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  • 201.
    Bergsand Persson, Carin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Öberg, Tobias
    Umeå University, Faculty of Medicine, Department of Nursing.
    Rast utan stress och stressad utan rast?: Sjuksköterskors upplevelser av rast2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Importance of breaks for health and recovery is a current issue for working conditions. Both employers and employees must relate to the law which regulates the basic capabilities of the break. Breaks is essential for the efficacy of recovery. The absence of recovery can lead to prolonged stress which can be unhealthy. In Sweden, nurses are a vulnerable group for stress. It may indicate high workload and stress if people are skipping breaks. Aim: The aim was to highlight nurses´ experience of their break at emergency care units. Method: Using a qualitative method, ten nurses at two acute care were interviewed. The interviews were analyzed into three main-categories with seven sub-categories. Results: The experience of breaks was characterized by circumstances before break, both nurses ' expectations on the break and the presence of a heavy workload. Environment for rest, length of breaks and place for rest characterizes the experience. Improved health and reduced stress were consequences of the break, while poor health and increased stress were consequences in the absence of a break. Conclusion: Breaks had importance to nurses because there was an expectation of getting relax, eat, get quiet and think of something else. Heavy workload affected nurses break habits. 

  • 202.
    Bergström, Cecilia
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology.
    Persson, Margareta
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology. Umeå University, Faculty of Medicine, Department of Nursing.
    Mogren, Ingrid
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology.
    Psychosocial and behavioural characteristics in women with pregnancy-related lumbopelvic pain 12 years postpartum2019In: Chiropractic and Manual Therapies, ISSN 2045-709X, E-ISSN 2045-709X, Vol. 27, no 1, article id 34Article in journal (Refereed)
    Abstract [en]

    Background: There is insufficient evidence regarding psychosocial factors and its long-term association with persistent pregnancy-related lumbopelvic pain. The overall aim of this study was to investigate women with persistent pregnancy-related lumbopelvic pain 12 years postpartum based on psychosocial and behavioural characteristics using the Swedish version of the Multidimensional Pain Inventory (MPI-S) classification system.

    Material and methods: This is a cross-sectional study based on a previous cohort. Data collection took place through a questionnaire. A total of 295 women from the initial cohort (n = 639) responded to the questionnaire giving a response rate of 47.3%. To determine the relative risk (RR) of reporting pain 12 years postpartum, a robust modified Poisson regression was used. This is the first study using the MPI-S as a predictive variable on women with persistent pregnancy-related lumbopelvic pain.

    Results: The MPI-S classification procedure was carried out on a total of n = 226 women, where 53 women were classified as interpersonally distressed (ID), 82 as dysfunctional (DYS), and 91 as adaptive copers (AC). Women in the ID and DYS subgroups had a relative risk (RR) of reporting persistent pregnancy-related lumbopelvic pain 12 years postpartum that was more than twice as high compared to the AC subgroup (95% confidence interval (CI) in parenthesis): RR 2.57 (CI 1.76 - 3.75), p<0.0001 and RR 2.23 (CI 1.53 - 3.25), p<0.0001 respectively. Women in the DYS subgroup had more than 5 times increased risk of reporting sick leave the past 12 months compared to the AC subgroup (RR 5.44; CI 1.70 - 17.38, p=0.004).

    Conclusions: The present study demonstrates that it is possible to classify women with persistent pregnancy-related lumbopelvic pain 12 years postpartum into relevant clinical subgroups based on psychosocial and behavioural characteristics using the MPI-S questionnaire.

  • 203.
    Bergström, Cecilia
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynaecology.
    Persson, Margareta
    Umeå University, Faculty of Medicine, Department of Nursing.
    Mogren, Ingrid
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynaecology.
    Sick leave and healthcare utilisation in women reporting pregnancy related low back pain and/or pelvic girdle pain at 14 months postpartum2016In: Chiropractic and Manual Therapies, ISSN 2045-709X, E-ISSN 2045-709X, Vol. 24, article id 7Article in journal (Refereed)
    Abstract [en]

    Background: Pregnancy related low back pain (PLBP) and pelvic girdle pain (PGP) are considered common complications of pregnancy. The long-term consequences for women with persistent PLBP/PGP postpartum are under-investigated. The main objective was to investigate the prevalence, pattern and degree of sick leave as well as healthcare utilisation and its perceived effect in women with persistent PLBP/PGP at 12 months postpartum.

    Method: This is a follow-up study of a cohort involving of a sample of women, who delivered from January 1st 2002 to April 30th in 2002 at Umea University Hospital and Sunderby Hospital, and who reported PLBP/PGP during pregnancy. A total of 639 women were followed-up by a second questionnaire (Q2) at approximately 6 months postpartum. Women with persistent PLBP/PGP at the second questionnaire (N = 200) were sent a third questionnaire (Q3) at approximately 12 months postpartum.

    Results: The final study sample consisted of 176 women reporting PLBP/PGP postpartum where N = 34 (19.3 %) reported 'no' pain, N = 115 (65.3 %) 'recurrent' pain, and N = 27 (15.3 %) 'continuous' pain. The vast majority (92.4 %) of women reported that they had neither been on sick leave nor sought any healthcare services (64.1 %) during the past 6 months at Q3. Women with 'continuous' pain at Q3 reported a higher extent of sick leave and healthcare seeking behaviour compared to women with 'recurrent' pain at Q3. Most women with persistent PLBP/PGP had been on sick leave on a full-time basis. The most commonly sought healthcare was physiotherapy, followed by consultation with a medical doctor, acupuncture and chiropractic.

    Conclusion: Most women did not report any sick leave or sought any healthcare due to PLBP/PGP the past 6 months at Q3. However, women with 'continuous' PLBP/PGP 14 months postpartum did report a higher prevalence and degree of sick leave and sought healthcare to a higher extent compared to women with 'recurrent' PLBP/PGP at Q3. Women with more pronounced symptoms might constitute a specific subgroup of patients with a less favourable long-term outcome, thus PLBP/PGP needs to be addressed early in pregnancy to reduce both individual suffering and the risk of transition into chronicity.

  • 204.
    Bergström, Cecilia
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology.
    Persson, Margareta
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nergard, Kari-Anne
    Mogren, Ingrid
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynecology.
    Prevalence and predictors of persistent pelvic girdle pain 12 years postpartum2017In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 18, article id 399Article in journal (Refereed)
    Abstract [en]

    Background: Pelvic girdle pain (PGP) is not always a self-limiting condition. Women with more pronounced persistent PGP (PPGP) report poorer health status compared to women with less pronounced symptoms. The knowledge concerning the long-term consequences of PPGP is limited, thus more knowledge in this area is needed. The overall aim was to study the prevalence and predictors of PPGP 12 years after delivery. Methods: This is a long-term follow-up study based on a previous cohort study that commenced in 2002. New questionnaire data 12 years postpartum were collected in 2014 and early 2015. The questionnaire was distributed to a total of 624 women from the initial cohort. Results: In total, 295 women (47.3%) responded to the questionnaire where 40.3% (n = 119) reported pain to a various degree and 59% (n = 174) reported no pain. Increased duration and/or persistency of pain, self-rated health, sciatica, neck and/or thoracic spinal pain, sick leave the past 12 months, treatment sought, and prescription and/or non-prescription drugs used were all associated with an statistically significant increase in the odds of reporting pain 12 years postpartum. Widespread pain was common and median expectation of improvement score was 5 on an 11-point numeric scale (interquartile range 2-7.50). More than one of five women (21.8%) reporting pain stated that they had been on sick leave the past 12 months and nearly 11% had been granted disability pension due to PPGP. No statistically significant differences were found between respondents and non-respondents regarding most background variables. Conclusions: This study is unique as it is one of few long-term follow-up studies following women with PPGP of more than 11 years. The results show that spontaneous recovery with no recurrences is an unlikely scenario for a subgroup of women with PPGP. Persistency and/or duration of pain symptoms as well as widespread pain appear to be the strongest predictors of poor long-term outcome. Moreover, widespread pain is commonly associated with PPGP and may thus contribute to long-term sick leave and disability pension. A screening tool needs to be developed for the identification of women at risk of developing PPGP to enable early intervention.

  • 205.
    Bergström, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lundberg, Johnna
    Umeå University, Faculty of Medicine, Department of Nursing.
    Upplevelsen av hälsa bland renskötande samer i Sverige: En intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Idag lever cirka 20 000 samer i Sverige varav cirka 2500 har sin

    huvudsakliga inkomst från renskötsel. Livet som renskötare beskrivs som fritt men

    samtidigt präglat av konstant oro och stress inför framtiden. Diskriminering och

    bristande stöd hör till vardagen och senare forskning visar att ohälsan ökar bland

    renskötare. De flesta hälsoproblemen bland renskötande samer grundar sig i

    marginalisering och kunskapsbrist hos allmänheten gällande renskötsel och samisk

    kultur.

    Syfte: Att belysa upplevelser av hälsa bland renskötande samer i en sameby i

    Sverige.

    Metod: Semistrukturerade intervjuer med intervjuguide och följdfrågor kring

    upplevelsen av hälsa användes. Totalt 27 personer tillfrågades om deltagande och

    elva personer medgav samtycke. Intervjuerna spelades in, transkriberades och

    analyserades enligt kvalitativ innehållsanalys. Intervjuerna genomfördes under

    januari och februari månad 2016.

