lnu.sePublications
Change search
Refine search result
78910111213 451 - 500 of 2123
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 451.
    Doohan, Isabelle
    et al.
    Umeå University.
    Björnstig, Ulf
    Umeå University.
    Östlund, Ulrika
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Uppsala University.
    Saveman, Britt-Inger
    Umeå University.
    Exploring injury panorama, consequences, and recovery among bus crash survivors: a mixed-methods research study2017In: Prehospital and Disaster Medicine, ISSN 1049-023X, E-ISSN 1945-1938, Vol. 32, no 2, p. 165-174Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to explore physical and mental consequences and injury mechanisms among bus crash survivors to identify aspects that influence recovery.

    METHODS: The study participants were the total population of survivors (N=56) from a bus crash in Sweden. The study had a mixed-methods design that provided quantitative and qualitative data on injuries, mental well-being, and experiences. Results from descriptive statistics and qualitative thematic analysis were interpreted and integrated in a mixed-methods analysis.

    RESULTS: Among the survivors, 11 passengers (20%) sustained moderate to severe injuries, and the remaining 45 (80%) had minor or no physical injuries. Two-thirds of the survivors screened for posttraumatic stress disorder (PTSD) risk were assessed, during the period of one to three months after the bus crash, as not being at-risk, and the remaining one-third were at-risk. The thematic analysis resulted in themes covering the consequences and varying aspects that affected the survivors' recoveries. The integrated findings are in the form of four "core cases" of survivors who represent a combination of characteristics: injury severity, mental well-being, social context, and other aspects hindering and facilitating recovery. Core case Avery represents a survivor who had minor or no injuries and who demonstrated a successful mental recovery. Core case Blair represents a survivor with moderate to severe injuries who experienced a successful mental recovery. Core case Casey represents a survivor who sustained minor injuries or no injuries in the crash but who was at-risk of developing PTSD. Core case Daryl represents a survivor who was at-risk of developing PTSD and who also sustained moderate to severe injuries in the crash.

    CONCLUSION: The present study provides a multi-faceted understanding of mass-casualty incident (MCI) survivors (ie, having minor injuries does not always correspond to minimal risk for PTSD and moderate to severe injuries do not always correspond to increased risk for PTSD). Injury mitigation measures (eg, safer roadside material and anti-lacerative windows) would reduce the consequences of bus crashes. A well-educated rescue team and a compassionate and competent social environment will facilitate recovery. Doohan I , Björnstig U , Östlund U , Saveman BI . Exploring injury panorama, consequences, and recovery among bus crash survivors: a mixed-methods research study. Prehosp Disaster Med. 2017;32(2):165-174.

  • 452.
    Dufva Svensson, Linnéa
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rydén, Fannie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjuksköterskors upplevelser av arbetsmiljöns inverkan på vårdandet som utförs på akutmottagningen: En intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of patients at emergency departments in Sweden are annually increasing. This often leads to overcrowded emergency departments with long waiting times, an increased working load, impaired working environment and patient safety. The nurse has an important role in the nursing care and maintaining the patient safety. Earlier research has usually shown how nurses are affected by the working environment and not the working environment’s impact on the caring. Therefore it is important to examine the nurses experience of the working environment’s impact on the nursing caring. Purpose: Illustrate the nurses’ experience of the working environment’s impact on the nursing caring at the emergency department. Method: A qualitative semi-structured interview study was performed with eleven nurses at two different emergency departments. The analysis was made using a latent content analysis. Results: The results are based on the theme "The working environment’s impact on the missing care", two categories "The workload impact on the patient" and "The resources’ impact on patient safety", and eight subcategories showing that a high workload affects the patient safety and increases the risk of health care injuries. According to the nurses, factors like facilities and staffing were also affecting the patients’ integrity and the nurses’ ability to perform good care. Conclusion: High workload leads to an impaired nursing care, which may result in increased risk of health care injuries and unnecessary suffering for the patient. Health care injuries can lead to longer hospital stays which for example affects the society negatively in increased costs.

  • 453.
    Dånge, Ida
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Alp, Anna-Carin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    NÄR LIVET TAR EN VÄNDNING2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 454.
    Ebenhart, Charlotte
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Uldén, Simon
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Compassion fatigue ur sjuksköterskans perspektiv: En systematisk litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I den vårdande professionen kommer sjuksköterskan att ta del av patientens lidande genom förmågan av compassion. Sjuksköterskans användande av sig själv som ett instrument kan utveckla en emotionell utbrändhet kallad compassion fatigue (CF).

    Syfte: Syftet var att belysa sjuksköterskors erfarenheter av compassion fatigue.

    Metod: En systematisk litteraturstudie där 12 artiklar med både kvantitativ och kvalitativ ansats ingick. Följande kategorier framkom: Orsaker till compassion fatigue, upplevelser av compassion fatigue och faktorer som motverkar compassion fatigue.

    Resultat: Sjuksköterskor upplevde att CF växte fram på grund av tidigare traumatiska händelser i arbetet, utmanande arbetsmiljö, brist på stöd från omgivningen eller brist på kunskap om tillståndet. Sjuksköterskors upplevelser av CF innefattade känslor av otillräcklighet, dehumanisering och svårigheter att återhämta sig på grund av utmattning.Genom att sjuksköterskor utsatte sig för mindre påfrestningar på arbetsplatsen, hade en positiv inställning, sökte stöd från omgivningen, ökade sin kunskap om CF eller sökte en närmare vårdrelation till sina patienter, kunde CF motverkas.

    Slutsats: Patientsäkerheten kan äventyras då sjuksköterskor förbiser patienter när de upplever CF. Sjuksköterskor är i behov av utbildning om CF och bör få möjlighet till regelbunden reflektion för att minska risken att utveckla CF.

  • 455.
    Edback, Maria Palmetun
    et al.
    University Hospital Örebro ; Örebro University ; Örebro County Council.
    Lindberg, Magnus
    University Hospital Örebro ; Örebro University.
    Benzein, Eva
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Örebro 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.
    Social support: an important factor for quality of life in women with hirsutism2014In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 12, article id 183Article in journal (Refereed)
    Abstract [en]

    Background: Women with hirsutism have reported imparied health and health-related quality of life (HRQoL). Social support is a factor that might increase HRQoL in chronic diseases, but little is known about this association among women with hirsutism. Aim: The aim of the study was to describe social support and explore its association with HRQoL among women with hirsutism. A further aim was to compare HRQoL in women with hirsutism with a Swedish normal population. Methods: A questionnaire including socio-demographic questions, Short-Form Health Survey (SF-36), the Multidimensional Scale of Perceived Social Support (MSPSS), and a self-estimation of hairiness using the Ferriman-Gallway scale (F-G scale) was answered by 127 women with hirsutism. Results: Multiple regression analyses showed significant associations between social support and all health dimensions in the SF-36, also after the model was adjusted for age, hairiness and body mass index. Compared to the normal Swedish population, women with hirsutism reported significantly lower HRQoL in all dimensions of the SF-36 (p < 0.01). Conclusions: There is a significant positive association between social support and HRQoL, demonstrating its importance for the ability to adapt to problems associated with hirsutism. As women with hirsutism reported poorer HRQoL compared to the normal population, social support may be a factor to consider in clinical practice.

  • 456.
    Eddegård, Felizia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Jakobsson, Ida
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Att belysa våldsutsatta kvinnors erfarenheter av att möta sjukvården2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Abstrakt

    Bakgrund Våldsutsatta kvinnor är i behov av vård vare sig den kommer från en akutmottagning eller hälsocentral. Det förekommer att vårdpersonal inte lyckas identifiera våldet hos kvinnor som inte har synliga skador. Kvinnorna kan därmed uppleva onödigt lidande. Teoretisk referensram är Erikssons (1994) teorier om lidande.

    Syfte Att belysa våldsutsatta kvinnors erfarenheter av att möta sjukvården.

    Metod En systematisk litteraturstudie har tillämpats. 13 artiklar valdes från databaserna Cinahl, PsycINFO och PubMed, och en kritisk granskning genomfördes följt av en innehållsanalys.

    Resultat Resultatet framförs i fyra kategorier: Att erfara brister i vården, att känna rädsla, att inte bli tagen på allvar och att inte känna sig omhändertagen. Det framkom att många våldsutsatta kvinnor upplever vårdpersonal som okunnig inom ämnet samt att kvinnorna kände sig respektlöst behandlade, upplevde att det inte fanns tillräckligt med tid, men även att vårdpersonalen inte tog hänsyn till deras integritet.

    Slutsats Våldsutsatta kvinnor som söker vård upplever att vårdpersonal har bristande kunskaper gällande ämnet. Det bidrar till att personalen kan missa om en kvinna är våldsutsatt. Sjukvårdspersonal bör få relevant utbildning för att kunna hjälpa.

    Nyckelord

    Våldsutsatta kvinnor, våld i nära relationer, sjukvård, erfarenheter

  • 457.
    Edner, Malin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Danielsson, Nina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Att vårdas lätt sederad eller vaken under invasiv ventilation: En systematisk litteraturstudie som belyser intensivvårdspatientens upplevelse2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Most patients admitted to an intensive care unit for invasive ventilation get sedation at some point during the stay. Today's research shows that there are great advantages for the patient to be cared for ligthly sedated or consious during invasive ventilation. Today's sedation practice has moved towards keeping the patient more awake. Invasive procedures are used in the intensive care, which can be experienced as painful or unpleasant. The high-tech care environment is also special, which can contribute to the discomfort of the patient. Nurses describe that it takes more time to care for patients who are awake or lightly sedated. They also experienced advantages of having a more alert patient, such as the possibility of communicating and interacting with the patient. Healthcare professionals also see a challenge in caring for easily sedated or conscious patients, where they are worried about the patient’s safety and well-being.

    Purpose Describe intensive care patients' experience of being cared for lightly sedated or consious during invasive ventilation in an intensive care unit.

    Method A systematic literature review has been used as a method. Qualitative articles have been analyzed with the help of Bettany-Saltikov and McSherrys (2016) nine steps.

    Results The three main categories that emerged during the analysis were the experience of physical and psychological suffering, the experience of communication and the experience of context or lack of context.

    Conclusion The patients' experience of being cared for lightly sedated or awake was both unpleasant and painful. Many of the patients nevertheless preferred to be cared for awake or lightly sedated. Partly to have control but also to be able to communicate and interact. On the other hand, it emerged that the experience of communication could be frustrating, as intubation was a major obstacle to communicating.

  • 458.
    Edsäker Persdotter, Johanna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Johansson, Elin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    STATISTISKT SAMBAND MELLAN INTENSIVVÅRDSSJUKSKÖTERSKANS ARBETSBELASTNING OCH PATIENTSÄKERHET: En nationell studie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In recent years there has been increasing attention in the media about the right of patients in health care and that the safety of a patient is threatened because of the shortage of nurses. In particular, the current lack of specialized nurses and the increased workload in the intensive care units could lead to serious consequences regarding the provision of intensive care and maintaining high patient safety.

     

    Objective: The objective of this study was to investigate the statistical connection between the workload of an intensive care nurse and the patient safety.

     

    Method: The study was performed by a quantitative method with a deductive approach and a cross-sectional study was done using surveys on the web. All general intensive care units in Sweden were included and the intensive care nurses needed to have worked for at least two years. A total of 372 surveys were distributed and 258 responses were received giving a response rate of 69.4 percent. Data analysis was performed by descriptive statistics and cross tabulation. Using a two-dimensional analysis, the authors could compare whether there was a link between the patient safety and the workload.

     

    Result: The result indicates that there is a statistical connection between patient safety and workload. Patient safety is negatively affected by a higher workload. The intensive care nurses state that they are forced to do a worse job related to time pressure and because of that the workload is too high. The result shows that today it is felt that there is a well functioning system of procedures and divergences but because of a high workload, the system and the procedures cannot be followed which affect patient safety negatively.

     

    Conclusion: This study demonstrates proof to highlight critical care nurses' workload in relation to patient safety and evidence to take action within the relevant business. Arrangements such as an attractive, healthier and safer workplace for the patient. For an example, shorter working hours that allows recovery between shifts. It is a necessity to revise the workload in the intensive care units nationwide for not more extensive patient safety defects to occur.

  • 459.
    Edvardsson Aurin, Ingrid
    et al.
    Lund University ; Kronoberg County Council.
    Lendahls, Lena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kronoberg County Council.
    Haraldsson, Katarina
    Department of Research and Development, Sweden.
    Tobacco cesssation - as we want it!: an interview study with young people2018In: Abstract Book - 17th World Conference on Tobacco or Health: 7-9 March 2018, Cape Town, South Africa / [ed] James Elliott Scott & Israel Agaku, Heraklion, Crete, Greece: EUEP European Publishing , 2018, Vol. 16, no Suppl 1, p. 115-115, article id A302Conference paper (Other academic)
    Abstract [en]

    Background: Smoking among teenagers and young people is still common and about every third young smoker states that they want to quit smoking. There are no obvious evidence-based methods for tobacco cessation for young people, and therefore, the same methods are used for young people as well as adults. The aim was to study young people's views about what support they would like for quit smoking, with the intention of developing a model for tobacco cessation for young people through interviews with the target groups.

    Methods: A qualitative study using a descriptive and exploratory design was conducted. Young smokers 16 - 29 years old (n=25) were interviewed in five focus groups in southern Sweden. Data were analyzed by content analysis.

    Results: The results illuminate young people's suggestions to develop a model for tobacco cessation. Four main categories emerged; Existing support rejected - existing apps, support- by SMS, and self-help brochures did not appeal to young people. Agreement between friends - To sign an agreement between two friends which included a fee on relapse. Adult support - To organize the model with duo groups and give adapted support. Celebrate and competition - Lift the positive with the freedom of smoke and create the opportunity to win simple prizes to celebrate the achieved interim goals.

    Conclusions: The young people suggested that the model for tobacco cessation would contain adult support and involves an agreement between friends and has elements of celebration and competition. The challenge will be to implement this model into environments where young people live.

  • 460.
    Edvardsson, Frida
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gadman, Kaisa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Att vara vaken under sin operation: patientens upplevelse2013Independent thesis Advanced level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
  • 461.
    Edvardsson, Marie
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Friberg, Wendela
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    LIVET EFTER EN HJÄRTINFARKT: En litteraturstudie om kvinnors upplevelser efter en hjärtinfarkt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige drabbas varje år cirka 11000 kvinnor av hjärtinfarkt. En hjärtinfarkt kan vara en traumatisk upplevelse som medför förändringar av kroppen, psyket och livet. Trots att både män och kvinnor drabbas av hjärt- och kärlsjukdomar har tidigare forskning om hjärtinfarkt främst bedrivits på män vilket innebär att kvinnor ofta bemöts och behandlas enligt en manlig standard. Detta trots att tidigare forskning har visat att kvinnor mår sämre under en längre tid efter infarkten jämfört med män.                

    Syfte: Syftet var att belysa kvinnors upplevelser efter att ha drabbats av en hjärtinfarkt.              

    Metod: Litteraturstudie med kvalitativ ansats baserad på tio vetenskapliga artiklar. Kvalitativ innehållsanalys utifrån induktiv ansats.

    Resultat: Resultatet innehåller fyra kategorier: Att leva i ovisshet, En förändrad tillvaro, Förändrade relationer och Upplevelser av sjukvården. Kvinnorna var rädda för återinsjuknande och hjärtinfarkten medförde fysiska förändringar som påverkade vardagen, familjen och relationer. Kvinnorna upplevde också bristande information och stöd ifrån sjukvården.

    Slutsatser: En hjärtinfarkt leder till ett förändrat liv och orsakar lidande för kvinnorna. Eftervården är ofta otillfredsställande vilket kan leda till onödigt lidande och ökad risk för återinsjuknande. Sjuksköterskan bör alltid eftersträva en förståelse för patientens situation för att kunna ge en så god vård som möjligt. Författarna anser att ett ökat samarbete mellan olika vårdprofessioner skulle kunna förbättra eftervården.

  • 462.
    Eek, Katarina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hultman, Benny
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linnéus University.
    VÅRD I HEMMET: Anhörigas upplevelser av att vårda en närstående - en intervjustudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: En fjärdedel av Sveriges befolkning vårdar en närstående i hemmet. Insatserna kan bestå av olika komponenter som sjukvårdande uppgifter, övervakning, känslomässigt stöd och personlig omvårdnad. Upplevelsen av det informella vårdandet är högst individuellt beroende på omfattning, personlighet, synen på hälsa och ohälsa, våra föreställningar, möjligheter till stöd samt den närståendes eventuella sjukdom.

    Syfte: Att belysa de anhörigas upplevelser av att vårda en närstående i hemmet.

    Metod: En kvalitativ intervjustudie som baseras på fem semistrukturerade intervjuer. En manifest innehållsanalys genomfördes för att analysera de transkriberade intervjuerna och finna likheter och skillnader i texterna.

    Resultat: Anhöriga upplever blandande känslor i det informella vårdandet, negativa som stress, dåligt samvete och oro men också positiva som glädje, tillfredsställelse, en fördjupad relation med den närstående samt en upplevelse av att växa som människa. Ett aktivt lyssnande, att bli sedd som unik individ med personligt anpassat stöd, var viktiga aspekter i vårdandet för upplevelsen av trygghet och delaktighet samt för bibehållen livsrytm och hälsa.

    Slutsats: Anhörigas upplevelser grundar sig i deras unika livsvärld, som de delar med sina närstående. Det nya ansvaret och upplevelsen av vad detta bär med sig, föreställningar om vårdande samt relationen med den närstående, övriga familjemedlemmar och vårdpersonalen, men också avståndet, har betydelse för upplevelsen av det informella vårdandet.

  • 463.
    Egertz, Sofia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gatsara, Nathalie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Gastric bypass opererade kvinnors erfarenhet av sin graviditet2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 464.
    Ehrlich, Kethy
    et al.
    Karolinska Institutet.
    Emami, Azita
    Karolinska Institutet ; University of Washington, USA.
    Heikkilä, Kristiina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet.
    The relationship between geographical and social space and approaches to care among rural and urban caregivers caring for a family member with Dementia: a qualitative study2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1, p. 1-11, article id 1275107Article in journal (Refereed)
    Abstract [en]

    Knowledge about family caregivers in rural areas remains sparse. No studies to date have addressed the sociocultural aspects in caregiving, thus neglecting potentially significant data. This study aimed to explore and better understand family caregivers’ experiences in rural and urban areas and the sociocultural spheres that these two areas represent. How do family caregivers approach their caregiving situation? A hermeneutical approach was chosen to uncover the underlying meanings of experiences. Open-ended in-depth interviews were conducted. The ontological and epistemological roots are based on hermeneutic philosophy, where a human being’s existence is viewed as socially constructed. The study followed a purposeful sampling. Semi-structured in-depth interviews were conducted with 12 rural and 11 urban family caregivers to persons with dementia. These were then analyzed in accordance with the hermeneutical process. The findings provide insight into the variations of family caregiver approaches to caregiving in rural and urban areas of Sweden. There seemed to be a prevalence of a more accepting and maintaining approach in the rural areas as compared to the urban areas, where caregiving was more often viewed as an obligation and something that limited one’s space. Differences in the construction of family identity seemed to influence the participants approach to family caregiving. Therefore, community-based caregiving for the elderly needs to become aware of how living within a family differs and how this affects their views on being a caregiver. Thus, support systems must be individually adjusted to each family’s lifestyles so that this is more in tune with their everyday lives.

  • 465.
    Eicing-Jonsson, Fredrine
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Äldre personers upplevelser av att vårdas med akutmedicinsk utrustning i hemmet: -En systematisk litteraturstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The population is increasing in the world and more elderly people will be needing emergency medical treatment. Hospitalization involves great risk for the most disordered elderly. Models with mobile healthcare teams and treatment with medical equipment in the home needs to be developed to accommodate the needs from elderly and reduce revisits into the emergency department and recurrent hospitalizations.

    Aim: To describe the older person's experience of being cared for by emergency medical equipment in the home.

    Method: A systematic literature study with a qualitative method was carried out by searching from two databases. Existing data from scientific articles was analyzed and compiled by data extraction. Twelve quality-reviewed primary studies were identified as the result.

    Results: The following three categories represented the result:

    Security in the home They needed to feel safe in the home when handling the equipment and that clinicians were responsible for the equipment, available around the clock.

    Resistance and progress They felt resistance to their situation and the equipment made them feel limited. They took control of the situation and experienced health and well-being.

    Managing the new everyday life They wanted to be independent despite being dependent on others and the equipment. Family involvement was important. The equipment and procedures prevented a social and active life.

    Conclusions: The result shows that the next of kin and clinicians working in the elder´s home are important to create security and being a support. The literature study shows current state of knowledge and there is a need for continued research within the subject.

  • 466.
    Einberg, Eva-Lena
    et al.
    Halmstad University.
    Kadrija, Ibadete
    Halmstad University.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Nygren, Jens N.
    Halmstad University.
    Svedberg, Petra
    Halmstad University.
    Psychometric evaluation of a Swedish version of Minneapolis-Manchester quality of life-youth form and adolescent form2013In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 11, article id 79Article in journal (Refereed)
    Abstract [en]

    Background: It has become important to measure long-term effects and quality of life in survivors of childhood cancer. The Minneapolis- Manchester Quality of Life (MMQL) instrument has been proven to better capture the quality of life (QoL) perspective of health than other instruments. The instrument has age appropriate versions and is therefore favourable for longitudinal studies of QoL of children surviving from cancer. The aim of this study was to evaluate the psychometric properties of the Swedish version of MMQL-Youth Form and the Adolescent Form focusing on: 1) face and content validity 2) the internal consistency and 3) the test-retest reliability. Methods: The sample consisted of 950 pupils (11-16 years old) from 7 schools in the western Sweden who completed the questionnaire. For the test-retest evaluation 230 respondents completed the questionnaire two weeks later. Results: Face and content validity was supported and internal consistency was found to be acceptable for the total scale for both the MMQL-Youth Form (8-12 years of age) and the Adolescent Form (13-20 years of age). Test-retest reliability for the MMQL-Youth Form was moderate for 50% of the items and good for the remaining. For the MMQL-Adolescent Form the test-retest showed moderate or good agreement for 80% of the items and fair for 20%. Conclusions: The result indicated that the Swedish version of the MMQL-Youth Form and Adolescent Form was valid and reliable in a sample of healthy children in a Swedish context. It is recommended to test the instrument among diverse samples of children such as survivors of childhood cancer in order to validate its usefulness in research and clinical settings.

  • 467.
    Ek, Matilda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Westergaard-Nielsen, Emma
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Preoperativ kroppstemperatur: En empirisk studie på en dagkirurgisk avdelning2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hypothermia is a common problem within the surgical context and can lead to serious consequences for the patient and increased costs for society. Efforts to prevent hypothermia in the preoperative phase have proven important to minimize the risk of developing hypothermia.

    Aim: The aim was to examine core- and peripheral temperature of surgical outpatients, during the preoperative phase. The hypothesis was that the temperature would decrease during the preoperative preparation.

    Method: 50 patients, at a medium-sized hospital in Sweden, participated. The temperature was measured twice; when the patient had changed into surgical attire, and when placed on the operating table. The core temperature was measured using an axillary thermometer, and the peripheral temperature was measured at four locations using an infrared thermometer. The data was normally distributed and paired t-test was used for statistical analysis.

    Result: The results show that there was no significant change in core temperature, whereas a change occurred in the peripheral temperature. The direction of change was incoherent, where the points of measurements on the upper body decreased in temperature, while the points of measurement on the lower extremities increased.

    Conclusion: The core temperature can remain unchanged during the preoperative period. This does not imply that the temperature is within preoperative temperature recommendations. More research, studying the temperature throughout the perioperative process, is necessary to attain knowledge regarding the development of the temperature of the patient undergoing surgery.

  • 468.
    Ek, Sofia
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Bernhardsson, Annika
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Anestesisjuksköterskans erfarenhet av det preoperativa omhändertagandet av barn: en intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: High demands meet the nurse Anaesthetist (NA) when seeing a child before anaesthesia. Many children are afraid, and the NA must have thought through strategies to reduce the risk of making the anaesthesia a frightful experience for the child. Parents are a great source of security for the children, and the NA must be able to communicate with them too.

    Aim: To illuminate the NA:s experience of the preoperative care of children.

    Method: A qualitative interview study where the interviews content was analysed by qualitative content analysis. The interviews were performed on three different hospitals in the southern of Sweden in the winter of 2017. Altogether 12 NA were interviewed, with a variation of professional experience.

    Result: There were five categories that emerged from the result: Environment, that describes the teamwork and the work climate in the operating room. The NA:s approach, how the NA meets the child and the challenges in children´s anaesthesia. Children´s participation which describes the cooperation or lack of cooperation between the child and the NA. Preparation there both the medical preparations, information and the preparation of the child before the day of the operation are included. The parent´s role, that describes how the parent´s behavior affects the children and the parent´s ability to handle unpleasant situations.

    Conclusion: The NA:s that were interviewed experienced their tasks during children´s anaesthesia as very challenging, but also as a source of joy and satisfaction. They appreciated the importance of an open communication with both children and parents as a way of decreasing their anxiety. The NA has a prominent role in the interaction with the operating room personnel, and great demands are put on social skills and humility.

  • 469.
    Ekback, Maria
    et al.
    University Hospital Örebro ; Örebro University.
    Benzein, Eva
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lindberg, Magnus
    University Hospital Örebro ; Örebro 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.
    The Swedish version of the multidimensional scale of perceived social support (MSPSS): a psychometric evaluation study in women with hirsutism and nursing students2013In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 11, article id 168Article in journal (Refereed)
    Abstract [en]

    Background: The Multidimensional Scale of Perceived Social Support (MSPSS) is a short instrument, developed to assess perceived social support. The original English version has been widely used. The original scale has demonstrated satisfactory psychometric properties in different settings, but no validated Swedish version has been available. The aim was therefore to translate, adapt and psychometrically evaluate the Multidimensional Scale of Perceived Social Support for use in a Swedish context. Method: In total 281 participants accepted to join the study, a main sample of 127 women with hirsutism and a reference sample of 154 nursing students. The MSPSS was translated and culturally adapted according to the rigorous official process approved by WHO. The psychometric evaluation included item analysis, evaluation of factor structure, known-group validity, internal consistency and reproducibility. Results: The original three-factor structure was reproduced in the main sample of women with hirsutism. An equivalent factor structure was demonstrated in a cross-validation, based on the reference sample of nursing students. Known-group validity was supported and internal consistency was good for all scales (alpha = 0.91-0.95). The test-retest showed acceptable to very good reproducibility for the items (kappa(w) = 0.58-0.85) and the scales (ICC = 0.89-0.92; CCC = 0.89-0.92). Conclusion: The Swedish version of the MSPSS is a multidimensional scale with sound psychometric properties in the present study sample. The simple and short format makes it a useful tool for measuring perceived social support.

  • 470.
    Ekberg, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Patienters erfarenheter av kontakten med äldresköterskan inom primärvården.2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Titel: Patients' experiences of contact with elder nurses in primary health care.

    Background: The proportion of elderly people in Sweden will increase due to longer life span. With age susceptibility to disease increases. Both disease- and agerelated changes can cause impairments even though many elderly people with health needs live at home, without enrollment in the municipal home care.

    Objective: The aim was to illuminate patients´experiences of contact with the elder nurse in primary health care.

    Method: The study uses a qualitative design with inductive approach. Five patients participated individually in a semi-structured interview. Data analysis was performed by qualitative manifest content analysis.

    Results: The interviewees felt that the conversation is the most important experience of contact with the nurseproviding elder care. Patients feel that the contact give them support and reduced anxiety in daily life. Their safety is enhanced by the continuity and availability provided by the elder nurse.

    Conclusion: The work that elder nurse perform should be emphasized and allowed to evolve as the number om elderly people with health and care needs increase.

  • 471.
    Ekblad, Mathilda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sandberg, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Föräldrars upplevelse av att leva med ett barn som har Diabetes Mellitus typ 1: en kvalitativ litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes Mellitus Typ 1 är en autoimmunsjukdom som oftast bryter ut i barn- och ungdomsåren. Varje år insjuknar 700 barn i Diabetes mellitus typ 1 och antalet drabbade barn öka för varje år. Diagnosen innebär stora förändringar i det dagliga livet, inte bara för barnet som har drabbats utan även för barnets föräldrar. Allmänsjuksköterskan och diabetesteamet har en viktig funktion i att stödja och ge kunskap om sjukdomen och hur den bör hanteras. Syfte: Syftet var att belysa föräldrars upplevelse av att leva med ett barn som har diabetes mellitus typ 1. Metod: Litteraturöversikten utgjordes av elva kvalitativa artiklar som analyserades genom en kvalitativ innehållsanalys. Artikelsökningar gjordes i databaserna PubMed och Cinahl. Resultat: Av analysen genererades tre olika huvudkategorier till resultatet: tiden efter diagnosen, förändringar i dagliga livet och oro för framtiden. Slutsats: Föräldrar upplevde en stor påfrestning i olika delar av det dagliga livet. De kände en brist på stöd från vården och det sociala nätverket. Barnets framtid med DMT1 var också ett orosmoment. I diskussionen framkom det flera likheter hos föräldrar till barn med andra kroniska sjukdomar. Att överföra resultatet till andra sammanhang ökar möjligheten för vården att förbättra upplevelsen och möta behoven hos föräldrar till barn med DMT1 och även föräldrar till barn med andra kroniska sjukdomar.

  • 472.
    Ekbrand, Sandra
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Johansson, Simon
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Våldsutsatta kvinnors erfarenheter av mötet med vårdpersonal på akutmottagning: En systematisk litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Våld i nära relationer är ett globalt problem med stora effekter på kvinnors hälsa. Tidigare forskning visar att våldsutsatta kvinnor upplever brister i det bemötande de fått av vårdpersonal. Akutmottagningen är ofta våldsutsatta kvinnors första, och ibland enda, kontakt med hälso- och sjukvård. Vårdpersonal på akutmottagning har därmed goda förutsättningar att uppmärksamma och vårda denna patientgrupp.

     

    Syfte: Studien syftar till att beskriva vilka erfarenheter kvinnor som blivit utsatta för våld i nära relationer har av mötet med vårdpersonal på akutmottagning.

     

    Metod: En systematisk litteraturstudie med kvalitativ innehållsanalys av sex kvalitativa artiklar och en artikel med mixad metod utifrån vilka tre kategorier identifierades.

     

    Resultat: Kvinnor som blivit utsatta för våld i nära relationer har både negativa och positiva erfarenheter av mötet med vårdpersonal när de söker vård på akutmottagning. Bristande bemötande visade sig genom att kvinnorna kände sig skuldbelagda och att vårdpersonalen uppvisade bristande empati och inte såg bortom kvinnornas fysiska skador. I motsats till detta har en del kvinnor upplevt tillfredsställande bemötande som visade sig genom att vårdpersonalen upplevdes som hjälpsamma och medlidande med en attityd som var empatisk och förstående.

     

    Slutsats: För att främja ett gott bemötande från vårdpersonal gentemot den utsatta kvinnan, visade det sig finnas ett behov av kunskap och utbildning kring våldsutsatta kvinnors situation och vilka vårdbehov de kan ha. Ett gott bemötande ökar patientens känsla av delaktighet, lindrar lidande och motverkar att lidande uppkommer till följd av vård.

  • 473.
    Ekdahl, Katrin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hägerdal, Karin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Skolsköterskors erfarenheter av barns digitala medieanvändning samt skolsköterskors hälsofrämjande arbete inom området: "Det är så himla vitt och brett och inte är det lätt heller"2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Digital medias is a part of most childrens everyday life today. Discussions about weather this effects the psysical and mental health of children is emphasized from time to time in various media. At the same time there is an ongoing discussion about the benefits of using digital media. The school nurse meets all students and has an important role in health promotion. In cooperation with other professionals and parents the school nurse can supply knowledge and support students to a healthy lifestyle.

    Aim: The purpose of this study was to exlore the school nurses´experiences of children´s digital media use and screen time, and also to explore how the school nurse´ health promotiong in the field.

