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  • 401.
    Danielsson, Lina
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lundgren, Emma
    Hälsosamtal kan vara såväl stärkande som stjälpande: Patienters upplevelser av hälsosamtal med distriktssköterskan inom ramen för Västerbottens hälsoundersökningar (VHU)2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To shed light on patients' experiences of health conversations with primary health care nurses in the context of Västerbotten Intervention Programme (VIP).

    Background: Since 1995, 40-, 50- and 60-year-olds are offered health conversations at health centers in Västerbotten County. Health conversations aim at improving patients’ health by acquiring awareness of their health risks and being motivated for lifestyle changes. There are no published studies of patients’ experiences of health conversations within in the context of the VIP.

    Design: We chose a qualitative approach for our study. Method:  During 2017 we conducted interviews with seven individuals that had been attending a health conversation at three health centers in the inland of Västerbotten county. In order to analyze the data obtained, we used qualitative content analysis.

    Results: The result showed that patients experienced that health conversations can be supporting as well as the reversed. The health conversation could be described as empowerment support, person centered, informative and educational as it was felt to be strengthening. In contrast to this, the result showed that if the health conversation was described as paternalistic, it could counteract a successful outcome of the health conversation.

    Conclusion: Our conclusion is that primary health care nurses should work in a  person centered manner and possess knowledge of concepts such as empowerment and health literacy when conducting health conversations. Furthermore to ensure person centered care (PCC) in the context of health promotion, the process of professional role development for the primary health care nurses are important as well as organizational improvements.

  • 402.
    Danielsson, Malin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Smirnoff Larsson, Joanna
    Umeå University, Faculty of Medicine, Department of Nursing.
    Erfarenheter av stigmatisering och diskriminering hos vuxna personer med övervikt: -en litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity is a globally increasing problem and isaccompanied by many negative health consequences. In the Western society anarrow body is the ideal and those who fall outside society's norms can therefore be asubject to stigmatization and discrimination related to their obesity.Aim: To describe the experiences of stigmatization and discrimination among adultswith obesity.Method: A literature study based on ten articles found in the databases CINAHL,Pubmed and PsycInfo. The articles were analyzed with inspiration from Friberg'sapproach.Results: The result is presented in three categories; “Customized their identity”,“Endured in social exclusion”, “Lost their human value” as well as the following eightsubcategories; “To not feel comfortable in one's body", "To be defined by yourweight”, “To handle stigmatization and discrimination”, “To not fit in”, “To be treateddifferently”, “To feel alone and excluded", “To feel guilt and shame” and “To not berespected by healthcare professionals”.Conclusion: Stigmatization and discrimination were a common experience amongpeople with obesity. More research regarding men's experience of stigmatization anddiscrimination related to obesity is needed.

  • 403.
    Danielsson Meiling, Louise
    Umeå University, Faculty of Medicine, Department of Nursing.
    Risk factors for delirium and mortality in old people after hip fracture2018Independent thesis Basic level (professional degree), 20 credits / 30 HE creditsStudent thesis
  • 404.
    Darnemo Plym, Marlene
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Trönnhagen, Linn
    Umeå University, Faculty of Medicine, Department of Nursing.
    Föräldrars upplevelser från sitt barns insjuknande i diabetes typ-12019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It´s estimated that 7-8,000 children in Sweden are diagnosed withdiabetes type -1 and every year about 900 are newly diagnosed. After the debut in diabetes,the child is cared for at a children's clinic together with his family. When parents areresponsible for the child's care, they are required to learn the disease.

    Motive: Since parents are a significant support for the child and have a majorresponsibility in nursing care, it´s also necessary to research their experience of thedisease to create the right conditions for the child.

    Aim: To study parents' experiences from their child's disease in type-1 diabetes.

    Methods: The study was conducted according to a qualitative method with inductiveapproach where the parents were asked to write about their experiences. The material wasanalyzed using content analysis.

    Result: During the analysis, a theme emerged: An emotional roller coaster and fivecategories: Attractive illness and seeking care, A tumultuous experience, Beinghospitalized for good and bad, That the whole family becomes involved and Manymeetings with healthcare professionals. These are in turn divided into a total of 14subcategories. It emerged that the parents' first time was characterized by many difficultfeelings. Varying experiences from hospital based care and primary care were emerged.

    Discussion: Large parts of the result are consistent with existing research regarding theparents' emotional first time and how they experienced the situation. It emerged that thetreatment and knowledge in primary care was inadequate. Further, more research isneeded in the reception of these patients by primary care.

    Conclusion: Based on this study, it can be concluded that the child's debut in diabetesmeant a daunting time for the whole family. There are opportunities for improvement inboth primary care and hospital based care regarding treatment, competence and transferof information

  • 405.
    Davidsson, Johanna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Olausson, Hanna
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskors erfarenheter av att bedöma smärta och oro hos barn och ungdomar inom somatisk vård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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

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

  • 406.
    Degent, Sandra
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. 1994.
    Strålberg, Evelina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskans erfarenheter av mötet med kvinnor utsatta för våld i nära relationer.: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    ABSTRAKT

    Titel: Sjuksköterskans erfarenheter av mötet med kvinnor utsatta för våld i nära relationer.

    Bakgrund: Våld i nära relationer är idag ett globalt folkhälsoproblem. En tredjedel av världens kvinnor har någon gång utsatts för fysiskt eller sexuellt våld i en nära relation och det är stor sannolikhet att man som sjuksköterska kommer möta dessa våldsutsatta kvinnor. Sjuksköterskan har en viktig roll i mötet med utsatta kvinnor och befinner sig i en unik position när det gäller att identifiera våld i nära relation och för att ge en adekvat omvårdnad.                                                                                                                                                                                                                      Syfte: Syftet med studien var att beskriva sjuksköterskans erfarenheter av mötet med kvinnor utsatta för våld i nära relationer.                                                                                                                                                                                Metod: Studien var en litteraturstudie som baserades på en kvalitativ innehållsanalys med 10 artiklar som låg till grund för resultatet.                                                                                                                                                                         Resultat: Tre domäner och nio underkategorier identifierades. Domänerna innefattade: Förhållningssätt i mötet, Känslor som uppstår i mötet och Behov av kunskap och stöd.                                                                                                                                                   Konklusion: Behovet av utbildning tydliggjordes då mer kunskap möjliggör för ett bättre bemötande och bättre hantering av de känslorna som sjuksköterskorna upplevde i mötet med de utsatta kvinnorna och kan därmed möjliggöra för en adekvat vård. 

    Nyckelord: Våld i nära relationer, Sjuksköterskans erfarenheter, Våldsutsatta kvinnor

     

     

     

     

     

     

  • 407. Degerfält, J. E.
    et al.
    Sjöstedt, S.
    Fransson, Per
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kjellén, E.
    Werner, M. U.
    E-learning programs in oncology: a nationwide experience from 2005 to 20142016In: International Journal of Radiation Oncology, Biology, Physics, ISSN 0360-3016, E-ISSN 1879-355X, Vol. 96, no 2, p. E413-E414Article in journal (Refereed)
  • 408.
    Degerfält, Tilda
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    sundqvist, Sara
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kvinnors erfarenheter av att vara utsatta för våld i nära relation: en litteraturstudie2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion:

    Våld mot kvinnor i en nära relation är ett växande samhällsproblem i hela världen och en av de vanligaste orsakerna till att kvinnor skadas allvarligt.

    Syfte:

    Syftet med denna litteraturstudie var att belysa kvinnors erfarenheter av att vara utsatta för våld i en nära relation.

    Metod:

    En litteraturstudie har genomförts. En sammanställning av 11 kvalitativa vetenskapliga artiklar genomfördes och artiklarnas resultat bearbetades med inspiration av innehållsanalys.

    Resultat:

    Det fanns tydliga mönster som visade att mannens maktutövande och kontrollerande beteende ledde till allvarliga konsekvenser för kvinnan. Detta kunde yttra sig som dålig självkänsla, en nedbruten personlighet och våldet genererar ett allmänt lidande. För att uthärda ett liv av misshandel anpassade sig kvinnorna och de utformade olika hanteringsstrategier, dock kunde inpräntade normer utgöra hinder för kvinnorna i deras beslutningsprocesser.

    Slutsats:

    För att kunna bemöta och behandla våldsutsatta kvinnor är det viktigt att sjukvårdpersonal förstår dynamiken i hur det kan vara att leva med våld i en nära relation så att dessa problem uppmärksammas. Resultatet i denna litteraturstudie kan leda till en ökad kunskap och en djupare förståelse hos sjukvårdpersonal och därmed förhoppningsvis kan detta leda till ett bättre bemötande och en mer adekvat omvårdnad.

  • 409.
    Dirawi, Rola
    Umeå University, Faculty of Medicine, Department of Nursing.
    Operationssjuksköterskors upplevelse av arbetsmiljön med fokus på fysiska och psykosociala aspekter inom ergonomi2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Working as a operating theatre nurse can be physically demandingand is placed high on the risk level for stress injuries with a connection to workposition. The risk of strain injuries increases at a high work rate, time pressure, longworking hours with simultaneous understaffing.

    Aim: The aim of the study was to highlight the operating theatre nurses' experiencesof ergonomics in the work environment.

    Method: A qualitative data collection method with inductive approach was chosen.Individual semi-structured interviews with seven operating theatre nurses wereconducted on medium-sized operation units in Sweden. Data was analyzed usingqualitative content analysis.

    Result: The analysis resulted in an overall theme "to experience ergonomicchallenges in the work environment" and two categories. "Ergonomic awareness" and"ergonomic prevention". The theme illustrates the experience of how the workingenvironment affects the operations nurses' prerequisites to work ergonomicallycorrect. Time pressure and efficiency requirements were seen to cause stress that hada negative impact on the ergonomic compliance. The quality of the teamwork alsoaffected the ergonomics. The operating theatre nurses were ergonomically aware butfelt that there were external aspects that affected the ability to work ergonomically.Ergonomic prevention was partly about own physical training but also aboutobtaining ergonomic education at the department.

    Discussion: In the surgical department, efficiency requirements were experiencedwith time pressure which caused stress in the operating theatre nurses. This affectedtheir ergonomics in a way they felt challenging. The stress also had a psychologicallyimpact which could affect not only the operating theatre nurse's health but also thepatient safety.

    Conclusion: There are several factors in the work environment that can affect theergonomics of the operating theatre nurses, which can be both physically andmentally stressful. This might have affection on the nursing care. There are needs tofind solutions for the operation theatre nurse can handle the ergonomic challenges.

  • 410.
    Domeij, Emelie
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kljajic, Karolina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskors erfarenheter och strategier av att vårda barn som inte talar svenska.: - En intervjustudie.2017Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Title: Nursing's experiences and strategies of caring for children who do not speak Swedish. An interview study.

     

    Abstract

    Aim: To describe nurses' experiences and strategies of communicating with children who do not speak Swedish. Background: As immigration in Sweden has increased greatly in recent years nurses have experienced caring for children who do not speak Swedish highlighted due to communication in healthcare being essential to provide good care. Design: The study has a descriptive design with a qualitative approach. Method: Ten nurses were interviewed in January and February 2017. The experience of the nurses was at least 2 years of experience in the children's ward. Semi-structured interviews were conducted in two different hospitals, then the interviews were analyzed using qualitative content analysis which resulted in three categories and ten subcategories.

    Result: Based on the experiences and strategies of nurses, three main categories were created: Consequences of communication difficulties, Individualization based on patient needs and The use of various aids. These categories are then divided in to ten subcategories.

    Conclusion: Being unable to communicate adequately with the children creates frustration and concern among nurses. There are several different strategies that can be implemented for communication, such as body language, images and interpreters.

  • 411.
    Doohan, Isabelle
    et al.
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
    Björnstig, Ulf
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Östtlund, Ulrika
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
    Exploring Injury Panorama, Consequences, and Recovery among Bus Crash Survivors: A Mixed-Methods Research Study2017In: Prehospital and Disaster Medicine, ISSN 1049-023X, E-ISSN 1945-1938, Vol. 32, no 2, p. 165-174Article in journal (Refereed)
    Abstract [en]

    Objective The aim of this study was to explore physical and mental consequences and injury mechanisms among bus crash survivors to identify aspects that influence recovery. Methods The study participants were the total population of survivors (N=56) from a bus crash in Sweden. The study had a mixed-methods design that provided quantitative and qualitative data on injuries, mental well-being, and experiences. Results from descriptive statistics and qualitative thematic analysis were interpreted and integrated in a mixed-methods analysis. Results Among the survivors, 11 passengers (20%) sustained moderate to severe injuries, and the remaining 45 (80%) had minor or no physical injuries. Two-thirds of the survivors screened for posttraumatic stress disorder (PTSD) risk were assessed, during the period of one to three months after the bus crash, as not being at-risk, and the remaining one-third were at-risk. The thematic analysis resulted in themes covering the consequences and varying aspects that affected the survivors' recoveries. The integrated findings are in the form of four core cases of survivors who represent a combination of characteristics: injury severity, mental well-being, social context, and other aspects hindering and facilitating recovery. Core case Avery represents a survivor who had minor or no injuries and who demonstrated a successful mental recovery. Core case Blair represents a survivor with moderate to severe injuries who experienced a successful mental recovery. Core case Casey represents a survivor who sustained minor injuries or no injuries in the crash but who was at-risk of developing PTSD. Core case Daryl represents a survivor who was at-risk of developing PTSD and who also sustained moderate to severe injuries in the crash. Conclusion The present study provides a multi-faceted understanding of mass-casualty incident (MCI) survivors (ie, having minor injuries does not always correspond to minimal risk for PTSD and moderate to severe injuries do not always correspond to increased risk for PTSD). Injury mitigation measures (eg, safer roadside material and anti-lacerative windows) would reduce the consequences of bus crashes. A well-educated rescue team and a compassionate and competent social environment will facilitate recovery.

  • 412.
    Doohan, Isabelle Marie
    et al.
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. Umeå University, Faculty of Medicine, Department of Nursing. Affiliated to Arctic Research Centre, Umeå University, Umeå, Sweden.
    Gyllencreutz, Lina
    Umeå University, Faculty of Medicine, Department of Nursing. Affiliated to Arctic Research Centre, Umeå University, Umeå, Sweden.
    Björnstig, Ulf
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. Affiliated to Arctic Research Centre, Umeå University, Umeå, Sweden.
    Survivors' experiences of consequences and recovery five years after a major bus crash2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 3, p. 1179-1187Article in journal (Refereed)
    Abstract [en]

    Rationale: There is a lack of long-term follow-up studies focused on injured and uninjured survivors’ experiences of the recovery process after major traffic crashes.

    Aim/objective: To explore survivors’ experiences of long-term physical and psychological consequences and recovery five years after a major bus crash.

    Methodological design and justification: A qualitative design was used to explore experiences in a 5-year follow-up study.

    Research methods: Participants were 54 survivors of a bus crash with 56 survivors and six fatalities. Telephone interviews were analyzed with qualitative content analysis.

    Results: The theme overarching the categories is “visible and existential marks in everyday life” and it represents the range of the crash’s influence in the survivors’ lives. The first category, “health consequences in daily life,” has four subcategories covering quick recovery, suffering in daily life, distress in traffic situations, and long-term pain. Described reasons for quick recovery among survivors were previous crisis experiences, traveling alone, being uninjured, and not being exposed to traumatic impressions. For the other survivors, being reminded of the crash caused disturbing reactions, such as sweating, anxiety, and flashbacks. Survivors avoided going by bus if they could. A group of the injured survivors were still suffering from limiting and painful injuries. The second category, “oneself and social connection,” has three subcategories that include self-awareness, impact on relationships, and connectedness. Survivors developed a stronger bond to their significant other or separated from their partner within the first couple of years. Friendships and a sense of connectedness among survivors were sources of long-lasting comfort and support.

    Conclusion: There is a need for more information about disruptive long-lasting consequences, such as travel anxiety, and available treatments. Initially, health-promoting connectedness can be facilitated by treating survivors as a group of people who belong together, from the day of the crash and throughout the recovery process. 

  • 413.
    Doohan, Isabelle
    et al.
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. Centre for Research and Development in Disaster Medicine, Umeå University.
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Impact on life after a major bus crash - a qualitative study of survivors' experiences2014In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 1, p. 155-163Article in journal (Refereed)
    Abstract [en]

    Background Crashes occur regularly throughout the world and can result in multiple fatalities and many injuries. Research into how survivors experience a crash is very limited. AimTo describe and analyse the nonphysical consequences of a multifatality bus crash in Sweden and the subsequent effect on the surviving passengers' lives. MethodThe participants were all (n=56) of the survivors of a major bus crash. The passengers were interviewed approximately one month after the bus crash. The interviews were analysed using a qualitative content analysis. ResultsPrior to the arrival of rescue personnel at the crash site, helpfulness emerged among the passengers. Further, the crash generated an impact on the surviving passengers' lives from a short-term perspective. The passengers displayed a diverse need for crisis support; informal support from family and friends was essential for the early healing process. Sleep difficulties and a change in travel routines were the most common consequences. Lastly, passengers sought closure in order to move on with their lives. ConclusionThe passengers' reactions to and behaviour following a crash offer an insight into the, relatively unexplored, interaction between people experiencing a major road traffic crash. It is necessary to have a flexible crisis support system, and the vital role of family support ought to be upgraded.

  • 414.
    Doohan, Isabelle
    et al.
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. Umeå University, Faculty of Medicine, Department of Nursing.
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Arctic Research Centre at Umeå University.
    Need for compassion in prehospital and emergency care: a qualitative study on bus crash survivors' experiences2015In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 23, no 2, p. 115-119Article in journal (Refereed)
    Abstract [en]

    Aim: To explore the survivors' experiences after a major bus crash. Background: Survivors' experiences of emergency care after transportation related major incidents are relatively unexplored, with research involving survivors mainly focused on pathological aspects or effects of crisis support. Methods: Semi-structured telephone interviews were conducted with 54 out of 56 surviving passengers 5 years after a bus crash in Sweden. Interviews were analyzed using qualitative content analysis. Results: Prehospital discomfort, lack of compassionate care, dissatisfaction with crisis support and satisfactory initial care and support are the categories. Lack of compassion in emergency departments was identified as a main finding. Lack of compassion caused distress among survivors and various needs for support were not met. Survivors' desire to be with their fellow survivors the day of the crash was not facilitated after arriving at emergency departments. Conclusions: Connectedness among survivors ought to be promoted upon arrival at emergency departments. There is a need for emergency department professionals to be sufficiently educated in compassionate care.

  • 415.
    Dorell, Åsa
    Umeå University, Faculty of Medicine, Department of Nursing.
    Tröst genom hälsostödjande familjesamtal: upplevelser och effekter av en familjecentrerad intervention2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of this thesis was to evaluate the experiences of nurses and families participated in Family Health Conversations (FamHC) and the effects of this intervention on those families with a family member living in a residential home for older people. Methods: This thesis comprises four studies. The FamHC were structured as three conversations held at two-week intervals and a closing letter. In two of the studies (I and II), group interviews with family members were interpreted using qualitative content analysis. A mixed-method research design was used in study three (III). Data were collected through group interviews with families and by using the instruments FHI and SWED-QUAL completed by the family members. The qualitative and quantitative data were analyzed and then integrated. In the fourth study (IV), registered nurses who had performed the FamHC participated in individual interviews after they had completed four conversation series each. The RNs also wrote diary notes about what they experienced directly after conducting each conversation. The interviews and diary notes were interpreted with qualitative content analyses. Result: The findings from study I one month after participating in the conversations showed that the families felt alleviated from guilty consciences. The FamHC gave the family members confirmation that they were, indeed, good enough. Study II showed that, six months after participating in the conversations, the families had experienced the FamHC as healing because the sharing and reflections through dialogue within the conversations mediated confirmation, which made the families feel consoled. Study III revealed that the families’ emotional wellbeing had increased six months after participating in the FamHC. The families also showed an improved ability to work together. In study IV, the nurses reported that the FamHC was a useful care action in their work with families. Conclusion: The overall conclusion from the findings is that the families were consoled by participating in the FamHC. The conversations offered an arena for families to listen to each other’s narration which provided a better relationship and cooperation within the family and a greater sense of well-being for the family members. 

  • 416.
    Dorell, Åsa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Bäckström, Britt
    Ericsson, Marie
    Johansson, Maria
    Östlund, Ulrika
    Sundin, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Experiences With Family Health Conversations at Residential Homes for Older People2016In: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799, Vol. 25, no 5, p. 560-582Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to highlight family members' experiences of participating in Family Health Conversation (FamHC), based on families in which a family member was living in a residential home for older people. A total of 10 families and 22 family members participated in evaluating family interviews 1 month after participating in FamHC. The interviews were analyzed by qualitative content analysis. The main finding was being a part of FamHC increased family members' insights, understanding, and communication within the family. Getting confirmation from nurses was essential to cope with the new life situation, which also meant that they felt comfortable to partly hand over the responsibility for the older person who moved to the residential home. By being open and expressing their feelings, a bad conscience could be relieved. These findings showed that FamHC could be helpful for family members in adapting to this novel situation.

  • 417.
    Dorell, Åsa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Isaksson, Ulf
    Umeå University, Faculty of Medicine, Department of Nursing.
    Östlund, Ulrika
    Centre for Research & Development, Uppsala University/ Region Gävleborg, Gävle.
    Sundin, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Family Health Conversations have positive outcomes on families: A mixed method study2017In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, no 11, p. 14-25Article in journal (Refereed)
    Abstract [en]

    Background: A Family Systems Nursing intervention, “Family Health Conversations” (FamHC) was conducted in order to strengthen the health of families having relatives at residential home for older people. Having a family member living in a residential home affects the entire family and can be hard to handle. Family members require encouraging and open communication support from nurse during and after relocation to a residential home.

    Objectives: The aims of this study were to evaluate the responses to and effects of the Family Health Conversations in families with a member living at a residential home for older people and to integrate the empirical results with a theoretical assumption upon which the intervention was based.

    Methods: A mixed method research design was used. The Swedish Health-Related Quality of Life Survey and the Family Hardiness Index were administered before and 6 months after the intervention. Qualitative data was collected by semi-structured interviews with each family 6 months post-intervention. The sample included families of residents, a total of 10 families comprising 22 family members.

    Result: Main finding was that FamHCs helped family members process their feelings about having a member living at a residential home and made it easier for them to deal with their own situations. FamHCs helped to ease their consciences, improve their emotional well-being, and change their beliefs about their own insufficiency and guilt. Seeing problems from a different perspective facilitated the families’ thinking in a new way.

    Conclusion: These findings showed that FamHC can be an important type of intervention to improve family functioning and enhance the emotional well-being.

  • 418.
    Dorell, Åsa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sundin, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Becoming visible: Experiences from families participating in Family Health Conversations at residential homes for older people2016In: Geriatric Nursing, ISSN 0197-4572, E-ISSN 1528-3984, Vol. 37, no 4, p. 260-265Article in journal (Refereed)
    Abstract [en]

    Having a sick family member living at a residential home for older people can be difficult for families, who as a result often suffer from feelings of forsakenness and powerlessness. In response, the purpose of this study was to illuminate family members' experiences with participating in Family Health Conversations at residential homes for older persons 6 months after concluding the conversation series. Twenty-two family members who participated in the conversations later took part in group interviews, the texts of which were analyzed according to qualitative content analysis. Findings showed that participating in Family Health Conversations mediated consolation, since within such a liberating communicative interaction, family members for the first time felt visible as persons with individual significance. Family members reported a positive experience involving both being open to each other and speaking and listening to each other in a new, structured way. As a result, families were able to discover their family members' problems and suffering, as well as to identify their family's resources and strengths.

  • 419.
    Dorell, Åsa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sundin, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Expressed emotions and experiences from relatives regarding having a family member living in a nursing home for older people2019In: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 7Article in journal (Refereed)
    Abstract [en]

    Objectives: The purpose of this study was to describe the topics relatives with a family member in a nursing home for older persons choose to talk about and focus on when participating in a nurse-led “Family Health Conversations” intervention. Family Health Conversations consisted of a series of three nurse-led conversations with each family, with a 2-week interval between meetings.

    Methods: The Family Health Conversations meetings were tape-recorded and analyzed using qualitative content methods. The participants were relatives of family members living in a nursing home for older persons in a municipality in Sweden.

    Results: The findings showed how the relatives talked about their suffering and difficulties concerning the new situation. The relatives talked about frustration and sadness together in a new way, with a focus on how to manage the future. They also wished that they had been offered an opportunity to talk about this with nurses earlier in the illness trajectory.

    Conclusion: The relatives had a significant need to talk about their experiences together within the family and together with the nurses. Nurses have an especially important task in supporting relatives having a family member living in a nursing home.

  • 420.
    Dorell, Åsa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Östlund, Ulrika
    Sundin, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nurses' perspective of conducting family conversation2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30867Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Nurses are in a prime position to manage to support families that have a family member living in a residential home for older people. Nurses' attitudes about meeting patients' family members vary. Studies describe that some nurses consider family members as a burden. But some nurses consider family members a resource and think it is important to establish good relationships with them.

    AIM: The aim of this study was to describe how registered nurses (RNs) experienced to participate in and conduct the intervention Family Health Conversations (FamHCs) with families in residential homes for older people.

    METHODS: The intervention FamHC was accomplished at three residential homes for older people. FamHC is a family systems nursing (FSN) intervention developed to support families facing the ill health of someone in the family. One RN from each residential home conducted the conversations. The RNs wrote diary notes directly after each conversation. The RNs were also interviewed 1 month after they had each conducted four FamHCs. The diary notes and the interviews were analysed separately by qualitative content analysis, and the findings were then summarized in one theme and further discussed together.

    FINDINGS: The main findings were that the RNs experience the conversations as a valuable professional tool involving the whole family. The RNs grasped that silence can be a valuable tool and had learned to attentively listen to what the families were saying without interrupting, allowing them and the families to reflect upon what the family members said.

    CONCLUSION: The findings show that the FamHC can be helpful for RNs in their work, helping them to perceive and understand the needs and desires of the families.

  • 421.
    Dunhäll, Lisa
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Fossland, Ulrika
    Umeå University, Faculty of Medicine, Department of Nursing.
    En resa där toppas och dalar bör undvikas: En litteraturstudie om ungdomars upplevelse av att leva med sjukdomen typ 1-diabetes.2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, around 7000-8000 children and adolescents live with type 1- diabetes. Youth is a period of constant turmoil, confusion and alienation. To have an illness at that age can be perceived as a life readjustment since the disease makes great demands on the capacity to self-management. Purpose: The purpose of this study was to elucidate adolescent’s experience of living with type 1-diabetes. Method: Study search was performed in the databases CINAHL, PubMed, Scopus and ub.umu's search engine together with manual search. The literature study compiled of eight qualitative empirical studies. The studies were analyzed with ‘analysis of content’ based on Friberg analysis. The young people in the trials were between 12-18 years. Results: Adolescent’s experience of living with type 1 diabetes is individual and diverse. The experiences can switch between manageability and hopelessness, feeling normal and different and also experience of the possibilities and limitations. Adolescent’s varied also between a sense of confidence in their own abilities over their treatment, and frustration, guilt, anxiety and uncertainty about the lack of own capacity. Conclusion: Adolescents' experiences demonstrate the need for person-centered care and a greater knowledge of their situation in life. The authors believe that there is further need for the nurse's insight that approach may impact on adolescence´s quality of life. The literature study may contribute to increased understanding of the need for further research into young people's experience of living with type 1- diabetes and how the nurse's attitude can have effects on young people's quality of life.

    Keywords: Adolescenc*. Life experience. Type 1-diabetes. Nursing care.

  • 422.
    Duzgun, Ramazan
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Mohammad, Sonia
    Umeå University, Faculty of Medicine, Department of Nursing.
    Unga och vuxna kvinnors upplevelser av att leva med Anorexia Nervosa.- En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Eating disorders has become more common and an increase occurs among all ethnic’s groups. Anorexia nervosa is recognized by the fact that the persons has a false image of themselves and a fear of getting fat.Aim: The aim of this study was to illustrate young and adult women’s experiences of living with anorexia nervosa.Method: A literature review based on eight qualitative studies where the result has been quality audited, analyzed and compiled. The databases which have been used to find different studies are CINAHL, PsycINFO and PubMed.Result: The main results of the study shows that the anorexia nervosa causes lots of pain and suffering for women's and that there is an ambivalence to recover from the disorder. The limitations of living with anorexia nervosa, often came with a price of isolation, shame and feelings of guilt.Conclusion: Anorexia nervosa provides control, stability and was a way for the women to cope with negative emotions.

  • 423.
    Dyborn, Julia
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Mella, Josefine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Åtgärder för att minska stråldoser till patient vid interventionell radiologi: - En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Measures aiming to reduce the radiation doses to patients undergoing interventional radiology – A literature review

     

    Background: It's important during radiological procedures that the advantages outweighs the risks. Patients should only be exposed by radiation that can be motivated. The responsability to optimize the radition dose lays with the radiographer and methods to reduce the dose should therefore be researched.

     

    Aim: To describe measures aiming to reduce the radiation doses to patients undergoing an examination within interventional radiology.

     

    Method: The aim was met through a literature review with ten quantitative studies. The search for literature was done in two databases.

     

    Results: The results were organized in two domains; measures that could be done before examination and measures that could be done during examination. Five categories were formulated; upgrade of software and hardware, upgrade of control panel, use of techniques with predetermined programs, use of Dynamic Trace Digital Angiography (DTDA) and spot flouroscopy and use of low-dose parameters.

     

    Conclusion: The results showed that an upgrade of equipment and use of different techniques may reduce the radiation dose. Through this literature review and more research within this area the radiographer may be helped with optimizing the dose.

                                                         

  • 424.
    Eddefalk, Rebecka
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sjuksköterskors uppfattning om patientflödet i en vårdkedja: En kvalitativ intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Responsibility for health care is divided between the state, county councils and municipalities. In the past, some attempts have been made to reduce overall care time for different patient groups in hospital-based care, mainly to reduce costs and several studies have been carried out investigating the discharge process and what affects the length of stay. These efforts usually take place locally and it has not been seen how patient flow is affected throughout the chain of care.

    Motive: There is a great need to create better patient flows between primary care and hospitals, within and between hospitals, between hospitals and municipal elderly care. The discharge decision is formally the doctor’s, but the nurse is assumed to play a major role, and his experience of what influences the flow in the entire care chain has also not been requested.

    Aim: To illuminate nurses' perceptions of what is important for patient flow and discharge decisions from patients from primary care to primary care and to ordinary or special accommodation.

    Methods: A qualitative study was conducted based on eight individual semi- structured interviews among nurses who work within the specific care chain. The interviews were analysed in accordance with qualitative content analysis with an inductive approach.

    Result: 18 subcategories resulted in four main categories. It was found that routines, skills, health care and communication and collaboration are important for patient flow and printing.

    Discussion: The results of the study are reinforced with other research. The main findings found were lack of rehabilitation staff, inadequate collaboration between healthcare providers and that the nurse has a significant role in patient flow.

    Conclusion: More research is needed to develop routines as well as a common journal system for good and safe collaboration and patient flow between different levels of care.

  • 425.
    Edelbro, Mia
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Helander, Johanna
    Umeå University, Faculty of Medicine, Department of Nursing.
    "Män kan ju inte amma...": - en fokusgruppsstudie om blivande förstagångsföräldrars diskurser kring amning och jämställt föräldraskap2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Abstrakt

    ”Män kan ju inte amma...”- en fokusgruppsstudie om blivande förstagångsföräldrars diskurser kring amning och jämställt föräldraskap

    Mia Edelbro och Johanna Helander

    Syfte: Att undersöka blivande förstagångsföräldrars diskurser runt amning och jämställt föräldraskap samt hur de diskuterar barnmorskors roll kring amning och jämställt föräldraskap.

    Design: Kvalitativ fokusgruppsdiskussion som analyserats med diskursanalys med inspiration av diskursteoretiskt perspektiv.

    Studiekontext: En stad i norra Sverige.

    Deltagare: 17 blivande förstagångsföräldrar, 11 deltagare rekryterades med hjälp av barnmorskor via föräldrautbildning och sex deltagare genom nyckelpersoner. Deltagarna har fördelats på fyra mixade fokusgrupper. Deltagarna utgjordes av åtta män och nio kvinnor i åldrarna 24-33 år. Alla deltagare hade genomgått gymnasial utbildning eller högre.

    Resultat: Ur analysen framkom tre diskurser: Amning och matning av spädbarn, Att göra jämställdhet i praktiken samt Barnmorskors påverkan på blivande föräldrar. Amning och matning av spädbarnet diskuterades som en specifik uppgift. Amning identifierades som norm och beskrevs som svårt. Att amma offentligt lyftes som problematiskt hos andra. Då män inte kan amma ansågs amning inte vara jämställt. Att ge männen möjligheten att vara med och mata barnet beskrevs som viktigt för barnets anknytning. Jämställt föräldraskap var en utmaning som pendlade mellan att dela lika eller att lösa efter behov, ofta handlade jämställt föräldraskap om att män måste involveras i uppgifter kring barnet, hemmet och att ta ut föräldraledighet då det sågs som norm att kvinnor är i hemmet den första tiden. Barnmorskor beskrevs kunna påverka blivande föräldrar och verka för jämställdhet, framförallt genom att involvera männen. Detta genom stöttning inför föräldraskapet och genom att informera om amning. Barnmorskor ansågs förespråka endast amning och bidra till amningsnormen. Det diskuterades att barnmorskor behöver inkludera alternativ till amning i deras information.

    Slutsats: Amning uppfattas som svårt och kan problematiseras i relation till det jämställda föräldraskapet. För att öka jämställdheten i föräldraskapet behöver männen involveras och där har barnmorskor en roll. Amningens fördelar är inte central i diskursen om amning och barnmorskor behöver lyfta fördelarna ytterligare i mötet med blivande föräldrar.

    Kliniska implikationer: Mer resurser behövs för att barnmorskor ska kunna ges möjlighet att utveckla sitt stöd till blivande föräldrar. Förstagångsföräldrar kan behöva mer kunskap om amningens fördelar för kvinnor och barn samt hjälp att nyansera uppfattningen om att amning är svårt.

    Nyckelord: Jämställdhet, Amning, Barnmorskor, Diskursanalys, Fokusgrupp, Förstagångsföräldrar

    Abstrakt och referenslista är anpassade enligt tidskriften Midwiferys författarguide.

  • 426.
    Edentoft, Johan
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lamberg Skog, Hanna
    Umeå University, Faculty of Medicine, Department of Nursing.
    Skiftet av vårdnivå från intensivvård till vårdavdelning: en intervjustudie baserad på vårdavdelningssjuksköterskors erfarenheter2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:The Swedish health care system of today is faced by big challenges caused by staff shortages and overcrowding. Simultaneously the demand for patient involvement and patient safety is increasing. Interprofessional communication is an important skill for nurses and the quality of the handover from the intensive care to general wards is a critical for the continued care of the patient. Aim:The aim of the study was to describe general ward nurses’ experiences of patient handover from the ICU to the general ward and its impact of the further patient care. Methods:Qualitative descriptive design with data collection thru individual semi structured interviews. Participants were registered nurses active within closed somatic care. Data was analyzed through qualitative content analysis as described by Graneheim & Lundman (2004). Result:Three themes could be distinguished through the analysis, “Trying to get an overall picture of the patient”, “Working under other conditions at a lower level of care” and“Caring for patients after handover to a lower level of care”. The general ward nurses stated that preparation before the handover and that the handover was structured and adjusted to suit the recipient was important for the overall picture of the patient. The general ward nurses emphasized the importance of the patient being in the right condition for the change in level of care because of the smaller personnel resources and the difference in qualification at the general ward. The lack of consensus between the doctors at the general ward and in the ICU hampered the continued care of the patient and contributed to an uncertainty regarding witch recommendations to follow. To prepare the patient before the change in level of care and involving the patient was seen as positive. Conclusion:General ward nurses describe the change in level of care from the ICU to general ward as a complex and conscientious task. Structured verbal handover, distinct and available documentation and cooperation between the different levels of care regarding recommendations is of great importance to the continued care of the patient.

  • 427.
    Edholm, Angelique
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nyberg, Peter
    Umeå University, Faculty of Medicine, Department of Nursing.
    Vårdpersonalens följsamhet till riktlinjer för handhygien: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Vårdrelaterade infektioner är vanligt förekommande över hela världen.Det innebär en hög kostnad, ökat lidande och medför fler vårddygn för patienten.God handhygien är den viktigaste påverkbara faktorn för att minska vårdrelateradeinfektioner. Det är sjuksköterskans ansvar att säkerställa rutiner för en godhandhygien.

    Syfte: Syftet är att beskriva vårdpersonalens följsamhet till riktlinjer för handhygien.

    Metod: En litteraturstudie där datainsamlingen valdes att göra från 10 olikakvantitativa studier. Genom analysen gjordes en sammanställning av de resultat somsvarade på vårt syfte och frågeställningar.

    Resultat: Resultatet redovisas i tre stapeldiagram med tillhörande text. Förstarubriken är följsamhet till riktlinjer för handhygien medel %. De två andradiagrammen är följsamhet till riktlinjer för handhygien före och efter patientkontaktsamt sjuksköterskor och läkares följsamhet till riktlinjer för handhygien. Huvudfynden i litteraturstudien visade att följsamhet till handhygien varierar i allastudier och att det är statistiskt säkerställt att fler vårdpersonal utför handhygienefter patientkontakt än före samt att fler sjuksköterskor än läkare följde riktlinjer förhandhygien.

    Konklusion: Det finns brister i följsamhet till handhygien. Kunskapen omsmittspridning och handhygien mellan olika arbetsmoment i den patientnära vårdenär otillräcklig. Ytterligare forskning behövs och alla länder måste sträva efter sammamål.

  • 428.
    Edholm, Miriam
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Westin, Lisett
    Umeå University, Faculty of Medicine, Department of Nursing.
    Anhörigas upplevelser när en familjemedlem flyttar till ett särskilt boende för äldre: Relatives’ experiences when a family member move to a residential home for older people2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Omorganisation inom vården ställer högre krav på anhöriga då fler vårdas i hemmet. Därför behövs mer kunskap om anhörigas situation för att stärka familjehälsan. Syfte: Syftet med studien var att belysa hur anhöriga upplever sin situation i flyttprocessen före, under och efter flytten av en vårdbehövande familjemedlem till ett särskilt boende för äldre, vilket framkom vid hälsostödjande familjesamtal.

    Metod: Åtta familjer deltog i en samtalsserie av tre samtal. Samtalen analyserades med kvalitativ innehållsanalys.

    Resultat: Huvudresultatet visade på att före flytten upplevdes livssituationen som ohållbar med ett krävande ansvar. Under flytten upplevdes både känslor av frid och frustration. Efter flytten upplevdes sorg, varierat förtroende för boendet, att de anhöriga ville behålla relationen med den vårdbehövande och en förändrad familjesituation.

    Slutsats: Anhörigas upplevelser var varierande under flyttprocessen. Distriktsköterskan bör vara synlig och finnas som stöd.

  • 429.
    Edin, Karolina
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Westerholm, Moa
    Umeå University, Faculty of Medicine, Department of Nursing.
    Patienters erfarenheter av att vårdas för anorexia nervosa inom slutenvård: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia nervosa is a disease where self-starvation leads to underweight. People with the disease have a disturbed body image which affects their self-esteem. Symptoms include low body weight, excessive weight loss, mental illness and absent periods. Treatment includes prevention along with acute psychiatric and somatic interventions. Anorexia nervosa can be treated in outpatient care, day care or inpatient care. Aim: The aim of this study was to describe individuals’ experiences of being treated for anorexia nervosa in inpatient care. Method: A literature review based on eight qualitative research articles. A literature search was conducted in CINAHL with Full Text and PubMed. Searches were also conducted in Medline, PsycINFO and AMED but no further hits were found. Results: The analyze identified three major themes and eight subthemes. The themes were “Loss of control and a desire for participation”, “Equal relationships and support” and “Responsibility and learning for life”. Conclusion: Anorexia nervosa is a complex disease to be treated for. Nursing staff must understand patients’ experiences of care to be able to give the best care possible. This understanding can contribute to a patient-centered care in the meeting with these patients.

  • 430.
    Edin, Kerstin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS). Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Nilsson, Bo
    Umeå University, Faculty of Arts, Department of culture and media studies. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Between desire and rape - narratives about being intimate partners and becoming pregnant in a violent relationship2013In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 6, p. 20984-Article in journal (Refereed)
    Abstract [en]

    Background: Women subjected to intimate partner violence (IPV) experience different forms of abuse. Sexual violence is often under-reported because physically abused women, in particular, might see forced sex as an obligatory part of the sexual interplay. Accordingly, abused women have less sexual autonomy and experience unplanned pregnancies more often than other women. Objective: To describe and analyse nine Swedish women's retrospective stories about IPV with a focus on power and coping strategies as intimate partners, particularly regarding experiences of sex, contraception, and becoming pregnant. Design: Nine qualitative interviews were carried out with women who had been subjected to very severe violence in their intimate relationships and during at least one pregnancy. The stories were analysed using 'Narrative method' with the emphasis on the women's lived experiences. Results: Despite the violence and many contradictory and ambivalent feelings, two of the women described having sex as desirable, reciprocal and as a respite from the rest of the relationship. The other seven women gave a negative and totally different picture, and they viewed sex either as obligatory or as a necessity to prevent or soothe aggression or referred to it as rape and as something that was physically forced upon them. The women's descriptions of their pregnancies ranged from being carefully planned and mostly wanted to completely unwelcome and including flawed contraceptive efforts with subsequent abortions. Conclusions: Women subjected to IPV have diverse and complex experiences that have effects on all parts of the relationship. Intimacy might for some turn into force and rape, but for others sex does not necessarily exclude pleasure and desire and can be a haven of rest from an otherwise violent relationship. Accordingly, women may tell stories that differ from the ones expected as 'the typical abuse story', and this complexity needs to be recognized and dealt with when women seek healthcare, especially concerning contraceptives, abortions, and pregnancies.

  • 431.
    Edin, Kerstin
    et al.
    Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS). Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Medicine, Department of Nursing.
    Nilsson, Bo
    Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS). Umeå University, Faculty of Arts, Department of culture and media studies.
    Men's violence: narratives of men attending anti-violence programmes in Sweden2014In: Women's Studies: International Forum, ISSN 0277-5395, E-ISSN 1879-243X, Vol. 46, p. 96-106Article in journal (Refereed)
    Abstract [en]

    The efficacy of batterer-intervention programmes for men has frequently been questioned, inviting additional research and development. Men inclined to violence have multifaceted problems but are frequently squeezed into ‘one-size-fits-all’ programmes with high ambitions for change that often show little evidence of effectiveness. Some research even indicates that any changes in men's violent behaviour might result from factors not at all linked to the programmes.

    For this study, ten interviews were carried out with men who had attended anti-violence programmes within the Swedish Probation Service. The overall aim was to analyse gendered identity constructions in the narratives of men attending the programmes — how men articulate the course of violent events and in what way they talk about themselves and the programmes.

    According to our results, men defended themselves by making excuses, explanations and victim positions. Furthermore, the men's gendered identity constructions collided with the programmes' ambitions of changing men's conceptions and behaviour.

  • 432.
    Edin, Kerstin
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. MRC/ Wits Rural Public Health & Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
    Nilsson, Bo
    Umeå University, Faculty of Arts, Department of culture and media studies.
    Ivarsson, Anneli
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. MRC/ Wits Rural Public Health & Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
    Kinsman, John
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Norris, Shane A
    Kahn, Kathleen
    Umeå University, Faculty of Arts, Department of culture and media studies. MRC/ Wits Rural Public Health & Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; INDEPTH Network, Accra, Ghana.
    Perspectives on intimate relationships among young people in rural South Africa: the logic of risk2016In: Culture, Health and Sexuality, ISSN 1369-1058, E-ISSN 1464-5351, Vol. 18, no 9, p. 1010-1024Article in journal (Refereed)
    Abstract [en]

    This paper explores how young people in rural South Africa understand gender, dating, sexuality and risk-taking in adolescence. The empirical material drawn upon consists of 20 interviews with young men and women (aged 18-19) and reflects normative gender patterns characterised by compulsory heterosexuality and dating as obligatory, and representing key symbols of normality. However, different meanings of heterosexual relationships are articulated in the interviews, for example in the recurring concept of 'passing time', and these meanings show that a relationship can be something arbitrary: a way to reduce boredom and have casual sex. Such a rationale for engaging in a relationship reflects one of several other normative gender patterns, which relate to the trivialisation of dating and sexual risk-taking, and which entail making compromises and legitimising deviations from the 'ideal' life-script and the hope of a better future. However, risks do not exclusively represent something bad, dangerous or immoral, because they are also used as excuses to avoid sex, HIV acquisition and early pregnancy. In conclusion, various interrelated issues can both undermine and/or reinforce risk awareness and subsequent risk behaviour. Recognition of this tension is essential when framing policies to support young people to reduce sexual risk-taking behaviour.

  • 433.
    Edin, Marina
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Vallner, Kristina
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Psykosocial arbetsmiljö och förutsättningar att bedriva systematiskt arbetsmiljöarbete för första linjens chefer i primärvården2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Cheferna inom vård och omsorg i offentliga organisationer har hög arbetsbelastning och ett komplext uppdrag. Ofta finns rutiner för det systematiska arbetsmiljöarbetet, men de är bristfälliga och används inte. Syftet var att undersöka hur första linjens chefer i primärvården upplevde sin psykosociala arbetsmiljö samt deras förutsättningar att bedriva systematiskt arbetsmiljöarbete. En tvärsnittsstudie där samtliga 126 första linjens chefer från fyra landsting i primärvården deltagit, med svarsfrekvens 51%. I studien har enkät QPS Nordic 34+ använts samt 10 kompletterande frågor om systematiskt arbetsmiljöarbete. Analys delvis med referensdata och Pearsons korrelation. Cheferna hade en hög arbetsbelastning och arbetet tenderade att hopa sig. I jämförelse med referensdata 3,2 var chefernas medelvärde 4,02. De upplevde gott stöd, bra klimat och hade goda kunskaper för arbetsuppgifterna, men 32,8% av cheferna ansåg att de inte alls eller bara lite var insatt i AFS 2015:4. Avseende om arbetsbelastningen gav utrymme för att bedriva systematiskt arbetsmiljöarbete svarade fyra femtedelar av alla chefer inte alls eller i viss mån. Trots det goda stöd som cheferna upplevde är det viktigt att förebygga hög arbetsbelastning, då varaktig stress kan leda till ohälsa. Förutsättningar att bedriva systematiskt arbetsmiljöarbete begränsas också av deras arbetsbelastning och kan innebära negativa konsekvenser för medarbetarna.

  • 434.
    Edin-Liljegren, Anette
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. Västerbottens läns landsting.
    Daerga, Laila
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Västerbottens läns landsting.
    Sahlén, Klas-Göran
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Institutionen för omvårdnad.
    Jacobsson, Lars
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Psychosocial Perspectives on Working Conditions among Men and Women in Reindeer Breeding in Sweden2017In: Journal of Northern Studies, ISSN 1654-5915, Vol. 11, no 2, p. 31-47Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this project was to describe the work organisation in the Sami communities and in reindeer-herding work and to explore the range of female duties and compare how men and women experience their psychosocial working conditions. Design: A kind of intervention study was performed by means of a questionnaire sent out to 200 individuals from seven Sami communities. Questions were asked about work organisation, communication, personal relations, solitary work, support, participation and appreciation from colleagues and women's tasks. Meetings and discussions were held about what was perceived as being important in the life of the Sami communities. Notes from 16 group discussions were written down and analysed according to themes of topics relating to how men and women in the Sami communities experience their lives. Results: Communication and relations were described as being inadequate and some respondents experienced a heavy workload. The women reported more troubled relations, less participation in decision-making and less appreciation from colleagues. Positive issues reported were the Sami identity and a strong connection to the reindeer and to nature. Conclusions: This study indicates a need for a more systematic study of the psychosocial work conditions in the Sami communities in Sweden. Measures should be taken to develop the organisation of work, e.g. through developing communication strategies and conflict management, which has been requested by several Sami communities.

  • 435.
    Edin-Liljegren, Anette
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sahlen, Klas-Göran
    Umeå University, Faculty of Medicine, Department of Nursing.
    Jacobsson, Lars
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Daerga, Laila
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Reindeer-herding Sami experiences of seeking care in the mainstream society2016In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 75, no 33200Article in journal (Refereed)
  • 436.
    Edlund, Anette
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Holmström, Frida
    Umeå University, Faculty of Medicine, Department of Nursing.
    M-hälsa i behandlingen av ungdomar med självskadebeteende2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: In Sweden self-harm behaviors among young people have been a difficult area to handle in psychiatric care. From the government's efforts have been made to synchronize the knowledge and experience from the local level aiming to prevent, reduce and faster identify self-harm among young people. M-Health refers to technology such as smartphones, notebooks and mobile phones provide.  These mobile devices have come to revolutionize aspects of health care perhaps mostly among young people, live their digital lives by these electronic media.

    Aim: To illuminate the use of m-Health in the treatment of mental illness and to present a draft of a mobile application that helps professionals in work with young people active in a mild to moderate self-injury.

    Method: A literature review based on an analysis of twelve scientific articles with qualitative and quantitative approach. We searched in November 2013-January 2014 Ebsco and PubMed databases. 

    Results: The literature review is presented as gains and losses in use of m-Health in the treatment of mental illness. The focus has been on what is possible to achieve with a mobile application in this area of concern. It appeared that young people show positive attitudes to using an application in monitoring of psychiatric symptoms and gained more control mental health. The professionals sees advantage in terms of more truthful symptom monitoring in real time in comparison with retrospective self-monitoring, expedited handling processes and better treatment outcomes.

    Conclusion: We interpret the results of the studies about m-Health as an opportunity for nurses to meet young people, active in a mild to moderate self-harm. An m- Health intervention based on an application for young people could make it easier for nurses to improve their communication and treatment outcomes. Care initiatives and relevant actions can then be tailored to young people's cultural values, beliefs and lifestyle.

  • 437.
    Edlund, Susanna
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Chefer Portin, Julia
    Umeå University, Faculty of Medicine, Department of Nursing.
    Skillnader i uppfattning av säkerhetskultur2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Våra värderingar, uppfattningar, beteenden samt de oskrivna regler som medarbetare styrs av är grunden till säkerhetskulturen på en arbetsplats, d.v.s. när medarbetare i en organisation har gemensamma attityder, förhållningssätt och normer gällande säkerhet och risker. Det har visats sig i tidigare studier att en god säkerhetskultur bland personalen har inverkan på patientsäkerheten. Att intensivvårdspersonal effektivt arbetar mot ett gemensamt mål har visats medföra positiva resultat vad gäller patientsäker vård och arbetstillfredsställelse. Syfte: Syftet med studien var att jämföra skillnader i uppfattningar om säkerhetskultur mellan grupper av sjuksköterskor som arbetar vid olika typer av intensivvårdsavdelningar. Metod: En pilotstudie med kvantitativ och jämförande design genomfördes vid två intensivvårdsenheter vid ett svenskt sjukhus under hösten 2015. Den översatta enkäten, The Safety Attitudes Questionnaire (SAQ)–ICU, användes där sex subskalor ”samarbetsklimat, säkerhetsklimat, arbetstrivsel, stressmedvetenhet, uppfattning om arbetsledning samt arbetsförhållanden” analyserades med hjälp av programmet Statistical Package for the Social Sciences (SPSS 23,0). Resultat: Bland de 56 deltagarna i grupperna påvisades generellt relativt hög uppfattning av säkerhetskulturen, men där en enhet skattade signifikant högre på samarbetsklimat och arbetsförhållanden. Slutsats: Det fanns tillfredsställande säkerhetsattityder vid båda enheterna, men vissa skillnader förelåg dock mellan grupperna av sjuksköterskor från de olika intensivvårdsenheterna när det handlar om samarbetsklimat och arbetsförhållanden. Dessa skillnader kan bero på olika arbetssätt mellan enheterna. 

  • 438.
    Edström, Emelie
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Simmons, Ella
    Umeå University, Faculty of Medicine, Department of Nursing.
    Avvikelserapportering: En möjlighet och skyldighet men finns förutsättningarna?: En kvalitativ intervjustudie om sjuksköterskors erfarenheter av avvikelserapportering2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

     

    Bakgrund: Tio procent av de patienter som vårdas på svenska sjukhus drabbas av en vårdskada. Avvikelserapportering är en av hörnstenarna i patientsäkerhetsarbetet som syftar till att undvika uppkomst av vårdskador. Att arbeta patientsäkert är en del av sjuksköterskans kärnkompetenser och utöver det är sjuksköterskor enligt patientsäkerhetslagen skyldiga att rapportera händelser, som har eller hade kunnat resultera i en vårdskada.

    Syfte: Syftet med studien var att beskriva sjuksköterskors erfarenheter av avvikelserapportering.

    Metod: En kvalitativ intervjustudie utfördes. Sex yrkesverksamma sjuksköterskor som arbetade på ett större sjukhus i norra regionen i Sverige intervjuades.

    Resultat: Sjuksköterskornas främsta motiv till att skriva avvikelserapporter var att belysa fel i verksamheten. Det fanns flera hinder för skriva avvikelserapporter. Dessa var hög arbetsbelastning, tidsbrist, organisatoriska problem och att det av olika skäl kan vara känsligt att skriva en avvikelserapport. Samtliga sjuksköterskor hade erfarenheter av återkoppling men ansåg att den återkoppling som brukade ges var undermålig och de ansåg även att avvikelserapporterer sällan leder till någon förändring i verksamheten.

    Konklusion: Det finns flera faktorer som försämrar sjuksköterskors förutsättningar för att skriva avvikelserapporter. Ökad kunskap inom området skulle kunna generera att fler avvikelserapporter skrivs. Det skulle i sin tur bidra till en patientsäkrare vård.

  • 439.
    Edström, Margareta
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Jacobsson, Catrine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Oja, Britt-Mari
    Umeå University, Faculty of Medicine, Department of Nursing.
    The use of e-meetings in distance education in nursing, Umea university, Sweden2006In: Consumer-centered computer-suppported care for healthy people, Amsterdam: IOS Press, 2006, p. 831-831Conference paper (Refereed)
  • 440.
    Edström, Pernilla
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Jessica, Fjellström
    Umeå University, Faculty of Medicine, Department of Nursing.
    ”..som en berg- och dalbana.. det har gått upp och ned..”: Nyblivna barnmorskors upplevelse av att börja arbeta inom yrket.2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Att belysa nyblivna barnmorskors upplevelse av att börja arbeta inom yrket. Metod: Kvalitativ metod med semistrukturerade intervjuer som analyserats med kvalitativ innehållsanalys. Deltagare/urval: Sex barnmorskor i norra regionen i Sverige intervjuades och samtliga hade arbetat mellan ett och tre år som barnmorska, inom prenatal vård, förlossningsvård och/eller antenatal vård. Resultat: Sex kategorier hittades: Att pendla mellan glädje och osäkerhet, Att känna stöd, Att uppleva för lite handledning och mentorskap, Att uppleva arbetsmiljön hämmande, Att formas med tiden och Att ha förberett sig via utbildningen, samt nio subkategorier och det övergripande temat: Att befinna sig i en bergoch dalbana. Slutsats: Det är ett stort steg att börja arbeta som barnmorska. Det nya yrket innebär ett livslångt lärande och det krävs stöd från andra samt självförtroende. Praktisk implikation: Universitet, verksamheter och berörd personal kan ta del av studien och fokus bör läggas på god utbildning, stöd, mentorskap och handledning för den nyblivna barnmorskan.

  • 441.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Nursing.
    Atmosphere in care settings: Towards a broader understanding of the phenomenon2005Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the study is to understand and describe the phenomenon ‘atmosphere in care settings’ as experienced by patients, significant others and health care staff. The study consists of four papers, each of which illuminates various aspects of the phenomenon. Data consisted of observations and interviews with patients, significant others and staff (n=126) within a hospice, a geriatric, a medical and an oncology setting, and community care settings for older people. Narrative analysis, grounded theory, and phenomenological hermeneutics were used in a triangular fashion to analyse the data.

    The findings illuminate the phenomenon ‘atmosphere in care settings’ as being constituted by two interacting and interwoven dimensions: the physical environment and people’s doing and being in the environment. The physical environment is the first dimension, and five aspects were illuminated, namely the physical environment as a symbol; as containing symbols; as influencing interaction; as facilitating a shift of focus from oneself to the environment, and; as containing scents and sounds influencing experiences of at-homeness or alienation. People’s doing and being in the environment is the other dimension, and five aspects were illuminated, namely the experience (or absence of experience) of a welcoming; of seeing and being seen; of a willingness to serve; of a calm pace; and of safety. It was understood that people’s doing and being influences experiences of the physical environment and that the physical environment influences experiences of people’s doing and being. The comprehensive understanding illuminated that the phenomenon is not merely subtle qualities of the place for care, but an active part of care. Both the physical environment and peoples doing and being conveys messages of caring and uncaring. The atmosphere of a care setting can at best support experiences of at-homeness in relation to oneself, others and the surrounding world.

  • 442.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing.
    Balancing between being a person and being a patient: A qualitative study of wearing patient clothing2009In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 46, no 1, p. 4-11Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The nursing literature is replete with articles on the function of clothing in preventing and controlling infections. However, although contemporary literature demonstrates intimate connections between clothing and identity, there is a lack of studies which illuminate the meanings associated with wearing patient clothing. OBJECTIVES: This study aimed to illuminate the meanings of wearing patient clothing as narrated by patients and nurses in Swedish care settings. DESIGN: The data collection was based on grounded theory. Interviews with patients (n=9) and staff (n=5) were drawn from a larger study and analysed with a phenomenological hermeneutical method. SETTINGS: Data was collected between 2001 and 2003 at a hospice, an in-patient geriatric unit, an acute medical unit, and an in-patient oncology unit in Sweden. RESULTS: The phenomenon of 'wearing patient clothing' was found to consist of four themes: (1) being comfortable and cared for; (2) being depersonalised; (3) being stigmatised; and (4) being devitalised. Interpreted in the light of philosophical literature on identity and symbols, the comprehensive understanding of wearing patient clothing is that it is a balancing between being a person and being a patient. Patient clothes were experienced as being comfortable and practical, but also as being stigmatising symbols of illness, confinement, and depersonalisation. CONCLUSIONS: The tension between patient clothing as being practical and comfortable and at the same time enabling feelings of being depersonalised and stigmatised suggests that nursing staff need to balance the practical benefits of these garments with the social and existential meanings they might have.

  • 443.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing.
    Beteendeförändringar vid demenssjukdom: perspektiv på värdighetsbefrämjande analyser, tolkningar och interventioner2009In: Omsorg: Nordisk tidsskrift for Palliativ Medisin, ISSN 0800-7489, Vol. 26, no 3, p. 33-37Article in journal (Refereed)
    Abstract [sv]

    Artikeln presenterar forskningsbaserade perspektiv på vad som kan konstituera värdighetsbefrämjande analyser och tolkningar av, samt interventioner mot beteendemässiga och psykologiska symptom vid demenssjukdom (BPSD). I artikeln argumenteras för att beteendeförändringar hos personer med demenssjukdom ofta manifesteras i interaktion med vårdare och/eller medboende, all tid uppstår inom ramen för en omgivande miljö, samt kan influeras av personens livshistoria. Dessa bör inkluderas i en systematisk analys av det förändrade beteendet till grund för interventioner.

  • 444.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing.
    Commentary on McCance T, Slater P & McCormack B (2009) Using the caring dimensions inventory as an indicator of person-centred nursing. Journal of Clinical Nursing 18, 409-417.2010In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 3-4, p. 592-593Article in journal (Other academic)
  • 445.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing. La Trobe University, Melbourne, Victoria, Australia.
    Everyday activities in nursing homes: associations with person-centredness and quality of life2016In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 56, p. 195-195Article in journal (Other academic)
  • 446.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing.
    Personcentrerad omvårdnad: definition, mätskalor och hälsoeffekter2009In: Personcentrerad omvårdnad: i teori och praktik / [ed] David Edvardsson, Studentlitteratur , 2009, p. 29-37Chapter in book (Other academic)
  • 447.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing.
    Research needed for person-centred care2011In: Versorgungsforschung für demenziell erkrankte Menschen: Health Services Research for People with Dementia / [ed] Olivia Dibelius & Wolfgang Maier, Stuttgart: W. Kohlhammer GmbH, 2011, p. 62-65Chapter in book (Other academic)
  • 448.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing. Australian Centre for Evidence-Based Aged Care (ACE-BAC), La Trobe University, Bundoora, Australia.
    Therapeutic environments for older adults: constituents and meanings2008In: Journal of Gerontological Nursing, ISSN 0098-9134, E-ISSN 1938-243X, Vol. 34, no 6, p. 32-40Article in journal (Refereed)
    Abstract [en]

    This article presents the findings of a study that aimed to describe what constitutes therapeutic environments and interpret what it means to be in such environments for older adults. Interview and observational data collected in Swedish health care contexts were subjected to qualitative content analysis. The findings describe therapeutic environments as being constituted by three interacting and interwoven categories: the physical environment, people's doing and being in the environment, and an organizational philosophy of care. The findings are interpreted in light of the existential philosophy of home as a concept, a place, and an existential experience, highlighting that therapeutic environments can support existential at-homeness among patients. The findings of this study can contribute to nursing practice by providing a conceptual basis for reflecting on and evaluating how the physical environment, staff's doing and being, and the organizational philosophy of care cooperate to support well-being among older adults living in long-term care facilities.

  • 449.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing.
    Är det personalen eller patienterna som har ett störande beteende?2009In: Demens & Alderspsykiatri, ISSN 0809-3520, Vol. 113, no 2, p. 15-19Article in journal (Refereed)
    Abstract [sv]

    Denna artikel syftar till att problematisera begreppet “Beteendemässiga och Psykologiska Symptom av Demenssjukdom” (Behavioral and Psychological Symptoms of Dementia -BPSD) genom att belysa hur beteendeförändringar hos personer med demenssjukdom kan uppstå i interaktion med vårdare och vårdmiljö, och då förstås som försök till meningsfull kommunikation. Problematiseringen grundar sig på aktuell empirisk forskning kring förändrat beteende, tillsammans med interaktiva, kommunikativa och miljöfokuserade teorier kring förändrat beteende hos människor med demenssjukdom.

  • 450.
    Edvardsson, David
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing. School of Nursing and Midwifery, La Trobe University, Australia.
    Backman, Annica
    Umeå University, Faculty of Medicine, Department of Nursing.
    Bergland, Ådel
    Björk, Sabine
    Umeå University, Faculty of Medicine, Department of Nursing.
    Bölenius, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Kirkevold, Marit
    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.
    Lood, Qarin
    Umeå University, Faculty of Medicine, Department of Nursing. School of Nursing and Midwifery, La Trobe University, Australia.
    Lämås, Kristina
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lövheim, Hugo
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Sandman, Per-Olof
    Umeå University, Faculty of Medicine, Department of Nursing. Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Sweden; Department of Health Sciences, Luleå University of Technology, Sweden.
    Sjögren, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Sköldunger, Anders
    Umeå University, Faculty of Medicine, Department of Nursing.
    Wimo, Anders
    Winblad, Bengt
    The Umeå Ageing and health research programme (U-age): exploring person-centred care and health promoting living conditions for an ageing population2016In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, no 3, p. 168-174Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to describe the Umeå ageing and health research programme that explores person-centred care and health-promoting living conditions for an ageing population in Sweden, and to place this research programme in a national and international context of available research evidence and trends in aged care policy and practice. Contemporary trends in aged care policy includes facilitating ageing in place and providing person-centred care across home and aged care settings, despite limited evidence on how person-centred care can be operationalised in home care services and sheltered housing accommodation for older people. The Umeå ageing and health research programme consists of four research projects employing controlled, cross-sectional and longitudinal designs across ageing in place, sheltered housing, and nursing homes. The research programme is expected to provide translational knowledge on the structure, content and outcomes of person-centred care and health-promoting living conditions in home care, sheltered housing models, and nursing homes for older people and people with dementia.

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