    Resultat: Tre kategorier och elva underkategorier identifierades utifrån

    informanternas upplevelser. Kategorierna som identifierades var; förutsättningar för

    en god hälsa, hinder för en god hälsa samt hälsa i framtiden. Resultatet visar på att

    renskötarna saknar stöd och förståelse från myndigheter samt ortsbefolkning och att

    det råder informationsbrist gällande den samiska kulturen. Dagens ökade

    exploatering och klimatförändringar skapar svårigheter i arbetet med renskötsel och

    det är en bidragande orsak till renskötarnas upplevelse av ohälsa.

    Slutsats: Resultatet av studien visar att det finns fortsatt behov av forskning inom

    området då renskötarna befinner sig i en utsatt situation vilket påverkar deras hälsa

    på ett negativt sätt. Resultatet ses som användbart till det fortsatta arbetet inom

    svensk hälso- och sjukvård samt aktörer såsom myndigheter och övriga befolkningen.

  • 206.
    Bergström, Olesia
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Rudberg, Staffan
    Umeå University, Faculty of Medicine, Department of Nursing.
    Operationssal, en spännande miljö där kommunikation ochsamspel utmanar operationsprofessioner: - en studie om kommunikation och samarbete ur ett genusperspektiv2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In a room for surgery there are several different participants that together forma team consisting of; surgeon, surgeon nurse, anaesthesiologist, nurse of anaesthesia and anoperational assistant. For the team to function optional it is essential that communication betweenthe team members uphold. Earlier studies show the many surgeon nurses describestheir professional role subordinate in relation to the other roles in the team. There are storiestold about different occasions where surgeon nurses have experienced bad collegial behaviorincluding stories told of direct insult of surgeon nurses from surgeons in their team. This wasour main focus in this study, to see how gender affects communication. Aim: The surgeonnurse experience of the communication between the surgeon and the nurse from a gender perspective.Method: Qualitative method with analysis of the content from semi structured interviewsincluding five surgeon nurses. Result: Experiences of communication has proven to bedifferent between males and females in this study. The study shows that the surgeon nursesability to read the surgeons temper, and adapt to that, was frequently occuring. Surgeon nurses,of both gender, considered themselves to be important as mediators between the differentsurgeon actors in order to solve conflicts. All interviewed perceived that age, experience, ethnicity,and personal characteristics affected communication cooperation. Opinions from surgeonnurses that professionalism doesn´t have a gender was expressed. Discussion: Gendercultural norms contrahend gender cultural communicative expectations on females and males.This expectation inflects communication between genders, and thus can inflect individualskills and limit the individuals’ potential of progress. Essential is to explore all possible differencesin communication between man and woman to avoid misunderstandings, conflictsand be able to work professionally.

  • 207.
    Bergström, Peter
    et al.
    Umeå University, Faculty of Social Sciences, Department of applied educational science.
    Lindh, Viveca
    Umeå University, Faculty of Medicine, Department of Nursing.
    Developing the role of Swedish advanced practice nurse (APN) through a blended learning master's program: consequences of knowledge organisation2018In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 28, p. 196-201Article in journal (Refereed)
    Abstract [en]

    This paper reports on a research study conducted with a group of nurses in Sweden enrolled in a newly developed blended learning master's programme to become advanced practice nurses (APNs). As background, the paper presents the regional needs the programme is intended to address and describes how the programme was designed. The aim was to understand how, from students' perspective, the nurse master's programme structured knowledge for their future position as APNs. The research question focuses on how the master's programme prepares students by meeting their diverse needs for knowledge. Empirical material was collected at two times during the students' first and second years of study through semi-structured qualitative interviews. The findings highlight the process in which these master's students gained a more advanced identity of becoming APNs. This process demonstrates how students perceive their current position as nurses based on a discourse of knowledge in relation to the practical and theoretical knowledge they encounter in the master's programme. This article concludes by recommending that attention should be paid to developing APN role models in the current Swedish healthcare system.

  • 208.
    Bergström Rönnholm, Ramona
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Hjelte-Löfgren, Liselott
    Umeå University, Faculty of Medicine, Department of Nursing.
    Arbetstider, hälsa och möjligheter till återhämtning: Sjuksköterskors uppfattning om två arbetstidsmodeller2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte med studien var att kartlägga och jämföra sjuksköterskors uppfattningar av två olika arbetstidsmodeller i relation till arbetstider, hälsa samt möjlighet till återhämtning.

    Bakgrund. Inom Hälso- och Sjukvården krävs effektivitet, färre personer ska utföra mer med bättre kvalitet till lägre kostnad. Inom VLL används arbetstidsmodeller för att ha kostnadskontroll, minska vikariebehoven och få bort övertid. Arbete dag, kväll och natt ger korta återhämtningsperioder med risk för ohälsa, minskad återhämtningstid med negativa konsekvenser som följd.

    Metod. Studien genomfördes som en tvärsnittsstudie med enkätsamling. Sjuksköterskor som arbetar i arbetstidsmodell 1 (n=50) och arbetstidsmodell 3 (n=50) som befann sig på arbetsplatser inom VLL vid besök under mars - maj 2013 ombads fylla i enkäterna.

    Resultat. Studien fann statiskt signifikanta skillnader mellan arbetstidsmodellerna i hur sjuksköterskorna trivs med arbetstiderna, var för trött att orka med familj, vänner och fritid och om de fick tid för återhämtning mellan arbetspassen. Sjuksköterskorna i modell 1 och modell 3 upplever hälsa.

    Slutsats. Större andel sjuksköterskor i modell 1 än modell 3 är nöjda med sina arbetstider och har mer tid för återhämtning.Implikation. Att kunna använda resultatet som underlag till framtida arbetstidslösningar och andra hälsofrämjande åtgärder.

  • 209.
    Berleen Danå, Sara
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Valfridsson, Linn
    Umeå University, Faculty of Medicine, Department of Nursing.
    Salutogent perspektiv på hälsa och arbete bland vårdpersonal - en kvantitativ tvärsnittsstudie2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att beskriva vårdpersonals upplevelse av arbete och självskattad hälsa utifrån ett salutogent perspektiv.

    Bakgrund. Arbetsmiljön har stor betydelse för upplevelsen av hälsa och hur vi mår. Det finns därför ett behov av att utforska samband mellan upplevelse av arbete och hälsa, särkilt bland vårdpersonal som ofta utsätts för höga krav i arbetet. Genom att utgå från ett salutogent perspektiv kan hälsofrämjande faktorer i arbetsmiljön beskrivas vilket är av värde vid hälsofrämjande arbete.

    Design. Studien genomfördes i form av en kvantitativ tvärsnittssstudie under april-maj månad 2013,bland vårdpersonal med patientnära arbete i Stockholms och Uppsala län.

    Metod. Data samlades in genom pappersenkäter som delades ut till 100 sjuksköterskor,undersköterskor och läkare (svarsfrekvensen var 68%). För att mäta vårdpersonalens upplevelse av arbete och självskattad hälsa, användes mätinsinstrumenten Salutogenic Health Indicator Scale(SHIS) och Work Experience Measurement Scale (WEMS). Bearbetning och analys av datainsamlingen gjordes med SPSS 20.0.Resultat. Det fanns ett signifikant samband mellan självskattad hälsa och upplevelse av arbete ocharbetsplats. Ingen signifikant skillnad sågs i upplevelse av hälsa och arbete i förhållande till kön,sysselsättningsgrad, anställningsform eller yrke/utbildningsnivå. De respondenter som tillhörde den äldre åldersgruppen hade en signifikant högre skattad hälsa och högre medelvärden i WEMS.

    Slutsats. Vårdpersonal som trivs och mår bra på arbetet skattar även sin hälsa högre. Genom att öka förståelsen för sambanden mellan arbete och hälsa och vilka faktorer som bidrar till att vi trivs och mår bra på arbetet kan en värdefull utgångspunkt för hälsofrämjande arbete på arbetsplatsen skapas.

  • 210.
    Bernbäck, Katarina
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Olsson, Caroline
    Umeå University, Faculty of Medicine, Department of Nursing.
    Emotionella upplevelser hos kvinnor efter avslutad bröstcancerbehandling: En litteraturstudie2015Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 211.
    Berndes, Melinda
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Jonsson, Julia
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kvinnors erfarenheter av att leva med endometrios2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronic disease, and it is estimated to affect 10% ofall women in reproductive age. Up to 80% of these women suffer from chronic pain.The pain can affect the woman’s life and perceived health.Aim: The aim of this study was to describe women’s experience of living withendometriosis.Method: A literature study was made based on nine qualitative articles. Thedatabases CINHAL, PubMed and Medline have been used during the literaturesearches. The results from selected articles was quality-reviewed, then analyzed andcompiled.Results: The results are presented in four maincategories: physical and mentalimpact, limitations in every day life, experiences of healthcare, to deal with thedisease and nine subcategories.Conclusion: Endometriosis turned out to affect the life of the woman in a variety ofways. Women's experiences can be related to different dimensions of suffering;disease causing, caused by life changes and healthcare. Suffering may be related topain because of the disease and treatment. The woman can experience mental andphysical suffering, which in turn limits women's opportunities for work andeducation, but also in relationships with others. Furthermore, suffering can be shownin the meeting with healthcare, where the path to diagnosis was described as long andthe women were met by ignorance and nonchalance. The importance of healthcareprofessionals having appropriate knowledge and meeting women with respect isfundamental in order to avoid unnecessary suffering. Some women, on the otherhand, had positive experiences of care, and the disease had led more women into ahealthier lifestyle.

