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  • 51.
    Andersen-Larsson, Tintin
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Morath, Peter
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    “Ensamkommande ‘barn’ behöver kläder och skor. Stora skor. Jättestora skor.”: En kritisk diskursanalys av hur begreppet “ensamkommande” konstruerades på Twitter under 2015.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study has been to analyze - by the use of critical discourse analysis - how constructions of ensamkommande (unaccompanied minors) were expressed on Twitter in 2015. The purpose of this analysis has been to investigate what consequences these constructions might have for how people interpret and understand unaccompanied minors and what kind of impact that could have on the social work carried out for the target group. The material was comprised by every tweet written in Swedish and containing the word ensamkommande on Twitter during 2015. The study has been made from a social constructionist  perspective and the method for analysis has been Fairclough’s three dimensional model. The result showed that eight discourses could be identified. The majority of these could be said to have a negative attitude towards unaccompanied minors and portrayed them in a very negative way. The few discourses that could be said to have a positive attitude towards the target group also contributed to the very negative construction of them. The result also showed that the main producers of the material, and thereby the negative construction of unaccompanied minors, were private individuals, politicians, journalists and media. The conclusion is that the construction of unaccompanied minors could have a negative impact on social work since it can affect how people in general perceive the target group. This could lead to both structural and individual impact regarding the social work with unaccompanied minors. How people interpret and understand the concept of unaccompanied minors could affect how people vote in general elections which could lead to changes in legislation and policies to better answer towards the very negative construction of unaccompanied minors. Such changes of legislation and policies could have a negative impact on the social workers ability to maneuver in their work with the target group. There is also a risk that social workers incorporate the construction of unaccompanied minors so that the work with the target group may be based on prejudiced and general assumptions about them.

  • 52.
    Andersson, Camilla
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sandstedt, Lisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    En litteraturöversikt om compassion fatigue hos sjuksköterskor2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Compassion fatigue among nurses is described as a reduced ability to feel empathy due to being exposed to other peoples trauma, at the same time empathy is seen as one of the core values in nursing. Many nurses lack knowledge about the subject but affected nurses describes it as an overwhelmingly feeling that something is wrong. This may lead to a lot of nurses thinking about leaving the profession.

    Aim: The purpose was to identify the factors that lead to compassion fatigue in nurses.

    Method: A literature review according to Friberg´s method that is based on eleven quantitative articles and one qualitative article.

    Results: The results were presented on the basis of four themes: empathy, feelings of guilt and morol distress, personal and social factors, work related and organizational factors and also age, work experience and professionalism. Some of the factors that cause compassion fatigue were degree of empathetic ability and personal coping strategies.

    Discussion: Watson´s theory of human caring and Conti O´Hare´s theory of the nurse as a wounded healer was used as theoretical frame of reference. Watson describes empathy as one of the core values in her theory of human caring, at the same time the results of the literature review showed that nurses with a higher degree of empathy were at higher risk to develop compassion fatigue. This can be seen as contradictory when empathy is a condition in caring. Conti O´Hare´s theory and the result agree in the regard that if trauma is not handled in a positive way it may lead to illness.

  • 53.
    Andersson, Carina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patientens erfarenhet och behov av stöd och information vid Inflammatorisk tarmsjukdom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Inflammatory bowel disease is a chronic intestinal disease that often requires a lifelong treatment. With the occurrence of an interruption the patient may be stricken by episodes that is difficult to treat. Eventually an untreated inflammatory bowel disease could evolve to colorectal cancer.

    Aim: The aim was to describe the patient’s experiences and its need for support and information regarding the inflammatory bowel disease.

    Method:A literature review according to Friberg, (2017) have been carried through. The literature review is established on eight scientifically studies, which out of four was carried on with mixed methods, three with a quality method and one on quantitative method. The articles were provided via the data platforms; PubMed, Cinahl Complete and Academic Search Complete.

    Results: The result is presented under two major themes and five sub themes. First theme being: Information of disease and treatment with three sub themes; Content of information for a patient with IBD, how information about treatement is given to a patient with IBD and the need of education to nurses to fulfill the patient’s need of information and the second theme being: relationship between nurse and the patient and two sub themes being; The patient’s need of a good relation to its nurse and the patient’s need of a good relationship with the nurse from child to adult care.

    Discussion: The result has been discussed towards prior studies a to wards prior studies a towards Travelbees theory in care taking. There is support for believing that the patient needs information and a good relation towards the nurse.

  • 54.
    Andersson, Ellinor
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Bäckström, Lisa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Kvinnors upplevelser av att leva med bröstcancer: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 55.
    Andersson Elmtoft, Natasja
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, St Lukas Educational Institute.
    Att gå i psykoterapi efter pension: En kvalitativ studie av yngre äldre kvinnors behov avpsykoterapi2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Health psychology among elderly is a neglected topic and social authorities ask foralternative treatment methods to medication. Several studies conclude there is alack of research regarding psychotherapy with elderly. Due to this, the aim of thepresent study is to examine the specific issues and life-problems that concernpsychotherapy attending seniors today, and what they consider as helpful intherapy. A qualitative research design was used with interviews conducted withfive women, who had all chosen to attend psychotherapy after retirement. Thewomen were between 64 and 73 years old when the interviews took place. Theresults showed that four of the five women had gone through some kind ofpersonal crisis in connection with their retirement. The women had all soughtpsychotherapy during the life span, due to a variety of reasons and life-problems.The women in this study think that psychotherapy is helpful after retirement, butthat the psychotherapy should be adapted to the specific needs that elderly peopledo have., which is in line with earlier research.

  • 56.
    Andersson, Erica
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Olsson, Jenny
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Personers upplevelser av att leva med kronisk obstruktiv lungsjukdom: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Kronisk obstruktiv lungsjukdom är en folkhälsosjukdom som finns i hela världen och som främst drabbar rökare. Sjukdomen är livslång och upplevs individuellt av varje drabbad person. Med sjukdomen tillkommer förändringar i vardagen för de som drabbas.

    Syfte:

    Syftet var att beskriva personers upplevelser av att leva med kronisk obstruktiv lungsjukdom.

    Metod:

    Litteraturstudie baserad på tio vetenskapliga studier, samtliga kvalitativa. Artiklarna är hämtade från Cinahl Complete och PubMed. Artiklarna har analyserats och redovisats i fyra huvudtema.

    Resultat:

    Resultatet redovisas i fyra tema; Att känna rädsla inför en oviss framtid, Att skämmas och anklaga sig själv, Att känna sig begränsad och missförstådd i vardagen, Att känna ångest och oro.

    Diskussion:

    Resultatdiskussionen fokuserar på hur vardagslivet påverkas för personer som lever med KOL. Vetenskaplig litteratur och Jean Watsons teori används för att belysa resultatet.   

  • 57.
    Andersson, Hilda
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Högfeldt, Amanda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Palliativ vård i hemmet: Sjuksköterskors erfarenheter: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Worldwide, approximately 40 million people are in need of palliative care every year. Many people wishes to die in their own homes, palliative home care is therefore a growing form of care. Palliative care is based on the four cornerstones: relieve symptoms, teamwork, communication and relations and family support, which aims to alleviate and prevent patient suffering. The nurse has a leading role in nursing and shall work through an ethical and person-centered approach. The nurse's work is based on respect for the patient's integrity and focus on promoting health, alleviating symptoms and suffering.

    Aim: The aim of the study was to illuminate nurses’ experiences of palliative care in the patient's own home.

    Method: A literature review was made according to Friberg's (2017) method. The databases that were used for the search of scientific articles were as follows: CINAHL Complete, PubMed and Medline. Nine qualitative and one quantitative article were included, since they were assessed to respond to the aim of exploring nurses' experiences of palliative care at home. Selected articles were analyzed using Friberg's method of analysis.

    Results: The results are presented in four themes: The importance of a care relationship, The importance of colleagues, The need of education and Personal impact. The nurses had positive and negative experiences of palliative home care. Good care relationships, good cooperation in the team and satisfaction through work were perceived as positive. Insufficient knowledge, lack of time and difficulties in meeting ethical dilemmas were on the other hand perceived as challenging.

    Discussion: In the method discussion, the authors discusses strengths as well as weaknesses with the literature review. In the result discussion, the main findings in the results are discussed through Katie Eriksson's nursing theory, previous research, background and the authors' own reflections.

  • 58.
    Andersson, Junia
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Loso, Sanne
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Föräldrars upplevelser av en intrauterin fosterdöd: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: An intrauterine fetal death (IUFD) means losing a child in pregnancy after gestation week 22. Losing a child is rarely included in the image of the future and will affect individuals in different ways. There is usually no explanation to why an IUFD occurs but risk factors such as overweight with the mother, smoking, malformation of the child and placenta failure can cause a sudden death of a child. The prevalence of IUFD is usually higher in low- and middle- income countries. Nurses often find it hard to meet parents who have lost a child. 

    Aim: The aim was to highlight parents experiences of an intrauterine fetal death.

    Method: The method was based on a literature review in accordance to Friberg (2017). The databases that were used was CINAHL Complete, psycINFO and Academic Search Complete. Ten scientific articles were analysed where only qualitative data were included in the result. 

    Results: Two main themes were discovered: Parents emotional responses with subthemes Feelings and thoughts, The relationship with each other after the loss and The memory of the dead child. The importance of support and assistance with subthemes Existential aspects and the beliefs significance and Parents perspectives of healthcare. 

    Discussion: The method discussion brought up weaknesses and strengths. The outcome discussion discussed different subjects out of the nurse perspective with focus on the knowledge of care for bereaved parents and education of nursing care in grief.

  • 59.
    Andersson, Kim
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Ideby, Heny Emilia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Faktorer som kan påverka livskavlitén hos patienter med livslång sjukdom som befinner sig i livets slutskede: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today´s view of palliative care, self-determination and person-centered care are in focus, that is the palliative approach. It consists of both general and specialized palliative care. The nurse in today´s society has the task of relieving suffering and preventing the patient´s suffering. Her task also includes promoting quality of life by looking at the physical, mental, social and existential needs of the patient.

    Aim: The aim was to describe what factors may affect the quality of life of patients with lifelong disease who are in the final stages of life.

    Method: This is a literature review where eight quantitative and three qualitative and one article with mixed method. All of the scientific articles have been analyzed. The authors of this study have used the Friberg analysis model (2012).

    Results: The result highlights factors related to three areas that influence the patients’ quality of life: physical an emotional factors, existential factors and social factors. The results show that these factors can influence the quality of life for patients when they are in the final stages of life.

    Discussion: The result are discussed against Katie Eriksson´s nursing theory about suffering, care and health. The primary result of the literature review showed that there are factors that indicate to have an impact on quality of life when they are in the final stages of life. These factors are primarily linked to symptoms and affect the patient both physically as well as psychologically. Many patients experienced this as a barrier to everyday life, which impaired their quality of life. 

  • 60.
    Andersson, Mikael
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Rosengren, Linn
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fysisk aktivitet i samband med rehabilitering efter hjärtinfarkt: patienters upplevelser och tankar: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cardiovascular disease is classified as a public disease in today’s Sweden and affected 26000 people in 2016. The mortality has decreased since nursing wards opened in the 1960s. Despite this improvement, physical activity is underutilized in Sweden associated with rehabilitation, even though it is an important protection factor. Personalized care and motivation is important for the patients’ self-care and their rehabilitation process.

    Aim: Describe patients' experiences or thoughts about physical activity associated with rehabilitation after suffering from myocardial infarction.

    Method: This literature review has been based on eight qualitative and two quantitative articles collected from CINAHL complete, PubMed and Web of Science. The articles were reviewed and analyzed in accordance with Friberg to obtain the result that was compiled in different themes.

    Results: Fear and anxiety were experienced by many patients’ during physical activity after a myocardial infarction. Lack of knowledge and motivation resulted in that patients did not participate in training programs. The healthcare professions, relatives and patient's own assets and social network had a positive impact on the patient's experience of physical activity. The result is presented in four main themes; “Psychic experiences – fear, worries and anxiety”, “social support - relatives, family, participants and healthcare professionals”, “knowledge, understanding and physical factors” and “music as a strategy for motivation in physical activity”.

    Discussion: Dorothea Orem's self-care theory, articles and patients’ experiences formed the discussion. Lack of knowledge and motivation reduces the self-care capacity. Healthcare professions, relatives and own resources are important for motivating and supporting the patient in his self-care.

  • 61.
    Andersson, Stina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Lindström, Sofie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser av att vara MRSA-bärare: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There is a continuous increase in antibiotic-resistant bacteria in Sweden, but the situation is still relatively manageable compared to other countries. The development of resistance is a result of the amount of antibiotics used in today's society. The bacteria Staphylococcus aureus is the cause of many types of infections, from mild to life threatening. The bacteria have caused problems at hospitals since 1955 and are the most notorious cause of healthcare-associated infections. Methicillin-resistant Staphylococcus aureus (MRSA) is one of the associated strains of Staphylococcus aureus that have developed resistance to antibiotics. The communicable diseases act (smittskyddslagen) stipulates that methicillin-resistant Staphylococcus aureus (MRSA) is a dangerous disease. General dangerous diseases are infectious and cause suffering, prolonged periods of illness and other serious consequences.

    Aim: To describe patients’ experiences of being MRSA-carrier.

    Method: A literature review according to Fribergs` method where ten scientific articles were elected to the result. The articles were selected from Cinahl Complete and Medline.

    Results: In the articles analyzed the authors identified six themes: getting a diagnosis, experiences of isolation, experiences of treatment, experiences of knowledge and information, fear of infecting others and thoughts about the future.

    Discussion: Based on Callista Roys adaptation theory, the concept of health, background and other research the result is being discussed. The main findings chosen for discussion are the isolation impact, lack of knowledge and adaptation to life with MRSA.

  • 62.
    Andersson, Åsa
    et al.
    Karolinska institutet.
    Frank, Catharina
    Karolinska institutet.
    Willman, Ania Ml
    Malmö universitet.
    Sandman, Per-Olof
    Karolinska institutet.
    Hansebo, Görel
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Factors contributing to serious adverse events in nursing homes.2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e354-e362Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To identify the most common serious adverse events that occurred in nursing homes and their most frequent contributing factors to the improvement of safe nursing care.

    BACKGROUND: There is a need to improve safe nursing care in nursing homes. Residents are often frail and vulnerable with extensive needs for nursing care. A relatively minor adverse event in nursing care can cause serious injury that could have been preventable.

    DESIGN: This was a retrospective study, with a total sample of data regarding adverse events (n = 173) in nursing homes, concerning nursing care reported by healthcare providers in Sweden to the Health and Social Care Inspectorate. The reports were analysed with content analysis, and the frequencies of the adverse events, and their contributing factors, were described with descriptive statistics.

    RESULTS: Medication errors, falls, delayed or inappropriate intervention and missed nursing care contributed to the vast majority (89%) of the serious adverse events. A total of 693 possible contributing factors were identified. The most common contributing factors were (i) lack of competence, (ii) incomplete or lack of documentation, (iii) teamwork failure and (iv) inadequate communication.

    CONCLUSIONS: The contributing factors frequently interacted yet they varied between different groups of serious adverse events. The resident's safety depends on the availability of staff's competence as well as adequate documentation about the resident's condition. Lack of competence was underestimated by healthcare providers.

    RELEVANCE TO CLINICAL PRACTICE: Registered nurses and assistant nurses need to have awareness of contributing factors to adverse events in nursing care. A holistic approach to improve patient safety in nursing homes requires competence of the staff, safe environments as well as resident's and relative's participation.

  • 63.
    Andrews, Pamela
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Trångteg, Josefin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Känsla av hopp hos patienter med cancer i livets slutskede: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The most common form of cancer in Sweden is prostate- and breast cancer. A large proportion of the patients diagnosed with cancer are in a need of palliative care at the hospice or at home care. These patients often end up in grief, and hope is central to that vulnerable situation. The nurse should enable patients to receive a dignified death, promote quality of life and support close relatives.

    Aim: The aim was to investigate the feeling of hope among patients with cancer in palliative care and palliative home care.

    Method: The literature review method was formed after Friberg. Ten scientific articles were selected from the databases Cinahl Complete, PubMed and PsychINFO. The articles were both qualitative and quantitative.

    Results: The result was divided into three main themes and seven sub-themes; Aspects of hope with the subthemes Hope and Hopelessness and Quality of life; The creation of hope with the subthemes Need of hope, Autonomy; Contradictory emotions at the end of life with the subthemes Acceptance and Facing death. The result showed that the feeling of hope in patients with cancer in palliative care often commutes between hope and hopelessness.

    Discussion: The findings discuss the two keyresults hope and hopelessness that appeared in the results. Katie Eriksson’s theory of hope, the caring relationship and suffering is discussed. Further, it describes patients significance of hope and how this differs among different patient groups. Even patients' mental health is discussed when anxiety and depression can occur among these patients.

  • 64.
    Ankarsköld-Flück, Cassandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    McCoy, Nina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Djurens betydelse för den äldre människans välbefinnande: En litteraturöversikt om faktorer av välbefinnandet hos patienter inom äldreomsorgen som får djurassisterad intervention som ett komplement i vården2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Life expectancy in Sweden has never been as high as in recent years, which will have a big influence on the care of the elderly. The situation is complex and affects primarily the patients in the clinical care. Previous studies show that the elderly patients are at greater risk of loneliness, depression and lack of stimulation for various reasons. In order to meet these needs as nurses in clinical care, we want to investigate whether alternative methods can serve as a complement to the care provided. Alternative methods have become more common in recent years, an example is using animals for therapeutic purposes. We therefore want to illuminate the factors of well-being in patients affected by animal-assisted intervention as a complement to health care.

    Aim: The aim was to illuminate the factors of well-being in patients of the geriatric nursing who receive animal-assisted intervention as a complement to standard care.   

    Method: A literature review has been done, where eleven scientific articles from 2008 to 2018 form the results. The articles that were included were national or international. The data collection has been made in three different databases; CINAHL Complete, PsycINFO and PubMed.

    Results: After analysis of the result, four factors emerged for the well-being; physical, mental, social and existential. The result showed that animal-assisted interventions may have positive, negative and / or no effects at all for the well-being of older patients. This type of intervention can serve as a supplement in the care of primary care in the treatment of mental and social interaction.

    Discussion: Patients in elderly care are a risk group for impaired well-being and where pharmacological treatments are commonplace. Animal-assisted intervention can be seen as a non-pharmacological treatment, where well-being can be promoted from a holistic perspective to the elderly patient in standard care. More research is needed on how animal-assisted intervention can replace certain pharmacological treatment. Callista Roys adaptation model supports the nurse's work for understanding patients' ability to adapt to the environment and influence the environment in a self-assertive manner.

  • 65.
    Anna, Nygren
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Julia, Nygren
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Orsaker till föräldrars beslut att inte vaccinera sina barn: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 66.
    Antalek, Nicole
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Sörling, Johanna
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Läkemedelsassisterad behandling vid opioidberoende: Socialsekreterares perspektiv2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Den här uppsatsen handlar om socialsekreterares perspektiv på sitt handlingsutrymme och hur socialsekreterare i sitt arbete samverkar med hälso- och sjukvården när en klient deltar i läkemedelsassisterad behandling. Syftet med studien är att öka kunskapen om handlingsutrymmet för socialsekreterare inom socialtjänsten i samverkan med hälso- och sjukvården kring klienter med läkemedelsassisterad behandling för opioidberoende. Vår studie har en induktiv ansats och är genomförd med hjälp av en kvalitativ metod med semi-strukturerade intervjuer. Materialet som analyserats består av sex intervjuer med åtta respondenter från socialtjänstens vuxenenhet missbruk. Vi använder oss av tidigare forskning som relaterar till samverkan i välfärdsorganisationen, en vetenskaplig artikel kring sidomissbruk och en vetenskaplig artikel ur en akademisk tidskrift som undersöker skillnader mellan privata och offentliga missbruksbehandlingar i USA. Resultatet har analyserats med hjälp av Lipskys teori om Street-level bureaucrats om handlingsutrymme och Bertalanffys systemteori för att få att förstå samverkan i ett helhetsperspektiv. Studiens resultat visar att socialtjänstens handlingsutrymme och samverkan finns inom den byråkratiska organisationens lagar och riktlinjer. Faktorer som ökar handlingsutrymmet och samverkan för socialsekreteraren är erfarenhet i yrket och allians med klientens motivation. Utmanande faktorer i handlingsutrymmet och samverkan med hälso- och sjukvården är när den byråkratiska organisationens mål med insatsen inte stämmer överens med klientens mål med insatsen. De mest framträdande faktorerna i vårt resultat som försvårar samverkan och begränsar handlingsutrymmet är sidomissbruk och samsjuklighet hos klienten. 

  • 67.
    Appel Nissen, Maria
    et al.
    Aalborg University.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Editorial2016In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 6, no 1, p. 1-3Article in journal (Other academic)
  • 68.
    Appel Nissen, Maria
    et al.
    Aalborg University.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Editorial2017In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 7, no 2, p. 81-85Article in journal (Other academic)
  • 69.
    Appel Nissen, Maria
    et al.
    Aalborg universitet.
    Eriksson, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Nordic Social Work Research: steadily growing and moving around2018In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 8, no 3, p. 205-209Article in journal (Other academic)
  • 70.
    Arbouz, Olivia
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    The importance of Intercultural and Decolonial perspectives in a Westernized University: A case study of an interrelated social work setting in Colombia.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study investigates the perspective of ‘Trabajo social intercultural y decolonial’ or ‘Intercultural and decolonial social work’ demonstrated by social workers and scholars of the University of Antioquia in Medellin, Colombia. A qualitative ethnographic and a methodologically plural approach are presented. The results shows that the intercultural and decolonial perspective could be of relevant pragmatic value for orienting future studies and opportunities for implementation in social policy programs. Empirical insights gained through this perspective can be used for improving the understanding of this specific domain and the practices of social work in Colombia and on an international arena.

  • 71.
    Ardelius Lindgren, Sally
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Vasberg, Linnéa
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Nurses’ experiences of caring for migrant patients: A qualitative interview study conducted in San José, Costa Rica2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 72.
    Arnsvik, Elin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Malm, Jenny
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Anhörigas upplevelse av att stötta sin partner med en kurativ cancersjukdom: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A large number of individuals are affected by cancer disease every year, but due to improved treatment and early discovery many are cured. The illness, also affect the patient´s significant other and may increase their risk of own health-related problems.

    Aim: The aim was to describe significant others´ experiences when supporting a partner in curative phase of cancer disease.

    Method: The results are based on twelve scientific articles and categorized in seven themes. The Roy Adaptation model was used to discuss the result. Data were collected from the CINAHL and PUBMED databases, including articles from the years 2007-2017.

    Results: The results show that significant others´ own needs were put aside during their partner´s illness. Their identities were affected as they were adapting their everyday life to be able to support their partner. A partner´s illness also changed the couple’s roles as the couples responsibility changed within the relationship. If the significant other experienced the support as burdensome their health could be negatively affected. Significant others´ experienced their relationship to their partner to improve during the illness.

    Discussion: The four adaptation modes by Roy are related to each other and are hard to distinguish and the holistic view of each person is important. We conclude that it is important that the health care system also acknowledges the significant other´s needs and situations and thereby provide support needed to elude future health issues.

  • 73.
    Arrak, Milad
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Madlool, Aya
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Äldres upplevelse av depression: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In today's Sweden the rise of psychological illness has increased with eachpassing year, and is now one of the greatest ailments in our society. The maincontributer to this rise correlates to the diagnoses of depression. The latestfigures shows that 20 percent of our elders suffers from psychological illness.The origins of depression, both for young and old alike, may stem frombiological and social factors. The difficulty in establishing a diagnosis ofdepression with elderly - unlike with the young - is partly because elderlydepression manifests itself differently.

  • 74.
    Asadi, Soudabeh
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans omvårdnad för att minska aggressivitet hos personer med demenssjukdom: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [sv]

    Demenssjukdom är en av de största framtida sjukdomarna. 30 procent av inlagda patienter över 65 år lider av demenssjukdom. Medellivslängden ökar eftersom gruppen äldre ökar, vilket medför att även antalet personer med demenssjukdom ökar för varje år. Beteendemässiga och psykiska symptom vid demens (BPSD) är vanligt förekommande som en följd av demenssjukdom. Den sjuke visar ett beteende som är svårt att hantera för vårdgivare och det orsakar stor påverkan på den sjukes omgivning. Fysisk eller verbal aggressivitet inte ett helt ovanligt beteende hos dessa patienter. Syftet var att belysa sjuksköterskans omvårdnad för att minska aggressivitet hos personer med demenssjukdom. I resultatet framkom ett huvudtema och fyra underteman för förebyggande av aggressivitet. Vårdmiljöns betydelse, betydelsen av sjuksköterskans kunskap, betydelsen av sjuksköterskans kommunikation och betydelsen av drabbades livshistoria var förutom huvudtemat Förebyggande av aggressivitet, de fyra teman som belystes i resultatet.

  • 75.
    Asgedom, Dina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Bogale, Serkalem
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Att vårda en person med HIV: Närståendes upplevelser2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bakgrund: HIV is a chronic disease that affects people worldwide and is associated with shame, guilt and vulnerability. Both the person with an HIV and the related are physically and psychologically exposed. Studies have shown that relatives of the patients with chronic diseases are often neglected. In today's society, it has become more common for relatives to care - so it is important that their experiences are taken into consideration in order to be offered the right support. The nurse has a responsibility to include and support the related persons in order to maintain their role as carers. Aim: The aim of this literature study was to highlight the family caregivers’ experiences of caring for a person who has HIV. Method: A literature review consisting of ten scientific articles found in three different databases. The articles have both qualitative and mixed design. The content analysis was conducted according to Friberg. Results: The results exposed different categories and subcategories; The emotions of the family caregivers with the subcategories Fear, Frustration, Hope and hopelessness as well as the family caregivers’ positive experiences of caring; Consequences that family caregivers faced during caring for relatives with the subcategories Stress, Care burden and Responsibility as well as Stigmatization. The other main categories are Knowledge and lack of knowledge as well as support and luck of support. Discussion: The outcome discussion explains how stigmatism has different consequences for the relatives in association with the care of a person with HIV. The premises are primarily taken from Eriksson's caritative theory, focusing on the concepts of health and suffering. Knowledge and lack of knowledge for the relatives are also discussed based on the family caregiver’s conditions to care for the person who has HIV.

  • 76.
    Asmundsson, Ulrika
    et al.
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Lilljegren Hedlund, Maria
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Det ekonomiska våldet; En privat angelägenhet?: - En kvalitativ studie om socialtjänstens syn om fenomenet2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 77.
    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.

  • 78.
    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.

  • 79.
    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.

  • 80.
    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.

  • 81.
    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
  • 82.
    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)
  • 83.
    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.

  • 84.
    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.

  • 85.
    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.

  • 86.
    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
  • 87.
    Azad, Avesa
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Al-Nasser, Nadia
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Äldres upplevelse av depression: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

     

  • 88.
    Azizi, Sanaz
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Mashhadi, Shirin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Patienters upplevelser av att leva med hjärtsvikt: en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 89.
    Back, Alexandra
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Olofsson, Annie
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Faktorer som påverkar föräldrars beslutsfattande gällande att vaccinera sitt barn mot influensa: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

  • 90.
    Backeström, Linn
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Olsson, Ida
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Caring for women with experiences of intimate partner violence: Nurses’ perspectives in Hanoi, Vietnam2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Intimate partner violence affects 30 percent of women globally and implies physical, sexual or psychological harm to a person, caused by their partner or ex-partner. There exists gender inequality in Vietnam that affects women negatively during their lifetime. Vietnamese nurses follow a similar ethical code to the International Council of Nurses, but are mostly focused on technical tasks at their workplace. Women with experience of intimate partner violence express that their caring needs are not being met.

    Aim:

    The aim was to describe registered nurses’ experiences of caring for women with experiences of intimate partner violence, in hospital settings in Hanoi, Vietnam.

    Method:

    Data was collected through a descriptive qualitative method with semi-structured interviews with eleven participants recruited from two hospitals in Hanoi, Vietnam. A qualitative content analysis was used for analysis and themes were formed.

    Results:

    One main theme emerged from the study: Nurses approach to their profession correlates with their view of life, emotions and actions when caregiving. Five sub-themes was formed from that theme: The relation between nurses view of life and women; Presence and absence of competence when encountering women with experience of intimate partner violence; The process of providing person centered care; Experiencing the emotional strain that emerges out of caring for women with experiences of intimate partner violence; Crossing professional boundaries in nurse-patient relations.

    Discussion:

    Vietnamese nurse’s caregiving is influenced by their view of life which causes them to give bias advice that focus on women’s responsibilities in society. The absence of guidelines results in nurses using their own moral compass when providing care for women with experience of intimate partner violence. The result will be discussed with Jean Watson’s term consciousness in her theory of human caring/caring science.

  • 91.
    Baresso, Gabriella
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Jans, Linda
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Fysisk aktivitet vid typ 2-diabetes: Sjuksköterskors upplevelser av att motivera patienter till fysisk aktvitet2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 92.
    Barkland, Hanna
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hagerman, Josefin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Våldet mot det kvinnliga könsorganet: en litteraturöversikt om kvinnlig könsstympning ur sjukvårdspersonals perspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Female genital mutilation is performed in about 30 countries in Africa, Asia, and South America. Nearly 200 million girls and women have undergone circumcision and annually 3 million are at risk. Female genital mutilation includes all forms of harm towards the outer female genitals without any medical indications. It results in severe complications and is even fatal. The reasons vary, sometimes they are explained as cultural traditions or religious traditions, and sometimes just to control women's' sexuality. The procedure is illegal in most western countries, Sweden included. The aim was to illuminate knowledge and attitudes among health care professionals regarding female genital mutilation. A literature review was conducted according to Friberg. Three databases were used: Academic Search Complete, CINAHL Complete and PubMed. This resulted in five quantitative articles, four qualitative articles and two with mixed method. The main findings were that there is a lack of knowledge among health care professionals. Also, attitudes differ but many of the participants agreed that it is violating human rights. In practicing countries there were often ambivalent feelings towards female genital mutilation. Even though the global migration is as high as ever, the knowledge among health care professionals is insufficient. The attitudes differ, both in countries where the tradition is practiced and in countries where it is not practiced. The lack of educational information is mentioned as a reason to why health care professionals feel unsure on how to handle meeting a mutilated woman. The results were discussed with Leininger's nursing theory as a model.

  • 93.
    Barud, Liselott
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hur sjuksköterskor förbereder sig inför oplanerade hembesök till patienter de aldrig träffat.: En intervjustudie med sjuksköterskor inom Avancerad Sjukvård I Hemmet2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Att arbeta som sjuksköterska inom Avancerad Sjukvård I Hemmet (ASIH) innebär möten med patienter som har en rad olika livshotande diagnoser. Som en del av det dagliga arbetet ingår att kunna vara tillgänglig för patienten vid försämringar. Detta innebär att sjuksköterskor kan komma att med kort varsel behöva göra oplanerade hembesök till patienter de aldrig träffat.

    Syfte: Syftet var att beskriva hur sjuksköterskor som arbetar inom ASIH-verksamhet i Stockholms län förbereder sig inför oplanerade hembesök till patienter de aldrig träffat.

    Metod: För att ta reda på och beskriva hur sjuksköterskor förbereder sig inför oplanerade hembesök valdes en kvalitativ design med en induktiv ansats. Åtta sjuksköterskor med i genomsnitt 8,5 års erfarenhet från arbete inom ASIH intervjuades. Materialet analyserades enligt en kvalitativ induktiv innehållsanalys.

    Resultat: Analysen resulterade i två huvudkategorier: I ständig beredskap och När någon larmat. I ständig beredskap har två kategorier och fem underkategorier vilka beskriver sådant som ingår i det dagliga arbetet samtidigt som det även är förberedelser inför oplanerade hembesök. Dessa förberedelser kan vara att ha ordning på sin utrustning och att hålla sig informerad om inskrivna patienter. När någon larmat har två kategorier och sex underkategorier vilka beskriver förberedelser som görs efter att ett samtal som föranleder ett oplanerat hembesök inkommit. Dessa förberedelser innebär till exempel att sjuksköterskorna tar reda på så mycket som möjligt om patienten för att kunna bilda sig en uppfattning om vad som behöver göras och hur bråttom det är.

    Diskussion: Resultatet diskuteras i förhållande till annan forskning samt till de tre grundläggande delarna begriplighet, hanterbarhet och meningsfullhet, i Antonovskys salutogena modell KASAM, känsla av sammanhang.

  • 94.
    Baudin, Tobias
    et al.
    LO.
    Bengtsson, Håkan A
    Arenagruppen .
    Eriksson, Ellinor
    SSU .
    Hjelm-Wallén, Lena
    Nordström, Annelie
    Kommunal­arbetareförbundet .
    Ruin, Olof
    Sohlman, Michael
    Säve-Söderbergh, Bengt
    Trägårdh, Lars
    Ersta Sköndal Bräcke University College, The Institute for Organisational and Worklife Ethics.
    ”Alla mellan 18 och 24 bör kallas till medborgartjänst”2015In: Dagens nyheter, ISSN 1101-2447, no 2015-04-22Article in journal (Other (popular science, discussion, etc.))
  • 95.
    Baumgardt, Jessie
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Leufvén, Lina
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sjuksköterskans erfarenheter av psykisk ohälsa i öppenvård: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Psykisk ohälsa har blivit ett globalt folkhälsoproblem. Paraplybegreppet psykisk ohälsa inbegriper psykisk sjukdom och psykiska besvär. Psykisk sjukdom uppfyller kriterier för diagnos, medan psykiska besvär är en obalans eller symtom som oro, ångest, nedstämdhet eller sömnsvårigheter. Vid psykisk ohälsa är den vårdande relationen extra viktig och sjuksköterskans bemötande är betydande för patientens rehabilitering.

    Syfte:

    Syftet var att belysa sjuksköterskans erfarenhet inom psykisk ohälsa i vården.

    Metod:

    Litteraturöversikten genomfördes med elva vetenskapliga artiklar, åtta med kvalitativ design och tre med kvantitativ design

    Resultat:

    Tre huvudteman och tre stycken underteman identifierades: Sjuksköterskans kunskap vid mötet med psykisk ohälsa, med undertemat sjuksköterskans självförtroende vid mötet med psykisk ohälsa. Därefter följer huvudtemat relation mellan patient och sjuksköterska och underteman kommunikation mellan sjuksköterska och patient och sjuksköterskans förhållningssätt vid psykisk ohälsa. Huvudtemat sjuksköterskans samarbete vid psykisk ohälsa avslutar resultatet.

    Diskussion:

    Utifrån Phil Barkers omvårdnadsteori Tidvattenmodellen diskuteras betydelsen av att etablera relation mellan sjuksköterskan och patienten, samt hur kunskapsbrist kring psykisk ohälsa resulterar i osäkerhet hos sjuksköterskan och sämre vård för patienten.

  • 96.
    Beck, Ingela
    et al.
    Lunds universitet; Högskolan Kristianstad.
    Olsson Möller, Ulrika
    Lunds universitet.
    Malmström, Marlene
    Lunds universitet.
    Klarare, Anna
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Samuelsson, Henrik
    Palliativ vård och ASIH Ystad .
    Lundh Hagelin, Carina
    Sophiahemmet högskola; Karolinska institutet.
    Rasmussen, Birgit
    Lunds universitet.
    Fürst, Carl Johan
    Lunds universitet.
    Translation and cultural adaptation of the Integrated Palliative care Outcome Scale including cognitive interviewing with patients and staff2017In: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 16, p. 1-10, article id 49Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: To expand our clinical and scientific knowledge about holistic outcomes within palliative care, there is a need for agreed-upon patient-reported outcome measures. These patient-reported outcome measures then require translation and cultural adaptation, either from country-specific languages to English, or the other way around. The aim of this study was to translate and cross-culturally adapt the Integrated Palliative care Outcome Scale (IPOS) to the Swedish care context.

    METHODS: Swedish versions of IPOS Patient and IPOS Staff were developed and culturally adapted using recommended guidelines including cognitive interviews with patients (n = 13) and staff (n = 15) from different care contexts including general and specialised palliative care.

    RESULTS: The comprehension and judgement difficulties identified in the pre-final patient and staff versions were successfully solved during the cognitive interviewing process. IPOS was well accepted by both patients and staff, none of the questions were experienced as inappropriate, and all questions were judged important.

    CONCLUSIONS: In this study, we translated and culturally adapted the patient and staff versions of IPOS, and demonstrated face and content validity and acceptability of the scale through cognitive interviewing with patients and staff within residential care facility, surgical and specialised palliative home care units. Cognitive interviewing in parallel with patients and staff in rounds, with tentative analysis in between, was a suitable method for identifying and solving challenges with comprehension and evaluation in the pre-final version of IPOS. The Swedish IPOS is now available for use in a variety of clinical care settings.

  • 97.
    Beckeman Jallouli, Samantha
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    "Det är verkligen inte helt lätt": En kvalitativ studie om utredande socialsekreterares tolkningar av barn som upplever våld i nära relationer2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the study has been to increase the knowledge of investigative social workers view on the phenomenon of children who experience violence between related people and how their interpretations relate to the laws and guidelines that apply to children who experience violence. The study has been conducted through qualitative semi structured interviews with six professional children or youth investigators, all of whom work for social services at administrations in Stockholm city or in cranes to Stockholm. The interviews have given a material that has been analyzed against Michael Lipsky's theory of Street level bureaucracy, as well as previous research. The results of the study show that the social workers interviewed seriously look at the fact that children experience violence between their relatives. All respondents believe that children who experience violence between their relatives themselves are victims of mental abuse. However, it appears in the study that violence in itself is considered by some respondents to get too much space in their work, they argue that violence can be an expression of other misconceptions that are likely to be missed if too much focus is placed solely on investigating the violence. As regards how the respondents respond to laws and guidelines, the study results show that the knowledge about guidelines is low. Respondents express no lack of routines and they argue for pros and cons regarding the introduction of routines in their work. The social workers agree that the work is permeated by individual assessments and that generalizations at work not can be done. They say that in order to be able to perform the work satisfactorily, the individual approach is a prerequisite.

  • 98.
    Beernaert, Kim
    et al.
    Belgien.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Fürst, Carl Johan
    Lunds universitet.
    Nyberg, Tommy
    Karolinska institutet; University of Cambridge, United Kingdom.
    Steineck, Gunnar
    Karolinska institutet; Sahlgrenska akademin, Göteborgs universitet.
    Bylund-Grenklo, Tove
    Karolinska institutet; Linnéuniversitetet.
    Distrust in the End-of-Life Care Provided to a Parent and Long-Term Negative Outcomes Among Bereaved Adolescents: A Population-Based Survey Study2017In: Journal of Clinical Oncology, ISSN 0732-183X, E-ISSN 1527-7755, Vol. 35, no 27, p. 3136-3144Article in journal (Refereed)
    Abstract [en]

    Purpose: Previous research shows that the death of a parent places children at risk for a number of negative outcomes. The role of trust in health care at the end of life has been acknowledged as crucial for patients and adult family members. However, the consequences of children’s distrust in the care provided to their parents remain unknown. Therefore, we investigated the negative long-term outcomes of cancer-bereaved sons’ and daughters’ distrust in the care that was provided to a dying parent.

    Methods: We used a population-based nationwide survey to investigate self-reported distrust in the care provided and possible negative outcomes in 622 (73%) participants who had lost a parent as a result of cancer 6 to 9 years earlier, at ages 13 to 16 years. All participants were 18 years or older at the time of the survey.

    Results: In those who reported no or little trust (ie, distrust) in the health care provided to their dying parents, we found statistically significantly higher risks of various negative outcomes at the time of survey: bitterness toward health care professionals for not having done everything that was possible (crude risk ratio [RR], 3.5; 95% CI, 2.3 to 5.1) and for having stopped treatment (RR, 3.4; 95% CI, 2.1 to 6.0), self-destructiveness (eg, self-injury [RR, 1.7; 95% CI, 1.2 to 2.4]), and psychological problems (eg, moderate to severe depression according to the Patient Health Questionnaire–9 [RR, 2.3; 95% CI, 1.5 to 3.5]).

    Conclusion: In cancer-bereaved former adolescents, distrust in the health care provided to the dying parent is associated with a higher risk of negative long-term outcomes. The health care professionals involved in this care might play an important role in safeguarding the trust of adolescents.

  • 99.
    Beernaert, Kim
    et al.
    Belgien.
    Lövgren, Malin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Jeppesen, Jørgen
    Danmark.
    Werlauff, Ulla
    Danmark.
    Rahbek, Jes
    Danmark.
    Sejersen, Thomas
    Karolinska institutet.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Parents' Experiences of Information and Decision Making in the Care of Their Child With Severe Spinal Muscular Atrophy: A Population Survey.2019In: Journal of Child Neurology, ISSN 0883-0738, E-ISSN 1708-8283, article id 883073818822900Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:: This study aims to assess the experiences and wishes of parents of children with severe spinal muscular atrophy regarding information and decision-making throughout the course of the illness.

    STUDY DESIGN:: A full population survey, conducted in 2015, among parents of children with severe spinal muscular atrophy who were born in Denmark between January 1, 2003, and December 31, 2013. We used a study-specific questionnaire with items about experiences and wishes concerning the provision of information about diagnosis, treatment, and end-of-life care.

    RESULTS:: Among the 47 parents that were identified, 34 parents of 21 children participated. Eleven of them were nonbereaved and 23 were bereaved parents. All parents stated that health care staff did not take any decisions without informing them. A proportion of parents indicated that they were not informed about what spinal muscular atrophy entails (32%), possible treatment options (18%), or the fact that their child would have a short life (26%) or that death was imminent (57%). Most of the bereaved parents who had wishes concerning how and where their child would pass away had their wishes fulfilled.

    CONCLUSIONS:: The study showed that health care staff did not take treatment decisions without parents being informed. However, there is room for improvement concerning information about what spinal muscular atrophy entails, treatment options, and prognosis. Possibilities of palliative care and advance care planning should be investigated for these parents, their child, and health care staff.

  • 100.
    Bekteshi, Doruntina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Sharif, Shukri
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Discrimination and stigma – an interview study with nurses concerning persons living with HIV/AIDS in Nairobi2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are approximately 1.5 million people living with HIV in Kenya. The prevalence is at a lower level than at the peak of the epidemic because of free antiretroviral treatment, education and new methods to HIV testing. The nurses’ work situation is difficult trying to reach persons living with HIV in a society where stigma is common and therefore we were curious to learn more about nurses’ personal experiences, to get a wider understanding of the situation. 

    Aim: The aim was to describe nurses’ perspective of the complexity of caring for persons with HIV/AIDS in Nairobi, Kenya.

    Method: The chosen design was a descriptive qualitative study consisting of semi-structured interviews with eight nurses in Nairobi, Kenya.The material was analyzed using qualitative content analysis.

    Results: Two main categories were identified in this study: Nurses’ strategies and approach to initiate care and Challenges in caring for people with HIV/AIDS. Four sub-categories were then formed out of the main categories: Approaching and building relationships with people that live with HIV/AIDS, strategies for reaching out to people that live with HIV/AIDS, structural barriers among people living with HIV/AIDS and practical obstacles within the healthcare system.

    Discussion: The discussion addresses difficulties among nurses when it comes to persuading persons living with HIV/AIDS to receive treatment. The nursing role consists of caring for the patient, counseling and giving hope. Nurses are being affected emotionally when approaching persons living with HIV/AIDS since factors like stigma and fear of abandonment stand in the way for reaching out and giving treatment. Lack of resources in healthcare is another factor that causes frustration among nurses. 

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