umu.sePublications
Change search
Refine search result
343536373839 1801 - 1850 of 1925
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.
  • 1801.
    Wahlström, Malin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lestander, Helén
    Umeå University, Faculty of Medicine, Department of Nursing.
    Operationssjuksköterskors användning av intraoperativ kommunikation med patienter: en observationsstudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Current research shows how the use of intraoperative communication can lead to positive effects for both patients and operating theatre nurses. However, research is missing regarding the use in practice.

    Aim: The aim of this study was to observe, with the support of the competence description of the profession, how operating theatre nurses use intraoperative communication with patients in their clinical work, and reasons why communication possibly is not used.

    Method: The study was performed as a qualitative, ethnographic, observational study. 20 observations of operating theatre nurses at a hospital in northern Sweden were made, and the material was analyzed through content analysis.

    Findings: The analysis of the material led to three categories: To communicate, To perform person-centered care and To be influenced by the working environment, and eight sub-categories: To provide information, To conduct an intraoperative dialogue, To build a temporary relationship, To identify caring needs, To be committed, To be absent, To have other duties and To be affected by time

    Conclusion: The findings of this study indicate that intraoperative communication is rarely used in clinical work today, and that operating theatre nurses, for different reasons, usually take a step back and let the other team members take responsibility for the intraoperative nursing.

  • 1802.
    Wallgren, Åsa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ögren, Marlene
    Umeå University, Faculty of Medicine, Department of Nursing.
    Det är verkligen en stympning, utav naturligtvis könet, men också utav kvinnan.” Barnmorskors tal om könsstympning – en diskursanalys.2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective: To describe midwives discourses about female mutilation, how they ask pregnantwomen if they have been subjected to female genital mutilation, and what feelings the subjectarouses within the midwives.Design: A qualitative interview study with a theoretical discourse analysis method with acritical discourse analysis as a perspective.Participants: Seven midwives working at midwifery clinics in a region in the north part ofSweden, with at least two years' experience in this area, have been interviewed.Findings: The results are presented in three discursive themes, with eight underlyingdiscourses. The talk about female genital mutilation: The direct and the evasive speech offemale genital mutilation and The use of power that deprives women of their rights. To askthe question about female genital mutilation: Need for routines, To ask the question will beup to the individual midwife, A pronounced responsibility, and Us and Them. Feelings thatfemale genital mutilation arouses: Female genital mutilation leaves no one unconcernedand A fear of violating. The findings shows that the midwives express strong commitment tothe subject and at the same time a difficulty in asking the question of genital mutilation. Theresult indicates that women exposed to female genital mutilation are at risk of not beingidentified and thus not receiving the care they are entitled to.Key conclusion and clinical implications: The study shows that midwives are in need ofincreased knowledge, routines, practice, support and guidance of how to manage the issue ofidentification of, and how to treat, women who are subjected to female genital mutilation. Thequestion of identification is in the end about offering equal treatment for all women, as well asbeing an important part in preventing that future generations of girls be subjected to femalegenital mutilation

  • 1803.
    Wallin, Olof
    et al.
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
    Söderberg, Johan
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
    Van Guelpen, Bethany
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Pathology.
    Brulin, Christine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Grankvist, Kjell
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
    Patient-centred care - preanalytical factors demand attention: a questionnaire study of venous blood sampling and specimen handling2007In: Scandinavian Journal of Clinical and Laboratory Investigation, ISSN 0036-5513, E-ISSN 1502-7686, Vol. 67, no 8, p. 836-847Article in journal (Refereed)
    Abstract [en]

    Objective. Most mistakes in laboratory medicine are the result of human error occurring before the blood sample reaches the laboratory. This survey of preanalytical procedures was designed to identify sources of error and potential targets for quality improvement strategies.

    Material and methods. The staff in a highly specialized surgical ward at a university hospital completed a questionnaire addressing the collection and handling of venous blood samples in plastic vacuum test‐tubes for general clinical chemistry testing.

    Results. The results suggest that venous blood sampling instructions are not always followed. When uncertain about how a sample should be collected, the majority of respondents rely on potentially poor sources of information, such as out‐of‐date printed instructions or the advice of a colleague, rather than consult up‐to‐date electronic instructions. Furthermore, they do not always report errors and the referrals are not always handled according to sampling instructions. The respondents were highly motivated, however, and had a strong interest in receiving further education in, and assuming increased responsibility for, venous blood sampling procedures in the ward.

    Conclusions. We believe that the introduction of standardized routines and regular staff training, combined with an exchange of the existing paper‐based referral management system with an electronic system for managing referrals, could increase safety in the preanalytical process, with positive effects on patient safety. Given the importance of venous blood samples in patient care, a more extensive study covering other hospital wards and primary health‐care centres is needed.

    Read More: http://informahealthcare.com/doi/abs/10.1080/00365510701370675

  • 1804.
    Wallin, Olof
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Söderberg, Johan
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
    Van Guelpen, Bethany
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Pathology.
    Stenlund, Hans
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Grankvist, Kjell
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
    Brulin, Christine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Blood sample collection and patient identification demand improvement: a questionnaire study of preanalytical practices in hospital wards and laboratories2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 3, p. 581-591Article in journal (Refereed)
    Abstract [en]

    Background:  Most errors in venous blood testing result from human mistakes occurring before the sample reach the laboratory.

    Aims:  To survey venous blood sampling (VBS) practices in hospital wards and to compare practices with hospital laboratories.

    Methods:  Staff in two hospitals (all wards) and two hospital laboratories (314 respondents, response rate 94%), completed a questionnaire addressing issues relevant to the collection of venous blood samples for clinical chemistry testing.

    Results:  The findings suggest that instructions for patient identification and the collection of venous blood samples were not always followed. For example, 79% of the respondents reported the undesirable practice (UDP) of not always using wristbands for patient identification. Similarly, 87% of the respondents noted the UDP of removing venous stasis after the sampling is finished. Compared with the ward staff, a significantly higher proportion of the laboratory staff reported desirable practices regarding the collection of venous blood samples. Neither education nor the existence of established sampling routines was clearly associated with VBS practices among the ward staff.

    Conclusions:  The results of this study, the first of its kind, suggest that a clinically important risk of error is associated with VBS in the surveyed wards. Most important is the risk of misidentification of patients. Quality improvement of blood sample collection is clearly needed, particularly in hospital wards.

  • 1805.
    Wallin, Olof
    et al.
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
    Söderberg, Johan
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
    Van Guelpen, Bethany
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Pathology.
    Stenlund, Hans
    Grankvist, Kjell
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
    Brulin, Christine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Preanalytical venous blood sampling practices demand improvement: A survey of test-request management, test-tube labelling and information search procedures.2008In: Clinica Chimica Acta, ISSN 0009-8981, E-ISSN 1873-3492, Vol. 391, no 1-2, p. 91-97Article in journal (Other academic)
    Abstract [en]

    BACKGROUND: Most errors in laboratory medicine are preanalytical in nature. In the present study, we aimed to survey preanalytical steps in venous blood sampling, prior to actual sample collection. These steps included test-request management and test-tube labelling, as well as information search procedures. METHODS: Venous blood sampling staff (n=314, response rate 94%) in hospital wards and laboratories completed a questionnaire related to clinical chemistry testing. RESULTS: Instructions for test-request management and test-tube labelling were not always followed. For example, only 66% of the ward staff reported always checking the test-request if someone else completed it, compared to 90% of the laboratory staff (p=0.003). As few as 16% of the ward staff reported desirable practices regarding test-tube labelling, compared to 100% of the laboratory staff (p<0.001). Furthermore, 18% of the ward staff reported always using online manuals (the only source of updated information), compared to 63% of the laboratory staff (p<0.001). CONCLUSIONS: Our results indicate a substantial risk of preanalytical error in test-request management, test-tube labelling, and information search practices, particularly in the wards. Our findings thus underscore the importance of quality control in venous blood sampling, in order to increase patient safety in modern health care.

  • 1806.
    Wallin, Olof
    et al.
    Umeå University, Faculty of Medicine, Department of Medical Biosciences.
    Söderberg, Johan
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
    van Guelpen, Bethany
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Nutritional Research.
    Thor, Johan
    Grankvist, Kjell
    Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
    Brulin, Christine
    Umeå University, Faculty of Medicine, Department of Nursing.
    A questionnaire survey of error reporting practices regarding venous blood sampling in hospitalsManuscript (Other academic)
  • 1807. Walsh, Denis
    et al.
    Christianson, Monica
    Umeå University, Faculty of Medicine, Department of Nursing.
    Stewart, Mary
    Why midwives should be feminists2015In: Midwifery Digest, ISSN 0961-5555, Vol. 25, no 2, p. 154-160Article in journal (Refereed)
    Abstract [en]

    Gender inequality and oppression is a pervasive feature of human cultures and societies across the world and this is reflected in women's reproductive health with unacceptably high maternal mortality rates in low-income countries and excessive rates of intervention in childbirth in high-income countries. Midwifery, a profession whose raison d'etre is to be 'with women' with an explicit focus on maximising their reproductive health, has been slow to engage with a gendered analysis of these effects. There has also been a reluctance to utilise a feminist lens in addressing midwifery policy, practice and research. In this paper, we argue for change so that feminist values and gender equality become central to all midwifery endeavours.

  • 1808.
    Wedin, Sofia
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskors erfarenheter av sårbehandling med silverförband2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Silverförband har under en längre tid använts som antibakteriell lokalbehandling vid sår. En rad studier pekar på positiva effekter av silverförband. Emellertid har en granskning av Statens beredning för medicinsk och social utvärdering konstaterat att det finns för få studier av kvalitet för att med säkerhet fastslå att silverförbandets evidens. Syfte: Att beskriva sjuksköterskors erfarenheter av sårbehandling med silverförband. Metod: Studien utfördes genom kvalitativa intervjuer av sammanlagt 8 sjuksköterskor på ett sjukhus på Island. Deltagarna var verksamma inom tre olika avdelningar där sårbehandling med silverförband förekom. Kvalitativ innehållsanalys användes som analysmetod. Resultat: Sjuksköterskorna beskrev erfarenheter av situationer då silverförband var en lämplig behandlingsåtgärd. Betydelsen av hur olika åtgärder samspelade i läkningsprocessen framgick även. Samtliga sjuksköterskor hade erfarenhet av positiva effekter relaterat till patientens livskvalitet, såsom reducerad lukt och sårsekretion. Sjuksköterskorna upplevde inga svårigheter med att bedöma om silverförband var en lämplig åtgärd. Kommunikation inom vårdteamet och tidigare erfarenheter av behandlingen var viktigt vid beslutsfattande av att använda silverförband. Slutsats: Silverförband kan ha en betydelsefull roll vid förebyggning och behandling av infekterade sår. Det kan öka patientens livskvalitet genom att reducera lukt och sekret från såret. Sjuksköterskorna tillämpade beprövad erfarenhet vid val av silverförband för ett sår. Helhetsbehandlingen är däremot avgörande för patienten vid sårvård.

  • 1809. Weeks, Birgit
    et al.
    Nilsson, Ulrica
    Umeå University, Faculty of Medicine, Department of Nursing.
    Music intervention in patients during coronary angiographic procedures: a randomized controlled study of the effect on patients’ anxiety and well-being2011In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 10, no 2, p. 88-93Article in journal (Refereed)
    Abstract [en]

    Background

    A cardiac catheterization laboratory can be a frightening environment and music can be a supportive source of environmental sound that stimulates and maintains relaxation.

    Aim

    To test the effects of patient focused music versus loudspeaker music versus standard sound on patient's experiences of anxiety and well-being during coronary angiographic procedures.

    Methods

    A prospective, randomized, controlled trial of 98 subjects undergoing elective coronary angiogram and/or percutaneous coronary intervention. The subjects were randomly allocated to three different groups of sound environments: a control group (the usual sound environment), a patient focused music group (audio pillow) or to a loudspeaker music group.

    Results

    Anxiety decreased significantly and well-being increased significantly in the two music groups compared to the control group. There was a significantly more positive impression of the sound environment in the patient focused music group compared to the two other groups.

    Conclusion

    This study showed that the use of a specially designed music reduced anxiety and increased well-being in patients during coronary angiographic procedures. However, patient focused music seemed to be more preferable. The sound environment was rated more positively by the subjects listening to music via audio pillow. The music delivered via loudspeakers seemed to distract the staff during the examination at the cardiac catheterization laboratory.

  • 1810.
    Weflö, Cecilia
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kaiding, Lena
    Umeå University, Faculty of Medicine, Department of Nursing.
    Arbetstagares upplevelser av att genomgå yrkesinriktad rehabilitering vid upprepad korttidsfrånvaro: Empirisk studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Abstrakt

    Bakgrund: Regeringen presenterade i september 2015 ett åtgärdsprogram för ökad hälsa och minskad sjukfrånvaro. Ett av målen med åtgärdsprogrammet är att sjukpenningtalet (mått på sjukskrivningarnas omfattning) ska uppgå till maximalt 9,0 dagar/försäkrad år 2020. För att nå det målet krävs att ökningen av nya sjukfall minskar. Att uppmärksamma upprepad korttidsfrånvaro kan vara ett sätt att minska inflödet av nya sjukfall. För att förhindra framtida långtidssjukfrånvaro arbetade företagshälsan på ett svenskt metallföretag med utvecklingen av en metod för rehabilitering vid upprepad korttidsfrånvaro. I det här arbetet görs en utvärdering av hur anställda har upplevt denna rehabilitering. Syfte: Att beskriva arbetstagares upplevelse av att genomgå yrkesinriktad rehabilitering vid upprepad korttidsfrånvaro. Metod: Studien genomfördes som en kvalitativ intervjustudie. Totalt intervjuades sju arbetstagare på ett metallföretag i norra Sverige. Intervjuerna analyserades med kvalitativ innehållsanalys. Resultat: Resultatet visade på både upplevelser av möjligheter och hinder i rehabiliteringen. Arbetstagare beskrev det som positivt att känna trygghet, att få hjälp och att känna stöd. Det som upplevdes som mindre bra var känslor som beskrev hur man kände sig utpekad, ifrågasatt och misstrodd. God kontakt med närmsta chef beskrevs som viktigt för att främja rehabiliteringen. Slutsats: Arbetstagare upplevde både hinder och möjligheter med rehabiliteringen. De arbetstagare som hade ett riktigt motiv för rehabiliteringen upplevde den som en möjlighet. Däremot de som saknade motiv för rehabiliteringen upplevde den som onödig och kände sig misstrodda.

  • 1811.
    Wennberg, Anna Lena
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine. Umeå University, Faculty of Medicine, Department of Nursing.
    Pregnant women and midwives are not in tune with each other about dietary counseling: studies in Swedish antenatal care2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background During pregnancy, a healthy diet is beneficial for the expecting mother and her fetus. Midwives in antenatal care have an ideal position for promoting a healthy diet and thereby help women to not only lower the risks of pregnancy complications and adverse birth outcomes, but improve maternal health. The overall aim of this thesis was to describe diet and dietary changes during pregnancy from the women’s and the midwives’ perspectives with a focus on dietary counseling. The thesis comprises four studies. The specific aims in the respective studies were to: I) Describe pregnant women’s attitudes to and experiences of dietary information and advice, as well as dietary management during pregnancy. II) Explore midwives’ strategies in challenging dietary counseling situations. III) Describe how midwives’ perceive their role and their significance in dietary counseling of pregnant women.  IV) Describe women’s food habits during pregnancy and up to six months postpartum.

    Methods Studies I-III were qualitative. Study I included focus group interviews with 23 pregnant women. Study II included telephone interviews with 17 experienced midwives working in Swedish antenatal health care. Study III included the same 17 interviews from study II and supplemented them with four face-to-face-interviews. Qualitative content analysis was performed in all three studies. Study IV was a longitudinal study including a quantitative analysis of a questionnaire, which was given to women at five occasions during and after pregnancy. It concerned their food habits and it was answered by 163 women. The quantitative data was analyzed using comparative and descriptive statistics.

    Results The overall findings of the thesis were summarized as the main theme “Pregnant women and midwives are not in tune with each other about dietary counseling”. The main theme included the two themes ‘Pregnant women are concerned about risks for their child but fail to change to healthier dietary habits over time’, and ‘Midwives view themselves as authorities, though questioned ones’. In subthemes it was highlighted that pregnant women are well informed and interested in risk reduction for their child’s best and that they try to do their best to improve their diet during pregnancy. However, their diet did not reach levels of healthy eating recommendations and became even unhealthier after pregnancy. It was also highlighted that midwives experienced insufficient knowledge in dietary issues and related risks and that they had difficulties to give dietary support to pregnant women. Midwives were found to mainly focus on giving information and they lacked sufficient competence for challenging counseling.

    Conclusion Pregnant women, on the one hand, experience a lack of support from the midwives when dealing with dietary changes. The midwives, on the other hand, feel exposed and express a need for both further education in dietary issues and training in counseling. Women’s food habits during, but in particular after pregnancy need improvement, and dietary counseling could be more focused on healthy eating in a long-term perspective.

  • 1812.
    Wennberg, Anna Lena
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine. Umeå University, Faculty of Medicine, Department of Nursing.
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Hörnsten, Åsa
    Umeå University, Faculty of Medicine, Department of Nursing.
    Midwives' strategies in challenging dietary and weight counselling situations2014In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 5, no 3, p. 107-112Article in journal (Refereed)
    Abstract [en]

    Objective: By enhancing maternal nutritional status, midwives can help women lower the risks of pregnancy complications and adverse birth outcomes as well as improve maternal health during pregnancy and in the long run. Dietary counselling is, on the other hand, not reported to be effective. Poor communication and conflicting messages are identified as possible barriers to adherence with recommendations. Midwives' experiences of providing dietary advice and counselling during pregnancy are sparsely reported. The aim of this study was therefore to explore midwives' strategies when faced with challenging dietary counselling situations. Methods: Seventeen midwives from different parts of Sweden and working within antenatal health care were interviewed by telephone. The interviews were analysed using qualitative content analysis. Results: Challenges were commonly experienced when counselling women who were overweight, obese, had eating disorders or were from different cultures. The midwives talked in terms of "the problematic women" when addressing counselling problems. Strategies used in challenging counselling situations were Getting acquainted; Trying to support and motivate; Pressure to choose "correttly"; Controlling and mastering; and Resigning responsibility. Conclusions: The results indicate that Swedish midwives' counselling strategies are quite ambiguous and need to be questioned and that counselling of vulnerable groups of women should be highlighted. We could identify a need for education of practicing midwives to develop person-centred counselling skills.

  • 1813.
    Wennberg, Anna Lena
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Isaksson, Ulf
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sandström, Herbert
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Lundqvist, Anette
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Hörnell, Anette
    Umeå University, Faculty of Social Sciences, Department of Food and Nutrition.
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Swedish women's food habits during pregnancy up to six months post-partum: a longitudinal studyIn: Perspectives on sexual and reproductive health, ISSN 1538-6341, E-ISSN 1931-2393Article in journal (Other academic)
  • 1814.
    Wennberg, Anna Lena
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lundqvist, Anette
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Högberg, Ulf
    Uppsala Univ, Dept Womens & Childrens Hlth Obstet & Gynecol, SE-75105 Uppsala, Sweden.
    Sandström, Herbert
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Women's experiences of dietary advice and dietary changesduring pregnancy2013In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 29, no 9, p. 1027-1034Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to describe women's experiences of dietary information and the change of dietary habits during pregnancy. DESIGN: a qualitative design was used. In 2007 we conducted six focus group interviews using open-ended questions. SETTINGS: five rural and city antenatal clinics in northern Sweden were included PARTICIPANTS: twenty-three women in mid-pregnancy participated in groups of three to seven FINDINGS: three domains were found 'Dietary information gain', 'Reactions to dietary information' and 'Dietary management'. The women had to discover dietary information by themselves, and only when health problems or symptoms occurred did they receive guidance from the midwife. Their reactions to the dietary information were 'being confused', 'feeling fear and guilt' and 'being monitored', summed up in 'being uncertain'. The diet was managed by 'checking food content', 'following bodily signals', 'using common sense', and 'making exceptions', summed up as 'being responsible but with a pinch of salt'. KEY CONCLUSIONS: the women expressed problems with dietary changes, but they could mostly manage them on their own. The pregnant women experienced that the midwives gave dietary information and advice first when problems arise. When struggling with diet, the women experienced confusion, and they had to seek information by themselves. IMPLICATIONS FOR PRACTICE: sources of information about diet during pregnancy were experienced as inconsistent and contradictory. Midwives are important in motivation for healthy lifestyle during pregnancy and with sufficient dietary knowledge and counselling skills they can help pregnant women effect dietary changes by providing guidance and support in early pregnancy.

  • 1815.
    Wennberg, Anna-Lena
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Univ Umea Hosp, Dept Publ Hlth & Clin Med, Family Med, SE-90185 Umea, Sweden.
    Hörnsten, Åsa
    Umeå University, Faculty of Medicine, Department of Nursing.
    Hamberg, Katarina
    Univ Umea Hosp, Dept Publ Hlth & Clin Med, Family Med, SE-90185 Umea, Sweden.
    A questioned authority meets well-informed pregnant women: a qualitative study examining how midwives perceive their role in dietary counselling2015In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 15, no 1, article id 88Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: During pregnancy and afterward, a healthy diet is beneficial for the expecting mother and her foetus. Midwives in antenatal care have an ideal position for promoting healthy diets. Dietary counselling is however complex and recommendations can be controversial. While pregnant women struggle with dietary recommendations, midwives struggle with a lack of authority. The aim of the study was therefore to describe how midwives perceive their role and their significance in dietary counselling of pregnant women.

    METHODS: An interview study was conducted that involved twenty-one (21) experienced midwives, who worked in the Swedish prenatal health care. A qualitative content analysis was conducted.

    RESULTS: Pregnant women were perceived to be well informed, but they needed guidance to interpret information on the Internet. They were described as rigorous and eager information seekers who needed guidance to interpret information as they were worried and emotional. The midwives saw themselves as a questioned authority who lacked support. This meant being informative and directive though not always updated or listened to. Their impact was uncertain and they could also lack sufficient competence to counsel in delicate issues.

    CONCLUSION: The midwives' directive role may obstruct the women's needs to manage the dietary recommendations and risk evaluation in a women-centred dialogue. Midwives need to acknowledge pregnant women as both well informed and skilled if they are going to develop woman-centred antenatal care. Ongoing training and self-reflection will be needed to make this change.

  • 1816.
    Wennberg, Anna-Lena
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Social Sciences, Department of Food and Nutrition. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Isaksson, Ulf
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sandström, Herbert
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Lundqvist, Anette
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Hörnell, Agneta
    Umeå University, Faculty of Social Sciences, Department of Food and Nutrition.
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Swedish women’s food habits during pregnancy up to six months post-partum:: A longitudinal study2016In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 8, p. 31-36Article in journal (Refereed)
    Abstract [en]

    Objectives: Diet influences the health of the foetus and the woman during pregnancy and later in life. Itis therefore important to investigate pregnant women’s food habits. The aim of this study was to describewomen’s food habits during pregnancy and up to six months post-partum.Study design: A Food Frequency Questionnaire (VIP-FFQ) was distributed to 163 pregnant women on fiveoccasions during and after pregnancy. Data were analysed using Friedman’s ANOVA and a Bonferronipost-hoc test.Main outcome measures: Food habits in relation to the National Food Agency’s (NFA) food index.Results: The pregnant women’s diets were inadequate according to the NFA food index. A tendency towardsan even poorer diet after delivery was identified, something which was related to an increased intakeof discretionary food, e.g. sweets, cakes, cookies, crisps, ice cream, and decreased intake of fruit and vegetable.The alcohol consumption was low throughout.Conclusions: The food habits during pregnancy were inadequate compared to recommendations and thesehabits became unhealthier after delivery. These suggest that dietary counselling needs to be more effectiveand continued into the lactating period. An increased focus should be given to healthy eating fromthe life course perspective, not just focus on effects on the foetus and pregnancy outcomes.

  • 1817.
    Werkmäster, Ludvig
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Grehn, Andreas
    Umeå University, Faculty of Medicine, Department of Nursing.
    Erfarenheter av att vara förälder till ett barn med schizofreni: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Title: Experiences of being a parent to a child with schizophrenia

    Background: When a child is diagnosed with schizophrenia, the entire family is affected. Parental responses to the diagnosis resembles crisis-similar reactions. When in touch with hospital care, parent’s often feel disappointed with staff and the lack of help. The childrens diagnosis affects the parental role, everyday-life and caregiving responsibilities. Aim: The aim of this litterature study is to illuminate the experiences of being a parent to a child diagnosed with schizophrenia. Method: A litterature study was conducted including nine scientific studys with a qualitative approach. All studys were quality reviewed, analyzed and compiled into a result. Result: The result was compiled into the following five categories: confrontation with the child’s diagnosis, to assume a strenuous caregiving responsibility, an altered familystate, different ways to handle the altered familystate and view of the future. Conclusion: Being a parent to a child with schizophrenia involves increased responsibility and increased burden for the parents. Through a family-focused care perspective, it premits the nurse to see the family as a unit, which can lead to parents getting the help and support they need to a greater extent. 

  • 1818.
    Werner, Elin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kyrk, Petter
    Umeå University, Faculty of Medicine, Department of Nursing.
    Barn och tonåringars erfarenheter av att leva med övervikt och fetma: En kvalitativ litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Children and adolescents’ experiences of living with overweight and obesity 

    ABSTRACT Background: Overweight and obesity are a global increasing problem. Early onset of overweight and obesity increases the risk of developing secondary diseases such as type 2 diabetes. Children and adolescents with overweight and obesity often suffer from negative psychological consequences and many are stigmatized and bullied due to their overweight and obesity. Aim: The aim of this study was to highlight children and adolescents’ experiences of living with overweight and obesity. Methods: The literature study contains ten scientific articles with a qualitative approach. The results from each individual article have been reviewed, analyzed and compiled. Results: Children and adolescents’ experiences of living with overweight and obesity was that they felt different from others and many had a negative view of their own body. They felt stigmatized and their everyday lives were characterized by low self-esteem and isolation from the environment. Many sought comfort in food and described that the relationship with the family was of great importance. Conclusion: Children and adolescents’ who are living with overweight and obesity are experiencing a great suffering due to this health problem. Contributing causes to this suffering are exclusion and society's stigmatization. Family and close relationships are considered significant by the participants.

  • 1819.
    Westerberg, Josefine
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Björkman, Maria
    Umeå University, Faculty of Medicine, Department of Nursing.
    Barnmorskors upplevelse av medikaliseringen inom förlossningsvården samt deras syn på begreppet obstetriskt våld2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Setting: There is an over-medicalization taking place in maternity care according to WHO and interventions are a routine during labour, also in births which are considered normal without risk factors. The midwives play an important role by promoting a more women-centred care.

    Objective: The aim of the study was to explore midwives’ experiences about the medicalization of childbirth and their viewpoint on the concept obstetric violence.

    Design: Qualitative semi-structured interviews were performed with six midwives in two different maternity units located in the north of Sweden. Data were analyzed with qualitative content analysis. The analysis resulted in an overall theme, three categories and seven subcategories.

    Participants: The midwives were aged 23-65 years with experience from maternity care.

    Findings: The theme the obstetric violence – a reality in maternity units describes how the obstetric violence manifests through several interventions that obstruct women’s birth process. The category inevitable interventions contains midwives experiences from routine interventions, but also that interventions sometimes are considered necessary. The following category women’s birth process is obstructed elicits how women lose their autonomy related to childbirth, and how they are blamed for the ongoing medicalization. The third category midwives are frustrated but subordinate themselves in a medical structure includes how the midwives’ work is governed by a medical-orientated management, how they feel insufficient and desire to focus on women to preserve the natural elements in birth.

    Conclusion: The obstetric violence is a perceived reality in two maternity units located in the north of Sweden, where it is made visible through an obstruction of women’s birth process by depriving their autonomy. The midvives’ work is constrained and governed by the mentality and the medically-oriented management. Consequently, the medically-oriented maternity care implicates a restriction not only for the women giving birth but also for the midwives.

    Implications for practice: The concept of obstetric violence should be made visible for midwifery students, midwives and obstetricians. For instance through education days where the theme is brought up, discussed and where all of the professional groups reflects on how they can work towards a more woman-centered maternity care.

    Keywords: obstetric violence, medicalization, midwives, women, maternity care, content analysis

  • 1820.
    Westergren, Emma
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Andersson, Matilda
    Umeå University, Faculty of Medicine, Department of Nursing.
    Insertion of peripheral intravenous catheters – A complex act including nursing care and patient safety 2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Insertion of a peripheral intravenous catheter (PVC) is a common procedure performed by nurses. The practical skill is a complex act, which not only requires theoretical and practical knowledge, but also nursing care adjusted to each patient's history and needs.

    Aim: The aim was to explore the procedure of inserting a peripheral intravenous catheter at a local hospital in Tanzania with focus on nursing care and patient safety.

    Method: The study was performed as a non-participating observational study and was preceded by a pilot study performed in Sweden. Eight observations were made, which were analysed with a qualitative content analysis.

    Result: The categories “Execution” and “Respecting patients” with associated sub-categories constituted the results. “Execution” describes how the procedure is performed, while “Respecting patients,” explains the performed nursing care during the practical skill.

    Conclusion: The Model of Practical Skill Performance was used for interpreting and discussing the result. The model clarified that some components were not fulfilled and the performance can therefore not be considered as well proceeded. One can discuss whether it depends on lack of knowledge, resources and/or culture.

    Keywords: Peripheral intravenous catheter, nursing care, patient safety, Tanzania, low-income country. 

  • 1821.
    Westerlund, Martin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Eriksson, Hans
    Umeå University, Faculty of Medicine, Department of Nursing.
    Anestesisjuksköterskors inställning till datoriserat journalsystem.2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: De senaste årtiondena har dokumentation inom vården successivt övergått från penna och papper till datoriserade journalsystem. Detta ställer högre krav på sjuksköterskornas tekniska kunskaper, där aspekter som utbildning, datorvana, ålder och kön verkar ha betydelse för upplevelsen av att använda elektronisk datajournal. Syfte: Att bland anestesisjuksköterskor som arbetar på operationsavdelningar studera inställning till datasystemet MetaVision med fokus på utveckling, användning, kompetens och nytta. Dessutom avsågs att jämföra inställningen mellan män och kvinnor samt mellan olika ålderskategorier. Metod: I föreliggande tvärsnittsstudie deltog 40 anestesisjuksköterskor från fyra olika operationsavdelningar  på ett medelstort sjukhus i norra Sverige. Deltagarna fick svara på en enkät som kallas Användbarhetsindex (AvI-index) och har utvecklats för att mäta användbarhet och nytta hos olika IT-system . Frågorna analyserades utifrån de fyra subskalorna: utveckling, användning, kompetens och nytta. Det analyserades även om det fanns skillnader i svaren beroende på deltagarnas kön eller ålder. Resultat: Anestesisjuksköterskorna skattade sig i genomsnitt lägst under subskalan utveckling och högst under subskalan kompetens. Inga signifikanta samband fanns i någon subskala. Inga skillnader kunde observeras avseende kön eller ålder vilket troligtvis är orsakat av ett för litet deltagarantal. Under subskalan nytta observerades att mer än hälften av alla män och kvinnor var positivt inställda till datasystemets nytta som hjälpmedel. Slutsats: Den skattade upplevelsen varierade mellan de olika subskalorna men majoriteten av anestesisjuksköterskorna upplevde att datasystemet MetaVision är ett bra hjälpmedel.

  • 1822.
    Westin, Anna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nordlund, Erica
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kartläggning av kvinnliga polisers arbete och hälsa.2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sick leave within the police has increased in recent years and the highest increase has been seen among female police officers over 50 years.Objective: The aim of the present study is to identify the presence of physical symptoms, emotional exhaustion and depersonalization of female police officers working with patrolling and police officers working with investigation in the North region of Sweden.Method: The study was conducted with web-based questionnaire, answered by female police officers: police officers working with patrolling (n=40) and police officers working with investigation (n=44) in the North region of Sweden. The survey consisted of a total of 37 questions. To measure burnout Maslach Burnout Inventory was used.Results: A significant difference was seen in the presence of the physical symptom headache between female police officers working with patrolling and female police officers working with investigation. The group working with investigation reported higher incidence of headaches than the group working with intervention. Furthermore the group working with patrolling have estimated depersonalization (DP) higher than the group working with patrolling (n=40) and police officers working with investigation (n=44) in the North region of Sweden. The survey consisted of a total of 37 questions. To measure burnout Maslach Burnout Inventory was used.Results: A significant difference was seen in the presence of the physical symptom headache between female police officers working with patrolling and female police officers working with investigation. The group working with investigation reported higher incidence of headaches than the group working with intervention. Furthermore the group working with patrolling have estimated depersonalization (DP) higher than the group working with investigation.

  • 1823.
    Westin, Katarina
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjögren, Ann-Louise
    Umeå University, Faculty of Medicine, Department of Nursing.
    Vad kännetecknar skolsköterskans hälsofrämjande arbete med nyanlända och asylsökande barn?: - En intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract Background. Sweden is one of the European countries that received the largest number of refugees in recent years and a large proportion of these are children. Asylum-seeking children are at greater risk of mental and physical illness. Since all children living in Sweden have the right to go to school, the school nurse has a unique role in the detection of illness and health promotion for this group of children. Objective. To describe what characterizes the school nurse's health promotion work with newly arrived and asylum-seeking children. Method. The study has a qualitative, inductive approach. Eight semi-structured interviews were conducted in the Umeå region. The interviews were analysed using content analysis. Results. The result is presented in three categories. Under the category dedication descriptions of school nurses focus on the children's needs, personal involvement and meeting challenges is reported. Under development descriptions of how adaptation of procedures and their priority, of time is presented. Finally, under collaboration descriptions of cooperation and collaboration with family, school staff and external agencies is described. Conclusion. To develop procedures and forms of cooperation would simplify and streamline the work of school nurses and make more time for health promoting and preventative work with newly arrived and asylum-seeking children. A need for more knowledge about this student group was identified. Targeted training and education for school nurses could enhance the experience of professional skills in the work with newly arrived and asylum-seeking children. Keywords. School nurse, refugee children, mental health, student health, experience, health promotion.

  • 1824. Westius, Anders
    et al.
    Kallenberg, Kjell
    Norberg, Astrid
    Umeå University, Faculty of Medicine, Department of Nursing.
    Views of life and sense of identity in people with Alzheimer's disease2010In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, Vol. 30, no 7, p. 1257-1278Article in journal (Refereed)
    Abstract [en]

    Making it possible for people with Alzheimer’s disease to retain a sense of identity during the process of the disease poses a great challenge to care-givers, professionals and family carers. The aim of this study is to elucidate the role of the view of life of people with Alzheimer’s in framing their sense of identity. Is their view of life a vital aspect of their sense of identity ? ‘View of life ’ was interpreted as a vital aspect of sense of identity, understood as the individual’s beliefs about their life history and about the attributes that characterised them. Twenty-one people with mild to moderate stages of Alzheimer’s disease were interviewed about their life story. The narratives were interpreted using a phenomenological hermeneutic method. By telling their life story, the participants also narrated their view of life, i.e. their conception of reality, their central system of values and their basic emotional attitudes. By their own accounts, the origins of the narrators’ central values and basic emotional attitudes were established in early life. They also expressed a sense of meaningfulness and continuity when looking back on their lives. The findings suggest that for a care-giver or confidant, having knowledge of a person with dementia’s view of life is valuable when seeking to confirm that person’s sense of identity.

  • 1825.
    Wiberg, Kristina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Föräldrars uppfattning av stöd från sjuksköterskor på en barnavdelning: En enkätstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: När ett barn blir sjukt påverkas även familjen av sjukdomen. Föräldrar till sjuka barn kan få ett förstärkt behov av stöd. Föräldrars sociala nätverk är främsta källan för stöd, men de sjuksköterskor som vårdar barnet kan vara viktiga för att ge föräldrarna kraft att ta hand om sitt sjuka barn. Familjecentrerad omvårdnad har visats vara effektiv när det gäller att vårda barn och familjer på sjukhus.

    Syfte: Att undersöka hur föräldrar till barn inlagda på en barnavdelning skattar stödet de får från sjuksköterskor.

    Metod: En enkätstudie genomfördes på en barnavdelning med ortopedisk, kirurgisk och medicinsk inriktning. Det isländska instrumentet ICE-FPSQ som är utformat för att skatta familjecentrerat stöd från sjuksköterskor användes. 75 föräldrar tillfrågades om deltagande, de 47 svar som inkom sammanställdes på ett deskriptivt sätt.

    Resultat: Alla som svarade på enkäten var föräldrar till det inneliggande barnet, 72,3% var kvinnor och 27,7% var män. Medelvärdet av skattningarna var 35,12 (min 14, max 70).

    Slutsats: Föräldrarna skattade det familjecentrerade stödet relativt lågt. Ytterligare studier är nödvändiga för att beskriva hur sjuksköterskorna jobbar på avdelningen samt vilket stöd föräldrar förväntar sig av dessa.

  • 1826.
    Widman, Jenny
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Öhman, Emelie
    Umeå University, Faculty of Medicine, Department of Nursing.
    Vätska och näring till patienter i livets slutskede: En litteraturstudie om sjuksköterskors upplevelser2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Att tillföra vätska och näring till en patient i livets slutskede minskar sällan symtom utan kan snarare tillföra ytterligare komplikationer. Studier visar att det trots detta tillförs vätska och näring till patienter i livets slutskede. Syfte: Att belysa sjuksköterskors upplevelser av artificiell vätske- och näringstillförsel till patienter i livets slutskede. Metod: 10 kvalitativa empirska studier har i litteraturstudien sammanställts och analyserats. Författarna genomförde en systematisk artikelsökning i Cinahl, PubMed, Academic search elite och Medline. Artiklarna analyserades, inspirerat av metasyntes. Alla artiklar har genomgått etisk granskning. Resultat: Sjuksköterskornas upplevelser av vätska och näring till patienter i livets slutskede innefattade en beslutsprocess som grundades på en varierad grad av delaktighet och inflytande samt faktorer som inverkade vid beslut. Sjuksköterskornas upplevelser vittnar om att anhöriga, arbetsklimatet samt delade meningar och värderingar mellan vårdpersonal är faktorer som påverkade beslutsprocessen. Konklusion: Resultatet i litteraturstudien belyser att sjuksköterskor upplever att varierad grad delaktighet och inflytande samt att ett antal faktorer påverkar processen vid beslut om vätska och näring till en patient i livets slutskede. För att förbättra vården vad gäller detta föreslår författarna ökad utbildning i samarbete samt hantering av etiska svårigheter samt vidare forskning inom området.    

  • 1827.
    Widmark, Anders
    et al.
    Umeå University, Faculty of Medicine, Department of Radiation Sciences, Oncology.
    Gunnlaugsson, A.
    Beckman, L.
    Thellenberg-Karlsson, Camilla
    Umeå University, Faculty of Medicine, Department of Radiation Sciences, Oncology.
    Hoyer, M.
    Lagerlund, M.
    Fransson, Per
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kindblom, J.
    Ginman, C.
    Johansson, B.
    Seke, M.
    Björnlinger, K.
    Kjellén, E.
    Franzen, Lars
    Umeå University, Faculty of Medicine, Department of Radiation Sciences, Oncology.
    Nilsson, P.
    Extreme Hypofractionation versus Conventionally Fractionated Radiotherapy for Intermediate Risk Prostate Cancer: Early Toxicity Results from the Scandinavian Randomized Phase III Trial "HYPO-RT-PC"2016In: International Journal of Radiation Oncology, Biology, Physics, ISSN 0360-3016, E-ISSN 1879-355X, Vol. 96, no 5, p. 938-939Article in journal (Refereed)
  • 1828.
    Wiitavaara, Birgitta
    Umeå University, Faculty of Medicine, Nursing.
    Balancing intrusive illness: the experiences of people with musculoskeletal problems2007Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the present thesis was to explore and describe the health experiences of men and women with musculoskeletal problems. The specific aims of the four papers were: (I) to explore the experience of illness and wellness among ambulance personnel with musculoskeletal symptoms; (II) to explore the experience of illness and wellness among female health care personnel with musculoskeletal symptoms; (III) to explore the experience of bodily illness among people with musculoskeletal problems in the neck-shoulder region, and; (IV) to investigate the symptoms described by people with non-specific neck-shoulder problems, to investigate the method of development of neck-shoulder questionnaires that assesses pain and other symptoms, to analyse the content and items of these questionnaires, and to compare the findings.

    The overall findings show that the occupationally active men and women with MSDs were “striving for balance” (I-II), that the disease course of chronic neck-shoulder disorders was characterised by “uncontrollable fluctuations” (III), and that most neck-shoulder questionnaires had a low correspondence to the variety of symptoms experienced during this course (IV). In the process of striving for balance (I-II), the informants’ health experiences were not a state of either wellness or illness, but of both, in varying degrees at different times. The balancing started when illness became too intrusive, and was a process of minimising the impact of illness by accepting and handling it, while attaining and maintaining wellness to feel well enough. When striving for balance, the interviewees kept on working to continue being nurtured at the same time as they made different efforts directed at minimising the impact of their illness. For both men and women, illness was characterised by disembodiment, vulnerability, and exhaustion. The illness experiences were counterbalanced by wellness, where some differences could be recognised between the men and the women. Study III further explored the experiences of bodily illness, focusing on people with chronic musculoskeletal disorders in the neck-shoulder region. The course of the disorder was described as characterised by uncontrollable fluctuations, and it usually developed from insidious symptoms to a state of constant discomfort. The participants experienced calmer periods during the course, but intermittent events of increasing illness were always lying in wait, with periodic moments of consuming intensity. In the interviews included in study IV a variety of symptoms were expressed, which indicated a bodily, mental, and emotional engagement, which included more general and more severe symptoms than are usually related to neck-shoulder disorders. Few of the questionnaires were developed using the experiences of the affected. Taken as a whole, did the questionnaires cover many of the symptoms of the interviewees, but each individual questionnaire only included a few. The fluctuations and nuances of symptoms were rarely considered. The correspondence between individual questionnaires and the experiences of those affected was most often low. This thesis reveals other aspects of health than just bodily experiences as important among occupationally active people with MSDs. It also provides a description of the disease course, and an indication of possibilities for improvement of neck-shoulder questionnaires.

  • 1829.
    Wiitavaara, Birgitta
    et al.
    Umeå University, Faculty of Medicine, Nursing.
    Barnekow-Bergkvist, Margareta
    Brulin, Christine
    Umeå University, Faculty of Medicine, Nursing.
    Striving for balance: a grounded theory study of health experiences of nurses with musculoskeletal problems.2007In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 44, no 8, p. 1379-1390Article in journal (Refereed)
  • 1830.
    Wiitavaara, Birgitta
    et al.
    Akademin för hälsa och arbetsliv, Högskolan i Gävle.
    Bengs, Carita
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Brulin, Christine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lekmannaperspektiv på hälsa bland personer med muskuloskeletala besvär2015In: Best Practice: Smärta, no 10, p. 20-23Article in journal (Refereed)
  • 1831.
    Wiitavaara, Birgitta
    et al.
    Högskolan i Gävle.
    Bengs, Carita
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Brulin, Christine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Well, I'm healthy, but… - lay perspectives on health among people with musculoskeletal disorders2016In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 38, no 1, p. 71-80Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The purpose was to investigate lay perspectives on health among people with musculoskeletal disorders.

    METHOD: Semi-structured interviews were performed with 39 women and 30 men, (aged 22-63 years) with long-term, non-specific musculoskeletal disorders in the neck, shoulder and/or low back. Data was analysed using qualitative content analysis.

    RESULTS: These people experienced health as "having resources and opportunities to lead the life one wants". Three categories, "a good enough physical and psychological functioning, freedom of action, and a positive state of emotion and an enriching life", illustrate the different resources and opportunities that the informants described as important for them to perceive themselves as healthy. The informants also reflected on "being ill" and "being well" and what makes the difference. Five aspects influenced the dynamics of their health experiences: "body and soul, prognosis, character of symptoms, physical and social activity, and emotional state". Consequently, the informants expressed a holistic view of health, where the focus lies on the opportunity and the ability to lead their lives the way they want.

    CONCLUSIONS: This study points at the value of taking lay perspectives on health into account, as it might increase the opportunity to design effective, personalized rehabilitation strategies. Implications for Rehabilitation Musculoskeletal disorders (MSDs) are difficult to cure and actions to alleviate suffering are of most importance to increase wellbeing and thereby work ability. Research on lay perspectives can contribute towards a deepened understanding of the health experiences of the affected, and thereby the development of the goals and activities of rehabilitation. Our models, that present the view of health and aspects important for achieving wellness among people with MSDs, can contribute in the development of multimodal rehabilitation. The results can also be useful as a base in the evaluation of clinical practice.

  • 1832.
    Wiitavaara, Birgitta
    et al.
    Umeå University, Faculty of Medicine, Nursing.
    Björklund, Martin
    Brulin, Christine
    Djupsjöbacka, Mats
    How well do neck-shoulder questionnaires capture the experiences of those who suffer of neck-shoulder problems?: a comparison between questionnaires and interviewsManuscript (Other (popular science, discussion, etc.))
  • 1833.
    Wiitavaara, Birgitta
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Centre for Musculoskeletal Research, University of Gävle, S-801 76 Gävle, Sweden .
    Björklund, Martin
    Centre for Musculoskeletal Research, University of Gävle, Box 7629, S-907 12 Umeå, Sweden ; Alfta Research Foundation, Box 94, S-822 22 Alfta, Sweden.
    Brulin, Christine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Djupsjöbacka, Mats
    Centre for Musculoskeletal Research, University of Gävle, Box 7629, S-907 12 Umeå, Sweden .
    How well do questionnaires on symptoms in neck-shoulder disorders capture the experiences of those who suffer from neck-shoulder disorders?: A content analysis of questionnaires and interviews2009In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 10, no 30, p. 1-14Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Previous research has indicated neck-shoulder disorders to have a fluctuating course incorporating a variety of symptoms. These findings awoke our interest to make a comparison between symptoms experienced by people affected with the disorder and the content of questionnaires that assess pain and other symptoms in neck-shoulder disorders. Thus the aims of this study were: -to explore the symptoms experienced by people with non-specific neck-shoulder problems, as well as experiences of nuances and temporal variations (fluctuations) of symptoms; -to investigate which sources were used in the development of ten questionnaires for assessing pain and other symptoms in the neck-shoulder; -to analyse the item content of the questionnaires; -to analyse the correspondence between the item content of the questionnaires and the symptoms described by the informants. METHODS: Content analysis of interviews with 40 people with non-specific neck-shoulder pain, and 10 questionnaires used to assess pain and other symptoms in neck-shoulder disorders. RESULTS: The interviews revealed a variety of symptoms indicating a bodily, mental/cognitive, and emotional engagement, and more general and severe symptoms than are usually considered in neck-shoulder questionnaires. Taking all questionnaires together many of the symptoms were considered, but most questionnaires only included a few of them. The informants were able to distinguish fluctuation of symptoms, and a variety of different qualities which were not usually considered in the questionnaires. Only two questionnaires had made use of the opinions of affected people in the development. CONCLUSION: Few of the questionnaires had made use of the experiences of affected people in the development. The correspondence between the symptoms expressed by those affected and the content of the questionnaires was low. A variety of symptoms were expressed by the interviewees, and the participants were also able to distinguish nuances and fluctuations of symptoms. The present study points to the importance of other aspects than just pain and physical functioning as clinical trial outcome measures related to neck-shoulder disorders. To develop a condition-specific questionnaire, it is important to decide on the specific symptoms for the condition. Using the experiences of those affected, in combination with relevant research and professional knowledge, can enhance the validity of the questionnaires.

  • 1834.
    Wiitavaara, Birgitta
    et al.
    Umeå University, Faculty of Medicine, Nursing.
    Brulin, Christine
    Umeå University, Faculty of Medicine, Nursing.
    Barnekow, Margareta Bergkvist
    When the body makes itself heard: The experience of bodily illness among people with neck-shoulder problems2008In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 10, no 2, p. 85-94Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore the experience of bodily illness among people with musculoskeletal disorders (MSDs) in the neck/shoulder region. The study had a grounded theory approach, with constant comparisons and simultaneous data collection and analysis. Initially, parts of interviews about health experiences related to MSDs previously performed among men and women with musculoskeletal symptoms in the neck/shoulder and/or back were analysed. Next, complementary semi-structured interviews among men and women with neck/shoulder problems were performed, focusing on the experience of bodily illness, until saturation was reached. The results describe the experiences of bodily illness among people with MSDs in the neck/shoulder region as being characterized by uncontrollable fluctuations. The experiences are presented as a model of the disease course as experienced by the affected. The process usually developed from a beginning with insidious symptoms to a state of constant discomfort. Along the line of this development, periods of intermittent events of increasing illness occurred with peaks of consuming intensity. A variety of different symptoms was present during the process, which are presented in this paper. An increased knowledge of the disease course can be useful in prevention and treatment as communication about the disorder can be more specific.

  • 1835.
    Wiitavaara, Birgitta
    et al.
    Umeå University, Faculty of Medicine, Nursing.
    Lundman, Berit
    Umeå University, Faculty of Medicine, Nursing.
    Barnekow-Bergkvist, Margareta
    Brulin, Christine
    Umeå University, Faculty of Medicine, Nursing.
    Striking a balance: health experiences of male ambulance personnel with musculoskeletal symptoms a grounded theory.2007In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 44, no 5, p. 770-779Article in journal (Refereed)
  • 1836.
    Wijk, Helle
    et al.
    Göteborgs universitet.
    Öhlén, Joakim
    Göteborgs universitet.
    Lidén, Eva
    Göteborgs universitet.
    German Millberg, Lena
    Karlstads universitet.
    Jacobsson, Catrine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Söderberg, Siv
    Luleå Tekniska Universitet.
    Berg, Linda
    Göteborgs universitet.
    Engström, Åsa
    Luleå Tekniska Universitet.
    Höglund, Ingela
    Borås Högskola.
    Lepp, Margret
    Göteborgs universitet och Borås Högskola.
    Lindström, Irma
    Göteborgs universitet.
    Nygren, Björn
    Umeå University, Faculty of Medicine, Department of Nursing.
    Persson, Cathrin
    Umeå University.
    Petzäll, Kerstin
    Karlstads universitet.
    Skär, Lisa
    Luleå Tekniska Universitet.
    Suserud, Björn-Ove
    Borås Högskola.
    Söderlund, Maud
    Luleå Tekniska Universitet.
    Verksamhetsförlagd utbildning på avancerad nivå: ny utmaning för specialistutbildningar för sjuksköterskor2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 4, p. 41-43Article in journal (Other academic)
    Abstract [en]

    The aim of this article is to discuss challenges in the development of Specialist Nursing Educations as a result of the 2007 Swedish Higher EducationReform: the implementation of the so-called Bologna process. Certain challenges follow this reform, particularly since the specialist nursingprogrammes will be part of the second cycle of the higher education system, and it will be possible to combine the professional degree witha masters degree (one year). Possible strategies in four areas related to the Specialist Nursing Education are discussed: integration of researchbasedknowledge, experienced-based knowledge, improvement knowledge, and strategies for collaboration between university institutions andclinics. Specific didactical issues are raised.

  • 1837.
    Wikander, Petronella
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Wetterlind, Julia
    Umeå University, Faculty of Medicine, Department of Nursing.
    Upplevelser hos personer med övervikt och fetma i möten med hälso- och sjukvård: En kvalitativ litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Titel: Experiences of overweight and obese people when interacting with health care.

    Background: Overweight and obesity are global health problems in modern times that causes more deaths than underweight. These individuals involuntarily form an exposed group that is stigmatized from society and health care as they deviate from social norms.

    Aim: To describe overweight and obese people's experiences of health care.

    Methods: A literature study was conducted from eight qualitative articles. The articles were examined, analyzed and compiled. Article search was conducted in PubMed and Cinahl.

    Result: The result were presented in three main categories: “Experiencing inadequate resources”, “To be undervalued” and “To be in focus”. People with overweight and obesity experienced lack of education among healthcare professionals and felt responsible for their own health. Bad treatment and insulting comments from healthcare professionals was expressed by people with overweight and obesity. Encouragement and motivation from healthcare professionals related to weight loss was perceived as positive.

    Conclusion: Confirmation, motivation and support are essential for a person- centered care. Increased understanding and knowledge among healthcare professionals regarding overweight and obesity related to gender and stigmatization would lead to more equal care on equal terms.

    Keywords: Overweight, obesity, experiences, healthcare professionals, healthcare. 

  • 1838.
    Wikander, Tove
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Neyra Marklund, Isabel
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ett nödvändigt ont: En litteraturstudie om unga människors upplevelser av självskadebeteende2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Självskadebeteende är ett vanligt problem bland ungdomar och unga vuxna. Beteendet handlar om att medvetet skada sig själv utan intentionen att ta sitt liv. Personer med självskadebeteende upplever sig bli dåligt bemötta i vården samtidigt som sjuksköterskor eftersöker kunskap om hur de ska bemöta denna grupp.

    Syfte: Syftet med studien var att beskriva unga människors upplevelser av självskadebeteende.

    Metod: En litteraturstudie där åtta kvalitativa artiklar analyserades med inspiration av innehållsanalys.

    Resultat: Unga människors upplevelser av självskadebeteende var att det gjorde livet hanterbart, gav en känsla av kontroll, lättnad och gjorde känslor hanterbara. De upplevde också ett stort lidande i form av självbestraffning, skam och skuld och då beteendet blev till ett beroende. För unga människor innebar beteendet ett utanförskap genom ensamhet, stigmatisering och då självskadebeteendet doldes för andra. Slutligen var upplevelsen av självskadebeteende att det handlade om ett sätt att kommunicera med andra.

    Konklusion: Unga människor med självskadebeteende upplever ett stort lidande. Detta då det både i samhället i stort och inom vården finns en okunskap och stigmatisering kring beteendet. Vidare forskning behövs för att öka förståelsen och erbjuda dessa unga människor den hjälp och det stöd de behöver.

     

    Nyckelord: lidande, litteraturstudie, omvårdnad, självskadebeteende, upplevelser

  • 1839.
    Wiklund, Christin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Thors, Stina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Bröstcancer: En litteraturstudie om kvinnors upplevelse av att leva med obotlig bröstcancer2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden approximately 7000 women are diagnosed with breast cancer every year. 90% of these survive the disease because of good treatment possibilities. Women with cancer that has spread live longer with their disease. When breast cancer spreads to other organs it is no longer considered curable. Treatment then focuses on mitigation of pain and being palliative. Breast cancer is the most common cause of death for middle-aged women in Sweden.

     

    Purpose: The purpose of this literature study is to shed light on womens experience of living with incurable breast cancer.

     

    Method: Eight qualitative empirical studies have been collated and analyzed using descriptive metasynthesis. The article search has been carried out in the PubMed and CINAHL databases.

     

    Result: The results from the chosen articles about women's experience of living with incurable breast cancer, could after a consensus discussion be brought into four categories; Identity, relations, perspective and finally sorrow and loss.

     

    Conclusion: The literature study shows that when women are stricken with terminal breast cancer their lives change drastically. Both perspective on life and roles are threatened and lead to anxiety and sorrow. Women experience that the personal treatment they get from nursing staff is lacking, and that a higher level of knowledge and understanding in the nurses is necessary.

     

    Keywords: Metastatic breast cancer, Experience, Relationship, Grief, Nursing

  • 1840.
    Wiklund, Robert
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Toots, Annika
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Conradsson, Mia
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Olofsson, Birgitta
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Orthopaedics.
    Holmberg, Henrik
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Rosendahl, Erik
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Gustafson, Yngve
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Littbrand, Håkan
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Risk factors for hip fracture in very old people: a population-based study2016In: Osteoporosis International, ISSN 0937-941X, E-ISSN 1433-2965, Vol. 27, no 3, p. 923-931Article in journal (Refereed)
    Abstract [en]

    Knowledge of risk factors for hip fracture among very old people is limited. Walking indoors with help from ≤1 person, Parkinson's disease, currently smoking, delirium in the previous month, underweight, and age were associated with increased risk of hip fracture and could be important for preventive strategy development.

    INTRODUCTION: The purpose of this study is to investigate risk factors for hip fracture among a representative sample of very old people.

    METHODS: In total, 953 participants from the Umeå 85+/Gerontological Regional Database population-based cohort study were interviewed and assessed during home visits. Associations of baseline characteristics with hip fracture during the maximum 5-year follow-up period were analyzed using Cox proportional hazards regression.

    RESULTS: Participants had a mean age of 89.3 ± 4.7 years; 65.8 % were women, 36.8 % lived in residential care facilities, 33.6 % had dementia, and 20.4 % had histories of hip fracture. During a mean follow-up period of 2.7 years, 96 (10.1 %) individuals sustained hip fracture. Walking indoors with help from no more than one person (hazard ratio [HR] = 8.57; 95 % confidence interval [CI], 1.90-38.71), Parkinson's disease (HR = 5.12; 95 % CI, 1.82-14.44), currently smoking (HR = 4.38; 95 % CI 2.06-9.33), delirium in the previous month (HR = 2.01; 95 % CI, 1.15-3.49), underweight (body mass index <22; HR = 1.74, 95 % CI, 1.09-2.77), and age (HR = 1.09; 95 % CI, 1.04-1.14) were associated independently with an increased risk of hip fracture. Hip prosthesis at baseline decreased the risk of hip fracture (HR = 0.37; 95 % CI, 0.15-0.91), but only for those with bilateral hip prostheses.

    CONCLUSIONS: Seven factors were associated independently with incident hip fracture during follow-up in this sample of very old people. These factors could have important clinical implications in identifying persons at high risk of hip fracture, as well as in the development of effective preventive strategies.

  • 1841.
    Wikström, Mariah
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Marjamäki, Annika
    Umeå University, Faculty of Medicine, Department of Nursing.
    Palliativ hemvård - ett anhörigperspektiv: Erfarenheter av att vårda närstående i palliativt skede i hemmet2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Titel: Palliativ hemvård - Ett anhörigperspektiv. Erfarenheter av att vårda närstående i palliativt skede i hemmet.

     

    Bakgrund: Fler och fler människor är i behov av palliativ vård och andelen som vårdas palliativt i hemmet ökar. Anhöriga tar ofta på sig rollen som vårdare trots brist på kunskap och erfarenhet av vad det innebär.

     

    Syfte: Att belysa anhörigas erfarenheter av att vara vårdare till närstående i palliativt skede i hemmet.

     

    Metod: Litteraturanalys enligt Fribergs fem steg.

     

    Resultat: Analysen visar att anhörigvårdare upplever olika känslor under vårdtiden. Vårdperioden beskrevs som ansträngande och påverkade anhörigas egen hälsa men de upplevde tacksamhet över att kunna vårda sin närstående. Anhöriga beskrev hur vardagen, relationer och hälsan förändrades och att stöd från anhöriga, vänner och vårdpersonal kunde underlätta vårdandet. Kulturella skillnader framkom också kunna inverka på hur vården gavs och av vem.

     

    Konklusion: Hur vårdperioden upplevs beror på vilket stöd den anhörige får i vårdandet. Sjuksköterskan kan här spela en viktig roll i att ge det stödet.

  • 1842.
    Wilhelmsson, Anna-Britta
    et al.
    Umeå University, Faculty of Social Sciences, Department of Education.
    Hällgren Graneheim, Ulla
    Umeå University, Faculty of Medicine, Department of Nursing.
    Berge, Britt-Marie
    Umeå University, Faculty of Social Sciences, Department of Education.
    Johansson, Sigurd
    Umeå University, Faculty of Social Sciences, Department of Education.
    Åström, Sture
    Umeå University, Faculty of Medicine, Department of Nursing.
    Everyday life experiences among relatives of persons with mental disabilities2010In: Procedia - Social and Behavioral Sciences, ISSN 1877-0428, E-ISSN 1877-0428, Vol. 2, no 2, p. 4896-4900Article in journal (Refereed)
    Abstract [en]

    Mental disability is one of the most significant health problems facing Europe today. For example Statistics reveal that between 20 and 40 percent of the Swedish population suffer from some forms of mental disease, ranging from grave psychoses to less serious anxiety and fear. This study has aimed to illuminate the experiences of relativeś in terms of contacts with persons with mental disabilities. Eighteen tape-recorded interviews were conducted with close relatives of persons suffering from mental disabilities within the health care district of Umeå, Sweden. The results indicate that the daily lives guilt about not providing enough support for their relatives. In addition to feeling physically exhausted and worn out they felt as though they carried a large responsibility and lacked support and back-up in their daily life.

  • 1843. Willman, Britta
    et al.
    Grankvist, Kjell
    Bölenius, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Evaluation of the clinical implementation of a large-scale online e-learning program on venous blood specimen collection guideline practices.2018In: Clinical Chemistry and Laboratory Medicine, ISSN 1434-6621, E-ISSN 1437-4331, article id /j/cclm.ahead-of-print/cclm-2018-0051/cclm-2018-0051.xmlArticle in journal (Refereed)
    Abstract [en]

    BACKGROUND: When performed erroneously, the venous blood specimen collection (VBSC) practice steps patient identification, test request management and test tube labeling are at high risk to jeopardize patient safety. VBSC educational programs with the intention to minimize risk of harm to patients are therefore needed. In this study, we evaluate the efficiency of a large-scale online e-learning program on personnel's adherence to VBSC practices and their experience of the e-learning program.

    METHODS: An interprofessional team transformed an implemented traditional VBSC education program to an online e-learning program developed to stimulate reflection with focus on the high-risk practice steps. We used questionnaires to evaluate the effect of the e-learning program on personnel's self-reported adherence to VBSC practices compared to questionnaire surveys before and after introduction of the traditional education program. We used content analysis to evaluate the participants free text experience of the VBSC e-learning program.

    RESULTS: Adherence to the VBSC guideline high-risk practice steps generally increased following the implementation of a traditional educational program followed by an e-learning program. We however found a negative trend over years regarding participation rates and the practice to always send/sign the request form following the introduction of an electronic request system. The participants were in general content with the VBSC e-learning program.

    CONCLUSION: Properly designed e-learning programs on VBSC practices supersedes traditional educational programs in usefulness and functionality. Inclusion of questionnaires in the e-learning program is necessary for follow-up of VBSC participant's practices and educational program efficiency.

  • 1844.
    Wilsson, Anna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Persson, Daniel
    Umeå University, Faculty of Medicine, Department of Nursing.
    Personalens kunskap om insats vid masskadeattentat inom räddningsorganisationerna: Jämförande studie mellan personal inom ambulans, polis och räddningstjänst gällande egna och andras uppgifter vid ett masskadeattentat2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To examine the staff’s knowledge within the ambulance, police and rescue services of their own and other organizations' tasks during mass-casualty attacks. Method: This study has a quantitative approach based on a survey with 864 respondents within the fields of ambulance, police and rescue services after which seven where excluded.  Data were analyzed with bivariate statistics. Results: The study showed significant differences in knowledge between the various professional groups of the emergency organizations regarding their own and other organizations tasks at the incident site. The knowledge among staff was high within their own area of tasks. Particular distinctive within their own task was the rescue services, which had almost a 100 percent correct response rate. The knowledge was lower for all emergency organizations when it came to other organizations tasks at the incident site. The lowest level of knowledge in total regarding their own and other organizations tasks at the incident site was discovered among the ambulance staff. Conclusion: Differences in knowledge level provide different conditions regarding the staffs possibility to prepare for a mass-casualty attack. Lack of knowledge about each organizations tasks at the incident site also risk affecting the interaction between the emergency organizations and therefore their conditions to reduce suffering and save lives, why measures to increase this knowledge should be considered to be especially keen.

    Keywords: Collaboration; public safety organization; knowledge; ambulance; mass-casualty attack.

  • 1845. Wilstrand, Cecilia
    et al.
    Lindgren, Britt-Marie
    Umeå University, Faculty of Medicine, Department of Nursing.
    Gilje, Fredricka
    Olofsson, Britt
    Being burdened and balancing boundaries: a qualitative study of nurses' experiences caring for patients who self-harm.2007In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, Vol. 14, no 1, p. 72-8Article in journal (Refereed)
  • 1846. Wimo, A
    et al.
    Nelvig, A
    Nelvig, J
    Adolfsson, R
    Umeå University, Faculty of Medicine, Department of Clinical Sciences. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Mattsson, B
    Sandman, P O
    Umeå University, Faculty of Medicine, Department of Nursing.
    Can changes in ward routines affect the severity of dementia? A controlled prospective study.1993In: International psychogeriatrics, ISSN 1041-6102, E-ISSN 1741-203X, Vol. 5, no 2, p. 169-80Article in journal (Refereed)
    Abstract [en]

    An extensive new caring program--including the introduction of Individual Care Plans and changes in ward organization, caring techniques, and caring philosophy--was introduced at two psychogeriatric wards with severely demented patients. The hypotheses were that the patients (n = 31) would improve in psychosocial capacity and orientation and the staff work load would decline in contrast to two other wards with a similar clientele (n = 31). After ten months the milieu was more "homelike," routines were more flexible, and the staff communicated more with the patients. However, the hypotheses were not proven. All patients in both groups deteriorated in ADL capacity, orientation, and behavior. The patients in the program wards became significantly more restless and disoriented and ate less than the patients in the contrast wards. The conclusion is that, despite optimal care, a humanistic approach, and support from staff, the progression of dementia symptoms is inevitable.

  • 1847. Wimo, Anders
    et al.
    Jönsson, Linus
    Fratiglioni, Laura
    Sandman, Per Olof
    Umeå University, Faculty of Medicine, Department of Nursing. Division of Caring Sciences, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden; Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
    Gustavsson, Anders
    Sköldunger, Anders
    Johansson, Lennarth
    The societal costs of dementia in Sweden 2012: relevance and methodological challenges in valuing informal care2016In: Alzheimer's Research & Therapy, ISSN 0065-6755, E-ISSN 1758-9193, Vol. 8, article id 59Article in journal (Refereed)
    Abstract [en]

    Background: In this study, we sought to estimate the societal cost of illness in dementia in Sweden in 2012 using different costing approaches to highlight methodological issues.

    Methods: We conducted a prevalence-based cost-of-illness study with a societal perspective.

    Results: The societal costs of dementia in Sweden in 2012 were SEK 62.9 billion (approximately €7.2 billion, approximately US$ 9.0 billion) or SEK 398,000 per person with dementia (approximately €45,000, approximately US$ 57,000). By far the most important cost item is the cost of institutional care: about 60% of the costs. In the sensitivity analysis, different quantification and costing approaches for informal care resulted in a great variation in the total societal cost, ranging from SEK 60 billion (€6.8 billion, US$ 8.6 billion) to SEK 124 billion (€14.1 billion, US$ 17.8 billion).

    Conclusions: The societal costs of dementia are very high. The cost per person with dementia has decreased somewhat, mainly because of de-institutionalisation. The majority of the costs occur in the social care sector, but the costing of informal care is crucial for the cost estimates.

  • 1848. Winblad, Bengt
    et al.
    Amouyel, Philippe
    Andrieu, Sandrine
    Ballard, Clive
    Brayne, Carol
    Brodaty, Henry
    Cedazo-Minguez, Angel
    Dubois, Bruno
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing. School of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia.
    Feldman, Howard
    Fratiglioni, Laura
    Frisoni, Giovanni B.
    Gauthier, Serge
    Georges, Jean
    Graff, Caroline
    Iqbal, Khalid
    Jessen, Frank
    Johansson, Gunilla
    Jonsson, Linus
    Kivipelto, Miia
    Knapp, Martin
    Mangialasche, Francesca
    Melis, Rene
    Nordberg, Agneta
    Rikkert, Marcel Olde
    Qiu, Chengxuan
    Sakmar, Thomas P.
    Scheltens, Philip
    Schneider, Lon S.
    Sperling, Reisa
    Tjernberg, Lars O.
    Waldemar, Gunhild
    Wimo, Anders
    Zetterberg, Henrik
    Defeating Alzheimer's disease and other dementias: a priority for European science and society2016In: Lancet Neurology, ISSN 1474-4422, E-ISSN 1474-4465, Vol. 15, no 5, p. 455-532Article in journal (Refereed)
  • 1849.
    Wineblad, Hanna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lundgren, Linda
    Umeå University, Faculty of Medicine, Department of Nursing.
    Föräldrars upplevelser och erfarenheter av barns rädslor i samband med sjukhusförlagda procedurer: En intervjustudieParents´ experiences of children´s fears during hospital procedures - an interview study2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hospital-procedures can be perceived as intimidating by children. There are situations in pediatric care where the childrens' care can be compromised if they are afraid and therefore not treated.Purpose: The purpose of the study was to highlight the parents' experiences of childrens' fear of hospital procedures and how the fears could have been relieved.Design: Descriptive interview study.Method: The study's design was qualitative where data was collected using eleven interviews. The interviews were analyzed using qualitative content analysis with inductive approach. Participants were caregivers to children aged six to twelve years, who were hospitalized. Twelve parents participated in the study. Data collection took place in February to March in 2017.Results: The results of the study are presented on the basis of two categories with eight subcategories: Cause of fear including four subcategories: experiencing pain, the feeling of being disadvantaged, hospital stay and medical procedures. Factors causing security including four subcategories: family presence, preparedness and participation, cared for by child-qualified staff and staff continuity.Conclusion: The study shows that hospitalized children experience fear due to varied causes. The cause for hospitalization is not always the reason for their fears. Child-focused care is required where healthcare staff ask for the child's perspective. Through child-focused nursing, dialogue is conducted with the child allowing expressions of what causes fear. Based on that information the healthcare staff and the child can address the unpleasant experiences and try to reduce the fear.

  • 1850.
    Winsa Lindmark, Sofia
    Umeå University, Faculty of Medicine, Department of Nursing.
    Upplevelsen av avvikelsehantering på en operationsavdelning2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Abstrakt

    Syfte

    Att beskriva upplevelser av avvikelserapportering som del av patientsäkerhetsarbetet på en operationsavdelning utifrån vårdpersonalens perspektiv.

    Bakgrund

    Avvikelserapportering inom hälso-sjukvård ger vårdpersonal möjlighet att anmäla avvikande händelser som lett till eller hade kunnat leda till vårdskada samt patientrisker. Syftet med avvikelserapportering är att vårdpersonal ska lära sig av misstag och är därmed en viktig rutin i det kontinuerliga patientsäkerhetsarbetet.

    Design

    Kvalitativ design.

    Metod

    Djupintervjuer med semi- strukturerade intervjufrågor och tematisk analys. Datainsamling pågick mellan april- juni 2016.

    Resultat

    Nio intervjuer på personal på en operationsavdelning utfördes. Två huvudteman identifierades, behov av återkoppling och källa till konflikt. Återkoppling beskrev som ett behov av öppet diskussionsforum och ökat lärande efter en avvikelserapport samt större kommunikativ tillgänglighet. Avvikelserapportering beskrevs som en möjlig källa till konflikt, både inom individen och mellan personal.

    Slutsats

    Resultatet visade ett behov av en mer effektiv kommunikationsprocess som möjliggör återkoppling för personalen gällande avvikelsehantering. Studien visade även ett behov av åtgärder som skyddar personalen mot känslor av inre konflikt samt konflikt mellan personal i och med avvikelserapportering.

343536373839 1801 - 1850 of 1925
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