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  • 1.
    Davidsson, Johanna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Olausson, Hanna
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskors erfarenheter av att bedöma smärta och oro hos barn och ungdomar inom somatisk vård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The experience of pain is a complicated interaction between physiologicaland emotional interpretations. Children experience pain as something unpleasant andoften associates with fear. Children experience their current pain with pain experiencesthey have had before, expectations of pain and socio-cultural factors. Children use a varietyof strategies for self-sooting but often rely on help from adults. Parents and healthcareprofessionals therefore play an important role in how the child manage the pain.

    Motive: To spread knowledge from nurses about their experiences about taking care ofchildren with pain and anxiety.

    Aim: To illuminate experienced nurses' experiences regarding assessing pain and anxietyin children who are cared for at somatic care department.

    Methods: During March and April 2019, ten pediatric nurses were interviewed. The semistructuredinterviews were analyzed with qualitative content analysis.

    Result: The analysis resulted in two main categories with nine sub-categories. Assessingthe child included five subcategories: interpreting anxiety and pain, children expressthemselves differently, getting help with the assessment, the importance of workexperience when assessing and to make objective assessments.Helping the child included four subcategories: the challenge of providing the right help intime, to create safety around the child, the parents’ role in facilitating the child's situationand to distract pain and worry.

    Discussion: To find out in depth the causes of suffering is a difficult but important task.Building a relationship to understand how the child experience the situation is crucial. Notgiving false hopes but providing accurate information, provides calmness and safetyinstead of worry.

    Conclusion: Pain and anxiety are tightly linked and being able to distinguish them isoften very difficult. It is important to take time with the patient to understand what thereal cause is and to remember that both parts needs to be highlighted to relieve suffering

  • 2.
    Forsmark, Johannes
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Davidsson, Johanna
    Umeå University, Faculty of Medicine, Department of Nursing.
    Effekter av motiverande samtal (MI) på personer med diabetes typ 2: En litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The prevalence of diabetes continues to rise worldwide, and oneexplanation being the decrease in positive lifestyle habits which often lead to weight gain and obesity, well known risk factors for diabetes type 2. Diabetes type 2 can be more easily managed by lifestyle changes. One counselling approach which has been found to have positive effect on lifestyle changes is Motivational Interviewing (MI).Treatment that involve short interventions have shown to have positive effects and may be useful in an often time poor environment such as the healthcare system. Objective: To map out and describe the effects of interventions based on motivational interviewing (MI) done in treatment of people with diabetes type 2. Methodology: Literature review of nine quantitative scientific articles. The databases Cinahl with full text, MEDLINE, PubMed, PsycINFO, Scopus and Google Scholar was used. Results: Physiological effects, diet, psychological effects and personal care were addressed. An effect of MI over time was found on several areas such as HbA1c, weight, knowledge about and understanding of diabetes type 2, compliance to physical activity, locus of control as well as personal self-care. However a lack of significant differences were found between groups in several studies. Conclusion: The results of the literature review are inconsistent. Motivational interviewing may be a possible counselling approach to apply in the nursing setting together with people with diabetes type 2, as a way to improve health behaviours such and decrease the risk of complications.

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