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  • 1.
    Abrahamsson, Pia-Marie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Kron, Viktoria
    Mälardalen University, School of Health, Care and Social Welfare.
    "Det känns som att man blir betraktad som en andra klassens medborgare”: Hur patienter med allvarlig psykisk ohälsa erfar den somatiska vården och psykiatrisjuksköterskans erfarenheter av ansvar för fysisk hälsa i psykiatrisk vård2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tidigare forskning talar om förutfattade meningar, okunskap, rädsla m.m. hos somatisk vårdpersonal och om patienter som känner sig avskrivna från den somatiska vården med att det är den psykiska ohälsan som är orsak till de fysiska symtomen. Psykiatrins vårdpersonal upplever problem med att vårda den fysiska hälsan hos patienten, då deras specialitet är den psykiska hälsan.  Syftet med denna studie är att beskriva hur patienter med allvarlig psykisk ohälsa erfar den somatiska vården och psykiatrisjuksköterskans erfarenheter av ansvar relaterat till psykiatripatienternas fysiska hälsa. Studien bygger på nio semistrukturerade intervjuer, varav fem intervjuer med patienter och fyra intervjuer med psykiatrisjuksköterskor. Intervjuerna har analyserats utifrån en kvalitativ innehållsanalys. Resultatet visar att patienterna känner sig sedda som sin psykiska sjukdom och upplever sig inte vara lika mycket värda som övriga patienter i den somatiska sjukvården. Psykiatrisjuksköterskorna erfar att det finns många svårigheter både teoretiskt och praktiskt för dem att ta hand om patienternas fysiska hälsa. Slutsatsen är att fördomar upplevs som tyngande för patienterna och orsakar med tiden mer psykisk ohälsa och större risker för deras fysiska hälsa. För sjuksköterskan är det en konst att skilja på vilket som tillhör psykiatriska vårdens ansvar och vad som är ämnat för den somatiska vården.

  • 2.
    Ahlm, Marielle
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Swärd, Anna
    Mälardalen University, School of Health, Care and Social Welfare.
    Vård i livets slutskede: Systematisk litteraturstudie om sjuksköterskors erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Vård i livets slutskede sker på på vårdavdelningar, i hemmet, inom primärvården, på hospice eller via hemtjänsten. I sitt dagliga arbete kommer allmänsjuksköterskor möta patienter som vårdas i livets slutskede. Den palliativa vårdfilosofin syftar till att lindra patienters lidande. Sjuksköterskor har den ledande rollen i omvårdnadsansvar för patienter. Syfte: Beskriva sjuksköterskors erfarenheter av att vårda patienter i livets slutskede. Metod: Kvalitativ ansats. Systematisk litteraturstudie med beskrivande syntes enligt Evans (2002). Resultat: Efter analysen framkom två teman och fem subteman. Tema 1) Otillräcklighet som inkluderar: Svårt att tillfredsställa behov och svårt att hålla personlig distans. Tema 2) Tillfredställelse som inkluderar: Meningsfullhet, stöd från teamet och förståelse. Slutsats: Sjuksköterskor erfar både positiva och negativa erfarenheter av att vårda patienter i livets slutskede. De positiva erfarenheterna framkommer när sjuksköterskor erfar sitt dagliga arbete som meningsfullt. De negativa erfarenheterna framkommer när sjuksköterskor erfar otillräcklighet. Relationen till patienter och dess anhöriga beskrivs som viktig för att höja vårdkvalitén. Relationen kan visa sig att medföra problem på sjuksköterskors personliga plan om de identifierar sig med vårdtagarna.

  • 3.
    Alayed, Abdulrahman S.
    et al.
    Sophiahemmet Högskola, Sweden.
    Lööf, Helena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Sophiahemmet Högskola, Sweden.
    Johansson, Unn-Britt
    Sophiahemmet Högskola, Sweden.
    Saudi Arabian ICU safety and nurses' attitudes2014In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, no 7, p. 581-593Article in journal (Refereed)
  • 4.
    Albinsson, Angelica
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Sundkvist, Anders
    Mälardalen University, School of Health, Care and Social Welfare.
    Att ha det modigaste modet: En fenomenografisk intervjustudie om vårdkultur utifrån distriktssköterskors uppfattningar2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 5.
    Alex, Thelin
    Mälardalen University, School of Health, Care and Social Welfare.
    Att leva med dialys: En litteraturstudie om patienters förluster och begränsningar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There is a large group of patients in Sweden that are treated due to their chronic renal failure.  Adequate kidney function is life essential and therefore dialysis will be initiated to compensate the kidneys deficiency among those patients. Haemodialysis is conducted at a dialysis clinic and patients go there for treatment 3 times a week in an average. Problem: For the individuals bound to dialysis it is likely that the treatment could lead to an obligate to adjust one’s life for the treatment. This adjustment could potentially create suffering due to limitations in life of the patient. Aim: The purpose was to create an overviewing understanding of patients’ experiences towards everyday life when treated with dialysis. Result: Patients undergoing dialysis experience that they are depending on other people. Patients expressed that they were restricted to a life where everything was experienced only through a patient perspective. Conclusions: Nursing recourses must be gathered against patient self-efficacy deficiency and motivation so that patient participates in care. Understanding patient’s experiences helps to identify self-efficacy deficiency. 

  • 6.
    Almén Åberg, Karin
    Mälardalen University, School of Health, Care and Social Welfare.
    Föräldrastöd: Professionellas syn på föräldraskap, behov av föräldrastöd och samverkan2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Background:

    Within the Swedish Child Health Care system parents are offered support both individually and in groups. The work with parental groups is a joint effort including the child health care nurses, the staff at Family Centers, preschool teachers as well as social workers. The child health care nurses also need to cooperate with the preschool teachers working where the child spend its days. The support offered to parental groups within the Child Health Care system does not seem to be updated to meet today’s parents’ need. There is research showing that parents ask for support. In spite of this participation in parental group education is low. The professionals’ view of the parental support work is reflected in their planning and implementation. The aim of this study was to make it easier to offer the right kind of interdisciplinary support using the right kind of methods.

    Aim:

    The aim of this study is to illustrate the view on parenting by staff in Child health care units, preschools and family centers and their need of support as well as interdisciplinary cooperation.

    Method:

    A qualitative content analysis was made of collected data from an interdisciplinary workshop with focus groups discussions. Staff from the child health care department, preschools and family centers participated in the workshop.

    Results:

    The professionals´ view of parenting, need of support and interdisciplinary cooperation was described through six categories which is summarized in the conclusion.

    Conclusion:

    The staff from the diverse sectors describes that there is difficulties for today’s parents in their parenting and this results in a need of a versatile kind of support that is both general and selectively directed. The main findings is that parents need support to believe in themselves and in their parenthood and to strengthen their relationship with their child as well as other adults. In order to offer this the parents should be more involved and the cooperation between the sectors should be improved.

    Keywords:

    Child Health care, Parental support, Cooparation, Preschools, Family Centers

  • 7.
    Andersson, Ann-Katrin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sköld, Peter
    Mälardalen University, School of Health, Care and Social Welfare.
    "Personalen måste hjälpa mig att resa mig upp": Erfarenheter av hälsofrämjande motivationsarbete inom rättspsykiatrisk vård2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Tidigare forskning har visat att patienter inom rättspsykiatrisk slutenvård lider av övervikt och svår fetma i högre grad än någonsin tidigare. Betydelsen av en positiv förstärkning från vårdpersonalen är viktig för att patienterna ska orka fullfölja sina livsstilförändringar. Syftet med studien är att beskriva sjuksköterskors och patienters erfarenheter av hälsofrämjande motivationsarbete inom rättspsykiatrisk vård. Studien har en kvalitativ ansats där författarna har använt semistrukturerade intervjufrågor. Författarna har intervjuat fem sjuksköterskor och fem patienter. Intervjuerna har bearbetats utifrån en kvalitativ innehållsanalys. I resultatet framkommer att sjuksköterskor erfar att det är svårt med motivationsarbetet då vården styrs av regler och struktur, men att även strukturen ligger till grund för motivationsarbetet. Sjuksköterskornas erfarenheter är att det gör skillnad i det hälsofrämjande motivationsarbetet när de har en relation med patienterna. Deras erfarenhet är även att de har sig själva som verktyg vilket speglar av sig till patienterna. Patienterna erfar att vårdens struktur är byråkratisk, vilket bidrar till bristande motivation i det hälsofrämjande arbetet. Engagerad vårdpersonal och positiva förebilder bidrar till en mer inspirerande motivationskultur på vårdavdelningar men negativa erfarenheter av personalens engagemang hämmar motivationen. Slutsatsen är att det blir skillnad i det hälsofrämjande motivationsarbetet när sjuksköterskor och patienter har en relation och arbetar mot gemensamma mål.

    Nyckelord: hälsofrämjande arbete, kvalitativ innehållsanalys, motivation, rättspsykiatriska patienter, sjuksköterskor inom rättspsykiatrisk vård.

  • 8.
    Andersson, Henrik
    et al.
    University of Borås, Sweden.
    Ullgren, Andreas
    University of Borås, Sweden.
    Holmberg, Mats
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. University of Borås, Sweden.
    Karlsson, Thomas
    University of Gothenburg, Gothenburg, Sweden.
    Herlitz, Johan
    University of Borås, Sweden.
    Wireklint Sundström, Birgitta
    University of Borås, Sweden.
    Acute coronary syndrome in relation to the occurrence of associated symptoms: A quantitative study in prehospital emergency care.2017In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 33, p. 43-47Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Acute chest pain is a common symptom among prehospital emergency care patients. Therefore, it is crucial that ambulance nurses (ANs) have the ability to identify symptoms and assess patients suffering from acute coronary syndrome (ACS). The aim of this study is to explore the occurrence of dyspnoea and nausea and/or vomiting in the prehospital phase of a suspected ACS and the associations with patients' outcome.

    METHODS: This study has a quantitative design based on data from hospital records and from a previous interventional study (randomised controlled trial) including five Emergency Medical Service (EMS) systems in western Sweden in the years 2008-2010.

    RESULTS: In all, 1836 patients were included in the interventional study. Dyspnoea was reported in 38% and nausea and/or vomiting in 26% of patients. The risk of death within one year increased with the presence of dyspnoea. The presence of nausea and/or vomiting increased the likelihood of a final diagnosis of acute myocardial infarction (AMI).

    CONCLUSION: This study shows that dyspnoea, nausea and/or vomiting increase the risk of death and serious diagnosis among ACS patients. This means that dyspnoea, nausea and/or vomiting should influence the ANs' assessment and that special education in cardiovascular nursing is required.

  • 9.
    Andersson, Jonas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Eriksson, Marie-Helene
    Mälardalen University, School of Health, Care and Social Welfare.
    Vårdande med hjälp av djur: En möjlighet att främja boendes välbefinnande inom äldrevården?2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Our ageing population have an increasing need of caring to maintain their sense of well-being. Companion animals have the ability to listen without judging, they can offer friendship and make the elders feel needed. Background: Historically, animals have been used in the psychiatric setting and foremost when caring for children. During the 1990s, introduction of animals into the nursing home setting became common and a substantial amount of research was published, indicating health-promoting effects of animal-assisted caring. Aim: The aim of this exam paper was to describe the potential impact of animal-assisted caring on well-being of older adults in the nursing home setting. Method: A systematic review was conducted in response to the aim and study question. Data was collected both manually and by searching a database. Only research-based journal articles were included and both quantitative and qualitative data was retrieved. The data was analyzed to identify categories. Results: Nine categories were identified including eight categories describing how animal contribution led to promotion of well-being among the elderly. The ninth category describes the ways animal-assisted caring caused expressions of ill-being. Conclusion: The benefits of animal-assisted caring outweighed the disadvantages by far, which led the authors to conclude that the results of this exam paper supports the implementation of animal-assisted caring in practice to promote well-being in elderly nursing home residents.

  • 10.
    Andersson, Jonas
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Pettersson, Anna
    Mälardalen University, School of Health, Care and Social Welfare.
    Telefonrådgivning utifrån webbaserat rådgivningsstöd: Sjuksköterskors och distriktssköterskors erfarenheter2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In the background we present the responsibilities of nurses and district nurses, namely that the duties will begin with an ethical and holistic point of view, and to promote health through for example giving advice. Research described that working with telephone counselling was perceived as stimulating, though hard being both a gatekeeper and a caretaker. One kind of help in that task could be decision support, it was seen as a safety net and a complement to the experience of the nurse. It was also seen as an instrument to improve quality, as well as reducing the fear of making the wrong decisions and being reported. The purpose of the study was to describe the experience of nurses and district nurses to work with telephone counselling using the web-based counselling support in health centres. To get the descriptions half structured interviews were used, which were analyzed by qualitative content analysis with an inductive approach. It was described in the result that the support created a sense of assurance, because it was a source of knowledge, a support when needed, a good aid, and gave confirmation. The support was also seen as insufficient and not user-friendly, since it was hard to navigate, time consuming, had a language barrier, it could not replace the clinical “eye”, and did not correspond with reality. Lastly it was said that the experience of each individual was a key in how the support was used. Most had positive experiences, but focus from taking care of patients was lost due to valuable time being used for handling the counselling support.

  • 11.
    Andersson, Katarina
    Mälardalen University, School of Health, Care and Social Welfare.
    Distriktssköterskors hälsofrämjande arbetssätt: Att forma arbetet utifrån individers behov och verksamhetens mål2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Vårdcentraler har som uppdrag att arbeta hälsofrämjande. Ett arbete som beskrivs som en process där individens resurser att uppnå hälsa tas till vara. Distriktssköterskor har kompetens att arbeta hälsofrämjande och deras arbete på vårdcentraler genomsyras av ett holistiskt förhållningssätt med utgångspunkt från det friska hos individerna. Ett arbete som inrymmer ett tvåfaldigt uppdrag mot befolkningen och individerna vilka syntetiseras till ett arbetssätt. Examensarbetets vårdvetenskapliga referensram utgår från denna teorin om ett befolkningsindividualiserat arbetssätt. I distriktssköterskors kompetensbeskrivande och utbildningsreglerande dokument står att de ska arbeta hälsofrämjande. Dock saknas kunskap om distriktssköterskors hälsofrämjande arbetssätt.

  • 12.
    Andersson, Lena
    et al.
    Uppsala University.
    Eriksson, Henrik
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nordgren, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Differences between heart failure clinics and primary health care regarding information and follow-up2013In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 18, no 6, p. 288-292Article in journal (Refereed)
    Abstract [en]

    There is a paucity of knowledge concerning how people with heart failure experience differences between specialised heart failure clinics and primary healthcare in Sweden. This study aimed to describe differences regarding information and followup in heart failure clinics and primary healthcare. The study was conducted in Sweden in 2011. Four people (three men, one woman; aged 60 to 84) with heart failure (NYHA II) were interviewed. The interviews were analysed with qualitative content analysis. The findings revealed after referral from the heart failure clinic to primary healthcare, follow-ups were omitted. Still, the patients needed care, support and information. The findings are illuminated in four themes. The patients' varying and individual needs can be difficult to recognise and manage unless they are followed-up from either HFC or PHC on a regular basis.

  • 13.
    Andersson, Lena
    et al.
    Centrum för klinisk forskning Landstinget Sörmland/Uppsala universitet.
    Eriksson, Irene
    Högskolan i Skövde.
    Nordgren, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Living with heart failure without realising: A qualitative patient study2012In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 17, no 2, p. 630-637Article in journal (Refereed)
    Abstract [en]

    Heart failure is an important problem in Swedish primary healthcare as in the UK. In spite of that little is known about how people with heart failure experience support from primary healthcare. This paper investigates how people with heart failure experience support in primary healthcare. Semi structured interviews were conducted with five men and five women, born 1922-1951. The interviews were analyzed with qualitative content analysis in accordance with Graneheim and Lundman (2004). The participants experienced they had not received information about their diagnosis or about the cause of their condition. They had not been informed they had heart failure. Instead the participants believed their symptoms were caused by age, thus being part of normal ageing. They did not experience they needed care or support to cope with illness or disease. Instead their main needs for support in daily life concerned help with practical matters.There is a risk primary healthcare abandons people with heart failure meaning the patients are forced to develop strategies on their own in order to manage symptoms. When inadequately informed there is also a risk they make up their own explanations signifying possible difficulties to handle their health situation.

  • 14.
    Andersson, Mona
    Mälardalen University, School of Sustainable Development of Society and Technology.
    Ett nytt sätt att övervaka palliativpatienter: Exemplet Kullbergska sjukhuset2011Report (Other academic)
    Abstract [sv]

    Denna rapport beskriver ett nytt sätt att monitorera eller övervaka palliativa patienter inomden avancerade hemsjukvårdens domäner jämfört med ett mer traditionelltomhändertagande inom slutenvården. I det nyare sättet vistas patienterna i hemmet sålångt det är möjligt innan en ev. inläggning på sjukhuset behövs. Monitoreringen sker genomkontinuerlig kontakt via främst ett frågeformulär, som patienten eller dennes anhörigaoch/eller distriktssköterska skickar in till samordnande sjuksköterska inom palliativ vård.Genom att data kontinuerligt registreras av hur patienten mår kan läkaren se hursjukdomsbilden utvecklar sig och sätta in de resurser som behövs efter varje patient behov.Vid ev. behov av slutenvård ligger dessa patienter inne kortare tid eftersom derasallmäntillstånd inte är lika dåligt som för patienter, som direkt kommer till sjukhusetsakutavdelning eller slutenvårdsavdelning, enligt traditionellt omhändertagande. Dessa patienter behöver vistas längre tid på sjukhuset och behöver dyra och omfattandebehandlingar för att förbättra sin hälsostatus, så att de kan skickas hem igen. En fråga som därför har ställts i studien är om det nya sättet att monitorera är mer kostnadseffektivt ändet traditionella eftersom vårdtid och därtill hörande kostnader skiljer sig åt mellan dessabåda system att vårda palliativa patienter. För att svara på denna fråga har en jämförelseavseende vårdtillfällen, vårddagar och kostnader gjorts för åren 2003 och 2004, då ett traditionellt synsätt användes på Kullbergska sjukhuset med åren 2008 och 2009 då manövergått till avancerad vård i hemmet (ASIH) för de palliativa patienterna.

    Resultatet visar att antalet anslutna palliativa patienter år 2003 var 82 stycken, vilka hade 90 vårdtillfällen tillsammans. Det genomsnittliga antalet vårdtillfällen per patient (exklusive 26 patienter, som aldrig anslöts eller kom hem från sjukhuset) var 1,6 och det genomsnittligaantalet dagar som dessa låg inne var 17,3. Spridningen i antalet dagar var från 1 till max 76 dagar och totala antalet vårddagar var 971.

    År 2009 visar resultatet att antalet anslutna palliativa patienter ökat till 117 stycken och attde hade 60 vårdtillfällen tillsammans samtidigt som antalet som ej anslöts eller kom hemfrån sjukhuset har ökat till 37 stycken. Det genomsnittliga antalet vårdtillfällen per patient ärnu 0,8 dvs. en minskning med 50 % från 2003. Antalet vårddagar har nu minskat till 543 stycken och i genomsnitt ligger patienterna inne 6,8 dagar. Spridningen av vårdagar är från 1 dag till max 51 dagar.

    Sammanfattningsvis har det trots fler anslutna palliativa patienter, från 82 stycken år 2003till 117 år 2009, en ökning med 43 %, skett en minskning av det totala antalet vårdtillfällen,från 90 tillfällen till 60 det vill säga en reduktion med 33 %. Detta har också fått till följd enhalvering av antalet vårdtillfällen per patient mellan dessa år. Det totala antalet vårddagarhar minskat från 971 till 543, en reduktion med 428 dagar eller 44 %. Detta har medfört attdet genomsnittliga antalet inneliggande dagar minskat från 17,3 till 6,8, en reduktion med 10,5 dagar eller 60 %. Det som dock kan ses som förvånande är att antalet patienter som inte kom hem eller anslöts till ASIH har ökat mellan dessa år, från 26 till 37, en ökning med 11 patienter eller 42 %. Orsaken kan sannolikt finnas i det som kallas för brytpunkten, ett tillfälle som ses som en gräns för ändring av innehållet i vården och som innebär attlivsförlängande insatser inte längre har effekt eller att effekten är marginell eller till och mednegativ för patienten. Studier visar att läkare tycker att det är svårt att tala om för en patientatt livet snart är slut och att de kurativa insatserna inte längre har effekt.

    Den kostnadskalkyl som gjort utifrån ovanstående data visar att den totala kostnaden för å r2003 var 2 225 532 (971 vårddagar x 2 292 kr/dygn) medan den för 2009 hade sjunkit tilltotalt 1 672 983 (543 vårddagar x 3 081 kr/dygn). Frågan som ställdes i denna rapport var omdet nya sättet att monitorera palliativa patienter var kostnadsbesparande. Utifrån ovanstående resultat är svaret entydigt ja - den har varit kostnadsbesparande förlandstinget. Mot denna kostnadsbesparing bör man också ställa intäkter eller effekter förpatienterna, i form av påverkan på deras livskvalitet. Genom monitoreringen finns såväl enkontinuerlig uppföljning som stor tillgänglighet för patienterna. Resurser sätts in efter varjepatients behov varför patienten inte behöver förlora så mycket av sin livskvalitet och sinakrafter. Om en inläggning dock måste göras blir vårdtiderna korta. Genom dennamonitorering kan patienterna delta i ”vardagslivets lunk” så länge som möjligt och dettaligger i linje med den palliativa vårdens filosofi. Jag har inga speciella skäl att anta attlivskvaliteten har blivit sämre trots att jag inte själv genomfört någon studie av detta.

    Att monitorera på detta sätt kan också vara ett svar på den fråga som Socialstyrelsenefterlyst om vad som kan göras för att minska eller förhindra onödig sjukhusvistelse. Jag seringa skäl till varför det här nya sättet att monitorera inte skulle vara möjligt även på andra orter eller sjukhus.

  • 15.
    Andersson, Sara
    Mälardalen University, School of Health, Care and Social Welfare.
    Barn med övervikt: BVC-sjuksköterskors arbetssätt - en kvalitativ intervjustudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Obesity is an international as well as a national problem. In Sweden one of five four-year-olds are obese. Child health care nurses work from both a population perspective and a family perspective. The child health care centre is an arena that can make different to the obesity problem in society, by offering support to parents of children at risk for obesity or with diagnosed obesity. The purpose of the study is to describe the child health care nurses clinical practice with parents of children who are obese. The study has a qualitative approach with interviews and deductive content analysis. Five child health care nurses have been interviewed. Olander's theory of clinical practice is the reference of the deductive content analysis. The result shows that the child health care nurses are aware of their two missions. Their population mission is based on the national guidelines of child health care. However, their family mission seems to be prominent. This as the child health care nurses strive to work in an individualized manner to identify the needs of each family to determine on how to invite parents to participate and how to communicate with parents about their child’s obesity. 

  • 16.
    Andersson Sunesson, Linnéa
    Mälardalen University, School of Health, Care and Social Welfare.
    Utemiljöns inverkan för patienter med demenssjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia causes gradual loss of cognitive abilities. There is no cure for dementia but symptoms can be helped with medication and actions can contribute to improved quality of life. Problem: Dementia care should be based on a person-centered approach and promote patient autonomy. If not, consequently this means limited opportunity to be in the outdoor environment for patients with dementia. It is important to examine what impact the outdoor environment has on patients with dementia to adapt the use of the outdoor environment in dementia care to the need of patients with dementia. Aim: The aim was to make an overview about the impact of the outdoor environment on patients with dementia. Method: General literature review with descriptive design. Eight articles with qualitative approach and three with quantitative approach. Result: The outdoor environment had a significant positive impact psychologically, physically and on behaviors in patients with dementia. Positive impact was noted for example in promotion of quality of life, physical wellness and in decrease of aggressive behaviors. Conclusions: Usage of the outdoor environment in care for patients with dementia may contribute to improved life situations.

  • 17.
    Andreae, Christina
    Mälardalen University, School of Health, Care and Social Welfare.
    Att vara passiv på en aktiv avdelning: - En innehållsanalys om hjärtpatientens dokumenterade delaktighet i omvårdnadsjournalen2008Independent thesis Advanced level (degree of Magister), 15 points / 22,5 hpStudent thesis
    Abstract [sv]

    Bakgrund: Inom hälso- och sjukvården finns två viktiga budskap för en god och säker vård, det ena är att vård och behandling ska ske i samverkan mellan vårdare och patient och det andra är att sjuksköterskan ska utforma individuella vårdplaner. Studier visar att individuella vårdplaner i hälso- och sjukvård i princip är obefintliga och att sjuksköterskor istället utformar standardvårdplaner. Problem: Risken att arbeta med standardvårdplaner är att patienternas delaktighet i vården förbises eftersom standardvårdplaner utformas i förväg genom förväntade omvårdnadsproblem, till skillnad från individuella vårdplaner som utarbetas i samverkan med patienten. Syfte: Examensarbetets syfte var att beskriva på vilket vis patientens delaktighet framkom i omvårdnadsjournalen vid användning av standardvårdplaner, vid vård av patienter med instabil kranskärlssjukdom. Metod: En kvalitativ, beskrivande forskningsmetod användes för att undersöka sjuksköterskans omvårdnadsdokumentation av tretton omvårdnadsjournaler. Text som innehöll någon form av dokumenterad delaktighet i sjuksköterskans omvårdnadsdokumentation analyserades utifrån manifest innehållsanalys som till slut även analyserades genom latent innehållsanalys. Resultat: I omvårdnadsjournalerna, vid användning av standardvårdplaner framkommer patienternas delaktighet genom kategorier sjukdomsberättelsen, kroppsfunktion, självuppfattade problem, utanförskap och självbestämmande. Kategorierna visade mönster som urskilde tema passivt och aktivt deltagande där det passiva deltagandet i omvårdnadsjournalerna framträdde som starkast.

  • 18.
    Andreae, Christina
    et al.
    Research and Development Center/Center for Clinical Research, Sörmland County Council,.
    Ekstedt, Mirjam
    Department of Health Care Sciences, Ersta Sköndal University,.
    Snellman, Ingrid
    Mälardalen University, School of Health, Care and Social Welfare.
    Patients’ Participation as It Appears in the Nursing Documentation,When Care Is Ruled by Standardized Care Plans2011In: ISRN Nursing, ISSN 2090-5483, Vol. 2011, no Article ID 707601Article in journal (Refereed)
    Abstract [en]

    This study aimed to describe inpatients with myocardial infarction and their participation in care as documented in the nursing

    records when standardized care plans are used in care. The use of standardized care plans not only has increased the quality of

    medical treatment but has also overlooked patients’ opportunities to participate in their own care. There is a lack of knowledge

    about how standardized care plans influence patients’ participation in nursing care. Data were collected from thirteen patients’

    records with diagnoses of myocardial infarction. Participation in the decision-making process and participation associated with

    “sharing with others” were searched for in the analysis. The analytical process was guided by content analysis. The findings were

    grouped into two categories: patients’ intermediary participation and patients’ active participation. The main results indicated that

    patients’ intermediary participation depended on healthcare professionals’ power to rule the nursing care situation.

  • 19.
    Arleide, Pereira Da Silva Nyberg
    Mälardalen University, School of Health, Care and Social Welfare.
    Att leva med stomi: En kvalitattiv litteraturstudie ur patienters perspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Lack of information and education from nurses, affect patients’ adaptation to and acceptance of their new life with ostomy, which also affects the families’ ability to care for and support their relatives with ostomy. Aim: To describe patients’ experiences of living with the ostomy. Method: The data materials consist of 12 qualitative articles that are analyzed by a systematic literature study with descriptive synthesis. Results: The result is presented in three themes: Impact in self-image; A changed life situation and Support in the treatment. Conclusion: Living with the stoma is perceived as a limitation of physical activity and awakens negative reactions, related to the changed body. Despite that, patients consider that life is less difficult than before and with good information and education, nurses can help patients to believe in themselves, and be more independent in managing the ostomy. Knowledge of everyday life, physical but also sexual activities, is something that nurses need to collect and share with the patients. The patients need to know this, to feel safe with themselves and don’t look upon themselves as limited. This helps to perform better care based on patients’ needs, which relieves suffering and improves life quality for the patients.

  • 20.
    Armini, Antonia
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Camilla, Söderlind
    Mälardalen University, School of Health, Care and Social Welfare.
    EN förändrad KROPP, ETT förändrat LIV: Patienters upplevelser av att leva med stomi2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When patients suffer from sicknesses such as rectal cancer, Chrons disease and ulcerative colitis, then ostomies can be a course of treatment. Earlier research show that nurses lack knowledge to be able to care for patients with ostomies while expected to have an important role in the patients’ well-being.  Problem: Lack of knowledge from the general nurse about ostomy care impacts patients since their lives are affected by living with a stoma.  Aim: To describe patient´s experiences of living with a stoma. Method: A literature review based on ten qualitative scientific articles with descriptive synthesis. Results: Experiences shown in the results were divided into three themes: “Emotionell influence”, “Changes in everyday life” and “Acceptance of living with a stoma”.  Out of these themes came six subthemes: “To feel worry”, “To feel frustration”, “To feel shame”, “To live with a changed body”, “To be limited physically in one´s life”, “To lose control”.  Conclusion: Life with a stoma brings daily changes and influences the patients emotional state in relation to their body and their new situation. These experiences can in their turn evolve and patients can come to accept the stoma over time. Patients experiences a lack of information concerning ostomy care and support in living with a stoma. The results show that patients due to their ostomy experience suffering related to illness, to care, and to life.

  • 21.
    Arvidsson, Alexander
    Mälardalen University, School of Health, Care and Social Welfare.
    "DET ÖMSINTA ANSANDET" SJUKSKÖTERSKORS UPPLEVELSE AV VAD SOM ÄR VÅRDANDE INOM RÄTTSPSYKIATRIN2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Forensic psychiatric care is a complex business. Patients who are cared for in forensic psychiatry are usually in need of care for a long time. The forensic care is a major intrusion into a person's life and the nurses and caregivers are the people who spend the most time with patients. They have a difficult mission providing a good and personalized care while patients are deprived of their liberty. Previous research demonstrates that patients experience forensic care as uncertain, insecure and punitive but that there are also glimpses of "good care". Caring is described as unreflective and that nurses are left for themselves to use their "common sense". This study's aim is to highlight nurses' experiences of what is caring in forensic nursing. The study has a qualitative design and a theoretical framework that is based on caring idea and ethos according to the description of Eriksson (2002). A total of six nurses at a forensic care clinic were interviewed. The interviews were then analyzed through a phenomenological hermeneutic method. Caring in forensic psychiatry was perceived to be associated with both closeness and distance, as well as to create balance. The comprehensive understanding of nurses' experiences showed that that caring is a balancing act between getting close to the patient while creating a functioning structure in the care which is interpreted as a "tender purging".

  • 22.
    Arvidsson, Emelie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Gravem, Linda
    Mälardalen University, School of Health, Care and Social Welfare.
    "...man kan ju inte vara delaktig i alla beslut, men i så mycket som möjligt vara delaktig.": Delaktighet vid omvårdnadsplanering inom rättspsykiatrisk vård2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 23.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare.
    Vila och lärande om vila. En studie på livsvärldsfenomenologisk grund2002Doctoral thesis, monograph (Other academic)
    Abstract [en]

    The aim of the dissertation was to develop a tentative teory about rest and the learning of rest, by proceeeding from people´s lived experiences of rest. The aim also has been to develop a model for learning how to rest, where the mutuality between the learning content, the people learning and the conditions for learning are considered. Three reserach questions have been used as a guide in the dissertation work: What is the meaning of rest? How do individuals learn to rest? How can conditions be created to help people learn how to rest?

    In society, there is a tendency that both the pace of life and the production process is expected to function as quickly possible as, so that the time can be used as effectively as possible. Individuals are finding it problematic to relate to and deal with these changes. An accelerated tempo, and an increased consciousness of time are signs of this. This creates ill health, which can be partly understood as an inability to rest. Therefore, it becames a pedagogic question for people to learn how to rest, which can be described as to accuire a skill or an art. A skill is situated in between theory and practice. Knowledge and action are inseparably allied with each other in skills.

    The research questions were studied with a life-world phenomenological approach, and interviews were chosen as method for collecting data. In the interviews, the reseracher was guided by concepts significant for human science research: openness, immediacy, intersubjectivity, meaning, uniqueness. In the analysis of data a descriptive phenomenological methodology was used, with searching for essence.

    A general structure of the phenomenon of rest, implies a duality between rest and non-rest. The essence of rest is a harmony in feeling, action and motivation. The formation of rest develops when people´s inner reality, concerning need and longing, correspond to the shape and character of their external reality. The constituents for the essence of rest is : rest rythm in life, atmosphere of beauty and comfort, o be accepted without judgment , a relation involving mutual interests, freedom from anxiety and compulsion, a state of detachment and relaxation, enjoyable experiences and challenges. The essence of non-rest is a disharmony in motivation, fellings and actions. This experience of disharmony, drains people of energy, which becomes more obvious the longer the period on non-rest continues. The constituents for the essence of non-rest is: to be motivated but not be able to, to be able to yet not be motivated, to be motivated but not be able to feel.

    To learn how to rest involves becoming conscious of a rythm in one´s way of life, to allow for a rythm in life, and to find or create sources where energy can be drawn. The model for learning how to rest is constituted by three dimensions: learning about rest, learning through rest and learning in rest.

    Learning about rest can be related to ideas about life-world, lived body, time and space, circularity and intentionality. Knowledge about learning through rest can be related to ideas about health, and knowledge about leraning in rest can be related to ethics and aesthetics.

  • 24.
    Asp, Margareta
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Fagerberg, Ingegerd
    Institutionen för vårdvetenskap, Ersta Sköndal Högskola.
    Developing concepts in caring science based on a lifeworld perspective2005In: International Journal of Qualitative Methods, ISSN 1609-4069, E-ISSN 1609-4069, Vol. 4, no 2, p. 1-10Article in journal (Refereed)
    Abstract [en]

    Concept development is a significant form of inquiry to expand and develop the knowledge base in caring science. The authors´aim in this article is to illuminate the possibility of working with concept development, based on a life world perspective, especially Merleau-Ponty´s philosophy of language, wherein phenomenological, semiological, and pragmatic dimensions are included. the theoretical discussion shows that it is possible to create methodological principles for concept development based on epistemological foundations that are consistent with ontological assumptions in caring science.

  • 25.
    Augustsson, Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Ahosmäki, Linda
    Mälardalen University, School of Health, Care and Social Welfare.
    Yngre kvinnors upplevelser under pågående bröstcancerbehandling: En litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Bröstcancer är den cancerform som är vanligast bland kvinnor i Sverige i dag. Kvinnorna som drabbas av bröstcancer kan uppleva både känslomässiga och kroppsliga svårigheter i samband med bröstcancerbehandlingen. Ofta påverkas hela familjen av kvinnans sjukdom. Rädsla, sorg och oro är vanligt förekommande känslor hos den drabbade kvinnan och hennes familj.

    Problem:

    Den yngre kvinnas upplevelser av bröstcancerbehandling kan vara annorlunda än den äldre kvinnans upplevelser då livet har ett annat fokus med exempelvis små barn och karriär.

    Syfte:

    Att belysa den yngre kvinnans upplevelser av bröstcancerbehandling.

    Metod:

    En litteraturstudie med manifest innehållsanalys har gjorts på fyra självbiografiska böcker. Graneheim och Lundmans kvalitativa (2004) innehållsanalys har använts vid analysen av böckerna.

    Resultat:

    I resultatet framkommer det att kvinnorna förlorar sin trygghet, känner rädsla för behandlingen och upplever rädsla att dö. Kvinnorna upplever att livet förändras och att det är viktigt med positiva tankar. Det framkommer också att stödet som kvinnorna får av familj, vänner och vårdpersonal är viktigt.

    Slutsatser:

    Unga kvinnor som behandlas för bröstcancer behöver stöd av familj, vänner och vårdpersonal.

    Nyckelord:

    behandling, bröstcancer, familj, lidande, unga kvinnor, upplevelser

  • 26.
    Babaoi, Saemon
    Mälardalen University, School of Health, Care and Social Welfare.
    Att erfara empatiksk utmattning: En litteraturstudie om sjuksköterskors erfarenheter av empatisk utmattning2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Empatisk utmattning (eng: compassion fatigue) berör den utmattning sjuksköterskor kan uppleva genom att ha tagit del av patienters fysiska eller psykiska lidande. Denna empatiska utmattning bidrar till en känsla av kronisk trötthet och oförmåga att uppleva empati för sina patienter. Problem: För att ge en god patientvård förväntas att sjuksköterskorna lever sig in i patienternas situation. Eftersom sjuksköterskorna ofta befinner sig i stressfyllda situationer med korta återhämtningsperioder och samtidigt måste leva sig in i patienternas lidande kan vissa av dem få problem med att ta väl hand om sig själva, vilket gör att deras förmåga att känna empati för sina patienter avtar. Sammantaget bidrar det till en försämrad patientvård.

    Syfte: Syftet var därför att belysa sjuksköterskornas erfarenheter av empatisk utmattning i vården.

    Metod: Sjuksköterskornas erfarenheter av empatisk utmattning jämfördes genom en beskrivande analys av 10 kvalitativa artiklar.

    Resultat: Sjuksköterskorna med empatisk utmattning erfor sina arbetsmiljöer som påfrestande och stressiga. De upplevde bristfälligt stöd från kollegor, familj, vänner, arbetsledning och otillräcklig utbildning i hur de kan motverka riskerna med att drabbas av empatisk utmattning. Ofta hade de upplevt upprepade traumatiska händelser i vården, vilka framkallat känslor av maktlöshet, frustration och sorg. Resultatet visade även att de sjuksköterskor som drabbades av empatisk utmattning var mer benägna att lägga stora krav på sig själva, ha svårt för att dra en skiljelinje mellan privatliv och yrkesliv, samt vara känsliga för stora intryck från omvärlden. Vissa sjuksköterskor hade lättare för att ta hand om sig själva och kunde därmed ge bättre patientvård. Snarare än att bli utmattade tenderade dessa sjuksköterskor att inspireras av sin vårdsituation och drivas till att fortsätta uttrycka empati och inlevelse i kontakterna med patienterna. Det bidrog till empatisk tillfredsställelse snarare än empatisk utmattning, samt till goda ömsesidiga upplevelser mellan sjuksköterskor och patienter.

  • 27.
    Barrientos, Christian
    et al.
    Norrtälje Hospital, Sweden.
    Holmberg, Mats
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Sörmland County Council, Eskilstuna, Sweden.
    The care of patients assessed as not in need of emergency ambulance care - registered nurses' lived experiences2018In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 38, p. 10-14Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe the care of patients assessed as not in need of emergency ambulance care, from Registered Nurse's lived experiences. Background: Non-emergency patients in need of ambulance care are described as vulnerable and patients in ambulance care have earlier been found to be dependent on the Registered Nurse. However, little is known about the care of non-emergency patients in the ambulance setting, from the perspective of Registered Nurses. Methods: A reflective lifeworld research design was chosen. Five Registered Nurses with experience of ambulance care were individually interviewed. Results: The result reveals the essence of the phenomenon as a desire to provide good care in an on-going struggle between one's own and others' expectations. Three meaning constituents emerged in the description; Being in a struggle between different expectations, Being in a questioned professional role, and Being in lack of support and formal directives. Conclusion: Registered Nurses' care for patients assessed as not in need of emergency ambulance care, is a complex struggle between different expectations. This may be related to the encounter between the nurse's and the patient's lifeworld.

  • 28.
    Bastholm Rahmner, Pia
    et al.
    Stockholm Cty Council.
    Gustafsson, Lars L.
    Stockholm Cty Council.
    Holmström, Inger
    Örebro universitet, Hälsoakademin.
    Rosenqvist, Urban
    Hlth Serv Res, Dept Publ Hlth & Caring Sci, Uppsala.
    Tomson, Göran
    Karolinska Inst.
    Whose job is it anyway?: Swedish general practitioners' perception of their responsibility for the patient's drug list2010In: Annals of Family Medicine, ISSN 1544-1709, E-ISSN 1544-1717, Vol. 8, no 1, p. 40-46Article in journal (Refereed)
    Abstract [en]

    PURPOSE Information about the patient's current drug list is a prerequisite for safe drug prescribing. The aim of this study was to explore general practitioners' (GPs) understandings of who is responsible for the patient's drug list so that drugs prescribed by different physicians do not interact negatively or even cause harm. The study also sought to clarify how this responsibility was managed. METHODS We conducted a descriptive qualitative study among 20 Swedish physicians. We recruited the informants purposively and captured their view on responsibility by semistructured interviews. Data were analyzed using a phenomenographic approach. RESULTS We found variation in understandings about who is responsible for the patient's drug list and, in particular, how the GPs use different strategies to manage this responsibility. Five categories emerged: (1) imposed responsibility, (2) responsible for own prescriptions, (3) responsible for all drugs, (4) different but shared responsibility, and (5) patient responsible for transferring drug information. The relation between categories is illustrated in an outcome space, which displays how the GPs reason in relation to managing drug lists. CONCLUSIONS The understanding of the GP's responsibility for the patient's drug list varied, which may be a threat to safe patient care. We propose that GPs are made aware of variations in understanding responsibility so that health care quality can be improved.

  • 29.
    Bechtouli, Nadia
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Oldrati, Satu
    Mälardalen University, School of Health, Care and Social Welfare.
    Den vårdande relationen inom psykiatrisk vård.: En litteraturstudie ur sjuksköterskeperspektiv.2018Independent thesis Advanced level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund Den vårdande relationen är kärnan i omvårdnaden. Patienterna beskriver att de behöver känna trygghet innan den vårdande relationen skapas. Psykiatrisjuksköterskan är skyldig att ansvara för att patienternas behov tillgodoses. Syfte Syftet är att synliggöra hur sjuksköterskor inom psykiatrisk vård beskriver den vårdande relationen. Vidare syftar studien till att synliggöra likheter och skillnader jämfört med hur den vårdande relationen gestaltas i den teoretiska referensramen. Den metod som ansågs vara mest lämplig för att besvara studien var en kvalitativ innehållsanalys. Med en deduktiv ansats, vilket beskrivs utifrån Elo och Kyngäs, (2008). Den teoretiska referensramen som valdes till studien utgår från Kaséns (2002) fyra aspekter av den vårdande relationen. I resultatet framkommer sjuksköterskors beskrivningar av den vårdande relationer och hur den kan gestaltas utifrån Kaséns fyra aspekter. Det framkom likheter och skillnader i resultatets analys del, vad sjuksköterskor beskrev som vårdande relationer. Slutsatser som kan tas utifrån studien är att den vårdande relationen har flera liknelser med patienternas beskrivning av den vårdande relationen. Även skillnader i deras beskrivningar av den vårdande relationen visades. Den vårdande relationen berörde sjuksköterskan lika väl som den berörde patienten.  Nyckelord: 

  • 30.
    Bengtsson, Helena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Hörnqvist, IngaLill
    Mälardalen University, School of Health, Care and Social Welfare.
    De närståendes resa mot att släppa taget: En litteraturstudie om närståendes upplevelser inom den palliativa vården2009Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: People who is close to patients suffering from incurable diseases experiences both suffering and grief. It is hard to be there for someone and at the same time handle your own grief. This can create feeling of anxiety, stress and guilt. Problem: Near related persons might not accept the further loss of someone near, the hope remains until it is final. They may not know the whole width of the situation, not acknowledge to the patient or himself how it is going to end. Aim: The aim with the literature study was to describe close ones experiences of suffering and grief within the palliative care. Method: The study is a qualitative analysis of autobiographies written by people close to patients in the palliative care. Result: The study shows how close ones can be spared suffering and grief through kind treatment and empathic personnel. The result shows a great individual dissemination when feelings are to be worked trough and grief gets to the surface and is accepted. Conclusion: To be close to someone in the end of his or her life wakes hard and irrational feelings and thoughts in people. To handle your own experiences and feelings is difficult. To support these persons due to their individual needs is a crucial part in reducing there suffering.

  • 31.
    Bentling, Sonia
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Lennander, Åke
    Mälardalen University, School of Health, Care and Social Welfare.
    Synligt, osynligt och synliggjort: 10 år i ett Nordiskt nätverk av sjuksköterskeutbildningar2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 3, p. 39-41Article in journal (Refereed)
    Abstract [en]

    The multicultural society has impact on the nursing profession and multicultural aspects of education have impacts on international cooperation. Materials from 10 years in a Nordic network within higher education institutions within nursing was analysed in order to develop cooperation, mobility, curriculum and research. Methods of benchmarking were used in analysing political documents, memorandum, descriptions of the institutions, course programs and reports from teachers and student. The result indicated that the process from planning to realization was unclear, ambitions were higher than outcomes; experiences of mobility were mostly described in terms of personal experiences, enriching and useful, but relations to political goals instituional strategies were invisible. Effects on academic subjects or competence were not reported,nor were they asked for. Weeklong courses with more participants were succesful. However the research method implied new insights in the results: experiences became visible effects beyond an individual level exists, but they had to be named and asked for.

  • 32.
    Berg, Cathrine
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Kim, Sunhee
    Mälardalen University, School of Health, Care and Social Welfare.
    Att vara anhörig till en familjemedlem som fått stroke2017Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, Stroke is one of the most common causes to disability and death. Stroke can provide serious consequences and most of patients need to be helped by their close family members. It is important for close family members to be involved in the care of patients who have had a stroke to facilitate the life. Aim: To describe the experience of being a close family member of a person who has had a stroke. Method: A literature review based on ten qualitative scientific articles with descriptive synthesis. Result: At first, close family members felt the uncertainty of the situation because of a sense of chaos and worries about future. At second, they felt loneliness in life because they experienced a lack of support from health care and overwhelming responsibility that followed. Lastly, the family members accepted the future because they felt gratitude for their lives and they began to re-prioritize their life. Conclusion: By allowing nurses to take more knowledge of the family members' experience, they can understand why it is important to provide better and more detailed and individual support to the family members. This would give the patient a better support and reduce unnecessary suffering.

  • 33.
    Bergfeldt, Erik
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Iseland, Alexander
    Mälardalen University, School of Health, Care and Social Welfare.
    Kvinnors upplevelse av livet efter en hjärtinfarkt: en kvalitativ litteraturstudie2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Hjärt-kärlsjukdomar är ett av det vanligaste folkhälsoproblemet i Sverige. Årligen drabbas cirka 40 000 människor av hjärtinfarkter i Sverige, av dessa är andelen kvinnor 42 procent. Problem: Det har visat sig att kvinnor löper en större risk av att drabbas av depression och ångest, upplever en sämre livskvalitet samt inte genomför livsstilsförändringar i samma utsträckning som män efter en hjärtinfarkt. Syfte: Att belysa kvinnors upplevelse av livet efter en hjärtinfarkt. Metod: En kvalitativ litteraturstudie med elva vetenskapliga artiklar utförd efter Evans analysmetod. Resultat: Det åskådliggjordes att kvinnorna efter hjärtinfarkten inte längre vågade lita på sina kroppar. Detta gav känslor av oro och rädsla och ledde till en ovisshet inför framtiden. Vården sågs i många fall som bristfällig. Kvinnorna uttryckte att deras roll och förhållande inom familjen förändrades. Nya tankar infann sig efter hand och positiva utkomster av hjärtinfarkten kunde ses. Slutsatser: Sjuksköterskan måste beakta många aspekter i mötet med kvinnor som drabbats av hjärtinfarkt och en helhetssyn är viktig. Familjen behöver involveras i vården. Hänsyn måste tagas till vilken information som ges och om tidpunkten är lämplig. Kvinnorna behöver hjälp av sjuksköterskan att på bästa sätt tillvarata det friska och resurser hos sig själva.

  • 34.
    Berglund, Maria
    et al.
    Växjö universitet,Sweden.
    Johansson Sundler, AnnelieVäxjö universitet, Sweden.Roxberg, ÅsaVäxjö universitet, Sweden.
    Vårdvetenskapliga vägskäl2008Collection (editor) (Other academic)
    Abstract [sv]

    Denna vårdvetenskapliga jubileumsskrift tar läsaren med på en resa genom den utveckling som skett av ämnet vid forskarutbildning i vårdvetenskap vid Växjö universitet. Många bäckar små… ett talesätt som kan illustrera det gemensamma arbete och den samlade kunskap som ligger bakom denna skrift. I skriften får vi stifta bekantskap med vårdvetenskapen i varierande kontexter alltifrån rättpsykiatri till akut- och hemsjukvård. Sammanställningen av den vårdvetenskapliga forskning som under denna femårsperiod har gjorts på IVOSA visar att vårdvetenskapen är en autonom vetenskap med en tydlig substans eller kärna. I kärnan finns patienten, och ämnet tar sin utgångspunkt i människors existens. Med fokus på människan som är i behov av vård framträder lidande, hälsa och välbefinnande som väsentliga begrepp. I bokens delar fördjupas och kontextualiseras vårdvetenskapen i skiftande vårdande liksom lärande miljöer. En vårdvetenskap med grund i ett patientperspektiv behövs såväl akademiskt som i vården för att anta både dagens och morgondagens utmaningar.

  • 35.
    Berglund, Mårten
    Mälardalen University, School of Health, Care and Social Welfare.
    Psykiatrisjuksköterskors erfarenheter av suicidriskbedömningar: Hos patienter med depressiv ohälsa2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Suicide is today, according to the World Health Organization, one of the 20 leading causes of death and it is well known that the risk of suicide increases in depression. Daily, psychiatric Nurses face patients where they are required to assess the degree of risk that the patient commits suicide. So far there has been little research on how psychiatric nurses experience these assessments and the purpose of the study was to describe psychiatric nurses' experiences of suicide risk assessment in patients with depressive ill health. The study design was qualitative in nature where interviews were conducted with 10 psychiatric nurses in general psychiatric outpatients. Data were analyzed with the support of qualitative content analysis and resulted in four main categories with related subcategories . Category one was to create a holistic view which psychiatric nurses did by gathering knowledge from different sources such as theoretical- and factual knowledge, previous assessments , intuition , clinical eyes and different types of instruments as support. Category two was about the relationship's importance. To create and maintain a relationship where psychiatric nurses explored through talks and established a safe relationship with the patient. The third category described how it is to have the responsibility for someone else's life. The informants described how it feels to be responsible for assessments, the support they receive from others such as coworkers and what to do to protect them selves. The fourth, and last, category described how to handle the time and focused on professional development and the possibility to be there for the patient. It was concluded that suicide risk assessment of depressed patients is complex and influenced by a variety of factors which nurses need support to manage.

  • 36.
    Björn, Casandra
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Nilsson, Ina-Linn
    Mälardalen University, School of Health, Care and Social Welfare.
    Kontinuitetens betydelse för patienten: En litteraturstudie2018Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Det finns olika karaktärer av kontinuitet, de karaktärer som framträder inom omvårdnad är: relation, information och styrande kontinuitet. Att träffa samma vårdgivare relateras främst till kontinuitets begreppet. Sjuksköterskans förhållningssätt påverkar patienternas uppfattning om god vård, då mötet är det mest centrala ur patienternas perspektiv. Problem: Det föreligger i sjuksköterskans ansvar att förbättra välbefinnandet hos befolkningen. När kontinuiteten brister upplever anhöriga att de behöver inta rollen som ansvarstagande, för att patienternas välbefinnande inte ska påverkas negativt. Syfte: Att beskriva patienternas upplevelse av sjuksköterskekontinuitetens betydelse för välbefinnandet. Metod: Kvalitativ litteraturstudie. Resultat: Patienter upplevde att kontinuitet av samma sjuksköterska ökade välbefinnandet. Alla tre karaktärer av kontinuitet krävs i vården för att god vård skulle upplevas. Patienter upplevde att den personcentrerade vården med kontinuitet i relationen var viktigt för att välbefinnandet skulle infinnas. För att god vård skulle upplevas krävdes kontinuitet inom samtliga områden i omvårdnaden: relationell, information och styrande kontinuitet. Slutsats: Patienterna vill att vårdrelationen med sjuksköterskan är personlig och att den information som delges ska vara individanpassad. Alla former av kontinuitet är viktiga variabler i det vårdande mötet och vårdavdelningar bör studera hur det kan bedriva kontinuitetsfrågan bättre. Sjuksköterskan bär ett ansvar för hur vården samordnas och utformas utifrån patienternas behov.

    Nyckelord: behov, omvårdnad, patientperspektiv, sjuksköterska, vårdavdelning, vårdrelation, välbefinnande.

  • 37.
    Blix-Lindström, S
    et al.
    Karolinska Institutet, Stockholm,.
    Johansson, E
    Karolinska Institutet, Stockholm,.
    Christensson, Kyllike
    Karolinska Institutet, Stockholm,.
    Midwives' navigation and perceived power during decision-making related to augmentation of labour2007In: Midwifery, ISSN 0266-6138, Vol. 24, no 2, p. 190-198Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to explore and understand how midwives perceive and experience decision-making about augmentation of labour. DESIGN: focus-group discussions. SETTING: Stockholm, Sweden. PARTICIPANTS: 20 midwives experienced in working in labour wards. FINDINGS: five categories were identified that illustrate the factors considered by the midwives to influence decision-making during augmentation of labour: 'regulations and guidelines'; 'shortage of delivery rooms'; 'influence of obstetricians'; 'women in labour'; and 'midwives' professional selves'. The theme identified was how midwives managed to 'navigate' these factors, which provided midwives with a decisive influence during the decision-making process. KEY CONCLUSIONS AND IMPLICATIONS: midwife job satisfaction can result from a sense of professional power over the possibility of navigating factors that influence decision-making during augmentation of labour. This sense of power can subsequently influence co-operation with both obstetricians and women during labour.

  • 38.
    Blomberg, Karin
    et al.
    Örebro universitet, Sweden.
    Bisholt, Birgitta
    Karlstads universitet, Sweden.
    Kullén Engström, Agneta
    Högskolan Borås, Sweden.
    Ohlsson, Ulla
    Örebro universitet, Sweden.
    Sundler Johansson, Annelie
    Högskolan Skövde, Sweden.
    Gustafsson, Margareta
    Örebro universitet, Sweden.
    Swedish nursing students' experience of stress during clinical practice in relation to clinical setting characteristics and the organisation of the clinical education.2014In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 23, no 15-16, p. 2264-2271Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe nursing students' experience of stress during clinical practice and evaluate the risk of stress in relation to the clinical setting characteristics and the organisation of the clinical education.

    BACKGROUND: Stress during clinical practice is well documented, but there is a lack of knowledge concerning whether the clinical setting characteristics and the organisation of the education make a difference.

    DESIGN: A cross-sectional study with evaluative design.

    METHODS: Data were collected by means of a numerical rating scale for the assessment of stress and questions about the clinical setting characteristics and the organisation of the education. One hundred and eighty-four students who had completed their final year on the nursing programme at three universities in Sweden were included.

    RESULTS: Nearly half of the students (43%) experienced high level of stress during clinical practice. Measured by decision in the tree analysis, the absolute risk of stress was 57% in students with placements in hospital departments, as compared to 13% in students with placements in other clinical settings. The risk of stress increased to 71% if the students with placement in a hospital took the national clinical final examination. Performance of practice in a hospital department overcrowded with patients was also associated with increased risk of stress. The organisation of supervision and number of students at the clinical placement had an effect on the experience of stress, but did not prove to be risk factors in the analysis.

    CONCLUSIONS: The risk of stress in nursing students during their clinical practice differs depending on clinical setting characteristics. The taking of the national clinical final examination could be a source of stress, but this requires further investigation.

    RELEVANCE TO CLINICAL PRACTICE: It is important that supervisors are aware that students in hospital departments overcrowded with patients are at risk of stress and may have increased need of support.

  • 39.
    Blomberg, Karin
    et al.
    Örebro universitet, Sweden.
    Isaksson, Ann-Kristin
    Örebro universitet, Sweden.
    Allvin, Renée
    Örebro universitet, Sweden.
    Bisholt, Birgitta
    Karlstads universitet, Sweden.
    Ewertsson, Mona
    Örebro universitet, Sweden.
    Kullén Engström, Agneta
    Högskolan Borås, Sweden.
    Ohlsson, Ulla
    Örebro universitet, Sweden.
    Sundler Johansson, Annelie
    Högskolan Skövde, Sweden.
    Gustafsson, Margareta
    Örebro universitet, Sweden.
    Work stress among newly graduated nurses in relation to workplace and clinical group supervision2016In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 24, no 1, p. 80-87Article in journal (Refereed)
    Abstract [en]

    AIM: The aim was to investigate occupational stress among newly graduated nurses in relation to the workplace and clinical group supervision.

    BACKGROUND: Being a newly graduated nurse is particularly stressful. What remains unclear is whether the workplace and clinical group supervision affect the stress.

    METHOD: A cross-sectional comparative study was performed in 2012. Data were collected by means of a numerical scale measuring occupational stress, questions about workplace and clinical group supervision. One hundred and thirteen nurses who had recently graduated from three Swedish universities were included in the study.

    RESULTS: The stress was high among the newly graduated nurses but it differed significantly between workplaces, surgical departments generating the most stress. Nurses who had received clinical group supervision reported significantly less stress. The stress between workplaces remained significant also when participation in clinical group supervision was taken into account.

    CONCLUSIONS: Newly graduated nurses experience great stress and need support, especially those in surgical departments. Nurses participating in clinical group supervision reported significantly less stress.

    IMPLICATIONS FOR NURSING MANAGEMENT: It is important to develop strategies that help to adapt the work situation so as to give nurses the necessary support. Clinical group supervision should be considered as an option for reducing stress.

  • 40.
    Blyhagen Lindroos, Angelika
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Jevstigneeva, Aleksandra
    Mälardalen University, School of Health, Care and Social Welfare.
    Patientens trygghet i vårdandet: En empirisk undersökning baserad på sjuksköterskors berättelser2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: ’Feeling of safety’ means an assurance of optimum quality of life for the individual. Patients have expectations of the medical staff and for nurses to be able to pay attention to patients' needs for feeling of safety and create patients' feelings of safety, further knowledge of what contributes to patients' perceptions of safety in the care is needed. Objective: To describe nurses experiences of factors that may influence patients' perceptions of safety in the care. Method: Qualitative interview study of six nurses in Stockholm, Sweden. The interviews have been processed using a qualitative content analysis, designed by Graneheim och Lundman (2004). Results: The nurses perceived that their attitude towards the patient could affect the patient's feeling of safety. The nurses perceived that the information they gave and the environment around the patient and the disease could affect a patient's feeling of safety. Conclusion: All patients could experience a non-feeling of safety when they had a disease and underwent treatment. The nurse's role in the creation of a feeling of safety in the care are emphasized. Nurses could create feelings of safety in the care by, for example, be confident in their professional role and inform the patient.

  • 41.
    Boberg, Jonas
    Mälardalen University, School of Health, Care and Social Welfare.
    Att vårda suicidnära patienter: ur ett vårdteoretiskt perspektiv2012Independent thesis Advanced level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [sv]

    I vårdandet av patienter som anses utgöra en fara för sig själv genom suicidrisk eller självskadebeteende har olika former av övervakning och observation sedan länge varit ett standardiserat förfarande. Den kritik som riktats mot omvårdnad av suicidnära patienter handlar om att de förfaranden med observation och övervakning som tillämpas upplevs som kränkande och ovärdiga då inget eller ytterst lite av vårdandet fokuserar på orsakerna till att patienten vill skada sig själv eller dö. Studiens syfte var att beskriva vårdande av suicidnära patienter och synliggöra hur sjuksköterskor ansar, leker och lär när de vårdar suicidnära patienter. Som design valdes en litteraturstudie med induktiv ansats samt analys enligt Evans (2002) som modifierades med vårdteoretisk tolkning utifrån Eriksson (1987). Resultatet visar att vårdandet innefattar sjuksköterskans förstående hållning, att skapa en säker och trygg vårdmiljö samt att tillvarata patientens egna resurser. De vårdteoretiska begreppen Ansa, Leka och Lära kan ge sjuksköterskor och övrig vårdpersonal en struktur för tänkandet och ett fundament att grunda vårdandet på. Det kan också bidra till ökad förståelse för hur sjuksköterskans attityder och förhållningssätt påverkar vårdrelationen med patienten. Vidare forskning om hur vårdteorier kan hjälpa sjuksköterskor i vårdandet efterfrågas samt över den suicidnära patientens perspektiv av vårdandet.

  • 42.
    Bolmgren, Martina
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University.
    Wahlén, Jonna
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University.
    Att inte lita på sin kropp och vad den bemästrar: -hur ryggmärgsskadade kvinnor upplever sin sexualitet2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: När en människa drabbats av en ryggmärgskada förändras hela dennes livssituation. Upplevelserna som kan uppstå efter skadan är oftast många. En femtedel av alla ryggmärgsskador drabbar kvinnor, därför har tidigare forskning främst varit inriktat på män. Det har framkommit att det kan vara påfrestande för parförhållanden och självkänslan när någon drabbas av en ryggmärgsskada. Detta kan medföra negativa upplevelser i förhållandet och till sexualiteten. Syfte: Syftet är att beskriva hur ryggmärgsskadade kvinnor upplever sin sexualitet. Metod: En systematisk litteraturstudie med kvalitativ design användes. För att analysera de tolv vetenskapliga artiklarna som valts ut användes en innehållsanalys som metod. Resultat: Tre teman bildades: upplevelsen av att vara oattraktiv, upplevelsen av att inte ha kontroll, och förnimmelsen av sexualiteten. Majoriteten upplevde sin sexualitet negativ och förändrad, men att detta kunde ändras desto längre tid den drabbade levde med skadan. Slutsats: Kvinnorna upplevde försämrat självförtroende efter att de drabbats av en ryggmärgsskada. Upplevelser av oro och osäkerhet förekom ofta. Resultatet har medfört djupare förståelse för hur ryggmärgsskadade kvinnor upplever sin sexualitet, vilket har gett ytterligare förståelse för hur viktig sexualiteten kan vara för en män

  • 43.
    Bonander, Kristina
    et al.
    Högskolan i Borås.
    Snellman, Ingrid
    Mälardalen University, School of Health, Care and Social Welfare.
    Telefonmötets vårdrelation2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 86, no 27, p. 4-8Article in journal (Refereed)
    Abstract [en]

    Background: A large part of the work a nurse conducts at a Primary Care Centre consists of counselling patients over the phone. The patients are sorted and prioritised on the basis of these conversations. Aim: The aim of this study is to describe how the patients experience the caring relationship with the nurse during phone counselling at a Primary Care Centre. Method: In-dept interviews were conducted with ten adult Swedish speaking persons who contacted a nurse at two Medical Care Centres, during a two week period. Results: The patients experienced  that they received a good caring relationship with the nurses. This meant to be treated friendly, be taken seriously and to be able to have a dialog about their problems with the nurse. They wanted to feel unique, empowered and treated as individuals. They could sometimes feel disappointed when an unbalance occurred between the expectations of the patients and the advice they received. Nurses that were stressed influenced the caring relationship in a negative way. Conclusions: Overall the patients experienced a good caring relationship with the nurses, but the nurses were not always aware of how they where perceived.

     

     

     

  • 44.
    Carlström, Camilla
    Mälardalen University, School of Health, Care and Social Welfare.
    Det är upp till mig: Erfarenheter av återhämtning hos patienter med samtidig psykisk ohälsa, beroendeproblematik och kriminell historia2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 45.
    carlsén, Sofia
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Sköldbring, Helena
    Mälardalen University, School of Health, Care and Social Welfare.
    När livsrummen begränsas – vuxna patienters upplevelser av hemodialysbehandling: En litteraturstudie2011Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Previous research shows that families of people undergoing hemodialysis are going through a difficult time.

    Aim:

    The aim was to describe adult patients' experiences in connection with hemodialysis treatment.

    Method:

    A systematic literature review was performed on ten qualitative studies. These were analyzed according to Evans (2002) descriptive model.

    Result:

    The analysis of data resulted in five themes, with twelve related subthemes, where patients' experiences in connection with hemodilalysis treatment emerged.

    Conclusion:

    The results describe patients' experiences and problems in different ways. These different experiences and concerns should be taken into consideration by health professionals, in conjunction with haemodialysis treatment, in order to create a good and safe care, where we look at the whole person.

    Keywords:

    haemodialysis treatment, adult, experience.

  • 46.
    Chatchumni, Manaporn
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Namvongprom, Ampaporn
    Rangsit Univ, Sch Nursing, Rangsit, Thailand.
    Sandborgh, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mazaheri, Monir
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Eriksson, Henrik
    The Red Cross University College, Stockholm, Sweden.
    Nurses’ perceptions of patients in pain and pain management: a focus group study in Thailand2015In: Pacific Rim International Journal of Nursing Research, ISSN 1906-8107, Vol. 19, no 2, p. 164-177Article in journal (Refereed)
    Abstract [en]

    In Thailand, nurses have a key role in the assessment of symptoms and advising on pain management in patients with post-operative in a surgical ward. This study provides insight into nurses’ perceptions of patients in pain and subsequent pain management. A focus group discussion method was used with 18 registered nurses working in surgical wards. The data were analysed using qualitative content analysis. The participants’ descriptions of their perceptions of patients in pain and pain management were condensed into four themes. Two themes revolved around their perceptions of patient pain, uncomfortable patient, and restricted mobility and changed mood. The two remaining themes comprised intolerable pain would be managed, and managing pain through our own experience seems to be of importance in their professional assumption that evidence-based practice is inadequate for patients’ postoperative care. It is suggested that nurses work to a organized pain assessment guideline and pain management models according to cultural contexts. This should be developed within an understanding of the nurse-patient relationship, and specifically holistic nursing models of care can play an important role in bridging the connection between training and practice, not only between personal and professional perceptions of pain and selected strategies, but also between professional knowledge and nurses’ perceptions of patients in pain.The findings may have relevance for other similar contexts and settings.

  • 47.
    Christensson, Sofia
    Mälardalen University, School of Health, Care and Social Welfare.
    Att leva till man dör: Distriktssköterskors erfarfarenheter av avancerad sjukvård i hemmet en intervjustudie.2008Independent thesis Advanced level (degree of Magister), 10 points / 15 hpStudent thesis
    Abstract [en]

    Advanced homecare, district nurses experiences, palliative care, quality of life,Advanced homecare is an arranged specialized medical service doing nursing round-the-clock. The care is preformed in cooperation with a multi-professional team formed of different professions. Advanced home care is mostly palliative care. The purpose is to give the patient better quality of life and anticipate, survey and palliate symptoms. The aim of this study was to describe the experiences of district nurses using advanced homecare when nursing patients with palliative care at home. Five district nurses with experience of advanced homecare were interviewed and in analyses a qualitative content analysis was used. The analysis concluded a well-performed medical service executed by district nurses with high knowledge in medicine and medical equipment working alone and independently involving great responsibility. In order to perform a good nursing experience of life and further education is essential as well as back up from a multi-professional team. The district nurse has to be available round the clock and is communicative, supporting, coordinating and making confidence. Higher knowledge and response from parties concerned will acknowledge the district nurse in her profession in this serious caring.

    Key words: Advanced homecare, district nurses experiences, palliative care, quality of life, qualitative content analysis

  • 48.
    Collan, Camilla
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Ohtonen, Jenni
    Mälardalen University, School of Health, Care and Social Welfare.
    Närståendes delaktighet i omvårdnaden2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: När en person drabbas av en sjukdom så påverkas även hens närstående. Sjuksköterskans uppgift kan därför vara att bedriva en familjefokuserad omvårdnad som inriktar sig på att se patienten och dennes närstående som en helhet. När en person drabbas av sjukdom kan dennes liv förändras. Närståendes delaktighet och förståelse kan därför vara viktiga, för att patienten ska få ett så fungerande vardagsliv som möjligt i sin förändrade livssituation.

    Syfte: Syftet är att skapa en översikt inom forskning av närståendes delaktighet i omvårdnaden.

    Metod: Allmän litteraturöversikt, där studier med både kvalitativ och kvantitativ ansats har granskats och analyserats. Likheter och skillnader har sedan jämförts och sammanställts i resultatet.

    Resultat: Det framkom att alla situationer där närstående görs delaktiga i omvårdnaden är olika. Det finns både positiva och negativa upplevelser och aspekter på närståendes delaktighet. Resultatet redovisas ur patienters, närståendes och sjuksköterskor perspektiv.

    Slutsats: Sjuksköterskan har ett ansvar att i samråd med patienten, i de fall det är möjligt, avgöra om och på vilket sätt samt när det anses möjligt och lämpligt att göra närstående delaktiga i omvårdnaden. Genom erfarenhet kan sjuksköterskan lära sig hantera närståendes delaktighet i omvårdnaden med en finkänslighet.

    Nyckelord: Delaktighet, Familjefokuserad omvårdnad, Litteraturöversikt, Närstående. 

  • 49.
    Coyne, Imelda
    et al.
    School of Nursing and Midwifery, Trinity College, Dublin Ireland.
    Hallström, Inger
    Lund university, Lund, Sweden.
    Söderbäck, Maja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Reframing the focus from a Family-centred to a child-centred care approach for children's healthcare2016In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 20, no 4, p. 492-502Article in journal (Refereed)
    Abstract [en]

    In this article, we argue for a conceptual move from family-centred care (FCC) to a child-centred care approach and the implications for clinical nursing practice. Firstly, we argue that the parents and professional dominance constructs an asymmetric relationship towards the child, which may take away the focus from the child; Secondly, we need to renew efforts to promote the fundamental principles of protection, promotion and participation rights for children and young people according to the United Nations Convention on the Rights of the Child declaration and thirdly, we need to strengthen the child’s perspective and to view the child as an agent representing own experiences and wishes to be respected and negotiated.

  • 50.
    Daelander, Mireille
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Havseden, Sanna
    Mälardalen University, School of Health, Care and Social Welfare.
    UTEMILJÖNS INVERKAN FÖR PATIENTER MED DEMENSSJUKDOM.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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