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  • 301.
    Borcak Walder, Linda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Grahn Holgersson, Therese
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Prekonceptionell hälsa: - Vilka kunskaper och inställningar har ungdomar2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The society should be responsible for sexual education, family planning and maternal healthcare. The midwife has a central role when it comes to spreading knowledge within the area. By spreading information  to women and men about the importance of preconception health and care it could create good conditions to start a family.  Purpose: To describe young peoples knowledge and attitudes about preconception health and care and also about what kind of knowledge the youth asks about when it comes to it. Method: A qualitative interview study with focus groups was preformed which included a group of five men ages between 21-22 and a group of  seven women who all were 18 years old. The data was analyzed by latent content analysis. Results: The knowledge the young people had about preconceptional health and care were the effects of different factors on fertility. Beneficial factors were varied health diet, exercise and good sleep. As a negative influence on fertility, tobacco, alcohol, drugs, medicines, diseases, hereditary diseases and cysts were discussed as well as stress. Knowledge the young people asked for were information on preconceptional health and care, what could influence a possible future pregnancy and facts, how the various factors affected fertility. The youth wanted the information to be obtained from someone with knowledge within the field. Conclusion: Information on preconceptional health and care was asked about by the young people, increased awareness and awareness of the subject of  public could generate positive health effects at the individual- as well as at community level with a healthier population as a result.

  • 302.
    Borg, Kristin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gustafsson, Madelene
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Patienter som inte medföljt ambulans: en journalgranskning2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    AbstraktBakgrund: Ambulanssjukvården som arbete och yrke har utvecklats de senaste årtiondena, från att enbart haft krav på att köra ambulans utan sjukvårdsutbildning till att idag vara bemannad med specialiserade ambulanssjuksköterskor. Med hjälp av en korrekt första bedömning kan patienter hänvisas till rätt vårdnivå. Syfte: Syftet med denna studie var att beskriva patienter som inte medföljer ambulans utifrån ambulanssjuksköterskans bedömning av sökorsak eller symtom, SOS prioritet, ålder samt variation över dygnet.Metod: En retroperspektiv journalgranskning med en kvantitativ ansats vilken 120 journaler inkluderades. Resultat: Svårigheten som SOS operatören står inför är att under tidspress göra en adekvat bedömning av sökorsak och brådskandegrad. Resultatet visar på 91 % av ambulansuppdragen, där patienter som inte medföljde ambulans, visade att SOS har prioriterat utkörning med prioritet 1 och 2. Det var en jämn fördelning mellan åldrarna, men två åldergrupper som lämnades hemma mer frekvent var mellan åldrarna 0-9 år och 60-69 år. Tidpunkten på dygnet var jämn spridning, men visade viss ökning mellan kl 18-21 och kl 21-00. Det ambulanssjuksköterskan klassade in som vanligast sökorsak var övrigt, då det inte finns någon annan sökorsak som anses lämplig. De andra större grupperna som lämnades i hemmet var sökorsaken bröstsmärta/bröstkorgsmärta, feber och andningsbesvär/dyspne/andnöd. Slutsats: Det visar på vikten av att SOS operatörens bedömning kompletteras med en bedömning av en sjuksköterska som har möjlighet att se patienten och mäta vitalparametrar. Samtidigt som patienten behöver bli bekräftad i sin upplevelse av sin akuta sjukdom. Ambulanssjuksköterskan besitter en kompetens och är en viktig resurs i vårdkedjan för att lotsa patienten till rätt vårdnivå.

  • 303.
    Borghi, Claudio
    et al.
    Univ Bologna, Italy.
    Rodriguez-Artalejo, Fernando
    Univ Autonoma Madrid, Spain;Inst Salud Carlos III, Spain;IMDEA, Spain;CEI UAM CSIC, Spain.
    De Backer, Guy
    Univ Ghent, Belgium.
    Dallongeville, Jean
    Univ Lille Nord France, France.
    Medina, Jesus
    AstraZeneca, Spain.
    Nuevo, Javier
    AstraZeneca, Spain.
    Guallar, Eliseo
    Johns Hopkins Bloomberg Sch Publ Hlth, USA.
    Perk, Joep
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Banegas, Jose R.
    Univ Autonoma Madrid, Spain;Inst Salud Carlos III, Spain.
    Tubach, Florence
    Hop La Pitie Salpetriere, France;INSERM, France;Sorbonne Univ, France.
    Roy, Carine
    Hop Bichat Claude Bernard, France.
    Halcox, Julian P.
    Swansea Univ, UK.
    Serum uric acid levels are associated with cardiovascular risk score: A post hoc analysis of the EURIKA study2018In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 253, p. 167-173Article in journal (Refereed)
    Abstract [en]

    Background: Reports are conflicting on whether serum uric acid (sUA) levels are independently associated with increased cardiovascular (CV) death risk. Methods: This post hoc analysis assessed the relationship between sUA levels and CV death risk score in 7531 patients from the cross-sectional, multinational EURIKA study (NCT00882336). Patients had at least one CV risk factor but no clinical CV disease. Ten-year risk of CV death was estimated using SCORE-HDL and SCORE algorithms, categorized as low (<1%), intermediate (1% to <5%), high (>5% to <10%) or very high (>10%). Results: Mean serum sUA levels increased significantly with increasing CV death risk category in the overall population and in subgroups stratified by diuretics use or renal function (all P < 0.0001). Multivariate ordinal logistic regression analyses, adjusted for factors significantly associated with CV death risk in univariate analyses (study country, body mass index, number of CV risk factors and comorbidities, use of lipid lowering therapies, antihypertensives and antidiabetics), showed a significant association between sUA levels and SCORE-HDL category in the overall population (OR: 1.39 [95% CI: 1.34-1.44]) and all subgroups (using diuretics: 1.32 [1.24-1.40]; not using diuretics: 1.46 [1.39-1.53]; estimated glomerular filtration rate [eGFR] < 60 ml/min/1.73 m(2): 1.30 [1.22-1.38]; eGFR >= 60 ml/min/1.73 m(2): 1.44 [1.38-1.51]; all P < 0.0001). Similar results were obtained when using SCORE. Conclusions: Higher sUA levels are associated with progressively higher 10-year CV death risk score in patients with at least one CV risk factor but no CV disease. (c) 2017 Elsevier B.V. All rights reserved.

  • 304.
    Borghi, Claudio
    et al.
    University of Bologna, Italy.
    Rodriguez-Artalejo, Fernando
    Univ Autonoma Madrid IdiPaz, Spain ; Inst Salud Carlos III, Spain.
    De Backer, Guy
    Univ Ghent, Belgium.
    Dallongeville, Jean
    Univ Lille Nord France, France.
    Medina, Jesús
    AstraZeneca Farmaceut Spain, Spain.
    Guallar, Eliseo
    Johns Hopkins Bloomberg Sch Publ Hlth, USA ; Johns Hopkins Bloomberg Sch Publ Hlth, USA.
    Perk, Joep
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Banegas, José R.
    Univ Autonoma Madrid IdiPaz, Spain ; Inst Salud Carlos III, Spain.
    Tubach, Florence
    Hop Bichat Claude Bernard, France ; ECEVE, France ; Univ Paris Diderot, France.
    Roy, Carine
    Hop Bichat Claude Bernard, France ; ECEVE, France ; Hop Bichat Claude Bernard, France.
    Halcox, Julian P.
    Swansea Univ, UK.
    The association between blood pressure and lipid levels in Europe: European study on cardiovascular risk prevention and management in usual daily practice2016In: Journal of Hypertension, ISSN 0263-6352, E-ISSN 1473-5598, Vol. 34, no 11, p. 2155-2163Article in journal (Refereed)
    Abstract [en]

    Objectives:Several studies have suggested a positive association between serum lipid levels and blood pressure (BP). This study investigated this association in a large population from 12 European countries.Methods:Data were taken from the European Study on Cardiovascular Risk Prevention and Management in Usual Daily Practice (ClinicalTrials.gov identifier: NCT00882336). Associations between BP and lipid levels in patients free from cardiovascular disease and with at least one major cardiovascular disease risk factor (N=7641) were assessed using linear regression analyses.Results:Overall, 72.8 and 64.8% of patients had hypertension and dyslipidaemia, respectively; 47.0% had both conditions. Regression coefficients (95% confidence interval) for the associations of LDL cholesterol, non-HDL cholesterol, total cholesterol and apolipoprotein B levels with SBP, adjusted for age, sex and BMI, were 0.93mmHg/mmol per l (0.54-1.31), 1.07mmHg/mmol per l (0.73-1.40), 1.02mmHg/mmol per l (0.69-1.35) and 4.94mmHg/g per l (3.43-6.46), respectively. The corresponding values (95% confidence interval) for the associations with DBP were 0.96mmHg/mmol per l (0.73-1.19), 0.95mmHg/mmol per l (0.75-1.15), 0.87mmHg/mmol per l (0.67-1.07) and 4.33mmHg/g per l (3.42-5.23), respectively. Most of these associations remained significant whether patients were treated with statins or not.Conclusion:Small but statistically significant associations between lipid levels and BP were observed in a large, multinational European population. Further research is warranted to assess the causality of this association and its implications on the management of patients with both hypertension and dyslipidaemia.

  • 305.
    Borghi, Claudio
    et al.
    Univ Bologna, Italy.
    Tubach, Florence
    Hop Bichat Claude Bernard, France ; Univ Paris Diderot, France.
    De Backer, Guy
    Univ Ghent, Belgium.
    Dallongeville, Jean
    Univ Lille Nord France, France.
    Guallar, Eliseo
    Johns Hopkins Bloomberg Sch Publ Hlth, USA ; Natl Ctr Cardiovasc Res, Spain.
    Medina, Jesus
    AstraZeneca, Spain.
    Perk, Joep
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Roy, Carine
    Hop Bichat Claude Bernard, France.
    Banegas, Jose R.
    Univ Autonoma Madrid IdiPaz, Spain ; CIBER Epidemiol & Publ Hlth CIBERESP, Spain.
    Rodriguez-Artalejo, Fernando
    Univ Autonoma Madrid IdiPaz, Spain ; CIBER Epidemiol & Publ Hlth CIBERESP, Spain.
    Halcox, Julian P.
    Swansea Univ, UK.
    Lack of control of hypertension in primary cardiovascular disease prevention in Europe: Results from the EURIKA study2016In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 218, p. 83-88Article in journal (Refereed)
    Abstract [en]

    Background: The prevalence of and factors associated with uncontrolled hypertension and apparent resistant hypertension were assessed in the European Study on Cardiovascular Risk Prevention and Management in Usual Daily Practice (EURIKA; NCT00882336). Methods: EURIKA was a cross-sectional observational study including patients being treated for the primary prevention of cardiovascular disease in 12 European countries. Patients were assessed if they were being treated for hypertension (N = 5220). Blood pressure control was defined according to European guidelines, with sensitivity analysis taking account of patients' age and diabetes status. Associated factors were assessed using multivariate analysis. Results: In the primary analysis, a total of 2691 patients (51.6%) had uncontrolled hypertension. Factors significantly associated with an increased risk of having uncontrolled hypertension included female sex (odds ratio [OR]: 2.29; 95% confidence interval [CI]: 1.93-2.73), body mass index (BMI; OR per kg/m(2): 1.03; 95% CI: 1.01-1.04), and geographic location. A total of 749 patients (14.3%) had apparent resistant hypertension. Factors significantly associated with an increased risk of having apparent resistant hypertension included BMI (OR per kg/m(2): 1.06; 95% CI: 1.04-1.08), diabetes (OR: 1.28; 95% CI: 1.06-1.53), use of statins (OR: 1.36; 95% CI: 1.15-1.62), serum uric acid levels (OR: 1.16; 95% CI: 1.09-1.23), and geographic location. Similar results were seen in sensitivity analyses. Conclusions: Over 50% of patients treated for hypertension continued to have uncontrolled blood pressure and 14.3% had apparent resistant hypertension. Positive associations were seen with other cardiovascular risk factors. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

  • 306.
    Borgryd Erlandsson, Linda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Möller, Malin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenheter av att ge palliativ vård i hemmet: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 307.
    Borslöv, Carolina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Persson, Emelie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    HUR LÄRANDET PÅVERKAS UNDER VERKSAMHETSFÖRLAGD UTBILDNING: En kvalitativ intervjustudie om sjuksköterskestudenters upplevelser.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: För att den framtida sjuksköterskan ska uppnå professionell kompetens är denverksamhetsförlagda utbildningen, VFU, en viktig del i utbildningen. Ett flertal faktorer påverkar studenters upplevelser under VFU:n vilka i förlängningen leder till olika nivåer av lärande.

    Syfte: Syftet är att belysa sjuksköterskestudenters upplevelser av lärande under verksamhetsförlagd utbildning.

    Metod: Studien är en kvalitativ intervjustudie med ett induktivt angreppssätt. Sex sjuksköterskestudenter intervjuades om upplevelser av lärande under verksamhetsförlagd utbildning med hjälp av en ostrukturerad och öppen intervjuguide. Dataanalysen genomfördes enligt en modell för kvalitativ innehållsanalys med en manifest ansats.

    Resultat: Sjuksköterskestudenter upplever att lärande under VFU:n påverkas av ett flertal faktorer. Handledning och lärandemiljö har stor betydelse för studentens upplevelse och leder till att lärandet påverkas.

    Slutsatser: Lärandet under VFU:n ligger som grund för den utveckling av kunskap och redskap som krävs inför den framtida professionen, därför är utbildning under VFU:n av storvikt för att kunna upprätthålla patientsäkerhet.

  • 308.
    Boson, Maria
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Erlandsson, Filippa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sårvård-inte bara ett sår2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 309.
    Boström, Lisa
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wihlborg Hansson, Caroline
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Mitt ansvarsfulla liv: En litteraturstudie om upplevelsen av att leva med ett aktivt alkoholberoende2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Alkohol är en stor riskfaktor för uppkomst av många sjukdomar. Det påverkar också det sociala livet. Ekonomi, psykisk ohälsa, uppväxt med missbrukande föräldrar och kulturen är faktorer som påverkar utvecklingen av alkoholberoendet. Alkoholen skapar både välbefinnande och lidande.  

    Syfte: Syftet var att beskriva upplevelsen av att leva med ett aktivt alkoholberoende.

    Metod: Litteraturstudien utgick från en kvalitativ ansats. Data samlades in från sju självbiografier skrivna av personer med alkoholberoende. Analysen gjordes utifrån Graneheim och Lundmans (2004) kvalitativa innehållsanalys.

    Resultat: I studiens resultat framkom att alkoholen påverkade hela den alkoholberoendes livsvärld. Både med välbefinnande, lidande samt att omgivning, arbete och ekonomi tog skada. Olika strategier byggdes upp för att dölja beroendet. Anledningarna till att dricka var många, det fanns alltid ett skäl till att dricka.

    Slutsats: En alkoholberoendes livsvärld innehöll både ett välbefinnande och ett lidande. Alkoholen skapade en ond cirkel där den alkoholberoende drack för att dämpa lidande och uppnå välbefinnande. Ju mer alkohol desto mer lidande, vilket krävde mer alkohol och så vidare. Genom ökad förståelse och mer kunskap om alkoholism kan det skapas en större möjlighet att på bästa sätt kunna möta och hjälpa människor med ett alkoholberoende.

  • 310.
    Boström, Maria
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rahm, Sofia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Upplevelsen av andningsfokuserad gruppträning för patienter med KOL: -en interventionsstudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Med diagnosen kronisk obstruktiv lungsjukdom (KOL) tillkommer en risk för fysisk inaktivitet. I januari 2015 startade en hälsofrämjande intervention för patienter med diagnosen KOL på en vårdcentral i södra Sverige. Interventionen innebar andningsfokuserad gruppträning för att öka patientens känsla av kontroll över KOL-sjukdomen och öka den fysiska aktiviteten.

    Syfte: Syftet med studein var att beskriva upplevelser efter deltagande i andningsfokuserad gruppträning för patienter med KOL.

    Metod: En kvalitativ intervjustudie omfattande sex patienter med KOL. stadie 1-3, som genomgått andningsfokuserad gruppträning. Materialet transkkriberades och analyserades med en kvalitativ induktiv innehållsanalys.

    Resultat: Informanternas upplevelser resulterade i fyra underkategorier och två kategorier. Underkategorierna; Tilltro till kunskap  coh förmåga och Livsstilsförändring formulerades i kategorin Kunskapsutveckling. Underkategorierna; MOtivation och Fysisk, psykisk och social ohälsa formulerades i kategorin Resurs- och risktillstånd. Alla kategorier samverkade genom att Resurs- och risktillstånd påverkade var informanten befann sig i sin Kunskapsutveckling.

    Slutsats: Andningsfokuserad gruppträning för patienter med KOL kan bidra till ökad kunskap om andningskontroll och ökad motivation till fysisk aktivitet för patienten. Detta kan möjligen skapa förutsättning för patienten att nå förstärkt egenmakt. Andningsfokuserad gruppträning kan användas som en kontinuerlig behandling för patienter med KOL. Patienterna kan regelbundet delta i eller återkomma till gruppträningen om de drabbas av försämring av KOL-sjukdomen eller annan ohälsa.

  • 311.
    Boudrée, Alma
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Jonsson, Sanna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjuksköterskors möte med våldsutsatta kvinnor: En litteraturstudie med kvalitativ ansats2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: 

    Mäns våld mot kvinnor är ett problem som finns i hela världen. När kvinnor utsätts för våld påverkar det inte bara hälsan på sikt, utan i vissa fall kostar det även liv. Kvinnor som utsätts för våld kan vända sig till hälso- och sjukvården för att få hjälp. Sjuksköterskan kan vara den första i kvinnans omgivning som misstänker och kan identifiera våldet.

    Syfte:  

    Studiens syfte var att belysa sjuksköterskors erfarenhet av att möta våldsutsatta kvinnor inom hälso-  och sjukvården.

    Metod: 

    Studien är en litteraturstudie med en manifest innehållsanalys som bygger på kvalitativa artiklar.

    Resultat: 

    Sjuksköterskor hade erfarenhet av att mötet med våldsutsatta kvinnor kunde innebära osäkerhet, starka känslor och frustration. I resultatet framkom det att sjuksköterskor upplevde att de saknade kunskap, erfarenhet och utbildning, samt att det fanns en osäkerhet kring riktlinjer i mötet med våldsutsatta kvinnor.

    Slutsats: 

    Sjuksköterskor har en viktig och avgörande position när det kommer till att identifiera och hjälpa kvinnor som blir utsatta för våld. För att förbättra vården och kunna nyttja den position som sjuksköterskor har behövs mer kunskap hos sjuksköterskor och bättre riktlinjer i vården. Sjuksköterskor behöver känna sig trygga med sin kompetens i mötet med de utsatta kvinnorna. 

  • 312. Bramberg, Elisabeth Bjork
    et al.
    Dahlberg, Karin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Interpreters in Cross-Cultural Interviews: A Three-Way Coconstruction of Data2013In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 23, no 2, p. 241-247Article in journal (Refereed)
    Abstract [en]

    Our focus in this article is research interviews that involve two languages. We present an epistemological and methodological analysis of the meaning of qualitative interviewing with an interpreter. The results of the analysis show that such interviewing is not simply exchanging words between two languages, but means understanding, grasping the essential meanings of the spoken words, which requires an interpreter to bridge the different horizons of understanding. Consequently, a research interview including an interpreter means a three-way coconstruction of data. We suggest that interpreters be thoroughly introduced into the research process and research interview technique, that they take part in the preparations for the interview event, and evaluate the translation process with the researcher and informant after the interview.

  • 313.
    Bramstedt, Veronica
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Nilsson, Sophia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Skadade för livet - En litteraturstudie om hur personer som varit utsatta för psykiskt och/eller fysiskt våld under barndomen blivit påverkade i vuxenlivet2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Psykiskt och/eller fysiskt våld förekommer i alldeles för stor utsträckning i Sverige och även i resten av världen. Trots lag mot barnmisshandel i flera länder så fortsätter anmälda fall av barnmisshandel att öka.

    Syfte: Syftet med studien var att undersöka hur psykiskt och/eller fysiskt våld under barndomen har påverkat de utsatta senare under vuxenlivet.

    Metod: Studien baserades på självbiografier. En kvalitativ ansats har använts i föreliggande studie därför att det var upplevelser hos individer som undersöktes. Resultatet analyserades med hjälp av en kvalitativ, manifest innehållsanalys.

    Resultat: I studien framkom fem olika kategorier. Dessa var: lidande, välbefinnande, konsekvenser av barnmisshandeln, relationen med föräldrarna/förövarna samt relation med andra individer. Varje kategori hade två till fem underrubriker. Konsekvenserna av det psykiska och/eller fysiska våldet under barndomen ledde ofta till depressioner och dålig självkänsla hos de utsatta i vuxen ålder.  

    Slutsats: Personer som utsätts för psykiskt och/eller fysiskt våld under barndomen påverkas av detta i hög grad. Det psykiska våldet upplevs som värre än det fysiska våldet av de utsatta. Detta stämmer överens med aktuell forskning som visar att psykiskt våld har mer djupgående påverkan på individens känsloliv. Allmänsjuksköterskan bör ha mer kunskap och förståelse om de drabbades känslor och upplevelser i alla vårdsammanhang.

     

     

     

  • 314.
    Bramstedt, Veronica
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Nilsson, Sophia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    SKADADE FÖR LIVET: En litteraturstudie om hur personer som varit utsatta för psykiskt och/eller fysiskt våld under barndomen har påverkats i vuxenlivet2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Psykiskt och/eller fysiskt våld förekommer i alldeles för stor utsträckning i Sverige och även i resten av världen. Trots lag mot barnmisshandel i flera länder så fortsätter anmälda fall av barnmisshandel att öka. Personer som utsätts för psykiskt och/eller fysiskt våld under barndomen påverkas av detta i hög grad. De psykiska våldet upplevs som värre än det fysiska våldet av de utsatta. Detta stämmer överens med aktuell forskning som visar att psykiskt våld har mer djupgående påverkan på individens känsloliv. 

  • 315.
    Branje, Johanna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Josefsson, Marielle
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    När hjärtat stannar: En kvalitativ intervjustudie om sjuksköterskors upplevelser av att vårda vid ett hjärtstopp på vårdavdelningar.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a patient has a cardiac arrest, it is included in the RN's duties to start CPR in order to try to save the patient's life. In the general nursing ward, more advanced treatment, so-called hospital CPR, is used. A cardiac arrest can be daunting for the nurse because they probably need to shift from a calm situation to an emergency situation. It may feel stressful, but knowledge and experience helps the RN to act. The treatment of cardiac arrest is performed in teams with several professions which means that it is important to have a good teamwork.

    Aim: The aim of the study was to investigate the RN’s experiences of caring for a cardiac arrest occurring at nursing wards.

    Method: As a method, a qualitative interview study was chosen, based on seven semi- structured interviews. The interviews were transcribed and then analyzed with a qualitative content analysis that suited the aim of the study.

    Result: The result showed that there were four categories that contributed to the experience of cardiac arrest; "Knowledge of cardiac arrest", emphasizing the importance of education, routines and experience. "When cardiac arrest is in progress" that includes the first response, CPR situation, and termination of CPR. "Working in team" consisting of cooperation, safety and instruments for teamwork. Finally, "Processing after cardiac arrest" that involved debriefing, follow-up and perception of cardiac arrest. All of these areas together formed an idea of ​​cardiac arrest.

    Conclusion: Cardiac arrest is an urgent situation that the nurse remembers for a long time, and it is therefore important that the wards work with all categories identified in the results to support and facilitate the nurses engaged in a cardiac arrest in a nursing ward.

  • 316.
    Bratt, Anna S.
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Fagerström, Cecilia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Blekinge County Council.
    Self-compassion in old age: confirmatory factor analysis of the 6-factor model and the internal consistency of the Self-compassion scale-short form2019In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915Article in journal (Refereed)
    Abstract [en]

    Objectives: Self-compassion is a psychological construct associated with self-acceptance and coping with the aging process. The Self-Compassion Scale (SCS), in both long and short forms, is the most widely used measure of self-compassion. Studies on the psychometric properties of the short form (SCS-SF) are scarce. The aim of this study was to translate into Swedish and test the psychometric properties of the SCS-SF. Another aim was to investigate whether self-compassion differs by age and gender in older adults.

    Method: We tested the Swedish SCS-SF in a sample of 594 randomly selected older adults, aged 66 to 102 years, for internal consistency, construct validity, and factor structure.

    Results: The results showed the SCS-SF had acceptable internal consistency in the total sample (Cronbach’s alpha = 0.68) and somewhat higher (Cronbach’s alpha = 0.76) in the youngest old (age 66 years). The six-factor structure found in the original study was not observed in confirmatory factor analyses in our older sample. Exploratory factor analyses showed that a two-factor solution, formed by the positive and negative components had the best fit; however, only the negative component had good internal consistency.

    Conclusion: Overall, the SCS-SF seemed to have insufficient reliability in this sample of older adults and further studies are needed to see whether new instruments are needed for this population. Self-compassion was generally higher in men than women, but did not differ by age in this sample of older adults.

  • 317.
    Brattberg, Jenny
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Aronsson, Niclas
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    BESLUTET ÄR MITT: En litteraturstudie om att belysa erfarenheter av att röka vid kroniskt obstruktiv lungsjukdom.2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Kroniskt obstruktiv lungsjukdom (KOL) är den fjärde vanligaste dödsorsaken i världen och beräknas öka i omfattning. Det är en irreversibel sjukdom som förvärras med tiden och som innebär att lungorna får svårare att ta upp syre. Rökning är den främsta orsaken att drabbas av KOL, vilket gör rökstopp till den viktigaste åtgärden för att begränsa sjukdomens förlopp. Trots det fortsätter många att röka efter att de har fått sin diagnos. Syfte: Syftet med litteraturstudien var att belysa patienters erfarenheter av att röka vid KOL. Metod: En kvalitativ litteraturstudie baserad på tio vetenskapliga artiklar genomfördes. Artiklarna analyserades enligt Lundman & Hällgren Graneheims (2008) kvalitativa innehållsanalys. Resultat: Fem kategorier och tre underkategorier framkom i resultatet. Känslor av tvivel och osäkerhet, motivationens betydelse, stigmatisering och skuldbeläggning, upplevelser av gemenskap och trygghet samt behov av autonomi. Det fanns en tveksamhet kring sambandet mellan rökning och KOL vilket bidrog till minskad motivation att sluta röka. Stigmatiserande attityder från vårdpersonal och omgivning gav upphov till skuld och skamkänslor. Rökningen upplevdes som en trygghet som skapade gemenskap och välmående. Beslutet att sluta röka var deras och ingen annans. Att bli tillsagd att sluta röka hade motsatt effekt. Slutsats: Litteraturstudien visar att patienter med KOL har ett ökat behov av mer information om sjukdomen. Sluta röka är för många en process som innebär livsstilsförändringar. Det innebär att ett öppet förhållningssätt från närstående och vårdpersonal kan vara till hjälp för patienterna att få motivation till att vilja bli rökfria. Avgörande är att se till patientens hela livsvärld för att kunna möta dessa patienter och lindra lidande och öka välbefinnande.

  • 318.
    Bremer, Anders
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Council.
    Dahné, Tova
    Linköping University.
    Stureson, Lovisa
    Linköping University.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Council.
    Thylén, Ingela
    Linköping University.
    Lived experiences of surviving in-hospital cardiac arrest2018In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 130, no s1, p. e122-e122Article in journal (Refereed)
  • 319.
    Bremer, Anders
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Council, Sweden.
    Dahné, Tova
    Uppsala University, Sweden;Linköping University, Sweden.
    Stureson, Lovisa
    Linköping University, Sweden.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Council, Sweden.
    Thylén, Ingela
    Linköping University, Sweden.
    Lived experiences of surviving in‐hospital cardiac arrest2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 1, p. 156-164Article in journal (Refereed)
    Abstract [en]

    Background

    Out‐of‐hospital cardiac arrest survivors suffer from psychological distress and cognitive impairments. They experience existential insecurity and vulnerability and are striving to return to a life in which well‐being and the meaning of life have partly changed. However, research highlighting the experiences of in‐hospital cardiac arrest survivors is lacking. This means that evidence for postresuscitation care has largely been extrapolated from studies on out‐of‐hospital cardiac arrest survivors, without considering potential group differences. Studies investigating survivors’ experiences of an in‐hospital cardiac arrest are therefore needed.

    Aim

    To illuminate meanings of people's lived experiences of surviving an in‐hospital cardiac arrest.

    Design

    An explorative, phenomenological hermeneutic method to illuminate meanings of lived experiences.

    Method

    Participants were identified through the Swedish national register of cardiopulmonary resuscitation and recruited from two hospitals. A purposive sample of eight participants, 53–99 years old, who survived an in‐hospital cardiac arrest 1–3 years earlier, was interviewed.

    Findings

    The survivors were striving to live in everyday life and striving for security. The struggle to reach a new identity meant an existence between restlessness and a peace of mind, searching for emotional well‐being and bodily abilities. The search for existential wholeness meant a quest for understanding and explanation of the fragmented cardiac arrest event and its existential consequences. The transition from hospital to home meant a transition from care and protection to uncertainty and vulnerability with feelings of abandonment, which called for a search for security and belonging, away from isolation and loneliness.

    Conclusion

    Surviving an in‐hospital cardiac arrest can be further understood by means of the concept of hospital‐to‐home transition. Following hospital discharge, patients felt vulnerable and abandoned when pending between denial and acceptance of the ‘new’ life. Hence, the healthcare system should play a significant role when it comes to facilitate cardiac arrest survivors’ security during hospital‐to‐home transition.

  • 320.
    Bremer, Anders
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Holmberg, Mats
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ambulance nurse students’ experiences of ethical problems in patient-relationships2019In: Presented at the 3rd NCCS/EACS Conference: "Sustainable Caring for Health and Wellbeing", Vaasa, Finland, October 1-3, 2019, 2019Conference paper (Refereed)
    Abstract [en]

    Background: Ambulance nurse education in Sweden is a one-year master’s degree program for registered nurses leading to a postgraduate diploma in specialist nursing. Ambulance nurses face unpredictable and ethically challenging situations with multi-dimensional suffering, requiring the ability to provide medical care and simultaneously creating a trustful relationship. Students undergoing their specialist education face the same challenges. 

    Aim: The aim was to describe ambulance nurse students’ (ANS) experiences of ethical problems in patient relationships during clinical studies. 

    Method: Written exams (n=69) in ANS’ clinical placements studies were collected between 2014-2016 in three courses. In the exam the ANS were asked to describe and problematize a self-experienced ethical problem in the care relationship with a specific patient. The thematic analysis commenced with being familiarized with the text as a whole before condensation and coding. The exams were read and re-read several times. After coding followed further analysis, re-analysis and validation in several linear and circular steps to finally compile sub-themes and themes. 

    Results: Ethical problems emerged as six themes; 1) Insecurity in considering patient autonomy, 2) Conflicting assessments of the patients best, 3) Inadequate access to patient narratives, 4) Absence of trustful relationships, 5) Disturbance of patient focus and 6) Limited possibility to provide proper care. 

    Conclusions and implications: The result emphasizes ethical problem within patient-relationships in the ambulance care as multifaceted and strongly connected to patient’s autonomy. Outgoing from the results an intervention project regarding older patients’ autonomy in ambulance care started in January 2019.

  • 321.
    Bremer, Anders
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Holmberg, Mats
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ambulance nurse students’ experiences of ethical problems in patient-relationships2019In: Presented at the 3rd NCCS/EACS Conference: "Sustainable Caring for Health and Wellbeing", Vaasa, Finland, October 1-3, 2019, 2019Conference paper (Refereed)
    Abstract [en]

    Background: Ambulance nurse education in Sweden is a one-year master’s degree program for registered nurses leading to a postgraduate diploma in specialist nursing. Ambulance nurses face unpredictable and ethically challenging situations with multi-dimensional suffering, requiring the ability to provide medical care and simultaneously creating a trustful relationship. Students undergoing their specialist education face the same challenges.

    Aim: The aim was to describe ambulance nurse students’ (ANS) experiences of ethical problems in patient relationships during clinical studies.

    Method: Written exams (n=69) in ANS’ clinical placements studies were collected between 2014- 2016 in three courses. In the exam the ANS were asked to describe and problematize a selfexperienced ethical problem in the care relationship with a specific patient. The thematic analysis commenced with being familiarized with the text as a whole before condensation and coding. The exams were read and re-read several times. After coding followed further analysis, re-analysis and validation in several linear and circular steps to finally compile sub-themes and themes.

    Results: Ethical problems emerged as six themes; 1) Insecurity in considering patient autonomy, 2) Conflicting assessments of the patients best, 3) Inadequate access to patient narratives, 4) Absence of trustful relationships, 5) Disturbance of patient focus and 6) Limited possibility to provide proper care.

    Conclusions and implications: The result emphasizes ethical problem within patient-relationships in the ambulance care as multifaceted and strongly connected to patient’s autonomy. Outgoing from the results an intervention project regarding older patients’ autonomy in ambulance care started in January 2019.

  • 322.
    Bremer, Anders
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Hospital, Sweden;University of Borås, Sweden.
    Kowalczyk, Emma
    Helsingborg County Hospital, Sweden.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Hospital, Sweden.
    Wireklint Sundström, Birgitta
    University of Borås, Sweden.
    Emergency Medical Services physicians’ perceptions of ambulance nurses’ responsibility for referring patients to primary care and self-care - a Swedish national survey2018In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, no Suppl 1, p. A6-A6Article in journal (Refereed)
    Abstract [en]

    Background: Based on guidelines developed by EMS physicians, registered nurses in the Swedish ambulance services sometimes by-pass the emergency department and refer non-urgent patients to primary care and self-care. However, these referrals are associated with problems that may jeopardize patient safety and patient participation.

    Aim: To identify the EMS physicians’ perceptions of ambulance nurses’ responsibilities and prerequisites to refer patients to primary care and self-care.

    Methods: A national survey of all EMS physicians (n=51) using study specific questions with close-ended and open response options, analysed with descriptive statistics and thematic analysis.

    Results: The response rate was 78% (n=40). The majority of the physicians (95%) perceived that nurses should be able to refer patients to primary care and self-care. One fourth (25%) perceived specialist nurses in ambulance care as the most appropriate professionals. The majority of the physicians (65%) perceived that referral to primary care maintain patient safety, whereas fewer (50%) assessed the referral as safe for the patient. All perceived that feedback should be given to nurses when the referral was incorrect. The majority perceived it important to extend the nurses’ authority to refer to primary care (63%) and self-care (55%).

    Conclusion: There is no consensus among the EMS physicians regarding responsibilities and conditions for nurses’ referral of patients. Registered nurses with basic education are expected to be able to refer, while there is varying opinion regarding requirements of specialist trained ambulance nurses to refer patients. Professional experience as a nurse is perceived more important than formal education.

  • 323.
    Bremer, Anders
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wireklint Sundström, Birgitta
    University of Borås, Sweden.
    Vårdrum – ett vårdande rum2019In: Akut omhändertagande av trauma: på skadeplats och akutmottagning / [ed] Carina Elmqvist & Sofia Almerud Österberg, Lund: Studentlitteratur AB, 2019, 2, p. 23-49Chapter in book (Other academic)
  • 324.
    Briland, Isabelle
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Svensson, Malinn
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ett komplext omhändertagande: - En intervjustudie om akut omhändertagande av svårt sjuka sepsispatienter och patienter med trauma2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The population is aging and requires more complex healthcare. This means that in the future, interaction with other healthcare departments is essential. Such interaction would lead to increased demand on the ability to cooperate among healthcare personnel. The intensivecare nurse and the nurse in the emergency department have a close cooperation when managing the acute severely ill patient. A multiprofessional team gives a faster diagnosis and management in the emergency department, which shortens the time to the final instance of care. The members of the team complement each other, increasing patient safety and enabling person-centered care. Increased knowledge with the nursing staff on the acute management in emergency department is essential to be able to enhance the care for the patient in the initial stage, but focus should also be at the nurse’s experience of the acute management to identify risk factors that could pose a negative influence on the patient.Aim: The aim of this study was to describe nurses’ experience of acute management of patients with trauma and patients with severe sepsis or septic shock.Method: The method used was a qualitative, inductive approach where 14 interviews were conducted, seven with nurses from the emergency department and seven intensive care nurses from the intensive care department. The interviews were analysed using a qualitative, manifest content analysis.Result:The analyzation process resulted in five different categories: ‘Communication is A&O’, ‘The importance of knowing one’s role’, ‘Work over the borders’, ‘Working from a clear structure’ and ‘Care on different terms’. Conclusion: There is an unclear structure in the emergency care of patients with severe sepsis or septic shock, which was a result of unclear roles and inadequate communication in the care. It appears to be advantageous to introduce clear guidelines in the emergency care of the patient group with severe sepsis or septic shock, suggestively by checklists or some medical alert like a trauma alarm, and where a multi-professional team interacts around the patient.

  • 325.
    Bringe, Julia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Buchel Mattsson, Melanie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    NÄR VERKLIGHETEN FÖRÄNDRAS: En litteraturstudie om kvinnors upplevelser av att drabbas av bröstcancer2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 326.
    Brink, Eva-Lotta
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Karlsson, Malin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Distriktssköterskors erfarenheter av stress i sitt arbete på hälso-/vårdcentral: En kvalitativ intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Title: Nurse experience of stress at work in the health/ medical center.

    Background: In the district nurses’ duties include adapting to community resources with changes in health care. Sick leave due to mental illness and above all stress related disorders has increased.

    Purpose: To highlight nurses experience of stress at work in health center.

    Method: The study was conducted with a qualitative inductive approach with

    semi-structured interviews. Twelve district nurses employed in health centers in

    southern Sweden participated. As the analytical method was a qualitative content

    analysis used.

    Results: The analysis revealed four categories that described the district nurse´s experience of the pressures of work based requirement, demands organizational

    aspects, the conditions of control and physical symptoms affected the stress of work.

    Conclusion: The study showed the experiences of many risk factors for stress and mental illness existed. During the interviews also revealed factors to prevent the development of stress. There is need for district-educated nurses that works in primary care with specialist clinics for reduce the stress of working alone. There is need for more colleagues with district specialist care for give the district nurses opportunity to improve in their own specialist clinics.

  • 327.
    Broberg, Anna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hesselgård, Lotten
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    När psykiatri möter somatik: En intervjustudie om sjuksköterskors upplevelser av vården vid samsjuklighet inom psykiatrisk heldygnsvård2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As patients with mental illness have an increased risk of developing somatic conditions, somatic nursing in psychiatric inpatient care also increases. The somatic care is not so good for these people. This places increased demands of knowledge on registered nurses in psychiatric inpatient care, to bee able to meet somatic conditions and co-morbidity. Objective: Describe nurses' experiences and perceptions regarding the care of patients with psychiatric and somatic complicity in psychiatric full-day care.

    Method: A qualitative interview study with semi-structured interviews and questions from an interview guide which interviews and registered nurses who are actively working in psychiatric inpatient care. Collected material has been analyzed through qualitative content analysis of manifest character.

    Results: The analysis resulted in three categories, where each category consisted of three subcategories describing the informants' experiences. The three categories with subcategories are: 1) To care for patients with psychiatric and somatic complicities; Overall view, lack of resources, emotions, 2) The importance of knowledge; Lack of knowledge, need for knowledge, responsibility to acquire new knowledge  and3) The collaboration between psychiatric and somatic care departments; Expectations, the divided care, the importance of cooperating.

    Conclusion: The registered nurses experience the somatic nursing as challenging. The biggest challenge is the shortage of resources, that knowledge about diseases is limited and to carry out medical technical tasks. The nursing is also seen as challenging as an ignorance and incomprehension about each other's departments that constitutes a difficulty to co-operation. However, there is basically good cooperation, in the situations they need to consult and get help from each other's expertise.

    Clinical implications: The hope is that the study's results will give an increased understanding of how the nurses experience caring for somatic disease conditions in a psychiatric inpatient department.

  • 328.
    Broder, Stina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Johansson, Maria
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Den yngre kvinnans upplevelser av att leva med bröstcancer: En kvalitativ litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Bröstcancer är kvinnans vanligaste cancerdiagnos och varje år insjuknar ca. 470 kvinnor under 40 års ålder i Sverige. För behandling av bröstcancer finns kirurgi-, strål-, cytostatika- och hormonbehandling som alternativ. Dessa behandlingar och sjukdomen i sig påverkar individuellt kvinnan och kan skapa ett lidande och en sårbarhet. För att uppmärksamma kvinnors upplevelser är det som allmänsjuksköterska viktigt att ha ett öppet och följsamt bemötande.

    Syfte: Syftet med studien var att beskriva den yngre kvinnans upplevelser av att leva med bröstcancer i åldern 18–45 år.

    Metod: En kvalitativ litteraturstudie med induktiv ansats. Tio vetenskapliga artiklar analyserades med hjälp av en manifest innehållsanalys enligt Lundman och Granheim.

    Resultat: Fem kategorier framkom; en rädsla över oviss framtid, kroppsliga förändringar av behandling, en förändrad fertilitet, betydelsen av närstående relationer samt vårdpersonalens inflytande.

    Slutsatser: Det är inte alltid själva diagnosen bröstcancer som skapar det största lidandet utan det kan grundas i biverkningar från behandling t.ex. håravfall, infertilitet eller bristande stöd från vårdpersonal. Vårdpersonalen har en betydande roll, genom att erbjuda information och stöd skapas en känsla av trygghet och ökad livskvalité hos kvinnan.

  • 329.
    Brolin, Rosita
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    "Jag kan öppna fönstret när jag vill": Boendesituationen för personer med psykisk funktionsnedsättning2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of this thesis was to explore and develop knowledge about the housing situation for people with psychiatric disabilities, based on the residents' perspectives.

    Methods: Three studies are based on a new Swedish questionnaire (SHPD) containing preconceived questions (Studies I-II) and two open-ended questions (Study III), while two studies are theory-generating (Studies IV-V). I - the psychometric properties of SHPD (ICC, descriptive statistics, factor analysis); II - the degree and predictors of housing satisfaction (descriptive statistics, logistical regression analysis); III - the best and worst in housing situation (qualitative content analysis); IV-V - Classic grounded theories about people with psychiatric disabilities, living in supported housing (IV) and in ordinary housing with housing support (V).

    Results: The results show good psychometric properties for SHPD, a generally high degree of housing satisfaction, and reveal security, privacy and choice as important predictors for satisfaction. Life in supported housing is shown to be characterized by constant togetherness, limited self-determination and violated integrity. Being deprived of self-determination emerged as the main concern for residents, who handle this through striving for meaning. Life in ordinary housing with housing support is shown to be characterized by independence, self-determination, loneliness, and sometimes lack of support. The impossible mission in everyday life emerged as the main concern for residents, who deal with this concern through mastering everyday life. The housing support staff are important facilitators in the process of mastering everyday life, and the continuity of housing support is a prerequisite for the process to succeed.

    Conclusions: The thesis contributes knowledge about the housing situation for people with psychiatric disabilities. The thesis raises awareness of a need for changes in housing support services towards housing forms and support that strengthen the residents' integrity and autonomy. The individuals' experiences need to be considered in planning and performance of housing support services, and security, privacy, choice, social support and continuity in housing support need to be prioritized.

  • 330.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    "Jag kan öppna fönstret när jag vill": Boendesituationen för personer med psykisk funktionsnedsättning - ur de boendes perspektiv2017Report (Other (popular science, discussion, etc.))
  • 331.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Syrén, Susanne
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sandgren, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Mastering everyday life in ordinary housing for people with psychiatric disabilities2016In: The Grounded Theory Review, ISSN 1556-1542, E-ISSN 1556-1550, Vol. 15, no 1, p. 10-25Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to develop a classic grounded theory about people who have psychiatric disabilities and live in ordinary housing with housing support. Interviews and observations during the interviews were analyzed, and secondary analyses of data from previous studies were performed. The impossible mission in everyday life emerged as the main concern and mastering everyday life as the pattern of behavior through which they deal with this concern. Mastering everyday life can be seen as a process, which involves identifying, organizing, tackling, challenging and boosting. Before the process is started, avoiding is used to deal with the main concern. The community support worker, providing housing support, constitutes an important facilitator during the process, and the continuity of housing support is a prerequisite for the process to succeed. If the process mastering everyday life is interrupted by, for example, changes in housing support, the strategy of avoiding is used.

  • 332.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Syrén, Susanne
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sandgren, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Striving for meaning: Life in supported housing for people with psychiatric disabilities2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 31249Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to develop a grounded theory about people with psychiatric disabilities, living in supported housing. Interviews as well as observations during the interviews were analyzed together with secondary analyses of quantitative and qualitative material from previous studies. Being deprived of self-determination emerged as the main concern for residents in supported housing and striving for meaning emerged as the pattern of behavior through which this group resolves their main concern. Striving for meaning involves living in the present, striving for self-determination, strengthening self-esteem, emotional processing and resting from the present. The strategies facilitate each other and are used singly, together simultaneously, or alternately. If they are successful, a meaning in the present is perceived. If all the strategies fail repeatedly, escaping from the present is used in order to deal with being deprived of self-determination. The implications of the findings suggest prioritizing a reduction of the institutional nature of the social and physical environment, and to support the residents' self-determination.

  • 333.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Syrén, Susanne
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Baigi, Amir
    University of Gothenburg, Sweden.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Satisfaction with housing and housing support for people with psychiatric disabilities2015In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, no 1, p. 21-28Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate the degree of satisfaction with housing and housing support for people with psychiatric disabilities in Sweden. A total of 370 residents, in supported housing and in ordinary housing with housing support, completed a new questionnaire and reported a high degree of overall satisfaction, but many of them wanted to move somewhere else. Differences were found between the two different types of housing concerning satisfaction with housing support, social life and available choices. Security and privacy, as well as other's influence on the choice of residential area and dwelling proved to be important predictors for satisfaction.

  • 334.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Syrén, Susanne
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Validity and reliability of a Swedish questionnaire for assessing satisfaction with housing and housing support for persons with psychiatric disabilities2013In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 10, p. 731-738Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate the reliability and validity of a questionnaire for studying satisfaction with housing and housing support for people with psychiatric disabilities. Most items were gathered from English language questionnaires. These were translated and adapted to a Swedish context and items concerning housing support were added. Two studies were conducted. The first, a test-retest reliability analysis, was performed in a pilot study with 53 participants; in the second study, which had 370 participants, a five factor solution with good internal consistency emerged. Further development of the questionnaire is discussed.

  • 335.
    Brolin, Rosita
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Syrén, Susanne
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sandgren, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Residents' perceptions of the most positive and negative aspects of the housing situation for people with psychiatric disabilities2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 2, p. 603-611Article in journal (Refereed)
    Abstract [en]

    The major aim of the present study was to explore what people with psychiatric disabilities, living in two different types of housing, consider to be the best and the worst in their housing situation. A secondary aim was to explore to what extent additional questions to a questionnaire with a free-response format can provide complementary information to the previous knowledge in the field. The content analysis revealed that the physical attributes were of great significance for the residents in ordinary housing, while both psychosocial aspects and physical attributes were important for those living in supported housing. When providing good housing solutions for people with psychiatric disabilities, attention needs to be given to these aspects by politicians, policymakers as well as by nursing staff.

  • 336.
    Broman, Liv
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Jonsson, Hilda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Djurterapins inverkan på äldres hälsa: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund Risken för psykisk och fysisk ohälsa ökar med stigande ålder. Åldrandet medför ofta nedsatt fysisk, psykisk och social förmåga, förändrad identitet och en minskad umgängeskrets vilket är bidragande orsaker till ohälsa. Flera olika djurarter har varit trogna följeslagare till människan genom alla tider. Forskare har använt sig av djurterapi som behandlingsmetod för patienter inom olika vårdkontexter.

    Syfte Syftet var att beskriva djurterapins betydelse för äldres hälsa inom äldreomsorgen.

    Metod En litteraturstudie genomfördes där tio vetenskapliga artiklar användes. Åtta kvantitativa och två kvalitativa vilka söktes fram via databaserna CINAHL, PubMed och PsycINFO. Dataanalysen genomfördes enligt Kristensson (2014).

    Resultat Analysprocessen resulterade i fyra kategorier. Den första kategorin var beteendeförändring då det visat sig att djurterapi har positiv inverkan på exempelvis minskad trötthet, nedstämdhet och förvirring. Den andra kategorin var social funktion. Då många äldre beskrev djuren som en vän, bidrog djuren till en minskad känsla av ensamhet. Den tredje kategorin var meningsfullhet då djuren fick de äldre att känna sig meningsfulla. Den fjärde och sista kategorin var minnen då djur bidrog till att gamla minnen kom tillbaka.

    Slutsatser Djur skulle kunna vara en del i de äldres dagliga aktiviteter inom äldreomsorgen och på så vis förebygga ohälsa.

  • 337.
    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.

  • 338.
    Brorsson, Emil
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Takvam, Camilla
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Inte bara barn: En kvalitativ självbiografistudie om vuxna personers upplevelser av att leva med ADHD2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: ADHD står för Attention Deficit Hyperactivity Disorder och är en neuropsykiatrisk funktionsnedsättning. Genom åren har ADHD varit huvudsakligen förknippat med barn. Det är först på senare år som ADHD har blivit en erkänd funktionsnedsättning även hos vuxna. Uppskattningsvis lever 2,5 % av den vuxna befolkningen i Sverige med ADHD.

    Syfte: Syftet med studien var att belysa upplevelserna av att som vuxen leva med ADHD

    Metod: Studien var en kvalitativ självbiografistudie. En induktiv ansats har använts och analysen utfördes genom en manifest innehållsanalys.

    Resultat: Analysen gav fyra kategorier och fem underkategorier. Resultatet visade att livet med ADHD innebar svårigheter i vardagen, att vara full av känslor samt att omgivningens stöd var av betydelse. Vidare visade resultatet att hälsa kunde upplevas trots ADHD.

    Slutsats: Att som vuxen leva med ADHD innebär svårigheter i vardagen sammankopplade till de huvudsymtom som funktionsnedsättningen ger. Det innebär vidare känslor av att vara annorlunda och missförstådd samt att uppleva svårigheter med pendlande humör. Med stöd från omgivningen samt ökad begriplighet och hanterbarhet kan känslan av hälsa och välbefinnande öka. Då varje persons upplevelser är individuella är det viktigt att som sjuksköterskan se till den personliga livsvärlden för att kunna stärka individens hälsoprocesser.

  • 339.
    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.

  • 340.
    Broström, Anders
    et al.
    Jönköping University, Sweden;Linköping University Hospital, Sweden.
    Pakpour, A. H.
    Jönköping University, Sweden;Qazvin Univ Med Sci, Iran.
    Nilsen, P.
    Linköping University, Sweden.
    Fridlund, Bengt
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ulander, M.
    Linköping University Hospital, Sweden;Linköping University, Sweden.
    Psychometric properties of the Ethos Brief Index (EBI) using factorial structure and Rasch Analysis among patients with obstructive sleep apnea before and after CPAP treatment is initiated2019In: Sleep and Breathing, ISSN 1520-9512, E-ISSN 1522-1709, Vol. 23, no 3, p. 761-768Article in journal (Refereed)
    Abstract [en]

    Background Continuous positive airway treatment (CPAP) is the recommended treatment for patients with obstructive sleep apnea (OSA). Outcome measures often focus on clinical and/or self-rated variables related to the medical condition. However, a brief validated instrument focusing on the whole life situation (i.e., ethos) suitable for clinical practice is missing. The aim of this study was to investigate factorial structure, categorical functioning of the response scale, and differential item functioning across sub-populations of the Ethos Brief Index (EBI) among patients with obstructive sleep apnea (OSA) before and after initiation of continuous positive airway pressure (CPAP). Methods A prospective design, including 193 patients with OSA (68% men, 59.66 years, SD 11.51) from two CPAP clinics, was used. Clinical assessment and overnight respiratory polygraphy were used to diagnose patients. Questionnaires administered before and after 6 months of CPAP treatment included EBI, Epworth Sleepiness Scale (ESS), Hospital Anxiety and Depression Scale, and global perceived health (initial item in SF-36). The validity and reliability of the EBI were investigated using Rasch and confirmatory factor analysis models. Measurement invariance, unidimensionality, and differential item functioning across gender groups, Apnea-Hypopnea Index, and ESS groups were assessed. Results The reliability of the EBI was confirmed using composite reliability and Cronbach's alpha. The results supported unidimensionality of the EBI in confirmatory factor analysis and the Rasch model. No differential item functioning was found. A latent profile analysis yielded two profiles of patients with low (n = 42) and high (n = 151) ethos. Patients in the low ethos group were younger and had higher depression scores, lower perceived health, and higher body mass index. Conclusions The EBI is a valid tool with robust psychometric properties suitable for use among patients with OSA before and after treatment with CPAP is initiated. Future studies should focus on its predictive validity.

  • 341.
    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.

  • 342.
    Broström, Fredrik
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Novis-sjuksköterskors erfarenheter av att arbeta inom akutsjukvård: En icke-systematisk litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Forskningen visar att arbetsmiljön spelar en avgörande roll för hur sjuksköterskor trivs i sitt arbete. Den visar också att andelen yrkesverksamma sjuksköterskor som stannar kvar i yrket blir färre och färre. Detta kommer på sikt skapa en sjuksköterskebrist som inte matchar ökande åldern hos befolkningen och samhällets krav på vården.

    Syfte: Syftet var att beskriva novis-sjuksköterskors erfarenheter av att arbeta inom akutsjukvård.

    Metod: Icke-systematisk litteraturstudie bestående av sju kvalitativa studier och en studie av mixad metod. Datainsamlingen gjordes på databaserna CINAHL och PubMed. Analysen som användes var integrerad innehållsanalys.

    Resultat: Huvudfynd: Arbetsförhållandena upplevdes som stressande då novis-sjuksköterskorna inte hade tid med att bemöta och vårda sina patienter enligt deras tycke. De upplevde att deras utbildning inte gjorde dem tillräckligt förberedda för att arbeta som en professionell sjuksköterska inom akutsjukvården. Den erhållna kompetensnivån hos novis-sjuksköterskorna upplevdes som otillräcklig där tidsplanering/tidshantering sågs som den kompetens de behövde utveckla mest. Övergångsprocessen från novis till professionell sjuksköterska var direkt beroende av handledaren och kollegornas bemötande av novis-sjuksköterskorna.

    Slutsats: I denna litteraturstudie identifierades tidsbristen som en gemensam nämnare. Novissjuksköterskorna uppfattade också att utbildningen ej erbjöd tillräckligt med praktiska moment. Flera upplevde en diskrepans mellan utbildningens teoretiska kunskaper och den kompetens som krävdes när de kom ut i arbetslivet. Handledaren och kollegorna spelade en avgörande roll i en lyckad övergångsprocess från studietiden till arbetslivet för novissjuksköterskan.

  • 343.
    Bruce, Elisabeth
    et al.
    Umeå University.
    Dorell, Åsa
    Umeå University.
    Lindh, Viveca
    Umeå University.
    Erlingsson, Christen
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lindkvist, Marie
    Umeå University.
    Sundin, Karin
    Umeå University.
    Translation and Testing of the Swedish Version of Iceland-Family Perceived Support Questionnaire With Parents of Children With Congenital Heart Defects2016In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 22, no 3, p. 298-320Article in journal (Refereed)
    Abstract [en]

    There is a need for a suitable instrument for the Swedish context that could measure family members’ perceptions of cognitive and emotional support received from nurses. The purpose of this study was to translate and test the psychometric properties of the Swedish version of the Iceland-Family Perceived Support Questionnaire (ICE-FPSQ) and, further, to report perceptions of support from nurses by family members of children with congenital heart defects (CHDs). A sample of 97 parents of children with CHD, living in Sweden, completed the Swedish translation of ICE-FPSQ. The Swedish version of ICE-FPSQ was found to be reliable and valid in this context. Parents scored perceived family support provided by nurses working in pediatric outpatient clinics as low, which suggests that nurses in these outpatient contexts in Sweden offered family nursing only sparingly.

  • 344.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Boende2014In: Att leva med psykisk funktionsnedsättning: livssituation och effektiva vård- och stödinsats / [ed] David Brunt och Lars Hansson, Lund: Studentlitteratur AB, 2014, 2, p. 99-116Chapter in book (Other academic)
  • 345.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Socialt nätverk2014In: Att leva med psykisk funktionsnedsättning: livssituation och effektiva vård- och stödinsatser / [ed] David Brunt och Lars Hansson, Lund: Studentlitteratur AB, 2014, 2, p. 171-188Chapter in book (Other academic)
  • 346.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Centre for Evidence-based Psychosocial Interventions for people with severe mental illness CEPI, Sweden.
    Hansson, Lars
    Lund University, Sweden ; Centre for Evidence-based Psychosocial Interventions for people with severe mental illness CEPI, Sweden.
    Att leva med psykisk funktionsnedsättning: livssituation och effektiva vård- och stödinsatser2014 (ed. 2)Book (Other academic)
    Abstract [sv]

    Den psykiatriska vården och det offentliga stödsystemet för personer med psykisk funktionsnedsättning är i dag huvudsakligen ett samhälls­baserat servicesystem med tyngdpunkt i öppna vårdformer. Det finns emellertid uppenbara brister i systemets förmåga att möta vård- och stödbehovet hos dessa personer,liksom det finns övergripande brister i deras livssituation i samhället som helhet. Trots omfattande reformer kännetecknas fortfarande situationen för personer med psykiska funktionshinder i många avseenden av diskriminering och andra former av stigmatisering samt ekonomisk, social och politisk marginalisering och maktlöshet. Upplevelser av bristande medinflytande och kontroll över den egna vård- och stödsituationen påverkar dem också negativt.

    Trots svårigheter att implementera evidensbaserade och effektiva insatser samt starka vetenskapliga belägg för att de reformer som genomdrivits i syfte att förbättra livssituationen i många avseenden inte har nått målen, finns det ändå anledning till optimism. Det här är den andra reviderade upplagan av boken, och här redovisas rehabiliteringsinsatser och andra interventioner som visar att det finns effektiva sätt att förändra situationen.

    Att leva med psykisk funktionsnedsättning vänder sig till studerande inom sociala eller vårdinriktade högskoleutbildningar,men också till personer inom vård- och stödverksamheter som i arbetet möter personer med psykiska funktionsnedsättningar.

  • 347.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Resident and staff perceptions of the content of their relationship in supported housing facilities for people with psychiatric disabilities2018In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 11, p. 673-681, article id 179322Article in journal (Refereed)
    Abstract [en]

    Background: The work of staff in supported housing facilities for people with psychiatric disabilities has most often been studied from the perspective of one of the two groups but not from both. The staff in these facilities generally come from differing professions, reflecting either the beliefs of the medical or social models of psychiatric care. 

    Aim: The aim of the present study was thus to investigate the perceptions of residents and staff of the frequency and the importance of verbal and social interactions in supported housing facilities for people with psychiatric disabilities and to compare these perceptions. A further aim was to investigate whether differences in education background and other sociodemographic factors are reflected in the staff perceptions of these interactions.

    Methods: One hundred and eleven residents living in supported housing facilities in Sweden and 223 staff completed the Verbal and Social Interaction Supported Housing questionnaire. 

    Results: The results revealed significant differences between the perceptions of the residents and staff on all six categories of interactions, where the staff rated the frequency and importance higher than the residents, but also some similarities in terms of the relative order of the frequency of the categories of interactions. Both the residents and staff perceived that “To build a relationship with a supportive quality” as the most frequently occurring and most important category. The mean levels of importance for all the categories were higher than for the frequency according to both groups. No differences were found between the staff with a medical or social educational background. Similarly, no differences were found in staff perceptions between those with short experience and those with long experience. 

    Conclusion: This study is the first survey of its kind and the results indicate the need for reducing the gap between the staff intentions and the residents’ preferences, which could form the basis for in-house training activities. 

  • 348.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Validation of the Verbal and Social Interaction questionnaire: carers' focus in the carer–resident relationship in supported housing facilities for persons with psychiatric disabilities (VSI-SH)2013In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 3, p. 279-285Article in journal (Refereed)
    Abstract [en]

    A questionnaire to measure the verbal and social interactions between carers and residents in supported housing facilities for persons with psychiatric disabilities has been developed. It is an adaptation of a questionnaire originally used in a forensic psychiatric setting. The aim of the present study was thus to investigate the construct validity and the reliability of this new version of the Verbal and Social Interactions questionnaire for use in supported housing facilities (VSI-SH). Two hundred and twenty-three carers from municipal and privately run housing facilities completed the questionnaire. A factor analysis was performed, which resulted in six factors. The number of items was reduced from the original 47 to 30 in order to minimize factorial complexity and multiple loadings. The reliability was tested with Cronbach's alpha and good internal consistency for the questionnaire and five of the six factors was found. The resulting six factors and the items were compared to the conceptual model and four of the six factors corresponded well with the categories in this original theoretical model. The questionnaire can be a useful contribution to the study of interactions between carers and residents in supported housing facilities for persons with psychiatric disabilities.

  • 349.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Schroder, Agneta
    Örebro University, Sweden;Norwegian Univ Sci & Technol NTNU, Norway.
    Lundqvist, Lars-Olov
    Örebro University, Sweden.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Residents' Perceptions of Quality in Supported Housing for People with Psychiatric Disabilities2019In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 40, no 8, p. 697-705Article in journal (Refereed)
    Abstract [en]

    The residents' perspective of the quality of housing support for people with psychiatric disabilities living in congregate supported housing has been studied and a comparison has been made with the findings from those from a previous study in ordinary housing with outreach support. One-hundred and seventy-eight residents from 27 supported housing facilities in eight Swedish municipalities completed the Quality of Psychiatric Care-Housing (QPC-H) instrument. The highest quality ratings were found for: Secluded Environment, Encounter and Support, while Participation, Housing Specific and Secure Environment were rated at lower levels. Despite relatively high ratings, a majority of items did not attain the 80% cutoff point deemed as defining satisfactory quality of service. The residents in ordinary housing with outreach support rated higher levels for the majority of the QPC-H dimensions in comparison with those in supported housing. A conclusion is that the quality of care in supported housing facilities has a number of deficiencies that need to be addressed. Supported housing is generally rated as having a lower quality of care than in ordinary housing with outreach support. Suggestions for the content of staff training are made based on the results.

  • 350.
    Brüggemann, A. Jelmer
    et al.
    Linköping University, Sweden.
    Swahnberg, Katarina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University, Sweden.
    Wijma, Barbro
    Linköping University, Sweden.
    A first online intervention to increase patients’ perceived ability to act in situations of abuse in health care: reports of a Swedish pre-post study2015In: BMC Medical Ethics, ISSN 1472-6939, E-ISSN 1472-6939, Vol. 16, article id 35Article in journal (Refereed)
    Abstract [en]

    Background

    Efforts to counteract abuse in health care, defined as patient-experienced abuse, have mainly focused on interventions among caregivers. This study is the first to test an online intervention focusing on how patients can counteract such abuse. The intervention aimed at increasing patients’ intention and perceived ability to act in future situations where they risk experiencing abuse.

    Methods

    Participants were recruited through a nephrology clinic in Sweden. The intervention consisted of an online program that aimed to stimulate patients to think of possible actions in situations in which they risk experiencing abuse. The program comprised stories and exercises in text and comic form. The participants filled out a questionnaire immediately before and after going through the program, as well as during follow-up four to eight weeks later.

    Results

    Forty-eight patients (39 %) participated in the study and spent, on average, 41 min responding to questions and going through the program. Both men and women, of various ages and educational backgrounds, participated. An increase in participants' self-reported ability to identify opportunities to act in a given situation was seen immediately afterwards, as well as during follow up.

    Conclusion

    The current study suggests that it is feasible and most likely useful to a variety of patients to work with the provided material that has the aim of counteracting abuse in health care. It would be of interest to further develop ways of using comics and to test similar interventions in other health care settings.

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