting back pain are affected daily by their phenomenon. In order to live with and manage the pain, they need a good assistance from the health care. The social environment plays a crucial role in how they handle the phenomenon. If they are not treated satisfactorily, it contributes to fear of aggravating the pain experience.

  • 253.
    Eriksson, Stefan
    et al.
    Uppsala universitet.
    Godskesen, Tove
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Andersson, Lars
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Helgesson, Gert
    Karolinska institutet.
    How to counter undeserving authorship2018In: Insights: the UKSG journal, E-ISSN 2048-7754, Vol. 31, no 1, p. 1-6Article in journal (Refereed)
    Abstract [en]

    The average number of authors listed on contributions to scientific journals has increased considerably over time. While this may be accounted for by the increased complexity of much research and a corresponding need for extended collaboration, several studies suggest that the prevalence of non-deserving authors on research papers is alarming. In this paper a combined qualitative and quantitative approach is suggested to reduce the number of undeserving authors on academic papers: 1) ask scholars who apply for positions to explain the basics of a random selection of their co-authored papers, and 2) in bibliometric measurements, divide publications and citations by the number of authors.

  • 254.
    Erlandsson, Malin
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Erlandsson, Maria-Therés
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Våld i nära relationer: En kvalitativ studie om gräsrotsbyråkraternas arbete kring våldsutsatta kvinnor2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There are few studies done on the work of social services on women exposed to violence. The work of social services with women exposed to violence has been a hot topic in the social policy debate. There have also been legislative changes to strengthen the work and help around women who are exposed to violent. The overall issues of the study focus on investigating the importance of social workers experiences in the work around the womens exposed to violence with the different types of policies, guidelines, action plan and regulations? We also wanted to explore how we can understand the importance of policies, guidelines, action plan and regulations and how it works when social workers use these in their work around women exposed to violence?                                                                   The empirical study has mainly been gathered through qualitative semistructured interviews with professional social workers in the Swedish municipalities social services. We have interviewed six different social workers in four different municipalities all in the southern part of Sweden. Previous research has also been studied, national and international. The collected empiricism has been analyzed using the theory developed by Michael Lipsky, and we have also used Roine Johansson's interpretation of grassroots bureaucracy to gain a deeper understanding of our data material. We received data showing that the social worker decides on actions motivated by the policies, guidelines, action plans and regulations they relate to. We saw that the policies, guidelines, action plan and regulations that the social workers worked with were very different in their design, which meant that there were different structured structures within the organizations in the different municipalities, which resulted in differences in how to work. We also saw that the social worker had different experiences of how far and wide the use of these documents was, and that we could see the significance of social workers who experienced the documents in their work. The study depicts how social workers perceive that policies, guidelines, action plans and regulations affect their work around women exposed to violence, and how we can understand the importance of policies, guidelines, action plan and regulations and how it works when social workers use them in their work around women exposed to violence. The main conclusion in this study is that the social worker provides assistance, support and assistance to the woman as she fits into what the social worker's policies, guidelines, action plans and regulations describe. If the woman exposed to violence does not comply with the criteria such as policies, guidelines, action plans and regulations, then there are reasons for granting the victim of violence to receive support and assistance. The study also shows how clients are categorized to fit into the organization, they are interpreted renegotiated and adapted to fit the social services organization. The study also shows that some of the social workers use and follow the policies, guidelines, action plan and regulations more than others and it is also clear that they can be used in order to give more specialized efforts to the victim of violence.

  • 255.
    Erngren, Lisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Healthcare-associated infections in Kenya: An interview study about nurses’ experience2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Healthcare associated infection (HCAI) is a global issue and one of the most frequent adverse events in healthcare. HCAI is a major burden for patients’ and leads to added pain and higher cost for the society. The most important measure to prevent the transmission of HCAI is hand hygiene. In developing countries can insufficient equipment and supplies, lack of financial support and understaffed hospital units have a negative effect for the patients safety and makes it difficult to reduce HCAI.

    Aim: The aim of the study was to get knowledge about Kenyan nurses’ experiences of healthcare-associated infections.

    Method: The author used a qualitative method. Individual semi-structured interviews were made with four nurses at a government financial hospital in Eldoret, Kenya. The interviews were analyzed with a manifest analysis.

    Result: The analysis of the transcribed text made five categories, Education for healthcare workers, students and patients, Lack of equipment and supplies, The issues with crosscontamination, Prevention of HCAI and Understaffed hospital. The results were discussed with Dorothea Orem’s Self-care Theory with a focus on the Theory of Nursing system and other studies relating to the results.

    Conclusion: Knowledge about HCAI is one of the first steps to be able to reduce infections. Cross-contamination is the main risk factor for HCAI and multiple interventions are an effective strategy to successfully increase hand hygiene.

  • 256.
    Essen, Johan von
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Vad gör vi med toleransen?2017In: Toleransens mekanismer: En antologi / [ed] Lundberg, Erik, Stockholm: Forum för levande historia , 2017, p. 223-245Chapter in book (Other academic)
  • 257.
    Essen, Johan von
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    What are we doing with tolerance?2017In: Mechanisms of tolerance:: an anthology / [ed] Erik Lundberg, Stockholm: Forum för levande historia , 2017, p. 232-255Chapter in book (Other academic)
  • 258.
    Essen, Johan von
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Svedberg, Lars
    Ersta Sköndal University College, Department of Social Sciences.
    Folkbildningen: en medborgaraktivitet bland andra2018In: Studiecirkeln / [ed] Stellan Boozon, Jörgen Hammarin, Stockholm: Arbetarnas bildningsförbund, ABF , 2018, p. 159-183Chapter in book (Other academic)
    Abstract [sv]

    Vi vill i detta kapitel undersöka om människors deltagande och aktiviteter inom folkbildningen bidrar till att förklara varför medborgerligt engagemang i det svenska samhället är så stabilt som det är. Vi är också intresserade av hur deltagande i folkbildning förhåller sig till annat medborgerligt engagemang. Empiriskt kommer vi att undersöka hur deltagande i studiecirklar och folkhögskolekurser förhåller sig till ideellt arbete. 

    Inledningsvis kommer vi att ange några grundläggande uppgifter om människors ideella arbete och vad som karaktäriserar dem som engagerar sig. Därefter presenterar vi uppgifter från två undersökningar; en om cirkeldeltagande, därefter en undersökning om folkhögskoledeltagare och avslutar med en längre övergripande kommentar. 

    Vår ansats är att se folkbildning som en del av civilsamhället. Att relatera folkbildningen till det mer abstrakta civilsamhällesbegreppet istället för till folkrörelsebegreppet, är inte självklart. Civilsamhället har tidigare varit ett omstritt begrepp, både för att det är mångtydigt och för att det kopplades samman med politiska positioner. 

    Kapitlet befinner sig i gränslandet mellan folkbildnings- och civilsamhällesforskning eftersom deltagande i folkbildningen studeras som ett sätt att agera i det civila samhället.

  • 259.
    Ewertzon, Mats
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Alvariza, Anette
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Capio Palliativ vård Dalen, Stockholm.
    Winnberg, Elisabeth
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Leksell, Janeth
    Högskolan Dalarna, Uppsala universitet.
    Andershed, Birgitta
    Norge.
    Goliath, Ida
    Karolinska institutet, Ersta sjukhus.
    Momeni, Pardis
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kneck, Åsa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Skott, Maria
    Karolinska institutet, Norra Stockholms psykiatri Stockholms läns landsting.
    Årestedt, Kristofer
    Linnéuniversitetet, Linköpings universitet, Länssjukhuset i Kalmar.
    Adaptation and evaluation of the Family Involvement and Alienation Questionnaire for use in the care of older people, psychiatric care, palliative care and diabetes care.2018In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 74, no 8, p. 1839-1850Article in journal (Refereed)
    Abstract [en]

    AIM: To adapt the Family Involvement and Alienation Questionnaire for use in the care of older people, psychiatric care, palliative care and diabetes care and to evaluate its validity and reliability.

    BACKGROUND: Involvement in the professional care has proven to be important for family members. However, they have described feelings of alienation in relation to how they experienced the professionals' approach. To explore this issue, a broad instrument that can be used in different care contexts is needed.

    DESIGN: A psychometric evaluation study, with a cross-sectional design.

    METHOD: The content validity of the Family Involvement and Alienation Questionnaire was evaluated during 2014 by cognitive interviews with 15 family members to adults in different care contexts. Psychometric evaluation was then conducted (2015-2016). A sample of 325 family members participated, 103 of whom in a test-retest evaluation. Both parametric and non-parametric methods were used.

    RESULTS: The content validity revealed that the questionnaire was generally understood and considered to be relevant and retrievable by family members in the contexts of the care of older people, psychiatric care, palliative care and diabetes care. Furthermore, the Family Involvement and Alienation Questionnaire (Revised), demonstrated satisfactory psychometric properties in terms of data quality, homogeneity, unidimensionality (factor structure), internal consistency and test-retest reliability.

    CONCLUSION: The study provides evidence that the Family Involvement and Alienation Questionnaire (Revised) is reliable and valid for use in further research and in quality assessment in the contexts of the care of older people, psychiatric care, palliative care and diabetes care. This article is protected by copyright. All rights reserved.

  • 260.
    Ewertzon, Mats
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Nationellt kompetenscentrum anhöriga.
    Hanson, Elizabeth
    Linnéuniversitetet & Nationellt kompetenscentrum anhöriga.
    Support Interventions for Family Members of Adults with Mental Illness: A Narrative Literature Review.2019In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, p. 1-13Article in journal (Refereed)
    Abstract [en]

    The aim of this review was to describe research related to support interventions for adult family members of people with mental illness and the significance that support may have. The results indicate the importance of flexible and individualized forms of support from both professionals and people with personal experience as a family member of someone with mental illness. In many cases, the intervention studies revealed that family members' burden decreased, their knowledge of the disease and treatment increased, and their ability to cope with the situation was improved. The results highlight the importance of support both from professionals and peers.

  • 261.
    Fagerfrid, Evelina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Adenbäck, Tina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors upplevelser av humor i vården: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 262.
    Falk Johansson, Marcus
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Specialisternas utbredning: En studie i två steg om specialisttjänster i kommunal socialtjänst2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Today the Swedish social services are suffering from high workloads. Consequently this has led to poor retention and high turnover rates. Several Official Reports of the Swedish Governemnt as well as input from unions and Swedish Association of Local Authorities and Regions suggests that one way to handle the situation is through a more specialized social service.

    The suggested specialization includes masterprograms in socialwork (MSW, 60 ECT) for social workers and specialized civil servants. The present study will examine the prevalence of this kind of specialists, what they are called, their function and in what parts of the social services they serve.

    In the present studie I will atempt to understand specialized civil servants from interviews with social service managers perceptions using abduction and neoinstutitional organizational theory.

  • 263.
    Falk, Matilda
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Muse, Salma
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mötet mellan HIV-smittade homosexuella män och hälso-och sjukvårdpersonal internationellt: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: in the late 1970s, HIV had a sudden outbreak in Africa, and in the late 1980 ́s the rest of the world was informed about the epidemic. Due to increased level of the infected people around the world HIV has been the cause of many deaths worldwide, and unfortunately HIV continues to spread. HIV is today, considered to be a incurable virus disease, but due to antiviral medication that allows individuals who are infected with HIV cancause of spreading HIV during 1980, which subjected these men to stigmatizing and discriminatory attitudes, especially in health care. 

    Aim: To explore how homosexual HIV-infected men describe their experiences of treatment from healthcare professionals.

    Method:  A literature review based on six qualitative articles, three quantitative article and one mixed approach article

    Results: The result consisted of one main themes and three subthemes. The first theme is experienced lack of knowledge with three subthemes: experiences of worthy care, experience of being denied care and the experiences of stigmatizing and/ or discriminatory attitudes. The main theme highlights how healthcare professionals lack of knowledge affects healthcare. The different subthemes discusses HIV-infected homosexual men ́s experiences of healthcare as both negative and positive.

    Discussion: The discussions are divided into four sections: the need for increased knowledge, experiences of being denied care and/or experiences of worthy care, stigmatization and discriminatory attitudes impact on patients care and geographical differences. This section was discussed by using Katie Eriksson nursing theory about care suffering, the background of the literature review and by using new research. 

  • 264.
    Fernlund, Camilla
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Nurses’ experiences of caring for patients living with HIV in Kerala, India: A qualitative interview study2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Kerala, India, healthcare is available to people with HIV through antiretroviral therapy (ART) centres. From a patient perspective, it has been shown that patients with HIV often experience stigmatization in society as well as in healthcare context. Studies show that patients are afraid that the diagnosis could be revealed, and this may constitute barriers to care. Nursing knowledge and approach is of importance.

    Aim: To describe nurses’ experiences of caring for patients with HIV in Kerala, India.

    Method: A qualitative interview method of semi-structured design was performed. Four individual interviews were conducted with nurses working in four Antiretroviral therapy (ART) centres in Kerala, India. The data was analysed using qualitative content analysis.

    Results: Three themes emerged from the content analysis. Getting personally involved contains nurses’ diverse experiences of caring in a deeper sense. The importance of a comforting relationship covers various aspects of how comfort and support can contribute to a better care. Caring for patients struggling with stigma involves the importance of nurses’ consciousness and awareness of stigma in patients’ daily life.

    Discussion: The result is discussed using Katie Eriksson’s theory of caritative caring and in relation to relevant literature and scientific articles.

  • 265.
    Fjell, Astrid
    et al.
    Karolinska institutet, Norge.
    Cronfalk, Berit Seiger
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Karolinska institutet.
    Carstens, Nina
    Norge.
    Rongve, Arvid
    Norge.
    Kvinge, Lars M Rosseland
    Norge.
    Seiger, Åke
    Karolinska institutet.
    Skaug, Knut
    Norge.
    Boström, Anne-Marie
    Karolinska institutet, Norge.
    Risk assessment during preventive home visits among older people.2018In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 11, p. 609-620Article in journal (Refereed)
    Abstract [en]

    Background: Preventive home visits (PHV) may contribute to identify risks and needs in older people, and thereby delay the onset of functional decline and illness, otherwise often followed by home care or admission to hospital or nursing homes. There is a need to increase knowledge about which factors are associated with different risk areas among older people, so that the PHV questionnaire focuses on relevant tests and questions to make the PHV more specific and have a clear focus and purpose.

    Objective: The objective of this study was to examine associations between five kinds of risks: risk of falls, malnutrition, polypharmacy, cognitive impairment, and risk of developing illness and factors related to lifestyle, health, and medical diagnoses among older people living at home.

    Methods: A cross-sectional study design was applied. PHV were conducted by nurses among 77-year-old people in an urban municipality and among ≥75-year-old people in a rural municipality. A questionnaire including tests and a risk assessment score for developing illness was used. Descriptive and inferential statistics including regression models were analyzed.

    Results: The total sample included 166 persons. Poor perceived health was associated with increased risk of developing illness and risk of fall, malnutrition, and polypharmacy. Lifestyle and health factors such as lack of social support, sleep problems, and feeling depressed were associated with risk of developing illness. Risk of falls, malnutrition, polypharmacy, and cognitive impairment were also associated with increased risk of developing illness. None of the independent factors related to lifestyle, health, or medical diagnosis were associated with risk of cognitive impairment.

