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  • 301. Asp, Margareta
    et al.
    Fagerberg, Ingegerd
    Mälardalens högskola.
    The woven fabric – a metaphor of nursing care: the major subject in nursing education2002In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 2, p. 115-121Article in journal (Refereed)
    Abstract [en]

    Society’s future needs regarding health care present challenges to traditional nursing education. Today, the ambition is to create a nursing role that is appropriate to people’s health care needs rather than the needs of the health care system. In nursing education, the major subject – nursing care – is central. Accordingly, there is a need for a consistent and clear articulation of this subject as well as the nursing profession. The aim of the present study was to interpret and describe the major subject, its content and structure in the nursing programme at Mälardalen University. With a hermeneutic approach an interpretation and application emerged as a metaphor of nursing care – the woven fabric. In this structure concepts function as bridges linking theory and practice, whereby it is possible to integrate different aspects of knowledge in order to think, feel and act nursing care.

  • 302.
    Asperheim, Therese
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Heda, Kolleta
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fysiska aktiviteter och välbefinnande hos patienter med reumatisk artrit: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Rheumatic arthritis is an inflammatory disease that affects man both mentally, physically and socially. The disease causes the presence of pain, stiffness and fatigue which affects patient's level of activity and sense of well-being. The consequence of rheumatic arthritis means life changes as well as adjustments to the disease and reduced level of physical activity.

    Aim: To highlight how physical activity affects well-being in patients with rheumatic arthritis.

    Method: A literature review was conducted and based on ten scientific articles. Included articles consisted of eight quantitative articles, a qualitative as well as a mixed design article. The analysis was conducted using Friberg (2017) and resulted in two themes.

    Results: The result showed that physical activity gave patients greater well-being. Factors for motivation and limitation of physical activity were identified. Physical activity was feasible and accepted for patients with rheumatic arthritis. Disease activity was not affected by increased physical activity and therefore motivated patients to be active and maintain physical activities.

    Discussion: Patients needed knowledge about the management of the disease's symptoms and how inactivity affected wellbeing. Sedentary behavior was common in patients with rheumatic arthritis, where the nurse's ability to detect this was important. Adapting to life with rheumatic arthritis was important to increase well-being and maintain the balance between activity and rest. Self-efficacy motivated patients to maintain physical activity.

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  • 303.
    Asplund, Johanna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Brengesjö, Ellinor
    Ersta Sköndal University College, Department of Health Care Sciences.
    Transsexuella personers upplevelser av identitet och förkroppsligande: En litteraturstudie utifrån teorin om livsvärlden och den levda kroppen2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning/abstract

    Bakgrund: En transsexuell person upplever sig tillhöra det motsatta könet och vill oftast korrigera sin kropp genom hormonbehandling och kirurgi så att den stämmer överens med det kön som personen identifierar sig med. Enligt den vårdvetenskapliga livsvärldsteorin är en människas kropp inte bara säte för hennes upplevelser utan också för hennes identitet. Genom kroppens sinnen skapar man en bild av sig själv och sin omvärld. Detta medför att om kroppen förändras, förändras även identiteten och tillgången till världen. Kunskapen om transsexuella personer hos personal inom hälso- och sjukvården är mycket bristfällig. Transsexuella personer utsätts inte sällan för diskriminering, intolerans och utanförskap.

    Syfte: Syftet med vår uppsats är att belysa transsexuella personers upplevelser av identitet och förkroppsligande.

    Metod: En litteraturstudie baserad på åtta vetenskapliga kvalitativa artiklar utfördes. Innehållsanalysen av datan gjordes enligt Granheim och Lundman.

    Resultat: Fyra kategorier framkom ur analysprocessen, dessa är: Den kroppsliga transitionen, som behandlar de transsexuella personernas upplevelser av kroppens förändring i relation till en könsbytesprocess. Inre och yttre identitet, som handlar om upplevelser av överensstämmelse mellan den kropp man fötts i och den inre identiteten. Familjerelationer som behandlar olika positiva och negativa aspekter av familj och vänners reaktioner på den transexuella familjemedlemmen. Den sista kategorin Att vara transsexuell i samhället och det offentliga rummet handlar om hur transsexuella personer upplever det bemötande de får och hur samhället ser på dem.

    Diskussion: Det som diskuteras i resultatdiskussionen är betydelsen av att se på kroppen som ”levd” för att förstå den kroppsliga transitionen, inkongruensen som uppstår mellan den inre känslan av könsidentitet och det yttre biologiska könet och att vara transsexuell i ett heteronormativt vårdsammanhang och samhälle. Detta diskuteras utifrån livsvärldsteorin och teorin om den levda kroppen och lyfts ytterligare genom begreppet Othering. Även etiska förhållningssätt diskuteras i samband med frågan om vården och samhällets heteronormativitet.

    Nyckelord: Transsexualitet, identitet, förkroppsligande, livsvärld, narrativ

    Keywords: Transsexual, identity, embodiment, lifeworld, narrative analysis

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  • 304.
    Asplund, Kenneth
    Mittuniversitetet.
    Demensvård förr, nu och i framtiden (Dementia care in the past, now and in the future)1998In: Vård : utbildning, utveckling, forskning, ISSN 0281-921X, no 2, p. 2-8Article in journal (Other academic)
  • 305.
    Asplund, Kenneth
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Omvårdnad: ett i grunden omstritt begrepp (Nursing : a fundamentally controversial concept)1994In: Omvårdaren, ISSN 0280-4123, Vol. 41, no 4, p. 4-5Article in journal (Other academic)
  • 306. Asplund, Kenneth
    et al.
    Adolfsson, R
    Lundgren, K
    Rönnbäck, E
    Sandman, P-O
    Wimo, A
    Åström, S
    Gruppboende för åldersdementa: erfarenheter efter två år1988In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 85, no 9, p. 734-737Article in journal (Other academic)
  • 307.
    Asplund, Kenneth
    et al.
    University of Tromsø, Norway.
    Jansson, Lilian
    Umeå universitet.
    Norberg, Astrid
    Umeå universitet.
    Facial Expressions of Patients With Dementia: A Comparison of Two Methods of Interpretation1995In: International psychogeriatrics, ISSN 1041-6102, E-ISSN 1741-203X, Vol. 7, no 4, p. 527-534Article in journal (Refereed)
    Abstract [en]

    Two methods of interpreting the videotaped facial expressions of four patients with severe dementia of the Alzheimer type were compared. Interpretations of facial expressions performed by means of unstructured naturalistic judgements revealed episodes when the four patients exhibited anger, disgust, happiness, sadness, and surprise. When these episodes were assessed by use of modified version of the Facial Action Coding System, there was, in total, 48% agreement between the two methods. The highest agreement, 98%, occurred for happiness shown by one patient. It was concluded that more emotions could be judged by means of the unstructured naturalistic method, which is based on an awareness of the total situation that facilitates imputing meaning into the patients' cues. It is a difficult task to find a balance between imputing too much meaning into the severely demented patients' sparse and unclear cues and ignoring the possibility that there is some meaning to be interpreted.

  • 308.
    Asplund, Kenneth
    et al.
    University of Tromsø, Norway.
    Norberg, Astrid
    Umeå universitet.
    Caregivers' Reactions to the Physical Appearance of a Person in the Final Stage of Dementia as Measured by Semantic Differentials1993In: The International Journal of Aging & Human Development, ISSN 0091-4150, E-ISSN 1541-3535, Vol. 37, no 3, p. 205-215Article in journal (Refereed)
    Abstract [en]

    The semantic differential (SeD) technique was applied to 158 caregivers from a nursing home in the northern part of Sweden. The questionnaire contained fifty-eight bipolar scales of adjective pairs and the interviewees indicated then-reactions to a described picture of a severely demented person: A factor analysis revealed three dimensions; an ethical one, an esthetical one, and one about the person's own feelings. The fifty-eight scales were mostly rated toward the negative poles. The severely demented person was rated as painful, apathetic, suffering, weak, afraid, sad, cold, dark, rough, and ugly.

    Four years later a comparable group of caregivers (n = 93) answered a revised questionnaire containing the 26 SeD scales with factor loadings > .50 for the picture of the severely demented person. The result was nearly identical and alternative interpretations are discussed.

  • 309.
    Asplund, Kenneth
    et al.
    Umeå universitet.
    Norberg, Astrid
    Adolfsson, Rolf
    The Sucking Behaviour of Two Patients in the Final Stage of Dementia of the Alzheimer Type1991In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 5, no 3, p. 141-147Article in journal (Refereed)
    Abstract [en]

    Two patients in the final stage of dementia of the Alzheimer type (DAT), who could no longer be given nutrition by assisted feeding, were given fluids by means of the sucking ability they still retained. They sucked more slowly under nutritive than under non-nutritive sucking conditions. The sucking efficiency of one of them improved during training. The status of the patients in the final stage of their dementia differed from one another, which might explain the difference in outcome. It is therefore suggested, that the use of the patients' sucking ability could serve as a complement and/or an alternative feeding technique when assisted spoon-feeding becomes extremely difficult or impossible. It is considered to be more gentle and natural than the present feeding techniques.

  • 310. Asplund, Kenneth
    et al.
    Norberg, Astrid
    Adolfsson, Rolf
    Waxman, Howard M.
    Facial expressions in severely demented patients: a stimulus-response study of four patients with dementia of the Alzheimer type1991In: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 6, no 8, p. 599-606Article in journal (Refereed)
    Abstract [en]

    The ability to exhibit facial expressions was studied in four patients with severe dementia of the Alzheimer type (SDAT), by means of the Facial Action Coding System (FACS) and physiological responses (heart rate, respiration, skin temperature) under pleasant and unpleasant stimulus conditions. Complex facial expressions that could be interpreted as expressions of emotions were not seen. An increase in the number of facial movements and changes in the physiological responses were seen most markedly under the unpleasant stimulus condition. The patients' reactions during the assumed pleasant stimulus conditions indicated comfort. Different reactions were obtained among the patients. The importance of developing further methods to identify and interpret facial movements in nurse-patient relationships is emphasized.

  • 311.
    Asplund, Kenneth
    et al.
    Umeå universitet.
    Wimo, Anders
    Lundgren, Kjerstin
    Aggressivitet och motoriska problem tvingar dementa lämna gruppboende1990In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 87, no 18, p. 1555-1556Article in journal (Other academic)
  • 312.
    Asplund, Wiktoria
    et al.
    Ersta Sköndal University College, Department of Social Work.
    Teledahl Skaring, Annelie
    Ersta Sköndal University College, Department of Social Work.
    Lärarens roll i ungdomars skapande av självbild2001Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 313.
    Aström, Sture
    et al.
    Umeå universitet.
    Karlsson, Stig
    Umeå universitet.
    Sandvide, Asa
    Umeå universitet.
    Bucht, Gösta
    Umeå universitet.
    Eisemann, Martin
    University of Tromsoe.
    Norberg, Astrid
    Umeå universitet.
    Saveman, Britt-Inger
    Staff's experience of and the management of violent incidents in elderly care2004In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 18, no 4, p. 410-416Article in journal (Refereed)
    Abstract [en]

    Violence towards staff has become an important issue, since it has been reported to be common in various health care settings. This study aimed to describe emotional reactions among staff being exposed to violence in residential community care for the elderly: to investigate consequences from violent incidents and to describe the management of violent incidents. Data were collected by telephone interviews with nursing staff reporting incidents of violence. During the period of investigation, 97 of 848 staff (11.4%) reported that they had been exposed to violence. More than one-third of them reported subsequent wound and bruises from the incident and two of the exposed staff consulted a doctor because of the violent incident. The most frequently reported reactions among the staff were aggression, astonishment, and antipathy against the perpetrating care recipient, as well as insufficiency, powerlessness, insult and fear. A majority of the incidents were judged as intentionally perpetuating from the care recipient. Most of the violent incidents were managed by informal discussions in the working team. A low number of the reported incidents of violence involved formal discussions with nurse managers.

  • 314.
    Astvik, Elin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Andersson, Amanda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Filipino nurses’ experiences of nursing in the public health care settings in the Philippines: A qualitative interview study2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The Philippines gained independency year 1946. Health services in the country were decentralized year 1991 and was moved from a national level to local government. The public health care system still appears obscure among the growing population and concerns over the public health care settings’ accessibility and quality remain. Religion is significant for the 95 percent Christians who lives in the country and the population obtain a deep faith in God. As the leading exporter of health workforce, nurses that remain in the public health care setting face challenges of workload in a challenging work environment. This study has been made to obtain deeper understanding of Filipino nurses’ experiences of practicing nursing in the public health care settings in the Philippines.

    Aim: The aim was to describe Filipino nurses’ experiences of practice nursing in the public health care settings in the Philippines.

    Method: The design is a descriptive qualitative interview study consisting of semi-structured interviews with nine nurses in Palawan, Philippines. The material was analyzed using qualitative content analysis with an inductive approach.

    Result: Nurses in this study experience challenges caused by lack of resources and restricted budget. This results in an increased workload and an inadequate nurse to patient ratio which in order create experiences of threatened patient’s safety. Nurses experience feelings of insufficiency in the profession and therefore, have an increased risk of burnout and errors.

    Discussion: The discussion addresses nurses’ challenges of practice nursing in public health care settings. The nurses are not able to deliver the care they want due to an oppressive workload and time constraint which in order affect the interaction with patients. Several nurses’ experience patient safety being threatened and mention their way of practicing nursing as unsafe which cause feelings of being helpless and insufficient among the nurses in this study. Christianity plays a significant role for the participants in practicing nursing. Nurses coming on and off shifts have daily prayers together which is experienced as energizing for the nurses, as they find strength and wisdom through the beliefs in God.

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  • 315.
    Athahb, Anwahr
    Ersta Sköndal University College, Department of Social Work.
    Socialtjänstens utmaningar i mötet med minoritetsgrupper: En kvalitativ studie om muslimska kvinnors upplevelser och erfarenheter av bemötandet inom socialtjänsten.2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to investigate the lived experiences and treatment of Muslim women in their encounters with the social services. The primal themes for this study was: How does Muslim women experience the treatment of their case in the social services in a situation of need? How can the encounter and experience with the social services affect the clients trust in the social services?  What is the ideal treatment of women with a Muslim identity by the social services?

    The aim of this study was to investigate and capture the respondents lived perceptions and experiences with the social services, and thus the qualitative interview methodology was implemented to answer the research questions and hypotheses. Seven interviews with Muslim women were conducted in various districts of Stockholm, a city in northern Sweden. Five of the respondents were of ethnic Swedish origin and two were of other ethic origin.

    The results show that the majority of the respondents experienced a negative response at least once when in contact with the social services. Respondents emphasize that the unsafe and insecure meeting with the social worker was due to a non-verbal body language which they experience as an indication of preconceived notions about Muslim women, which is particularly experienced and described by the respondents with the Islamic headscarf. The trust in the social services decline in connection with the negative reflection of the respondents.

    However, the lived experiences with the social worker and the social services have not all been of a negative nature. The suggested ideal is also taken from the respondents own lived experiences with the social services.  A pervasive and consistent ideal is that the respondents want to be listened to, understood and respected for who they are as well as empowered rather than suppressed. 

    Key words: treatment, attitudes, Muslim women, social services, symbolic interactionism, trust, reliance (confidence) ideal, Rothstein, Mead, structural discrimination.

     

    Nyckelord: bemötande, muslimska kvinnor, socialtjänsten, symbolisk interaktionism, tillit, förtroende, ideal, Rothstein, Mead, strukturell diskriminering.

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  • 316.
    Athena, Karapidaki
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Skantz, Lina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienter med substansberoende och deras upplevelser av bemötandet i vården: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Substance addiction is a growing problem in the society which affects the users physically and mentally but it also has an effect on a societal level. Nurses have an obligation to encounter patients with a correct ethical standpoint and a critical approach. Nurses experience that they are not properly fitted to treat these patients and requested more knowledge within this field. To investigate how patients with substance addiction experiences nurses’ encounter. The study is a literature review where ten scientific articles of qualitative method were analysed according to Friberg (2017) where the differences and the similarities conducted the themes of the result. The results showed variable positive and negative experiences of health care professionals treatment/encounter which were divided into categories. The categories are presented as Experiences of being judged, Experiences of being treated with a lack of knowledge, Experiences of not being taken seriously and Experiences of trusting relationship. The result was discussed out of Phil Barker’s Tidal Model, the study’s background, scientific literature and the authors own point of view.

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  • 317.
    Athley, Annika
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Jonsson, Helén
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att möta närstående i deras föregripande sorg: ett omvårdnadsperspektiv2001Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 318.
    Athlin, Elsy
    et al.
    Umeå universitet.
    Norberg, Astrid
    Umeå universitet.
    Asplund, Kenneth
    Umeå universitet.
    Caregivers' perceptions and interpretations of severely demented patients during feeding in a task assignment system.1990In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 4, no 4, p. 147-155Article in journal (Refereed)
    Abstract [en]

    Ninety-one focused interviews concerning the feeding of 23 severely demented patients were performed with 62 caregivers who fed the patients in a task assignment system. The aim was to increase the understanding about how caregivers perceive and interpret severely demented patients' behaviour and experiences during feeding. Content analysis showed that the caregivers' commitment or lack of commitment constituted a superior level that determined whether the patient was seen as a subject or as an object. Subcategories that were found were knowledge of the patient's disease and personal history, intuition, identification, empathy, generalisation and routinisation.

  • 319.
    Athlin, Elsy
    et al.
    Umeå universitet.
    Norberg, Astrid
    Umeå universitet.
    Asplund, Kenneth
    Umeå universitet.
    Jansson, Lilian
    Feeding problems in severely demented patients seen from task and relationship aspects1989In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 3, no 3, p. 113-121Article in journal (Refereed)
    Abstract [en]

    This study aimed at increasing the understanding of feeding problems in severely demented patients cared for in a task assignment system. Twenty-three video-recordings made during the feeding of 15 severely demented patients and 55 focused interviews with 45 caregivers, who fed the 15 patients during that period were analysed regarding the feeding problems seen from a task aspect and from a relationship aspect. The result indicated that the problems were partly of a more constant nature and partly fluctuated from meal to meal. Feeding problems regarding the task aspect were mentioned first by the caregivers in the interviews in spite of the fact that the patients had severe communication problems which could be expected to cause great problems in the relationship between the patient and his caregiver. Reasons for these findings are suggested.

     

  • 320.
    Athlin, Elsy
    et al.
    Umeå universitet.
    Norberg, Astrid
    Umeå universitet.
    Asplund, Kenneth
    Umeå universitet.
    Jansson, Lilian
    Probleme des Essenseingebens bei schwer dementen Patientinnen unter den Aspekten "Verrichtung" und "Beziehung"1993In: Pflege, Die wissenschaftliche Zeitschrift für Pflegeberufe, ISSN 1012-5302, E-ISSN 1664-283X, Vol. 6, no 2, p. 120-128Article in journal (Refereed)
  • 321.
    Attayee, Anahita
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Karlsson, Annelie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters erfarenheter av egenvård vid diabetes typ 2: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 322.
    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.

  • 323.
    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.

  • 324.
    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.

  • 325.
    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.

  • 326.
    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
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  • 327.
    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.

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  • 328.
    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.

  • 329.
    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
  • 330.
    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
  • 331.
    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
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  • 332.
    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)
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  • 333.
    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
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  • 334.
    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
  • 335.
    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.

  • 336.
    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.

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  • 337.
    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.

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  • 338.
    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
  • 339.
    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.

  • 340.
    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.

  • 341.
    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.

  • 342.
    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
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  • 343.
    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.

  • 344.
    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

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  • 345.
    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
  • 346.
    Axelsson, Sofie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Gruvman, Joanna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans upplevelser av att kommunicera när patienten talar ett annat modersmål: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 347.
    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
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  • 348.
    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
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  • 349.
    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
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  • 350.
    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
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