    Method: The study was conducted with a qualitative design/approach. To collect data, nine semi-structured interviews with school nurses were made. Interviews were conducted with the support of an interview- guide. Collected data were analysed using manifest content analysis.

    Results The school nurses´ experiences and health promoting work resulted in two domains, with five categories and 16 subcategories. School nurses talked to children and parents about the use of digital medias during health conversations and they also used standardized health tools in conversations. School nurses´worked with helping students reflect on, and create an understanding of their habits. Parents were advised to be involved in their childrens media use and maintain balance and routines. School nurses gave information and advice about physical health and sleep, as well as they worked with childrens vulnerability on the internet, often in collaboration with other professions. School nurses thought that society's development rule and that the media habits of children has changed in their leisure time. School nurses felt that different schools had different conditions and that digital media has become a part of learning. They had experienced that digital media replaces personal activities, it could create solidarity and friends, but also exclusion and conflict. School nurses also experienced that children can get caught in games. They also had the experience of physical complications, such as the body in affected and that sleep is affected .

    Conclusion All school nurses´raised the issue of childrens digital media habits sometime during the time from kindergarden to the sixth grade. All school nurses´ used standardizied health questioairies during healthconversations with children. Screen time was considered to be a difficult concept, and school nurses found it difficult to give specific advice about how long time is appropriate for children to sit by a screen. School nurses´ felt that their role in the conversation was to help students reflect on, and to create an understanding of their habits. School nurses worked both on an individual level and group level in their health promoting work on the area of digital media habits, often in collaboration with other professions. The work against bullying online was prominent in the study.

  • 474.
    Ekebergh, Margaretha
    et al.
    University of Borås, Sweden.
    Ozolins, Lise-Lotte
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hörberg, Ulrica
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Galvin, Kathleen
    University of Hull, UK.
    Ways of intertwining caring and learning: supporting an embodied understanding of how patients can be cared for within an existential framework2013Conference paper (Refereed)
    Abstract [en]

    To support care for patients in an adequate way, Caring science theory and nursing practice need to be intertwined to bridge problematic dualisms such as mind and body, sense and sensibility, theory and practice, learning and caring. The overall aim in caring is to support wellbeing and to strengthen health and how this is achieved has been discussed extensively. However ways of overcoming such dualistic understandings are needed to pave the way for a care that is up to the task of responding to human possibilities and vulnerabilities within the complexity of existence.

    In supporting patients, we argue that a range of aspects, inter-relational, intellectual, emotional and embodied need to be evoked and reflected upon by students as a beginning foundation for the incorporation of, and the intertwining of Caring science theory and practice. This intertwining draws on knowledge for ‘the head’, ‘the heart’, ‘the hand’ (Galvin & Todres, 2013) and can develop and support a particular sensibility and sensitivity both of which are needed within clinical and learning contexts.

    In this presentation we will show the importance of a solid theoretical foundation drawn from Husserl’s lifeworld theory and theory of intentionality, Merleau-Ponty’s later philosophy concerning how everything is intertwined in existence, as well as Gadamer’s ideas about shared understandings and Gendlin’s work on embodied relational understanding. While we have drawn from all these phenomenological perspectives, we will show how they serve as a coherent direction for overcoming the dualistic consequences of ‘splits’ such as, between human and world, illness and well-being , caring and technology, learning and caring, youth and old age, life and death and so on (Dahlberg et al., 2009).

    Such existential ways of understanding and well considered ‘didactic tools’ are needed to support this concern. We will share a number of illustrations from the lifeworld led care and education theme within EACS to contribute to such developments:

    • Embodied interpretations shared as poems (Galvin & Todres, 2011)
    • Using films to support the understanding of Caring science theory and practice (Hörberg, Ozolins & Ekebergh, 2011; Hörberg & Ozolins, 2012)
    • Learning through students’ creating poems from their responses to film (Hörberg, Ozolins & Galvin)
    • The intertwining of caring and learning in clinical settings illustrated through two examples: firstly, a ‘developing and learning care unit’ (Ekebergh, 2009, 2011; Holst & Hörberg, 2012, 2013) and secondly, as a student led health clinic (Ozolins & Elmqvist & Hörberg, 2013) both supported by structures specifically from the lifeworld perspective.

    This paper could serve reflection on how to integrate Caring science theory with practice in order to develop new curricula and practice to take care of the pending dualisms and other obscuring influences, such as 21st century organisational structures and demands that are problematic in research, learning and caring.

  • 475.
    Ekelund, Malin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Petersson, Gabriela
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sörman, Camilla
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Upplevelser av livskvalitet hos patienter med svårläkta sår vid tryckkammarbehandling: - en systematisk litteraturstudie2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Tryckkammarbehandling är en vanlig behandling för dykarsjuka, men kan även användas vid andra tillstånd, till exempel hos patienter med svårläkta sår, vilka överlag upplever sig ha sämre livskvalitet. Den definition av livskvalitet som valdes i denna studie grundades i den subjektiva livssituationens flerdimensionella aspekter. Studiens teoretiska förankring utgick från ett humanvetenskapligt perspektiv med fokus på upplevelsen kring livskvalitet utifrån WHO och Haas.

    Syfte: Att beskriva upplevelser av livskvalitet hos patienter med svårläkta sår i nedre extremiteter i samband med tryckkammarbehandling.

    Metod: Systematisk litteraturstudie av befintlig vetenskaplig litteratur inom intresseområdet. Artiklarna granskades kritiskt genom författartriangulering och analyserades utifrån ett deduktivt arbetsätt. Analysen grundar sig på fem artiklar.

    Resultat: Tryckkammarbehandling ledde, i de artiklar vi studerade, till ökad livskvalitet bland annat genom ökad sårläkning, förbättrad hälsa och minskad fysisk begränsning. Även den psykiska aspekten av livskvalitet förbättrades utifrån ökat psykiskt välbefinnande, ökad vitalitet, minskad depression samt minskad känslomässig begränsning. Under behandlingen kunde olika obehag som klaustrofobiska känslor infinna sig. Ur den sociala aspekten visade behandlingen på möjlighet att träffa andra i liknande situationer. Tidigare negativa erfarenheter påverkar både förtroendet för behandlingens utgång som patientens existentiella livskvalitet.

    Slutsats: Med ökad tillgång till tryckkammarbehandling kan fler patienter med svårläkta sår i nedre extremiteter få ökad livskvalitet. Vårdvetenskaplig forskning kring ämnet är begränsad och förslag på vidare forskning ges.

  • 476.
    Ekelund, Michelle
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Granström, Hanna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Mer än ett sår: - en systematisk litteraturstudie om patienters erfarenheter av att leva med venösa bensår2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Venös insufficiens är orsaken till hälften av alla bensår. Förutom det lidande som tillståndet kan orsaka patienterna, leder det även till konsekvenser för samhället i form av höga kostnader i samband med sårbehandlingar. Antalet patienter med svårläkta venösa bensår antas öka i takt med befolkningens stigande ålder.

     

    Syfte: Syftet var att belysa patienters erfarenheter av att leva med venösa bensår.

     

    Metod: Uppsatsen genomfördes i form av en systematisk litteraturstudie inspirerad av Kristensson (2014).

     

    Resultat: Analysen resulterade i tre kategorier: fysiska erfarenheter, erfarenheter av vårdrelationen samt psykosociala erfarenheter. Framträdande var patienternas erfarenheter av sårrelaterade symtom, som även kunde få psykosociala konsekvenser. Vårdrelationen var av stor betydelse för patienterna och både positiva och negativa erfarenheter lyftes fram.

    Slutsats: Att leva med venösa bensår kan innebära olika dimensioner av lidande. Patienterna kunde utsättas för vårdlidande när vårdpersonalens fokus enbart var på såret och sårbehandlingen. De fysiska symtom som såret gav upphov till, medförde att sjukdomslidande uppstod. Det är viktigt att vårdpersonalen har kompetens och adekvat kunskap, samt strävar efter att få inblick i patienters erfarenheter, för att skapa en god individanpassad vård.

  • 477.
    Ekenström, Marcus
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lungprotektiv Ventilatorbehandling: Hur bedömer IVA-sjuksköterskor sin kunskapsnivå?2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bakground: To avoid lungcomplications, the Lungprotective Ventilationtreatment(LPV) is of great importance in the intensive care unit. LPV requires participation of theICU nurses, which in turn requires knowledge and understanding of the treatment. Aim:The aim of this study was to identify how ICU nurses, on ICU, assesses theirknowledge and understanding of LPV to participate in the treatment. Method: Aquantitative cross-sectional study in the form of a questionnare. Results: There is nosignificant correlation between years of experience in intensive care and selfestimatedknowledge and understanding of LPV. The respondents estimated their knowledge andunderstanding of LPV as high, 68 % consider previously given education about LPV asgood or very good, and 90 % consider additional internal education are necessary.Discussion: Despite good education about LPV and high estimated knowledge andunderstanding of LPV there remains a need for additional education. This demonstratethat ICU nurses are aware of LPV and it’s purpose, and that continuous education aboutLPV is necessary. The non existing correlation between years of experience in intensivecare and estimated knowledge and understanding of LPV can not fully be applied onBenner’s theory about how nurses knowledge develop. Conclusion: Nurses in a ICU insouthern Sweden consider themselves to have sufficient knowledge and understandingof LPV to participate in the treatment. A correlation between years of experience inintensive care and estimated knowledge and understanding of LPV could not beestablished in this study.

  • 478.
    Ekestubbe Jernby, Elin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sevandersson Hansen, Annika
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rätt till autonomi?: Den äldre patientens autonomi på akutmottagningen utifrån sjuksköterskors levda erfarenheter2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Older people is a recurrent group of patients at the emergency department. The older patient often has impaired abilities during illness and is vulnerable. There is a risk that their autonomy isn’t satisfied and their dignity breached. Research shows that there is a gap in knowledge and new studies could contribute to prevent non equitable treatment of older people with acute illness.

    Aim: The aim of the study is to describe the approach to the autonomy of the older patient when cared for in the emergency department from the perspective of  lived experience of nurses.

    Methods: The study was conducted with a reflective lifeworld approach based on a phenomenological knowledge theory. The phenomenon in this study is “handling of  autonomy”. Data was collected through interviews from two emergency departments

    Findings: The essence of the phenomenon to deal with the older patients autonomy in the emergency department is lack of knowledge of autonomy, lack of ability of critical reflection regarding ethical problems and lack of understanding how patient participation can be encouraged in an non permissive care environment. Approaches that encourages the older patient’s autonomy and participation are fragile and are prevented by the aggrevating environment which creates feelings of inadequacy. The results are described by content themes: To prioritise in an stressful care environment, To strive to retain autonomy, To conduct persuasion for the patient’s best, To disregard patient autonomy due to emergent situations, To make decisions based on personal values, To make decisions without access to patient consent, To exclude and violate the patient.

    Conclusions: Based on the result of the study the conclusion is that nurses in the emergency department need knowledge development with an ethical approach as well as proper preconditions in the care environment to be able to perform good and equitable care.

  • 479.
    Ekholm, Carolin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Svensson, Helene
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Distriktssköterskors erfarenheter av arbetet att motivera patienter till livsstilsförändring: En intervjustudie2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 480.
    Ekholm Regina, Johansson Zandra
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    ALS - bokstäverna som förändrar livet2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:Amyotrofisk lateralskleros (ALS) tillhör gruppen neurologiska sjukdomar. Den har ett snabbt förlopp och går inte att bota. I Sverige insjuknar 220-250 invånare varje år och 750-850 invånare beräknas ha sjukdomen idag. Medelålder är 45-75 år men kan debutera i alla åldrar. Efter sjukdomens första symtom ses en förväntad livslängd mellan två till tre år.Syfte:Att belysa patienters upplevelser av att leva med ALS. Metod:Denna litteraturstudie är av induktiv ansats med integrerad analys och baseras på 8 vetenskapliga artiklar som speglar människors upplevelse. Sökningar gjordes i databaserna CINAHL och PubMed.Resultat:I analysen identifierades två huvudkategorierAtt förlora fotfästet med underkategorierna att tappa kontrollen ochatt hamna i beroendeställning.ALS innebär en stor förändring i livet med blandade känslor som att inte kunna kontrollera sin egen kropp. Att möta problemen med underkategoriernaatt accepteraoch att möta någon med samma diagnos. Det är viktigt att försöka acceptera situationen och göra det bästa av tiden som finns kvarSlutsats:ALS innebär både positiva och negativa upplevelser. Livet är inte längre en självklarhet och tiden blir dyrbar. Det är viktigt att som sjuksköterska ha bra kunskap om sjukdomen och vårda med livsvärlden som fokus. 

  • 481.
    Eklund, Emelie
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lundberg Andersson, Lovisa
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Distriktssköterskans erfarenheter av att stödja närstående som vårdar en person som insjuknat i demens2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is described as a disease that affects the whole family, whereof relatives are taking a considerable part of the caring in the home. As a consequence the related person can experience a negative impact on the physical as well as the psychological health. To be able to give good support the district nurse’s ability to read the related’s and the patient’s needs is of great importance. However, there are difficulties in the district nurse's work to meet the needs of related parties as well as to be an optimum support. Purpose: The purpose of the study was to describe the district nurse’s way of working and abilities as well as problems in supporting relatives who’s taking care of individuals with dementia. Method: The study was conducted as an interview study with semi-structured interviews. The method was qualitative with an inductive approach. Expedient selection was applied in the recruitment of participants. The inclusion requirement were district nurses in home care from two municipalities in southern Sweden, with intermediate or greater experience in the field. The content of the interviews were analysed using qualitative latent content analysis, as described by Graneheim och Lundman (2004). Result: The result includes nine categories with associated subcategories. The following categories were created; “The district nurse wants to originate from a holistic perspective”, ”The district nurse wants to work preventively through sustained contact with related parties”, “Becoming engaged late is a barrier in health promotion”, “Team collaboration creates conditions for the district nurse to provide support to related parties”, ”A mutual relationship can support related in the care process”, “Paying attention to and be responsive to related parties need of support”, “Opportunities to meet the needs of support is complicated by related parties' inability to accept help” and “Promoting the district nurse's ability to pay attention to related parties’ need off support”. These categories fell under two themes; “Staying ahead to meet the whole human” and “To be available and  responsive to the desires of patients and related”. Conclusion: There were differences in using or not using procedures between the municipalities. The district nurses use several methods to support related who’s taking care of individuals with dementia, but feel that they are sometimes engaged late, which prevents them from providing health promotion and optimal care. The district nurses wished for routines, more education in the area as well as tools that could facilitate their work to highlight and identify related persons support needs and wellbeing.

  • 482.
    Eklund, Josef
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Mörnerud, Siri
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Betydelsen av debriefingsamtal för vårdpersonal inom akutsjukvården2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Debreifingsamtalet utvecklades ursprungligen på 1980-talet av Jeffrey T Mitchell som en metod för ambulanspersonal att bearbeta traumatiska upplevelser. Debriefing är ett samtal som syftar till att bearbeta negativa stress-reaktioner efter en traumatisk upplevelse.   Problemformulering: Vårdpersonal inom akutsjukvården utsätts ofta för traumatiska upplevelser, vilka kan utlösa stressreaktioner som medverkar till att personalen inte kan arbeta efter sin fulla förmåga och kompetens. Syfte: Syftet med den systematiska litteraturstudien var att beskriva betydelsen av debriefingsamtal för vårdpersonal inom akutsjukvården. Metod: En systematisk litteraturstudie innehållande 8 kvantitativa och 2 kvalitativa artiklar från databaserna Cinahl, Pubmed och PsychINFO genomfördes. Artiklarna analyserades med hjälp av granskningsmallar samt utifrån en innehållsanalys. Resultat: Personal uppgav att det fanns behov av debriefingsamtal, samtidigt som forskningen visade på att debriefing även kunde ha förvärrande inverkan på personalens psykiska välbefinnande. Forskning visade att det råder stor brist på riktlinjer inom akutsjukvården för debriefingsamtalen. Resultaten visade även att debriefingsamtal kunde fungera stärkande för kommunikationen inom arbetslaget. Slutsats: Litteraturstudien visade att debriefingsamtal i många studier var positivt och högt rankat av personalen. Vi som författare drar slutsatsen att mer forskning på området behövs för att kunna skapa tydligare riktlinjer för debriefingsamtal inom akutsjukvården. Ingen enhetlig betydelse av debriefingsamtal framkom i studien.

  • 483.
    Eklund, Martina
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Westerlund, Emmelie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    DET VAR INTE MIN TUR ATT DÖ: En litteraturstudie om patientens upplevelser av att överleva ett hjärtstopp och hur livet påverkas efteråt2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Varje år drabbas i genomsnitt 55 av 100 000 personer i världen av hjärtstopp utanför sjukhus. Antal överlevande efter hjärtstopp ökar tack vare forskning. Denna patientgrupp kommer i framtiden att bli vanligare inom vården. Vid ett hjärtstopp upphör hjärtats pumpförmåga vars uppgift är att syresätta kroppen. Inom några sekunder förlorar personen medvetandet, andningen upphör och efter fem minuter kan syrebristen ge bestående skador. Att överleva hjärtstopp påverkar livet för den överlevande där risk för psykisk och fysisk problematik finns.

    Syfte: Syftet med litteraturstudien var att belysa patientens upplevelser av att överleva ett hjärtstopp och hur livet påverkas efteråt.

    Metod: Studien grundades utifrån en kvalitativ metod där 10 vetenskapliga artiklar användes. Analysen utfördes utifrån Evans (2002) metod av en beskrivande syntes.

    Resultat: Tre teman identifierades. När existensen hotas med subteman; Att vakna upp, Emotionell påverkan och Tankar om döden. Behov av stöd och information med subteman; Vårdgivarnas betydelse och Relationers betydelser. En ny livsvärld tar form med subteman; Sökande efter mening och sammanhang, Livslång behandling och Lära känna kroppen. 

    Slutsats: Resultatet visade att individer som överlevt hjärtstopp hade ett behov av att bearbeta känslor av händelsen. Studien indikerar även att vården behöver ge dessa patienter mer stöd och information. 

  • 484.
    Eklund, Mona
    et al.
    Lund University, Sweden.
    Argentzell, Elisabeth
    Lund University, Sweden.
    Bejerholm, Ulrika
    Lund University, Sweden.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Tjörnstrand, Carina
    Lund University, Sweden.
    Outcomes of the Active in My Home (AiMH) intervention for people with psychiatric disabilities in supported housing: A longitudinal pilot and feasibility study2020In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 83, no 1, p. 6-14Article in journal (Refereed)
    Abstract [en]

    Introduction Facilitating occupational engagement in residents with psychiatric disabilities living in supported housing is important, because meaningful occupation is closely related to wellbeing. The aim was to explore whether residents taking part in the intervention Active in My Home (AiMH) made any changes in activity and recovery from baseline to completed AiMH; whether satisfaction with AiMH was related to any changes; and if changes between baseline and completed AiMH were stable at follow-up. Method AiMH consists of eight sessions for residents and includes workshops for staff. This no-control study involved seven supported housing units and 29 residents who took part in data collection at the start and completion of AiMH and at follow-up after 6-9 months. Outcomes concerned occupational engagement, the unit's provision of meaningful activity, personal recovery, psychosocial functioning and symptom severity. Findings Improvements occurred in the AiMH participants' occupational engagement (Z = -2.63, p = 0.008) and personal recovery (Z = -1.98, p = 0.048) from start to completion of AiMH. The improvement on occupational engagement was stable at follow-up (Z = -3.01, p = 0.005), when also psychosocial functioning (Z = -2.39, p = 0.017) and psychiatric symptoms (Z = -2.42, p = 0.016) had improved. Conclusion This study could not show whether the improvements were due to AiMH or other factors. The findings are still promising, however, and encourage further development and testing of AiMH.

  • 485.
    Eklund, Mona
    et al.
    Lund University.
    Argentzell, Elisabeth
    Lund University.
    Bejerholm, Ulrika
    Lund University.
    Tjörnstrand, Carina
    Lund University.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wellbeing, activity and housing satisfaction - comparing residents with psychiatric disabilities in supported housing and ordinary housing with support2017In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 17, article id 315Article in journal (Refereed)
    Abstract [en]

    Background: The home is imperative for the possibilities for meaningful everyday activities among people with psychiatric disabilities. Knowledge of whether such possibilities vary with type of housing and housing support might reveal areas for improved support. We aimed to compare people with psychiatric disabilities living in supported housing (SH) and ordinary housing with support (OHS) regarding perceived well-being, engaging and satisfying everyday activities, and perceived meaning of activity in one's accommodation. The importance of these factors and socio-demographics for satisfaction with housing was also explored. Methods: This naturalistic cross-sectional study was conducted in municipalities and city districts (n = 21) in Sweden, and 155 SH residents and 111 OHS residents participated in an interview that included both self-reports and interviewer ratings. T-test and linear regression analysis were used. Results: The SH group expressed more psychological problems, but better health, quality of life and personal recovery compared to the OHS residents. The latter were rated as having less symptom severity, and higher levels of functioning and activity engagement. Both groups rated themselves as under-occupied in the domains of work, leisure, home management and self-care, but the SH residents less so regarding home management and self-care chores. Although the groups reported similar levels of activity, the SH group were more satisfied with everyday activities and rated their housing higher on possibilities for social interaction and personal development. The groups did not differ on access to activity in their homes. The participants generally reported sufficient access to activity, social interaction and personal development, but those who wanted more personal development in the OHS group outnumbered those who stated they received enough. Higher scores on satisfaction with daily occupations, access to organization and information, wanting more social interaction, and personal recovery predicted high satisfaction with housing in the regression model. Conclusion: The fact that health, quality of life and recovery were rated higher by the SH group, despite lower interviewer-ratings on symptoms and level of functioning, might partly be explained by better access to social interaction and personal development in the SH context. This should be acknowledged when planning the support to people who receive OHS.

  • 486.
    Eklund, Mona
    et al.
    Lund University, Sweden.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Measuring Opportunities for Engaging in Meaningful Home-Based Activities in Housing Services for People With Psychiatric Disabilities: Development of the Perceived Meaning of Activity in Housing (PMA-H)2019In: Evaluation & the Health Professions, ISSN 0163-2787, E-ISSN 1552-3918, Vol. 42, no 2, p. 131-147Article in journal (Refereed)
    Abstract [en]

    There is a scarcity of instruments for assessing opportunities for residents with psychiatric disabilities to engage in meaningful home-based activities. We thus developed the Perceived Meaning of Activity in Housing (PMA-H), containing four subscales (activity opportunities, social interaction, developing as a person, and organization and planning). The aim of the study was to investigate the content validity, utility, internal consistency and concurrent and criterion validity of the PMA-H, as well as possible floor and ceiling effects. One hundred and fifty-five residents in supported housing (SH) and 111 in ordinary housing with support (OHS) completed the PMA-H. The SH group also competed the Community-Oriented Programs Environment Scale (COPES). A majority of the participants found the content of the PMA-H relevant, easy to complete, and the time for completion as reasonable. Internal consistency varied between 0.85 and 0.92 for the subscales. Logical associations with COPES indicated construct validity. The subscales social interaction and developing as a person could discriminate between the SH and OHS groups, whereas activity opportunities could not. No floor or ceiling effects were found. This study indicated adequate initial psychometric properties of the PMA-H. It can thus be used in housing settings to assess the residents' perceived opportunities for meaningful activity in the housing context.

  • 487.
    Eklund, Mona
    et al.
    Lund University, Sweden.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Argentzell, Elisabeth
    Lund University, Sweden.
    Perceived occupational balance and well-being among people with mental illness living in two types of supported housing2019In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed)
    Abstract [en]

    Background: People with psychiatric disabilities often struggle with maintaining a satisfying occupational balance. Knowledge about factors of relevance for occupational balance in this group is therefore vital for improving their support. Aim: The aim was to describe perceptions of occupational balance among people with psychiatric disabilities living in supported housing (SH) or in own flat/house with housing support (OHS). Potential importance of housing context and socio-demographic, well-being and recovery factors for occupational balance was also explored. Methods: Participants from SH (N = 155) and OHS (N = 111) responded to questionnaires about sociodemographic situation, well-being (self-rated health, life satisfaction and self-mastery), personal recovery and occupational balance (work, leisure, home chores, self-care and general balance assessed by SDO-OB). Results: A majority in both groups reported being in balance regarding all five domains of occupational balance. The OHS group reported being more under-occupied for home chores and self-care. Self-mastery was the most important contributor in both groups in the domains of work, domestic chores and self-care. Day center attendance was vital for general occupational balance. Conclusion: Both groups generally perceived occupational balance. Control over one's life situation and possibilities for regularly participating in occupations outside the home environment should receive high priority in housing support.