    Conclusion: Poor perceived health was associated with health-related risks in older persons living at home. Preventive health programs need to focus on social and lifestyle factors and self-reported health assessment to identify older people at risk of developing illnesses.

  • 266.
    Flink, Maria
    et al.
    Karolinska institutet.
    Tessma, Mesfin
    Karolinska institutet.
    Cvancarova Småstuen, Milada
    Norge.
    Lindblad, Marléne
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Karolinska institutet.
    Coleman, Eric A
    USA.
    Ekstedt, Mirjam
    Karolinska institutet, Linnéuniversitetet.
    Measuring care transitions in Sweden: validation of the care transitions measure.2018In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 30, no 4, p. 291-297Article in journal (Refereed)
    Abstract [en]

    Objective: To translate and assess the validity and reliability of the original American Care Transitions Measure, both the 15-item and the shortened 3-item versions, in a sample of people in transition from hospital to home within Sweden.

    Design: Translation of survey items, evaluation of psychometric properties.

    Setting: Ten surgical and medical wards at five hospitals in Sweden.

    Participants: Patients discharged from surgical and medical wards.

    Main outcome measure: Psychometric properties of the Swedish versions of the 15-item (CTM-15) and the 3-item (CTM-3) Care Transition Measure.

    Results: We compared the fit of nine models among a sample of 194 Swedish patients. Cronbach's alpha was 0.946 for CTM-15 and 0.74 for CTM-3. The model indices for CTM-15 and CTM-3 were strongly indicative of inferior goodness-of-fit between the hypothesized one-factor model and the sample data. A multidimensional three-factor model revealed a better fit compared with CTM-15 and CTM-3 one factor models. The one-factor solution, representing 4 items (CTM-4), showed an acceptable fit of the data, and was far superior to the one-factor CTM-15 and CTM-3 and the three-factor multidimensional models. The Cronbach's alpha for CTM-4 was 0.85.

    Conclusions: CTM-15 with multidimensional three-factor model was a better model than both CTM-15 and CTM-3 one-factor models. CTM-4 is a valid and reliable measure of care transfer among patients in medical and surgical wards in Sweden. It seems the Swedish CTM is best represented by the short Swedish version (CTM-4) unidimensional construct.

  • 267.
    Flodin, Olivia
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jalke, Marcus
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Transpersoners uppelvelser av hälso- och sjukvården: en litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Transgender people are a vulnerable group with a higher risk of mental health issues, discrimination and a lower usage of healthcare services. Stigmatisation and discrimination from society at large have also been observed to lead to transgender people fearing to be treated badly by healthcare service personnel.

    Aim: To illustrate transgender persons’ experiences of meeting with healthcare professionals.

    Method: A literature review of eleven articles of qualitative, quantitative and mixed method design that dealt with transgender persons’ experiences in healthcare settings.

    Results: The results are divided into three main themes; To be seen and respected,   Discriminations on the grounds of gender identity and A lack of knowledge about transgender persons and their experiences.

    Discussion:The discussion illustrates how transgender persons experience meeting with healthcare professionals and how this can be understood from the view of Travelbees theory of human-to-human relationship. Further discussed is the lack of knowledge and it’s effects on the meeting in relation to past research as well as a discussion of discrimination and positive experiences of healthcare.

     

  • 268.
    Forell, Lisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Genusperspektiv i psykoterapi2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: There are few studies about the role of gender perspective and it’s use in psychotherapy. The purpose with this study is to describe how a group of legitimized psychotherapists use gender perspective in the therapeutic room and how they define the concept.

    Question formulations: How do psychodynamic orientated psychotherapists define gender perspective and its meaning for them? In what way do they use gender perspective in the therapeutic work?

    Method: A qualitative investigative method has been used where five legitimized psychotherapists, all women was interviewed in-depth. The result was analyzed and processed through thematic analysis method.

    Result: The participants share awareness of the different conditions between men and women in society. The study shows that the therapists have different approach to the practice with gender perspective. Some of the informants believe that openness and transparency with gender perspective towards the patient is required while others bring it as a silent knowledge into the therapy room.

    Discussion: The results are discussed from earlier research on feministic theory. The problem with connecting the own knowledge to the practice agree with earlier research and studies.

  • 269.
    Forinder, Katarina
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Wannbäck, Karin
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Ett uppskattat samtal: föräldrars erfarenhet av enskilda samtal med en kurator på en familjecentral2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    During the fall of 2016, a survey was implemented at a family center with the purpose to evaluate what the parents who visited the family center experienced as positive and negative aspects during individual counseling with a social worker at the family center. The survey showed a positive result, which led to that the social workers at the family center wanted to increase the knowledge about which aspects the parent found positive. They were also keen on to investigate more closely if the parents experienced some negative aspects during the counseling. On behalf of the social workers at the family center, this study has been designed to increase knowledge about parents' experiences of individual counseling with a social worker, focusing on what parents perceive as resources and obstacles in the counseling. The material of the study has been gathered using qualitative methods to capture parents' perceptions of individual counseling and to gain a deeper understanding of these views.

    The material consists of eight semistructured interviews with parents who have participated in individual counseling with a social worker at the current family center. The collected material has been analyzed using four theoretical starting points which are Bernler and Johnssons' theory of psychosocial work, alliance, empathy and active listening. The final result shows that what parents primarily perceive as resources in the individual counselings is the relationship with the social worker, getting hands on advice, the access to the social workers and the family center, as well as the enjoyable premises. The result that highlights obstacles in the individual counseling concerns the parents' desire to talk to the social worker at the family center about more than just their child and parenthood, to be offered a follow-up after the contact has been completed and that the professionals shared premises with the open preschool can be problematic.

    The conclusions of the study include the fact that the parents appreciate the family center and that the family center is a good arena for social services to work preventively on. Another conclusion is that parents find that a combination of both support and concrete advice from the counselors as well as the possibility to formulate their own needs is an appreciated balance in the individual counseling. There are also indications that the family center may need to expand its support since parents describe that they wanted to talk about other subjects other than parenting.

  • 270.
    Fornander, David
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Män utsatta för sexuella övergrepp: Maskulinitets- och identitetsteoretiska perspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to form a masculinity and identity theoretical perspective from investigating counselors' views of male clients exposed to severe sexual assault. The focus is mainly on men that have been exposed to severe sexual assault by other men during adulthood. To investigate this, seven counselors have been interviewed about their views and experiences of males undergoing psychosocial treatments due to them being sexually assaulted by other men. The interviewed counselors work or have worked at either public hospitals or non-governmental organizations. To relate their views of sexual assault and masculinity norms might be of great value to social work since few Swedish studies highlight counselors’ views on masculinity, identity norms and men exposed to sexual assaults. The result of the study shows that the methods used on and treatments offered to men seeking counseling due to sexual assault do not differ substantially from those extended to women.

    In general, the counselors convey that men's psychological responses seem to be similar no matter what their gender identity. Males exposed to sexual assault who seek counseling appear to face different issues from women due to masculinity norms, rape myths, perceived deviation and homophobia. The result derived from the counselor interviews, indicate that they and their male clients find it difficult to consider men as victims of sexual assaults due to gender norms, hegemonic masculinity, sexual self-perception, and the risk of negative consequences of deviance.

    The outcome of the study also shows that the counselors comprehend that men exposed to sexual assault show a reluctance and inability to designate these sexual experiences as such. This might be explained by the fact that these males (and indeed their counselors) are affected by hegemonic masculinity, sexual self-perception, and are a part of the maintenance of the gender contract. The outcome also shows that the counselors have a useful preunderstanding of how masculinity norms might affect male clients and that the counselors’ preunderstanding sometimes is useful in the process of defining the clients’ sexual experiences as sexual assaults.

  • 271.
    Fors, Annie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Letelier, Andrea
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ett livsviktigt möte - Sjuksköterskors upplevelser och attityder i mötet med suicidnära patienter: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Suicide is a global health problem that result in approximately 800 000 deaths every year in the world. In Sweden suicide is the most common external cause of death and in 2016 about 1130 persons died due to suicide. Nurses have a responsibility to assess risks and provide prescribed treatments, as well as being empathetic and able to console.

    Aim: The purpose of this literature review was to highlight the nurse's experiences and attitudes when meeting suicidal patients. 

    Method: A literature review based on 11 scientific articles published in the databases CINAHL Complete, PubMed and PsychINFO. The analysis was carried out after reviewing the results of the current studies, which was summarized and analyzed based on their similarities and differences. The analysis generated two main themes and six subthemes. 

    Results: Nurses experiences of meeting suicidal patients are described as an often emotional and challenging care situation. There is a will to help, however, many feel an uncertainty in the care of suicidal patients. An uncertainty that is partly linked to a perceived lack of competence and that these patients raise thoughts within the nurse themselves, relating to previous experiences, as well as ethical and existential issues. Nurses try to deal with this by regulating their emotions. The results also highlight a broad range of attitudes of both positive and negative nature that nurses carry in the encounter with suicidal patients. 

    Discussion: To gain emotional control was considered a prerequisite for providing a good and safe care. Ability to control emotions has a close connection with emotional intelligence, which may therefore be important to integrate into nursing education. The uncertainty that nurses experience and often relate to their own competence, illustrates the importance of targeted education efforts focusing on suicidology. Increased knowledge of suicide and its causes could have a positive impact on negative attitudes, reduce stigmatization and contribute to a more holistic perspective of the patient. This may lead to improvements in the care for suicidal patients.

  • 272.
    Forsanker Duvaldt, Lisa
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Vilken profession vet bäst?: En diskursanalys om juristens och socionomens bedömning om barns bästa i vårdnadsdomar2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to analyse the child custody enquiry with the custody judgements form the family law department and the court when the proposition for resolution and the decision is not concistent. The study aim to examine in what way the judge (lawyer) consider themselves to have a better decision in the family cases than the family law caseworker (the social worker) when the two professions do not agree. Is it the judicial intepretation done by the family law caseworker that is wrong, or is it the necessary prerequisite and other legal opinions which occours in the texts? Does the judge have better knowledge to assess the best interests of children than the family law caseworker? How do the two professions in the written language distinguish themselves about their own space of action?

    The study has analyzed judgments and custody enquires with discourse analysis as a method of highlighting the professional problem that the study aims to investigate. Three different custody enquires with district court cases have been examined. In one case there is also a judgement from the court of appeal.

    The conclusions that emerge in the comparisons of the material are that there is greater self-assurance of the lawyer in the action room in pursuit of his or her profession, in comparison with the social worker. The written language is treated in different ways and with different degrees of self-esteem and security in claims, depending on the profession.

  • 273.
    Forsman, Annie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Forsell, Sofia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hälso- och sjukvårdspersonalens upplevelser av att vårda patienter med missbruksproblematik: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In today's society, the word addiction is often stigmatized and has a negative tone. The use of illegal drugs increases in society, which means a greater burden on healthcare. According to the Health Care Act the aim is to promote good health and provide equal treatment for the entire population. The care should be given with respect for the equal worth of all people and the dignity of the individual. Studies show that patients with substance abuse experienced a stigmatized behaviour from healthcare professionals.

    Aim: The aim of this literature review was to describe the healthcare professionals' experiences of caring for patients with substance abuse.

    Method: This literature review was made by studying ten scientific articles. The articles have been analysed according to Friberg's method of analysis where the authors found similarities and differences of experiences, which were reported in various main themes and sub themes.

    Results: Based on the analysis, two main themes were created: Negative experiences and Positive experiences. Negative experiences were divided into four sub themes: Education and knowledge, Fear and lack of confidence, Feeling insufficient and Stigmatization.

    Discussion: The main findings of the result have been discussed in relation to the background of the literature review and Joyce Travelbee's Human-To-Human Relationship Model as a reference frame. 

  • 274.
    Forss, Margaretha
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Anknytningsstil hos ledare och medarbetare och dess betydelse för upplevelser av arbete, arbetssituation och hälsa2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: The attachment system has proven influence on both how we seek security and safety and on the HPA-axis, the stress regulation system. The study aims to investigate the influence of attachment style among leaders and employees and on their experiences of work and health.

    Research question: 1. Does insecure attachment (dismissive/preoccupied/fearful) have a negative influence on experiences of work and health? 2. Do employees of managers with secure attachment have more positive experiences of work and health?

    Method: 432 officials in Swedish companies answered a web form consisting of the Relationship Questionnaire (RQ), Salutogenic Health Indicator (SHIS), Work Experience Scale (WEMS).

    Results: Employees with preoccupied or fearful attachment had worse experiences of some aspects of work. Employees with secure attachment experienced work more positively. The managers´ attachment style did affect the subordinates´ perception of some aspects of work and health. 

    Discussion: Insecure attachment has a negative correlation with work experience which could indicate less effective stress regulation. Negative experiences among subordinates concerning physical health, self-determination and leadership are associated with insecure attached managers and could be a consequence of ineffective caring orientation of these managers. The importance of structure and security, which Swedish labor law provides, should be further discussed.

  • 275.
    Forssell, Emilia
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Följeforskningen om projekt VIDA: Välj Inkludering, Delaktighet, Aktivitet: Avrapportering2019Report (Other academic)
  • 276.
    Frank, Annica
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    “If I am born in Mexico, indigenous, poor, girl, teenager, pregnant and single. What’s in it for me?”: A qualitative study focused on experiences of being a teenage mother in Mexico.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this research is to understand how social exclusion occurs in a country with many rules based on one's gender and strong family ties. A qualitative approach is used as a method and the material has been gathered through unstructured interviews in two cities, Mexico City and in San Cristóbal. The result is based on information from five representatives that are working at non-government organizations and two experts in social work.

    The result shows different challenges, to be born in Mexico as a girl is one challenge, if you also are indigenous, poor, teenager, pregnant then your life is hard. It is important to have a husband then you will be included – not necessary safe. The situation change if you give birth to a baby girl, have a miscarriage or if the baby dies, unpredictable destinies, then you will be punished. The result contains different kind of mechanisms to control women's way of living; a miscarriage can result in a judgment for murder and lead to prison, families and villages are abounding teenage mothers and the drug cartel kills an active feminist since she believes in human rights. The support organizations in this research are informing the teenage mothers of their rights to have a decent life and they are supporting them to be able to have a better future.  

  • 277.
    Fransson, Emelie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Pernehagen, Helena
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En osynlig sjukdom: En litteraturöversikt om kvinnors upplevelser av att leva med endometrios2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a disease that affects about 10% of women with uterus in fertil age. The reason for the emergence of endometriosis is not fully clarified, there are several theories. Knowledge of endometriosis is inadequate. As a nurse, it is important to pay attention to symptoms that may be related to endometriosis. Common symptoms of endometriosis include menstrual pain, chronic pelvic pain and dysparanuea. Endometriosis can affect women's fertility.

    Aim: The aim was to illustrate women’s experiences of living with endometriosis. 

    Method: The method used was a literature review according to Friberg (2017), based on ten scientific articles retrieved from the CINAHL Complete and PubMed databases. To find articles, the keywords Endometriosis, Living with and experiences were used.Seven of the articles were of qualitative method and three of the articles were quantitative.

    Results: The result is presented in three main themes with a total of four sub themes. In these, it is shown that pain affects all aspects of women's lives. Endometriosis also affects women's experiences of their own identity. Work, social contexts and relationships are also affected by the endometriosis. How healthcare treats women living with endometriosis is a factor that affects how women experience their situation.

    Discussion: Women’s experiences of lack of knowledge and understanding of endometriosis is discussed against previous research, the background of the litterature rewiev and the authors’ reflections. Women’s experiences of endometriosis are discussed based on Katie Eriksson’s definitions of sufferings and the health coursework.

  • 278.
    Fredblad, Jennie
    Ersta Sköndal Bräcke University College, Department of Diaconal Studies, Church Music and Theology.
    Josef och Maria: Den heliga familjen - en psykologisk analys2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Two major events in the biblical stories of the Holy family are how Mary and Joseph, each at a time, are visited by an angel carrying the message of Mary having a baby through the Holy Spirit. Popularly speaking, this message must have blown their minds, and, thereby, they likely found themselves in some sort of crisis afterwards. This essay examines how the psychological theory of Murray Bowen may be useful as a key for interpreting these biblical texts, Luk and Matt 1:18-25. Murray Bowen's “Family systems theory” describes how every member of a family is linked together as a social system, and this essay uses Bowen’s concepts of differentiation, triangles, and solid self/pseudo-self. By using relevant psychological theory in the interpretation of these biblical stories, Christ-believers of today may be able to understand and interpret the stories in relation to their own lives and circumstances.

  • 279.
    Fredriksson, Charlotta
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors syn på faktorer som bidrar till god teamkommunikation i palliativ vård: En intervjustudie med sjuksköterskor inom kommunens hemsjukvård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Working as a nurse in the municipality's home care system involves meetings with patients who have a life-threatening illness. This work includes collaborating in the team in order to be accessible based on the patient's needs and wishes. To achieve this, a mutual view of care is required within in the team  which depends on good communication.

    Aim: The purpose was to investigate what nurses in palliative care consider contributing to good communication within the team.

    Method: In order to investigate what nurses consider contributing to good communication within the team, a qualitative design was chosen. Ten nurses working in general palliative care in a municipality in southern Sweden were interviewed. The material was analyzed with inductive content analysis.

    Results: The analysis resulted in two main categories: Collaboration in the team and Planning with all of the team. The collaboration category has two subcategories which describe the importance of different meetings in the daily work team to obtain advice and support in the care of patients with a life-threatening illness. Category Planning has two subcategories which describe the importance of consensus and security in the team. This means, for example, that it was important for everyone in the team to communicate with each other in order to achieve consensus on the goals in the end of life care.

    Discussion: The result is discussed in relation to current research in the subject area with Habermas   communicative dialogue ethics as the starting point.

  • 280.
    Fredriksson, Hanna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser av psykiatrisk tvångsvård och tvångsåtgärder: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 281.
    Frostell, Aleksandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Stark, Annika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att leva med Crohns sjukdom och ulcerös kolit: en litteraturöversikt över patienters upplevelser av det dagliga livet2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Crohn's disease and ulcerative colitis are chronic inflammatory bowel diseases that have increased significantly in recent decades. The diseases can debut at all ages, and they have a negative effect on the patients´ quality of life. A nurse has an important part of ensuring that patients receive sufficient information and support to manage their self-care.

    Aim: The purpose was to illuminate how patients with Crohn's disease and ulcerative colitis experienced the effects of the symptoms in their daily lives and how they adapted to the disease.

    Method: A literature review based on eleven nursing studies with qualitative design was conducted. The studies were analyzed based on the chosen purpose and key findings were compiled under two main themes.

    Results: The literature review illustrated how the participants experienced the symptoms of the disease and what impact they had on everyday life. The impact on family life, relationships, social contexts and working life were described. In summary, the disease was an obstacle. The emotional impact of the disease and how the participants perceived that they suffered from an invisible disease were described. Finally, what attitudes the participants had towards life, what strategies were used to manage the disease, and that acceptance of the disease was important for learning to handle it.

    Discussion: The findings have been discussed based on Callista Roys adaptation model and linked to other scientific studies. Life with a chronic disease involves constant changes, and the nurse can help the patient to achieve balance by identifying factors that affect the adaptation.

  • 282.
    Fröberg, Maria
    et al.
    Gustavsbergs vårdcentral, Karolinska institutet.
    Leanderson, Charlotte
    Karolinska institutet.
    Fläckman, Birgitta
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hedman-Lagerlöf, Erik
    Gustavsbergs vårdcentral, Karolinska institutet.
    Björklund, Karin
    Karolinska institutet.
    Nilsson, Gunnar H
    Karolinska institutet.
    Stenfors, Terese
    Karolinska institutet.
    Experiences of a student-run clinic in primary care: a mixed-method study with students, patients and supervisors.2018In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 36, no 1, p. 36-46Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To explore how a student-run clinic (SRC) in primary health care (PHC) was perceived by students, patients and supervisors.

    DESIGN: A mixed methods study. Clinical learning environment, supervision and nurse teacher evaluation scale (CLES + T) assessed student satisfaction. Client satisfaction questionnaire-8 (CSQ-8) assessed patient satisfaction. Semi-structured interviews were conducted with supervisors.

    SETTING: Gustavsberg PHC Center, Stockholm County, Sweden.

    SUBJECTS: Students in medicine, nursing, physiotherapy, occupational therapy and psychology and their patients filled in questionnaires. Supervisors in medicine, nursing and physiotherapy were interviewed.

    MAIN OUTCOME MEASURES: Mean values and medians of CLES + T and CSQ-8 were calculated. Interviews were analyzed using content analysis.

    RESULTS: A majority of 199 out of 227 student respondents reported satisfaction with the pedagogical atmosphere and the supervisory relationship. Most of the 938 patient respondents reported satisfaction with the care given. Interviews with 35 supervisors showed that the organization of the SRC provided time and support to focus on the tutorial assignment. Also, the pedagogical role became more visible and targeted toward the student's individual needs. However, balancing the student's level of autonomy and the own control over care was described as a challenge. Many expressed the need for further pedagogical education.

    CONCLUSIONS: High student and patient satisfaction reported from five disciplines indicate that a SRC in PHC can be adapted for heterogeneous student groups. Supervisors experienced that the SRC facilitated and clarified their pedagogical role. Simultaneously their need for continuous pedagogical education was highlighted. The SRC model has the potential to enhance student-centered tuition in PHC. Key Points Knowledge of student-run clinics (SRCs) as learning environments within standard primary health care (PHC) is limited. We report experiences from the perspectives of students, their patients and supervisors, representing five healthcare disciplines. Students particularly valued the pedagogical atmosphere and the supervisory relationship. Patients expressed high satisfaction with the care provided. Supervisors expressed that the structure of the SRC supported the pedagogical assignment and facilitated student-centered tuition - simultaneously the altered learning environment highlighted the need for further pedagogical education. Student-run clinics in primary health care have great potential for student-regulated learning.

  • 283.
    Frögli, Elin
    et al.
    Karolinska Institutet.
    Rudman, Anna
    Karolinska Institutet.
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Gustavsson, Petter
    Karolinska institutet.
    Problems with task mastery, social acceptance, and role clarity explain nurses’ symptoms of burnout during the first professional years: A longitudinal study2019In: Work, ISSN 1051-9815, Vol. 62, no 4, p. 573-584Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:Symptoms of burnout among new professionals is a well-recognized problem but there is a lack of prevention programs. Effective interventions are based on an understanding of the processes that contribute to the development of a problem and suggest how it may be addressed. OBJECTIVE:Using the framework of organizational socialization, the objective of this study was to investigate if development of the socialization processes role clarity, social acceptance, and task mastery affects development of symptoms of burnout among new professionals and may specifically be targeted in transition-to-practice programs to prevent symptoms of burnout from occurring. We conducted this investigation by examining the relations between role clarity, social acceptance, task mastery, and symptoms of burnout the first year after professional entry, as well as the relations between changes in the socialization processes and changes in symptoms of burnout during the first three years following professional entry in a sample of new nurses. METHOD:Relationships between the socialization processes and symptoms of burnout were modeled using a linear latent growth model and data from a nationally representative sample of 1210 new registered nurses. RESULTS:Role clarity, social acceptance, and task mastery were related to symptoms of burnout cross-sectionally and longitudinally. Task mastery was the most important explanatory variable. CONCLUSIONS:The results suggest that an intervention designed to support the development of the socialization processes may be effective in preventing symptoms of burnout among new nurses. Interventions targeting role clarity, social acceptance, and task mastery during the first professional year may be expected to have effects during the following years as well, extending the value and importance of such interventions.

  • 284.
    Fyhr, Sofia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sexuella behov hos äldre personer i särskilt boende: vård - och omsorgspersonals och sjuksköterskors upplevelser, bemötande och handlingsberedskap2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexuality has been shown to be important for the experience of a healthy life, and one of the human's basic needs consisting through the entire life is the physical touch. However, it has been found that residential homes is not suited for a private life, people with dementia are deemed to be easily exploited, and there are disputes in terms of individual rights, freedom and protection. When the topic sexuality has discussed in health care, it has rather have an emphasis as a problem rather than as a human need.

    Aim: The purpose of this study was to examine the experience of health – care personal and registered nurses and their attitude to older people’s sexual needs in special housing for the elderly.

    Method: A qualitative method with semi- structured interviews was used. A total of three different special accommodations with focus on elderly with dementia or general nursing home there the area of Stockholm were involved. The participants consisted of registered nurses, assistant-nurses, nursing assistants, and a total of  eleven participants. The methodology used for data analysis was inductive content analysis.   

    Results: The analysis resulted in five major themes, and five subthemes. The main topics was The health – care personal and registered nurses thoughts of older people and sexuality, The health – care personal and registered nurses experience of the resident sexual expression within the special housing for the elderly,   The health – care personal and registered nurses experience of reactions among the residents when sexual expression were shown by others, The health – care personal and registered nurses management and treatment of the residents sexual expression and needs, and Residents opportunities to vent out there   sexual needs.

    Discussions: A qualitative method with semi- structured interviews was used where the informants had   the opportunity to express theirs experience, though limited by the predestined main topic. A another alterative could have been to use only one opening question to get a results with broader spectrum, where the informants could have speak free around the topic and where the author could have used supplementary questions to move the conversation forward.

    The author discussed the eventual meaning of the participant’s age, personal attitude, education and commitment as well as experience of sexual expressions in health- care. All the interviews conducted at the participant’s workplace and during working hours. The result was discussed against a framework of Tzeng, Lin, Shyr och Wens (2009).

    The result discussion showed differences among the participant’s experiences about older people and sexuality. There were very different perceptions about if the elderly had or not had sexual needs and experiences about that   the older people’s sexual behavior or needs would have taken a different direction and turn in to a different pattern of behavior or needs.

  • 285.
    Fängström, Karin
    et al.
    Uppsala Universitet.
    Salari, Raziye
    Uppsala Universitet.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Sarkadi, Anna
    Uppsala Universitet.
    The computer-assisted interview In My Shoes can benefit shy preschool children's communication2017In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 12, no 8Article in journal (Refereed)
  • 286.
    Fängström, Karin
    et al.
    Uppsala Universitet.
    Sarkadi, Anna
    Uppsala Universitet.
    Lucas, Steven
    Uppsala Universitet.
    Calam, Rachel
    University of Manchester.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    "And they gave me a shot, it really hurt": Evaluative content in investigative interviews with young children2017In: Children and youth services review, ISSN 0190-7409, E-ISSN 1873-7765, Vol. 82, p. 434-443Article in journal (Refereed)
    Abstract [en]

    Research is scarce on the suitability of the evidence-based components of child investigative interviews when used in non-forensic contexts, such as social work or school, particularly in relation to children's reports on emotional content.

    This explorative study investigated to what extent a structured forensic interview protocol aids children in verbalizing negative emotional experiences of distress or discomfort. To do this we assessed and compared children's displayed distress during a video-recorded health visit with the verbalized distress in interviews 2–4 weeks later about this visit. The children, aged 4 and 5 years (N = 26), were interviewed with a forensic interview protocol. The recorded visits were coded for level of distress and children's statements regarding distress along with the interviewer questions preceding them were analyzed qualitatively.

    The results showed that 46% of the 4-year-olds and 39% of the 5-year-olds displayed discomfort or distress during their health visit. In the interviews, open-ended questions were posed to all children. These questions were sufficient to aid only some children (n = 6) to share evaluative content. However, none of the children who displayed distress or discomfort during the visit verbalized such experiences after an invitation only. Most children who described negative experiences did so in response to evaluative questions.

    The results suggest that more research is warranted on how and when evaluative questions should be posed and whether this differs depending on severity of experience or the child's age. The need for protocol development and its suitability when used in other fields of practice is discussed.

  • 287.
    Färg, Tanya
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kindgren, Maja
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienter med psykisk ohälsa i somatisk vård: En litteraturöversikt om upplevelser och erfarenheter av bemötande från vårdpersonal2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Somatic and psychiatric comorbidity are frequent in patients with mental illness. There is a risk that patients with common mental disorders don’t get adequate treatment for their somatic health problems. Lack of care quality and availability to somatic health care are issues considered contributory to years of life lost to these patients. Patients with mental disorders have the right to receive care without discrimination, though research indicates that negative attitudes and discrimination by health-care personnel towards these patients may occur.

    Aim: The aim of this literature review was to reveal how patients with mental illness experience the encounter with health care personnel in somatic care.

    Method: A literature review with 13 original research articles from six different countries was retrieved from the databases Cinahl and PsycINFO. The studies were analyzed based on Fribergs method.

    Results: Four main themes were crystallized: Experiences of being marginalized, Positive experiences of health care, Experiences of health care not being good enough and Consequences of negative attitudes.

    Discussion: The article result was discussed related to Orlando’s nursing process The dynamic nurse-patient relationship and her key concepts: evidence-based nursing, communication, dialogue and reflection. The need for additional   expertise in caring for patients with mental illness was one of the points raised.

  • 288.
    Garberg, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors erfarenheter av kontakt med anhöriga i sluten psykiatrisk vård: en intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous studies have shown that family members of individuals with mental illness are themselves at risk for worsened mental health and psychological distress. Family members desire contact with psychiatric caregivers in order to feel actively engaged in the care of their loved one, and the importance of caregiver - family member contact is emphasized in both current care guidelines and Swedish law. Despite this, many family members feel excluded. The experience of inpatient psychiatric caregivers of contact with family members has not been investigated in detail, and is crucial to remedying this situation.

    Aim: The aim of this study was to describe nurses’ experiences of family members in inpatient psychiatric care for persons with psychosis.

    Method: Qualitative, semi-structured interviews were conducted on an individual basis with seven nurses working at an inpatient psychiatric clinic for patients diagnosed with psychosis, located in Stockholm, Sweden. The results were analyzed using inductive content analysis.

    Results: The results from the interviews could be separated into five categories affecting nurse – family contact; organizational factors, personal qualities of the nurse, influence of the patient; influence of family members and perceived meaningfulness of contact with family members.

    Discussions: The main findings of the study are discussed in the context of current research, as well as Birgitta Andershed’s theory of “Involvement in the Light / Involvement in the Dark”.

  • 289.
    Gellerstedt, Linda
    et al.
    Sophiahemmet högskola & Karolinska institutet.
    Medin, Jörgen
    Sophiahemmet högskola & Röda korsets högskola.
    Kumlin, Maria
    Sophiahemmet högskola & Karolinska institutet.
    Rydell Karlsson, Monica
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Karolinska institutet.
    Nursing care and management of patients' sleep during hospitalisation: A cross-sectional study.2019In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702Article in journal (Refereed)
    Abstract [en]

    AIM: To explore and describe how patients' sleep is addressed at acute-care hospitals in Sweden with regard to nursing care, management and the development of knowledge in this area.

    BACKGROUND: Sleep is a basic human need and thus important for health and health maintenance. Patients describe sleeping in hospital as a stressor, and research shows that nurses tend to underestimate patients' perceived problems with sleep during hospitalisation. How do nursing staff at acute hospitals address patients' sleep and the development of knowledge in this area?

    DESIGN/METHOD: A cross-sectional descriptive study was conducted based on data collected through a web survey. Head nurses, registered nurses, nursing care developers and local training supervisors at 36 randomised acute-care hospitals in Sweden were invited to participate. This study was executed and reported in accordance with SQUIRE 2.0.

    RESULTS: The results of the survey (53 responses from 19 wards at 15 acute-care hospitals) showed that no policy documents exist and no current training addresses sleep during hospital stay. All participants agreed that sleep should be considered a nursing topic and that it is important for hospitalised patients.

    CONCLUSION: Patients' sleep during hospitalisation is undermanaged at acute-care hospitals. Nurses, health care managers and organisations face challenges if they are to achieve better outcomes.

    RELEVANCE TO CLINICAL PRACTICE: This study shows that nurses do consider patients' sleep important and addressing sleep as part of nursing care. Future studies in the area should focus on what kinds of support and education are needed in the clinical context.

  • 290.
    Gellerstedt, Linda
    et al.
    Sophiahemmet högskola & Karolinska institutet.
    Medin, Jörgen
    Sophiahemmet högskola & Röda korsets högskola.
    Kumlin, Maria
    Sophiahemmet högskola & Karolinska institutet.
    Rydell Karlsson, Monica
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Karolinska institutet.
    Sleep as a topic in nursing education programs? A mixed method study of syllabuses and nursing students' perceptions.2019In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 79, p. 168-174, article id S0260-6917(18)30846-3Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Sleep is a basic human need and is considered important for maintaining health. It is even more important during illness due to its impact for example on our immune system. Nurses have an important role in identifying sleep deprivation. They are also in a unique position to promote and address sleep among patients. However, it is essential that they are provided with the appropriate knowledge during training.

    AIM: To explore and describe nursing students' perceptions of preparedness to adress and support patients' sleep during hospitalization and to apply sleep-promoting interventions in a clinical context. Furthermore, the aim was to investigate if, and how, the topic of sleep is explicitly incorporated in nursing education programs.

    DESIGN: A descriptive study based on a mixed method approach.

    METHODS: Quantitative and qualitative data were collected from program and course syllabuses and intended learning outcomes from three universities. Twenty-one nursing students from the same universities were interviewed during their final year of education.

    RESULTS: The results of both quantitative and qualitative data consistently show that education regarding sleep and patients' sleep is limited and, in some respects, absent in the Bachelor of Science Nursing programs investigated.

    CONCLUSION: This study indicates that education about sleep and patients' sleep in the nursing programs studied is insufficient and limited. This gap in knowledge may lead to prospective registered nurses using their own experiences instead of evidence-based knowledge when assessing, supporting and applying sleep-promoting interventions.

  • 291.
    Gewers, Alexandra
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Privat på äldreboende: En kvalitativ studie av äldres möjlighet eller svårighet till privatliv på äldreboenden ur ett chefsperspektiv2018Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study was to investigate how managers work with privacy for the elderly in nursing homes. In the study, I chose to use a qualitative method that consisted of eight semistructured interviews. I analyzed the results using Nordenfelt's four concepts of dignity as well as the concept of dignified treatment, previous research and partially the concept of privacy. The study's results show that the respondents described privacy as an important area of ​​work as they are working in the homes of the residents. Respondents interpreted privacy in a variety of ways while having difficulty describing the meaning of the term. Work with the residents' right or opportunity for privacy can be seen as a relationship between the residents and the staff of the accommodation. The work in their homes as well as the other's workplace can create opportunities for preserved dignity while avoiding violated dignity. In this way the managers can act as a supportive and developing actor for preserving the elderly’s right to privacy.

  • 292.
    Gillensjö, Tina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jakobsson, Emelie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att beskriva vilka faktorer som påverkar sjuksköterskans attityd till att vårda patienter med alkoholmissbruk: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Alkoholmissbrukare är en patientgrupp sjuksköterskor möter i det dagliga arbetet. Alkoholmissbruk leder till fysiska, psykiska och sociala problem. Sjuksköterskors attityder och kunskaper är av stor vikt för att bemöta och vårda patienter med ett alkoholmissbruk.

    Syfte: Att beskriva vilka faktorer som påverkar sjuksköterskans attityd till att vårda patienter med alkoholmissbruk.

    Metod: Denna litteraturöversikt har grundats i vetenskapliga artiklar som har bearbetats och analyserats. Översikten bygger på tre kvalitativa artiklar, sex kvantitativa artiklar samt en artikel som haft mixad metod.

    Resultat: Resultatet visar att sjuksköterskors attityder till att vårda alkoholmissbrukare är ambivalent. Sjuksköterskans attityder är kopplat till ålder, livserfarenheter, arbetslivserfarenheter samt vilken vårdavdelning sjuksköterskan arbetar på. Det framkommer hur sjuksköterskor efterlyser mer utbildning och kunskap för att ge alkoholmissbrukare adekvat vård.

    Diskussion: Bemötandet och vårdrelationen är av stor vikt för vårdandet av alkoholmissbrukare. Sjuksköterskorna är i behov av mer kunskap och utbildning för att attityderna till denna patientgrupp ska vara positiv. Det är av vikt att se personen bakom missbruket och att attityderna till missbrukarna överensstämmer med synen på alkoholmissbruk. Synen på alkoholmissbruket har genom tiderna förändrats, där alkoholmissbruket nu är klassat som en sjukdom, men stigmatiseringen av dessa personer fortgår.

  • 293.
    Glemmefors, Anna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ottosson, Simon
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mitt hjärta – mitt liv: Kvinnors upplevelser efter en hjärtinfarkt - en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction is the dominant cause of death in Sweden. Each year approximately 11 000 women are affected, however due to advances in research and improved treatment methods, about two thirds of these women survive. Stress is a common underlying cause of myocardial infarction in women. The society's expectations of women, such as care and main responsibility for the family, can be seen as contributing to this. Nursing care is focused on support and motivation for lifestyle changes and self-care with the aim of avoiding a relapse and increasing the woman's health and independence.

    Aim: To illustrate womens´experiences after a myocardial infarction.

    Method: The method used was a literature review and based on ten qualitative articles retrieved from the CINAHL, PsycINFO and PubMed databases. All articles were quality-reviewed and compiled based on the similarities and differences of the results. The result is reported through an integrated analysis.

    Results: Women experienced a change in life after a myocardial infarction, with both physical and psychosocial problems. The family, social network and health care contacts played a crucial role in women's ability to recover. The information received regarding the disease was not experienced as adapted to their needs. The result is presented in three main categories, a changed life, meaning of relationships and the way back.

    Discussion: The result is discussed based on women´s experiences, Dorothea Orem's nursing theory and previous research. The results of the literature review show that women experience a changed existence and identity. Lack of knowledge and motivation reduces the self-care capacity. By planning nursing based on the individual woman's knowledge, needs and conditions, her opportunities for self-care are strengthened.

  • 294.
    Godskesen, Tove
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Centrum för forsknings- och bioetik, Centre for Research Ethics & Bioethics, Uppsala universitet.
    Cancerpatienter i kliniska prövningar.2016In: Onkologi i Sverige, ISSN 1653-1582, no 1, p. 16-25Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Var tredje person i Sverige kommer under sin livstid att drabbas av cancer, vilket innebär att cancer är en folksjukdom. Stora summor pengar läggs ner på cancerforskning. Många säger att det inte alls är en omöjlig uppgift att besegra cancer, medan andra säger att det kommer att bli mycket svårt. Säkert är dock att om forskningen ska gå framåt krävs mycket pengar och hängivna forskare. Men intebara det. En grundförutsättning för att vi ska kunna få fram nya eller bättre cancerbehandlingar är att nya substanser testas på patienter i läkemedelsstudier, så kallade kliniska prövningar. Om inte patienter vill delta i medicinsk forskning kommer inte cancerforskningen att lyckas. Det är därför viktigt att undersöka hur patienter ser på deltagande i läkemedelsforskning. Trots att många cancerpatienter i Sverige deltar i läkemedelsstudier finns det väldigt lite forskning om varför de väljer att delta, om de förstått informationen de fått och hur de upplever sitt deltagande.

  • 295.
    Godskesen, Tove E.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Centrum för forsknings- och bioetik, Centre for Research Ethics & Bioethics, Uppsala universitet.
    God vård innebär att sällsynta sjukdomar ges resurser.2018In: Dagens Medicin, ISSN 1104-7488Article in journal (Other (popular science, discussion, etc.))
  • 296.
    Godskesen, Tove E
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Fernow, Josepine
    Uppsala universitet.
    Eriksson, Stefan
    Uppsala universitet.
    Quality of online information about phase I clinical cancer trials in Sweden, Denmark and Norway.2018In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 27, no 6, article id e12937Article in journal (Refereed)
    Abstract [en]

    Patients increasingly search for online information about clinical trials. Little is known about the quality and readability of the information in these databases. Therefore, the aim of this study was to assess the quality and readability of online information available to the public on phase I clinical cancer trials in Sweden, Denmark and Norway. A qualitative content analysis was made of 19 online trial descriptions from three public websites in Sweden, Denmark and Norway, and the readability of the documents was tested. Both the quality of the content and the readability scores were best for the Danish information. The Swedish texts were very short and were the least readable. Overall, the quality of the information was highly variable and nearly all the documents were misleading in part. Furthermore, the descriptions provided almost no information about possible adverse effects or disadvantages of study participation. This study highlights a communication problem and proposes new ways of presenting studies that are less suggestive of positive outcomes, arguing that we should be more careful to include information about adverse effects, and that the use of simple measures like readability testing can be useful as an indicator of text quality.

  • 297.
    Godskesen, Tove E.
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Centre for Research Ethics & Bioethics, Uppsala University, Sweden.
    Suzanne, Petri
    Rigshospitalet, Copenhagen University Hospital, Denmark.
    Eriksson, Stefan
    Centrum för forsknings- och bioetik, Centre for Research Ethics & Bioethics, Uppsala universitet.
    Halkoaho, Arja
    Tampere University of Applied Sciences, Finland.
    Mangset, Margrete
    Oslo universitetssykehus, Oslo University Hospital, Norway.
    Engelbak Nielsen, Zandra
    Rigshospitalet, Copenhagen University Hospital, Denmark.
    The culture of hope and ethical challenges in clinical trials: A qualitative study of oncologists and haematologists’ views2019In: Clinical Ethics, ISSN 1477-7509, E-ISSN 1758-101XArticle in journal (Refereed)
    Abstract [en]

    We do not know how much clinical physicians carrying out clinical trials in oncology and haematology struggle with ethical concerns. To our knowledge, no empirical research exists on these questions in a Nordic context. Therefore, this study aims to learn what kinds of ethical challenges physicians in Sweden, Denmark and Finland (n = 29) face when caring for patients in clinical trials; and what strategies, if any, they have developed to deal with them. The main findings were that clinical cancer trials pose ethical challenges related to autonomy issues, unreasonable hope for benefits and the therapeutic misconception. Nevertheless, some physicians expressed that struggling with such challenges was not of great concern. This conveys a culture of hope where health care professionals and patients uphold hope and mutually support belief in clinical trials. This culture being implicit, physicians need opportunities to deliberately reflect over the characteristics that should constitute this culture.

  • 298.
    Godskesen, Tove E.
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Centrum för forsknings- och bioetik, Centre for Research Ethics & Bioethics, Uppsala universitet.
    Suzanne, Petri
    Danmark.
    Eriksson, Stefan
    Uppsala universitet.
    Halkoaho, Arja
    Finland.
    Mangset, Margrete
    Norge.
    Pirinen, Merja
    Finland.
    Engelbak Nielsen, Zandra
    Danmark.
    When Nursing Care and Clinical Trials Coincide: A Qualitative Study of the Views of Nordic Oncology and Hematology Nurses on Ethical Work Challenges2018In: Journal of Empirical Research on Human Research Ethics, ISSN 1556-2646, E-ISSN 1556-2654, Journal of Empirical Research on Human Research Ethics, ISSN 1556-2646, Vol. 13, no 5, p. 475-485Article in journal (Refereed)
    Abstract [en]

    This study investigated the kinds of ethical challenges experienced by nurses in oncology and hematology when nursing care and research overlap in clinical trials, and how the nurses handle such challenges. Individual interviews with 39 nurses from Sweden, Denmark, and Finland indicated that all nurses were positive about research, considering it essential for developing the best care. Ethical challenges exist, however; the most difficult were associated with the end-of-life patients, no longer responsive to standard therapy, who eagerly volunteer for cutting-edge drug trials in the hope of gaining therapeutic benefit. Many nurses lacked systematic strategies for addressing such challenges but found support from their nursing colleagues and relied on the research protocols to guide them.

  • 299.
    Godskesen, Tove
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Uppsala universitet.
    Eriksson, Stefan
    Uppsala universitet.
    Selektiv rapportering av kliniska prövningar2019In: Dagens Medicin, ISSN 1402-1943Article in journal (Other (popular science, discussion, etc.))
  • 300.
    Gotthardsson, Adam
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Video- och datorspelsberoende ur ett elevhälsoperspektiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The development of video and computer games has been rapid and has received a large number of users among children and young people. Gaming online makes it a social place where users can do common activities in the game. For some users, gaming has had negative consequences in relation to their surroundings. There may be lost control over time played, social isolation, deteriorated school results or problems at work. The World Health Organization chose in its eleventh edition of the International Statistical Classification of Diseases and Related Health Problems to introduce the diagnosis of Gaming Disorder while the American Psychiatric Association chose to investigate the matter further to possibly introduce it into the Diagnostics and Statistics Manual for Psychiatric Disorders V. This study investigates from a pupil health perspective what consequences gaming can have for pupils in elementary school. In the study, ten respondents who work in elementary school F-9 are interviewed. The respondents consist of teachers and curators from all parts of the elementary school and a resource staff working in the primary school. To analyze the study, research is used based on Internet Gaming disorder and Gaming disorder as well as theory of risk and protection factors to develop norm-breaking behavior.

    The conclusions of the study are that all of the respondents had experienced some form of problems and consequences among pupils linked to gambling. It could affect the students as well as individuals but also the psychosocial environment in the school The individual consequences were often linked to the students' ambition and motivation level in the school while it contributed to offensive language use and difficult-to-solve conflicts that were based on things that took place outside the school. There are no specific measures for this type of problem, but students are often noticed in other systems such as absence or school results.

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