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  • 1.
    Aagaard, Hanne
    et al.
    Lovisenberg Diaconal University College, Oslo, Norway.
    Hall, ElisabethO.C.
    Health, Aarhus University, Aarhus, Denmark; Faculty of Health Sciences and Nursing University of Faroe Islands, Torshavn, Faroe Islands.
    Audulv, Åsa
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ludvigsen, Mette S.
    Department of Clinical Medicine - Randers Regional Hospital, Aarhus University, Aarhus, Denmark; Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.
    Westergren, Thomas
    Department of Public Health, University of Stavanger, Norway; Department of Nursing Science, University of Agder, Norway.
    Fegran, Liv
    Department of Nursing Science, University of Agder, Norway.
    Parents’ experiences of transitioning to home with a very-low-birthweight infant: a meta-ethnography2023In: Journal of Neonatal Nursing, ISSN 1355-1841, E-ISSN 1878-089X, Vol. 29, no 3, p. 444-452Article, review/survey (Refereed)
    Abstract [en]

    Medical-technological advances and neurodevelopmental care have improved the survival of extremely- and very-low-birthweight infants born before 32 weeks' gestation. After months in neonatal care, the infants are discharged, and parents exited but full of anxiety. This review is designed as a meta-ethnography, addressing parents' discharge experiences to comprehend the synthesised research, which includes 12 eligible studies. From the analysis, we constructed three themes: ‘approaching discharge with both uncertainty and confidence’; ‘discharge as a longed-for though disordering turning point’; and ‘facing joys, worries and multiple challenges when at home’. The overarching interpretation was ‘discharge as double-edged sword’. We conclude that bringing home very-low-birthweight infants is a joyful event, yet parents also experience discharge as never-endingly worrying, as a time filled with challenges to which parents must adapt and as necessitating continuous support from knowledgeable providers.

  • 2.
    Abduljalel, Hassan
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Johansson, Julia
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskors erfarenheter i mötet med inneliggande suicidala patienter - En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Suicidal patients constitute a large patient group within psychiatric inpatient care and can be a challenging patient group for the healthcare staff. Suicidal patients need help and support from nurses to feel better. Dealing with suicidal thoughts, feelings and behaviors can evoke difficult feelings for healthcare professionals.

    Aim: The purpose of this literature study was to describe nurses’ experiences of meeting suicidal inpatients.

    Methods: This is a literature review that includes eight scientific articles retrieved from Pubmed and CINAHL. After a quality review, the results in the selected articles were analyzed with the support of Friberg's analysis model. Common areas in the selected articles are identified and presented in sub-themes and themes.

    Results: From the articles, two themes and four subthemes have been formed. The first theme is “Being Engaged” and the second theme is “Being Frustrated and Suffering”. In the results it is mentioned that being engaged is about balancing professionalism and creating a safe care relationship in the meeting with hospitalised suicidal patients. Being frustrated and suffering is about feeling worry and resentment as well as feeling self-blame and self-doubt.

    Conclusion: Dealing with suicidal patients can arouse difficult feelings in nurses, which are incredibly important to address and discuss. With more knowledge in the field, care will develop more in the right direction.

    Keywords: Inpatient care, Nurse experiences, Psychiatric care, Suicide, Suicide attempt.

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  • 3.
    Abelseth Eriksson, Jeanita
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Frykland, Tove
    Umeå University, Faculty of Medicine, Department of Nursing.
    Operationssjuksköterskors erfarenheter relaterade till blodsmitta2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During surgery there is a risk of exposure to blood-borne pathogens due to the handlings of sharp objects and exposure from blood splash. Blood-borne pathogens like HIV, hepatitis B and hepatitis C spread when contaminated blood comes in contact with damaged skin, mucous membranes or by an injury with a contaminated instrument. Sharps-injuries and blood-splash are the most common forms of exposure in the operating theatre. Patients with a blood-borne infection can feel stigmatized due to their illness. Health care personnel must provide equal care, and not discriminate against patients

    Motive: Theatre nurses work in an environment where there is risk of exposure of blood-borne pathogens, it is therefore of value to examine theatre nurses' experiences related to blood-borne pathogensAim: To shed light on operating theatre nurses' experiences related to blood-borne pathogens.

    Methods: Individual semi-structured interviews were conducted with operating theatre nurses (n=8). Collected data were analyzed according to qualitative content analysis.

    Result: The analysis resulted in three different categories: "Experiencing risk", "Feeling safe" and "Constantly developing".

    Conclusion: The theatre nurse gains confidence in working with patients with known blood-borne pathogens with experience. Availability of information and good routines are important factors as it can otherwise create uncertainty due to the constantly developing nature of the operating theatre nurse's work, and the adding of new routines. There is a risk that patients avoid disclosure of infection in fear of stigmatization and discrimination, and not all carriers of blood-borne pathogens have been tested and diagnosed.  Therefore, all patients should be seen as potential carriers.

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  • 4.
    Abrahamsson, Amanda
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sörlin, Anna
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att vara förälder till ett barn med Diabetes typ 1: En kvalitativ litteraturstudie som beskriver föräldraras självupplevda erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Title: Being a parent of a child with type 1 diabetes

    Background: Type 1 diabetes is a common chronic childhood disease. The prevalence is increasing in several countries worldwide. Type 1 diabetes require a lifelong treatment. There is a risk of complications unless the blood sugar is maintained at normal levels.

    Aim: To describe parents self-perceived experiences of living with children with type 1 diabetes.

    Method: A literature study was conducted. The article search was done in PubMed and CINAHL databases. The results of ten qualitative studies were reviewed, analyzed and compiled. 

    Result: The result is presented in four main categories: Entering a new parent role, relate to a new everyday situation, the need for support and take and give responsibility.

    Conclusion: Parents are constantly exposed to challenges and adaptations in their daily lives. Transferring responsibility of the child was hard for the parents because of distrust and concern. Through the nurses encouragement and support about parents self-care ability, parent could be helped to feel safe about their children's daily care.

     

     

     

  • 5.
    Abrahamsson, Ellinor
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Säll, Marielle
    Umeå University, Faculty of Medicine, Department of Nursing.
    Distriktssköterskors upplevelser av att vårda patienter inom hemsjukvård i glesbygd: En intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bakgrund: Sveriges befolkning blir äldre och andelen med beviljade hemsjukvårdsinsatser ökar. Troligtvis kommer mer hälso- och sjukvårdsinsatser att utföras av distriktssköterskor inom kommunal hemsjukvård istället för på sjukhus i framtiden. Kraven kommer därmed att öka på distriktssköterskan i hemsjukvården och detta kan i synnerhet gälla i glesbygd där tillgänglighet till hälso- och sjukvård redan är begränsad. Motiv: Det går att se en brist på kunskap gällande distriktssköterskor och hemsjukvård. Det finns dessutom få studier som riktar sig till distriktssköterskor som vårdar patienter i glesbygd.

    Syfte: Syftet med denna studie var att belysa distriktssköterskors upplevelse av att vårda patienter inom kommunal hemsjukvård i glesbygd.

    Metod: En kvalitativ studie där 11 distriktssköterskor inom hemsjukvården i en glesbygdskommun i norra Sverige deltog. Data samlades in genom semi-strukturerade intervjuer och analyserades med hjälp av innehållsanalys.

    Resultat: Analysen resulterade i 13 subkategorier, vilket mynnade ut i fyra kategorier: Familjära möten i hemmet gynnar alla, trivsam & utmanande arbetsmiljö, omväxlande vårdbehov sätter distriktssköterskan på prov och kollegor & resurser - alla är viktiga.

    Diskussion: Virginia Hendersons omvårdnadsteori diskuterades i resultatet angående främjandet av patientens oberoende samt autonomi. Dessutom diskuterades teknikens möjligheter i glesbygd och hur läkarbristen försvårade för distriktssköterskan, detta jämfördes med andra studier.

    Konklusion: För att kunna bedriva en bra hemsjukvård i glesbygd behövs det satsas på en mer utvecklad telemedicin och en större andel fasta läkare, för en trygg och jämlik hemsjukvård - dygnet runt - även i glesbygd.

  • 6.
    Abrahamsson, Linnéa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ljungdahl Ristare, Martin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att vara man i ett kvinnodominerat yrke: Manliga vårdares upplevelser av att bemöta kvinnor i situationer som kan upplevas intima och de hanteringsstrategier som används2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Throughout history, the healthcare has been dominated primarily by female caregivers. There are areas for men in nursing which can be considered as taboo. These areas can often be related to intimate care of the opposite sex. Men do primarily work in technical positions in healthcare, for example as a radiographer. At present there is a knowledge gap regarding male radiographers’ intimate care of the opposite sex.

    Aim: Illuminate male caregivers' experiences of dealing with women in situations that can be experienced intimate in Western culture, and management strategies used.

    Method: Nine quality controlled qualitative studies were used in the result. These studies have been analysed by means of qualitative content analysis. The outcome resulted in two domains divided into three categories each, illuminating the experiences and handling strategies for how male caregivers perform and experiences giving intimate care to female patients.

    Results: Male caregivers’ express concern about sexual charges. They also experience prejudice and feel placed in stereotypical compartments that may affect their work with intimate care. To protect themselves they use methods such as communication, breaking the ice or taking help of female colleagues. Several male caregivers describe shortcomings in their education to learn how to handle intimate care.

    Conclusion: Further research is needed in the field of gender in healthcare and radiography linked to the male caregivers’ perspective of providing care. 

  • 7.
    Abrahamsson, Marléne
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Viklund, Mikael
    Personers upplevelse av att leva med diabetesfotsår: En litteraturstudie2016Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Peoples experience of living with diabetic foot ulcers

    Abstract

    Background: Foot ulcers related to diabetes is a global problem. These ulcers can be difficult to heal and very painful for the affected person. Risk for infections and amputations are high. Diabetic foot ulcers can change the affected person’s life world.

    Aim: The purpose of the literature study was to illustrate people's experiences of living with diabetic foot ulcers.

    Method: A literature study based on twelve articles with qualitative approach. The results from respective article has been reviewed, analyzed and compiled. The databases that were used was CINAHL, PubMed, MEDLINE och PsycINFO.

    Result: The analyze resulted in two categories and a total of five subcategories. The categories were: Lost autonomy and Emotional suffering.

    Conclusion: The experience of living with diabetic foot ulcers varies between individuals, but common to many is that they suffer in different ways and that the quality of life deteriorate. The nurse can be a cause of the suffering, but also a hopeful mainstay. To provide person-centered care and see the whole individual is a prerequisite for good nursing care.

    Keywords: Diabetic foot ulcers, experience, suffering.

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  • 8.
    Abrahamsson, Mirjam
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Furufalk, Helena
    Umeå University, Faculty of Medicine, Department of Nursing.
    Jämställdhet är...en alldeles för stor fråga: Barnmorskors uppfattningar om unga mäns ansvarstagande, delaktighet och möjlighet till råd och stöd, vid oönskade eller oplanerade graviditeter.2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Objective: The aim of this study was to investigate midwives perceptions about young men’s responsibility and participation in case of unwanted and unplanned pregnancies and their ideas of support aimed at men, from an equality standpoint.

    Design: Semi-structured interviews with seven midwives in the north of Sweden. The interviews were analyzed with a qualitative content-analysis and from a Critical theory-perspective. It resulted in eleven sub-categories, four categories and one theme.

    Result: Four categories as follows, The excluded young men, shows midwives attitudes regarding that young women, the society and sexual and reproductive healthcare tends to exclude young men when it comes to men´s issues. It is a woman’s world: The midwives saw that their primary work was all about the women, where pregnancy and contraceptives overall was a woman´s matter, in which only women made the decisions. Young men acts according to the masculinity norms of the society: The young men were perceived as rarely looking for support and help with their reproductive and sexual health and were often perceived as having an immature approach to sex. Long way until the sexual and reproductive health is equal: Sex education for young men took place in large groups and was - according to the midwives, often focusing on the wrong things. Sex education needs to start early on and preferably with the support of parents. The midwives had the knowledge requested by young men, but were not routinely sharing it. The theme: Equal responsibility for reproduction no reality in practice includes all categories.

    Conclusion: Young men are considered important in theory but not in practice. The young men are perceived as absent from unplanned pregnancies. With their great knowledge within sexual and reproductive healthcare, midwives are considered ideal working with this group.

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  • 9.
    Abu Mdaighem, Siwar
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Holm, Emily
    Umeå University, Faculty of Medicine, Department of Nursing.
    Patienters erfarenheter i samband med MRT-undersökning: En litteraturstudie2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Magnetresonanstomografi (MRT) är en viktig diagnostisk metod inom hälso- och sjukvården. Fastän MRT-undersökningar är smärtfria upplevs obehagliga känslor hos patienter. Vid MRT-undersökningar spelar röntgensjuksköterskor en stor roll för att säkerställa att patienterna blir väl bemötta med stöd, individuellt anpassad information och god kommunikation. Detta är till för att i förväg kunna vidta åtgärder som motverkar risker, skador och komplikationer vid undersökningar och behandlingar. Det är viktigt att ta tillvara patienternas upplevelser och erfarenheter av en MRT-undersökning för att kunna ytterligare utveckla omvårdnaden.

    Syfte: Syftet med litteraturstudien var att belysa patienters erfarenheter i samband med MRT-undersökning.

    Metod: En litteraturstudie med resultat utav åtta kvalitativa studier som besvarar syftet. Dessa artiklar kvalitetsgranskades och analyserades sedan. Sökningar utfördes i databaserna PubMed och CINAHL.

    Resultat: Litteraturstudiens resultat presenterar tre kategorier och sex underkategorier. Kategorierna var Maktlöshet, Kamp och Möte med det okända. Resultatet visar att patienter upplever MRT-undersökningen olika. Upplevelserna innefattar huvudsakligen en känsla av maktlöshet i varierande grad, otrygghet samt en kamp mot det trånga utrymmet.

    Konklusion: God interaktion och kommunikation mellan patienter och personal samt tydlig och adekvat information om undersökningsproceduren har en stor påverkan på patienters upplevelser och är avgörande om en patient kan klara av undersökningen.

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  • 10.
    Acuña Mora, Mariela
    et al.
    Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden; Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
    Sparud-Lundin, Carina
    Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
    Fernlund, Eva
    Division of Pediatrics, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden; Crown Princess Victoria Children's Hospital, Linköping University Hospital, Linköping, Sweden.
    Fadl, Shalan
    Department of Children and Young Adults, University Hospital Örebro, Sweden.
    Kalliopi, Kazamia
    Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
    Rydberg, Annika
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Burström, Åsa
    Karolinska Institute, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden.
    Hanseus, Katarina
    Children's Heart Center, Skåne University Hospital Lund, Lund, Sweden.
    Moons, Philip
    Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden; Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium; Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
    Bratt, Ewa-Lena
    Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden; Department of Pediatric Cardiology, Queen Silvia Children's Hospital, Gothenburg, Sweden.
    The longitudinal association between patient empowerment and patient-reported outcomes: what is the direction of effect?2022In: PLOS ONE, E-ISSN 1932-6203, Vol. 17, no 11, article id e0277267Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Theoretical literature and cross-sectional studies suggest empowerment is associated with other patient-reported outcomes (PROs). However, it is not known if patient empowerment is leading to improvements in other PROs or vice versa. AIMS: The present study aimed to examine the direction of effects between patient empowerment and PROs in young persons with congenital heart disease (CHD). METHODS: As part of the STEPSTONES-CHD trial, adolescents with CHD from seven pediatric cardiology centers in Sweden were included in a longitudinal observational study (n = 132). Data were collected when patients were 16 (T0), 17 (T1) and 18 ½ years old (T2). The Gothenburg Young Persons Empowerment Scale (GYPES) was used to measure patient empowerment. Random intercepts cross-lagged panel models between patient empowerment and PROs (communication skills; patient-reported health; quality of life; and transition readiness) were undertaken. RESULTS: We found a significant cross-lagged effect of transition readiness over patient empowerment between T1 and T2, signifying that a higher level of transition readiness predicted a higher level of patient empowerment. No other significant cross-lagged relationships were found. CONCLUSION: Feeling confident before the transition to adult care is necessary before young persons with CHD can feel in control to manage their health and their lives. Clinicians interested in improving patient empowerment during the transitional period should consider targeting transition readiness.

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  • 11.
    Adler, Sofia
    Umeå University, Faculty of Medicine, Department of Nursing.
    Hur påverkar BMI den perioperativa tidsåtgången?: Perioperativ omvårdnad till patienter med övervikt2024Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Hur påverkar BMI den perioperativa tidsåtgången?

     

    Abstrakt

     

    Bakgrund: Antalet människor med obesitas har mer än tredubblats världen över sedan 1975 (World Health Organisation [WHO] 2021). Ökningen sker både för män och kvinnor, i alla åldrar, etniciteter och samhällsklasser (WHO, 2021). Denna ökning ses även inom svensk hälso- och sjukvård (Folkhälsomyndigheten, 2021).Motiv: Ett högt BMI leder till större risk för komorbiditet vilket kan leda till komplikationer vid operation och det kräver mer noggrann övervakning av den patientgruppen. Motivet för studien är att undersöka om BMI >30 påverkar inom de perioperativa tiderna.Syfte: Studiens syfte var att jämföra perioperativa vårdtider, förberedelsetid, salstid, knivtid och postoperativ tid, mellan patienter med BMI under och över 30, samt män och kvinnor.Metod: Studien är en retrospektiv studie med tvärsnittsinriktning. Deltagande i studien var totalt 194 patienter, män (n= 97) och kvinnor (n=97).  Oberoende variabler som BMI (<30 och >30) och kön (män och kvinnor) samt interaktionen med beroende variabler där perioperativa vårdtider uppdelat: a) förberedelsetid, b) salstid, c) knivtid och d) postoperativ tid utvärderades. För att besvara syftet, valdes flervägs ANOVA som analysmetod. Resultat: Det fanns ett signifikant samband där män med BMI >30 hade förlängd postoperativ tid F (1, 190) = 4.20, p=.04, medan kvinnor med högt BMI hade en kortare postoperativ tid än kvinnor med BMI <30 F (1, 190) = 5.63, p=.02. Övriga variabler och interaktioner visade inte på några signifikanta skillnader eller samband.  Konklusion: I denna studie har det framkommit att ett högre BMI inte skapat någon generell påverkan på perioperativa vårdtider, endast de postoperativa vårdtiderna påverkades av BMI>30. Denna studie kan bidra till att undvika diskriminering av patienter med högt BMI inom vården samt påvisa för vårdare och verksamheter att skillnad i BMI ej påverkar dagliga vården.

    Nyckelord: Obesitas, Perioperativ vård, operationstid, BMI, övervikt, Perioperativ tidsåtgång

  • 12.
    Adolfsson, Julia
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Eriksson, Jannike
    Umeå University, Faculty of Medicine, Department of Nursing.
    "Kan någon stänga av larmet?!": -en kvantitativ observationsstudie2021Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: En stor andel patienter drabbas årligen av medicinska felbehandlingar som kan hota patientsäkerheten. Inom intensivvården vårdas kritiskt sjuka patienter som övervakas kontinuerligt. Den tekniska övervakningen av patienterna speglar inte alltid allvarliga förändringar av patienternas tillstånd.

    Motiv: Tidigare forskning har visat att stora mängder larm kan störa intensivvårdssjuksköterskans i dennes arbete och hota patientsäkerheten genom att minska svarsfrekvensen på larm. Kunskap om åtgärder vid larm inom intensivvården i Sverige är sparsam.

    Syfte: Syftet med studien var att kartlägga intensivvårdssjuksköterskors åtgärder vid larm från övervakning av vitala parametrar på en intensivvårdsavdelning.

    Metod: Kvantitativ metod användes och datainsamlingen omfattade 491 larm fördelade på 15 specialistutbildade sjuksköterskor. Åtgärder vid olika larmtyper observerades och registrerades i ett testat protokoll. För att jämföra skillnader i åtgärder mellan olika larmtyper, kön och grupper av erfarenhet användes Chi 2-test.

    Resultat: Intensivvårdssjuksköterskorna gjorde någon form av åtgärd 21 % av alla larmsignaler. Resterande hanterades av övrig personal (40,5%) eller att larmsignalen tystades av automatiskt (38,5%).  Signifikanta samband utifrån larmtyp var läkemedelsåtgärder, omvårdnadsåtgärder, justering av apparatur, ingen åtgärd samt övrig personal. Skillnader mellan kön framkom i kategorierna läkemedelsåtgärder, tysta av larm och övrig personal. Utifrån arbetslivserfarenhet fanns det signifikanta skillnader i läkemedelsåtgärder, att tysta av larm samt att ingen åtgärd utfördes alls.

    Konklusion: Resultatet i denna studie visar att majoriteten av larm inte besvaras av intensivvårdssjuksköterskan samt att flertalet larm lämnas obesvarade. Detta kan vara ett tecken på att flertalet larm är så kallade falska och kan vara risk för alarm fatigue som hotar patientsäkerheten.

  • 13.
    Adolfsson, Katarina
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Berggren Nylund, Inga
    Umeå University, Faculty of Medicine, Department of Nursing.
    Upplevelser av primärvården hos vuxna med Neurofibromatos typ 12015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To describe how adults with Neurofibromatosis type 1 experience their encounter with primary care

    Background: Neurofibromatosis type 1 (NF1) is an autosomal dominant condition including café au lait spots on the skin and multiple benign tumours that grow from peripheral nerves. The severity of the condition varies. Pains and the unpredictability of the disease may cause concern and result in repeated visits to health centres. Nursing patients with NF1 can be a challenge. 

    The presence of multiple symptoms can cause difficulties in creating a holistic approach towards the patient. Despite the fact that one of 3000 has the condition it is relatively unknown. Few studies describe how people with NF1 experience primary care.  

    Design: A quantitative cross sectional study

    Method:  In 2015, 30 participants took part in a survey with multiple choice questions and space for comments about their experiences of primary care. 

    Results: Half of the participants perceived primary care generally as good or very good. However, 93 % perceived health professionals’ knowledge about NF1 as poor or very poor.  

    Conclusion: Many professions in primary care had insufficient knowledge and understanding of NF1. This study indicates the need of improved care and a deeper insight into patients’ problems. The authors suggest establishing more centres for rare diseases. Also care planning programmes for NF1 may result in improved care at health centres. More nursing research is needed on providing information about rare diseases.     

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  • 14.
    af Bjerkén, Agneta
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Holmgren, Selma
    Umeå University, Faculty of Medicine, Department of Nursing.
    "Varför har jag fortfarande ont?" Ambulanssjuksköterskors erfarenheter av och strategier för prehospital smärta och smärtlindring2024Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Smärta är vanligt förekommande hos patienter inom den prehospitala vården och en vanlig orsak till att människor ringer 112. Inom ambulanssjukvården är det sjuksköterskorna som bedömer och behandlar patientens smärta, utifrån den information som inhämtas på plats. Smärtskattningen behöver ofta utföras snabbt, vilket medför att det sällan finns tid för någon djupare smärtanalys och i flertalet fall anser sig patienterna inte bli tillräckligt smärtbehandlade innan de når sjukhuset. 

    Motiv: Studier visar att patienterna ofta inte blir tillräckligt smärtlindrade inom ambulanssjukvården. 

    Syfte: Att undersöka ambulanssjuksköterskors erfarenheter, utmaningar och strategier för patienters smärtlindring inom den prehospitala vården och därmed försöka förklara orsaken till att patienterna inte blir tillräckligt smärtlindrande.

    Metod: Datainsamlingen bestod av semistrukturerade intervjuer med tio ambulanssjuksköterskor på två olika ambulansstationer i mellersta och norra Sverige, där deltagarna valdes ut med ändamålsenligt urval. Intervjuerna transkriberades och analyserades med kvalitativ innehållsanalys.

    Resultat: Tio intervjuer genomfördes under hösten 2023. Analysen av materialet resulterade i fyra kategorier med titlarna "Sjuksköterskans smärtbedömningar påverkas av olika faktorer i den prehospitala vårdsituationen", "Att frångå behandlingsriktlinjerna", "Ett personcentrerat omhändertagande bidrar till en effektiv hantering av smärtan" och "Brist på kunskap är ett hinder för effektiv smärtbehandling prehospitalt". Var och en av de olika kategorierna beskrev ambulanssjuksköterskornas tankar, svårigheter och strategier kring bedömning och behandling av smärta prehospitalt.

    Konklusion: Ambulanssjuksköterskor beskriver varierande orsaker till inadekvat smärtbedömning och -behandling men också strategier för att optimera hanteringen av smärta hos patienter inom den prehospitala vården. Ökad kunskap om smärta och smärtbehandling hos ambulanssjuksköterskorna samt ett mer personcentrerat arbetssätt skulle kunna bidra till bättre hantering av smärta samt en säkrare vård.

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  • 15.
    af Bjerkén, Agneta
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Åslund, Mia
    Umeå University, Faculty of Medicine, Department of Nursing.
    Anestesisjuksköterskors erfarenheter av vård av patienter med missbruksproblem: En intervjustudie2017Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
    Abstract [en]

    Purpose The aim of this study was to describe anaesthetic nurses' strategies for the nursing of patients with misuse dependency within anaesthetic care.Background Anaesthetic nurses daily meet patients with different backgrounds, conditions and needs. There are often different physiological and psychological factors that affect the anaesthesia and the anaesthetic care for persons with misuse problems than for persons without similar problems. These factors could be for example increased tolerance for drugs, impaired ability to digest drugs, increased bleeding tendency, stress and anxiety. The anaesthetic nurses' knowledge and understanding for earlier mentioned factors are of utmost importance for them to be able to perform a good and optimum anaesthetic care.Design The study was made with qualitative research design with semi-structured interviews.Methods The participants were chosen on a representative basis. The data collection consisted of semi-structured interviews with anaesthetic nurses in five hospitals in Sweden. The interviews were written down and analyzed using a qualitative content method.Results Twelve interviews were made during the autumn 2016. The analysis of the material resulted in three categories titled ”Having preparedness for action”, ”Communicating with the patient” and ”Being security conscious”. The categories consisted of eight subcategories that were titled ”Being prepared to adjust the doses”, ”Choosing the adequate medicine”, ”Managing bleeding tendency”, ”Handling difficulties with giving injections”, ”Establishing trust”, ”Being explicit”, ”Ensuring safety for the staff” and ”Ensuring safety for the patient”.Conclusion Anaesthetic nurses are aware of the physiological and psychological factors that affect the anaesthesia of patients with misuse dependency. They have conceived strategies for planning the anaesthesia and for preventing the emerging of problems. The predominant strategies contain drug related measures such as dose adjustment and selection of drugs. There are different opinions whether a PM or a general routine would increase the safety and improve the handling of patients with misuse dependency.Keywords: Anaesthetic nurse; Misuse; Strategies; Experiences

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  • 16.
    Agnvall, Aline
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Byström, Emelie
    Umeå University, Faculty of Medicine, Department of Nursing.
    Omvårdnadspersonalens erfarenheter i vårdandet av suicidnära patienter: - en litteraturstudie2020Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Background: Suicide is a global health problem with fatal outcomes. Suicide prevention is a healthcare responsibility and the nurses relationships with patients are essential. However, nurses attitudes and experiences affect relationships and thereby the suicide prevention. 

    Aim: The aim is to describe the nursing staff’s experiences of caring for suicidal patients. 

    Methods: Literature study conducted on nine qualitative studies found in the databases Cinahl and PsycINFO. The analytic method was inspired by the five stage model and content analysis. 

    Result: The analysis resulted in three categories: To build a confiding relationship, To be divided between the organizational demands and the ideal of care and Emotional impact and coping strategies in nursing 

    Conclusion: Nursing staff value the therapeutic relation with patients, although balancing between closeness and distance is difficult. Nursing staff experience that organizational guidelines contributes to the distance. Patient responsibility and lack of knowledge result in negative emotions among nurses. Insufficient emotional support, education or opportunity to self-reflect, can consequently affect the nursing. The results may apply to practice with an increased understanding of how negative emotions can develop and be handled. Further research is needed to elaborate nursing strategies to prevent suicide.

  • 17.
    Ahl, Caroline
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nyström, Maria
    To handle the unexpected: the meaning of caring in pre-hospital emergency care2012In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 20, no 1, p. 33-41Article, review/survey (Refereed)
    Abstract [en]

    The patient's voice has not been present to the same degree as the professional perspective in caring research in a pre-hospital context. In order to further develop and improve pre-hospital care, it is therefore important to explore patients' situations not only in life threatening but also in non-traumatic situations. This is especially important as these patients might be defined as inappropriate attendees of ambulance services. The aim of this study was to interpret and explain experiences of caring in pre-hospital care situations that are not defined as traumatic or life threatening. Twenty informants aged between 34 and 82 years were interviewed. The design of the study was exploratory, and it used an interpretative approach in order to understand the meaning of pre-hospital caring. The findings show that pre-hospital caring can be understood and explained as a matter of interplay between carer(s) and patient with potentials for positive as well as negative outcomes. Our conclusion is that the initial meeting is of vital importance in how patients experience pre-hospital care. It is suggested that general public information on the development of Swedish pre-hospital care received in turn may facilitate the first encounter between patient and carer(s). 

  • 18.
    Ahl, Caroline
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. School of Health Sciences, University Collage of Borås, SE-501, 90 Borås, Sweden.
    Nyström, Maria
    Jansson, Lilian
    Umeå University, Faculty of Medicine, Department of Nursing.
    Making up one's mind: patients' experiences of calling an ambulance2006In: Accident and Emergency Nursing, ISSN 0965-2302, E-ISSN 1532-9267, Vol. 14, no 1, p. 11-19Article in journal (Refereed)
    Abstract [en]

    The issue of the inappropriate use of ambulance transport and care has mainly been studied from the professionals' and caregivers' perspective, with few studies focusing on the patient and his/her experiences. To further understand whether patients use ambulance care in an inappropriate manner and, if so, why, it is important to obtain an overall picture of the patients' existential situation at the time they call an ambulance. The aim of this study was to analyse and describe patients' experiences related to the decision to call an ambulance and the wait for it to arrive. The design was explorative, and twenty informants aged between 34 and 82 years were interviewed. Qualitative content analyses were performed. The findings showed that calling for an ambulance is a major decision that is preceded by hesitation and attempts to handle the situation by oneself. Our conclusion is that the definition of inappropriate use of valuable health care resources should not be based solely on the professionals' point of view but also take account of the patients' reactions when they experience a threat to their life and health.

  • 19.
    Ahlberg, Camilla
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Johansson, Viola
    Umeå University, Faculty of Medicine, Department of Nursing.
    Vårdpersonalens kunskap om trycksårsprofylax: – En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    ABSTRAKT

    Bakgrund: Att förebygga sjukdom och lindra lidande är två av sjuksköterskans huvuduppgifter. Trycksår räknas som vårdskada och är ett universellt problem med relativt konstant frekvens som innebär mycket smärta och lidande för patienten. Trycksår kan förebyggas i de flesta fall vilket är en del av vårdpersonalens ansvar.

    Syfte: Denna litteraturstudie avser att beskriva vårdpersonalens kunskap om trycksårsprofylax.

    Metod: 11 kvantitativa forskningsartiklar om vårdpersonals kunskap beträffande trycksårsprofylax har granskats och sammanställts för att få en klarare syn på kunskapen.

    Resultat: Även om vårdpersonalens kunskap om trycksårsprofylax överlag är relativt god så har man ändå kunnat identifiera stora kunskapsluckor.

    Konklusion: Dessa kunskapsluckor kan vara en av orsakerna till att undvikbara trycksår fortfarande uppstår.    

    Nyckelord: Sjuksköterska, trycksår, prevention, profylax, kunskap 

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  • 20.
    Ahlberg, Jane
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Dannvik, Rebecka
    Umeå University, Faculty of Medicine, Department of Nursing.
    Omvårdnadsåtgärder: En litteraturstudie om omvårdnadsåtgärder vid Anorexia nervosa.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Anorexia nervosa är en ätstörning som debuterar i allt yngre ålder och kan yttra sig på olika sätt beroende på individen. Detta leder till att det inte finns ett enkelt svar på hur sjukdomen ska behandlas. Det ställer krav på både kunskap och erfarenhet hos sjuksköterskorna för att förstå komplexiteten av anorexia nervosa, vilket är nödvändigt för att uppnå ett lyckat behandlingsresultat.

     

    Syfte: Syftet är att beskriva sjuksköterskans omvårdnadsåtgärder vid behandling av anorexia nervosa hos unga kvinnor.

     

    Metod: En litteraturstudie grundad på åtta kvalitativa artiklar. Artiklarnas resultat har granskats, analyserats och sammanställts för att besvara syftet. Databassökningen har genomförts i Cinahl, Pubmed samt PsykInfo.

     

    Resultat: Sammanfattningen av artiklarnas resultat bildade tre kategorier som beskriver de omvårdnadsåtgärder sjuksköterskorna använder: 1) Bygga och upprätthålla en god relation till patienten, 2) Säkerställa viktökning och 3) Återställa ett normalt ätbeteende.  

     

    Slutsats: Litteraturstudien beskriver hur behandlingen påverkas av hur sjuksköterskorna genomför omvårdnaden. Att skapa en god relation till patienten är en avgörande komponent för att lyckas med viktökning och en beteendeförändring hos patienten.   

     

    Nyckelord: Anorexia nervosa, behandling, kvinnor, omvårdnad, ungdomar

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  • 21. Ahlqvist, Viktor H
    et al.
    Persson, Margareta
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ortega, Francisco B
    Tynelius, Per
    Magnusson, Cecilia
    Berglind, Daniel
    Birth Weight and Cardiorespiratory Fitness Among Young Men Born at Term: The Role of Genetic and Environmental Factors2020In: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, ISSN 2047-9980, E-ISSN 2047-9980, Vol. 9, no 3, article id e014290Article in journal (Refereed)
    Abstract [en]

    Background: Preterm delivery and low birth weight are prospectively associated with low cardiorespiratory fitness (CRF). However, whether birth weight, within the at-term range, is associated with later CRF is largely unknown. Thus, the aim of the current study was to examine this issue and whether such association, if any, is explained by shared and/or nonshared familial factors.

    Methods and Results: We conducted a prospective cohort study, including 286 761 young male adults and a subset of 52 544 siblings born at-term. Objectively measured data were retrieved from total population registers. CRF was tested at conscription and defined as the maximal load obtained on a cycle ergometer. We used linear and nonlinear and fixed-effects regression analyses to explore associations between birth weight and CRF. Higher birth weight, within the at-term range, was strongly associated with increasing CRF in a linear fashion. Each SD increase in birth weight was associated with an increase of 7.9 (95% CI, 7.8-8.1) and 6.6 (95% CI; 5.9-7.3) Wmax in the total and sibling cohorts, respectively. The association did not vary with young adulthood body mass index.

    Conclusions: Birth weight is strongly associated with increasing CRF in young adulthood among men born at-term, across all categories of body mass index. This association appears to be mainly driven by factors that are not shared between siblings. Hence, CRF may to some extent be determined already in utero. Prevention of low birth weight, also within the at-term-range, can be a feasible mean of increasing adult CRF and health.

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  • 22. Ahlqvist, Viktor H.
    et al.
    Persson, Margareta
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ortega, Francisco B.
    Tynelius, Per
    Magnusson, Cecilia
    Berglind, Daniel
    Birth weight and grip strength in young Swedish males: a longitudinal matched sibling analysis and across all body mass index ranges2019In: Scientific Reports, E-ISSN 2045-2322, Vol. 9, article id 9719Article in journal (Refereed)
    Abstract [en]

    Low birth weight is associated with a lower grip strength later in life. However, associations between birth weight among infants born at-term and factors driving associations between birth weight and grip strength are largely unknown. A cohort of 144,369 young men born at-term, including 10,791 individuals who had at least one male sibling/s, were followed until conscription where they performed a grip strength test. We used linear and non-linear regression analyses in the full cohort, and fixed-effects regression analyses in the sibling cohort, to address confounding by factors that are shared between siblings. After adjustment, each unit increase in birth weight z-score was associated with increases of 17.7 (95% CI, 17.2-18.2) and 13.4 (10.1-16.6) newton grip strength, which converts to approximately 1.8 and 1.4 kilogram-force in the full and within-families cohorts, respectively. The associations did not vary with young adulthood BMI. Birth weight, within the at-term range, is robustly positively associated with grip strength in young adulthood among men across all BMI categories and associations appears to be mainly driven by factors that are not shared between siblings. These findings underline the importance of recognizing the influence of low birth weight, also within the at-termrange, on young adulthood muscle strength.

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  • 23.
    Ahlström, Hanna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjöstedt, Pamela
    Umeå University, Faculty of Medicine, Department of Nursing.
    Den äldre människans bästa vän: En litteraturstudie om vårdhundens positiva effekter på personer med demenssjukdom2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Många personer med demenssjukdom bor på särskilda boenden. Vårdmiljön på de särskilda boendena består både av fysiska och psykosociala faktorer, vilka påverkar hälsan. Demenssjukdom är ett kroniskt tillstånd som kan orsaka flera olika symtom. Beteendemässiga och psykiska symtom vid demenssjukdom (BPSD) är vanligt förekommande och har en negativ påverkan på livskvalitén hos personer med demenssjukdom samt personer i deras närhet. BPSD behandlas oftast med läkemedel, men det finns flera kompletterande icke- farmakologiska behandlingsmetoder och djurassisterad intervention är en av dem. Inom vården har djur visat sig ha flera positiva effekter på hälsan. Hundar är det djur som används mest och finns inom exempelvis hospice, rehabilitering och demensvård.  Syfte: Syftet var att belysa positiva effekter av att använda vårdhundar inom demensvård på särskilt boende. Metod: En litteraturstudie där resultatet baserats på nio kvantitativa studier. Först genomfördes systematiska sökningar i olika databaser med utvalda sökord. Därefter granskades, analyserades och sammanställdes de valda studierna. Resultat: Sammanställningen resulterade i fyra huvudkategorier; påverkan på BPSD, påverkan på kognition, påverkan på livskvalité samt påverkan på läkemedelsanvändning. Djurassisterad intervention kan minska BPSD, förbättra orienteringsförmågan, ökad social interaktion och förbättra livskvalitén hos personer med demenssjukdom. Inom läkemedelsanvändningen sågs inga skillnader. Konklusion: Litteraturstudiens slutsats är att vårdhundar kan ha flera positiva effekter på personer med demenssjukdom. Det krävs mer forskning om interventionens utformning och om dess potentiella förmåga att komplettera eller ersätta läkemedelsanvändning.   

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  • 24.
    Ahmadi, Alijoma
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Gholami, Hanif
    Föräldrars erfarenheter av att leva med ett barn med diabetes typ 1: En litteraturstudie.2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 1 is an autoimmune disease that mainly affects children and young people, the treatment is lifelong because it is not possible to cure the disease.

    Aim: To illuminate parents' experience of living with a child with type 1 diabetes

    Methods: A qualitative literature study that compiles the existing knowledge in the subject. The search was performed in the databases Cinahl and PubMed. The results of eight empirical and qualitative studies were reviewed, analyzed and compiled. The result was analyzed according to Forsberg & Wengström five steps analysis method. 

    Results: The results were compiled into two categories: Experience of their own and others' lack of knowledge, face changes in daily life. The results showed that the child's diabetes affects the parents' daily lives in many different ways, such as physical, mental and social.

    Conclusion: The child's diabetes causes major changes in the parents' lives. The parents feel that both themselves and those in the child's environment do not have sufficient competence regarding the child's diabetes and associated diabetes care. Thus, nurses should convey knowledge and educate parents so that they can handle the child's diabetes care in a good way. School staff and relatives should be offered education so that the parents feel safe when the child is at school, with relatives or friends.

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  • 25.
    Ahmed, Korde
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskors erfarenhet av hur munhälsa hanteras på särskilda boenden2023Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 26.
    Ahnlund, Anna-Ella
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Svennberg, Elin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att främja anknytning när barnet föds för tidigt: -Barnsjuksköterskors erfarenheter2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Premature births often leads to poorer conditions for the child to develop a safe attachment. Nurses in the neonatal unit have therefore a significant role to play to enhance early attachment.

    Motive: Research shows that nurses in neonatal care often experience difficulties in the work of supporting the parents in the process of attaching with their premature child. Few studies shed light on the subject from the perspective of the nurse, which may be of importance for future work. It is therefore of interest to seek more knowledge about nurses’ experiences of promoting the attachment.

    Aim: To shed light on nurses' experiences of enhanceing early attachment between the parents and their premature born child in neonatal units.

    Methods: A semi-structured interview study with eight pediatric nurses in neonatal units in southeastern Sweden. Data is analyzed using content analysis. Result: The analysis resulted in four categories: Enabling closeness between the child and the parents, Supporting the parents to participation, Strengthening the parents' sense of parenthood, Obstacles in the work of enhancing attachment.

    Discussion: The result is strengthened and discussed in relation to previous research showing that the attachment is promoted between parents and children when they experience closeness to each other, when parents are involved in the child's nursing care and when parents feel secure in their parenting role. The result shows that nurses often find that they lack enough skills to support the parents who end up in crisis, something that has also been shown in previous research. It also emerged that nurses often lack formal competence in, enhancing early attachment which, however, does not appear in previous research.

    Conclusion: The nurses' experience shows that when responsibility for the child is safely transferred to the parents, the attachment is promoted. Increased knowledge of how the nurse can support parents in crisis can lead to improvements in the work of enhanceing early attachment. Organizational changes that enable cooperation between clinics can also lead to changes that facilitate the work of enhanceing early attachment

  • 27.
    Ait Zaid, Melissa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Gunnesson, Michaela
    Umeå University, Faculty of Medicine, Department of Nursing.
    Skolsköterskors erfarenheter av att arbeta med barn med övervikt och obesitas: En kvalitativ intervjustudie2023Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 28.
    Aiyash, Asoom
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Susanne, Långhed
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskors/distriktssköterskors erfarenheter av utmaningar i psykosocial och fysisk arbetsmiljö i vården av personer med funktionsvariationer på LSS-boende2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 29.
    Aktell, Carolina
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Magnusson, Malin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Upplevelser av urininkontinens bland äldre kvinnor2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 30.
    Al Hindosh, Sali
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Gashi, Fiona
    Umeå University, Faculty of Medicine, Department of Nursing.
    Specialistsjuksköterskors erfarenheter av att kommunicera med patienter som behandlas i tryckkammare.2024Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Abstrakt  

    Bakgrund: Omvårdnad baseras och stärks av en effektiv kommunikation mellan vårdpersonal och patienter. Det finns olika sätt att kommunicera på, men det finns hinder som kan försämra en effektiv kommunikation. Bristande kommunikation inom vården är en av de vanligaste orsakerna till vårdskador och lidande för patienterna. Kommunikationen är ett av sjuksköterskans viktigaste verktyg inom vården men det brister forskning om kommunikation med patienter under tryckkammarbehandling.   

    Motiv: Aktuell forskning om specialistsjuksköterskornas erfarenheter av kommunikation med patienter under tryckkammarbehandling är viktig. Studien kommer att bidra med fördjupad förståelse om kommunikationen under tryckkammarbehandling.   

    Syfte: Syftet med studien var att beskriva specialistsjuksköterskor erfarenheter av att kommunicera med patienter som behandlas i tryckkammare.  

    Metod: En kvalitativ studie genomfördes med hjälp av semistrukturerade intervjuer med specialistsjuksköterskor (n=7) som arbetade på centraloperation samt en intensivvårdsavdelning i en medelstor stad i södra Sverige. En intervjuguide utformades med lämpliga frågor som stöd under intervjuerna, som spelades in. De semistrukturerade intervjuerna transkriberades ordagrant. Transkripten bearbetades med kvalitativ innehållsanalys och resulterade i två huvudkategorier och sex underkategorier.   

    Resultat: Specialistsjuksköterskornas erfarenheter av att kommunicera med patienter under tryckkammarbehandling handlade om att identifiera hinder i kommunikationen samt att skapa goda förutsättningar för en god kommunikation. Den avgränsande miljön under behandlingen, avsaknad återkoppling och brist på tid var hinder som visade sig i intervjuerna. Förutsättningarna för god kommunikation inkluderade att skapa förtroende och ge stöd, förbereda patienten samt nyttjandet av både verbal och icke-verbal kommunikation.    

    Konklusion: Studien redovisar hinder i kommunikationen under tryckkammarbehandling samt belyser specialistsjuksköterskors förmågor att skapa förutsättningar för att motverka dessa hinder.   

  • 31.
    Al-Alawi, Kamila
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Department of Training and Studies, Royal Hospital, Ministry of Health, Muscat, Oman.
    Al Mandhari, Ahmed
    Johansson, Helene
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Care providers' perceptions towards challenges and opportunities for service improvement at diabetes management clinics in public primary health care in Muscat, Oman: a qualitative study2019In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 19, article id 18Article in journal (Refereed)
    Abstract [en]

    BackgroundThe literature has described several challenges related to the quality of diabetes management clinics in public primary health care centres in Oman. These clinics continue to face challenges due to the continuous growth of individuals diagnosed with type 2 diabetes. We sought to explore the challenges faced in these clinics and discuss opportunities for improvement in Oman.MethodsThis qualitative study was designed to include non-participant observations of diabetic patients and care providers during service provision at diabetes management clinics, as well as semi-structured interviews with care providers, at five purposively selected public primary health care centres. Care providers included physicians, nurses, dieticians, health educators, pharmacists, an assistant pharmacist, a psychologist, and a medical orderly. The data were analysed using qualitative content analysis.ResultsThe study disclosed three different models of service delivery at diabetes management clinics, which, to varying degrees, face challenges related to health centre infrastructure, technical and pharmaceutical support, and care providers' interests, knowledge, and skills. Challenges related to the community were also found in terms of cultural beliefs, traditions, health awareness, and public transportation.ConclusionThe challenges encountered in diabetes management clinics fall within two contexts: health care centres and community. Although many challenges exist, opportunities for improvement are available. However, improvements in the quality of diabetic clinics in primary health care centres might take time and require extensive involvement, shared responsibilities, and implications from the government, health care centres, and community.

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  • 32.
    Albinsson, Anna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nordlander, Anna-Lena
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskors upplevelser och erfarenheter av samtal med äldre personer som vårdas i livets slutskede2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. Ensuring good care in the end of life is a multifaceted task. Focus often tends to be of pharmacological orientation and mostly on relieving physical symptoms such as pain.For a person-centered care based on a holistic view, the nurse's communication with the patient is also important.The aim of this study was to describe the nurses' experiences of communicating with elderly people cared for in the end of life.Design. This study has a qualitative descriptive design and is based on interviews.Method. A total of ten nurses participated in semistructured interviews at the beginning of the year of 2017. The material was analyzed with qualitative content analysis.Findings. Eight categories emerged during analysis. The result shows that late insight and denial approach to end of life are perceived as obstructing circumstances for communication. A number of other impeding considerations such as lack of time, language barriers, lack of knowledge and experience, as well as relatives' presence are also described in this study. The nurse's closeness in a neutral relationship, the patient's ability of acceptance and the nurse's balance between professionalism and trustworthy commitment, appear on the other hand as supportive conditions for communication. A united palliative focus around the patient creates better opportunities for communication and support to adaption and acceptance in the final stage of life.Conclusions. The result shows that trustful communication is found meaningful both for the patient and for the nurse. The nurse finds that the connection to the patient through the communication is an important and necessary basis when creating a person-centered care. The communication consequently need to be highlighted as a self-evident and prioritized part in the care of the elderly person at the end of life.

  • 33. Alenius, Lisa Smeds
    et al.
    Lindqvist, Rikard
    Ball, Jane E.
    Sharp, Lena
    Lindqvist, Olav
    Umeå University, Faculty of Medicine, Department of Nursing.
    Tishelman, Carol
    Between a rock and a hard place: Registered nurses' accounts of their work situation in cancer care in Swedish acute care hospitals2020In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 47, article id 101778Article in journal (Refereed)
    Abstract [en]

    Purpose: Hospital organizational features related to registered nurses' (RNs') practice environment are often studied using quantitative measures. These are however unable to capture nuances of experiences of the practice environment from the perspective of individual RNs. The aim of this study is therefore to investigate individual RNs' experiences of their work situation in cancer care in Swedish acute care hospitals.

    Methods: This study is based on a qualitative framework analysis of data derived from an open-ended question by 200 RNs working in specialized or general cancer care hospital units, who responded to the Swedish RN4CAST survey on nurse work environment. Antonovsky's salutogenic concepts "meaningfulness", "comprehensibility", and "manageability" were applied post-analysis to support interpretation of results.

    Results: RNs describe a tension between expectations to uphold safe, high quality care, and working in an environment where they are unable to influence conditions for care delivery. A lacking sense of agency, on individual and collective levels, points to organizational factors impeding RNs' use of their competence in clinical decision-making and in governing practice within their professional scope.

    Conclusions: RNs in this study appear to experience work situations which, while often described as meaningful, generally appear neither comprehensible nor manageable. The lack of an individual and collective sense of agency found here could potentially erode RNs' sense of meaningfulness and readiness to invest in their work.

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  • 34.
    Alex, Lena
    Umeå University, Faculty of Medicine, Department of Nursing.
    Feministiska perspektiv på omvårdnad - finns det?1998In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 75, no 1-2, p. 57-61Article in journal (Other (popular science, discussion, etc.))
  • 35.
    Alex, Lena
    Umeå University, Faculty of Medicine, Department of Nursing.
    Resilience among old Sami women2016In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 36, p. 1738-1756Article in journal (Refereed)
    Abstract [en]

    There is lack of research on old indigenous women’s experiences. The aim of thisstudy was to explore how old women narrate their experiences of wellbeing andlack of wellbeing using the salutogenetic concept of resilience. Interviews fromnine old Sami women were analysed according to grounded theory with the followingthemes identified: contributing to resilience and wellbeing built up from the categoriesfeeling connected, feeling independent and creating meaning; andcontributing to lack of lack of resilience and wellbeing built up from the categoryexperiencing lack of connectedness. The old Sami women’s narratives showedthat they were to a high extent resilient and experienced wellbeing. They felt bothconnected and independent and they were able to create meaning of being anold Sami woman. Having access to economic and cultural capital were for the oldSami women valuable for experiencing resilience. Lack of resilience was expressedas experiences of discrimination, lack of connectedness and living on the borderof the dominant society. Analysis of the Sami women’s narratives can give wider perspectiveson women’s health and deepen the perspectives on human resilience andincrease the understanding of minority groups in a multicultural world.

  • 36.
    Alex, Lena
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lehti, Arja
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Professionell Development.
    Experiences of Well-Being Among Sami and Roma Women in a Swedish Context2013In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 34, no 8, p. 707-726Article in journal (Refereed)
    Abstract [en]

    Our aim was to explore the experiences of well-being and lack of well-being among middle-aged and older women belonging to two national minority groups in Sweden. Interviews from nine older Sami women and four middle-aged Roma women were analyzed using grounded theory with the following categories identified: contributing to well-being (with the subcategories belonging to a healthy family, being spiritual, cultural norms as health promoting, and having had a life of one's own); and contributing to lack of well-being (with the subcategories living subordinate to the dominant society, living in a hierarchical family, and living in the shadow of tuberculosis.)

  • 37.
    Alex, Lena
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Wikberg, A
    Feministisk kritik av kurslitteratur inom ämnet professionell omvårdnad1994In: Omvårdaren, ISSN 0280-4123, no 2, p. 24-27Article in journal (Other (popular science, discussion, etc.))
  • 38.
    Algotsson, Elin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Undersökningar med magnetkamera av fullgångna och prematura barn: En litteraturstudie om risker och patientsäkerhet2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: MRI is a relatively safe diagnostic method with non-ionizing radiation used, as is not the case in conventional radiography. Despite this there are still risks to take into account, some common to all patients. For neonates, premature and full-term, these risks differ, and thereby also affect the neonatal staff and the radiographer's ability to meet the child's special need of patient safety. Purpose: This study aims to describe specific risk factors that affect patient safety during examination with MRI, regarding the full term and preterm neonatal child. Method: scientific articles were searched in PubMed, Cinahl and Medline, eight quantitative articles were selected for quality review. Results: After analysis of these eight articles, four categories were recognized and distinguished; image quality, hypothermia, low oxygen saturation, and anesthetics. The results also showed that the use of an MR-compatible incubator further impacted patient safety positively. Conclusion: Image quality, hypothermia, low oxygen saturation and anesthetics are specific risk factors that need to take into account when considering the patient safety in preterm and full-term neonates.

    Keywords: magnetic resonance imaging, infant premature, patient safety

  • 39.
    Alizadeh, Neda
    et al.
    School of Occupational Therapy, Dalhousie University, Halifax, Canada.
    Packer, Tanya
    Umeå University, Faculty of Medicine, Department of Nursing. School of Health Administration, Dalhousie University, Halifax, Canada.
    Chen, Yu-Ting
    Department of Occupational Therapy, National Cheng Kung University, Tainan, Taiwan.
    Alnasery, Yaser
    School of Occupational Therapy, Dalhousie University, Halifax, Canada; College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
    What we know about fatigue self-management programs for people living with chronic conditions: a scoping review2023In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 114, article id 107866Article, review/survey (Refereed)
    Abstract [en]

    Objective: The significant impact of fatigue on the lives of patients with chronic conditions has demanded a response. One response has been the development and testing of self-management programs. Little is known about what these programs have in common or how they differ. This scoping review compared the key components of fatigue self-management programs.

    Methods: Scoping review methodology was employed. Databases of CINAHL, Academic Search Premier, PsycINFO, Cochrane and Medline were searched to identify relevant sources. Results: Included fatigue programs were compared using a three-component framework: 1) self-management strategies; 2) active patient participation; and 3) self-management support. Although all programs included some aspects of these components, the extent varied with only a few domains of these components found across all programs.

    Conclusion: The three self-management components employed in this study showed potential benefits in identifying similarities and differences across fatigue programs with comparable and distinct underlying theories. This three-component framework could facilitate identification of domains associated with positive outcomes. Practice implications: It is essential that authors of programs provide detailed descriptions to enable inter-program comparison. The three-component framework chosen for this review was capable of describing and comparing fatigue self-management programs, paving the way for more effective interventions.

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  • 40.
    Al-Kassas, Anneli
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Gustafsson, Tove
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kvinnors erfarenheter av återhämtning efter hjärtinfarkt: En litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 41.
    Almevall, Albin D.
    et al.
    Department of Health, Learning and Technology, Nursing and Medical Technology, Luleå University of Technology, Luleå, Sweden; Department of Development, Region Norrbotten, Luleå, Sweden.
    Nordmark, Sofi
    Department of Development, Region Norrbotten, Luleå, Sweden.
    Niklasson, Johan
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Zingmark, Karin
    Department of Health, Learning and Technology, Nursing and Medical Technology, Luleå University of Technology, Luleå, Sweden.
    Experiences of home as an aspect of well-being in people over 80 years: a mixed method study2022In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 78, no 1, p. 252-263Article in journal (Refereed)
    Abstract [en]

    Aims: To (1) describe experiences of home from a well-being perspective, (2) describe participant characteristics and well-being measures in relation to housing type (3) and how the aforementioned aspects may affect well-being in very old persons.

    Design: Cross-sectional, convergent parallel-results mixed method design with semi-structured interviews analysed by qualitative content analysis, in relation to descriptive statistics and specific well-being outcome measures related to home.

    Methods: A total of 50 persons 80 years or older living in ordinary housing were interviewed (July 2017 to November 2018) about home in relation to well-being, along with collection of participant characteristics and well-being measures related to home.

    Results: Participants described how home had become increasingly important as it provided autonomy and acted as a social and occupational hub. However, autonomy was not unconditional, and home could also be perceived as a place of inactive solitude. Results were interpreted as relating to being in the margins of home and had a major impact on well-being. Housing type seemed of importance with higher measures of well-being for participants in single-living housing compared with those living in apartment.

    Conclusion: Home is increasingly central to well-being in old age; however, very old persons also have to relate to being physically and mentally in the margins of being able to remain in the home. These aspects of home potentially have a major impact on well-being.

    Impact: As very old persons living in ordinary housing will constitute a larger segment of society in coming years, aspects of home can potentially have a considerable impact on well-being for this age-group. This study describes aspects of home that contribute to, or has adverse impact on well-being. These aspects need thorough consideration in policy-making and planning of health care that can affect experiences of home.

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  • 42. Almevall, Albin D.
    et al.
    Zingmark, Karin
    Nordmark, Sofi
    Forslund, Ann-Sofie
    Niklasson, Johan
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Accepting the inevitable: A mixed method approach with assessment and perceptions of well-being in very old persons within the northern Sweden Silver-MONICA study2021In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 92, article id 104275Article in journal (Refereed)
    Abstract [en]

    Background: As the group of very old persons will form an increasing part of society, the study of how well-being is described and affected by specific factors will be of importance to meet the future needs of these persons. The aim of the study was to increase knowledge of well-being in very old persons by combining assessments and perceptions using the Philadelphia Geriatric Morale Scale (PGCMS).

    Method: In a mixed method, convergent parallel design, 52 persons 80 years or older were assessed and interviewed using the PGCMS to combine assessment of morale and descriptions of perceptions of well-being using a mixed method approach.

    Results: Quantitative and qualitative results converged in four areas: not feeling lonely and being included, rating and perceiving health as good, high physical function/ability and being physically active, living in own house and feeling at home. Areas perceived as important to well-being captured only in qualitative analysis were having freedom and engagement. An example of insights not achievable from the quantitative or qualitative analysis alone was that individuals with high morale expressed anxiety about losing their health due to potential ageing-related threats and that individuals with low morale struggled with acceptance. Acceptance was the key strategy for handling adverse consequences of ageing in all described areas.

    Conclusion: When using standardized assessment scales in clinical practice, it could be useful to combine quantitative and qualitative data. Acceptance was key for well-being; however, acceptance could be resigned or reorienting in nature.

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  • 43.
    Almevall, Albin Dahlin
    et al.
    Department of Health Science, Luleå University of Technology, Luleå, Sweden; Department of Healthcare, Region Norrbotten, Luleå, Sweden.
    Wennberg, Patrik
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Zingmark, Karin
    Department of Health Science, Luleå University of Technology, Luleå, Sweden.
    Öhlin, Jerry
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Söderberg, Stefan
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Section of Medicine.
    Olofsson, Birgitta
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Orthopaedics.
    Nordmark, Sofi
    Department of Health Science, Luleå University of Technology, Luleå, Sweden.
    Niklasson, Johan
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Associations between everyday physical activity and morale in older adults2022In: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 48, p. 37-42Article in journal (Refereed)
    Abstract [en]

    Studies that objectively investigate patterns of everyday physical activity in relation to well-being and that use measures specific to older adults are scarce. This study aimed to explore objectively measured everyday physical activity and sedentary behavior in relation to a morale measure specifically constructed for older adults. A total of 77 persons (42 women, 35 men) aged 80 years or older (84.3 ± 3.8) wore an accelerometer device for at least 5 days. Morale was measured with the Philadelphia Geriatric Center Morale Scale (PGCMS). PGCMS scores were significantly positively associated with number of steps, time spent stepping, and time spent stepping at >75 steps per minute. Sedentary behavior did not associate with PGCMS. Promoting PA in the form of walking at any intensity–or even spending time in an upright position—and in any quantity may be important for morale, or vice versa, or the influence may be bidirectional.

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  • 44.
    Almroth, Cecilia
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sondell, Sara
    Umeå University, Faculty of Medicine, Department of Nursing.
    eHealth literacy among primary healthcare nurses: a descriptive and correlational study2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: eHälsa är användandet av digitala verktyg och digital information för att uppnå och bibehålla hälsa. Förmågan att använda eHälsa kan beskrivas genom eHälsolitteracitet. Distriktssköterskan är ofta patientens första kontakt med hälso-sjukvården, och kan spela en medlande roll mellan patient och eHälsa, till förmån för patienten.

    Motiv: För att verkligen förstå fenomenet med eHälsolitteracitet inom primärvården behövs mer studier kring distriktssköterskans egna eHälsolitteracitet.

    Syfte: Syftet med studien var att undersöka distriktssköterskans eHälsolitteracitet och faktorer som kan påverka eHälsolitteracitet bland distriktssköterskor i Västerbotten. 

    Metod: Sjuttioåtta distriktssköterskor deltog i studien. Datainsamlingen gjordes genom en enkätundersökning utförd av Umeå universitet. Datat analyserades i Jamovi, där korrelationer gjordes. 

    Resultat: Inom domäner 1) Ha förmåga att använda teknik för att processa information, 2) Ha förmåga att förstå hälsokoncept och språk och 3) Ha förmåga till aktivt engagemang kring digitala tjänster, har distriktssköterskor högre medelvärden än domäner 4) Känna att de har full kontroll och är trygga, 5) Vara motiverade att engagera sig i digitala tjänster, 6) Ha tillgång till digitala tjänster som fungerar och 7) De digitala tjänsterna är anpassade till deras individuella förmåga. Resultatet visade en negativ korrelation mellan ålder/erfarenhet och domän 1, samt en positiv korrelation mellan ålder/erfarenhet och domän 3, samt en positiv korrelation mellan internetanvändning och domän 1. Vidare fynd visar på att distriktssköterskor upplever problem med datasystemet.  

    Konklusion: eHälsolitteractiet är ett komplext och outforskat område. Det behövs utbildning och bättre anpassade datasystem. Detta kan vara värdefullt för organisationen för att rikta utbildning där det behövs. För distriktssköterskan skapas möjligheter för professionell utveckling vilket även kan gagna patienten, då högre eHälsolitteracitet hos distriktssköterskor kan göra att eHälsa kan fortskrida med kvalitet och jämställdhet i fokus. 

  • 45.
    Almroth Diab, Monica
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Östman, Eva
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ungdomars erfarenheter av att leva med diabetes typ 1: En litteraturstudie2020Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [sv]

     Bakgrund: Allt fler barn och ungdomar insjuknar i typ 1-diabetes varje år. Denna obotliga sjukdom kräver ett stort egenansvar av patienten och kan innebära både akuta och långsiktiga komplikationer. I den personcentrerade omvårdnaden är det viktigt att lyfta fram ungdomarnas känslor och erfarenheter, för att främja hälsa under hela livet.

    Syfte: Syftet med denna litteraturstudie är att beskriva ungdomars erfarenheter av att leva med diabetes typ 1.

    Metod: Åtta kvalitativa studier har granskats, analyserats och sammanställts i en litteraturstudie. Sökningar har gjorts i Cinahl och Pubmed.

    Resultat: Analysen resulterade i två kategorier ”Att uppleva betungande förändringar” och ”Att behöva stöd trots att det kan vara tärande”.

    Konklusion: Resultatet visar att ungdomarna upplevde svåra känslor av att få diagnosen. Det visar också att ungdomarna upplevde en förändrad vardag och olika hinder till egenvården. Resultatet visar att ungdomarna beskrev att acceptera sjukdomen krävde mognad, självständighet och en positiv inställning. Ungdomarna upplevde stöd från föräldrar som viktigt, men också som påfrestande. Även stöd från vänner ansågs som viktigt. Resultatet visar att ungdomarna upplevde stöd från skolpersonal och sjukvårdspersonal som viktigt, men bristfälligt.

    Nyckelord: diabetes typ 1, erfarenheter, ungdomar

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  • 46.
    Alstam, Peter
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Franck, Thomas
    Umeå University, Faculty of Medicine, Department of Nursing.
    Anestesisjuksköterskors erfarenheter av oväntade akuta situationer på operationssal2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Any unexpected emergency situation in the operating room is unique, pose a great challenge, associated with risk of patient injures, difficult to predict and is depended on experience in assessing severity of the situation and the patient's health history, symptoms, signs and risks before and during anesthesia. Preparedness for an unexpected emergency is found in anesthetists’ nurse expected requirements to limit its negative consequences. It is therefore important to investigate nurse anesthetists’ experiences of unexpected acute situations in the operating room.

    Aim: The aim of the study is to illustrate nurse anesthetists’ experiences of unexpected acute situations in the operating room.

    Methods: The study is based on interviews with ten nurse anesthetists’, working at two different hospitals in Sweden; Hospital of Halland Varberg and Umeå University hospital. Interviews were analyzed using qualitative content analysis.

    Result: The four categories that emerged were: Events, Actions, Stresses, Lessons. Focusing on events was described as a measure to deal with unexpected emergency situations. Nurse anesthetists’ sought help, communicate problems and work towards the same goal to solve situations. Experiencing unexpected emergency situations was described in various personal stresses, which also implies different needs for processing support. The unexpected emergency that occurs is also described as jeopardizing patient safety. Learning was taken through reflection on situations that contributed to increased readiness for action.

    Conclusion: The result shows that unexpected emergency situations can occur suddenly. Seeking help for increased security in situations is considered important. By communicating problems and working towards the same goal, there is a hope to solve the situation. Unexpected emergency situations can be experienced and handled differently. Lesson is taken through reflection. A proposal for further research, it is important to highlight in a larger staff group whether feedback of unexpected emergency situations can actually dampen negative emotions and can increase the safety of the anesthetic nurse in future similar situations.

  • 47.
    Alstergren, Anna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Benavand, Laven
    Umeå University, Faculty of Medicine, Department of Nursing.
    Operations- och anestesisjuksköterskors erfarenheter av att arbeta tillsammans med olika yrkeskategorier under operation - en intervjustudie2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Operating room nurses’ and anaesthetic nurses’ experience of working together with different professional categories during surgery – an interview study

    Abstract  

    Background: In the National Board of Health and Welfare's report from 2019, just over 13,000 care-related injuries were identified between the years 2013–2018. Of these, 213 led to deaths, of which 53% of patients underwent surgery. The causes of death varied between surgical injuries, healthcare-associated infections and failing organs. The report also showed that 39% of care-related deaths could have been avoided. Research shows that the operating room is a particularly vulnerable environment for healthcare injuries because the multi-professional team works together under great pressure and where the patient is often in a vulnerable and helpless state. The teamwork between the professionals is therefore important to be able to perform a safe and effective surgery. However, shortcomings in teamwork are one of the most common reasons why complications occur during surgery.

    Motive: Research shows that good collaboration between professionals is the basis for safe and effective surgery. However, shortcomings in teamwork have shown an increased risk of complications during surgery, postoperative care injuries, mortality and increased care costs. Much of the current research is focused on teamwork within the entire operative team and not much from the nurse's perspective. This study may result in increased knowledge about surgery and anesthesia nurses' experiences of teamwork during surgery and how it affects their work situation. 

    Aim: To examine operating room nurses´ and anaesthetic nurses´ experience of working together with different professional categories during surgery. 

    Methods: Individual semi-structured interviews with four surgical nurses and four anesthesia nurses. The interviews were analyzed with a qualitative content analysis.

    Result: Three main categories: the Nurse's experiences of good teamwork, the Nurse's experiences of poor teamwork and The different roles of the team in the operationgroom, with ten subcategories arose based on the participants' experiences

    Conclusion: The study shows that experiences of good teamwork were related to having an understanding of the different professions, having good communication and a good team spirit. The experiences of bad teamwork was related to hierarchy inside the operating room, stress and personal issues depended on who they worked with depended on personal characters.

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  • 48.
    Al-Surimi, Khaled
    et al.
    King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; Faculty of Medicine and Health Sciences, Thamar University, Dhamar, Yemen.
    Alhayek, Zahra
    King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing.
    Al-Khateeb, Badr
    King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
    Shaheen, Naila
    King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; Department of Biostatistics and Bioinformatics, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
    Person-centered-care climate in a tertiary hospital: Staff perspective2021In: Risk Management and Healthcare Policy, E-ISSN 1179-1594, Vol. 14, p. 4269-4279Article in journal (Refereed)
    Abstract [en]

    Introduction: Most health care systems strive to improve the quality, safety and value of healthcare, with an emphasis on moving towards patient-centered care/person-centered care (PCC) approach. The aim of the current study was to assess health care providers’ perspectives on PCC climate in hospital setting and to identify the role of providers in determining the perception of the PCC climate.

    Methods: A survey, using person-centered climate questionnaire-staff version, was employed in health care providers of a tertiary care hospital. Data included variables age, gender, education level, occupation, and years of experience and three PCC dimensions. PCC overall and subscale scores were reported as mean and standard deviation. Factors associated with PCC climate perception were analyzed using a Poisson model.

    Results: Out of 1216 respondents; the majority 47% aged between 18 and 34 years; 79% women, 68% were nurses. The overall mean score was 45.96±15.36 (range 0–70). Subscale scores were Safety 20.15±5.0 (range 0–30), Everydayness 12.02±3.52 (range 0–20) and Community 13.79±3.34 (range 0–20). Increasing age was a significant factor associated with PCC scores for the overall, safety, everydayness, and community scales, with a positive association. Lower scores were reported more by women compared with men, for overall (p=0.0005), and everydayness (p=0.006) scales. Higher safety scores were reported by health care providers with a diploma compared to master’s degree (p=0.009), Ph.D. (p=0.007), for technicians compared with nurses (p=0.007), and for day shift compared with day/night shift workers (p=0.025). PCC scores were not significantly different across health care providers’ years of experience.

    Conclusion: There is a room for PCC climate improvement based on the low scores compared to the literature. The study findings indicated that the main factors associated with HCPs’ perception of PCC were higher age and female gender, and these factors would benefit from further research.

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  • 49.
    Altahhan, Fatma
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kvinnors upplevelser av mastektomi och dess påverkan på livskvalitén2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

     

    Background: Breast cancer is a disease that affects many women. There are different treatment methods, one of them is mastectomy, which involves surgical intervention and removal of the breast. This intervention can lead to strong feelings in women with an altered view of the body and of the women's femininity.

    Aim: The purpose of the study was to highlight women's experiences of mastectomy as a result of breast cancer.

     

    Methods: Literature study with inductive design based on empirical studies. Searches have been made through, CINAHL, PubMed, APA PsycInfo.  Ten qualitative studies were chosen for analysis.

     

    Results:  The analysis resulted in three main categories and their associated subcategories. Three main categories were identified: Consequences of impaired physical ability, Psychological aspects and Social aspects.

     

    Conclusion: Losing a breast can have physical, emotional and social impact. There were   mainly negative influences on identity, femininity, and sexuality. The experiences are both individual and general.

    Keywords:  Breast cancer, Life experience, Mastectomy, Women.

  • 50. Alvariza, Anette
    et al.
    Årestedt, Kristofer
    Boman, Kurt
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine. Umeå University, Arctic Research Centre at Umeå University.
    Brännström, Margareta
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
    Family members' experiences of integrated palliative advanced home and heart failure care: a qualitative study of the PREFER intervention2018In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 16, no 3, p. 278-285Article in journal (Refereed)
    Abstract [en]

    Objective: Chronic heart failure is a disease with high morbidity and symptom burden for patients, and it also places great demands on family members. Patients with heart failure should have access to palliative care for the purpose of improving quality of life for both patients and their families. In the PREFER randomized controlled intervention, patients with New York Heart Association classes III–IV heart failure received person-centered care with a multidisciplinary approach involving collaboration between specialists in palliative and heart failure care. The aim of the present study was to describe family members' experiences of the intervention, which integrated palliative advanced home and heart failure care.

    Method: This study had a qualitative descriptive design based on family member interviews. Altogether, 14 family members participated in semistructured interviews for evaluation after intervention completion. The data were analyzed by means of content analysis.

    Results: Family members expressed gratitude and happiness after witnessing the patient feeling better due to symptom relief and empowerment. They also felt relieved and less worried, as they were reassured that the patient was being cared for properly and that their own responsibility for care was shared with healthcare professionals. However, some family members also felt as though they were living in the shadow of severe illness, without receiving any support for themselves.

    Significance of results: Several benefits were found for family members from the PREFER intervention, and our results indicate the significance of integrated palliative advanced home and heart failure care. However, in order to improve this intervention, psychosocial professionals should be included on the intervention team and should contribute by paying closer attention and providing targeted support for family members.

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