umu.sePublications
Change search
Refine search result
1234567 1 - 50 of 1924
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1.
    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.

     

     

     

  • 2.
    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.

  • 3.
    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. 

  • 4.
    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.

  • 5.
    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.

  • 6.
    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.     

  • 7.
    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

  • 8.
    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). 

  • 9.
    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.

  • 10.
    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 

  • 11.
    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

  • 12. 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, ISSN 2045-2322, 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.

  • 13.
    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.   

  • 14.
    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

  • 15.
    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, ISSN 1472-6963, 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.

  • 16.
    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.

  • 17.
    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.))
  • 18.
    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.

  • 19.
    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.)

  • 20.
    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.))
  • 21.
    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

  • 22.
    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.

  • 23. 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.

  • 24. Alverbratt, Catrin
    et al.
    Berlin, Johan
    Åström, Sture
    Umeå University, Faculty of Medicine, Department of Nursing. Department of Nursing, Health and Culture, University West, Trollhättan.
    Kauffeldt, Anders
    Carlström, Eric
    A New Working Method in Psychiatric Care: The Impact of Implementation2017In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, no 3, p. 295-304Article in journal (Refereed)
    Abstract [en]

    An equal mix of organizational cultures is important for a successful implementation process. The aim of this study was to examine the implementation of a new working method in psychiatric hospital wards, representing different cultural characteristics. Descriptive quantitative data were collected at two hospitals (intervention and control). The results revealed one ward characterized by a mix of organizational cultures. This ward, compared with other intervention wards, showed the best results regarding patient assessed empowerment and participation. The result shows tentatively that organizational culture may have an impact on the implementation processes.

  • 25.
    Aléx, Jonas
    Umeå University, Faculty of Medicine, Department of Nursing.
    Cold exposure and thermal comfort among patients in prehospital emergency care: innovation research in nursing2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background

    Patients’ cold exposure is a neglected problem in prehospital emergency care. Cold stress increases pain and anxiety and contributes to fear and an overall sense of dissatisfaction. When left untreated, cold stress disturbs vital body functions until ultimately reaches hypothermia.

    Aim

    The overall aim was to investigate patients’ experiences of thermal comfort and reactions to cold exposure in prehospital emergency care and to evaluate the effects of an intervention using active warming from underneath.

    Method

    Study I:

    Persons (n=20) injured in a cold environment in the north of Sweden were interviewed. Active heat was given to 13 of them.

    Study II:

    In wintertime, 62 patients were observed during prehospital emergency care. The field study was based on observations, questions about thermal discomfort, vital signs, and temperature measurements.

    Study III:

    Healthy young persons (n=23) participated in two trials each. Data were collected inside and outside a cold chamber. In one trial, the participants were lying on a regular ambulance stretcher and in a second trial on a stretcher supplied with a heated mattress. Outcomes were the Cold Discomfort Scale (CDS), back, finger, and core body temperature, four statements from the State-TraitAnxiety-Inventory (STAI), vital signs, and short notes about their experiences of the two stretchers.

    Study IV:

    A quantitative intervention study was conducted in prehospital emergency care in the north of Sweden. The patients (n=30) in the intervention group were transported in an ambulance supplemented with a heated mattress on the stretcher, whereas only a regular stretcher was used in the ambulance for the patients (n=30) in the control group. Outcomes were the CDS, finger, core body, and air temperature, and questions about cold experiences.

    Results

    Study I:

    Patients suffered more because of the cold than from the pain of their injuries. The patients were in a desperate need of heat.

    Study II:

    Patients are exposed to cold stress due to cold environments. There was a significant decrease from the first measurement in finger temperature of patients who were indoors when the ambulance arrived, compared to the measurement taken in the ambulance. In the patient compartment of the ambulance, 85% of the patients had a finger temperature below the comfort zone and almost half of them experienced the patient compartment in the ambulance to be cold. The regular mattress surface temperature at the ambulance ranged from -22.3 to 8.4 ºC.

    Study III:

    A statistical increase of the participants’ back temperature was found between those lying on the heated mattress compared to those lying on the regular mattress. The heated mattress was experienced as warm, comfortable, providing security, and easy to relax on.

    Study IV:

    Thermal comfort increased for the patients in the intervention group and decreased in the control group. A significant higher proportion of the participants rated the stretcher as cold to lie on in the control group compared to the intervention group.

    Conclusion

    The ambulance milieu is too cold to provide thermal comfort. Heat supply from underneath increased comfort and might prevent cold stress and hypothermia

  • 26.
    Aléx, Jonas
    Umeå University, Faculty of Medicine, Department of Nursing.
    Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients’ temperatures in prehospital emergency care -an intervention studyManuscript (preprint) (Other academic)
    Abstract [en]

    Background: The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients’ exposure to cold temperatures combined with a cold ambulance mattress seems to be a major factor leading to an overall sensation of discomfort. As far as we have seen, there is still little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients’ temperatures in the prehospital emergency care.