  • 488.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Anders Ottosson: Gymnastik som medicin: Berättelsen om en svensk exportsuccé2013In: Lychnos, ISSN 0076-1648, p. 308-310Article, book review (Other academic)
  • 489.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Då tystnadsplikt ersätts av informationsdelning2014In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no 43, p. 1912-1914Article in journal (Refereed)
    Abstract [en]

    The right to personal integrity and privacy is enshrined in overarching laws and regulations. Ethical codes for physicians emphasize the importance of discretion and professional confidentiality. The use of shared electronic medical records is developing into a system of direct access to extensive amounts of personal information without informed consent from patients. Confidentiality-breaching provisions in the Swedish law allow, and require, an increasing number of obligations regarding registration and disclosure. IT systems are never completely secure. The consequences of electronic medical records, in combination with legislation on a collision course with venerable ethical requirements, needs to be discussed in a broader societal context.

  • 490.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    En blodig historia: Recension av boken: Blodflöden: Blodgivning och blodtransfusion i det svenska samhället Bokens författare: Boel BernerLund: Arkiv förlag, 2012 (Open Access)2013In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 90, no 3, p. 468-470Article, book review (Other academic)
  • 491.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    En läkarhistoria: recension av boken: Läkare och läkande: Läkekonstens professionalisering i Sverige under medeltid och renässans Bokens författare: Johanna BergqvistLund: Lund Studies in Historical Archeology 16, Lunds universitet 20132014In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 91, no 1, p. 91-93Article, book review (Other (popular science, discussion, etc.))
  • 492.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Homeopati i Sverige: En kontroversiell medicinhistoria2014Book (Other academic)
  • 493.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Hur dana en läkare?: läkar(ut)bildning i historiskt perspektiv2014In: Medicin och Farmaci 400 år vid Uppsala universitet: föreläsningar vid Medicinska och Farmaceutiska fakulteternas högtidlighållande av tillsättningen av Johannes Chesnecopherus på den första professuren 1613 oktober 2013 / [ed] Kerstin Hulter Åsberg och Krister Östlund, Uppsala: Uppsala universitet, 2014, 1, Vol. C, no 102, p. 53-65Chapter in book (Other academic)
  • 494.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Journalföring à 23 öre metern och etik i vården2014Other (Other (popular science, discussion, etc.))
  • 495.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Recension: Johanna Bergqvist, Läkare och läkande - läkekonstens professionalisering i Sverige under medeltid och renässans, diss.,  Lund Studies in Historical Archeology, 2013, ISBN 978-91-89578-52-42013In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 37, p. 1617-Article, book review (Other academic)
  • 496.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Stupsittande underkäksskakning och andra läkemedel: recension av: Gymnastik som medicin. Berättelsen om en svensk exportsuccé, författare Anders Ottosson, 185 s., Atlantis Förlag; 2013, ISBN 978-91-7353613-42013In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 48, p. 2185-2186Article, book review (Other (popular science, discussion, etc.))
  • 497.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Vetenskap, läkekonst och läkarutbildning: ett historiskt perspektiv2013In: För framtidens hälsa - en ny läkarutbildning: Betänkande från läkarutbildningsutredningen, Stockholm: Fritzes, 2013, p. 263-288Chapter in book (Other academic)
  • 498.
    Eklöf, Motzi
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Vikten av eftertanke i digitaliseringsvågen: [recension av] Den digitala patienten, 123 sidor. Författare: Jacob Birkler, Mads Ronald Dahl. Översättning från danskan: Kristina Olsson och Inger Bolinder-Palmér. Förlag: Liber; 2014. ISBN 978-91-47-10656-12014In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no 39, p. 1670-1670Article, book review (Other (popular science, discussion, etc.))
  • 499.
    Ekstedt, Mirjam
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet.
    Darkeh, Mojgan Haji Seyed Ebrahim
    Karolinska Institutet.
    Xiu, Lijuan
    Forssén, Michaela
    Johansson, Elin
    Karolinska Institutet.
    Ek, Anna
    Karolinska Institutet.
    Svensson, Viktoria
    Karolinska Institutet.
    Ekbom, Kerstin
    Karolinska Institutet.
    Marcus, Claude
    Karolinska Institutet.
    Sleep differences in one-year-old children were related to obesity risks based on their parents' weight according to baseline longitudinal study data2017In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, no 2, p. 304-311Article in journal (Refereed)
    Abstract [en]

    AIM: Parental obesity is the predominant risk factor for child obesity. We compared sleep in one-year-old children with different obesity risks, based on parental weight, and explored associations with weight, parental sleep and family factors.

    METHODS: Baseline data from 167 families participating in a longitudinal obesity prevention programme was used. Sleep patterns were compared between groups with high and low obesity risks, based on parental weight, and associations between child sleep and weight status, family obesity risk and parental sleep were explored. Sleep was assessed using child sleep diaries and standard parental questionnaires.

    RESULTS: Later bedtime, longer sleep onset latency and lower sleep efficiency were observed among children in the high-risk group. Child sleep onset latency was associated with the family obesity risk (β = 0.25, p = 0.001), child bedtime with both maternal (β = 0.33, p < 0.01) and paternal bedtime (β = 0.22, p < 0.05) and child sleep efficiency with maternal sleep quality (β = 0.20, p < 0.01). The child's bedtime was weakly associated with their body mass index (β = 0.17, p < 0.05).

    CONCLUSION: Sleep differed between one-year-old children with high or low obesity risks, based on their parents' body mass index, and was associated with the family obesity risk and parental sleep. The child's bedtime was weakly associated with their weight status.

  • 500.
    Ekstedt, Mirjam
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet, Sweden.
    Lindblad, Marlene
    Ersta Sköndal Bräcke university college, Sweden;KTH Royal instute of technology, Sweden, Sweden.
    Löfmark, Anna
    University of Gävle, Sweden.
    Nursing students' perception of the clinical learning environment and supervision in relation to two different supervision models: a comparative cross-sectional study2019In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 18, no 1, p. 1-12, article id 49Article in journal (Refereed)
    Abstract [en]

    Background: Knowledge concerning nursing students' experiences of the clinical learning environment and how supervision is carried out is largely lacking. This study compares nursing students' perceptions of the clinical learning environment and supervision in two different supervision models: peer learning in student-dedicated units, with students working together in pairs and supervised by a "preceptor of the day" (model A), and traditional supervision, in which each student is assigned to a personal preceptor (model B). Methods: The study was performed within the nursing programme at a university college in Sweden during students' clinical placements (semesters 3 and 4) in medical and surgical departments at three different hospitals. Data was collected using the Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale, CLES+T, an instrument tested for reliability and validity, and a second instrument developed for this study to obtain deeper information regarding how students experienced the organisation and content of the supervision. Independent t-tests were used for continuous variables, Mann-Whitney U-tests for ordinal variables, and the chi-square or Fischer's exact tests for categorical variables. Results: Overall, the students had positive experiences of the clinical learning environment and supervision in both supervision models. Students supervised in model A had more positive experiences of the cooperation and relationship between student, preceptor, and nurse teacher, and more often than students in model B felt that the ward had an explicit model for supervising students. Students in model A were more positive to having more than one preceptor and felt that this contributed to the assessment of their learning outcomes. Conclusions: A good learning environment for students in clinical placements is dependent on an explicit structure for receiving students, a pedagogical atmosphere where staff take an interest in supervision of students and are easy to approach, and engagement among and collaboration between preceptors and nurse teachers. This study also indicates that supervision based on peer learning in student-dedicated rooms with many preceptors can be more satisfying for students than a model where each student is assigned to a single preceptor.

78910111213 451 - 500 of 2123
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf