Change search
Refine search result
45678910 301 - 350 of 5171
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 301.
    Audulv, Åsa
    et al.
    Mittuniversitetet.
    Asplund, Kenneth
    Mittuniversitetet, Universitetet i Tromsø, Norge.
    Norbergh, Karl-Gustaf
    Mittuniversitetet.
    The influence of illness perspectives on self-management of chronic disease2011In: Journal of Nursing and Healthcare of Chronic Illness, ISSN 1752-9816, E-ISSN 1752-9824, Vol. 3, no 2, p. 109-118Article in journal (Refereed)
    Abstract [en]

    Aim: To explore people’s illness perspectives and related self-management of chronic disease.

    Background: Individuals’ illness beliefs and perspectives have been suggested to influence their self-management behaviour. However, research that has examined the influence of illness perspectives on chronic disease self-management has been largely quantitative and has focused on selected elements of self-management. How individuals’ illness perspectives influence their whole of self-management has not been investigated in depth.

    Method: The phenomenographic research study entailed 26 narrative interviews with Swedish adults with a variety of chronic diseases. Data were collected mostly during 2006.

    Results: The participants described two illness perspectives; being life-oriented meant to focus upon how to live a good life with disease, whereas a diseaseoriented illness perspective emphasised the medical and physiological aspects of disease. The participants attested to one of the two illness perspectives as a main perspective, although they shifted between the perspectives depending of context and illness experience. The participants’ illness perspectives were reflected in their understandings of self-management. Participants with a dominant life-oriented illness perspective performed self-management in order to continue living a ‘normal’ life (e.g. facilitate activity and mental well-being). When holding a disease-oriented illness perspective, self-management was focused upon controlling disease (e.g. symptom management and avoiding disease related complications).

    Conclusions: People with chronic illness hold a dominant illness perspective that determines how they understand and enact self-management. These perspectives 2011 Blackwell Publishing Ltd 109 are not static; instead individuals tend to shift between the perspectives under specific circumstances.

    Relevance to clinical practice: Health-care providers shall acknowledge that individuals’ with chronic illness shift between a life-oriented and a disease-oriented illness perspective. The results of the current study can be used by health-care providers in order to launch a dialogue in order to support individuals’ self-management.

  • 302.
    Audulv, Åsa
    et al.
    Mittuniversitetet.
    Asplund, Kenneth
    Mittuniversitetet.
    Norbergh, Karl-Gustaf
    Mittuniversitetet.
    The integration of chronic illness self-management2012In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 22, no 3, p. 332-345Article in journal (Refereed)
    Abstract [en]

    Self-management is crucial for people living with chronic diseases, but the actual process of integrating self-management has not been explored in depth. In this article, we investigate the integration of self-management into the lives of people with chronic illness. In this longitudinal study, we used an interpretive description approach. Twenty-one individuals were interviewed regularly during the first 3 years after they were diagnosed with a chronic condition. We found self-management integration to be an ongoing process that included four phases: seeking effective self-management strategies, considering costs and benefits, creating routines and plans of action, and negotiating self-management that fits one's life. The participants managed the phases according to their context, e.g., illness experience, life situation, personal beliefs, and social support. Health care providers should therefore facilitate self-management integration by providing support that is adjusted to the person's phase of self-management integration and life context.

  • 303.
    Audulv, Åsa
    et al.
    Mittuniversitetet.
    Asplund, Kenneth
    Mittuniversitetet, Universitetet i Tromsö, Norge.
    Norbergh, Karl-Gustaf
    Länssjukhuset i Sundsvall.
    Who's in charge? The role of responsibility attribution in self-management among people with chronic illness2010In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 81, no 1, p. 94-100Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To explore how responsibility attribution influences self-management regimens among people with chronic illness.

    METHODS: This qualitative content analysis included 26 interviews with people living with chronic illness.

    RESULTS: The participants attributed responsibility to internal, external or a combination of these factors, meaning that they either assumed responsibility for self-management or considered other people or factors responsible. Internal responsibility was associated with a multifaceted self-management regimen, whereas external responsibility was related to "conventional" self-management such as taking medication, managing symptoms and lifestyle changes.

    CONCLUSION: How responsibility is attributed is vital for the way in which individuals perform self-management. In this study, those who attributed responsibility to external factors mainly performed recommended behaviours to control their illness. In contrast, to take charge of their illness and be an active participant in the care, individuals must take responsibility for themselves, i.e. internal responsibility.

    PRACTICE IMPLICATIONS: Health-care providers should acknowledge and support individuals' wishes about various levels of responsibility as well as different kinds of patient-provider relationships.

  • 304.
    Audulv, Åsa
    et al.
    Mittuniversitetet.
    Norbergh, Karl-Gustaf
    Sundsvalls sjukhus.
    Asplund, Kenneth
    Mittuniversitetet; Universitetet i Tromsø, Norge.
    Hörnsten, Åsa
    Umeå universitet .
    An ongoing inner negotiation process: a Grounded Theory study concerning self-management among people living with chronic illness2009Conference paper (Refereed)
  • 305.
    Audulv, Åsa
    et al.
    Mittuniversitetet.
    Norbergh, Karl-Gustaf
    Sundsvalls sjukhus.
    Asplund, Kenneth
    Mittuniversitetet, Universitetet i Tromsø.
    Hörnsten, Åsa
    Umeå universitet.
    An ongoing process of inner negotiation – a Grounded Theory study of self-management among people living with chronic illness2009In: Journal of Nursing and Healthcare of Chronic Illness, ISSN 1752-9816, E-ISSN 1752-9824, Vol. 1, no 4, p. 283-293Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to better understand the main concern of self-management processes among people with chronic illness.

    Background: One aspect of living with chronic illness is self-management that can reduce the illness impact on daily life and promote future health. Although factors that influence self-management have been identified in previous research, little attention has been brought to the process of making self-management decisions. In clinical settings, use of a theory could facilitate patient-empowering approaches.

    Method: The data collection for this Grounded Theory was mostly conducted in 2006. Data were collected by interviews with 26 adults with a variety of chronic illnesses, including rheumatoid arthritis, diabetes mellitus, inflammatory bowel syndrome, multiple sclerosis, ischaemic heart disease and chronic kidney failure.

    Results: Individuals are conflicted by competing preferences when taking decisions about self-management. Consequently, the decision-making process can be understood as an ongoing inner negotiation between different incompatible perspectives, e.g. social needs vs. medical needs. The process of negotiating self-management starts with the individual’s considering beliefs about health and illness, which make the individual face illness threats and the need for self-management. Several aspects influence negotiating self-management namely, assessing effects of self-management; evaluating own capacity; perceiving normality or stigmatisation; and experiencing support and external resources. The process has been demonstrated in a model.

    Conclusions: The process of negotiating self-management is an ongoing inner debate rather than a one-time decision. This opens up new ways of understanding, and communicating with, patients. The described model also links behavioural theories and research findings in a comprehensive understanding.

    Relevance to clinical practice: This model could be applicable as a communication tool for health-care providers in identifying barriers to, and resources in, self-management behaviour among individuals with chronic illness.

  • 306.
    Augustsson, Jessica
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ingnäs, Erika
    Ersta Sköndal University College, Department of Health Care Sciences.
    Äldres rädsla för fall: en litteraturstudie om hur rädsla kan uppstå, samt dess konsekvenser för individen2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 307.
    Augustsson, Linnea
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Chamoun, Carolina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Riskfaktorer för depression och sjuksköterskors möjligheter att identifiera depression hos äldre: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is becoming more common but only half of the cases are getting diagnosed. The difficulties of getting a diagnose increases with age and the elderly have more somatic symptoms of depression. There is a huge knowledge gap within healthcare sector relating to the identification of depression and the risk factors that influence it.

    Aim: The aim is to highlight the risk factors that may influence the development of depression among the elderly and the opportunities nurses have to identify depression among the older people.

    Method: A litterature review was made on the chosen topic. Studies were searched through the databases: MEDLINE, CINAHL Complete, ASSIA and Psychology and Behavioral Sciences Collection. The keywords that were used was: depression, older adults, older, nurse/nurses, identify, recognize, risk factors and elderly. Friberg’s analytical method was used to analys the articles.

    Results: Two categories were presented in the result. The first category descibes the risk factors that may effect depression among the elderly and the second category describes the nurses possibilities to identify depression. The risk factors that may effect a depression are: quality of life and somatic impact. The nurses ability to identify depression among elderly were compiled into knowledge, education and time for dialog.

    Discussion: Strength and weaknesses are discussed in the method discussion while the results are discussed in relation to the purpose, background and Barkers tidalmodel in the result discussion.

  • 308.
    Augutis, Marika
    et al.
    Karolinska institutet, Länssjukhuset i Sundsvall.
    Levi, Richard
    Karolinska institutet, Rehab station Stockholm.
    Asplund, Kenneth
    Mittuniversitetet.
    Berg-Kelly, Kristina
    Göteborgs universitet.
    Psychosocial aspects of traumatic spinal cord injury with onset during adolescence: A qualitative study2007In: Journal of Spinal Cord Medicine (JSCM), ISSN 1079-0268, E-ISSN 2045-7723, Vol. 30, no Suppl1, p. 55-64Article in journal (Refereed)
    Abstract [en]

    BACKGROUND/OBJECTIVE: Spinal cord injury (SCI) occurring during adolescence poses additional challenges because of the concurrent age-specific bio-psychosocial development. Full understanding of the psychosocial dimensions of rehabilitation requires exploration of the patient perspective. The objective of this study was to focus on psychosocial factors from the patient perspective in persons who had previously sustained a SCI during early and mid-adolescence (11-15 years of age).

    METHODS: Twenty-four of the 28 persons who had sustained a SCI in Sweden from 1985 to 1996 participated in the study. Semistructured interviews were made an average of 10 years after injury. Narratives were analyzed qualitatively according to content analysis.

    RESULTS: Parents and peers were found to have formed a crucial network. Parents frequently acted as advocates in interactions with health care providers, as supporters, and as containers of sorrow, frustration, and anger. Peers acted as promoters of activity and identity development. However, health care providers were perceived as not making sufficient use of this network.

    CONCLUSIONS: Rehabilitation professionals might be encouraged to increase their knowledge of adolescence medicine to better meet the specific needs and demands of persons in this age group. It is further suggested that parents and peers be considered important partners in the joint rehabilitation effort.

  • 309.
    Averbo, Camilla
    Ersta Sköndal University College, Department of Social Work.
    Ungdomars upplevelser av sin tillvaro på behandlingsenheten Steget i Tyresö kommun: en kvalitativ studie2005Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 310.
    Awel, Fadumo
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hassan, Naima
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Personens upplevelse av att leva med schizofreni: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 311.
    Axberg, Thuy
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kazemi, Fatemeh
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ät- och sväljningsproblem efter stroke: En litteraturstudie om äldres upplevelser av matsituationen efter stroke2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 312.
    Axberg, Ulf
    et al.
    Göteborgs universitet.
    Broberg, Anders
    Göteborgs universitet.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Hultmann, Ole
    Göteborgs universitet.
    Iversen, Clara
    Uppsala universitet.
    Utveckling av bedömningsmetoder för barn som utsatts för våld i sin familj: Rapport från en fortsättningsstudie2018Report (Other academic)
  • 313.
    Axelson, Helene
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Mattson, Liselott
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att bemästra och leva med kronisk sjukdom såsom Multipel skleros2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 314.
    Axelsson, Anna
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Olofsson, Terese
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Kvinnor med fibromyalgi och sjuksköterskans omvårdnadshandlingar1998Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 315.
    Axelsson, Anna-Karin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Åstradsson, Sandra
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskors upplevelser och erfarenheter av att en patient suiciderat under pågående psykiatrisk vård: En intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

    Method:

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

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

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

  • 316.
    Axelsson, Christer
    Ersta Sköndal University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Bedömning av karaktärsstruktur utifrån ISTDP jämfört med patientens självskattning av psykiska besvär2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: In ISTDP have psychodynamic diagnostics developed and is continuously used in the treatment. The diagnostics divides patients into different character structures. Frederickson (2013) makes a classification into these four categories low resistance, moderate resistance, high resistance and fragile. This study examines how patients assessed character structure correlates with the patient's self-assessment of their mental problems.

    Questions: Does therapist's assessment correlate, concerning the nature of the structures low resistance, moderate resistance, high resistance and fragile, with the patient's self-rated mental health problems with the evaluation form CORE-OM.

    Methods: 31 patients at three psychiatric clinics have completed the self-assessment form CORE-OM. Then they were interviewed by the psychologists to assess the character of the structure. The estimated structure was compared with the outcomes of the CORE-OM. The statistical analyzes were conducted with Spearman's rho value. Kruskal - Wallis rank test. Selected level of significance <0:05. Follow-up pairwise mail / hoc test (Man-Whitney U test with Bonferoni corrected p value).

    Results: The estimated character structure correlates with the patient's self-assessment of psychological disorders as measured by the CORE-OM. The differences are significant between character structures moderate resistance and fragile regard both the CORE-OM total and domain scores. Fragile character structure stands out significantly from the rest of the domain risk with higher degree of risk reported. Character Structure moderate resistance stands out significantly with reported lower degree of difficulty in subcategories close relationships and socially with the rest.

    Discussion: The study's results demonstrate that the assessment of the character structure based ISTDP is a reliable diagnostic method. The results support the long tradition of theory in the psychodynamic tradition of the link between the nature of the defense and the level of mental illness.

  • 317.
    Axelsson, Joel
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Geijer, Carolina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Den osynliga vården: Att som anhörig vårda en närstående med demenssjukdom2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 318.
    Axelsson, Karin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Viktorsson, Karolina
    Ersta Sköndal University College, Department of Health Care Sciences.
    En god död: omständigheter som kan bidra till en god respektive en dålig död för patienten2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 319.
    Axelsson, Lena
    et al.
    Linnéuniversitetet, Sophiahemmet högskola.
    Alvariza, Anette
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Capio Palliativ vård Dalen.
    Lindberg, Jenny
    Lunds universitet, Skånes universitetssjukhus.
    Öhlén, Joakim
    Göteborgs universitet.
    Håkanson, Cecilia
    Sophiahemmet högskola.
    Reimertz, Helene
    Region Kronoberg.
    Fürst, Carl-Johan
    Lunds universitet, Region Skåne.
    Årestedt, Kristofer
    Linnéuniversitetet, Länssjukhuset i Kalmar.
    Unmet Palliative Care Needs Among Patients With End-Stage Kidney Disease: A National Registry Study About the Last Week of Life.2018In: Journal of Pain and Symptom Management, ISSN 0885-3924, E-ISSN 1873-6513, Vol. 55, no 2, p. 236-244, article id S0885-3924(17)30494-3Article in journal (Refereed)
    Abstract [en]

    CONTEXT: End-stage kidney disease (ESKD) is characterized by high physical and psychological burden, and therefore, more knowledge about the palliative care provided close to death is needed.

    OBJECTIVES: To describe symptom prevalence, relief, and management during the last week of life, as well as end-of-life communication, in patients with ESKD.

    METHODS: This study was based on data from the Swedish Register of Palliative Care. Patients aged 18 or older who died from a chronic kidney disease, with or without dialysis treatment (International Classification of Diseases, Tenth Revision, Sweden; N18.5 or N18.9), during 2011 and 2012 were selected.

    RESULTS: About 472 patients were included. Of six predefined symptoms, pain was the most prevalent (69%), followed by respiratory secretion (46%), anxiety (41%), confusion (30%), shortness of breath (22%), and nausea (17%). Of patients with pain and/or anxiety, 32% and 44%, respectively, were only partly relieved or not relieved at all. Of patients with the other symptoms, a majority (55%-84%) were partly relieved or not relieved at all. End-of-life discussions were reported in 41% of patients and 71% of families. A minority died in specialized palliative care: 8% in hospice/inpatient palliative care and 5% in palliative home care. Of all patients, 19% died alone. Bereavement support was offered to 38% of families.

    CONCLUSION: Even if death is expected, most patients dying with ESKD had unmet palliative care needs regarding symptom management, advance care planning, and bereavement support.

  • 320.
    Axelsson, Lena
    et al.
    Sophiahemmet högskola, Karolinska institutet.
    Klang, Birgitta
    Karolinska institutet.
    Lundh Hagelin, Carina
    Sophiahemmet högskola, Karolinska institutet, Stiftelsen Stockholms sjukhem.
    Jacobson, Stefan H
    Karolinska institutet, Danderyds sjukhus.
    Gleissman, Sissel Andreassen
    Sophiahemmet högskola, Karolinska institutet, Danderyds sjukhus.
    End of life of patients treated with haemodialysis as narrated by their close relatives.2015In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 4, p. 776-84Article in journal (Refereed)
    Abstract [en]

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

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

    DESIGN: Qualitative and descriptive.

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

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

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

  • 321.
    Axelsson, Lena
    et al.
    Sophiahemmet högskola, Karolinska Institutet.
    Klang, Birgitta
    Karolinska institutet.
    Lundh Hagelin, Carina
    Sophiahemmet högskola, Karolinska institutet.
    Jacobson, Stefan H
    Danderyds sjukhus, Karolinska institutet.
    Gleissman, Sissel Andreassen
    Sophiahemmet högskola, Danderyds sjukhus, Karolinska institutet.
    Meanings of being a close relative of a family member treated with haemodialysis approaching end of life.2015In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 3-4, p. 447-56Article in journal (Refereed)
    Abstract [en]

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

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

    DESIGN: This study has a qualitative interpretative design.

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

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

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

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

  • 322.
    Axelsson, Lena
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Koyuncu, Gulsen
    Ersta Sköndal University College, Department of Social Work.
    "Se hela mig": Existentiella tankar hos personer med kronisk reumatisk sjukdom och deras behov av att uttrycka dem i möten med sjukvården2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 323.
    Axelsson, Lena
    et al.
    Sophiahemmet högskola, Karolinska institutet.
    Randers, Ingrid
    Sophiahemmet högskola, Karolinska institutet.
    Lundh Hagelin, Carina
    Sophiahemmet högskola, Karolinska institutet.
    Jacobson, Stefan H
    Karolinska institutet, Danderyds sjukhus.
    Klang, Birgitta
    Karolinska institutet.
    Thoughts on death and dying when living with haemodialysis approaching end of life.2012In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 15-16, p. 2149-59Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

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

  • 324.
    Axelsson, Mikaela
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att leva med diabetes typ 2 - en livslång utmaning: En litteraturöversikt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

     

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

     

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

     

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

     

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

     

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

  • 325.
    Axelsson, Pia
    et al.
    Ersta Sköndal University College, Department of Social Work. Ersta Sköndal University College, Sköndalsinstitutet.
    Svedérus, Irene
    Ersta Sköndal University College, Department of Social Work. Ersta Sköndal University College, Sköndalsinstitutet.
    Vägen till helvetet är kantad av goda intentioner: en granskning av rättsprocessen vid sexuella övergrepp mot barn2000Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 326.
    Axtelius, Fatima
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Begenisic, Novka
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hem ljuva hem: Äldres upplevelse av att vårdas i hemmet2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 327.
    Aychiluhim, Hanna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Stevenson, Åsa
    Ersta Sköndal University College, Department of Health Care Sciences.
    Faktorer som leder till etiskt betingad stress och sjuksköterskors hantering av fenomenet i omvårdnadsarbete: En uppsats med inriktning mot vårdetik2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 328.
    Aydin Claesson, Ulrika
    Ersta Sköndal University College, Department of Social Work.
    Valfrihet – en last eller lättnad?: en kvalitativ studie om kundvalsmodellen inom hemtjänsten2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 329.
    Aydin, Sinem
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Björk, Emilia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Nurses´ perceptions of caring behaviors in clinical practice: A questionnaire study with nurses in Vietnam2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 330.
    Aylward, E H
    et al.
    USA.
    Rosenblatt, A
    Field, K
    Yallapragada, V
    Kieburtz, K
    McDermott, M
    Raymond, L A
    Almqvist, E W
    Hayden, M
    Ross, C A
    Caudate volume as an outcome measure in clinical trials for Huntington's disease: a pilot study.2003In: Brain Research Bulletin, ISSN 0361-9230, E-ISSN 1873-2747, Vol. 62, no 2, p. 137-41Article in journal (Refereed)
    Abstract [en]

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

  • 331.
    Ayranci, Ebru
    Ersta Sköndal University College, Department of Health Care Sciences.
    ”Jag behövs på flera ställen samtidigt” Sjuksköterskors upplevelser av etisk stress vid vård av patienter i livets slutskede på en geriatrisk vårdavdelning: En kvalitativ studie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Ethical stress implies stress related to ethical challenges. In geriatric care there are also patients in their end of life, requiring palliative care. Palliative care is a term characterized by a comprehensive view of the human being. Geriatric nurse’s encounter ethical challenges where they need to take in to consideration both this comprehensive view alongside other factors and tasks, all demanding their presence and attention. This could ultimately lead to ethical stress.

    Aim: The aim was to describe nurses' experiences with ethical stress in care for patients in palliative care in a geriatric ward.

    Methods: A qualitative approach was used. Data were collected through individual interviews with nine nurses working in a geriatric ward. The interviews were then analyzed based on a qualitative content analysis.

    Results: Four categories were formed which describes the experience of ethical stress. These categories are: feelings of inadequacy and failure, feelings of powerlessness and frustration and lack of knowledge and experience and a lack of consensus between health professionals and relatives.

    Discussions: The result concurs with previous research about ethical stress. Good communication improves the cooperation between different personnel categories, which leads to better quality of care as well as care in general. The conclusion is, further discussions about the nurse’s restricted room for action, the need to further improve the ability to understand their responsibilities including the meaning and experience of palliative care.

  • 332.
    Azad, Avesa
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Al-Nasser, Nadia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Äldres upplevelse av depression: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

     

  • 333.
    Azizi, Sanaz
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mashhadi, Shirin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser av att leva med hjärtsvikt: en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 334.
    B. Thörnqvist, Erika
    Ersta Sköndal University College, Department of Health Care Sciences.
    Yrkesidentitet: en intervjustudie med sjuksköterskor inom psykiatrisk vård2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

     

     

  • 335.
    Back, Alexandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Olofsson, Annie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Faktorer som påverkar föräldrars beslutsfattande gällande att vaccinera sitt barn mot influensa: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

  • 336.
    Backlund, Elin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Österlund, Julia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ett sår som förändrat mig: En litteraturöversikt om patienters upplevelser av att leva med ett svårläkt sår.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 337.
    Backlund, Jenny
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ekeberg, Emelie
    Ersta Sköndal University College, Department of Health Care Sciences.
    Forslund, Sofia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjukhusmiljöns betydelse för patienten - upplevelser och påverkan: en litteraturstudie2004Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 338.
    Baehrendtz, Emil
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Edlund, Hamid
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patientens upplevelse av tvångsåtgärder inom psykiatrisk omvårdnad2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

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

  • 339.
    Bagstevold, Ulrika
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Markstedt, Jasmin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Invandrares upplevelse av bemötande i omvårdnaden ur ett mångkulturellt perspektiv2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 340.
    Bahiraei, Ashraf
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att främja tillit hos invandrarpatienter med psykossjukdomar: - en kvalitativ studie om sjuksköterskans erfarenheter2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 341.
    Baitar, Bonnie
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Fehlberg, Caroline
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskans bedömning av smärta2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

     

    Syfte: Att beskriva hur sjuksköterskan bedömer smärta   hos patienter.

     

    Metod: Litteraturöversikt baserad på tio vetenskapliga artiklar.

     

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

     

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

     

  • 342.
    Bajo, Sonia
    Ersta Sköndal University College, Department of Social Sciences.
    Hur uppfattar kuratorer sin roll i den psykiatriska vården och hur väl förberedda kände de sig för uppgiften: En kvalitativ intervjustudie om kuratorer inom psykiatrin2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract

    I Sverige saknar kuratorer som yrkesgrupp ännu en specifik legitimation och därmed en skyddad yrkestitel. Det kan därför förväntas att kuratorsrollen är diffust definierad på många arbetsplatser. Denna C-uppsats har haft som ambition att klarlägga den professionella roll som yrkesverksamma kuratorer inom den psykiatriska vården i Sverige uppfattar som sin viktigaste. Syftet var även att inhämta kunskap om vilken formell utbildning, tidigare erfarenhet och personliga egenskaper som psykiatrikuratorerna anser vara mest värdefulla för sina faktiska arbetsuppgifter, liksom att utreda i vilken utsträckning de upplever speciella situationer som betingade av att klienterna/patienterna har en psykiatrisk problematik. 

    En kvalitativ intervjustudie med öppna, semistrukturerade frågor fick ligga till grund för undersökningen, som omfattade fem yrkesverksamma psykiatrikuratorer i Stockholm. Teoretiska utgångspunkter har hämtats från rollteori och teoribildning kring den terapeutiska alliansen. 

    På basen av intervjusvaren dras slutsatsen att intervjudeltagarna mestadels känt sig något bristfälligt förberedda för kuratorsrollen i den psykiatriska vården men att de efterhand, genom en god socialisationsprocess, själva kunnat definiera och inta en för patientvården lämplig roll och funktion på arbetsplatsen. Värdefull information kunde inhämtas om vad som för denna specifika kuratorsroll bedömdes som mest ändamålsenliga förkunskaper, utbildningar, tidigare erfarenheter av socialt arbete, allmän livserfarenhet och personliga egenskaper. Likaså kunde studien kartlägga erfarenheter av förutsättningarna för en terapeutisk allians med psykiskt sjuka klienter/patienter, inte minst sådana från andra kulturella bakgrunder. 

    Vidare forskning föreslås på sistnämnda problemområde.

  • 343.
    Bakhshi, Parisa
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Grusell, Elisabeth
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Äldre iraniers upplevelser av kommunikationssvårigheter i vården1999Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 344.
    Bakke, Elisabeth
    Ersta Sköndal University College, St Lukas Educational Institute.
    Begreppet Acceptans som beskrivning av förändring i psykodynamisk psykoterapi2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There is a debate in psychotherapy research on how change takes place. Accep-tance is described in relational theory by Safran and Muran (2000) as the heart of change in psychotherapy. It seems acceptance has not been studied as a common factor in research of psychotherapy. The question at issue is: How can the process of change in psychodynamic psychotherapy be described using the concept of acceptance? Have the patient reached an increased level of accep-tance, what kind of acceptance is it and how is it linked to change? Does accep-tance appear in such a way in the interviews that one can see it as a common factor of importance? This study has a qualitative approach, where interviews with six adults have been analyzed using a thematic approach. Five main themes emerged: a) Acceptance of more aspects of self, b) Acceptance of personal limits, c) Acceptance of responsibility and agency, d) Acceptance of difference, e) The therapist's acceptance of the patient. The result shows that not all change is or can be described in terms of acceptance but it indicates that acceptance can be seen as an important underlying mechanism that contributes to change. It also indicates that the study of acceptance as measure of outcome could contribute to studying structural change after psychotherapy but further research would be needed.

  • 345.
    Balldin, Nåkkve
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Eriksson, Anette
    Ersta Sköndal University College, Department of Social Work.
    Gustafsson, Susanne
    Ersta Sköndal University College, Department of Social Work.
    Medverkan och påverkan: om män och kvinnor i socialt inriktade organisationer och idrottsföreningar2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 346.
    Bane, Birgitta
    Ersta Sköndal University College, St Lukas Educational Institute.
    Metodfokus på Affekt; Hur känns det?2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Evidence-based psychotherapeutic methods compete with each other, while meta-analysis have shown that variability due to different methods related to outcome is remarkably low. In this qualitative study six former patients were interviewed about experiences of method and technique in Affect-focused therapy, with a slight overweight towards unsatisfactory experiences. Responses were analysed and categorised in emergent themes. Methodological focus on affect showed to be a much appreciated, as well as insufficient, element. Alongside positive experiences or summaries of therapy, methodological frames were felt to be at times restrictive, even invalidating, as far as not allowing focus on what was felt to be the more predominant need. These needs were varied and individual; e.g. more/less of undetermined space free of preconceptions, more/less focus on affect, more direction forward, or more space for existentially oriented aspects. Results found good support in previous research except for a strong validation of therapists, even when aspects of therapy had been severely problematic. Experiences of applied method differed extremely among participants. The study highlighted lack of relation between method and outcome, and that positive regard of therapy and alliance were not synonymous with good outcome. Prominent themes were quality of methodological focus on affect and of therapeutic relationship, basic humanistic values, and individual factors of variance.

    Future research was suggested to focus on integration of methods, on therapists’ common factors, as well as on issues of power in the therapeutic relationship.

  • 347.
    Banfors, Emma
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Jansson, Anna
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patienters upplevelser av information för att stötta egenvård vid diabetes typ 2 i Sverige: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 348.
    Bangala, Addy
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Olad, Hamdi Ahmed
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patienters upplevelse av att vårdas i isolering: en litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 349.
    Barbulescu, Ioana Rodica
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjöberg, Charlotta
    Ersta Sköndal University College, Department of Health Care Sciences.
    Livskvalitet hos personer med övervikt eller fetma som har genomgått bariatriska operationer: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 350.
    Baresso, Gabriella
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jans, Linda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fysisk aktivitet vid typ 2-diabetes: Sjuksköterskors upplevelser av att motivera patienter till fysisk aktvitet2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

45678910 301 - 350 of 5171
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf