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  • 301.
    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. 

  • 302.
    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.

  • 303.
    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.

  • 304.
    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.

  • 305.
    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)
  • 306.
    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.

  • 307.
    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.

  • 308.
    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.

  • 309.
    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.

  • 310.
    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)
  • 311.
    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.

  • 312.
    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
  • 313.
    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.

  • 314.
    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.

  • 315.
    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.

  • 316.
    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.

  • 317.
    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.))
  • 318.
    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.

  • 319.
    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.

  • 320.
    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.

  • 321.
    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.

  • 322.
    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.

  • 323.
    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.

  • 324.
    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.

  • 325.
    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.

  • 326.
    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.

  • 327.
    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.

  • 328.
    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.

  • 329.
    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.

  • 330.
    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.

  • 331.
    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)
  • 332.
    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)
  • 333.
    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.

  • 334.
    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. 

  • 335.
    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.

  • 336.
    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.

  • 337.
    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.

  • 338.
    Brüggemann, Jelmer
    et al.
    Linköping University.
    Swahnberg, Katarina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Hälsouniversitetet, Linköping.
    Staff silence about abuse in health care: an exploratory study at a Swedish women’s clinic2014In: Clinical Ethics, ISSN 1477-7509, E-ISSN 1758-101X, Vol. 9, no 2-3, p. 71-76Article in journal (Refereed)
    Abstract [en]

    Background It has been well documented that patients can feel abused in health care and that many patients suffer from these experiences. Insight lacks into contributing factors behind such events. Silence surrounding the abuse has been suggested as a possible mechanism. The present study explores silence surrounding the abuse as a possible contributing factor. We have explored whether this silence is connected with the staff’s hierarchical position and with the staff’s own experiences as patients abused in health care.

    Methods During January 2008, a paper questionnaire was sent to all staff members at a Swedish women’s clinic. The questionnaire included questions on sociodemography and profession and multiple questions about abuse in health care. After univariate testing, a binary logistic regression model including variables concerning profession and staff’s own experiences of abuse was built.

    Results Our data show that in contrast to midwives and gynaecologists, auxiliary nurses seldom report hearing about cases of abuse in health care. Staff who themselves experienced abuse in health care as patients, so-called wounded healers, were more likely to have heard about abuse in health care during the last 12 months.

    Conclusions This study suggests that a form of silence reigns over events of abuse in health care that is not randomly distributed over staff. Professional hierarchies and staff’s own experiences of abuse as patients could be considered in the design of interventions to break the silence surrounding patients’ experiences of abuse in health care.

  • 339.
    Bucht, Carolihn
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hammar, Ann
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjuksköterskans upplevelser av palliativ vård i hemmet2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 340.
    Burmérius, Isak
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Karlsson, Linda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Förekomst av postoperativt illamående och kräkningar: En jämförande retrospektiv studie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Postoperative nausea and vomiting (PONV) is a common complication associated with anesthesia and affects an average 30% of all patients. Women who go through gynecological laparoscopic surgery are a particularly vulnerable group. Many individuals experience an unnecessary suffering due to PONV. The nurse anesthetist has a central responsibility in working preventively, thus alleviating and reducing complications. By studying and comparing different units, the problem can be noted and possibly reduced.

    Aim: The aim of this study is to examine differences in postoperative nausea and vomiting in women undergoing gynecological laparoscopic sterilization at two different operating units in southern Sweden.

    Method: Quantitative retrospective comparative study with journal review of 95 patients undergoing gynecological laparoscopic sterilization at a county hospital in southern Sweden. The outcome of PONV with differences and correlation between the units has been compared with regard to prophylactic interventions in relation to risk factors.

    Results: The outcome of PONV was 13% versus 8% on the respective unit. No statistically significant difference was detected between the units. The correlation between the number of risk factors and the number of prophylactic interventions showed a weak, non-significant correlation on both units.

    Conclusion: Only a small proportion of women undergoing laparoscopic sterilization suffer from PONV. Better documentation would favor the mapping of various factors contributing to PONV. Risk factors are not considered for each individual and therefore the patient perspective is not in focus. Common routines could lead to better conditions for good care in more individuals, thereby reducing suffering. A proposal for future research is a prospective study where the outcome of PONV is studied over a longer period of time.

  • 341.
    Burnic, Anes
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Att belysa faktorer som påverkar sömnen hos patienter med hjärtsvikt2018Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 342.
    Bygdén, Evelina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rönn, Kristina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    När livet vänds upp och ner: En litteraturstudie om anhörigas upplevelser och behov av stöd när en familjemedlem insjuknar och omhändertas av akutsjukvården.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Akut sjukdom eller skada inträffar ofta oväntat och kan kräva ett akut omhändertagande. När anhöriga upplever det akuta omhändertagandet uppstår både känslor och behov, vilka behöver bli mötta och tillgodosedda för att anhöriga inte ska uppleva ohälsa.

    Sjuksköterskans förståelse för anhörigas situation skapar möjlighet för bra bemötande och stöd anpassat till situationen anhöriga befinner sig i.

    Syfte: Syftet var att belysa anhörigas upplevelser och behov av stöd när en familjemedlem insjuknar och omhändertas av akutsjukvården.

    Metod: Kvalitativ litteraturstudie baserad på tio vetenskapliga artiklar. Studien har utgått från kvalitativ innehållsanalys enligt Lundman & Hällgren Graneheims (2012) beskrivning.

    Resultat: I studien framkom det fyra kategorier och åtta underkategorier vilka beskriver upplevelse och behov hos anhöriga. Hur de anhörigas behov möttes inverkade på hur situationen upplevdes, vilket i sin tur kunde spegla hur anhörigas upplevelser inverkade på patienten.

    Slutsats: Ett akut omhändertagande upplevs individuellt. Känslomässigt kaos och ovetskap är vanligt beskrivna upplevelser i det akuta omhändertagandet. Anhörigas upplevelser påverkas till stor del av hur de behov som uppstår möts och tillgodoses. Sjuksköterskan kan genom medvetenhet och kunskap om upplevelserna bemöta anhöriga på bästa möjliga sätt och underlätta situationen för de anhöriga.

  • 343.
    Bylin, Samantha
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Nyman, Linda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Leva på lånad tid: En litteraturstudie baserad på självbiografier om palliativa patienters upplevelser av sin sista tid i livet.2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 344.
    Bylund, Ami
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    "Wait for us to catch up": Aspects of family functioning after gastric bypass surgery2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: To investigate aspects of family functioning when a family member has undergone Gastric Bypass surgery (GBP).

    Methods: Study I explored experiences of family functioning three months after GBP, based on nine family interviews, analyzed using Gadamerian hermeneutics. Using Classic grounded theory, Study II focused on how families resolve their primary concerns after GBP, through interviews with 16 families. Study III evaluated the reliability and validity of the General Functioning Scale (GFS) based on 163 self-reported questionnaires, and used psychometric analyses. Study IV explored associations between family functioning, weight loss, sex and Health Related-Quality of Life (HR-QoL), based on self-reported questionnaires from 153 participants and utilized descriptive statistics and binary logistic regression.

    Results: Study I revealed a process of three intertwined changes in family functioning three months after GBP: Living in ambiguous relationship, rewriting family patterns and strengthening family cohesion. Study II showed that families shared a main concern of unexpected change after GBP, resulting in the theory Stabilizing family life, explained as a social process to decrease uncertainty and find stability and well-being in family interactions. This resulted in attaining unity, returning to old family patterns or disconnecting. Study III suggested GFS as a promising tool for assessing family functioning in a Swedish bariatric sample, showing satisfactory reliability and validity. Study IV showed associations between family functioning and the mental dimensions of HR-QoL, two years after GBP. Percent weight loss was associated with the physical dimension. Sex showed no associations to HR-QoL.

    Conclusion: Families experienced unexpected challenges after GBP affecting family functioning. Mutual remodeling of family life to incorporate changes was seen. Families underwent a social process, indicating that families may represent a resource in bariatric nursing care. A family-system nursing perspective as complement to standard care may be beneficial. As family functioning influence HR-QoL identifying available family resources and giving tailored information to support self-care strategies after GBP, may result in sustainable family functioning and individual health. Studies aimed at identify families that may benefit from family-system nursing interventions are suggested for future inquiry. 

  • 345.
    Bylund, Ami
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Benzein, Eva
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Persson, Carina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Creating a New Sense of We-ness: Family Functioning in Relation to Gastric Bypass Surgery2013In: BARIATRIC SURGICAL PRACTICE AND PATIENT CARE, ISSN 2168-023X, Vol. 8, no 4, p. 152-160Article in journal (Refereed)
    Abstract [en]

    Background: Gastric bypass surgery (GBP) is the most common treatment for morbid obesity (body mass index 35). To date, the person with obesity has been the main focus in bariatric nursing and research, although the person coexists within their family. Aim: The aim of this study was to describe family functioning in relation to GBP. Methods: Open ended questions were used. Nine families were interviewed on two occasions within 2 weeks 3 months after surgery. The interviews were transcribed and analyzed according to a hermeneutic method. Main Findings: An ongoing process of alterations related to family functioning was identified. Before, GBP families experienced distance and disengagement. Immediately after GBP, there were changes within relationships. Families experienced a period of difficulty, in interactions, while adapting to the lifestyle changes and altered positions. After 3 months, families experienced enhanced closeness in inter-relations within the family and increased social interactions as a whole family with friends and relatives. Conclusions: To better support families and enhance family functioning, bariatric nursing care needs to shift focus from an individual to a family perspective. Further studies are needed to gain a longitudinal perspective and improve understanding of family functioning after GBP.

  • 346.
    Bylund, Ami
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet;Ersta Hospital.
    Benzein, Eva
    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.
    Stabilizing family life after gastric bypass surgery2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, article id 1325674Article in journal (Refereed)
    Abstract [en]

    Weight-loss surgery requires lifelong lifestyle modifications for the maintenance of weight loss and health effects, and can affect both the individual and family. Earlier research indicates that the quality of social relationships has positive and negative influences on wellbeing and health. There is little research on family-life after a member has undergone gastric bypass (GBP) against obesity. Thus, this study aimed to develop a classic grounded theory about families with a member treated with GBP against obesity. The study design used classic grounded theory and included data from 16 interviews. Families’ shared a main concern of unexpected changes after GBP, resulting in the theory Stabilizing family life, explained as a social process to decrease uncertainty and find stability and well-being in family interactions. The social process develops differently which entail families: attaining unity, returning to old patterns, or disconnecting to find stability, depending on the discrepancy in expectations and knowledge. This is affected by the overall life situation, life-stage and relationship quality. The theory highlights unexpected change as a potential challenge for the family, as well as how they resolve this. Hence, the theory can be applied in care strategies for families. Identification of families needing support to stabilize family life after GBP requires further research.

  • 347.
    Bylund, Ami
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Benzein, Eva
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Thorell, Anders
    Danderyd Hospital (KI DS).
    Persson, Carina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Associations between family functioning, weight loss, sex and Health-Related Quality of Life outcomes two years after gastric bypass surgeryManuscript (preprint) (Other academic)
  • 348.
    Bylund, Ami
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet;Ersta Hospital.
    Årestedt, Kristofer
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University.
    Benzein, Eva
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Thorell, Anders
    Karolinska Institutet;Ersta Hospital.
    Persson, Carina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Assessment of family functioning: evaluation of the General Functioning Scale in a Swedish Bariatric Sample2016In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 3, p. 614-622Article in journal (Refereed)
    Abstract [en]

    BackgroundThe General Functioning Scale (GFS) was developed to assess self-perceived overall family functioning. The scale has satisfactory psychometric properties, is internationally recognised and has been used in different contexts. However, no validated Swedish version is available. Healthy family functioning can support patients and help them adhere to treatment regimens. Moreover, it maintains the physical and emotional health and that of the family as a unit. Yet, there is limited information regarding family functioning postgastric bypass surgery. Thus, it is important to use validated instruments to understand family functioning in bariatric contexts. AimTo evaluate aspects of reliability and validity in GFS in a Swedish bariatric sample, focusing on factor structure. MethodThe Swedish version of the GFS (S-GFS) was administered on two occasions to 163 participants who had undergone gastric bypass surgery 6-8 weeks prior to testing. Internal consistency, temporal stability and construct validity were assessed. ResultsData were positively skewed. The S-GFS showed good internal consistency (ordinal = 0.92) with a sufficient overall mean interitem correlation (0.500) and adequate temporal stability (intraclass correlation coefficient = 0.833). After modifying response alternatives, confirmatory factor analysis indicated acceptable fit for a one-factor model. ConclusionThe scale is a promising tool for assessing family functioning in bariatric settings. The S-GFS showed satisfactory reliability - consistent with prior research - and acceptable validity in the study sample. This study contributes to the limited research on the scale's validity. However, the S-GFS needs to be evaluated in different cultural and clinical contexts, focusing on various aspects of validity and responsiveness (sensitivity to detect significant change over time) in different samples.

  • 349.
    Bylund Grenklo, Tove
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet.
    Furst, C. J.
    Lund University.
    Nyberg, T.
    Karolinska Institutet.
    Steineck, G.
    Karolinska Institutet ; The Sahlgrens Academy.
    Kreicbergs, U.
    Ersta Sköndal Univeristy College ; Karolinska Institutet.
    Unresolved grief and its consequences: A nationwide follow-up of teenage loss of a parent to cancer 6-9 years earlier2016In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 24, no 7, p. 3095-3103Article in journal (Refereed)
    Abstract [en]

    PurposeThe early loss of a parent is a tragedy and a serious life event. This study investigated grief resolution and morbidity in cancer-bereaved teenagers 6 to 9 years after the loss of a parent to cancer.

    MethodsIn a nationwide population-based study of 622 of 851 (73 %) youths who as teenagers 6 to 9 years earlier had lost a parent to cancer, we explored the magnitude of unresolved grief and its association with psychological and physiological morbidity. Participants answered a study-specific anonymous questionnaire including questions about if they had worked through their grief and about their current health. Results Six to nine years post-loss 49 % reported unresolved grief (8 % no and 41 % a little grief resolution). They had, in comparison with youths reporting resolved grief. statistically significantly elevated risks, e.g. for insomnia (sons' relative risk (RR) 2.3, 95 % CI 1.3-4.0; daughters' RR 1.7, 95 % CI 1.1-2.7), fatigue (sons' RR 1.8, 95 % CI 1.3-2.5; daughters' RR 1.4, 95 % CI 1.1-1.7) and moderate to severe depression, i.e. score >9, PHQ-9 (sons' RR 3.6, 95 % CI 1.4-8.8; daughters' RR 1.8, 95 % CI 1.1-3.1). Associations remained for insomnia in sons, exhaustion in daughters and fatigue in both sons and daughters when depression, negative intrusive thoughts and avoiding reminders of the parents' disease or death were included in a model. Conclusions Approximately half of cancer-bereaved youth report no or little grief resolution 6 to 9 years post-loss, which is associated with fatigue, sleeping problems and depressive symptoms.

  • 350.
    Bylund-Grenklo, Tove
    et al.
    University of Gävle, Sweden;Karolinska institutet, Sweden.
    Werkander Harstäde, Carina
    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.
    Benzein, Eva
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Östlund, Ulrika
    Uppsala university, Sweden;Örebro university, Sweden.
    Dignity in life and care: the perspectives of Swedish patients in a palliative care context.2019In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 25, no 4, p. 193-201Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: How patients preserve their sense of dignity in life is an important area of palliative care that remains to be explored.

    AIMS: To describe patients' perspectives of what constitutes a dignified life within a palliative care context.

    METHODS: Twelve palliative care patients were interviewed about their views on living with dignity. Data were analysed using qualitative content analysis.

    RESULTS: What constitutes a dignified life during end-of-life care was captured by the theme 'I may be ill but I am still a human being' and presented under the categories 'preserving my everyday life and personhood', 'having my human value maintained by others through 'coherence' and 'being supported by society at large'.

    CONCLUSION: Patients' sense of dignity can be preserved by their own attitudes and behaviours, by others and through public support. Health professionals need to adopt a dignity-conserving approach, for which awareness of their own attitudes and behaviours is crucial.

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