  • 212.
    Bernroth, Benjamin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ekman, Jakob
    Umeå University, Faculty of Medicine, Department of Nursing.
    Är det någonsin för sent?: Betydelsen av fysisk aktivitet relaterat till den kognitiva funktionsförmågan hos personer med demenssjukdom2012Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 213.
    Berntsson, Sandra
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Brandén Persson, Caroline
    Umeå University, Faculty of Medicine, Department of Nursing.
    Vårdpersonalens hanteringsstrategier vid arbetsrelaterad stress2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background - Stress affects the body both physically and mentally, to avoid negative effects of stress, it’s important with recovery. Occupational stress is common especially in health care personal and can occur when there are high work demands on the individual. To avoid occupational stress affect on the individual the use of various forms of coping strategies, it can vary from problemsolving- to emotional coping strategies. Purpose - To describe healthcare personnel management of occupationalstress. Method - A Literaturereview with eleven qualitative studies were included, these were analyzed by Forsberg and Wengströms, inspired by the method of content analysis. Results - The authors' results demonstrated in two categories, "problemsolving coping strategies" and "emotional coping strategies" and eight subcategories, "to seek, give and receive support", "to prioritize and plan work", "to perform activities", "reflection and breaks","use of humor", "anger and avoidance", "substance use" and "spirituality and faith". Conclusion – The nursing profession is a demanding area where stress is inevitable, therefore it is important to manage the stress that arises in the workplace in order to maintain focus. More research on effective strategies for stress management is required. 

  • 214.
    Berntsson, Sandra
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Brandén Persson, Caroline
    Umeå University, Faculty of Medicine, Department of Nursing.
    Vårdpersonalens hanteringsstrategier vid arbetsrelaterad stress2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background - Stress affects the body both physically and mentally, to avoid negative effects of stress, it’s important with recovery. Occupational stress is common especially in health care personal and can occur when there are high work demands on the individual. To avoid occupational stress affect on the individual the use of various forms of coping strategies, it can vary from problemsolving- to emotional coping strategies. Purpose - To describe healthcare personnel management of occupationalstress. Method - A Literaturereview with eleven qualitative studies were included, these were analyzed by Forsberg and Wengströms, inspired by the method of content analysis. Results - The authors' results demonstrated in two categories, "problemsolving coping strategies" and "emotional coping strategies" and eight subcategories, "to seek, give and receive support", "to prioritize and plan work", "to perform activities", "reflection and breaks","use of humor", "anger and avoidance", "substance use" and "spirituality and faith". Conclusion – The nursing profession is a demanding area where stress is inevitable, therefore it is important to manage the stress that arises in the workplace in order to maintain focus. More research on effective strategies for stress management is required.

  • 215.
    Bertelson, Sara
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Hedberg, Linda
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kvinnors upplevelser efter abort: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are about 46 million induced abortion in the world every year. According to the Swedish abortion law that came year 1974, women have a right to an induced abortion up to the 18th week of pregnancy and with a permission from the health authorities women have a right to an induced abortion up to 21th week. Aim: The purpose of the study was to describe women’s experiences after an induced abortion. Method: A literature-based study including eight qualitative, empirical articles where the result has analyzed with a content analysis. Result: For many women the abortion was a hard and difficult process, emotions like grief, guilt, shame, worry and regret was shown. For some women the abortion process was easier and the only emotion that appeared was relief. The women’s emotions lead to two main categories: satisfied with the abortion and suffering. Conclusion: Women who have had an induced abortion are often affected emotionally. How they are affected is individual for each woman. It is therefore important that the nurse provides a person-centered care to provide the right help for emotional adjustment.

  • 216.
    Bexelius, Moa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lundberg, Lina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Mastektomi till följd av bröstcancer: inte bara förlust av ett bröst2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Almost 20 women are diagnosed with breast cancer daily. It is most common among middle aged women and older. Mastectomy is recommended as a treatment for extensive breast cancer. The whole breast or a part of the breast is surgically removed. A mastectomy can affect your self image and gender identity. Aim: The aim of this study was to describe women’s experiences of undergoing a mastectomy following breast cancer. Method: This literature study is based on qualitative articles. Inclusion criterias were women from 18 years and older, should have had a mastectomy, they were allowed to wear a prosthesis and articles with high or medium quality post quality review. The articles were analysed with content analysis with inspiration of Febe Friberg. Result: Three main categories were identified. A traumatic change in women’s life, mastectomy effects femininity and how women manage life after the mastectomy. To strengthen the categories, ten subcategories were identified. Conclusion: To undergo a mastectomy was life changing. The women lost their femininity and self esteem. However the priority lies in survival rather than appearance. Older women were less bothered by their appearance than younger women. Nonetheless they were all required to cope with new limitations in their everyday life.

  • 217.
    Birkeland, Anna-Lena
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Hällgren Graneheim, Ulla
    Umeå University, Faculty of Medicine, Department of Nursing.
    Rydberg, Annika
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Dahlgren, Lars
    Umeå University, Faculty of Social Sciences, Department of Sociology.
    Facing bad news: a case study focusing on families having a child with congenital heart diseaseManuscript (preprint) (Other academic)
  • 218.
    Bjarte, Johanna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Bergqvist, Sofia
    Umeå University, Faculty of Medicine, Department of Nursing.
    Hysterektomi: En litteraturstudie om kvinnors upplevelser av att ha genomgått hysterektomi2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hysterektomi definieras som avlägsnande av livmodern via kirurgi. Hysterektomi är en av de vanligaste gynekologiska operationerna. I Sverige utförs operationen på i genomsnitt 1 av 10 kvinnor. De vanligaste orsakerna till att utföra hysterektomi är cancer eller för att lindra långvariga sjukdomar som onormal uterin blödning eller bäckensmärta. Hysterektomi leder till att kvinnan förlorar sin fertilitet.

    Syfte: Syftet med denna litteraturstudie var att beskriva kvinnors upplevelser av att ha genomgått hysterektomi.

    Metod: I litteraturstudien har 10 kvalitativa empiriska studier granskats och analyserats med inspiration av metasyntes. Artikelsökning gjordes i databaserna CINAHL, PubMed och Medline.

    Resultat: Analysen resulterade i två teman; Bemötandets olika ansikten samt Förändrad men ändå kvinna. Varje tema understöddes av två subteman.

    Slutsats: Litteraturstudiens resultat visar att kvinnors upplevelser av hysterektomi är varierande och komplex. För att kvinnor i denna situation ska uppleva god omvårdnad krävs att sjuksköterskan individanpassar omvårdnaden utifrån patientens behov.

     

    Nyckelord: Hysterektomi, kvinnor, upplevelse, stöd, omvårdnad.

  • 219.
    Björk, Hanna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Forssman, Anna-Maria
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att medverka vid tvångsåtgärder: en litteraturstudie om vårdpersonals erfarenhet2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Background: The care in Sweden is ruled by different laws and guidlines. One of them is Health and Medical Services Act, which is volontary. When a person gets mentally ill, up to the point when they can no longer care for them selves they can be treated under The Compulsory Mental Care Act. In the swedish closed psychiatric wards approximatly twenty percent of all patients are being treated under The Compulsory Mental Care Act. Sometimes the nursing staff needs to use coercive measures against the patients will. This puts great emotional, physical and psychcolgical pressure on the nursing staff. Aim: To describe nursing staffs’ experience of participating in coercions. Method: Literature study based on eight scientific articles with a qualitative approach. Findings: Coercions induced negative emotions like fear, discomfort, helplessness and powerlessness and it also resulted in feelings of guilt and bad conscience. It also had a negative effect in the daily work and there were a need for enhanced knowledge and experience. The personal approach could either ease or aggravate the percieved experience during coercions. The nursing staff also stated that a good relation with doctors, cheifs and patients was important. Conclusion: The physical and the emotional stress could decrease if the staff received therapeutic counselling and education which could result in fewer people quitting their jobs and fewer sick-leaves. It may also have a positive effect on patient care because the nursing staff would have recieved tools for managing their own and their patients emotions. Importance of care: By describing nursing staffs’ experience of participating in coercions it could be possible to identify confounding factors and then arrange interventions to prevent physical and psychological illness among the nursing staff who are working at closed psychiatric wards.

    Keywords: qualitative literature study, coercions, nursing staff, experience

  • 220.
    Björk, Sabine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Exploring resident thriving in Swedish nursing homes: the Umeå Ageing and Health Research Programme (U-Age) Thesis I2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background

    The population living in nursing homes is generally characterized by high age and female sex, as well as by physical and cognitive impairments. Also, negative symptoms such as pain and neuropsychiatric symptoms are reportedly common. Care in Swedish nursing homes is regulated by law and national guidelines implying that care is to be tailored to resident preferences and needs in order to facilitate their well-being. However, there is no national data source on the characteristics of nursing home residents or on measures of their well-being. Thriving and not merely surviving in nursing homes has been described as a subjective experience of place-related well-being resulting from interaction between residents and the nursing home environment in terms of the quality of care and caregivers, as well as from the physical and psychosocial environment. However, there is a gap in knowledge of whether and, if so, to what extent resident characteristics and factors in the nursing home environment are associated with resident thriving in nursing homes.

    Aim

    The overall aim of this thesis is to explore resident thriving in Swedish nursing homes, and the extent to which resident characteristics, neuropsychiatric symptoms, activities, and environmental factors are associated with resident thriving.

    Methods

    This thesis is based on cross-sectional baseline data from a national inventory of health and care in Swedish nursing homes collected in 2013–2014. The resident sample covered 4831 residents in 548 units from 172 nursing homes in 35 Swedish municipalities. The data were explored using descriptive statistics, as well as simple and multiple linear regression analyses and multilevel linear regression analyses. Resident characteristics and symptom prevalence as well as their associations with thriving; and engagement in everyday activities and their associations with thriving were explored in a sample comprising 4831 nursing home residents from 172 nursing homes. Associations between resident thriving and resident living conditions, nursing home facility and unit characteristics, and the psychosocial climate of units were explored in a sample comprising 4205 residents from 147 nursing homes.

    Results

    Engagement in everyday activities was positively associated with resident thriving, the strongest associations being found for engagement in an activity programme, dressing nicely, and spending time with someone the resident likes. 

    Environmental factors associated with thriving were a positive psychosocial climate at the unit, having access to newspapers, residing in a special care unit, and residing in a facility that was unlocked during the day. Cognitive functioning was strongly associated with resident thriving. Aggressive and depressive symptoms were found to be negatively associated with resident thriving regardless of levels of cognitive functioning.

    Conclusions

    Engagement in everyday activities can support thriving and can be conceptualized and implemented as nursing interventions to facilitate thriving in nursing homes. Factors in the nursing home environment can support resident thriving; in particular, the psychosocial climate of units seems to have a great influence. Aggressive and depressive symptoms were associated with lower levels of thriving. Targeting these symptoms would therefore seem to be a priority in nursing homes. The population living in Swedish nursing homes has a high prevalence of neuropsychiatric symptoms and cognitive impairment. Residents with cognitive impairment also commonly resided in general units. As all data were cross-sectional, longitudinal studies would be valuable to further explore causality. As resident data were based on proxy ratings, future research exploring residents’ perspectives on thriving would be valuable. The present findings contribute to our understanding of nursing home residents’ complex care needs and identify factors that could have an impact on their well-being. These findings can provide benchmark estimates for further research, quality assessment activities, as well as further clinical development work. 

  • 221.
    Björk, Sabine
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Juthberg, Christina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lindkvist, Marie
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Statistics.
    Wimo, Anders
    Sandman, Per-Olof
    Umeå University, Faculty of Medicine, Department of Nursing. Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet; Department of Health Sciences, Luleå University of Technology.
    Winblad, Bengt
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing. School of Nursing and Midwifery, La Trobe University.
    Exploring the prevalence and variance of cognitive impairment, pain, neuropsychiatric symptoms and ADL dependency among persons living in nursing homes: a cross-sectional study2016In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, article id 154Article in journal (Refereed)
    Abstract [en]

    Background: Earlier studies in nursing homes show a high prevalence of cognitive impairment, dependency in activities of daily living (ADL), pain, and neuropsychiatric symptoms among residents. The aim of this study was to explore the prevalence of the above among residents in a nationally representative sample of Swedish nursing homes, and to investigate whether pain and neuropsychiatric symptoms differ in relation to gender, cognitive function, ADL-capacity, type of nursing-home unit and length of stay. Methods: Cross-sectional data from 188 randomly selected nursing homes were collected. A total of 4831 residents were assessed for cognitive and ADL function, pain and neuropsychiatric symptoms. Data were analysed using descriptive statistics and the chi-square test. Results: The results show the following: the prevalence of cognitive impairment was 67 %, 56 % of residents were ADL-dependent, 48 % exhibited pain and 92 % exhibited neuropsychiatric symptoms. The prevalence of pain did not differ significantly between male and female residents, but pain was more prevalent among cognitively impaired and ADL-dependent residents. Pain prevalence was not significantly different between residents in special care units for people with dementia (SCU) and general units, or between shorter-and longer-stay residents. Furthermore, the prevalence of neuropsychiatric symptoms did not differ significantly between male and female residents, between ADL capacities or in relation to length of stay. However, residents with cognitive impairment and residents in SCUs had a significantly higher prevalence of neuropsychiatric symptoms than residents without cognitive impairment and residents in general units. Conclusions: The prevalence rates ascertained in this study could contribute to a greater understanding of the needs of nursing-home residents, and may provide nursing home staff and managers with trustworthy assessment scales and benchmark values for further quality assessment purposes, clinical development work and initiating future nursing assessments.

  • 222.
    Björk, Sabine
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lindkvist, Marie
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Statistics.
    Lövheim, Hugo
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Bergland, Ådel
    Wimo, Anders
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing. School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.
    Exploring resident thriving in relation to the nursing home environment: A cross‐sectional study2018In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 74, no 12, p. 2820-2830Article in journal (Refereed)
    Abstract [en]

    Aim: To explore the extent to which environmental factors are associated with resident thriving. Background: Thriving is a concept that denotes experiences of well-being in relation to the living environment. Although there is a substantial body of research into quality of life in nursing homes, less is known about what contributes to thriving among residents. Recent research on resident thriving has focused mainly on resident characteristics and activities associated with thriving. Less attention has been given to explore associations with the physical and psychosocial environment of the nursing home. This study explores facility- and unit-level factors associated with resident thriving. Design: A cross-sectional national survey. Methods: Data on 4,205 residents, 3,509 staff, and environment of 147 nursing home facilities collected in 2013–2014 were analysed using descriptive statistics, multilevel simple, and multiple linear regression to explore resident thriving in relation to environmental factors. Results: Multilevel analysis revealed that residents’ thriving varied significantly across nursing home units. Several environmental factors were associated with thriving in univariate analyses. However, a positive psychosocial climate of units, having access to newspapers, living in a special care unit, and living in an unlocked facility showed significant positive associations with resident thriving when controlling for resident characteristics. The psychosocial climate showed the strongest association of the environment variables with resident thriving. Conclusions: Nursing home environments may have an impact on residents’ thriving. A positive psychosocial climate of units seems to have an important role in facilitating thriving in nursing home residents.

  • 223.
    Björk, Sabine
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lindkvist, Marie
    Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Statistics. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Wimo, Anders
    Juthberg, Christina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Bergland, Ådel
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing. School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.
    Residents' engagement in everyday activities and its association with thriving in nursing homes2017In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 8, p. 1884-1895Article in journal (Refereed)
    Abstract [en]

    Aim: To describe the prevalence of everyday activity engagement for older people in nursing homes and the extent to which engagement in everyday activities is associated with thriving.

    Background: Research into residents’ engagement in everyday activities in nursing homes has focused primarily on associations with quality of life and prevention and management of neuropsychiatric symptoms. However, the mere absence of symptoms does not necessarily guarantee experiences of well-being. The concept of thriving encapsulates and explores experiences of well-being in relation to the place where a person lives.

    Design: A cross-sectional survey.

    Method: A national survey of 172 Swedish nursing homes (2013–2014). Resident (= 4831) symptoms, activities and thriving were assessed by staff using a study survey based on established questionnaires. Descriptive statistics, simple and multiple linear regression, and linear stepwise multiple regression were performed.

    Results: The most commonly occurring everyday activities were receiving hugs and physical touch, talking to relatives/friends and receiving visitors, having conversation with staff not related to care and grooming. The least commonly occurring everyday activities were going to the cinema, participating in an educational program, visiting a restaurant and doing everyday chores. Positive associations were found between activity engagement and thriving, where engagement in an activity program, dressing nicely and spending time with someone the resident likes had the strongest positive association with resident thriving.

    Conclusions: Engagement in everyday activities can support personhood and thriving and can be conceptualized and implemented as nursing interventions to enable residents to thrive in nursing homes.

  • 224.
    Björk, Sabine
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lövheim, Hugo
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Lindkvist, Marie
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Statistics.
    Wimo, Anders
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing. School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.
    Thriving in relation to cognitive impairment and neuropsychiatric symptoms in Swedish nursing home residents2018In: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 33, no 1, p. E49-E57Article in journal (Refereed)
    Abstract [en]

    Objectives: The purpose of this study was to explore relations among thriving, cognitive function, and neuropsychiatric symptoms (NPS) in nursing home residents.

    Methods: A national, cross-sectional, randomized study of Swedish nursing home residents (N = 4831) was conducted between November 2013 and September 2014. Activities of daily life functioning, cognitive functioning, NPS, and thriving were assessed with the Katz activities of daily living, Gottfries' Cognitive Scale, Nursing Home version of the Neuropsychiatric Inventory, and Thriving of Older People Scale, respectively. Individual NPS were explored in relation to cognitive function. Simple linear and multiple regression models were used to explore thriving in relation to resident characteristics.

    Results: Aggression and depressive symptoms were identified as negatively associated with thriving regardless of resident cognitive functioning. At higher levels of cognitive functioning, several factors showed associations with thriving; however, at lower levels of cognitive functioning, only the degree of cognitive impairment and the NPS was associated with thriving. Most of the individual NPS formed nonlinear relationships with cognitive functioning with higher symptom scores in the middle stages of cognitive functioning. Exceptions were elation/euphoria and apathy, which increased linearly with severity of cognitive impairment.

    Conclusions: The lower the cognitive functioning was, the fewer factors were associated with thriving. Aggression and depressive symptoms may indicate lower levels of thriving; thus, targeting these symptoms should be a priority in nursing homes.

  • 225.
    Björklund, Kristian
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Persson, Stefan
    Umeå University, Faculty of Medicine, Department of Nursing.
    Riskfaktorer för kontrastmedelsreaktioner vid användningen av icke-joniska kontrastmedel2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    ABSTRAKT

    Riskfaktorer för kontrastmedelsreaktioner vid användningen av icke-joniska kontrastmedel

    Bakgrund: Risken för att utveckla kontrastmedelsreaktioner är låg. Frekvensen av kontrastmedelsreaktioner är olika för kön, åldersgrupper, patienter med tidigare kontrastmedelsreaktion, astma/allergi och andra sjukdomar.

    Syfte: Syftet med denna litteraturstudie var att beskriva riskfaktorer för och förekomst av akuta kontrastmedelsreaktioner vid administrering av icke-joniska kontrastmedel.

    Metod: Sammanställning av åtta kvantitativa studiers resultat avseende kön, ålder och tidigare kontrastmedelsreaktioner, allergi/astma och andra sjukdomar. Analysprocessen utgick från Fribergs trestegsmodell.

    Resultat: Kvinnligt kön hade ett statistiskt signifikant samband med högre frekvens av kontrastmedelsreaktioner kontra manligt kön. Högre ålder kan i vissa fall innebära lägre frekvenser av kontrastmedelsreaktioner hos patientgrupper. Tidigare kontrastmedelsreaktioner, astma/allergier och andra sjukdomar kan innebära högre risk för att utveckla en kontrastmedelsreaktion.

    Konklusion: Kontrastmedelsreaktioner av icke-joniska kontrastmedel är ovanliga. Denna litteraturstudie bidrar med att ge röntgensjuksköterskor en övergripande bild av frekvensen i de tre kategorier av riskfaktorer. Förhoppningsvis bidrar denna litteraturstudie till en ökad handlingsberedskap. Vidare forskning behövs för att öka förståelsen för orsakerna till kontrastmedelsreaktioner.

  • 226.
    Björklund, Kristoffer
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Brask, Sara
    Umeå University, Faculty of Medicine, Department of Nursing.
    Föräldrars erfarenheter relaterat till sitt barns självskadebeteende: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract 

    Background: Mental illness is an increasing problem in children and adolescents, which can cause self-harm. Self-harm does not only affect the individual committing the act, but also persons that are closely related. From a family-centered perspective, it is important to take the parents’ experiences into account in order to offer the right support, so that the parents can support their children in the long run.

    Aim: The aim of the study was to describe parents experiences related to their child's self-harm. 

    Method: A literature study with nine qualitative articles. The results from all of the articles was quality-reviewed, analyzed and compiled. PubMed, CINAHL and PsycINFO were the databases which were used in the literature study. 

    Results: The result was categorized into three main categories and eight subcategories. The main categories comprises of: reactions to the child and its self-harm, social consequences and support

    Conclusion: For parents with children who self-harm, reactions appear that are similar to those related to crisis. Many parts of their life are affected by the child’s self-harm and the proper support is not always available. Healthcare professionals can, with the right knowledge and measures, facilitate the situation for the parents. The importance of family-centered care measures, such as interventions, could be assessed by further studies. 

  • 227.
    Björkén Burman, Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Friström, Jenny
    Umeå University, Faculty of Medicine, Department of Nursing.
    Föräldrars upplevelser i samband med deras barns död på en intensivvårdsavdelning2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Death during childhood in Sweden is uncommon. Approximatley 98% of all children cared for in the intensivecareunit survive into adulthood. This means that the public health care system does not acquire much experience in taking care of parents of a child who has died. A child’s death leads to strong emotional experiences for parents. They can experience hopelessness, grieving, shock, guilt, and depression. Through family centered care, the health care system can support parents during the difficult period with end-of-life health care for a child. Aim: The aims of this literature review was to examine parental experiences in connection with the death of their child in an intensive care unit setting. Method: A systematic literature search was conducted. Articles were searched in the databases CIHNAL, PubMed and PsycINFO. Manual search was also conducted. Nine articles were included. Relevant articles were analyzed for categories. Result: The analysis resulted in five main categories, and twelve sub categories. The main categories included the following: interplay between parents and personnel, parental trust in the dying child’s health care management, the impact of the surroundings on the parents, the ability for the parents to maintain a parental role and various forms of support. Conclusion: Through better knowledge and understanding of parental experience when a child dies in an intensive care unit, personnel can better manage the parents grief and meet their needs.

  • 228.
    Björnram, Gabriella
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ek, Sara
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ut i det okända: En intervjustudie om sjuksköterskestudenters föreställningar inför det kommande arbetslivet2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research reveal an increasing number of nurses leave their new profession after a short time working. Studies show that many newly graduated do not feel prepared and that the work does not meet the expectations.

     

    Motive: Since there are only a small number of studies that describe nursing student’s thoughts about their coming profession to be found, this study aims to contribute with research on the subject.

     

    Aim: The aim of the study is to describe nursing student’s conceptions about their coming profession.

     

    Methods: A qualitative method with an inductive approach was used for the study. Eight nursing students was interviewed individually with an interview guide built up with semi-structured questions. The interviews were analysed by a qualitative content analysis with an inductive approach.

     

    Result: The students describe that workplace training was important to feel prepared for the upcoming working life. The students of the study did feel prepared to start working and were looking forward to becoming independent. They also had an apprehension that they were going to feel insufficient in their coming profession. There was a concern about not having enough support as a newly graduated nurse and about not being able to master their new profession. Among the participants, there was also a fear of falling into bad health as an effect of their work.

     

    Discussion: The result shows both positive and negative feelings about the coming profession. The work training was of importance to feel prepared and gave a feeling of assurance. The concerns were especially connected to the working environment and its components, there was a fear of being affected by bad health. A big part of the concern was also to not have enough knowledge. A long introduction time and satisfactory support in the beginning of the working life was considered to be important.

     

    Conclusion: To get more nurses to stay in the profession, a good start is important. The aim of the study was to describe nursing student’s conceptions about their coming profession, and to simplify for employers to meet the needs of newly graduates.

  • 229. Blanck, E.
    et al.
    Fors, A.
    Ali, L.
    Brännström, Margareta
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ekman, I.
    Being support for patients with chronic heart failure and/or chronic obstructive pulmonary disease - the relatives perspective2018In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, p. 98-99Article in journal (Other academic)
  • 230.
    Blixt, Linda
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjöli, Linnéa
    Umeå University, Faculty of Medicine, Department of Nursing.
    Attityder hos operationssjuksköterskor och operatörer kan påverka risken för intraoperativa stick- och skärskador2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim. To illustrate the attitudes of the operating theatre personnel and the risk of intraoperative sharp injuries.

    Background. There are several ways to manage sharp instruments such as various techniques and safety products to minimize the risk of sharps injuries. There are many studies about working practices to minimize the risk of sharps injuries but only a few that illustrate the importance of attitudes towards techniques and safety products as well as follow up and reporting incidents.

    Method. The design of the study is an empirical interview study with a qualitative approach. Semi-structured interviews were conducted with seven theatre nurses and four surgeons at two hospitals in Sweden. Data collected October-December 2015.

    Findings. The findings show that there exists different attitudes of the operating theatre personnel that could affect the risk of sharps injuries. The finding is presented in four themes: To have a safe working environment; To protect oneself, co-worker and patient; To be compliant to guidelines and working practices and To be non-compliant to guidelines and working practices.

    Conclusions. The risk of sharp injuries can’t be eliminated since there is always a risk of sharp injuries which the operating theatre personnel must pay attention to. There are a lot of knowledge about safety products and techniques for minimizing the risk of sharps injuries but when the attitude of the user come into play the safety product may not be used correctly, if used at all. In this study a indication appears that the attitudes of the operating theatre personnel may be affecting the risk of intraoperative sharp injuries.

  • 231.
    Blohm Engström, Amanda
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Grimstedt, Ronja
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskestudenters syn på den professionella rollen relaterat till våld mot kvinnor: En kvalitativ studie på en sjuksköterskeutbildning i Bangalore2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Våld mot kvinnor är ett brott mot mänskliga rättigheter. Globalt sett har 35% av alla kvinnor utsatts för fysiskt eller sexuellt våld. Våldet har kortsiktiga och långsiktiga konsekvenser för kvinnan och kvinnor som utsatts för våld använder i högre grad sjukvården. De avslöjar dock inte alltid vad de upplevt och vårdpersonal undviker att uppmärksamma våldet. Sjuksköterskor efterfrågar mer kunskap och riktlinjer i omvårdnaden av våldsutsatta kvinnor. Sjuksköterskestudenter saknar också kunskap och kan bära på förmodar, därför är ytterligare utbildning inom ämnet nödvändig.

    Syfte: Att beskriva sjuksköterskestudenters syn på det professionella ansvaret i mötet med våldsutsatta kvinnor samt förekomst av ämnet i utbildningen

    Metod: Kvalitativ studie i form av fokusgruppsdiskussioner analyserat med kvalitativ innehållsanalys. Två grupper med sex deltagare i vardera med sjuksköterskestudenter från St. Martha’s College of Nursing, Bangalore.

    Resultat: Studenterna reflekterade över samhällets och individens inverkan på kvinnor utsatta för våld och hur det påverkar avslöjande av våldet, samt hur sjuksköterskan kan arbeta i denna miljö. De beskrev egenskaper hos sjuksköterskan som är viktiga i vården av dessa kvinnor och vikten av att etablera en trygg och pålitlig relation. Studenterna uttryckte en önskan om mer utbildning kring de psykologiska aspekterna av vården för dessa patienter, såväl som alternativa lärosätt.

    Konklusion: Sjuksköterskeutbildningen kan skapa möjligheter för studenter att få praktisk övning och reflektion i mötet med våldsutsatta kvinnor genom simuleringsövningar. Utbildningen bör också lyfta emotionella aspekter kring mötet med särskilt utsatta patienter.

    Nyckelord: Våld mot kvinnor, sjuksköterskestudenter, professionellt ansvar, utbildning, Indien

  • 232. Blomberg, Frida
    et al.
    Brulin, Christine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Andertun, Regina
    Rydh, Anders
    Umeå University, Faculty of Medicine, Department of Radiation Sciences, Diagnostic Radiology.
    Patients' perception of quality of care in a radiology department: a medical-physical approach2010In: Journal of Radiology Nursing, ISSN 1546-0843, Vol. 29, no 1, p. 10-17Article in journal (Refereed)
    Abstract [en]

    The aim of our cross-sectional study was to identify patients' perception of quality of care (QoC), and further to evaluate the relation between QoC and demographic factors in patients who have been subject to a radiology examination or a radiology treatment. Good QoC is the primary aim of the public medical and health service, with the aim of same quality for the whole population. Few scientific studies have been carried out within radiology with the aim of investigating differences between varying demographic factors and patient's perceptions of QoC. The radiology department's version of the Quality from the Patient's Perspective questionnaire (QPP) was used for data collection. Six hundred and ninty-eight patients participated in the study. Low estimation of the QoC was associated with dissatisfaction with telephone contact, long waiting time, neither easy nor hard waiting time experience, not receiving an invitation in time, and age 56 to 75 years. Female patient responses for estimated QoC were higher, as were those from patients with less formal education. Our study shows that factors inducing dissatisfaction concerning QoC, above all long waiting times, can be tolerated if radiology personnel provide good routines for information. Telephone contact, and adequate, timely information, is especially important. The results of this study demonstrate that several factors play a role in a patient's perception of QoC in a radiology department. The further research on patient-focused quality improvement is needed to improve patient's perception of quality care in the radiology department.

  • 233.
    Blomdal, Jessica
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    von Ahn, Karoline
    Umeå University, Faculty of Medicine, Department of Nursing.
    Att leva med långvarig smärta: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Titel: Att leva med långvarig smärta

    Bakgrund: En av de vanligaste orsakerna till att människor söker sjukvård är smärta. Smärta är en komplex subjektiv känsla och har upplevts av de flesta. Långvarig smärta påverkar en person fysisk, psykiskt och socialt. I Sverige beräknas 18 % av befolkningen lida av långvarig smärta.

    Syfte: Syftet med litteraturstudien är att beskriva erfarenheter av att leva med långvarig smärta.

    Metod: En litteraturstudie som baserats på åtta kvalitativa artiklar har analyserats, granskats och sammanställts. Databassökningarna gjordes i CinAhl och PubMed.

    Resultat: Studiens resultat presenterades i en huvudkategori “”När smärtan dominerar livet” och fem subkategorier “Smärtans uttryck”, “Kroppslig begränsning”, ”Förluster av relationer och roller”, “Att känna sig misstrodd och ifrågasatt” och “Acceptans och framtid”. Resultatet redogör hur den ständigt närvarande smärtan gavs i uttryck och de konsekvenser som tillkom i det dagliga livet och tillvaron.

    Konklusion: Erfarenheter av långvarig smärta är alltid subjektiv, men beskrivs av många på liknande sätt. Smärtan påverkar hela individen med en rad konsekvenser där den psykiska påfrestningen är mest påtaglig. I mötet med dessa personer är det viktigt att sjuksköterskan tror, lyssnar, visar förståelse och bekräftar deras smärtupplevelser. 

  • 234.
    Blomgren, Ann-Christin
    et al.
    Umeå University, Faculty of Medicine, Nursing.
    Nilsén, Marie
    Umeå University, Faculty of Medicine, Nursing.
    Trycksårsprevention med inriktning mot individanpassning: En deskriptiv observationsstudie vid två operationsverksamheter2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 235.
    Blomstedt, Yulia
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Sahlén, Klas Göran
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nilsson, Ingeborg
    Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
    Sundström, Anna
    Umeå University, Faculty of Social Sciences, Department of Psychology. Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR).
    Brändström, Anders
    Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR).
    Elderly care in Swedish welfare state: implications of the population ageing2013In: Global aging issues and policies: understanding the importance of comprehending and studying the aging process / [ed] Yushi Li, Springfield: Charles C. Thomas Publisher Ltd., 2013, p. 226-244Chapter in book (Refereed)
  • 236.
    Bolyki, Jenny
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Malm, Lovisa
    Umeå University, Faculty of Medicine, Department of Nursing.
    Vårdpersonalens upplevelser av att möta suicidnära patienter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Health care professional’s experiences of meeting suicidal patients

    Background: Suicide is when a person with intention ends his life. Suicide counts as an endemic disease and about 1000 person commit suicide in Sweden every year. A negative attitude in the health care professionals can make them perceived as judging and abrupt.

    Aim: The aim with this literature study was to describe health care professional’s experiences of meeting patients with suicidal behavior.

    Method: A qualitative literature study was performed. Nine quality- and ethic assessed studies was picked. The analysis was conducted with help from Friberg’s five step model.

    Results: The result present in three categories: emotional reactions, the character of the meeting and the obstacle and opportunity in the caring, described in nine subcategories.

    Conclusion: Health care professionals fight with a large amount of emotional reactions in the meeting with suicidal patients. They describe obstacles and opportunities and strives to create a caring meeting where the suicidal patients are viewed as individuals, listened to and meet in a respectful way. The health care professionals can create possibilities for a change through providing security, confirmation, and helping and supporting the patient to move on in life as a person and not as a patient. 

     

    Keywords: Suicide, health care professionals and experience.

     

     

     

  • 237.
    Boman, Erika
    Umeå University, Faculty of Medicine, Department of Nursing.
    Inner strength as a health resource among older women2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background Long life does not inevitably mean more healthy years; older women have an increased risk of disabilities, diseases and adverse life events. Nevertheless, many older women experience health. This may be explained by possessing resources that promote health, despite adversities. Inner strength is seen as a resource as such. In this thesis inner strength is interpreted according to a theoretical model where inner strength comprises four interrelated and interacting dimensions: connectedness, creativity, flexibility and firmness, and being rated by the Inner Strength Scale (ISS).

    Aim and methods The overall purpose of this thesis was to explore inner strength as a health resource among older women. In study I six focus group interviews were performed with older women (66-84 years; n = 29) and the interviews were analysed by a concept driven approach and by means of qualitative content analysis. Studies II–IV had a quantitative, cross-sectional design. A questionnaire was sent to all older women (65 years and older) living in Åland, an autonomous island community in the Baltic Sea, and 1555 (57%) women responded. The data was analysed using descriptive and inferential statistics.

    Results In study I, exploring how inner strength and its dimensions can be identified in narratives of older women, connectedness was interpreted as a striving to be in communion, creativity as the ability to make the best of the situation, firmness as having a spirit of determination – “it is all up to you”, and flexibility as a balancing act. The results of study II showed that strong inner strength was associated with better mental health, but not physical health. In exploring factors associated with health-related quality of life, fewer symptoms of depressive disorders was the strongest explanatory variable, and together with not feeling lonely associated with better both physical health and mental health. Better physical health was also explained by not having a diagnosed disease, being of lower age and the opportunity to engage in meaningful leisure activities. Better mental health was additionally explained by having enough money for personal needs. In study III the result showed that non-depressed women were likely to have a strong inner strength, as well as never or seldom feeling lonely, taking fewer prescribed drugs, feeling needed and having the opportunity to engage in meaningful leisure activities. In study IV poorer mental health was associated with weaker inner strength in total, and in all four dimensions of inner strength. Symptoms of depressive disorders and feeling lonely were related to lower scores in three of the dimensions (except firmness and creativity, respectively) and poorer physical health was associated with lower scores in two of the dimensions (firmness and flexibility). Some other health threats were significantly associated with only one of the dimensions (connectedness or creativity), and others were not significantly associated at all.

    Conclusion The results add nuance to the notion of inner strength and deepen empirical knowledge about the phenomenon. It is elucidated that the ISS can be used not only to rate inner strength but also to offer guidance as to the areas (i.e. dimensions) in which interventions may be profitable. It is further shown that inner strengths can be identified in narratives of older women. Mental ill health has shown to have overall the strongest association with weakened inner strength among community-dwelling older women. The causality can, though, not be studied due to the cross-sectional design; therefore, longitudinal studies are recommended. Notwithstanding that limitation, the findings can be used as a knowledge base in further research within this field.

  • 238.
    Boman, Erika
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Faculty of Nursing, Åland University of Applied Sciences, Mariehamn, Finland.
    Gustafson, Yngve
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    Häggblom, Anette
    Faculty of Nursing, Åland University of Applied Sciences, Mariehamn, Finland.
    Santamäki Fischer, Regina
    Umeå University, Faculty of Medicine, Department of Nursing. Faculty of Nursing, Åland University of Applied Sciences, Mariehamn, Finland.
    Nygren, Björn
    Umeå University, Faculty of Medicine, Department of Nursing.
    Inner strength: associated with reduced prevalence of depression among older women2015In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 19, no 12, p. 1078-1083Article in journal (Refereed)
    Abstract [en]

    Objectives: The aim of this study was to explore if inner strength is independently associated with a reduced prevalence of depression after controlling for other known risk factors associated with depression.

    Methods: A population-based cross-sectional study was performed, where all women living in Åland, a Finnish self-govern island community in the Baltic Sea, aged 65 years or older were sent a questionnaire including the Geriatric Depression Scale and the Inner Strength Scale along with several other questions related to depression. Factors associated with depression were analyzed by means of multivariate logistic regression.

    Results: The results showed that 11.2% of the studied women (n = 1452) were depressed and that the prevalence increased with age and was as high as 20% in the oldest age group. Non-depressed women were more likely to never or seldom feel lonely, have a strong inner strength, take fewer prescription drugs, feeling needed, being able to engage in meaningful leisure activities, as well as cohabit.

    Conclusion: Our results showed an association between stronger inner strength and being non-depressed. This can be interpreted to mean that inner strength might have a protective effect against depression. These findings are interesting from a health-promotion perspective, yet to verify these results, further longitudinal studies are required.

  • 239.
    Boman, Erika
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Åland University of Applied Sciences, Mariehamn, Finland.
    Haggblom, Anette
    Lundman, Berit
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nygren, Björn
    Umeå University, Faculty of Medicine, Department of Nursing.
    Santamäki Fischer, Regina
    Umeå University, Faculty of Medicine, Department of Nursing. Åland University of Applied Sciences, Mariehamn, Finland.
    Inner Strength as Identified in Narratives of Elderly Women A Focus Group Interview Study2015In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 38, no 1, p. 7-19Article in journal (Refereed)
    Abstract [en]

    By identifying sources of inner strength, health care personnel can be given valuable information about elderly people's capacities regardless of frailty. The focus of this interview-based study was to explore how inner strength and its dimensions can be identified in narratives of elderly women. The analysis was based on a theoretical model where inner strength is composed of 4 interacting dimensions of connectedness, creativity, firmness, and flexibility. Our findings add nuance to the notion of inner strength and deepen empirical knowledge about the concept.

  • 240.
    Boman, Erika
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Department of Nursing, Åland University of Applied Sciences, Finland.
    Häggblom, Anette
    Lundman, Berit
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nygren, Björn
    Umeå University, Faculty of Medicine, Department of Nursing.
    Santamäki Fischer, Regina
    Umeå University, Faculty of Medicine, Department of Nursing. Department of Nursing, Åland University of Applied Sciences, Finland.
    Identifying variables in relation to health-related quality of life among community-dwelling older women: knowledgebase for health-promoting activities2016In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, no 1, p. 20-26Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to explore health-related quality of life (HRQoL) and associated variables among all community-dwelling older women (565 years) (n¼2724) on A ° land, a Finnish self-governing island community. A total of 1023 women participated (mean age 72.96.8 years). Absence of depression, absence of diagnosed disease(s), having the opportunity to engage in meaningful leisure activities, and never or seldom feeling lonely explained, together with socioeconomic control variables (i.e. age, education and economic situation), 34.4% of the variation in physical health. Absence of depression, strong inner strength, and never or seldom feeling lonely explained, together with socio-economic control variables, 27.7% of the variation in mental health. HRQoL was rated as relatively good, although special attention should be paid to women aged 80þ years. To promote HRQoL, interventions aimed at preventing, detecting and treating depression should be prioritised. In addition, interventions aimed at reducing feelings of loneliness are also recommended in order to enhance overall HRQoL.

  • 241.
    Boman, Erika
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lundman, B
    Nygren, Björn
    Umeå University, Faculty of Medicine, Department of Nursing.
    Årestedt, K
    Santamäki Fischer, Regina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Inner strength and its relationship to healththreats in ageing – a cross-sectional studyamong community-dwelling older womenManuscript (preprint) (Other academic)
  • 242. Boman, Erika
    et al.
    Lundman, Berit
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nygren, Björn
    Umeå University, Faculty of Medicine, Department of Nursing.
    Årestedt, Kristofer
    Santamäki Fischer, Regina
    Umeå University, Faculty of Medicine, Department of Nursing. Faculty of Education and Welfare Studies, Åbo Akademi University, Vasa, Finland.
    Inner strength and its relationship to health threats in ageing: a cross-sectional study among community-dwelling older women2017In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 11, p. 2720-2729Article in journal (Refereed)
    Abstract [en]

    Aim: To explore the relationship between inner strength and health threats among community-dwelling older women. Background: Inner strength is described as a resource that promotes experiences of health, despite adversities. Inner strength and its dimensions (i.e. connectedness, creativity, firmness and flexibility) can be assessed using the Inner Strength Scale (ISS). Exploring attributes of weaker inner strength may yield valuable information about areas to focus on in enhancing a person's inner strength and may ultimately lead to the perception of better health. Design: Cross-sectional questionnaire survey. Methods: The study is based on responses from 1270 community-dwelling older women aged 65 years and older; these were collected in the year 2010 and describe the situation that still exists today for older women. The questionnaire included the ISS, background characteristics and explanatory variables known to be health threats in ageing. Data were analysed using descriptive and inferential statistics. Results: Poorer mental health was related to weaker inner strength in total and in all the dimensions. Symptoms of depressive disorders and feeling lonely were related to three of the dimensions, except firmness and creativity respectively. Furthermore, poor physical health was associated with the dimensions firmness and flexibility. Other health threats were significantly related to only one of the dimensions, or not associated at all. Conclusion: Mental ill health has overall the strongest association with weaker inner strength. Longitudinal studies are recommended to confirm the results. However, the ISS does not only estimate inner strength but can also be a tool for discovering where (i.e. dimension) interventions may be most profitable.

  • 243.
    Boman, Hanna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Bergström, Malin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Stor vikt vid vikten: En litteraturstudie om sjuksköterskors sätt att arbeta med patienter med fetma inom primärvården2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Antal personer med fetma i världen har dubblerats mellan åren 1980 - 2014. I Sverige lever nu 14% av befolkningen med fetma. Enligt Folkhälsomyndigheten är fetma en av de sjukdomar som ökar mest i vårt samhälle. Detta är en patientgrupp som är och kommer bli större inom vården. I dagens samhälle finns det en smalhetsnorm där personer med fetma anses som avvikande och det har negativa konsekvenser för primärvården.

    Syfte: Syftet med denna studie är att undersöka sjuksköterskors sätt att arbeta med patienter med fetma inom primärvården.

    Metod: Litteraturstudien innehåller 8 artiklar med kvalitativ ansats. Databaserna som har använts är främst Cinahl och PubMed. Respektive artikel har granskats, analyserats och sammanställts med inspiration av innehållsanalys.

    Resultat: Sjuksköterskornas sätt att arbeta grundade sig i många olika aspekter. Litteraturstudiens resultat har sammanställts i 3 huvudkategorier: samhällsnormens inverkan på sjuksköterskans roll, sjuksköterskans individuella uppgifter och när resurserna inte räcker till.

    Konklusion: Sjuksköterskorna i primärvården beskriver svårigheter i arbetet med patientgruppen och detta resulterar i en försämrad vård. Ökad utbildning och implementering av riktlinjer i primärvården hade stärkt sjuksköterskornas roll i deras arbetssätt.

    Nyckelord: fetma, arbetssätt, sjuksköterska, primärvård. 

  • 244.
    Boman, Kurt
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
    Olofsson, Mona
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
    Bergman, Ann-Charlotte R.
    Brännström, Margareta
    Umeå University, Faculty of Medicine, Department of Nursing.
    Anaemia, but not iron deficiency, is associated with clinical symptoms and quality of life in patients with severe heart failure and palliative home care: a substudy of the PREFER trial2017In: European journal of internal medicine, ISSN 0953-6205, E-ISSN 1879-0828, Vol. 46, p. 35-40Article in journal (Refereed)
    Abstract [en]

    Background: To explore the relationships between anaemia or iron deficiency (ID) and symptoms, quality of life (QoL), morbidity, and mortality.

    Methods: A post-hoc, non-prespecified, explorative substudy of the prospective randomized PREFER trial. One centre study of outpatients with severe HF and palliative need managed with advanced home care. Associations between anaemia, ID, and the Edmonton Symptom Assessment Scale (ESAS), Euro QoL (EQ-5D), Kansas City Cardiomyopathy Questions (KCCQ) were examined only at baseline but at 6months for morbidity and mortality.

    Results: Seventy-two patients (51 males, 21 females), aged 79.2±9.1years. Thirty-nine patients (54%) had anaemia and 34 had ID (47%). Anaemia was correlated to depression (r=0.37; p=0.001), anxiety (r=0.25; p=0.04), and reduced well-being (r=0.26; p=0.03) in the ESAS; mobility (r=0.33; p=0.005), pain/discomfort (r=0.27; p=0.02), and visual analogue scale of health state (r=-0.28; p=0.02) in the EQ-5D; and physical limitation (r=-0.27; p=0.02), symptom stability; (r=-0.43; p<0.001); (r=-0.25; p=0.033), social limitation;(r=-0.26; p=0.03), overall summary score; (r=-0.24, p=0.046) and clinical summary score; (r=-0.27; p=0.02) in the KCCQ. ID did not correlate to any assessment item. Anaemia was univariably associated with any hospitalization (OR: 3.0; CI: 1.05-8.50, p=0.04), but not to mortality. ID was not significantly associated with any hospitalization or mortality.

    Conclusion: Anaemia, but not ID, was associated although weakly with symptoms and QoL in patients with advanced HF and palliative home care.

  • 245.
    Bonivart, Robin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Åhl Lundström, Emma
    Umeå University, Faculty of Medicine, Department of Nursing.
    Efter att en stroke slagit till: En litteraturstudie om upplevelserna av livet efter en stroke2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Titel: After a stroke strikes - A literature study about the experiences of life after a stroke

    Background: Stroke is a disease that affects approximately 26,500 people annually and leaves the survivors with cognitive, physical, emotional difficulties.

    Aim: The purpose of this literature study is to highlight experiences of life after stroke.

    Method: Eight studies were identified in CINAHL and PubMed searches, they were quality-reviewed, analyzed for similarities and differences and compiled.

    Result: We report the results into three categories with five subcategories. The three categories consist of meeting difficult challenges, the way back and managing new challenges.

    Conclusion: A stroke leads to a changed vision of life with new priorities and values. The victims find that support from family and friends is important in order to maintain good health. Loss of activity due to lost confidence in their body has generated a more passive life and lost relationships.

  • 246.
    Borglund, Jenny
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Jansson, Isabell
    Umeå University, Faculty of Medicine, Department of Nursing.
    Triagering i ambulanssjukvården: Sjuksköterskors följsamhet till beslutsstöd2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Triage is a dynamic process in which the patient is assessed and prioritized based on symptoms and vital signs with the goal of getting the right patient to the right level of treatment early in the care chain. High medical competence in the ambulance care means that assessment and triage to the appropriate level of care is performed already pre- hospital to optimize the resources. Motive: Factors for quality monitoring in ambulance care are, among other things, the modelling of and adherence to decision guidelines. There is currently no information on whether existing decision guidelines for the execution of triage to treatment level is sufficiently clear, and whether nurses in Skåne's ambulance healthcare are following these. Purpose: The purpose of the study is to investigate whether nurses in Region Skåne's ambulance care services are triaging to the appropriate level of care, and to study adherence to decision guidelines. Method: A prospective cross- sectional study was conducted with an anonymous web poll. The survey was conducted on nurses working in the ambulance care in Region Skåne. 191 complete questionnaires were analyzed. The significance was ensured by a Chi2 – test. Results: 85.9% of the nurses strive to always triage the patient to the appropriate level of treatment. 74.3% of the nurses always consult RLS for triage to another level of treatment. 43.5% state that they never use TH as support for decision making. RETTS is always used by 62.8% of the nurses. Discussion: Although the TH is a support for decision making for triage to the level of care, it is used only by few nurses. This could be because Region Skåne is not clear in the directive that TH should be used. Instead, it is clear from the directives that RLS should always be consulted at triage to another level of care, which the majority of respondents state that they do. A majority of the nurses was comfortable with triage even though the liability issue is unclear. The directives do not show how triage should be implemented and who is responsible for it. Conclusion: Region Skåne needs to review the directive for ambulance care to the appropriate level of care.

  • 247.
    Borndalen, Adam
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Jakobsson, Anton
    Umeå University, Faculty of Medicine, Department of Nursing.
    Vårdtagares erfarenheter av att genomgå en magnetkameraundersökning: en litteraturstudie inom radiografi.2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Title: Patients experience of undergoing a magnetic resonance imaging examination – a literature study in radiography. Background: In the 1980s the MRI was introduced in diagnostic radiology. Examinations with MRI are well suited for imaging of the body´s soft tissue. A requirement for this is that the patient is still during the image acquiring process because movements affect the quality of the diagnostic material. Mixed feelings are present among patients during the examination and the radiographer is there to provide good nursing. Aim: The aim of this literature review was to describe the experiences of patients undergoing an MRI- examination. Method: A literature review of adult patients, over 18, undergoing an MRIexamination with a qualitative approach. Analysis and processing of data was inspired by Friberg. Result: Presented in six main categories, preliminary information, anxiety and nervousness, the perceived impact of the room, the interaction with personnel, unexpected occurrences and mixed emotions after completed examination. Results show that the experience of undergoing an MRI-examination was affected by a several factors. Conclusion: The radiographer is the patients contact with the radiology department, he/she is responsible for the communication with the patient. Therefor he/she can affect the experience of undergoing a magnetic resonance imaging examination in a positive way.

  • 248.
    Boström, Eva
    Umeå University, Faculty of Medicine, Department of Nursing.
    Personcentrerad vård fungerar men kan upplevas obekväm2014In: Diabetesvård : tidning för Svensk förening för sjuksköterskor i diabetesvård, ISSN 1652-697X, no 2-3, p. 10-11Article in journal (Other academic)
    Abstract [sv]

    Inledning:Diabetessjuksköterskans roll och de utmaningar som ligger i att praktisera personalcentrerad vård behöver tydliggöras.

  • 249.
    Boström, Eva
    Umeå University, Faculty of Medicine, Department of Nursing.
    Personcentrerad vård innebär en förändrad professionell roll för diabetssjuksköterskor2014In: Best Practice, ISSN 1329-1874, no 10, p. 16-18Article in journal (Refereed)
    Abstract [sv]

    Diabetessjuksköterskor innom primärvården har en viktig uppgift i att stödja personer med typ 2 diabetes så att de kan bibehålla  en tillfredsställande livskvalitet och fördröja sjukdomens progression. Ett personcentrerat förhållningssätt förespråkas idag och innebär att den enskilda personen ses med unika egenskaper, preferenser och förmågor som tas tillvara och vars medbestämmande får betydelse vid upprättande av behandlingsmål.

  • 250.
    Boström, Eva
    Umeå University, Faculty of Medicine, Department of Nursing.
    Proximity and distance: challenges in person-centred care for diabetes specialist nurses in primary health care2013Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background Type 2 diabetes demands self-management over time, to maintain health and reduce the risk for diabetes complications. However, despite efforts, many persons with type 2 diabetes are not reaching the treatment targets. In diabetes, person-centred care and group education are recommended. Diabetes specialist nurses (DSNs) working in primary healthcare have an important role in supporting patients with type 2 diabetes in their self-management to adapt to the demands of the disease in everyday life. Therefore, it is important to explore the DSNs’ professional role and their experiences of practising person-centred care. The overall aim of the thesis was to explore the professional role of DSNs in primary healthcare, and to describe their experiences of person-centred diabetes care.

    Methods The thesis includes three studies with qualitative, and one with a quantitative, approach. Data collection consisted of focus group interviews, individual interviews, observations, and questionnaires. Qualitative content analysis and statistics were used in the analysis. In studies I and II, 29 and 31 DSNs participated, respectively. In study III, 10 DSNs and 44 persons with type 2 diabetes participated. Lastly, in study IV, 10 DSNs participated.

    Results The results in the thesis showed that DSNs have a complex and multifaceted professional role that entails striving to be an expert, a fosterer, a leader, an executive, and a role model, which they found challenging. The DSNs perceived high job demands, such as decision-making and learning. The thesis also showed that the interaction between DSNs and persons with type 2 diabetes shifted from empowerment to authority struggles during group support sessions based on person-centred care. The experience of person-centred care was described as enriching, but DSNs also expressed ambivalence, related to an altered professional role.

    Conclusion There is a desire by DSNs to be close to persons with type 2 diabetes, although they have several challenges to fulfil, which makes it difficult to uphold a relation with proximity; thus, distance is also present. Even though person-centred care is recommended in healthcare, and despite DSNs’ efforts to practise PCC, the result of this thesis shows that it also implies an altered professional role for DSNs that has to be addressed.

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