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  • 301.
    Birgisdóttir, Dröfn
    et al.
    Lunds univeristet.
    Bylund Grenklo, Tove
    Karolinska institutet, Högskolan i Gävle.
    Nyberg, Tommy
    Karolinska institutet & Storbritannien..
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Steineck, Gunnar
    Göteborgs universitet.
    Fürst, Carl J
    Lunds universitet.
    Losing a parent to cancer as a teenager: Family cohesion in childhood, teenage, and young adulthood as perceived by bereaved and non-bereaved youths.2019In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to investigate levels of perceived family cohesion during childhood, teenage years, and young adulthood in cancer-bereaved youths compared with non-bereaved peers.

    METHODS: In this nationwide, population-based study, 622 (73%) young adults (aged 18-26) who had lost a parent to cancer 6 to 9 years previously, when they were teenagers (aged 13-16), and 330 (78%) non-bereaved peers from a matched random sample answered a study-specific questionnaire. Associations were assessed using multivariable logistic regression.

    RESULTS: Compared with non-bereaved youths, the cancer-bereaved participants were more likely to report poor family cohesion during teenage years (odds ratio [OR] 1.6, 95% CI, 1.0-2.4, and 2.3, 95% CI, 1.5-3.5, for paternally and maternally bereaved youths, respectively). This was also seen in young adulthood among maternally bereaved participants (OR 2.5; 95% CI, 1.6-4.1), while there was no difference between paternally bereaved and non-bereaved youths. After controlling for a number of covariates (eg, year of birth, number of siblings, and depression), the adjusted ORs for poor family cohesion remained statistically significant. In a further analysis stratified for gender, this difference in perceived poor family cohesion was only noted in females.

    CONCLUSION: Teenage loss of a parent to cancer was associated with perceived poor family cohesion during teenage years. This was also noted in young adulthood among the maternally bereaved. Females were more likely to report poor family cohesion. Our results indicate a need for increased awareness of family cohesion in bereaved-to-be families with teenage offspring, with special attention to gender roles.

  • 302.
    Birkeros, Anna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Rådström, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Livet är en dosfråga: Ett liv med insulinpump ur ett föräldraperspektiv: en litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 1 is an autoimmune disease which requires daily insulin administration. When a child is treated with insulin pump, the demands on self-care is high and the parents’ spend a lot of time to support their child. Nurses are responsible for the education and support related to self-care.

    Aim: The aim of the study was to highlight parents’ experiences of a child treated with insulin pump therapy.

    Method: A literature review based on four qualitative articles, two quantitative articles and four articles with mixed methods. These were analyzed by a model by Friberg. 

    Results: The result highlights the changing everyday-life and its challenges which arise in life with a child treated with an insulin pump, as well as the parents’ transition from concern to acceptance of their life situation. The parents’ wishes to normalize their life, as well as their hopes of simplifying their everyday-life was desired. The result also showed the difficulties of the parenting role and finding the balance between responsibility and control related to the child’s independence.

    Discussion: The result was discussed in the light of Orem’s self-care theory. The theory is generally implementable to insulin pump therapy since self-care is important for metabolic control. The primary result of the review demonstrated the parents’ need for support both for themselves and for their child. The nurse shall make self-care actions adapted to the family for an increased self-care balance and enable parents’ to transfer self-care capacity to the child.

  • 303.
    Bismark, Sophie
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Larsson, May
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskors inställning till att vårda patienter med psykisk sjukdom inom den somatiska slutenvården2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness makes up a quarter of Sweden's disease burden but prejudice against people with mental illness is not an unusual phenomenon in today's society. Patients with mental illness have the same right to good health care as everyone else. General nurses with no specialist training should be able to care for these patients. It appears, however, that patients with mental illness do not receive health care under the same conditions and do not have the same health outcomes as patients without mental illness. These patients experience a need for security and trust in their caregivers but nurses show a tendency to act differently towards these patients.

    Aim: To describe nurses' stance on caring for patients with mental illness in somatic inpatient care settings.

    Method: A literature review has been made of scientific articles on general nurses' stance on caring for patients with mental illness in somatic care. Eight scientific articles, four quantitative and four qualitative, have been analysed and provide the base for the results. PubMed was used as database.

    Result: The results indicate that negative attitudes outweigh positive attitudes. The revealed causes of negative attitudes are mainly lack of knowledge and experience, work environment factors, preconceptions about patients' behaviour, negative emotions such as fear, frustration and anger, as well as the perception that caring for patients with mental illness is not part of the work of somatic care nurses. The few positive attitudes that have emerged are based on factors such as knowledge, good experience, an adjusted work environment and a holistic view of nursing care, which includes the care of patients with mental illness.

    Discussion: In the result discussion it is reasoned about how nurses’ work is being complicated by the factors described as causing negative attitudes. Nurses need more support in terms of work environment improvements such as more time, better staffing and adjusted care settings. The theoretical framework is used to clarify how the nurse-patient relationship is affected by nurses' attitudes and what implications this has on the care these patients received within somatic health care. Being understood is important for patients as a premise for a good nurse-patient relationship. With a dysfunctional nurse-patient relationship there is a risk for the nurse-patient encounter to be negative, which in its turn creates negative health care experiences for both patients and nurses.

  • 304.
    Bjarnesten, Angela
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Gambetta, Karin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskans erfarenheter av att möta närstående till personer som vårdas palliativt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses need to face next of kin to people who receive palliative care. The nurse can create meaningful relationships with the next of kin and can use them as a resource for the patient. Support for the next of kin is a cornerstone in palliative care. Social relations are one of the 6 S:s used for person-centered palliative care when next of kin can add more dimensions to the patient's life story.

    Aim: The purpose of this study was to describe nurses' experiences in meeting next of kin to patients in palliative care.

    Method: The method was a literature review where twelve scientific articles were included. Articles were taken from the databases CINAHL Complete and Pubmed and analyzed using analysis of Friberg.

    Results: Two themes were identified: external and internal conditions for the nurse. External conditions for the nurse divided into subthemes such as time significance, the care environment impact and when the next of kin has a different opinion. The internal conditions for the nurse came up as the nurse's ability to involve next of kin, nurses' ability to develop their skills in the meeting with next of kin, the importance of communication and the ability to create teamwork.

    Discussion: With the 6 S:s as a theoretical basis, this literature review has been discussed from the basis of the background and other relevant literature. Next of kin are needed in the health care around the patient but it is not a guarantee that the next of kin`s wishes is the same as the wishes of the patients or the caregivers. For the nurse to use next of kin as a resource it requires clear communication and support from the nurse in the work towards a common goal of palliative care.

  • 305.
    Bjelkmark, Lena
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Jorg, Elisabeth
    Ersta Sköndal University College, Department of Health Care Sciences.
    HIV/AIDS patienter beskriver möten i vården2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 306.
    Bjerkenstedt, Monica
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att arbeta enligt ACT-modellen: Specialistsjuksköterskans erfarenheter av sin kompetens i teamet2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The ACT model developed in the 70's and 80's when many psychiatric clinics were closed in the United States. The original ACT model can be seen as a full service model but has since been modified and adapted to the current conditions of society and health care. As it appears today, several models have been developed based on the ACT model but can be distinguished by which components are included. The model has shown positive results regarding patient participation and recovery. The nurse has a wide professional background and is considered to be an important part of the team. With their skills, they have the basic knowledge to perform medical and psychiatric care, but several studies have shown that there is a need for specialist educated nurses, as many of the patients are severely ill.

    Aim: The aim of this study was to describe the psychiatric specialist nurse's experience of their competence and role in teams working under the ACT model.

    Method: A qualitative design has been selected. Data collection was done with semi-structured interviews. A qualitative content analysis with inductive approach was used to process the material.

    Results: The content analysis resulted in two main categories, skills in the team and the versatile nurse, with six associated subcategories.

    Discussions: The result was discussed based on the two main categories, skills in the team and the versatile nurse. In support of the discussion, relevant topics and literature were used as well as Phil Barker's ten obligations as a starting point.

  • 307.
    Bjurling, Natalie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jörgenstam, Sandra
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans erfarenheter av dödshjälp: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Euthanasia is a debated subject that concerns nurses’ duties. Several countries and states have legalized euthanasia. Euthanasia can be seen as a way of respecting patients wishes, relieving suffering and preserving dignity. However, it can also be considered against healthcare personnels own autonomy or ICN ethical code, which means that the health care task is to alleviate and cure and not harm the patient. Healthcare professionals describe difficulties in dealing with situations where these components differ in a variety of ways.

    Aim: The aim of the study was to highlight nurses’ experiences and factors that may affect experiences of working with people who want or will undergo euthanasia.

     Method: A literature review according to Friberg was conducted. The result is based on ten original articles that were obtained through systematic search. The analysis was conducted by thematization and color-coding.

    Results: Workning with assistens in death was experienced differently depending on the type of euthanasia that was carried out, the experiences of patients and relatives, participation in decision making, ethical codes and laws, as well as nurses’ own values and experiences. This led to both positive and negative experiences for the nurse. These experiences could also be managed through formal or informal support, which in turn contributed to nurses’ experiences.

    Discussion: The discussion is based on Travelbees theory of interpersonal relationships and how care without rolls can contribute to better care, but also affect nurses’ experiences of care. In addition, there is discussion about how nurses own values ​​and understandings affect experiences in health care.

  • 308.
    Bjällstål, Anders
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Olivestam, Peder
    Ersta Sköndal University College, Department of Health Care Sciences.
    Mäns upplevelser av hjärtinfarkt2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 309.
    Björhn, Jennie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hellström, Therese
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Äldres upplevelse av ensamhet och social isolering: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Loneliness and social isolation are a widespread problem among older people and may contribute to bad health and premature death. As the population grow older loneliness and social isolation are expected to become an increasing problem in society and will require greater need for care. Although nurses and other healthcare professionals are aware of the negative effects of loneliness and social isolation it is low prioritized.

    Aim: The aim was to illustrate how older people over 65 years experiences loneliness and social isolation.

    Method: A literature review was performed with results from eleven qualitative articles collected from the databases CINAHL Complete, MEDLINE, PubMed and PsycINFO. The results of the articles were color-coded to identify similarities and differences that were sorted into six themes.

    Results: The result showed six themes; Feelings of loneliness, Social loneliness and lack of affinity, Loss of partner and close relatives, Physical barriers and losses, Loneliness linked to time and space and Loneliness as a sense of freedom. Older people’s experiences of loneliness and social isolation is subjective and unique and wide-ranging emotionally linked to different life events. The older people expressed painful feelings and suffering while others stated positive feelings of freedom.

    Discussion: Since loneliness and social isolation can lead to serious consequences, it is important that the health care system identify older people at risk through preventive and health promotive work. Katie Eriksson's theory of relieving suffering has been used as an in-depth part of the performance discussion as support for the nurse's work in understanding and responding to lonely and socially isolated elderly people. A holistic view of humanity is of importance for alleviating suffering and for considering the basic needs of the elderly, which are meaningfulness and solidarity. The nurse responsibility is to prevent older people from bad health and social discomfort through realizing what knowledge is needed and how to apply it.

  • 310.
    Björk, David
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Interventioner för mental hälsolitteracitet hos personer med depression: En systematisk litteraturstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:   Mental hälsolitteracitet har definierats som förmågan att ”förstå hur god psykisk hälsa uppnås och bibehålls, förstå psykiatriska diagnoser och hur de behandlas, minska stigma relaterat till dem och effektivisera hjälpsökande”. Behovet av god mental hälsolitteracitet i samhället blir allt större i takt med att den psykiska ohälsan ökar. Om den mentala hälsolitteraciteten brister ökar detta risken för att människor söker hjälp för sent, söker somatiska förklaringar till sina psykiska besvär och att de förlitar sig på alternativa och icke evidensbaserade behandlingsmetoder. I förlängningen kan det också innebära att sjuksköterskans arbete försvåras.

    Syfte: Syftet med denna studie är att beskriva vilka interventioner som finns för att öka den mentala hälsolitteraciteten hos personer som lider av depression.

    Metod: Detta är tolkande deskriptiv litteraturstudie med kvalitativ ansats. Tio kvalitativa forskningsstudier har analyserats enligt Evans fyrstegsmetod.

    Resultat:  Resultatet visar att de interventioner för mental hälsolitteracitet som finns, är i huvudsak baserade på Kognitiv beteendeterapi (KBT) och psykoedukation. Det finns även nationella utbildningsprogram som syftat till att förbättra den mentala hälsolitteraciteten på samhällsnivå. Detta framför allt i Australien, där majoriteten av forskningen på mental hälsolitteracitet bedrivits. Interventionerna har också haft vissa positiva effekter, både avseende den mentala hälsolitteraciteten och på depressiva symtom.

    Diskussion: Resultatet i denna studie diskuteras utifrån Virginia Hendersons omvårdnadsteori, som sammanfattats i ”The nature of nursing: A definition and its implications for practice, research and education - reflections after 25 years”. Diskussionen innehåller också reflektioner kring hur underbeforskat mental hälsolitteracitet är som ämne, och hur det skulle kunna utvecklas för att tjäna psykiatrisjuksköterskans arbete på bästa sätt i framtiden.

  • 311.
    Björk, Ellinor
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Kåveryd, Miriam
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Ensamhet ur ett omvårdnadsperspektiv1998Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 312.
    Björk, Helene
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Tellander, Cia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att reducera eller förhindra aggressivitet: vårdgivares interaktion med patienter inom psykiatrisk omvårdnad2003Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 313.
    Björk, Ida
    Ersta Sköndal University College, Department of Health Care Sciences.
    "Till slut så blir det ett sätt att leva": En intervjustudie om livssituation och hälsa hos anhöriga till personer med alkoholproblematik2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Alcohol problems is a major problem that affects the individual, family and society. Laws and guidelines states that family members must be offered support. Nurse’s Code of Ethics includes both the individual, family and society. Previous studies have drawn attention to life situation and health of family members of persons with mental illness, but there is a lack of studies of family members of persons with alcohol problems.

    Aim: The aim of this study was to describe the life situation with a particular focus on health in adult family members of persons with alcohol problems.

    Method: The study has a qualitative design with an inductive approach. Six adult family members of persons with alcohol problems were interviewed individually with semi-structured method by Kvale and Brinkmann. The interview material was analysed using Elo and Kyngäs method of qualitative content analysis.

    Results: The results from the interviews resulted in four categories: An insecure and responsible life situation, To live for the other and lose yourself, Variety of strong emotions and To move on in life and to reconcile with yourself.

    Discussions: The study’s method is discussed based on Graneheim and Lundmans quality concepts. Central findings in the results are discussed in relation to previous research and Antonovsky’s theory of sense of coherence (SoC).

  • 314.
    Björk, Malin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Guvå, Linn
    Ersta Sköndal University College, Department of Health Care Sciences.
    Livets Berg- och Dalbana: En litteraturstudie om anhörigas upplevelse av att vårda en familjemedlem med diagnosen schizofreni2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:The mental ill-health of the Swedish population is currently at a high level and there is reason to believe that there is a substantial amount of unrecorded cases. Schizophrenia is a common psychotic illness preoccupies a large fraction of the psychiatric care. For people with schizophrenia every day is challenging because of the symptoms of the disease and the public stigma. When a family member is diagnosed with schizophrenia relatives become an important resource.

    Aim:The aim of this study is to highlight relatives’ experience of caring for a family member diagnosed with schizophrenia.

     Method:A literature review of both qualitative and quantitative articles from the database Cinahl. SOC - sense of coherence (Antonovsky, 2005) was used as a nursing theory along with the consensus concept health.

     Results:The study resulted in five main themes: contradictory feelings, in which relatives' experience of burdens and satisfactions are revealed. Social isolation, which causes a limited social life, described from relatives' perspective. Financial concern, where economic and job-related changes are discussed. Health and quality of life, where family members’ personal health and quality of life is described. Contact with health services, where relatives' care contact is clarified.

    Discussion: A discussion is held about the family's experience of caring for a family member diagnosed with schizophrenia while achieving health in relation to Antonovsky's (2005) theory of SOC - sense of coherence.

  • 315.
    Björkdahl, A
    et al.
    Karolinska institutet.
    Nyberg, U
    Karolinska institutet.
    Runeson, B
    Karolinska institutet.
    Omérov, Pernilla
    Karolinska institutet.
    The development of the Suicidal Patient Observation Chart (SPOC): Delphi study2011In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 18, no 6, p. 558-561Article in journal (Refereed)
    Abstract [en]

    Constant observation is a method used to insure the safety of suicidal inpatients. It involves structure and control as well as flexibility and the development of a relationship between the observer and the patient. It has been found that important observations may go unnoticed by the observer or fail to be communicated to the multidisciplinary team because of a lack of sufficient training and systematic documentation. We therefore conducted a Delphi survey to collect opinions on what would be important to observe during constant observation of suicidal patients. A panel of experienced clinicians, service users and researchers reached consensus on 37 of 40 observation items (92%). Of these, 28 were rated as the most important. As a result, we developed a form for systematic observer documentation in clinical practice, the Suicidal Patient Observation Chart. The Suicidal Patient Observation Chart includes the 28 items and covers 24 separate observation periods.

  • 316. Björkdahl, A.
    et al.
    Palmstierna, T.
    Hansebo, Görel
    Ersta Sköndal University College, Department of Health Care Sciences.
    The bulldozer and the ballet dancer: aspects of nurses´ caring approaches in acute psychiatric intensive wards2010In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 17, no 6, p. 510-518Article in journal (Refereed)
  • 317.
    Björkdahl, Anna
    et al.
    Karolinska institutet.
    Heilig, Markus
    Palmstierna, Tom
    Hansebo, Görel
    Ersta Sköndal University College, Department of Health Care Sciences.
    Changes in the occurrences of coercive interventions and staff injuries on a psychiatric intensive care unit.2007In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 21, no 5, p. 270-7Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to compare the occurrences of coercive interventions and violence-related staff injuries before and after a 2-year violence prevention intervention on a psychiatric intensive care unit. The intervention aimed to improve nursing care by addressing patient violence from multiple perspectives. During the study, the unit was reorganized toward a higher concentration of severely disturbed patients. The results showed an increased proportion of coercive interventions without a corresponding increase in staff injuries. Use of coercive interventions is discussed in relation to a safe environment for both patients and staff.

  • 318.
    Björklund, Alexandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hammarström, Sara
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Låt mig bara få dö: En litteraturöversikt om patienter med en terminal sjukdom som uttryckt en önskan om dödshjälp i livets slutskede2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Lifespan in society is constantly increasing with the constant development of technology and medicine, at the same time there is an increasing number of people living with severe diseases and suffering. The palliative care in Sweden aim to alleviate multifaceted suffering at the end of life. More and more countries in the world are legalizing euthanasia. Euthanasia is not legal in Sweden but the subject is constantly present through debates in which euthanasia is discussed from different point of views and through ethical aspects. Although euthanasia is not legal, there are patients who are requesting euthanasia.

    Aim: The aim was to identify factors and experiences that lead to terminally ill patients at the end of life request euthanasia.

    Method: A literature review including ten qualitative scientific original articles from PubMed and Cinahl COMPLETE.

    Results: Two main themes were identified, autonomy and suffering. Sub theme to autonomy was right to decide over one's own death and die with dignity. The sub themes to suffering were pain, losses and burden.

    Discussion: The results were discussed with help of Beauchamp and Childress ethical principles. Patients request euthanasia primarily because of pain and from the experience of being a burden. However, if these are alleviated, the desire for euthanasia can cease. Self-determination and quality of life are important factors for patients to maintain at the end of life.

  • 319.
    Björklund, Emelie
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Nordvall, Sonja
    Ersta Sköndal University College, Department of Health Care Sciences.
    Anhörigvårdares erfarenheter av att vårda en närstående person med demenssjukdom: En Litteraturstudie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: 200 000 personer i Sverige beräknas leva med någon form av demenssjukdom. Demenssjukdomar medför livsomställningar för både för den sjuke och för de anhöriga. Anhörigas roll som vårdare av en demenssjuk person i hemmet blir alltmer central. Anhörigvårdarna har ett stort och ofta både fysiskt och psykiskt tungt omsorgsansvar. För att kunna ge ett adekvat stöd till anhörigvårdarna är det viktigt att sjuksköterskor har kunskap om anhörigvårdarnas erfarenheter av att vårda.

    Syfte: Syftet är att beskriva anhörigvårdares erfarenheter av att vårda en närstående person med demenssjukdom.

    Metod: För att besvara studiens syfte har en litteraturstudie gjorts av 13 vetenskapliga artiklar med både kvalitativ och kvantitativ ansats. Datainsamlingen gjordes med hjälp av elektroniska databaserna CINAHL, Medline och Pubmed. Analys av artiklarna har inspirerats av Fribergs fem steg.

    Resultat: Resultatet visar att en demenssjukdom påverkar anhörigvårdarens välmående och hälsa. Demenssjukdomen hos den närstående innebar ofta en stor livsomställning för anhörigvårdaren och förändrade även deras relation. Anhörigvårdare upplevde en sorg över att förlora sin livskamrat i en demenssjukdom. De genomgick en rollförändring och många hade svårt att acceptera sin nya roll som anhörigvårdare. Erfarenheterna hos anhörigvårdarna innehöll både glädje och sorg.

    Diskussion: Resultatet i denna studie kan bidra till en ökad förståelse för anhörigvårdares erfarenheter och situation. Denna förståelse krävs för att sjuksköterskan ska kunna ge anhörigvårdare det stöd de behöver för att bemästra den situation de befinner sig i. Anhörigvårdare är en grupp som tar ett stort vårdansvar och som behöver bli sedda och få stöd i sin situation.

  • 320.
    Björklund Kitanovic, Margot
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ericsson, Christina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Omvårdnad av suicidala patienter kan bli bättre: en forskningssammanställning ur ett sjuksköterskeperspektiv2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 321.
    Björklund, Renée
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Nyberg, Anna
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kvalitetsaspekter i omvårdnaden av patienter med postoperativ smärta: en litteraturstudie med Orlandos omvårdnadsprocess som teoretisk referensram2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 322.
    Björkman, Emma
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Svensson, Lina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskans bemötande av patienter med intellektuella funktionsnedsättningar2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 323.
    Björkman Randström, Kerstin
    et al.
    Mittuniversitetet.
    Asplund, Kenneth
    Mittuniversitetet.
    Svedlund, Marianne
    Mittuniversitetet.
    "I have to be patient" - A longitudinal case study of an older man's rehabilitation experience after a hip replacement surgery2013In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 3, no 8, p. 160-169Article in journal (Refereed)
    Abstract [en]

    Background: Aging can bring about an increased risk of disability. Following illness or injures, rehabilitation is essentialif the individual affected is to attain and maintain independence. Performing rehabilitation with a person-centeredapproach is vital for positive outcomes. Health providers are increasingly interested in developing rehabilitation servicesin outpatient settings for older people in their own homes.

    Aim: The aim of this study was to describe an older man’s rehabilitation experience after a hip replacement surgery.

    Design: A longitudinal qualitative descriptive single case study.

    Methods: Interviews were conducted on four occasions with the participant in his own home. The interviews wereconducted one month, seven months, one year, and five years after the patient was discharged from the hospital. The datawere analyzed using qualitative content analysis.

    Results: Three categories emerged: (i) having feelings of despair, (ii) being in charge, and (iii) having rehabilitative support. The results demonstrate the participant’s decreased ability to walk after a complicated hip surgery, and his physical and psychological struggle for well-being in everyday life. A strong motivation to return to as normal a life aspossible facilitated the rehabilitation. Also, a supportive family and accessible health care professionals were essential tothe positive outcome of the home rehabilitation.

    Conclusion: Rehabilitation can extend over a long period to maintain and improve mobility. Also, living with a disability causes feelings of despair. The home can be a source of energy but also a place of challenges during rehabilitation. To support older people in achieving their rehabilitation goals and engaging in meaningful activities, professionals should focus on personal factors, psychosocial support and on influential factors in the home environment and in society in general.

  • 324.
    Björkman Randström, Kerstin
    et al.
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Asplund, Kenneth
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Svedlund, Marianne
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Impact of environmental factors in home rehabilitation: A qualitative study from the perspective of older persons using the International Classification of Functioning, Disability and Health to describe facilitators and barriers2012In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, no 9, p. 779-787Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim of this study was to explore older people’s experience of environmental factors that impact on their activity and participation in home rehabilitation.

    Method: Older people aged between 68 and 93 years and receiving home rehabilitation were interviewed. A qualitative content analysis was performed on the interview text using the predetermined structure of the International Classification of Functioning, Disability and Health (ICF) environmental domain. The text was linked to the closest ICF category.

    Results: The results identified environmental facilitators and barriers that influenced activity and participation among older people receiving home rehabilitation. Approaches that provided a facilitative environment were access to assistive products and technologies, alterations to the physical environment, social support and relationships, and adjusted health and social care services.

    Conclusions: A qualitative study using ICF-listed environmental factors contributed a holistic view of facilitators and barriers in home rehabilitation for older people. Awareness of the importance of the impact of the social environment on activities and participation could improve home rehabilitation services for older people. The study represents an important step towards a holistic approach using the ICF, which aims to enable all health care professionals to describe, plan and evaluate rehabilitation services together with older people across the health and social care sectors.

  • 325.
    Björkman Randström, Kerstin
    et al.
    Mittuniversitetet.
    Asplund, Kenneth
    Mittuniversitetet.
    Svedlund, Marianne
    Mittuniversitetet.
    Paulson, Margareta
    Mittuniversitetet.
    Activity and participation in home rehabilitation: Older people's and family members perspectives2013In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 45, no 2, p. 211-216Article in journal (Refereed)
    Abstract [en]

    Objective: To explore the experiences of older people and their supporting family members in relation to home rehabilitation, with a focus on activity and participation.

    Methods: Qualitative interviews were carried out with 6 older people and 6 family members at 1 and 6 months after the older person’s discharge to their home. Qualitative content analysis of the data was carried out. The International Classification of Functioning, Disability and Health provides a guiding framework for rehabilitation.

    Results: Informants’ experiences of home rehabilitation contributed to the formation of 6 categories: (i) living with a frail body; (ii) striving for well-being in daily life; (iii) being close at hand; (iv) feeling dependent in daily life; (v) struggling to carry on; and (vi) striving to be at home.

    Conclusion: Older people’s goals were to return to daily routines and to perform meaningful activities without feeling dependent on other people. Family members’ participation was crucial. Psychosocial support and autonomy were essential for facilitating activity and participation. Healthcare professionals should consider each individual’s unique experiences along with the significance of being at home.

  • 326.
    Björkman Randström, Kerstin
    et al.
    Mittuniversitetet.
    Asplund, Kenneth
    Mittuniversitetet.
    Svedlund, Marianne
    Mittuniversitetet.
    Paulson, Margareta
    Mittuniversitetet.
    Activity and participation in home rehabilitation: older people's and family members' perspectives2010In: Journal of Clinical Nursing. Suppl 1, 2010, p. 85-85Conference paper (Refereed)
  • 327.
    Björkman Randström, Kerstin
    et al.
    Mittuniversitetet.
    Wengler, Yvonne
    Mittuniversitetet.
    Asplund, Kenneth
    Mittuniversitetet.
    Svedlund, Marianne
    Mittuniversitetet.
    Working with 'hands-off' support: a qualitative study of multidisciplinary teams' experiences of home rehabilitation for older people2014In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 9, no 1, p. 25-33Article in journal (Refereed)
    Abstract [en]

    Background: There is a move towards the provision of rehabilitation for older people in their homes. It is essential to ensure that rehabilitation services promote independence of older people.

    Aim: The aim of the study was to explore multidisciplinary teams' experiences of home rehabilitation for older people.

    Methods: Five focus groups were conducted with multidisciplinary teams based in a municipality in Sweden, covering seven different professions. In total, 28 participants volunteered to participate in these interviews. Interviews were transcribed verbatim and analysed according to content analysis.

    Results: Two main categories, as well as four subcategories, emerged. The first main category, having a rehabilitative approach in everyday life, consisted of the subcategories: ‘giving ‘hands-off’ support’ and ‘being in a home environment’. The second main category, working across professional boundaries, consisted of the subcategories: ‘coordinating resources’ and ‘learning from each other’.

    Conclusion: Common goals, communication skills and role understanding contributed to facilitating the teams' performances of rehabilitation. A potential benefit of home rehabilitation, because the older person is in a familiar environment, is to work a rehabilitative approach into each individual's activity in their everyday life in order to meet their specific needs. At an organisational level, there is a need for developing services to further support older people's psychosocial needs during rehabilitation.

    Implications for practice: Team performance towards an individual's rehabilitation should come from an emerged whole and not only from the performance of a specific professional approach depending on the traditional role of each profession. A rehabilitative approach is based on ‘hands-off’ support in order to incorporate an individual's everyday activities as a part of their rehabilitation.

  • 328.
    Björkman Randström, Yvonne
    et al.
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Wengler, Yvonne
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Asplund, Kenneth
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Svedlund, Marianne
    Mittuniversitetet, Institutionen för hälsovetenskap.
    Multidisciplinary team's promoting a rehabilitative approach among older people in home care: Meeting abstract2010In: Journal of clinical nursing, Vol 19 Suppl 1, Wiley-Blackwell , 2010, p. 85-86Conference paper (Refereed)
  • 329.
    Björner, Siri
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Att upptäcka och stödja patienter med depressioner inom den öppna hälso- och sjukvården: sjuksköterskans omvårdnadskompetens2000Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 330.
    Björnfot, Emma
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Persson, Simon
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Upplevelser av att som ung vuxen med långvarig sjukdom övergå från barnsjukvård till vuxensjukvård: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden children and youths with chronic diseases commonly receive hospital care in pediatric clinics. At the age of 18 these patients are transferred to adult care. One main difference between pediatric and adult care is that in pediatric care there is an ambition to involve the whole family in the care of the young person, whereas in adult care the young person is expected to be independent and to take full responsibility for his or her own care. Being young, having a chronic disease and to undergo a transition of care are factors that together make up a vulnerable situation.

    Aim: To describe the experiences of young adults with a chronic disease transitioning from pediatric to adult healthcare.

    Method: An integrative literature review based on twelve qualitative scientific articles.

    Results: Five themes emerged: emotions and expectations associated with the transition, perceived barriers to a successful transition, perceived readiness to transition, perceived differences between pediatric and adult health care, and experiences of changes in role function associated with the transition.

    Discussion: The main findings were discussed in relation to the Roy adaptation model, previous research and the rights of young adults transitioning to adult care. 

  • 331.
    Björnlund, Anders
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Wejkner, Martin
    Ersta Sköndal University College, Department of Health Care Sciences.
    Humor i mötet mellan sjuksköterska och patient2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research has revealed that humor is a social phenomenon that can be seen as a universal language. It has been shown to affect a number of factors in a positive way including the care environment, the relationship between nurse and patient as well as the patient's health. Humor is not only positive in a nursing context, hence there are times when it should be avoided.

    Objective: The purpose is to illustrate the use of humor in the meeting between nurse and patient.Method: This bachelor thesis is a literature review where ten scientific articles have been selected, similarities and differences are identified and finally compiled.

    Results: The result consists of three main themes: The impact of humor on the department's care atmosphere, the interaction between nurse and patient and the effects of humor. Under the main theme of interaction between nurse and patient, two sub-categories were identified: communication between nurse and patient as well as lost opportunities for humor. The main theme of humor effects were identified under the categories: humor as strategy and humor as relief.

    Discussion: In the resultdicussion a debate will follow in which the results are implemented in Travelbees nursing theory, Human- to- Human Relationship Theory, but also how new research relates to the result. Travelbees nursing theory with its phases can be used consistently in the result, which new research also largely shows. Overall, the nurse should use humor, to a greater extent than is the case today.

  • 332.
    Blanck Ullenius, Felicia
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Vood Argos, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hur personer med HIV upplever hälso- och sjukvården: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: People with HIV has an increased risk of various infections due to their low immune system. Care needs for people with HIV can be a good oral health, nutrition and psychological support. Healthcare professionals can have a bad attitude towards people with HIV and low levels of knowledge about the disease.

    Aim: The purpose of this literature review was to illuminate how people with HIV experience the healthcare.

    Method: A literature review with eleven scientific articles have been compiled.

    Results: The result is presented in four main themes: Meeting with healthcare professionals, Support and knowledge and Contagion and confidentiality, Other instances and aspects that affected the experience of healthcare.

    Discussion: The discussion illustrates how patients with HIV experienced treatment from the healthcare staff and how the healthcare staff's level of knowledge can affect the treatment, and that patients experience a lack of knowledge about HIV. The key parts of the result were discussed with help of scientific articles and Katie Eriksson´s theory of tending, playing and teaching, as well as the concept of suffering related to care. It is important to carry out health care procedures based on the patient needs to suffering related to care.

  • 333.
    Ble Hammar, Pierrette
    Ersta Sköndal University College, Department of Health Care Sciences.
    Sjuksköterskans erfarenhet av icke-verbal kommunikation: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Non -verbal communication is a common term for wordless exchange between two or more people. Instead of gathering with the words you use body language in the form of gestures, facial expressions, eye contact, touch, tone and in silence listen. Research shows that non – verbal communication is the best opportunity to achieve communicative performance with patients who for various reasons cannot fully express themselves verbally, for example by aphasia as a complication of stroke and in dementia. Another group where non – verbal communication are useful is to patient from other cultures, then you do not have a common language. Non – verbal communication requires empathy, mutual trust between the nurse and patient as well as time to function optimally. Nurses expresses that nonverbal communication is a problem and that they need more experience in using non - verbal communication.

    Aim: Aim of the study was to describe the nurses experience of non – verbal communication.

    Method: The essay based on literature study involving then scientific articles from which the two main categories and three subcategories were identified to be particularly important for the aim of the study to describe the nurses experience of non – verbal communication.

    Results: Two main categories and four subcategories were identified. The first main categorie shows what facilitates nurses non – verbal communication and has the subcategory; Nurses positive emotions affect the non – verbal communication. The other main category shows what hinders nurses non – verbal communication and have subcategories; Nurses negative emotions affect the non – verbal communication, lack of time a barrier to nurses non – verbal communication and nurses experience of non – verbal communication in technologically advanced care. The results of the study show that non – verbal communication is perceived as a resource even in such difficult and technically complex medical care situations as respiratory care.

    Discussion: The relationship between nurse and patient is in many ways complicated and over time it undergoes several stages of development according to the nursing researcher Joyce Travelbee. Therefore, it may take time to get to know the patient and understand each other. In varying degrees lacks nurses both ability and experience to communicate non – verbally. Effective non – verbal communication allows nurses feelings of both satisfaction and happiness at work.

  • 334.
    Blom, Mimmi
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Lindmark, Marika
    Ersta Sköndal University College, Department of Health Care Sciences.
    “I had no time to die. I had things to do, and I wasn’t ready.”: Hur äldre kvinnor upplever och hanterar en hjärtinfarkt- en litteraturstudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 335.
    Blom, Sofie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Löfgren, Ellinor
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sexuell hälsa hos kvinnor efter gynekologisk cancer: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden approximately 3000 women fall ill in gynecological cancer each year. Gynecological cancer occurs in women’s genitals. Treatment for gynecological cancer can have different side effects. Sexual health is unique for each individual and is influenced by gender roles, identity, pleasure and erotism. Sexual desire, arousal and orgasm are segments of sexual health. The nurse’s role includes person centered care with a holistic perspective. All aspects of the patient’s needs should be included; therefore, sexual health should not be excluded. 

    Aim: The aim was to illustrate the experience of sexual health in women who have been treated for gynecological cancer.

    Method: The literature review was based on 11 qualitative studies collected from CINAHL Complete, Nursing and Allied health database and PubMed. The articles were reviewed in order to find similarities and differences.

    Results: The results were categorized into four main themes; The experience of a changed sexual life, An altered view on oneself, Relationship and A new view on sexual health. Within The experience of a changed sexual life two subthemes were identified; The sexual desire and The sexual act. Further on, two subthemes were identified in An altered view on oneself; The meaning of womanhood for women and Body image.

    Discussion: The chosen method for the literature review was discussed. To create understanding and support for the results Callista Roys adaptation model, previous research and our own thoughts were used to discuss the findings of the literature review.

  • 336.
    Blom, Zofia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Kommunikation mellan hörselskadade patienter och sjuksköterskan2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 337. Blomberg, Karin
    et al.
    Forss, Anette
    Ternestedt, Britt-Marie
    Ersta Sköndal University College, Department of Health Care Sciences. Ersta Sköndal University College, Enheten för forskning i palliativ vård.
    Tishelman, Carol
    From 'silent' to 'heard': professional mediation, manipulation and women's experiences of their body after an abnormal Pap smear.2009In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 68, no 3, p. 479-86Article in journal (Refereed)
    Abstract [en]

    While there is a large body of research on cervical cancer screening, fewer studies address the experiences of women receiving abnormal Pap smear results after routine screening. Those studies highlighting such experiences tend to concentrate on resulting psychosocial distress, with an absence in the literature about women's experiences of their bodies during medical follow-up for dysplasia, and no studies were found that explore such experiences over time. In this article, we focus on bodily experiences over time during medical follow-up of an abnormal Pap smear among a group of women in Sweden. This qualitative analysis is based on interview data from a total of 30 women, and with in-depth analysis of the content of 34 transcribed interviews with nine women who were followed longitudinally. We found that medical follow-up involved an experience of both "having" and "being" a body, which changed over time. Women described a process that ranged from having a cervix that was neither felt, 'heard', nor seen, to having a body that became known to them first indirectly through professional mediation and later through direct experience after professional manipulation. The conceptualization of bodily boundaries appeared to change, e.g. through visualization of the previously unfamiliar cervix, pain, vaginal discharge, and bleeding, as well as linkages to the bodies of women in their extended families through the generations. Thus, bodily experiences appear to be an intrinsic part of medical follow-up of an abnormal Pap smear through which health, disease, and risks in the past, present, and future were reconceptualised.

  • 338. Blomberg, Karin
    et al.
    Sahlberg-Blom, Eva
    Ersta Sköndal University College, Department of palliative care research.
    Closeness and distance: a way of handling difficult situations in daily care.2007In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 2, p. 244-54Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: The aim of this study was to describe how care team members caring for patients with advanced cancer describe how they handle difficult situations in daily care. In this paper 'difficult situations' refers to those situations team members themselves describe as difficult. BACKGROUND: Serious illness and impending death involve great changes in a person's life. The care of patients with advanced cancer is complex and many different factors influence each care situation. This places demands on the way care team members handle problems and difficulties in daily care. DESIGN: Qualitative descriptive study. METHODS: The study is based on 16 focus group discussions with care team members who were caring for patients with advanced cancer at three different care units in two Swedish cities. The focus group discussions included 77 participants. The procedure for data analysis was inspired by the phenomenological method. FINDINGS: The results show that care team members handled difficult situations by balancing between being close and distancing themselves. In most situations their choice of strategy seemed spontaneous rather than being a conscious decision, although it was sometimes described as a more conscious approach. Variations of closeness and distance that were identified were Identity, Meaning, Limit-setting and touching, Prioritization, the Team and the Organization. These could also be seen as tools that could facilitate or impede the use of closeness and distance. CONCLUSIONS: The results show that care team members have a need to reflect over daily care and to become aware of what governs different care actions. RELEVANCE TO CLINICAL PRACTICE: If the experienced difficult situation is not handled in a way that is beneficial to the care team member, patient and relatives, it is assumed that this can result in stress, burnout and, above all, non-optimal care.

  • 339. Blomberg, Karin
    et al.
    Ternestedt, Britt-Marie
    Ersta Sköndal University College, Department of Health Care Sciences. Ersta Sköndal University College, Enheten för forskning i palliativ vård.
    Törnberg, Sven
    Tishelman, Carol
    How do women who choose not to participate in population-based cervical cancer screening reason about their decision?2008In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 17, no 6, p. 561-9Article in journal (Refereed)
    Abstract [en]

    In Stockholm, Sweden, women are invited to a cost-free population-based cervical cancer screening programme (PCCSP) at regular intervals. Despite this, many women choose not to attend screening at all or to take opportunistic tests instead. This study explores how women who actively declined participation in the PCCSP reasoned about their choice. Qualitative telephone interviews and fax messages from women who actively declined participation in the PCCSP were analysed inductively. The manner in which women defined and conceptualized distinctions between, and the roles and responsibilities of, both private and public spheres were found to be central in explanations of decision making. Factors related to women's decisions not to participate in screening at all include a lack of confidence in the benefits of screening, previous negative health care and preventive experiences, a belief in one's own ability to discern health changes or a belief that one was not at risk for cervical cancer, as well as a number of unconventional standpoints on social and political issues. Women who chose not to participate in the organized PCCSP, but who did use private opportunistic screening, generally motivated this with direct or indirect criticism of the screening programme itself. Not only was the examination itself sensitive but also all facets of the PCCSP, from invitation letter on, were found to influence women's decisions. Using Jepson et al.'s ethical framework to peruse the evidence-base underlying women's 'informed decision-making' about CCS is suggested to be more constructive than discussing potential participants' knowledge versus lack of knowledge.

  • 340.
    Blomberg, Klara
    Ersta Sköndal University College, Department of Health Care Sciences.
    Vårdande samtal i psykiatrisk vård ur sjuksköterskors perspektiv: en intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 341.
    Blomkvist, Jill
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Ericsson, Åsa
    Ersta Sköndal University College, Department of Health Care Sciences.
    Hinder och möjliggörande faktorer till forskningsimplementering: sjuksköterskans upplevelser2006Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 342.
    Blomkvist, Malin
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Tounsi, Nadia
    Ersta Sköndal University College, Department of Health Care Sciences.
    Den manliga sjuksköterskan: Den manliga sjuksköterskans uppfattning om hur hans könsroll påverkar det dagliga omvårdnadsarbetet2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 343.
    Blommé, Nina
    Ersta Sköndal University College, Department of Health Care Sciences.
    Patienters erfarenheter av att delta i forskning: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research and development is conducted in many areas of health care. This means that many patients seeking care and treatment may be asked to participate in research. A person who is ill and in need of care can experience him/herself, in the role of patient, ending up in a position of dependence in relation to health care professionals. The patient is seeking help and health care staff are those who by virtue of knowledge and ability to help patients have a stronger position. Being a patient and participating in research may thus imply receiving increasing attention, but also inferiority or dependency.

    Aim: The aim was to describe patients’ experiences of participating in research.

    Method: A literature review was performed based on results from ten qualitative articles, limited to adult patients with experience of participating in research.

    Results: The results are presented in four categories; exploring the decision to participate in research, Meaningfulness of participating in research, Perception of barriers related to research and from the feeling of support – to the feeling of abandonment.

    Discussion: The result has been discussed in relation to the life-world perspective according to Dahlberg and Segesten. Three main aspects of the results will be discussed; Barriers for participating in clinical trials versus willingness to participate, dependency on health care professionals – a risk factor both for the patient and the research trial, and the patient’s autonomy and participation in the decision-making about research.

  • 344.
    Blusi, Madeleine
    et al.
    Mittuniversitetet, Landstinget Västernorrland.
    Asplund, Kenneth
    Mittuniversitetet.
    Jong, Mats
    Mittuniversitetet.
    Older family carers in rural areas: Experiences from using caregiver support services based on Information and Communication Technology (ICT)2013In: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380, Vol. 10, no 3, p. 191-199Article in journal (Refereed)
    Abstract [en]

    The aim of this intervention study was to illuminate the meaning of ICT-basedcaregiver support as experienced by older family carers living in vast ruralareas, caring for a spouse at home. In order to access the support serviceparticipants were provided with a computer and high speed Internet in theirhomes. Semi structured webcam-interviews were carried out with 31 familycarers. A strategy for webcam interviewing was developed in order to ensurequality and create a comfortable interview situation for the family carers.Interviews were analyzed using content analyses, resulting in the themes: Adoptingnew technology with help from others and Regaining social inclusion.The results indicate that ICT-based support can be valuable for older familycarers in rural areas as it contributes to improve quality in daily life in anumber of ways. In order to fully experience the benefits, family carers needto be frequent users of the provided support. Adequate training andencouragement from others were essential in motivating family carers to use thesupport service. Access to Internet and webcamera contributed to reducingloneliness and isolation, strengthening relationships with relatives living faraway and enabled access to services no longer available in the area. Use of theICT-service had a positive influence on the relationship between the oldercarer and adult grandchildren. It also contributed to carer competence andpromote feelings of regaining independence and a societal role.

  • 345.
    Bodin, Anna
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Lindström, Veronica
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att leva med KOL: -en litteraturstudie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 346.
    Bog, Monica
    et al.
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Johansson, Helena
    Ersta Sköndal University College, Institutionen för omvårdnad.
    Att vårda en person med demens i hemmet: anhörigas upplevelser och behov av stöd1999Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 347.
    Bolinder, Emma
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Andersson, Sandra
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att känna sig sexuell i en förändrad kropp: En litteraturöversikt om upplevelser av sexualitet efter en stomi-operation2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To get a stoma involves a life setting where the person has to change previous living habits. The person must adapt to the new body image. Body image, quality of life and sexuality can affect each other. Studies show that nurses lack knowledge in the area of ​​sexuality and that it is difficult to talk with patients about it. 

    Aim: To illustrate the sexuality of patients living with a bowel stoma.

    Method: The method of this study was a literature review with ten qualitative and quantitative scientific articles analysed according to Fribergs model in three steps.

    Results: The results of the literature review are divided into three main themes and three sub-themes. The first main theme is Bodily experiences related to sexuality. The second main theme is Changed body image related to sexuality. The third main theme is Social experiences related to sexuality with three sub-themes: Fear of being perceived differently, Experiences in the meeting with healthcare professionals and Being intimate with others.

    Discussion: The result is discussed based on Callista Roy's nursing theory about adaption. The patient's need for support from the care after a stoma operation illustrates and how it is perceived from a nursing and social perspective. 

  • 348.
    Boman, Nellie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Askestad, Frida
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En litteraturöversikt om hur sjuksköterskor och sjuksköterskestudenter upplever vårdande situationer i mötet med personer som lever med HIV2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: HIV was discovered in the US in 1981 but the disease probably originated earlier. HIV is a virus that is stored in the body's genetic material. At the end of year 2015 it was estimated that 36.7 million people worldwide were living with HIV. In sub-Saharan Africa it is estimated to be approximately 25.6 million, while in Sweden there are about 7000 people living with HIV. Communicable diseases act (smittskyddslagen) is to prevent the spread of infectious diseases. Medical legislation (hälso och sjukvårdslagen) is for everyone to obtain good and equal healthcare. The nursing profession code of ethics by the International Council of Nurses (ICN) sets a direction for nurses work. Nurses encounter patients with blood-borne infections in their daily work which can entail certain risks for nurses.

    Aim: To examine nurses and nursing students experience regarding persons with HIV in caring situations. 

    Method: A literature review of data collection from databases CINAHL Complete, PubMed and Nursing & Allied Health Database.

    Results: Positive experiences with the importance of education level for nursing attitudes and increased understanding as subcategories. Negative experiences that occurred with four subcategories that constituted fear of becoming infected, stigmatization, ethical stress and demographic differences. Negative experiences were mainly related to fear and the remaining subcategories came as a result of these

    Discussion: The authors have based their discussion on Katie Eriksson consensus concept of caring. The authors have discussed some specific parts of the literature review results. The mainly discussion were fear of becoming infected, since it was slightly overall. Other results discussed was stigmatization and education level, but also a small profit of gender aspects that the authors found interesting.

  • 349.
    Bonander, Maya
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Liberg Bruhner, Nadia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser kring tvångsåtgärden fastspänning i den psykiatriska slutenvården: En systematisk litteraturöversikt2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mechanical restraint is relatively common in Sweden and several other countries within the psychiatric inpatient care. Research on nurses' experience of restraining shows that it’s perceived as something ethically difficult. Mechanical restraints is also considered to be something necessary in terms of safety. Little is known scientifically about what the patient’s experiences of mechanical restraints are, and there’s no current literature review.

    Aim: The purpose of the present study was to describe patients’ experiences of the coercive measure mechanical restraint in psychiatric inpatient care.

    Method: A systematic review of literature based on a compilation of nine qualitative articles. The data analysis was carried out according to Evans interpretive data analysis method.

    Results: Three main themes emerged in the experience of restraints, which were: before restraint, during restraint and after restraint. Ten subthemes emerged: Patients' experience of a lacking and provocative care, patients' needs in the experience of a lacking and provocative care, powerlessness and fear, the feeling of being totally extradited and defenseless, a lost sense of reality, restraint as something safe and secure, patients' perception of the staff's treatment, patients' thoughts on the staff's treatment, patients' need to share their thoughts and create opportunities for being understood and negative consequences of restraint. The themes and sub-themes led to a total synthesis in the form of: The exposed patients' longing for a caring communication.

    Conclusion: Restraint is in most cases a very negative experience for patients. Patients' experience of restraint can, however, be improved if the nurse before, during and after restraint provides a caring communication with patients.

  • 350.
    Bonnevié, Ann-Charlotte
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Odén, Maria
    Ersta Sköndal University College, Department of Health Care Sciences.
    När livet vänds upp och ner: familjemedlemmars upplevelse av att ha ett barn i familjen med cancer2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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