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  • 1.
    Adolfsson, Zandra
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Karlsson, Michaela
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Barnvaccinationer: BHV-sjuksköterskans kommunikation och information till föräldrar. 2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The childhood vaccination program is the most successful medical response to public health. Despite this, there have always been negative voices about vaccination. Information about childhood vaccinations is spread quickly and easily through media and information channels, such as Facebook and YouTube. This information is not always critically reviewed and suspected sideeffects may then be overestimated. Evidence shows that there is a variety of reasons why some parents have doubt about childhood vaccination. Child Health nurse's task is to meet all parents with respect and give correct information so the parents have a decision basis for vaccination.

    A lack of communication between the Child Health nurse and the parents can contribute to increased concern, which may lead to the parents choosing to abstain from vaccination.

    Aim: The aim was to describe Child Health nurse's experiences of communicating with parents before childhood vaccinations.

    Method: Semi-structured interviews with nine Child Health nurses. The study has been analyzed using a qualitative content analysis.

    Results: The result showed that all participants in the study felt that most parents had a positive attitude towards childhood vaccination. The study showed that the Child Health nurses felt that they provided a good and distinct information to the parents. At the same time, participants believed that the dissemination of information could be improved. It showed that there are differences in when Child Health nurses present information to the parents. The participants in the study felt safe in the meeting with parents and about communication of information prior to vaccination.

    Conclusion: The study showed that Child Health nurses felt secure about communication, both with information before vaccination and in meeting hesitent parents. Child Health nurses described that they had good and distinct information within the organization.

  • 2.
    Andersen, Pia
    et al.
    Region Kronoberg;Linköping University.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kronoberg.
    Holmberg, Sara
    Region Kronoberg;Lund University.
    Nilsen, Per
    Linköping University.
    Patients' experiences of physical activity on prescription with access to counsellors in routine care: a qualitative study in Sweden2019In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, article id 210Article in journal (Refereed)
    Abstract [en]

    BackgroundPhysical activity on prescription (PAP) has been implemented in several countries, including Sweden, to support patients who might benefit from increased physical activity. This study explores the experiences of recipients of PAP in routine health care in Sweden that offers the recipients support from physical activity counsellors. The aim was to explore influences on engagement in physical activity by PAP recipients' from a long-term perspective.MethodsWe conducted individual semi-structured interviews using a topic guide with a purposively selected sample of 13 adult PAP recipients 1.5 to 2.5years after PAP. Interviews were recorded, transcribed verbatim and analysed through inductive and deductive content analysis. The questions were informed by Capability-Opportunity-Motivation-Behaviour (COM-B), which was also used as a framework to analyse the data by means of categorizing the factors (influences on the behaviour).ResultsTen factors (i.e. sub-categories) that influenced the participants' engagement in physical activity were identified. PAP recipients' capability to engage in physical activity was associated with adapting the PAP to the individual's physical capacity and taking into account the individual's previous experiences of physical activity. PAP recipients' opportunity to engage in physical activity was related to receiving a prescription, receiving professional counselling and follow-up from a physical activity counsellor, collaboration between prescriber and counsellor, having access to appropriate activities, having a balanced life situation and having support from someone who encouraged continued physical activity. PAP recipients' motivation to engage in physical activity was associated with the desire to improve his or her health condition and finding activities that encouraged continuation.ConclusionsPAP recipients' engagement in physical activity was influenced by their capability, opportunity and motivation to undertake this behaviour. Numerous extraneous factors influence capability and motivation. Physical activity counsellors were found to be important for sustained activity because they use an individual approach to counselling and flexible follow-up adapted to each individual's need of support.

  • 3.
    Andersson, Linnéa
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Jansson, Hanna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Anhörigas upplevelser av att leva nära en person med depression: En systematisk litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Fler människor drabbas av depression, till följd av detta blir fler personer anhöriga till individer med depression. Anhöriga blir i olika utsträckning påverkade av detta, vilket vi vill undersöka med vår studie.

    Syfte: Syftet med studien är att belysa upplevelsen av att vara anhörig till en person med depression.

    Metod: Systematisk litteraturstudie utifrån 8 artiklar av kvalitativ samt kvantitativ ansats.

    Resultat: Studiens resultat visar på förändringar i upplevelse och vardag för anhöriga som lever nära en deprimerad. Studien utmynnade i följande kategorier Att inte förstå, Depressionens påverkan på den anhörige, Anhörigas upplevelse av kommunikation, Sätta sig själv i andra hand samt Ta på sig för mycket. Påverkan av relationer i olika aspekter upptäcktes. Att anhöriga ofta sätter sina egna behov åt sidan är ett utmärkande resultat för studien. Kommunikation upplevs som en stor del i förmågan att förstå den deprimerade och på så sätt uppleva en ökad känsla av sammanhang för den anhörige.

    Slutsats: Att vara anhörig till en deprimerad är utmanande på många områden, inte minst när det gäller svårigheten i att prioritera mellan sig själv och patienten. Vi anser efter studiens gång att mer forskning bör ske för att bistå med kunskap och underlätta anhörigas situation.

  • 4.
    Andréasson, Frida
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Regional Association of Kalmar County, Sweden.
    Aidemark, Jan
    Linnaeus University, Faculty of Technology, Department of Informatics.
    Magnusson, Lennart
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Regional Association of Kalmar County, Sweden.
    Strömberg, Anna
    Linköping University, Sweden.
    Hanson, Elizabeth
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Regional Association of Kalmar, Sweden.
    Lifeworld in co-designing with informal carers2019In: Journal of Enabling Technologies, ISSN 2398-6263, Vol. 13, no 1, p. 29-39Article in journal (Refereed)
    Abstract [en]

    Purpose – The purpose of this paper is to reflect on carers’ experiences of being involved in the development of a web-based support programme for carers of people with heart failure (CPwHF), and discuss the challenges related to their involvement in the development process. The focus was on the different phases in the project as well as the methodological challenges and opportunities that occurred in the user group sessions conducted.

    Design/methodology/approach – This research adopt an explorative design studying a co-design process to develop an information and communication technology based support programme for and with CPwHF. Habermas’ concepts of lifeworld and system are used as a theoretical framework to analyse the co-design process employed in the study.

    Findings – Reflecting on the co-design approach adopted, the findings highlight the methodological challenges that arise with carer involvement and the possible tensions that occur between researchers’ ambitions to include users in the design process, and the goal of developing a product or service, in the different phases of the design process.

    Originality/value – Findings highlight that there is a tension between the system and lifeworld in the co-design process which are not totally compatible. The paper highlights that there is a need to develop flexible and reflexive human-centred design methodologies, able to meet carers’ needs and ideas, and at the same time balance this with proposed research outcomes.

  • 5.
    Areda, Martha
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    The role of omega-3 fatty acids in the treatment of schizophrenia through modification of membrane phospholipids2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Ever since the emergence of the hypothesis that linked the aetiology of schizophrenia with abnormal membrane phospholipids composition, an increasing number of evidences have suggested reduced membrane polyunsaturated fatty acids in patients with schizophrenia. This has led to a conduct of several studies to evaluate the efficacy of omega-3 fatty acid supplement in the modification of membrane phospholipids and treatment of schizophrenia. The two main omega-3 fatty acid classes, EPA and DHA, play a vital role in membranes. This project work reviews omega-3 fatty acid studies and summarizes their outcomes. Eight original articles (nine studies) were reviewed. Six out of nine studies measured RBC membrane fatty acids levels and all six studies reported a significant increase in EPA after EPA supplement. Two studies reported increased DHA post omega-3 fatty acid and DHA supplement, respectively. One study observed a dose-dependent increment in DHA after EPA supplement. Improved symptoms were observed in seven studies, while one study found a worsening of symptoms in patients with low baseline PUFA. Moreover, out of the six studies that evaluated the correlation between symptom change and membrane fatty acids change, three studies observed a correlation between increased EPA and symptom improvement. One study reported an increased AA associated with improved symptoms, in contrast to another study, which found a correlation between increased AA and worsened symptoms. The conclusion from this project work is that EPA supplement can increase the EPA levels in membranes; however, its therapeutic effect in schizophrenia requires further investigation using larger studies.

  • 6.
    Arrabi, Nathalie
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    KVINNORS KUNSKAP OM CERVIXCANCER: En litteraturstudie med kvantitativ ansats2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    SAMMANFATTNING

    Bakgrund: Varje år dör ungefär 150 kvinnor i Sverige på grund av cervixcancer. Ändå har dödsfallen minskat sedan cellprovtagning infördes som svensk prevention. Trots detta är det endast 80 % av de kvinnor som blir erbjudna cellprovtagning som deltar i denna typ av kontroll. Kvinnors kunskapsnivå om hur cervixcancer kan förebyggas genom att gå på regelbundna cellprovtagningar påverkade deltagandet i dessa undersökningar.

    Syfte: Syftet med studien är att beskriva kvinnors kunskap om cervixcancer.

    Metod: En litteraturstudie med kvantitativ ansats baserad på 9 vetenskapliga originalartiklar.  Texten analyserades enligt Forsberg och Wengström (2008) och Fribergs (2006) riktlinjer för analys av artiklar vid en modifierad systematisk litteraturstudie.

    Resultat: Studien tar upp kunskapsläget hos kvinnor om cervixcancer under kategorierna, HPV och sambandet med livmoderhalscancer, prevention och faktorer som har samband med kunskapsnivån av cervixcancer. I stort sågs brister hos kvinnor i alla dessa kategorier, dock varierade hur stort andelen kvinnor var som hade bristande kunskap.

    Slutsatser: Enligt författaren är det inte möjligt för kvinnorna som har en mycket bristfällig kunskap om cervixcancer att medvetet inneha ett förebyggande beteende gentemot denna typ av cancer. Därmed ses sjuksköterskans ansvar att informera som en viktig faktor för att förbättra preventionen.

  • 7.
    Arslanovic, Medina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Seppälä, Caiyun
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Livet efter ett hjärtstopp: En litteraturstudie om patienters upplevelser efter att ha överlevt ett hjärtstopp2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Varje år drabbas cirka 10 000 personer av ett hjärtstopp i Sverige. Allt fler överlever ett hjärtstopp idag eftersom allt fler personer utbildar sig inom hjärt-lungräddning (HLR). Patientens livsvärld och den levda kroppen förändras efter ett hjärtstopp. Teoretisk referensram: KASAM-känsla av sammanhang. Antonovsky (1991) beskrev tre viktiga komponenter: begriplighet, hanterbarhet och meningsfullhet. Tillsammans beskriver det hur patienten upplever känsla av sammanhang. Problemformulering: Det är viktigt att sjuksköterskan har förståelse om patientens situation. Bristande förståelse kan leda till negativa konsekvenser vilket kan resultera till att återhämtningen för patienten blir försämrad. Syfte: Syftet med litteraturstudien var att beskriva patienters upplevelser efter att ha överlevt ett hjärtstopp. Metod: Den valda metoden till studien innefattar både kvalitativ och kvantitativ forskning. Resultatet: Patienterna upplevde livsstilsförändringar efter hjärtstoppet. Behovet av stöd och information från vårdpersonal och anhöriga var viktigt för patienten för återhämtningen efter hjärtstoppet. Emotionella känslor uppkom som inte fanns innan och patienterna såg livet ur ett nytt perspektiv. Psykiska förändringar uppstod samt kognitiva vilket resulterade till ett förändrat liv. Slutsats: Kunskapen om hjärtstopp ökar idag allt mer eftersom fler drabbas vilket medför till att upplivning sker på ett säkrare sätt. Sjuksköterskan behöver lägga en stor vikt vid att förstå hur en patient livsvärld är för att kunna ge det stöd och information som just den patienten behöver. Genom det kommer patienten uppleva känsla av sammanhang.

  • 8.
    Axelsson, Julia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Khadem, Sanna
    Familjens erfarenheter av att ha en anhörig med Parkinsons sjukdom: En systematisk litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Abstrakt

    Bakgrund: Parkinsons sjukdom är en kronisk neurologisk sjukdom som gradvis försämrar rörelseförmågan. Tidigare forskning visade att familjen kände stress i samband med sjukdomen och upplevde brist av stöd från omgivningen. Medan andra kände frihet när de fick stöd från hemtjänsten. Syfte: Syftet med denna studie var att beskriva familjens erfarenheter av att ha en anhörig med Parkinsons sjukdom. Metod: En systematisk litteraturstudie med nio artiklar, varav åtta var av kvalitativ ansats och en hade mixed-method. Det utfördes en kvalitativ innehållsanalys. Systemteori används som teoretisk referensram. Resultat: Familjen kände att de var i behov av mer information gällande Parkinsons sjukdom. Familjer som hade sin anhöriga med Parkinsons sjukdom på vårdhem kände att personalen behövde mer kunskap om sjukdomen. Familjerna behövde mer tid för sig själva för att kunna hantera deras vardag. Med Parkinsons sjukdom kom ansvar och skuldänslor för familjen, många kände sig bunda till deras roll som vårdgivare. Slutsats: Vårdpersonalen kan visa öppenhet för att ge mer information och samt erbjuda hälsostödjande samtal till familjen. Det kan ge en möjlighet för familjen att öppna sig för hur de känner och även lyssna till de andra familjemeddlemarna. Detta kan skapa en trygghet för familjen och minska deras rädsla inför framtiden.

  • 9.
    Belkacem, Jamilla
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Sexuellt självförtroende.: Hur tenderar vuxna skatta sitt sexuella självförtroende?2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 10.
    Bergström, Caroline
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Qvarsell Kicsi, Ida
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Mödrars och barnmorskors erfarenheter av eftervård2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:The time after childbirth is known as the most critical but also the most neglected time in every new mothers life. It is part of the midwifes’ task to care for the mother during the postnatal period and assess the need for follow-up. It has been shown that there are shortcomings and a need for development in the postpartum care. There are few or no studies which examines the strengths of the Swedish postpartum care.

    Purpose:To examine the experiences of postpartum care among midwifes and mothers.

    Method:Qualitative interviews with an inductive approach, which were analyzed with a qualitative content analysis. Four new mothers and four midwifes in a region in the south of Sweden were interviewed.

    Results:The mothers were mostly satisfied with the postpartum care but there was a wish for an earlier follow-up after birth and better breastfeeding support. The midwifes described that most mothers are feeling well and that there are no serious shortcomings with the postpartum care today. They do however wish for an earlier follow-up after birth in order to establish an individual plan of care for every family, more education and a better cooperation between different instances.

    Conclusion:The postpartum care has been designed in the same way for a long time and is inflexible with few resources. There is a need for improvement and development as well as a wish for more individualized care.

  • 11.
    Berner, Jessica
    et al.
    Blekinge University of Technology.
    Rennemark, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. Blekinge University of Technology.
    Jogreus, Claes
    Blekinge University of Technology.
    Anderberg, Peter
    Blekinge University of Technology.
    Sköldunger, Anders
    Karolinska Institutet ; Stockholm University.
    Wahlberg, Maria
    Karolinska Institutet ; Stockholm University.
    Elmståhl, Sölve
    Lund University.
    Berglund, Johan
    Blekinge University of Technology.
    Factors influenceing internet usage in older adults (65 years and above) living in rural and urban Sweden2015In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 21, no 3, p. 237-249Article in journal (Refereed)
    Abstract [en]

    Older adults living in rural and urban areas have shown to distinguish themselves in technology adoption;a clearer profile of their Internet use is important in order to provide better technological and health-caresolutions. Older adults’ Internet use was investigated across large to midsize cities and rural Sweden. Thesample consisted of 7181 older adults ranging from 59 to 100 years old. Internet use was investigated withage, education, gender, household economy, cognition, living alone/or with someone and rural/urban living.Logistic regression was used. Those living in rural areas used the Internet less than their urban counterparts.Being younger and higher educated influenced Internet use; for older urban adults, these factors as well asliving with someone and having good cognitive functioning were influential. Solutions are needed to avoid theexclusion of some older adults by a society that is today being shaped by the Internet.

  • 12.
    Block, Fredrik
    Linnaeus University, Faculty of Technology, Kalmar Maritime Academy.
    Gym ombord på fartyg: Behöver sjömän träna och hur?2015Independent thesis Basic level (degree of Bachelor), 10 HE creditsStudent thesis
  • 13.
    Block, Linda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Johansson, Jenny
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gestationsdiabetes mellitus: En journalgranskningsstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Gestational Diabetes, GDM, is a condition diagnosed in pregnant women with elevated glucose levels without prior known hyperglycemia. In Sweden, we have about 1-2 percent of GDM, in the world up to 14 percent is affected. The global increase in obesity is believed to be a major contributory factor in increasing GDM. GDM has negative effects on maternal and fetal outcomes. The midwife has an important role to motivate and support the pregnant woman for a healthy lifestyle change to reduce the risk of complications in mother and child. Purpose: The purpose was to investigate predisposing factors of GDM as well as maternal and fetal outcomes of GDM by clinical record review. Method: The study was based on a quantitative approach with retrospective clinical record review in 2014-2017. The study comprises 166 women with GDM. Data analyzed in PSPP statistics program. Result: The majority of women showed overweight or obesity (72%). There were more foreign-born women than Swedish-born who developed GDM. The study showed that BMI and treatment had the greatest significance for achieving a normal HbA1c. Conclusion: The result is consistent with previous research that overweight and obesity are one of the major factors in developing GDM. This imposes demands on care and especially midwives in maternity care. By working effectively with TTM to make a lifestyle change, hopefully the number of women who develop GDM during pregnancy or manifest diabetes will be reduced.

    Keywords: Gestational diabetes mellitus, GDM, BMI, foreign born, Medical record review

  • 14.
    Bodin Törmä, Linda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Böhm, Sandra
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Åka hem, jag ska väl föda barn!: -en intervjustudie med förstföderskor i latensfas2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The midwife's attitudes are important for a woman’s experience of feeling secure and manage pain during latent phase and delivery. The goal is that the woman should be at home during latent phase, because of that the hospital environment can have a negative impact on the physiological delivery process during this phase. Maternal health care has an important role by supporting and preparing the pregnant woman for birth. Objective: To explore women's experiences of latent phase, sought care at the maternity ward, and then had to go home. Method: A qualitative study has been done and is based on five individual interviews with first-time mothers. The data were analyzed according to content analysis. Results: The women felt unprepared and expressed ignorance about latent phase. The treatment from the midwife at the maternity ward was important for the women and how they could handle their experience of latent phase and delivery. Painful contractions and sleep deprivation were the main factors that made the women visit the maternity ward. Conclusion: The study showed that the information about latent phase from the midwife at the maternal health care center was inadequate and need improvement. The women found it  difficult to determine when they were in active phase and would go into the maternity ward. The midwife at the maternity ward need to see the individual woman and adapt care individually. Partners / relatives may be in need of advice and support from the midwife to make it easier to help the woman in latent phase.

  • 15.
    Bohlenius, Maria
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Påverkas hälsan av den fysiska aktivitetsnivån för bröstcancerpatienter under cytostatikabehandling? 2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Bröstcancer är den vanligast förekommande cancerformen hos kvinnor. Vid diagnos och behandling är det vanligt med psykiska reaktioner och biverkningar. Bland annat förekommer ångest, oro, infektionskänslighet och trötthet. Fysisk aktivitet bidrar till många positiva hälsoeffekter som exempelvis ökad muskelstyrka och kondition, minskad depression och ångest och förbättrat immunförsvar. Detta gör det intressant att undersöka om detta samband även förekommer hos bröstcancerpatienter som genomgår cytostatikabehandling.

    Syfte: Syfte med studien är att undersöka hur hälsan påverkas av den fysiska aktivitetsnivån hos bröstcancerpatienter som genomgår cytostatikabehandling.

    Metod: Arbetet är en litteraturstudie. Artiklar söktes i databasen PubMed. Inklusionskriterier var att artiklarna skulle undersöka effekter av fysisk aktivitet avseende hälsan hos bröstcancerpatienter som behandlas med cytostatika.

    Resultat: Bröstcancerpatienter som utförde fysisk aktivitet under sin cytostatikabehandling, förbättrade, bibehöll eller minskade nedsättning av status på flertalet av de hälsoområden som undersöktes. På vissa hälsoområden sågs ingen skillnad mellan tränings- eller kontrollgrupp eller så var skillnaden inte signifikant. Fysisk aktivitet sågs inte i någon studie försämra hälsan hos patienterna. I något fall sågs att en mindre träningsdos var bättre än en högre. Fysisk aktivitet gav inga biverkningar.

    Slutsats: En ökad aktivitetsnivå för denna patientgrupp ger positiva hälsoeffekter, därmed bör fysisk aktivitet rekommenderas. 

  • 16.
    Broberg, Hanna
    University of Kalmar, eHealth Institute, School of Human Sciences, University of Kalmar,.
    Utvärdering av VårdIT-systemet Cosmic på en sjukhusklinik i Kalmar län2008Report (Other academic)
    Abstract [sv]

    För att förbättra hanteringen av vårdinformation införde Landstinget i Kalmar län under åren 2004 till 2008 vårdIT-systemet Cosmic i de flesta av sina vårdverksamheter. Under hösten 2007 och våren 2008 genomförde eHälsoinstitutet en utvärdering av IT-systemets måluppfyllelse, problemlösning, handlingsstöd och verksamhetsstöd på en sjukhusklinik i länet.

    Det gjordes en studie av IT-systemet och verksamheten, en förändringsanalys, värdering av IT-systemet i verksamheten samt förslag på förändringar av ITsystemet och verksamheten.

    Utvärderingen resulterade i bedömning att införandet av IT-systemet har lett till att de flesta mål har uppnåtts och flera problem har blivit lösta. Dock finns vissa mål som ännu inte uppnåtts helt och vissa problem som kvarstår. Dessutom har införandet av IT-systemet orsakat vissa nya problem, men det har också lett till andra mindre förväntade förbättringar.

    Slutsatsen är att IT-systemet har sina styrkor, men också sina svagheter. Det finns därmed potential att genomföra förändringar för att förbättra IT-systemet för verksamheten. Personalen på kliniken är inte helt nöjd, men skulle heller aldrig vilja gå tillbaka till hur det var tidigare. Resultatet av utvärderingen pekar också på vikten av att utvärdera IT-systemet i verksamheten efter införandet.

  • 17.
    Brors, Gunhild
    et al.
    St Olavs Univ Hosp, Norway;Nord Trondelag Hosp Trust, Norway.
    Pettersen, Trond Roed
    Haukeland Hosp, Norway.
    Hansen, Tina B.
    Zealand Univ Hosp, Denmark;Univ Southern Denmark, Denmark.
    Fridlund, Bengt
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Haukeland Hosp, Norway.
    Holvold, Linn Benjaminsen
    Trondelag Hosp Trust, Norway.
    Lund, Hans
    Western Norway Univ Appl Sci, Norway.
    Norekval, Tone M.
    Haukeland Hosp, Norway;Western Norway Univ Appl Sci, Norway;Univ Bergen, Norway.
    Modes of e-Health delivery in secondary prevention programmes for patients with coronary artery disease: a systematic review2019In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 19, p. 1-24, article id 364Article, review/survey (Refereed)
    Abstract [en]

    BackgroundElectronic health (e-Health) interventions are emerging as an effective alternative model for improving secondary prevention of coronary artery disease (CAD). The aim of this study was to describe the effectiveness of different modes of delivery and components in e-Health secondary prevention programmes on adherence to treatment, modifiable CAD risk factors and psychosocial outcomes for patients with CAD.MethodA systematic review was carried out based on articles found in MEDLINE, CINAHL, and Embase. Studies evaluating secondary prevention e-Health programmes provided through mobile-Health (m-Health), web-based technology or a combination of m-Health and web-based technology were eligible. The main outcomes measured were adherence to treatment, modifiable CAD risk factors and psychosocial outcomes. The quality appraisal of the studies included was conducted using the Joanna Briggs Institute critical appraisal tool for RCT. The results were synthesised narratively.ResultA total of 4834 titles were identified and 1350 were screened for eligibility. After reviewing 123 articles in full, 24 RCTs including 3654 participants with CAD were included. Eight studies delivered secondary prevention programmes through m-Health, nine through web-based technology, and seven studies used a combination of m-Health and web-based technology. The majority of studies employed two or three secondary prevention components, of which health education was employed in 21 studies. The m-Health programmes reported positive effects on adherence to medication. Most studies evaluating web-based technology programmes alone or in combination with m-Health also utilised traditional CR, and reported improved modifiable CAD risk factors. The quality appraisal showed a moderate methodological quality of the studies.ConclusionEvidence exists that supports the use of e-Health interventions for improving secondary prevention of CAD. However, a comparison across studies highlighted a wide variability of components and outcomes within the different modes of delivery. High quality trials are needed to define the most efficient mode of delivery and components capable of addressing a favourable outcome for patients.Trial registrationNot applicable.

  • 18.
    Broström, Anders
    et al.
    Jönköping University ; Linköping University Hospital.
    Nilsen, Per
    Linköping University.
    Gardner, Benjamin
    University College London, UK.
    Johansson, Peter
    Linköping University Hospital.
    Ulander, Martin
    Linköping University Hospital ; Linköping University.
    Fridlund, Bengt
    Jönköping University.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University ; Ersta Sköndal University College ; Ersta Hospital.
    Validation of the CPAP Habit Index-5: A Tool to Understand Adherence to CPAP Treatment in Patients with Obstructive Sleep Apnea.2014In: Sleep Disorders, ISSN 2090-3545, E-ISSN 2090-3553, Vol. 2014, article id 929057Article in journal (Refereed)
    Abstract [en]

    Long-term adherence to continuous positive airway pressure (CPAP) is low among patients with obstructive sleep apnea (OSA). The potential role of "habit" in sustaining adherence to CPAP use has not been studied. This study aimed to establish the relevance of habit to CPAP adherence, via validation of an adaptation of the Self-Report Habit Index (the CPAP Habit Index-5; CHI-5). Analyses focused on the homogeneity, reliability, and factor structure of the CHI-5 and, in line with theoretical predictions, its utility as a predictor of long-term CPAP adherence in middle-aged patients with OSA. A prospective longitudinal design was used. 117 patients with objectively verified OSA intended for CPAP treatment were recruited. Data was collected via clinical examinations, respiratory recordings, questionnaires, and CPAP devices at baseline, 2 weeks, 6 months, and 12 months. The CHI-5 showed satisfactory homogeneity interitem correlations (0.42-0.93), item-total correlations (0.58-0.91), and reliability ( α = 0.92). CHI-5 data at 6 months showed a one-factor solution and predicted 63% of variance in total CPAP use hours after 12 months. Based on the satisfactory measurement properties and the high amount of CPAP use variance it explained, the CHI-5 can be seen as a useful tool in clinical practice.

  • 19.
    Broström, Anders
    et al.
    Jönköping University ; Linköping University Hospital.
    Sunnergren, Ola
    Linköping University ; Ryhov Hospital, Jönköping.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University.
    Johansson, Peter
    Linköping University ; Linköping University Hospital.
    Nilsen, Per
    Linköping University.
    Fridlund, Bengt
    Jönköping University.
    Svanborg, Eva
    Jönköping University ; Linköping University.
    Undiagnosed obstructive sleep apnea in hypertensive outpatients in primary care: Associations with sleep complaints, depressive symptoms and global perceived health2013In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, no 6, p. 445-452Article in journal (Refereed)
    Abstract [en]

    Objective: 1) To describe the prevalence of undiagnosed obstructive sleep apnea (OSA) and depressive symptoms in hypertensive men and women below 65 years of age, and 2) to describe the association of OSA to subjective sleep complaints, depressive symptoms and global perceived health. Design: Cross-sectional design focusing on nursing care outcomes of obstructive sleep apnea. Setting: Four primary care health centres in Sweden. PATIENTS: 411 consecutive patients (52% women), mean age 57.9 years (SD 5.9 years), with diagnosed hypertension (BP > 140/90). Main Outcome Measures: Prevalence of OSA and depressive symptoms, and association of OSA to sleep complaints, depressive symptoms and global perceived health. RESULTS: Mild, moderate and severe OSA was seen among 29%, 16% and 14% of patients, respectively. Depressive symptoms were seen in 16% of the total group, with a higher prevalence among men, compared to women, 21% vs. 12%. No differences were found regarding blood pressure, estimated sleep need, sleep sufficiency index, insomnia symptoms, daytime sleepiness or depressive symptoms with respect to different degrees of OSA. Apnea-hypopnea index was significantly associated to perceived health after adjustment for gender and comorbidities, but when depressive symptoms and non-restorative sleep were added to the model, 33% of the variance in global perceived health was explained. Conclusion: OSA is highly prevalent among patients with hypertension in primary care and does together with sleep complaints and depressive symptoms have a negative impact on global perceived health. Hypertensive patients without subjective sleep complaints or depressive symptoms may still have OSA.

  • 20.
    Buono, Nicola
    et al.
    Univ Maastricht, Netherlands.
    Thulesius, Hans
    Univ Maastricht, Netherlands.
    Petrazzuoli, Ferdinando
    Univ Maastricht, Netherlands.
    Van Merode, Tiny
    Univ Maastricht, Netherlands.
    Koskela, Tuomas
    Univ Maastricht, Netherlands.
    Le Reste, Jean-Yves
    Univ Maastricht, Netherlands.
    Prick, Hanny
    Univ Maastricht, Netherlands.
    Soler, Jean Karl
    Univ Maastricht, Netherlands.
    40 years of biannual family medicine research meetings--the European General Practice Research Network (EGPRN).2013In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 31, no 4, p. 185-7Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To document family medicine research in the 25 EGPRN member countries in 2010.

    DESIGN: Semi-structured survey with open-ended questions.

    SETTING: Academic family medicine in 23 European countries, Israel, and Turkey.

    SUBJECTS: 25 EGPRN national representatives.

    MAIN OUTCOME MEASURES: Demographics of the general population and family medicine. Assessments, opinions, and suggestions.

    RESULTS: EGPRN has represented family medicine for almost half a billion people and > 300,000 general practitioners (GPs). Turkey had the largest number of family medicine departments and highest density of GPs, 2.1/1000 people, Belgium had 1.7, Austria 1.6, and France 1.5. Lowest GP density was reported from Israel 0.17, Greece 0.18, and Slovenia 0.4 GPs per 1000 people. Family medicine research networks were reported by 22 of 25 and undergraduate family medicine research education in 20 of the 25 member countries, and in 10 countries students were required to do research projects. Postgraduate family medicine research was reported by 18 of the member countries. Open-ended responses showed that EGPRN meetings promoted stimulating and interesting research questions such as comparative studies of chronic pain management, sleep disorders, elderly care, healthy lifestyle promotion, mental health, clinical competence, and appropriateness of specialist referrals. Many respondents reported a lack of interest in family medicine research related to poor incentives and low family medicine status in general and among medical students in particular. It was suggested that EGPRN exert political lobbying for family medicine research.

    CONCLUSION: Since 1974, EGPRN organizes biannual conferences that unite and promote primary care practice, clinical research and academic family medicine in 25 member countries.

  • 21.
    Børøsund, Elin
    et al.
    Oslo University Hospital, Norway.
    Cvancarova, Milada
    Oslo University Hospital, Norway.
    Ekstedt, Mirjam
    Oslo University Hospital, Norway;KTH Royal Institute of Technology.
    Moore, Shirley M.
    Case Western Reserve University, USA.
    Ruland, Cornelia
    Oslo University Hospital, Norway;University of Oslo, Norway.
    How user characteristics affect use patterns in web-based illness management support for patients with breast and prostate cancer2013In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 15, no 3, article id e34Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Frequently eHealth applications are not used as intended and they have high attrition rates; therefore, a better understanding of patients' need for support is warranted. Specifically, more research is needed to identify which system components target different patient groups and under what conditions.

    OBJECTIVE: To explore user characteristics associated with the use of different system components of a Web-based illness management support system for cancer patients (WebChoice).

    METHODS: For this secondary post hoc analysis of a large randomized controlled trial (RCT), in which WebChoice was tested among 325 breast cancer and prostate cancer patients who were followed with repeated measures for 1 year, usage patterns of 162 cancer patients in the intervention arm with access to WebChoice were extracted from the user log. Logistic regression was performed to identify patterns of associations between system use and patient characteristics. Latent class analyses (LCA) were performed to identify associations among the use of different system components and levels of social support, symptom distress, depression, self-efficacy, and health-related quality of life.

    RESULTS: Approximately two-thirds (103/162, 63.6%) of the patients logged on to WebChoice more than once, and were defined as users. A high level of computer experience (odds ratio [OR] 3.77, 95% CI 1.20-11.91) and not having other illnesses in addition to cancer (OR 2.10, 95% CI 1.02-4.34) increased the overall probability of using WebChoice. LCA showed that both men with prostate cancer and women with breast cancer who had low scores on social support accompanied with high levels of symptom distress and high levels of depression were more likely to use the e-message component. For men with prostate cancer, these variables were also associated with high use of the self-management advice component. We found important differences between men with prostate cancer and women with breast cancer when associations between WebChoice use and each user characteristic were analyzed separately. High use of all components was associated with low levels of social support among women with breast cancer, but not among men with prostate cancer. High use of e-messages, advice, and the discussion forum were associated with high levels of depression among women with breast cancer, but not among men with prostate cancer. For men with prostate cancer (but not women with breast cancer), high use of symptom assessments, advice, and the discussion forum were associated with high levels of symptom distress. However, it is unclear whether these findings can be attributed to differences related to diagnosis, gender, or both.

    CONCLUSIONS: This study provides evidence that different user characteristics are associated with different use patterns. Such information is crucial to target Web-based support systems to different patient groups. LCA is a useful technique to identify subgroups of users. In our study, e-messages and self-management advice were highly used components for patients who had low levels of social support and high illness burden, suggesting that patients with these characteristics may find such tools particularly useful.

  • 22.
    Caporuscio, Mauro
    et al.
    Linnaeus University, Faculty of Technology, Department of Computer Science.
    Weyns, Danny
    Linnaeus University, Faculty of Technology, Department of Computer Science. Katholieke University Leuven, Belgium.
    Andersson, Jesper
    Linnaeus University, Faculty of Technology, Department of Computer Science.
    Axelsson, Clara
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Petersson, Göran
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    IoT-enabled Physical Telerehabilitation Platform2017In: Proccedings of the International Workshop on Engineering IoT Systems: Architectures, Services, Applications, and Platforms, IEEE, 2017, p. 112-119Conference paper (Refereed)
    Abstract [en]

    Physical telerehabilitation services over the Internet allow physiotherapists to engage in remote consultation with patients at their homes, improving the quality of care and reducing costs. Traditional visual approaches, such as webcams and videophones, are limited in terms of precision of assessment and support for assistance with exercises. In this paper, we present a Physical Telerehabilitation System (PTS) that enhances video interaction with IoT technology to monitor the position of the body of patients in space and provide smart data to physiotherapists and users. We give an overview of the architecture of the PTS and evaluate (i) its usability based on a number of interviews and focus groups with stakeholders, and (ii) its technical efficiency based on a series of measurements. From this evaluation, we derive a number of challenges for further improvement of the PTS and outline a possible solution based on a microservices architecture.

  • 23.
    Carleson, Ida
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Education, Psychology and Sport Science.
    Den funktionella syskonplaceringen i relation till Locus of Control och Känsla av sammanhang2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Föreliggande studies ansats var att undersöka den funktionella syskonplaceringen i relation till Locus of control (LoC) och Känsla av sammanhang (KASAM). Syskonforskaren Sulloways teori om den funktionella syskonplaceringen kan liknas vid en darwinistisk förklaringsmodell till syskonplaceringens betydelse för utvecklandet av personlig karaktäristika. Individens attribuering till inre eller yttre LoC avser huruvida individen tillskriver händelser i livet som ett resultat av dennes egen påverkan eller som ett resultat avhängigt ödet eller slumpen. KASAM-begreppet avser individens förmåga, att uppleva världen som begriplig, hanterbar och meningsfull. Studiens undersökningsdeltagare är elever från årskurs 1-3 på en gymnasieskola (n=86). Vid insamlandet av data användes Rotters IE-scale och Antonovskys KASAM-formulär. Studien kunde sedermera redovisa att undersökningsdeltagarnas funktionella syskonplaceringen inte påverkar deras LoC eller KASAM. En förklaring till det resultat som studien kunde redovisa är att deltagarna är i en ålder där deras attribuering till inre LoC och stark och rigid KASAM, ännu inte har utvecklats och stabiliserats på den nivå som motsvarar de enskilda individernas kapacitet, eftersom det sker i en något äldre ålder.

  • 24.
    Carlsson, Christer
    et al.
    Åbo Akad Univ, Finland.
    Sell, Anna
    Åbo Akad Univ, Finland.
    Walden, Camilla
    Åbo Akad Univ, Finland.
    Walden, Pirkko
    Åbo Akad Univ, Finland.
    Lundqvist, Siw
    Linnaeus University, School of Business and Economics, Department of Organisation and Entrepreneurship.
    Marcusson, Leif
    Linnaeus University, School of Business and Economics, Department of Organisation and Entrepreneurship.
    Go Vendla Go! Creating a Digital Coach for the Young Elderly2017In: INFORMATION SYSTEMS, EMCIS 2017 / [ed] Themistocleous, M Morabito, V, Springer, 2017, p. 204-209Conference paper (Refereed)
    Abstract [en]

    The proportion of ageing citizens is high and increasing in most EU countries and there is a growing political pressure to make sure that the costs for the elderly care programs do not grow out of bounds. The focus of the ageing population programs is at the 75+ age group. The younger age group - the "young elderly" that is the focus in our research - does not get much attention. Recently, we have noticed a growing insight that preventive programs could be helpful as healthier young elderly will help produce healthier seniors (the 75 + age group) which over time will have significant effects on the costs for health and social care for the ageing population. Our study is a synergistic combination of two timely research areas: digitalisation and the ageing population. The focus combination of digital wellness services and the young elderly is unique. We build on a research program that is operating since January 2014. Our current research in progress aims at finding out how a digital coach - a personal trainer called Vendla - can be worked out for digital wellness services.

  • 25.
    Christensen, Bodil
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Dahl-Nordström, Katia
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Män, förlossningsrädsla och Auroraverksamhet2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Research has shown fear of childbirth to be as common among men as women, but the phenomenon has not been as studied among men. Some men have trouble talking about their fear and therefore don’t get the support that they need. Where to go to get help is not so obvious for these men. The name mostly used for this clinic is Aurora. Men and women come here to get help and support to process their fears and plan for the upcoming delivery. Aurora is also available after a traumatic deliver to process the experience.

    The aim of this study was to describe men’s experiences of Aurora clinics as husband/partner accompanying a woman with fear of childbirth, and to investigate the existence of fear among the men themselves. Questionnaires were sent to 41 men, of who 27 answered who took part in Aurora clinic at a hospital in south of Sweden. The data was analyzed descriptive, with Chi-2 test and Wilcoxon Signed Ranks Test. The results showed that all part taking men suffered from fear of childbirth to some extent, but the men chose to take part in Aurora mainly to support the woman. The men felt confirmed, supported and taken seriously. Most men had a positive childbirth experience after taking part in Aurora. A surprising find was that few men stated that a birth plan had been established, even thou this should be routine. The findings were surprisingly positive. The midwife giving antenatal care, is the one how should identify fear of childbirth in men and women, but no specific measures are taken to find them. In our study we found several men who were afraid of childbirth, who hadn’t been discovered before. Screening all parents-to-be for fear of childbirth could possibly be a way to find more.

  • 26.
    Colombini, Manuela
    et al.
    London Sch Hyg & Trop Med, UK.
    Mayhew, Susannah H.
    London Sch Hyg & Trop Med, UK.
    Lund, Ragnhild
    Norwegian Univ Sci & Technol, Norway.
    Singh, Navpreet
    AstraZeneca PLC, UK.
    Swahnberg, Katarina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Infanti, Jennifer
    Norwegian Univ Sci & Technol, Norway.
    Schei, Berit
    Norwegian Univ Sci & Technol, Norway.
    Wijewardene, Kumudu
    Univ Sri Jayewardenepura, Sri Lanka.
    Factors shaping political priorities for violence against women-mitigation policies in Sri Lanka2018In: BMC International Health and Human Rights, ISSN 1472-698X, E-ISSN 1472-698X, Vol. 18, article id 22Article in journal (Refereed)
    Abstract [en]

    Background: Although violence against women (VAW) is a global public health issue, its importance as a health issue is often unrecognized in legal and health policy documents. This paper uses Sri Lanka as a case study to explore the factors influencing the national policy response to VAW, particularly by the health sector. Methods: A document based health policy analysis was conducted to examine current policy responses to VAW in Sri Lanka using the Shiffman and Smith (2007) policy analysis framework. Results: The findings suggest that the networks and influences of various actors in Sri Lanka, and their ideas used to frame the issue of VAW, have been particularly important in shaping the nature of the policy response to date. The Ministry of Women and Child Affairs led the national response on VAW, but suffered from limited financial and political support. Results also suggest that there was low engagement by the health sector in the initial policy response to VAW in Sri Lanka, which focused primarily on criminal legislation, following global influences. Furthermore, a lack of empirical data on VAW has impeded its promotion as a health policy issue, despite financial support from international organisations enabling an initial health systems response by the Ministry of Health. Until a legal framework was established (2005), the political context provided limited opportunities for VAW to also be construed as a health issue. It was only then that the Ministry of Health got legitimacy to institutionalise VAW services. Conclusion: Nearly a decade later, a change in government has led to a new national plan on VAW, giving a clear role to the health sector in the fight against VAW. High-level political will, criminalisation of violence, coalesced women's groups advocating for legislative change, prevalence data, and financial support from influential institutions are all critical elements helping frame violence as a national public health issue.

  • 27.
    Dahlgren, Liza
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Peltonen, Linda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Tillsammans i kaoset: - Hur sjuksköterskor upplever att patienter påverkas av arbetsmiljön på en akutmottagning2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of visits to emergency departments in Sweden has increased in recent years and high workloads are common. Large patient numbers, lack of care places and long waiting periods lead to stress in nurses and patient safety decreases. Nurses in emergency department feel that they are overworked and unable to provide the care they wish.

    Objective:  The aim of this study is to clarify nurses’ experiences of how patients are affected by the working environment in an emergency department.

    Method: A qualitative study of 12 nurses working at an emergency department was interviewed through semi-structured interviews. The analysis has been conducted through a qualitative latent content analysis.

     

    Result: The result is based on a theme "The working environment creates shortages in care" with two categories; "Risk of injury to the patient" and "Negative experience for the patient". When the workload is high, the nursing, communication and triage is lacking. Resources are not enough and patients can wait for medicines. Patients feels unseen and experience they are in the way. The result shows that integrity becomes insufficient when the workload is high and the nurses experience that patients feels stressed and anxious because of the environment.

     

    Conclusion: There are risks for the patients seeking medical care at the emergency department. Nurses are stressed, forgets and provides insufficient care and treatment. The working environment needs to be better for the nurses in order to provide the care they want as well as the care that patients deserve. The risks to the patients are highlighted from the nurse's perspective and continued research needs to be based on the patient's own experiences. Continued research is needed on routines for improving nursing care at emergency departments.

  • 28. De Backer, G.
    et al.
    Catapano, A. L.
    Chapman, J.
    Graham, I.
    Reiner, Z.
    Perk, Joep
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wiklund, O.
    Guidelines on CVD prevention: Confusing or complementary?2013In: Atherosclerosis, ISSN 0021-9150, E-ISSN 1879-1484, Vol. 226, no 1, p. 299-300Article in journal (Other academic)
  • 29. De Backer, Guy
    et al.
    Catapano, Alberico L
    Chapman, John
    Graham, Ian
    Reiner, Zeljko
    Perk, Joep
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wiklund, Olov
    Guidelines on CVD prevention: confusing or complementary?2013In: European Journal of Preventive Cardiology, ISSN 2047-4873, E-ISSN 2047-4881, Vol. 20, no 1, p. 6-8Article in journal (Other academic)
  • 30. Eklöf, Motzi
    Journalförda liv: Vårdpolitiska, juridiska och etiska aspekter på livsberättelser i vård och omsorg2015In: Livsberättelser, kultur & hälsa / [ed] Motzi Eklöf, Margareta Petersson, Växjö: Linnaeus University Press, 2015, p. 53-58Chapter in book (Other academic)
  • 31.
    Ekstedt, Mirjam
    et al.
    KTH Royal Institute of Technology.
    Ödegård, Synnöve
    KTH Royal Institute of Technology.
    Exploring Gaps in Cancer Care Using a Systems Safety Perspective2015In: Cognition, Technology & Work, ISSN 1435-5558, E-ISSN 1435-5566, Vol. 17, no 1, p. 5-13Article in journal (Refereed)
    Abstract [en]

    Gaps in the continuity of care may appear as losses of information or momentum or as interruptions in the delivery of care. To systematically improve patient safety, we need to know more about how gaps in the continuity of health care are identified and mitigated. This study seeks to describe healthcare professionals’ understanding of how they anticipate, detect and handle gaps in cancer care. Ten focus-group interviews and two individual interviews were conducted with a total of 34 cancer-care professionals (physicians, nurses, managers and administrators)from three counties in mid-Sweden. Various specialties in cancer care were covered: primary care, inhospital care, palliative care, advanced home are, and children’s care. Interviews were analyzed inductively using qualitative content analysis. The results show that patient safety in cancer care is dependent on a resilient organization that is capable of anticipation, monitoring, adapting and learning at all levels of care. The professionals anticipated gaps in situations where contacts between healthcare providers were limited and when they were faced by time or resource constraints. The extent to which aps could be managed by professionals at the sharp end was largely determined by their bility to adapt to complex and unexpected situations in their daily work. The management of gaps was perceived differently by managers and clinicians, however. The study also indicates hat the continuity of care could be improved by patients’ participation in decisions about reatments and care plans, and by a mutual responsibility for the transfer of information and knowledge across professional boundaries. These results are discussed from a resilience ngineering perspective, and they emphasize the management’s responsibility to address gaps identified in the system. Designing resilient healthcare organizations enables professionals at  the sharp end to prevent human error or mitigate its consequences.

  • 32.
    Elisabeth, Cartaxo
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sophia, Montero
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Kvinnlig könsstympning: Kvinnors upplevelser av könsstympning och mötet med västerländsk vård efter ingreppet2014Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Kvinnlig könsstympning är ett ingrepp då kvinnans klitoris, inre blygdläppar och yttre blygdläppar skärs bort och sys ihop i ett icke-medicinskt syfte, det finns fyra olika typer. Är vanligast förekommande i 29 länder. Lagen förbjuder att utföra könsstympning med eller utan flickornas samtycke. Det blir allt vanligare att människor från andra länder med annorlunda seder och traditioner bosätter sig i Sverige, detta leder till att sjuksköterskor möter människor med annan härkomst.

    Syfte: Syftet var att studera hur kvinnor upplever könsstympning samt bemötandet inom västerländsk vård efter ingreppet.

    Metod: Den kvalitativa studien byggde på sex biografier där kvinnorna utsatts för könsstympning och sedan mött vården i västvärlden. Biografierna analyserades med kvalitativ innehållsanalys.

    Resultat: Tre kategorier genomlyser resultatet; Att lida i det tysta, Makt och kontroll och Mötet med vården.

    Slutsats: De krävs information och utbildning för förebyggandet av könsstympning och för att identifiera flickor i riskzon. Vårdpersonal måste vårda på ett varsamt sätt där kvinnan bejakas och hela upplevelsen förstås för att tillfredsställa kvinnors behov, för att kunna möta och ge god vård till de kvinnor som redan genomgått könsstympning.

  • 33.
    Elmerstig, Eva
    et al.
    Malmö University.
    Wijma, Barbro
    Linköping University.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University.
    Swahnberg, Katarina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University.
    Being “good in bed”: body concerns, self-perceptions and gender expectations among Swedish heterosexual female and male senior high-school students2017In: Journal of sex & marital therapy, ISSN 0092-623X, E-ISSN 1521-0715, Vol. 43, no 4, p. 326-342Article in journal (Refereed)
    Abstract [en]

    We investigated gender differences regarding body perceptions, self-perceptions, values and expectations in sexual situations, and factors associated with expectations, among Swedish heterosexual female and male high-school students. A total of 2,765 students (aged 18 to 22) completed questionnaires. Women reported lower satisfaction with themselves and their body appearance (p < 0.001), and felt more inferior to their partner (p < 0.001). Men felt more superior to their partner, and felt higher expectations (p < 0.001). Male sex, difficulty saying no to sex, dissatisfaction with the body, feeling inferior or superior to partner, and considering partner's satisfaction as more important, were all associated with feeling expectations during sex.

  • 34.
    Elofsson, Kieron
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sandin, Ida
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Delaktighetens mångtydighet: En begreppsanalys2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The concept of participation lacks a clear definition. Nevertheless, nurses in Sweden have an obligation under law to work to make their patients participate. The significance of what participation implies is not cleared and therefore problems may arise in the work for participation. Aim: The purpose is to clarify the meaning of the concept of participation from a health science perspective. Method: Concept analysis in eight steps according to care researchers Walker and Avant. Results: The term's five attributes are; active participation, confirmation, information, communication and partnership. All of which must be met in order for participation to be incorporated. Conclusion: Participation is a subjective experience that can be difficult to achieve. Work is required to create opportunities for all attributes to be met.

  • 35.
    Englund, Victoria
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gustavsson, Maja
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    ÄR DET NU LIVET BÖRJAR?: En litteraturstudie om patienters upplevelser av att leva med ett transplanterat organ2016Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Ordet organtransplantation betyder överflyttning av ett organ från en individ till en annan. Att få ett nytt organ innebär många omställningar i individens vardag. Det kan för individen innebära fysiska, sociala och psykiska problem.

    Syfte: Syftet var att studera patienters upplevelser av att leva med ett transplanterat organ.

    Metod: Litteraturstudien grundade sig i en kvalitativ design baserad på fem självbiografiska böcker. Böckerna analyserades med hjälp av en manifest innehållsanalys enligt Lundman och Hällgren Graneheim (2012).

    Resultat: Fyra kategorier och elva underkategorier framkom efter analys; Nya möjligheter, Nya hinder (Ökad infektionsrisk, läkemedelsbiverkningar, en förändrad kropp, livslång läkemedelsbehandling och regelbundna sjukhusbesök), Emotionella upplevelser (Tacksamhet gentemot närstående, trygghet genom tröst och stöd från sjukvårdspersonal, känslor av sorg och tacksamhet gentemot donatorn, skuldkänslor och att födas till ett nytt liv), Gemenskap med andra transplanterade individer.

    Slutsatser: Att leva med ett transplanterat organ innebär en livsomvälvande upplevelse. Det ger en andra chans till livet, men det innebär även många nya risker och begränsningar. I mötet med en individ som lever med ett transplanterat organ är det viktigt att sjuksköterskan ser till dennes livsvärld, för att kunna ge en så god omvårdnad som möjligt.

  • 36.
    Ericson, Anne
    et al.
    Karolinska University Hospital.
    Löfgren, Susanne
    Karolinska Institutet.
    Bolinder, Gunilla
    Karolinska University Hospital.
    Reeves, Scott
    Univ Kingston, UK;St Georges Univ London, UK.
    Kitto, Simon
    Univ Ottawa, Canada.
    Masiello, Italo
    Karolinska Institutet;Södersjukhuset.
    Interprofessional education in a student-led emergency department: A realist evaluation2017In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 31, no 2, p. 199-206Article in journal (Refereed)
    Abstract [en]

    This article reports a realist evaluation undertaken to identify factors that facilitated or hindered the successful implementation of interprofessional clinical training for undergraduate students in an emergency department. A realist evaluation provides a framework for understanding how the context and underlying mechanisms affect the outcome patterns of an intervention. The researchers gathered both qualitative and quantitative data from internal documents, semi-structured interviews, observations, and questionnaires to study what worked, for whom, and under what circumstances in this specific interprofessional setting. The study participants were medical, nursing, and physiotherapy students, their supervisors, and two members of the emergency department's management staff. The data analysis indicated that the emergency ward provided an excellent environment for interprofessional education (IPE), as attested by the students, supervisors, and the clinical managers. An essential prerequisite is that the students have obtained adequate skills to work independently. Exemplary conditions for IPE to work well in an emergency department demand the continuity of effective and encouraging supervision throughout the training period and supervisors who are knowledgeable about developing a team.

  • 37.
    Ericson, Anne
    et al.
    Karolinska Institutet;Karolinska University Hospital.
    Masiello, Italo
    Karolinska Institutet.
    Bolinder, Gunilla
    Karolinska University Hospital;Karolinska Institutet.
    Interprofessional clinical training for undergraduate students in an emergency department setting2012In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 26, no 4, p. 319-325Article in journal (Refereed)
    Abstract [en]

    Interprofessional education (IPE) for teams of undergraduate students has since 1999 been carried out at the orthopedic emergency department at the Karolinska University Hospital. During a 2-week period, teams of medical, nursing and physiotherapy students practice together. With the aim of training professional and collaboration skills, the teams take care of patients with varying acute complaints, under the guidance of supervisors from each profession. This study describes the educational model and compares the attitudes of the different student categories participating in this unique IPE model. All students who participated in this experience during the period 2008-2010 were asked to fill in a questionnaire on completion of their training period. Results showed that all three categories, with no significant difference, highly appreciated the setting and the team training. Results also showed that the training significantly increased the students' knowledge of their own professional role as well as their knowledge of the other professions. We conclude that training at an emergency department can provide excellent opportunities for interprofessional team training for undergraduate students. The teamwork enhances the students' understanding of the professional roles and can contribute to a more holistic approach to patient care.

  • 38.
    Ericson, Lisa
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Hovstadius, Bo
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry.
    Magnusson, Lennart
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Swedish Family Care Competence Centre (NKA).
    Hälsoekonomisk studie av barn och vuxna med fetalt alkoholsyndrom2015Report (Other academic)
    Abstract [sv]

    Att barn och unga lever i hem med missbruk och/eller allvarlig sjukdom medför direkta och indirekta kostnader för samhället på kort och lång sikt. Denna hälsoekonomiska studie är en beräkning av samhällets årliga kostnad för den andel av befolkningen som vuxit upp som barn som anhörig till förälder med psykisk sjukdom eller missbruk av alkohol eller narkotika.

  • 39.
    Eriksson, Louise
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Nilsson, Saiza
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    ATT VARA HIV-POSITIV OCH MÖTA SJUKVÅRDEN: litteraturstudie baserad på biografier2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 40. Eriksén, Sara
    et al.
    Hofflander, Malin
    Nilsson, Lina
    Borg, Christel
    Georgsson, Mattias
    Blekinge Tekniska Högskola.
    Lundberg, Jenny
    Blekinge Tekniska Högskola.
    Transforming healthcare delivery: ICT design for self-care of type 2 diabetes2014Conference paper (Refereed)
  • 41.
    Erlingsson, Christen
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Utvärdering av pilotprojektet Konst och Hemslöjd i Emmaboda (KoHiE)2016Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Pilotprojektet Konst och Hemslöjd i Emmaboda (KoHiE) genomfördes som en del av det treårigaprogramet Hälsa och kultur i hälsolänet Kalmar län. KoHiE hade som mål attundersöka om kulturinsatser i form av studiecirklar har effekt på upplevd hälsa ochrehabilitering hos personer med psykisk ohälsa. Hypotesen var att deltagande ikulturaktiviteter är en rehabiliteringsform som underlättar återhämtning och därigenomfrämjar hälsan hos deltagarna. Två cirklar, en baserad på konstaktiviteter, den andra påtovning, genomfördes under hösten 2015 fram till maj 2016. Varje cirkel pågick under 10veckor med två träffar i veckan á tre timmar/träff och leddes av en konstnär och enullslöjdare.Utvärdering av KoHiE skedde vid tre datainsamlingstillfällen (vid cirkel 1 start, vid cirkel 2start, och vid avslutning av cirkel 2). Vid dessa tillfällen var det möjligt för deltagare att låtasig intervjuas och lämna in en enkät. Tio personer medverkade vid utvärderingen och totaltgenomfördes 16 intervjuer och 14 enkäter inlämnades. Intervjuerna analyserades medmanifest innehållsanalys och enkäterna med deskriptiv statistik.Resultatet var entydigt att KoHiE har erfarits som hälsofrämjande och som ett forum förpersonlig utveckling och återhämtning. I resultatet framgick att deltagarna mådde bättre efteratt ha deltagit i aktiviteten och att verksamheten uppfattades som mycket positiv, motiverandeoch inspirerande. Träffarna upplevdes som ett andningshål och en plats där man kände siglugn och fokuserad så att man inte längre tänkte på vardagens bekymmer. Gemenskapen igruppen var av central betydelse i resultatet. Att skapa tillsammans med andra upplevdes somvärdefull då det blev en kraftfullare dynamik och öppet klimat att erbjuda och få återkopplingoch stöd. Träffarna utgjorde också en plattform att bygga nya sociala nätverk. Något som haruppfattats vara extra värdefullt i sammanhanget är att gruppens deltagare delar sammaproblematik i vardagen med att må dåligt psykiskt. Deltagarna berättade om ökadsjälvuppskattning och självförtroende och att det hade blivit lättare att umgås socialt.Resultatet tydliggör att aktiviteterna har hjälpt deltagarna att få tillbaka sin framtidstro och förmånga var det att hitta en väg framåt, se möjligheter, och att utvecklas, både privat och ioffentliga arenor. För en deltagare ledde deltagandet till att hon t.o.m. slutat användapsykofarmaka just för att upprätthålla sin mentala skärpa under KoHiE träffarna.En av deltagarna var en asylsökande kvinna. Hennes berättelse stödjer ett antagande att dennaoch liknande aktiviteter, dvs. kreativa, handfasta, praktiska aktiviteter i en grupp tillsammansmed svenskfödda deltagare, har en enorm potential i att bistå med en smidig övergång förnyanlända, både gällande att lindra symtom från traumatiska minnen såväl som att inge hopp,självförtroende, självuppskattning att man är en värdefull människa.KoHiE var planerad som ett återhämtningsorienterat rehabiliteringsprojekt med förhoppningarom att höja välbefinnande och hälsa hos personer med psykisk ohälsa. Deltagarnas mycketpositiva erfarenheter av att medverka i denna skapande aktivitet ger tydlig evidens på attKoHiE varit framgångsrik. Rekommendationen är därför att liknande cirkelverksamhet förkulturaktiviteter bör finnas att tillgå och det är högst befogat att implementera verksamheterliknande KoHiE som en beständig del av kommunal omsorg.

  • 42.
    Ernstgård, Anna
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science. Capio Artro Clinic AB.
    PirouziFard, MirNabi
    Centre of Registers Västra Götaland.
    Thorstensson, Carina A.
    University of Gothenburg ; Centre of Registers Västra Götaland.
    Health enhancing physical activity in patients with hip or knee osteoarthritis - an observational intervention study2017In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 18, article id 42Article in journal (Refereed)
    Abstract [en]

    Background: Osteoarthritis is one of the leading causes of inactivity worldwide. The recommended level of health enhancing physical activity (HEPA) is at least 150 min of moderate intensity physical activity per week. The purpose of this study was to explore how the proportion of patients, who reached the recommended level of HEPA, changed following a supported osteoarthritis self-management programme in primary care, and to explore how reaching the level of HEPA was influenced by body mass index (BMI), gender, age and comorbidity. Methods: An observational study was conducted using data from a National Quality Registry in which 6810 patients in primary care with clinically verified hip or knee osteoarthritis with complete data at baseline, 3 and 12 months follow-up before December 31st 2013 were included. HEPA was defined as self-reported physical activity of at least moderate intensity either a) at least 30 min per day on four days or more per week, or b) at least 150 min per week. HEPA was assessed at baseline, and again at 3 and 12 months follow-up. Cochran's Q test was used to determine change in physical activity over time. The association between reaching the level of HEPA and time, age, BMI, gender, and Charnley classification was investigated using the generalized estimation equation (GEE) model. Results: The proportion of patients who reached the level of HEPA increased by 345 patients, from 77 to 82%, from baseline to 3 months follow-up. At 12 months, the proportion of patients who reached the level of HEPA decreased to 76%. Not reaching the level of HEPA was associated with overweight, obesity, male gender and Charnley category C, i.e. osteoarthritis in multiple joint sites (hip and knee), or presence of any other disease that affects walking ability. Conclusions: Following the supported osteoarthritis self-management programme there was a significant increase in the proportion of patients who reached the recommended level of HEPA after 3 months. Improvements were lost after 12 months. To increase physical activity and reach long-lasting changes in levels of physical activity, more follow-up sessions might be needed.

  • 43.
    Eskilsson, Camilla
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hörberg, Ulrica
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ekebergh, Margaretha
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. University of Borås, Sweden.
    Carlsson, Gunilla
    University of Borås, Sweden.
    Student nurses’ experiences of how caring andlearning is intertwined: A phenomenological study2014In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 4, no 2, p. 82-93Article in journal (Refereed)
    Abstract [en]

    Background: Clinical studies in nursing education ought to create conditions for the students to link theory to praxis.Previous research in this field focuses on the gap between theory and practice, learning environments, supervision andreflection connected to caring and learning. In addition there are studies that propose the concept of learning and caring asintertwined. The aim of this study is to describe how caring and learning is intertwined from a student perspective.Methods: The study was carried out using Reflective Lifeworld Research (RLR) with a phenomenological approach.Lifeworld interviews were conducted with students after their clinical placement on a Dedicated Education Unit (DEU).Results: The essential meaning is a movement where caring and learning fall into place which appears in an atmospherefilled with appealing challenges, but has to be sensitive to the students’ readiness. The atmosphere depends on their senseof security and how they experience confirming and affirming responses. Encountering the patient means that the studentscan gain a sense of the whole and the theory falls into place. The results also highlight how the student, in this atmosphere,has a desire to find a new role in a personal style.Conclusions: The study emphasizes the importance of supporting the students in understanding learning and caring asintertwined and not separated. A dualistic approach could harm the students’ aim to get the knowledge embodied. Thisholistic perspective requires a reflective attitude on caring and learning and has to be further developed in the didactics andsupervision.

  • 44.
    Faxe, Anette
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Faktorer som påverkar sjuksköterskor på ambulansen att lämna patienter på annan vårdnivå än akuten2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 45.
    Geete, Järvekülg
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Fertilitet efter behandling av Hodgkins lymfom med olika kombinationer av cytostatika (ABVD och BECOPP)2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Hodgkins lymfom är en cancersjukdom som uppstår i det lymfatiska systemet och i Sverige är det ungefär 200 personer per år som insjuknar. Majoriteten av de insjuknade är mellan 15-34 år och ungefär 90% med diagnosen blir botade. Behandlingsformen för Hodgkins lymfom varierar beroende på stadie och då även vilka substanser som ingår i behandlingen. Alkylerande substanser, till exempel prokarbazin och cyklofosfamid, är substanser som är icke-cell-cykelspecifika och förhindrar DNA syntes. Detta kan leda till azoospermi hos männen och reducerad population av ursprungfolliklar hos kvinnor. På grund av dessa effekter var syftet med denna litteraturstudie att se om behandlingarna ABVD (en kombination av fyra olika cytostatika) och BEACOPP (en kombination av prednisolon samt sex olika cytostatika med större innehåll av alkylerare än ABVD) leder till en nedsatt fertilitet hos kvinnor och/eller män samt om fertiliteten återkommer efter avslutad behandling. Detta gjordes genom en litteraturstudie efter sökningar på PubMed där sju studier valdes ut efter inklusionskriterier och exklusionskriterier. Det kunde ses att spermiekvalitén minskade efter båda behandlingsformerna bland männen och att antalet behandlingscykler hade betydelse för hur nedsatt fertiliteten blev. Färre cykler med mindre intensiv behandling hade mindre effekt än fler cykler av mer intensiv behandling. De flesta männen återfick dock sin fertilitet inom fem år. För kvinnorna sågs ett snarlikt resultat där behandlingen BEACOPP orsakade försämrade värden av anti-müllerskt hormon (AMH) och en frånvaro av menstruationscykeln. Hos kvinnor var förekomsten av prematur ovarialsvikt (POF) korrelerat till ålder vid behandlingens start och antalet cykler administrerade.

  • 46.
    Graae, Linda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Bergqvist, Malin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    " En kvinna för sig...": Barnmorskors erfarenheter av handläggning under nedträngningsfasen2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: The second stage of labour during delivery is divided into two phases; the descending phase and the active phase. There is a lack of definition of the descending phase and that causes different ways to manage it. Internationally, the woman is urged to push immediately when the cervix is fully dilated, in Sweden women starts to actively push when the fetal head has progressed down in the maternal pelvis to the pelvic floor. The midwife has an important role to support and guide the woman during the descending phase. The purpose of the study was to illustrate the midwife's experience of handling the descending phase in nulliparous women. Method: The method of this study is a qualitative interview study using focus groups. A total of 19 midwives were interviewed at four different interview opportunities in two different obstetric clinics in southern Sweden. The results were analyzed with Dahlin-Ivanoff and Holmgrens (2017) focus group discussions. Result: The results showed that the midwifery treatment in the descending phase varies depending on several factors; the obstetric patient, the individual midwife's work experience and approach, but also depending on the routines and working methods of the individual obstetric clinics. All midwives claimed that they used both medical and non-medical interventions to establish a progress of the delivery. Interventions that was used was; get the women changed position, empty bladder, amniotomi and intravenous oxytocin. The non-medical intervention, testing to push was used when no other interventions have led to progress. How long a nulliparous woman may have cervix completed in the descending phase was something that discussed in all focus groups with disagreement. However, all midwifes agreed that if progress in the delivery a longer process is accepted. Conclusion: There are no guidelines for how long a woman is accepted in the descending phase. Midwifes treatment depends on the individual midwife's work experience. Common to all midwives was that they were aiming for” one to one” care to a positive delivery outcome with a positive delivery experience.

    Keywords: midwife, handle, nulliparous, childbirth, the descending phaseiv

  • 47.
    Granberg, Ebba
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Fleromättade fetter, torra ögon och Sjögrens syndrom: Kan en kost rik på omega 3 och 6 lindra symtomen vid Sjögrens syndrom och torra ögon?2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Dry eye syndrome (DES) and Sjögren ́s syndrome (SjS) are inflammatory diseases that affect the eyes. DES affects the lacrimal glands functional unit, causing eye pain and blurred vision. SjS is a chronical autoimmune disease that causes damage to tear and salivary glands. It leads to clinical symptoms in the form of mouth and eye irritation. Essential fatty acids form pro-inflammatory and anti-inflammatory cytokines that can help in the treatment of these diseases. Method and purpose: A literature study was performed to study if essential fatty acids can relieve the symptoms of DES and SjS. Results: The results for the studies showed results on OSDI, Schirmer ́s test, BUT, IL- 17, tear osmolarity, tear volume, unstimulated salivary flow, stimulated salivary flow, depth of probing, van Bijsterveld ́s score and flourscein staining. Discussion: The result shows significant differences for certain doses of n-3 and n-6. What separates the results are the different doses of fatty acids and what their placebo controls took. OSDI showed major differences in patients with DES but only in one group of patients with SjS who took n-3 for treating dry mouth. Schirmer ́s test and BUT showed an increase in patients with mild and moderate DES but not in patients with SjS. Patients with SjS showed improvements in stimulated salivary flow, dry mouth OSDI, PGE1 levels and flourscein staining, while some studies did not show any significant improvements in any measurement variables. It may be due to the intake of fatty acids, disease states or the length of treatment. Conclusion: Some people may get improved symptoms of taking n- 3 or n-6 supplements, but the differences are not always statistically significant for the studies.

  • 48.
    Grundström, Mattias
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Homosexuellas upplevelse av bemötandet i vården: En litteratustudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: En del av människans identitet är sexualiteten. Sedan i mitten av 1900 talet har det hänt mycket med homosexuellas rättigheter. Det finns vissa länder i världen som fortfarande är helt emot homosexualitet. Idag är ca 2-3% av kvinnorna och 3-5% av männen homosexuella i världen. Det finns ett heteronormativt antagande i vården idag där vårdpersonalen antar att alla patienter är heterosexuella.

    Syfte: Syftet är att undersöka hur homosexuella personer upplever att de bemöts i vården.

    Metod: Litteraturstudien är en sammanställning av nio kvalitativa originalartiklar som har sökts via tre olika databaser. Artiklarna har lästs igenom noga och analyserats där meningsenheter togs ut och kondenserades ner och olika koder skapades som ledde till kategorier och underkategorierna.

    Resultat: Sjuksköterskan har en bristande kunskap om hur de ska bemöta en homosexuell person. Religiösa har svårast att bemöta homosexuella och tror det är en sjukdom som går att bota. Patienternas anhöriga blir inte involverade i vården och många av patienterna väljer att hemlighålla sin homosexualitet för att bli vårdade med respekt.

    Slutsats: Homosexuella patienter upplever att sjuksköterskorna har en bristande kunskap om hur de ska bemöta en homosexuell patient. Det finns väldigt lite forskning inom området idag och det skulle behövas mer forskning inom området för att öka kunskapen hos sjuksköterskor.

  • 49.
    Gustafsson, Anna W.
    et al.
    Lund University, Sweden.
    Hommerberg, Charlotte
    Linnaeus University, Faculty of Arts and Humanities, Department of Languages.
    Sandgren, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Coping by metaphors: The versatile function of metaphors in blogs about living with advanced cancer2019In: Medical Humanities, ISSN 1468-215X, E-ISSN 1473-4265Article in journal (Refereed)
    Abstract [en]

    Living with a life-limiting cancer illness can entail a turmoil of feelings such as constant fear of loss, suffering and dying. Because patients live longer with life-limiting illness, there is a need for enhanced understanding of how people make sense of and cope with the complicated aspects that this life situation brings on. In this article, we explore how bloggers with advanced cancer use metaphors as ways of making sense of their experiences. Our study is theoretically grounded in Conceptual Metaphor Theory, where metaphors are seen as a powerful phenomenon that both reflects and affects our thinking. The data consist of a corpus of blogs written in Swedish by individuals with advanced cancer, and the findings from our linguistic metaphor analysis are consistently interpreted against the backdrop of literature on coping. Our study thus highlights the intersection of linguistic metaphor analysis and psychological theories of coping by illustrating the many and complex functions metaphors can have as part of sense-making processes. Our hermeneutic approach enables us to show some differences among the three most pervasive metaphor domains in our material, battle, journey and imprisonment: the journey and imprisonment domains are more flexible than the battle domain in terms of the different kinds of coping strategies that are actualised by the bloggers’ use of metaphors. One particular finding from our analysis is the way in which the bloggers make use of metaphors to compartmentalise experiences and emotions. Our contention is that careful attention to the metaphors used by patients can improve communication in healthcare and enhance understanding of the complex role language use plays in coping processes more generally. By highlighting the relation between metaphor use and coping, our analysis also provides a way to discuss coping strategies based on the patient’s own use of language.

  • 50.
    Gustafsson, Åsa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Kadmium och preeklampsi - finns det något samband? En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cadmium (Cd) is a metallic element with well-known negative health effects that we are exposed to in our environment, largely through diet. Preeclampsia annually affects 3-7% of all pregnant women and is one of the most common causes of morbidity and mortality for the mother and a major cause of prematurity and fetal growth retardation.

    Purpose: The purpose of the study was to investigate whether there is any correlation between Cd and preeclampsia and, if so, what the connection may be.

    Method: This study is a literature review based on scientific articles summarized.

    Results: All seven articles show a correlation between Cd and preeclampsia. In experimental models on pregnant rats exposed to Cd, rats develop characteristics of preeclampsia including high blood pressure. In humans, significant association between preeclampsia and higher Cd levels are observed in blood, serum and amniotic fluid.

    Conclusion: The articles show that there is a correlation between Cd and preeclampsia, although it cannot be established that it is a direct causal link without further research.

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