    Methods:

    A quantitative intervention study conducted in ambulance care in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with a heated mattress on the stretcher compared to the control group (n=30) where no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), finger, ear, and air temperatures along with subjective comments on cold experiences.

    Results:

    Thermal comfort, measured by CDS, was improved during the ambulance transport to the Emergency Department (ED) in the intervention group (p= 0.001) but decreased in the control group (p=<0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down on compared to three percent in the intervention group (p<0.001). Concerning finger, ear, and compartment air temperature no significant difference between groups was found. Mean transport time was approximately 15 minutes.

    Conclusion:

    The use of active heat, from underneath, increases the patients’ thermal comfort and may prevent the negative consequences of cold stress.

  • 27.
    Aléx, Jonas
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Gyllencreutz, Lina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Brister i systematiskt omhändertagande på olycksplatser: en studie av traumasimuleringar inom ambulanssjukvården2018In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 115, article id EWFHArticle in journal (Refereed)
    Abstract [en]

    Trauma care at an accident site is of great importance for patient survival. The purpose of the study was to observe the compliance of ambulance nurses with the Prehospital Trauma Life Support (PHTLS) concept of trauma care in a simulation situation. The material consisted of video recordings in trauma simulation and an observation protocol was designed to analyze the video material. The result showed weaknesses in systematic exam and an ineffective use of time at the scene of injury. Development of observation protocols in trauma simulation can ensure the quality of ambulance nurses' compliance with established concepts. Our pilot study shows that insufficiencies in systematic care lead to an ineffective treatment for trauma patients which in turn may increase the risk of complications and mortality.

  • 28.
    Aléx, Jonas
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
    Karlsson, Stig
    Umeå University, Faculty of Medicine, Department of Nursing.
    Björnstig, Ulf
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University. Center for Disaster Medicine, Umeå University, Umeå, Sweden.
    Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients' temperatures in prehospital emergency care - an intervention study2015In: International Journal of Circumpolar Health, ISSN 2242-3982, E-ISSN 2242-3982, Vol. 74, article id 28878Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients' exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients' temperatures in the prehospital emergency care.

    METHODS: A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30) no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), subjective comments on cold experiences, and finger, ear and air temperatures.

    RESULTS: Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001) but decreased in the control group (p=0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, p<0.001). At arrival, finger, ear and compartment air temperature showed no statistical significant difference between groups. Mean transport time was approximately 15 minutes.

    CONCLUSIONS: The use of active heat from underneath increases the patients' thermal comfort and may prevent the negative consequences of cold stress.

  • 29.
    Aléx, Jonas
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Karlsson, Stig
    Umeå University, Faculty of Medicine, Department of Nursing.
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Nursing.
    Patients' experiences of cold exposure during ambulance care2013In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 21, article id 44Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Exposure to cold temperatures is often a neglected problem in prehospital care. Cold exposure increase thermal discomfort and, if untreated causes disturbances of vital body functions until ultimately reaching hypothermia. It may also impair cognitive function, increase pain and contribute to fear and an overall sense of dissatisfaction. The aim of this study was to investigate injured and ill patients' experiences of cold exposure and to identify related factors.

    METHOD: During January to March 2011, 62 consecutively selected patients were observed when they were cared for by ambulance nursing staff in prehospital care in the north of Sweden. The field study was based on observations, questions about thermal discomfort and temperature measurements (mattress air and patients' finger temperature). Based on the observation protocol the participants were divided into two groups, one group that stated it was cold in the patient compartment in the ambulance and another group that did not. Continuous variables were analyzed with independent sample t-test, paired sample t-test and dichotomous variables with cross tabulation.

    RESULTS: In the ambulance 85% of the patients had a finger temperature below comfort zone and 44% experienced the ambient temperature in the patient compartment in the ambulance to be cold. There was a significant decrease in finger temperature from the first measurement indoor compared to measurement in the ambulance. The mattress temperature at the ambulance ranged from -22.3°C to 8.4°C.

    CONCLUSION: Cold exposure in winter time is common in prehospital care. Sick and injured patients immediately react to cold exposure with decreasing finger temperature and experience of discomfort from cold. Keeping the patient in the comfort zone is of great importance. Further studies are needed to increase knowledge which can be a base for implications in prehospital care for patients who probably already suffer for other reasons.

  • 30.
    Aléx, Jonas
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lundgren, Peter
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Henriksson, Otto
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Nursing.
    Being cold when injured in a cold environment: patients' experiences2013In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 21, no 1, p. 42-49Article in journal (Refereed)
    Abstract [en]

    Background: Patients in prehospital care, irrespective of diseases or trauma might experience thermal discomfort because of a cold environment and are at risk for decreasing body temperature which can increase both morbidity and mortality.

    Objective: To explore patients' experiences of being cold when injured in a cold environment.

    Method: Twenty persons who had been injured in a cold environment in northern Sweden were interviewed. Active heat supply was given to 13 of them and seven had passive heat supply. The participants were asked to narrate their individual experience of cold and the pre- and post-injury event, until arrival at the emergency department. The interviews were transcribed verbatim, then analyzed with qualitative content analysis.

    Results: Patients described that they suffered more from the cold than because of the pain from the injury. Patients who received active heat supply experienced it in a positive way. Two categories were formulated: Enduring suffering and Relief of suffering.

    Conclusion: Thermal discomfort became the largest problem independent of the severity of the injuries. We recommend the use of active heat supply to reduce the negative experiences of thermal discomfort when a person is injured in a cold environment.

  • 31.
    Aléx, Jonas
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lundin, Helena
    Umeå University, Faculty of Medicine, Department of Nursing.
    Joansson, Charlotta
    Umeå University, Faculty of Medicine, Department of Nursing.
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Nursing.
    Preparedness of Swedish EMS Personnel for Major Incidents in Underground Mines2017In: Journal of Health Science, E-ISSN 2328-7136, Vol. 5, p. 239-243Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to survey the EMS (emergency medical services) personnel preparedness for major incidents in the underground mining industry in Sweden. Every year, a high number of incidents, workplace accidents and fires are reported from the Swedish mining industry. Taking care of patients located in an underground mine represents a challenge to EMS personnel. Today, knowledge about EMS personnel preparedness for major incidents in the mining industry is limited. The study design was a cross-sectional survey. The questionnaires were distributed to EMS personnel working in ambulance stations geographically located near an underground mine. Thirteen ambulance stations were included and 137 of 258 personnel answered. Demographic data were analyzed using descriptive statistics. Differences among groups were analyzed with the Chi-Squared test, continuity correction and t-test. Results showed about half of the participants reported that they do not feel prepared to work in a major incident in an underground mine. The majority wished to receive educational training to enhance their preparedness. The most commonly requested type of education was practical drills on the scene, in an underground mine. The reported preparedness was significantly higher among the participants who had received some kind of education, or had authentic experience of a mission in an underground mine than those who did not. This study reveals shortcomings in the preparedness of EMS personnel. The perceived low preparedness of EMS personnel may affect their ability to work in a major incident in the mining industry. Study findings may be used in planning the future education, including practical drills, of EMS personnel.

  • 32.
    Aléx, Jonas
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Uppstu, Tom
    Umeå University, Faculty of Medicine, Department of Nursing.
    Saveman, Britt-Inger
    Umeå University, Arctic Research Centre at Umeå University. Umeå University, Faculty of Medicine, Department of Nursing.
    The opinions of ambulance personnel regarding using a heated mattress for patients being cared for in a cold climate - An intervention study in ambulance care2017In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 76, article id 1379305Article in journal (Refereed)
    Abstract [en]

    The purpose of the study was to describe the opinions of ambulance personnel regarding differences between using a heated mattress and a standard ambulance mattress. This study was an intervention study with pre- and post-evaluation. Evaluations of the opinions of personnel regarding the standard unheated mattress were conducted initially. After the intervention with new heated mattresses, follow-up evaluations were conducted. Ambulance personnel (n=64) from an ambulance station in northern Sweden took part in the study, which ran from October 2014 until February 2016. There were differences in opinions regarding the standard unheated mattress and the new heated mattress. The evaluation of the proxy ratings by the personnel showed that the heated mattress was warmer than the standard mattress, more pleasant to lie on and that patients were happier and more relaxed than when the standard mattress was used. The ambulance personnel in this study rated the experience of working with the heated mattress as very positive and proxy rated that it had a good effect on patient comfort. A heated mattress can be recommended for patients in ambulance care, even if more research is needed to receive sufficient evidence.

  • 33.
    Aléx, Lena
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att balansera mellan olika diskurser: konsten att leva som gammal samisk kvinna2008In: Människor i norr: samisk forskning på nya vägar / [ed] Sköld, Peter, Umeå: Centrum för samisk forskning , 2008, p. 287-301Chapter in book (Other academic)
  • 34.
    Aléx, Lena
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Hammarström, Anne
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Shift in power during an interview situation: methodological reflections inspired by Foucault and Bourdieu2008In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 15, no 2, p. 169-176Article in journal (Refereed)
    Abstract [en]

    This paper presents methodological reflections on power sharing and shifts of power in various interview situations. Narratives are said to be shaped by our attempts to position ourselves within social and cultural circumstances. In an interview situation, power can be seen as something that is created and that shifts between the interviewer and the interviewed. Reflexivity is involved when we as interviewers attempt to look at a situation or a concept from various perspectives. A modified form of discourse analysis inspired by subject positioning was used to reflect on power relations in four different interview situations. The analyses indicate that reflection on the power relations can lead to other forms of understanding of the interviewee. The main conclusion that can be drawn from this study is that power relations are created within an interview situation and therefore it is important to be aware of dominant perspectives. Researchers and nurses face the challenge of constantly raising their level of consciousness about power relationships, and discursive reflexivity is one way of doing this. Thus, reflexivity is an important part of the qualitative research process.

  • 35.
    Aléx, Lena
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Hammarström, Anne
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Norberg, Astrid
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lundman, Berit
    Umeå University, Faculty of Medicine, Department of Nursing.
    Construction of masculinities among men aged 85 and older in the north of Sweden2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 4, p. 451-459Article in journal (Refereed)
    Abstract [en]

    AIM: The aim was to analyse the construction of masculinities among men aged 85 and older. BACKGROUND: All societies have a gender order, constructed from multiple ideas of what is seen as feminine and masculine. As the group of men aged 85 and older is increasing in size and their demand for care will increase, we must recognize the importance of studying these men and various discourses of masculinities. DESIGN: Qualitative explorative. METHODS: Qualitative content analysis was used to analyse thematic narratives. Masculinity theories provided the point of departure for the analysis. RESULTS: The analysis coalesced into three masculinities. 'Being in the male centre', developed from subthemes as: taking pride in one's work and economic situation; being in the centre in relation to others; regarding women as sexual objects; and belonging to a select group. 'Striving to maintain the male facade' developed from subthemes as: emphasizing 'important' connections; having feelings of loss; striving to maintain old norms and rejecting the fact of being old. 'Being related' was formulated from subthemes as: feeling at home with domestic duties; being concerned; accepting one's own aging; and reflecting on life. CONCLUSIONS: Our study indicates the importance of being aware of the existence of multiple masculinities, in contrast to the generally unproblematic and unsubtle particular healthcare approaches which consider men as simply belonging to one masculinity. Relevance to clinical practice. Diverse masculinities probably affect encounters between men and healthcare providers and others who work with an older population and therefore our results are of importance in a caring context.

  • 36.
    Aminoff, Carina
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lind, Nadja
    Umeå University, Faculty of Medicine, Department of Nursing.
    Distriktssköterskors upplevelse av sitt arbete efter kommunalisering av hemsjukvården: en intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att beskriva hur distriktssköterskor på hälsocentral uppleversitt arbete sedan hemsjukvården överförts till kommunen. Åtta distriktssköterskor på fyraolika hälsocentraler intervjuades, texten analyserades med kvalitativ innehållsanalys. Iresultatet framkommer tre kategorier med vardera två underkategorier; en dimension somförsvann som beskriver förlust av frihet och förlust av helhet, distriktssköterskan som bromellan organisationerna som beskriver distriktssköterskan som mellanhand och dennesoro för patientsäkerheten samt distriktssköterskans mottagning i fokus som beskrivermindre splittring, mer tid, ökad trivsel och att variationen i arbetet har fortsatt medinriktning mot specialisering och prevention. Sammanfattningen är att distriktssköterskorupplevde en förlust över att inte vara verksam i hemsjukvård, men som positivtövervägdes av möjligheten att fokusera på hälsocentralens mottagning, men trotskommunaliseringen upplevde distriktssköterskorna att de behövde utföra vissahemsjukvårdsuppdrag åt kommunens sjuksköterskor på bekostnad av hälsocentralens tid.

  • 37. Andersen Sand, Rikke
    et al.
    Mcartney, John
    Rasmussen, Birgit H
    Berhardson, Britt-Marie
    Hajdarevic, Senada
    Umeå University, Faculty of Medicine, Department of Nursing.
    Malmström, Marlene
    Ziebland, Sue
    Caring as sharing. Negotiating the moral boundaries of receiving care2019In: Critical Public Health, ISSN 0958-1596, E-ISSN 1469-3682Article in journal (Refereed)
    Abstract [en]

    Informal caregiving is increasingly considered a health care delivery-resource within the North European welfare states. While ‘informal’ often refers to non-professional, ‘caregiving’ connotes both affective concern (caring about) and practical action (caring for). This duality of meanings, however, often refers to the one direction in which care is given. Care, we suggest, is relational and also requires that people receiving care are able to or wanting to share their needs. Informal caregiving thus requires sharing. Based on 155 semi-structured, narrative interviews with people with lung or bowel cancer, living in Denmark, Sweden or England, this paper explores how and with whom people ‘share’ when they fall ill. We approach sharing as a heuristic for reflecting on informal-caregiving, and illustrate how being cared for or asking for care are entangled with the management of social risks and notions of selfhood. We conclude that informal caregiving should explicitly be recognised as morally and sympathetically committed practices, which attend to the diversity of local moral worlds of patients, their needs and experiences.

  • 38.
    Andersson, Anneli
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Andersson, Catarina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att leva med svårläkta venösa bensår: En litteraturstudie som beskriver patienters upplevelser av att leva med svårläkta venösa bensår2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Många människor lever idag med svårläkta bensår, varav ca 80 % avbensåren är venösa. Det är av stor vikt att rätt diagnos fastställs samt bakomliggandeorsaker behandlas. Idag finns merparten av dessa patienter i den kommunala sektorn.Vården av patienter med bensår genererar stora ekonomiska kostnaderna församhället. Svårläkta sår på underbenen kan orsakas av olika sjukdomstillstånd. Attleva med svårläkta venösa bensår har betydande inverkan på det dagliga livets olikaaktiviteter samt människors välbefinnande. Denna litteraturstudie inriktar sig påpatienternas upplevelser av att leva med svårläkta venösa bensår.Syfte: Syftet med studien var att beskriva patienters upplevelser av att levamed svårläkta venösa bensår.Metod: En litteraturstudie med resultat från nio kvalitativa studier.Artiklarna kvalitetsgranskades, analyserades och sammanställdes.Resultat: I resultatet framkom varierade patientupplevelser av att leva medsvårläkta venösa bensår. Resultatet kategoriserades in i tre huvudkategorier och 11subkategorier. Huvudkategorierna bestod av: upplevelser av att leva medsårsmärta, upplevelser i samband med sårets uppkomst och behandling,psykologisk påverkan av patientens livssituation och upplevelser av förändring idet dagliga livet. Ett tema framkom: att uppleva ett såväl fysiskt som psykisktlidande.Konklusion: Resultatet i vår litteraturstudie indikerar ett lidande fysiskt,psykiskt samt socialt (i varierande grad) hos alla patienter som lever medsvårläkta venösa bensår. Viktigt att sjuksköterskan har ett helhetsperspektiv ochser hela människan och inte bara ett bensår.Nyckelord: venösa sår, bensår, svårläkta bensår, patientupplevelser, omvårdnad

  • 39.
    Andersson, Arvid
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Johansson, Magnus
    Papperslösas rätt till vård: En kvantitativ studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Undocumented migrants in Sweden are a group that does not have the same legal right to health care as other citizens in the nation. Ambiguity in the law and the lack of knowledge among health care staff has led to a situation where undocumented migrants run into obstacles to get access to the care they are entitled to.Aim: The aim of the study was to describe the knowledge and information needs among health care staff at the health centres and the emergency room in the municipality of Umeå concerning the right to health care for undocumented migrants according to swedish law.Method: This empirical study has a quantitative approach with a descriptive design. A survey was handed out to health care staff at the emergency room and health care centres in the municipality of Umeå.Result: 65,8% had experience of undocumented migrants seeking care. 39,7% percieved they had good knowledge of the rights the law afforded. 38,2% percieved they were adequately informed on the matter in the workplace. 75% percieved they need more education in the matter. 66,2% percieved there to be routines in the matter. 57,4% percieved their knowledge adequate for good and lawful care. 39,7% percieved the existence of discussion on the matter in the workplace. 44,5% felt they could assess "care that cannot be deferred". 61,8% percieved a sense of security in meeting undocumented migrants. 5,9% deemed it reasonable to contact law enforcement. 64,7% did not believe themselves to be bound by law to contact law enforcement.Conclusion: The majority had experience with meeting undocumented migrants. Approx. one third had no knowledge of the law 2013:407. Many did not know what rights the law afforded to undocumented migrants or if confidentiality applied to such patients. Self-assessed ability to provide lawful care rated considerably higher. Most found the workplace to have routines related to undocumented migrants. A majority considered they had not recieved enough information on the workplace in the matter and felt in need of more education.

  • 40.
    Andersson, Caroline
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Olivia, Carlsson
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kvinnors upplevelser av ofrivillig barnlöshet: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige är 7-8 % av kvinnorna ofrivilligt barnlösa. Orsakerna till infertilitet kan vara hormonrubbningar, skador på äggledarna, kvinnor senarelägger familjebildningen och livsstilsfaktorer. Infertilitet medför många olika känslomässiga reaktioner. Syfte: Syftet med denna litteraturstudie var att belysa kvinnors upplevelser av ofrivillig barnlöshet. Metod: Artikelsökningen genomfördes i EBSCO som innehåller omvårdnadsinriktade databaser. I litteraturstudien ingick det 12 kvalitativa studier som har analyserats och sammanställts med inspiration av Fribergs analysmetod. Resultat: Resultatet delades in i följande fem kategorier: "Känslomässiga upplevelser", "upplevelsen av förändrad kvinnlighet", "upplevelsen av utanförskap", "upplevelsen av meningen med livet" och "upplevelsen av ett livslångt fenomen". Konklusion: Litteraturstudiens resultat visar att kvinnans upplevelse av ofrivillig barnlöshet är ett komplext fenomen. Kvinnor behöver psykosocialt stöd för att kunna hantera och bearbeta sin situation på bästa sätt. Som sjuksköterskan är det viktigt att ha ett holistiskt synsätt. Mer forskning behövs inom området.

  • 41.
    Andersson, Elin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nilsson, Amanda
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att axla ett vårdaransvar: Att vara anhörig till en närstående med Alzheimers sjukdom - en litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Alzheimers sjukdom påverkar inte bara den närstående med Alzheimer utan även anhöriga drabbas, både fysiskt och psykiskt då sjukdomen bidrar till stora förändringar i anhörigas livssituation. Därför är det viktigt att öka kunskapen om anhörigas situation för att bättre kunna stödja dem. Syfte: Syftet med denna studie var att beskriva erfarenheter av att vara anhörig till en person med Alzheimer som bor hemma.

    Metod: En litteraturstudie har genomförts och nio kvalitativa artiklar har valts genom sökningar i Cinahl, PubMed och Scopus. Artiklarna har sedan granskats, analyserats och sammanställts.

    Resultat: Anhörigas erfarenheter av att ha en närstående med Alzheimer beskrevs i fyra huvudkategorier; ’Att ställas inför ett vårdaransvar som anhörig’, ’Påfrestningar på den egna hälsan’, ’Behovet av kunskap och stöd’ samt ’Förändrat vardagsliv med närstående’.

    Konklusion: Att vara anhörig till en närstående som har Alzheimers sjukdom är mycket påfrestande både fysiskt och psykiskt. Genom ökad kunskap och ökat stöd kan anhöriga förhoppningsvis bli tryggare i vårdarrollen, förebygga egen ohälsa eller förbättra den.

    Nyckelord: Alzheimers sjukdom, Anhöriga, Erfarenheter

  • 42.
    Andersson, Emma
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Dumbuya, Maimona
    Umeå University, Faculty of Medicine, Department of Nursing.
    Upplevelser av att göra en orosanmälan: BVC-sjuksköterskors perspektiv2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Child abuse is a global problem which can have serious consequences. Child Health Nurses are in a unique position to identify children victimized by abuse. The decision to report may provide the child the opportunity to grow and develop in a safe environment.

    Motive: A greater number of children are abused than those reported which implies there are children who are not receiving the protection and support they are entitled to. However there are a limited number of studies which focus on experiences in this area. Through gaining a greater understanding of the Child Health Nurses experiences of reporting we may be able to understand potential barriers.

    Aim: The aim of the study is to shed light on the experiences of the Child Health Nurse when making a decision about reporting child abuse

    .Methods: The data was collected through a semi-structured interview and analysed according to Graneheim and Lundman's description of a qualitative content analysis. 9 Child Health Nurses participated in the study.

    Result: The results formed three categories: A responsibility to act in the best interests of the child, To be concerned for one’s own safety and To face a complex decision. The experience of the Child Health Nurse when making a decision to report could be difficult. A feeling of responsibility resulted in the decision to act in the best interests of the child whilst simultaneously experiencing negative emotions.

    Discussion: Comparisons can be drawn from the results of this study with those of previous research. Whilst making the decision to report the Child Health Nurses experienced negative emotions which resulted in a more challenging decision. However feelings of security contributed to easing the decision making.

    Conclusion: The decision process of reporting may be eased for the Child Health Nurse through the availability of further support and security.

  • 43.
    Andersson, Erika
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sandström, Rosmarie
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att vårda personer med demens på särskilt boende: Vårdpersonalens upplevelser av beteendemässiga och psykiska symtom vid demens2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of the study was to describe nursing staff´s experience of caring for persons with dementia and behavioral and psychological symptoms of dementia (BPSD) in aged care facilities Background: Dementia is common in elderly and often leads to BPSD which puts high demands on nursing staff. The work is affected by the knowledge of the staff and the shape of the organization which could lead to stress of conscience, risk of burn out and that they distanced themselves from the elderly. Design: The study was a qualitative semi-structured interview study. Methods: The participants consisted of enrolled nurses and nursing aides in municipal aged care facilities. 10 interviews were analyzed through inductive content analysis. Findings: Five categories were distinguished in the content analysis – “Knowledge about the elder behind the dementia”, “To meet and validate the reality of the elder”, Commitment to the elderly´s well-being”, “The demands for working cooperation and flexibility”, “Demands for a supportive organization”. Getting to know the person was important to be able to work with persons with BPSD which consisted of different ways to gain information and the staff´s own knowledge about the person. The staff tried to reach the elderly by adapted treatment depending on the situation. The work was seen as challenging and it touched a broad emotional spectrum within themselves when working with the elderly. To work with BPSD put great demands on good cooperation between professions, dialogue, flexibility and to strive towards common goals. Support from the employer and the organization was important. Conclusion: To be able to implement new approaches in the work procedure in the organization the nursing staff needs more education in dementia, support from the employer and the organization.

  • 44.
    Andersson, Frida
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Eriksson, Erica
    Umeå University, Faculty of Medicine, Department of Nursing.
    BVC-sjuksköterskors erfarenheter av att möta asylsökande barnfamiljer: Kvalitativ intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The global refugee crisis is escalating. The number of asylum seekersin Sweden is increasing. Refugees on the run are exposed to violence and conflicts.Among the most exposed are children. Primary child health care nurses (PCHNurses)in Sweden are in contact with refugee families to a larger extent and are thereforefacing communication difficulties and cultural differences.

    Motive: There is a lack of research regarding PCHNurses’ experiences of meeting withasylum seeking families.

    Aim: To describe PCHNurses’ experiences of meeting with asylum seeking families.

    Methods: The design was a qualitative interview study with an inductive approach.Six PCHNurses were interviewed based on semistructured questions. A qualitativecontent analysis was used to analyze the interviews.

    Result: Four main categories based on the interviews were found. Sufficient amountof time gave possibilities, fear of losing control, understanding cultural differencesfacilitates and enriching experiences. The categories consist of ten subcategories.

    Discussion: Sufficient amount of time was the key to success. Using interpretercreated feelings of uncertainty and frustration. Cultural differences were perceivedboth as stimulating and hard to handle. PCHNurses felt happiness at work.

    Conclusion: Meetings with refugees are complex and demand a high culturalcompetence.

  • 45.
    Andersson, Gun
    Umeå University, Faculty of Medicine, Department of Nursing.
    Höj-och sänkbara arbetsbord på 1177 sjukvårdsrådgivning och vårdcentral2015Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    AbstractBackgroundOccupations involving more sedentary at work occurs in today´s society to a greater extent, and even in their spare time, several are less physically active. Around 1.2 million acquisition workers felt that their work contained an excessive amount of sedentary.PurposeThe aim of this thesis was to examine the self-assessed work environment amongst medical staff who uses height-adjustable work desks.MethodThe study was conducted as a quantitative survey with validated questionnaires from QPS Nordic- 34 + questions from AFS 2012:2 checklists from the Swedish Work Environment Authority. A convenience sample of 1177 medical counseling and a health center of Uppsala led to 53 completed questionnaires. The study material was analyzed through the development of descriptive statistics and related analysis.ResultThe majority of the 53 respondents had a height- adjustable desk. The group that had height- adjustable desk were able to switch working position frequently during the day. There is no significance between those with and without height- adjustable work desks regarding the questions about the self assessed work.ConclusionThe majority of the staff from both the 1177 medical counseling and the health centers had height- adjustable work desks and were using them.KeywordsOccupational sitting, sit-stand work station, sit-stand desk, height- adjustable workstations, muscle fatigue.

  • 46.
    Andersson, Johanna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Norberg, Mariana
    Umeå University, Faculty of Medicine, Department of Nursing.
    Karakteristika av vårdtagare som genomgått läkemedelsgenomgång2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The proportion of older people over 65 is increasing in the world and in Sweden. Polyfarmacy among elderly is common both internationally and nationally. Older people have an increased sensitivity to drug side effects, leading to drug-related problems and suffering for the elderly, as well as increasing healthcare costs.

     

    Motive: Research on medication reconciliation has shown that elderly people are subscribed many drugs causing an increased risk of drug-related problems. However, there is still a gap of knowledge regarding what characterizes elderly who received a pharmaceutical review at nursing home compared to elderly who did not receive a pharmaceutical review at nursing home.

    Aim: The aim of this study was to investigate characteristics of residents at nursing home who have undergone pharmaceutical review.

    Methods: Cross-sectional study with quantitative approach. The survey was conducted in May 2013. A total of 1964 residents living at nursing home participated in the study. Data was collection by mean of the Multi-Dimensional Dementia Assement Scale and Geriatric Rating Scale. Characteristics differences were analysed between residents who conducted a pharmaceutical review as compared to those who did not carry out a pharmaceutical review.

    Result: The main findings of this study indicate that factors that independently explain pharmaceutical review were cognitive impairment and verbally disruptive behavior. Furthermore, our findings show that many residents at nursing home who underwent a pharmaceutical review showed BPSD-symptoms such as aggressiveness, restlessness, passivity, regressive inappropriate behavior and hallucinations.

    Discussion: The result in this study was discussed using Katie Eriksson's nursing theory. Many residents at nursing home suffer from cognitive impairment and verbally disturbing behavior, and the district nurse/nurse has a central role in the medication reconciliation in order for the residents to be supported for optimal health. Continuous medication reconciliation can increase healthcare and quality of life.

    Conclusion: There are probably further characteristics of elderly at nursing home who have undergone pharmaceutical review that has not been found in this study. We suggest further propose longitudinal research on this, but also further studies are needed to explore the effects of pharmaceutical review among the elderly.

  • 47.
    Andersson, Jonas
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Liljekvist, Torkel
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ambulanspersonalens upplevelser av återhämtning mellan uppdragen2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Ambulance personnel face daily stress and high workload. This leads to increased risk of health problems among ambulance personnel and risk to affect care.

    Purpose: The purpose of this study was to elucidate the ambulance personnel experiences of recovery between missions.

    Participants: In the study contributed ten employees in prehospital care at two mid-sized cities in Sweden and surrounding rural areas.

    Method: The study was based on ten semi-structured interviews conducted in December 2014. The interviews were recorded and analyzed using qualitative content analysis.

    Results: Four categories emerged: Prerequisites for recovery, Circumstances that provides recovery, Circumstances that impairs recovery and Consequences of lack of recovery. To the four categories 14 subcategories were created. The factors that were considered most important for good recovery is daytime, meals and social interaction. During nighttime sleep was described as the most elementary. It was pointed out that it is difficult to plan for rest and recovery, partly because the workload, partly because of uncertainty about the workshifts progression.

    Conclusion: The result of the study shows that ambulance personnel feel that the most important recovery occurs through sleep, meals and socializing. Prerequisites for rest and recovery has a fundamental role. What may limit the recovery is perceived to be; lack of adequate crisis management, short time for recovery and poor peer support. Which can lead to impaired care and risk of adverse health effects.

  • 48.
    Andersson, Katarina
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Personlig hygiejne som en intim situation2016In: Det nære sundhedsvæsen: perspektiver på samfundsudvikling og møder mellem mennsker / [ed] Stinne Glasdam & Jette Westenholz Jørgensen, Københamn: Munksgaard Forlag, 2016, 1, p. 115-122Chapter in book (Other academic)
  • 49.
    Andersson, Laila
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    John, Jennifer Sira
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att leva med endometrios: en litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a common gynecological disease that affects one in ten women of reproductive age and affecting almost 250 000 women in Sweden. Despite this the path to diagnosis is long women experience several different problems in their daily life.Aim: The aim of the study was to describe women’s experiences of living with endometriosisMethods: Eight qualitative articles were examined, analyzed and compiled in a literature review. Searches for relevant studies were done in Pubmed, Medline,PsycINFO, google scholar and manual search.Results: The analysis resulted in three categories “To be misunderstood by the care and relatives and hence normalized their symptoms”, “To try to master the disease and the feeling of an uncertain future” and “endometriosis symptoms give limitations to everyday life”Conclusions: The result shows that women experience that they are not taken seriously when they seek medical help, that they find their own way to manage the disease and that they experience problem of the symptoms in their daily lives. The nurse may with personal-centered care possibly help these women to manage their daily lives better but more research is required.

  • 50.
    Andersson, Lars
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Larsson, Ida
    Umeå University, Faculty of Medicine, Department of Nursing.
    Tolken som min röst: Sjuksköterskors upplevelser av att arbeta medtolksamtal i asylhälsan2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aims: The aim was to study nurses' experience of working with interpreter conversations inmigrant health.Background: The last years increase in refugees has created rising demands on migranthealth and interpreters in primary healthcare. Lack of communication can hinder nurses' careand knowledge of the experience of interpreter conversations is therefore important,something lacking in research. The National Board of Health and Welfares survey describedproblems of availability of medical interpreters and an unequal situation nationwide.Methods: The study was a qualitative interview study with seven nurses. Interviews wererecorded, transcribed and analyzed with qualitative content analysis.Results: Three main categories were identified: The interpreter’s role affects the conversationdescribed how interpreter professionality could enable or disable the conversation as couldinterpreter sex and culture. The nurses' role affects the conversation described how theprofessionality of the nurse was essential as they needed to find own solutions workwise aswell as the pursuit of a caring conversation with the patient. The organization affects theconversation described a limiting organization with a lack of interpreters, structure andcooperation between healthcare and authorities. Education was stressed as quality-assurance.Conclusions: Nurses need the interpreter as bridge for their voice to enable good care. Thereis need for a systematic way to work with interpreters through education and Nurse-Interpreter training. This would quality-assure healthcare and improve working conditions.Competence in transcultural nursing is important for equal health care in today's multiculturalSweden

1234567 1 - 50 of 1924
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf