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  • 251.
    Bodin, Martin
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Jensen Herrera, Claudia
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Psykiatrisjuksköterskors terapeutiska relationer med psykosspektrumpatienter.: - En kvalitativ litteraturstudie.2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 252.
    Bodin, Martin
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Setterlind, Sara
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Sjuksköterskans attityd inom sluten psykiatrisk vård.2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 253.
    Boers, I
    et al.
    Louis Bolk Inst, Dept Nutr & Hlth, NL-3971 LA Driebergen, Netherlands.
    Muskiet, F.A
    Univ Med Ctr Groningen, Dept Lab Med, NL-9713 AV Groningen, Netherlands.
    Berkelaar, E
    Univ Gerona, Dept Clin Psycho Neuro Immunol, Girona, Spain.
    Schut, E
    Univ Gerona, Dept Clin Psycho Neuro Immunol, Girona, Spain.
    Penders, R
    Univ Gerona, Dept Clin Psycho Neuro Immunol, Girona, Spain.
    Hoenderdos, K
    Scriptum Commun Nutr, IJsselstein, Netherlands.
    Wichers, H.J
    Wageningen Univ & Res Ctr, Wageningen, Netherlands.
    Jong, Miek C
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. Louis Bolk Inst, Dept Nutr & Hlth, NL-3971 LA Driebergen, Netherlands.
    Favourable effects of consuming a Palaeolithic-type diet on characteristics of the metabolic syndrome: a randomized controlled pilot-study2014In: Lipids in Health and Disease, ISSN 1476-511X, E-ISSN 1476-511X, Vol. 13, no 160Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The main goal of this randomized controlled single-blinded pilot study was to study whether, independent of weight loss, a Palaeolithic-type diet alters characteristics of the metabolic syndrome. Next we searched for outcome variables that might become favourably influenced by a Paleolithic-type diet and may provide new insights in the pathophysiological mechanisms underlying the metabolic syndrome. In addition, more information on feasibility and designing an innovative dietary research program on the basis of a Palaeolithic-type diet was obtained. METHODS: Thirty-four subjects, with at least two characteristics of the metabolic syndrome, were randomized to a two weeks Palaeolithic-type diet (n = 18) or an isoenergetic healthy reference diet, based on the guidelines of the Dutch Health Council (n = 14). Thirty-two subjects completed the study. Measures were taken to keep bodyweight stable. As primary outcomes oral glucose tolerance and characteristics of the metabolic syndrome (abdominal circumference, blood pressure, glucose, lipids) were measured. Secondary outcomes were intestinal permeability, inflammation and salivary cortisol. Data were collected at baseline and after the intervention. RESULTS: Subjects were 53.5 (SD9.7) year old men (n = 9) and women (n = 25) with mean BMI of 31.8 (SD5.7) kg/m2. The Palaeolithic-type diet resulted in lower systolic blood pressure (-9.1 mmHg; P = 0.015), diastolic blood pressure (-5.2 mmHg; P = 0.038), total cholesterol (-0.52 mmol/l; P = 0.037), triglycerides (-0.89 mmol/l; P = 0.001) and higher HDL-cholesterol (+0.15 mmol/l; P = 0.013), compared to reference. The number of characteristics of the metabolic syndrome decreased with 1.07 (P = 0.010) upon the Palaeolithic-type diet, compared to reference. Despite efforts to keep bodyweight stable, it decreased in the Palaeolithic group compared to reference (-1.32 kg; P = 0.012). However, favourable effects remained after post-hoc adjustments for this unintended weight loss. No changes were observed for intestinal permeability, inflammation and salivary cortisol. CONCLUSIONS: We conclude that consuming a Palaeolithic-type diet for two weeks improved several cardiovascular risk factors compared to a healthy reference diet in subjects with the metabolic syndrome. TRIAL REGISTRATION: Nederlands Trial Register NTR3002.

  • 254.
    Bogren Jungmarker, Emily
    et al.
    Högskolan Dalarna.
    Lindgren, Helena
    Högskolan Dalarna.
    Hildingsson, Ingegerd
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Playing second fiddle is Okay-Swedish Fathers' experiences of prenatal care2010In: Journal of midwifery & women's health, ISSN 1526-9523, E-ISSN 1542-2011, Vol. 55, no 5, p. 421-429Article in journal (Refereed)
    Abstract [en]

    Introduction: In Sweden, prospective fathers are encouraged and welcome to attend prenatal visits, and pregnant women assess their partners' involvement in prenatal care as very important. The aim of this study was to describe expectant fathers' experiences of and involvement in prenatal care in Sweden. Methods: Data were drawn from a 1-year cohort study of 827 Swedish-speaking fathers recruited during their partners' midpregnancy and followed up 2 months after childbirth. Results: The participants reported that the most important issues in prenatal care were the woman's physical and emotional well-being and the support she received from her midwife. However, care was identified as deficient in nearly all aspects of information, medical care, and fathers' involvement. "Excessive" care was also reported and related to how the father was treated by the midwife, mainly in terms of attention to his emotional well-being. Discussion: Although fathers prioritize the needs of their pregnant partners, it is important for caregivers to assess fathers' needs and incorporate a family-oriented approach to prenatal care.

  • 255.
    Bohlin, Christina
    et al.
    Mid Sweden University.
    Nyvoll, Anneli
    Mid Sweden University.
    Egenvård vid Diabetes Mellitus typ 22008Independent thesis Basic level (degree of Bachelor), 20 poäng / 30 hpStudent thesis
    Abstract [sv]

    Diabetes typ 2 är en kronisk sjukdom som är en av Sveriges största folksjukdomar med cirka 300 000 drabbade personer, ett stort mörkertal bär utan vetskap på sjukdomen. Diabetes typ 2 ökar kraftigt bland befolkningen i såväl Sverige som i övriga länder. Syftet med denna systematiska litteraturstudie var att belysa faktorer som är av betydelse för följsamhet vid egenvård hos personer med diabetes typ 2. Denna litteraturstudie baseras på 14 vetenskapliga artiklar varav nio är kvantitativ och fem är kvalitativa publicerades mellan år 2003-2008. Artiklarna analyserades och resulterade i fyra kategorier:Relationer där stöd var den största faktorn, Livsperspektiv vilket innefattar kulturell bakgrund och förnekelse, Lidande med ilska och frustration över att drabbats av sjukdom och Kunskap som innefattade brist på förståelse och kunskap om sjukdomen och dess behandling. Genom kontinuerlig egenvårdsorienterad utbildning med individen i fokus och med stöd och förståelse från omgivningen gynnades patientens egenvård. Ökade kunskaper hos vårdpersonalen om hur människor med diabetes upplever sin livssituation kan bidra till utveckling och förbättring av

    omvårdnaden. Vårdgivarens uppgift blir att motivera och uppmuntra patientens till livsstilsförändring.

  • 256.
    Bohlin, Tomas
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Paananen, Fredrik
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Patienter med bröstsmärtor:: Upplevelser i det akuta skedet.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 257.
    Boija, Lena
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Larsson, Caroline
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    ALLMÄNSJUKSKÖTERSKANS ERFARENHETER VID TRIAGERING AV PATIENTER PÅ AKUTMOTTAGNING2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Triage förekommer på många akutmottagningar för att bedöma patientens aktuella tillstånd och prioriteringsnivå för läkarkontakt. För detta moment finns flera olika skalor att förhålla sig till. Det är av vikt att prioritera rätt för att upprätthålla patientsäkerhet. Syfte: Att belysa allmänsjuksköterskans erfarenheter vid triagering av patienter på akutmottagning. Metod: Litteraturöversikt genomfördes genom sökningar efter relevanta artiklar i medicinska databaser. Artiklarna analyserades enligt Carlsson & Eimans bedömningsmallar och sammanställdes därefter i resultatet. Resultat: Erfarenheterna hos sjuksköterskor som utför triagering är många. Flera faktorer påverkar bedömningen. Det är inte alltid sjuksköterskan kan påverka dessa faktorer. Diskussion: De olika kategorierna går mer eller mindre in i varandra. Osäkerhet upplevs på grund av tidspress och brist på adekvata riktlinjer vilket kan påverka bedömningen av patienten. Som följd av de olika upplevelserna kan sjuksköterskan känna sig otillräcklig gentemot sina arbetsuppgifter, vilket kan leda till samvetsstress. Slutsats: Resultatet i litteraturstudien tyder på att triagering är komplicerat. Utveckling inom området är önskvärt genom vidare forskning.

  • 258.
    Book, Josefin
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Andersson, Sara
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Faktorer som påverkar sjuksköterskans omvårdnadsarbete att förändra patienters skadliga alkoholkonsumtion: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Skadlig alkoholkonsumtion är en av de fem största riskfaktorerna till för tidig död. En viktig del vid behandling av alkoholrelaterade problem är motivationen. Sjuksköterskan kan påverka motivationen och förväntas identifiera och ingripa med målet att skapa ett förändrat beteende hos patienten. Syfte: Belysa faktorer som påverkar sjuksköterskans inställning till omvårdnadsarbetet att motivera patienter med skadlig alkoholkonsumtion till förändrade alkoholvanor. Metod: Denna uppsats är en litteraturöversikt där 17 vetenskapliga artiklar från tre olika databaser inkluderades. Dessa artiklar lästes, granskades, sorterades in i huvud- och underkategorier som sedan sammanställdes i resultatdelen. Resultat: Resultatet presenterades under en huvudkategori; sjuksköterskans syn på faktorer som påverkar omvårdnadsarbetet och fyra underkategorier; Identifiering av alkoholproblem, att ingripa och ge intervention, erfarenheter och upplevelser, kunskap och utbildning. Diskussion: Det förekom negativa attityder hos sjuksköterskan, men de hade en betydelsefull roll i att hjälpa patienter med alkoholrelaterade problem. Brist på kunskap och osäkerhet skapade ett behov av utbildning. Slutsats: Även om sjuksköterskan såg ett ansvar att hjälpa dessa patienter så förekom det osäkerhet som tyder på ett behov av mer utbildning och kunskaper för att stärka sin kompetens för att ingripa och identifiera patienter med alkoholrelaterade problem.

  • 259.
    Borg, Jenny
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Rådgivningens betydelse till fysisk aktivitet vid diabetes typ 22008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en sjukdom som innebär nedsatt insulinsekretion och insulinkänslighet vilket kräver livsstilsförändringar. Den fysiska aktiviteten påverkar kroppens celler och är en viktig del i diabetasbehandlingen.

    Syfte: Syftet med denna litteraturstudie var att belysa rådgivningens betydelse för motivation till fysisk aktivitet samt hur motion påverkar upplevelsen av livskvalité i samband med diabetes typ 2.

    Metod: En litteraturstudie gjordes och artiklarna som ingår i studien har publicerats mellan år 1993 och 2005 med sökorden counseling, diabetes mellitus non insulin, exercise,intervention, nurse´och quality of life. Av 20 granskade artikklar motsvarade 13 artiklar litteraturstudiens syfte.

    Resultat: Resultatet påvisade att rådgivning och stöd förbättrade patientens motivation till fysisk aktivitet och ökade känslan av välbefinnande.

    Slutsats: Kunskapen om rådgivningens betydelse leder till större motivation till fysisk aktivitet och ökad upplevelse av livskvalité. Dessa faktorer bör uppmärksammas i vården av personer med diabetes typ 2.

  • 260.
    Borglund, Desiré
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Nilsson, Moa
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Sjuksköterskans trycksårsförebyggande arbete i samband med vård av den allra äldsta patienten: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 261.
    Borgström, Hanna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Tuncay, Nesrin
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Patienters upplevelser och erfarenheter före och efter gastric bypassoperation- En litteraturöversikt.2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 262.
    Boson, Kim
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Heydari, Mufasa
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Livet efter en hjärtinfarkt: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hjärtinfarkt är en av de vanligaste sjukdomarna i Sverige och innebär stora fysiska och psykologiska förändringar för de som drabbasSyftet med denna litteraturöversikt är att belysa patientens upplevelse av livet efter en hjärtinfarkt.Metod: En litteraturöversikt gjordes via databaserna CINAHL och PubMed för att hitta studier vars data kunde svara mot syftet.Resultat: Presenteras i litteraturöversikten utifrån 2 teman: Att leva med en ny kropp och Att förlika sig med framtiden. Det går att se att efter en hjärtinfarkt är de som drabbats inte trygga med sig själva, rädda, trötta, men de genomgår också förändringar efter hjärtinfarkten och tar hjälp av anhöriga och sjukvårdspersonal för att uppnå detta.Diskussion: Här konstateras det att krisförloppet för hjärtinfarkt även kan ses bland andra patientgrupper samt att vissa som drabbas även får ut positiva effekter av sitt liv efter hjärtinfarktenSlutsats: Utifrån resultatet kan författarna dra slutsatsen att hjärtinfarkt påverkar patienternas livsupplevelse och skapar både negativa och positiva emotionella reaktioner. Det är viktigt att sjukvårdspersonal har kunskap och en förståelse för patientupplevelser efter en traumatisk kris för att kunna främja och förebygga onödigt lidande.

  • 263.
    Boson, Maria
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Smedman, Linda
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Operationssjuksköterskans upplevelse av sin yrkesroll: -en kvalitativ intervjustudie2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     

    Background

    The profession of operating room nurse is now the oldest nursing specialty, but remains primarily a hidden profession because it is exercised behind closed doors. The professional role were described as complex and revolved around the patient, cooperation and the technical equipment. Patricia Benners theories on the nurses’ professional development were used as a theoretical basis in the study. Aim The study aimed to elucidate how the operating room nurse perceives the professional role. Method The study was conducted with a qualitative approach and ten semi-structured interviews were carried out with operating room nurses from two hospitals in Sweden in spring 2011. All interviews were recorded and transcribed verbatim. To analyze the collected data content analysis with an inductive approach was used. Result In the text analysis twelve subcategories and four categories were identified: the role as being responsible of nursing, the experience of what makes the operating room nurse safe in the professional role, the meaning of being a co-worker during the work on the operating room and the view on the own profession Quotes from the informants were presented in the text to clarify the result. Conclusion The study showed that the operating room nurse has a central role for nursing in the surgical ward and the patient. The operating room nurse presence and expertise in operations was irreplaceable, but always dependent of the team around him/her.

  • 264.
    Bostedt, Fredric
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Patienters upplevelse av cytostatikabehandling: En litteraturstudie2014Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
  • 265.
    Boström, Lena
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Hallin, Karin
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Learning Style Differences between Nursing and Teacher Students in Sweden: A Comparative Study2013Conference paper (Other academic)
  • 266.
    Boström, Nicklas
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Villanueva, Charmaine
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Egenvård hos personer med astma: En litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Astma är en sjukdom i luftvägarna av kronisk inflammatorisk art och enligt WHO

    är det ca 235 miljoner människor över hela världen som lider av astma. Astma kan

    förekomma både hos barn och vuxna. Tack vare profylaktisk välfungerande behandling har

    behovet av sjukhusvård för personer med astma minskat, dock har prevalensen av bronkial

    astma ökat i Sverige och det förekommer fortfarande dödsfall vid väldigt svara

    astmaattacker.

    Syfte: Syftet med denna litteraturöversikt är att belysa faktorer av betydelse

    för egenvård hos personer med astma.

    Metod: Information och kunskap om astma som ämne

    inhämtades. Sökningar gjordes i databaserna PubMed och Cinahl. En systematisk

    granskning och analys av sammanlagt femton vetenskapliga artiklarna utfördes för att

    presentera resultatet.

    Resultat: Det finns manga faktorer som är av betydelse för egenvård av

    astma. Både förutsättningar hos personer med astma och hälso -och sjukvårdens roll kan

    påverka hur egenvarden hanteras av individer.

    Diskussion: Aspekter som bland annat att få

    en behandlingsplan, få råd om att göra ändringar i hemmet, skola eller arbetsmiljö är mindre

    förekommande inom vården, dessa saker bör ocksa inga i en patientutbildning för personer

    med astma.

    Slutsats: Genom att personer med astma får bättre kunskap om astma som

    sjukdom samt ökad förståelse om astmabehandling kan dessa individer lättare följa en

    behandlingsplan och bättre hantera sin egenvård.

  • 267.
    Boväng, Ellinor
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Bågling Källström, Hannah
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Enteral nutrition och NEC hos underburna och underviktiga nyfödda barnEn litteraturöversikt2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 268.
    Brandtehagen, Marie-Therese
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Persson, Jaana
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Attityder gentemot personer med schizofreni och faktorer som påverkar dessa: – En litteraturöversikt om sjuksköterskor inom den somatiska vården2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Många patienter med schizofreni dör i förtid på grund av fysiska sjukdomar. Utebliven sjukdomsinsikt, stigmatisering, lägre deltagande vid preventiv screening, samt brister i vårdgivares attityder ansågs vara påverkande faktorer som kunde leda till försenade diagnoser och i slutändan en försämrad prognos. Syfte: Att belysa sjuksköterskors attityder och bemötande samt faktorer som påverkar dessa gentemot personer med schizofreni inom den somatiska vården. Metod: En litteraturstudie som grundades på tolv kvantitativa studier utifrån sökningar som gjordes i databaserna Cinahl, Pubmed och PsychInfo. Resultat: Sjuksköterskorna hade överlag en mer positiv än negativ syn på personer med schizofreni, men hade även fördomar och ett behov av socialt avstånd till dessa. Sjuksköterskors kunskaper om patientgruppen var låg. Diskussion: Högre utbildning och personlig kontakt med patientgruppen kunde ha ett samband med positiva attityder, medan mer kunskap inte syntes ha samma effekt. Slutsats: Sjuksköterskor behöver mer utbildning och en större medvetenhet om de egna attityderna. Det finns även ett behov av fler studier inom området.

  • 269. Bredie, S J
    et al.
    Jong, Miek C
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    No Significant Effect of Ginkgo Biloba Special Extract EGb 761 in the Treatment of Primary Raynaud's Phenomenon: A Randomized Controlled Trial2012In: Journal of Cardiovascular Pharmacology, ISSN 0160-2446, E-ISSN 1533-4023, Vol. 59, no 3, p. 215-221Article in journal (Refereed)
    Abstract [en]

    Medicinal treatment of vasospastic Raynaud phenomenon is limited to primarily vasodilator medicines.

    OBJECTIVE:

    To explore the possible beneficial effects and tolerability of 120 mg two times a day of Ginkgo Biloba special extract EGb 761 in patients suffering from Raynaud disease (RD) (primary Raynaud phenomenon).

    METHODS:

    In a placebo-controlled, double-blind, pilot study, 41 patients with RD were randomized to either the active treatment group (EGb 761, n = 21) or placebo group for 10 weeks, after an initial 2-week run-in phase. The primary efficacy variables were self-reported changes of the frequency, duration, and severity of vasospastic attacks between the placebo-controlled run-in phase and the end of the study.

    RESULTS:

    Most of the patients were female, and both groups were perfectly matched with respect to demographic characteristics. The frequency of daily attacks reduced from 3.6 ± 2.3 to 2.4 ± 2.6 (-33%) in the EGb 761 group and from 2.9 ± 2.0 to 2.0 ± 1.8 (-31%) in the placebo group with no significant difference according to the ordinary least squares test (P = 0.3564). Furthermore, no significant differences were found with respect to the duration and severity of vasospastic attacks between the EGb 761 and placebo groups (P = 0.4392 and P = 0.7187, respectively). In all, 17 adverse events (AEs) were reported, 6 AEs from 5 patients in the EGb 761 group and 11 AEs from 8 patients in the placebo group. Serious AEs did not occur.

    CONCLUSION:

    EGb 761 treatment showed an excellent safety profile in patients with RD but could not demonstrate a statistically significant reduction in clinically relevant symptoms compared with placebo.

  • 270.
    Brickman, Susanna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Åsander, Maria
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Venösa bensår - sjuksköterskans roll i omvårdnadsarbetet. En litteraturöversikt.2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 271.
    Brodin, Kerstin
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Den vakna patienten: En kvalitativ studie om intraoperativ omvårdnad2018Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    Introduction: As a result of unaesthetic and surgical development, more complex procedures are performed under local or regional anaesthesia, which allows for a patient to be conscious throughout the intraoperative phase.

    Aim: The aim of this thesis was to gain a deeper understanding of the intraoperative nursing care when the patient remains conscious during surgery. The thesis comprises two studies [I-II] and has, depending on the purposes, focused on the perspective of the operating theatre nurses [I] and the patients [II].

    Method: based on the aim, a qualitative approach was used for both studies[I, II]. Data were collected through focus group interviews [I] and individual interviews [I, II]. Collected data were analysed in accordance with grounded theory [I] and by using qualitative content analysis [II].

    Result: Study I showed that the main concern among the operating theatre nurses was to take the conscious patient into consideration by achieving and maintaining high ethical standards in the operating theatre throughout the process. In order to achieve high ethical standards, there were three aspects that the operating theatre nurses took into consideration: the patient, the team and the morale of the professional role. In order to achieve high morale, the nurses were vigilant and flexible and balanced between patient needs, team needs, and the needs associated with safe surgery. The ethical standards was described as a whole, with the goal of giving the patient a positive experience. Results in Study II showed that the patients felt that they were in a situation they could not control and they were attentive and reflective to make sense and feel trust in the situation. The overarching theme “to seek for trust in a sensitive and dependent situation”, illustrates how the patients tended to assess the events that occurred around them in such a way that it brought the feeling of being in safety in the first place. The four categories; to experience the OT setting, to meet (un)expected sensations, to perceive evidence of safety, and to use individual strategies describes their experiences of what could affect the trust and how they handled this experiences. Main findings concerned the intraoperative needs and the handling and balancing between them.

    Conclusion: The operating theatre nurse´s intraoperative nursing care contributes to positive experiences for the patient who are conscious during surgery. The operating theatre nurse´s ability to interpret and to act on different intraoperative needs and the patient´s personality and ability to handle the situation are of great importance in the experience of the intraoperative phase.

  • 272.
    Brodin, Kerstin
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Vad gör en operationssjuksköterska? - en observationsstudie.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 273.
    Brodin, Kerstin
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Hellzén, Ove
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Häggström, Marie
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Patients´ experiences of being conscious during surgery – an interview studyManuscript (preprint) (Other academic)
  • 274.
    Brolin, Michaela
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Sundqvist, Louise
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Ett barns död - föräldrars upplevelse av den palliativa vårdenEn litteraturöversikt.2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 275.
    Broman, Johan
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Näsström, Mathias
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Skoglund, Jenny
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Ambulanspersonalens uppfattningar i frågor som rör beslut om påbörjande av återupplivningsförsök2008Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Länge ansågs det både bland allmänhet och bland läkare, att då hjärtat slutar att slå, var döden oundviklig. Det faktum att hjärtat kan startas på nytt och att människor kan överleva har skapat etiska dilemman. Det optimala är om återupplivningsförsök endast påbörjas på patienter med potential för långt överlevande, vilket kan vara svårt att avgöra i ett tidigt stadium. Vid hjärtstillestånd krävs beslut inom sekunder. Den diskussion som förs av bland andra Svenska Rådet för hjärtlungräddning handlar dels om hur man kan öka chanserna till överlevnad vid hjärtstillestånd men även om att försöka minimera omotiverade återupplivningsförsök. Syftet med studien var att bland ambulanspersonal i Sverige kartlägga uppfattningar i frågor som rör beslut om att påbörja återupplivningsförsök. Den empiriska studien byggde på en enkätundersökning med tvärsnittsdesign. Resultatet visade att ambulanspersonalen som helhet anser att vissa faktorer, vilka är förknippade med låg överlevnadschans, ska ha betydelse vid beslut om att påbörja återupplivningsförsök. Skillnader förelåg dock beroende på yrkeskategori (ambulanssjukvårdare/sjuksköterska) eller antal år inom yrket. Hur personalen faktisk agerade har inte kartlagts. I diskussionen konstaterades en tydlig variation i ambulanspersonalens uppfattningar. Om denna variation speglade det faktiska agerandet vid omhändertagande av patienter med hjärtstopp innebar detta ett betydande godtycke.

  • 276.
    Bromsjö, Cecilia
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Brodin, Emma
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Egenvård vid typ 2 Diabetes- Sjuksköterskans perspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 277.
    Bronemo,, Isabelle
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Lindelöw, Linn
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Hur kan sjuksköterskan motivera patienter med diabetestyp 2 till en livsstilsförändring?: - En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    BAKGRUND:Diabetes mellitus typ 2 (DM2) anses vara ett folkhälsoproblem som fortsätter att växa på grundav ohälsosamma livsstilar. Det krävs kunskap för att sjuksköterskan ska kunna motivera ochstärka patientens egenmakt(empowerment) till att förändra livsstilen genom exempelvis kostoch fysisk aktivitet.SYFTE:Syftet med denna litteraturöversikt är att belysa hur sjuksköterskan med stöd av motiverandesamtal och hälso coachande samtal kan motivera patienter med DM2 till livsstilsförändring.METOD:Litteraturöversikten grundas i artiklar tagna från databaserna PubMed och Cinahl. De valdaartiklarnas innehåll har noggrant granskats och analyserats av båda författarna för att finnaspecifik data som besvarar syftet.RESULTAT:Resultatet visade på positiva effekter och tveksamma effekter av motiverande samtal ochhälso-coachande samtal. Resultatet visade även på svagheter och styrkor i sjuksköterskansmotiveringsarbete.DISKUSSION: Sjuksköterskor behöver mera utbildning av motiverande samtal ochhälso-coachande samtal för att kunna få mer positiva effekter utav motivationsarbetet tillpatienterna.SLUTSATS: Resultatet påvisar positiva effekter och tveksamma effekter av motiverande samtaloch hälso-coachande samtal. Utbildning för sjuksköterskor i MI, hälso-coachande samtal ochempowerment behöver förbättras för att kunna öka framgången i sjuksköterskans arbete attmotivera patienter med DM2 till livsstilsförändringar.

  • 278.
    Browall, M.
    et al.
    Karolinska Inst, Div Nursing, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.
    Henoch, I.
    Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Gothenburg, Sweden.
    Melin-Johansson, Christina
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Strang, S.
    Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Gothenburg, Sweden.
    Danielson, Ella
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Existential encounters: nurses' descriptions of critical incidents in cancer care at end of life2014In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 18, no S1, p. S35-S35Article in journal (Other academic)
  • 279.
    Browall, M
    et al.
    Univ Skovde, Sch Hlth & Educ, Skovde, Sweden.
    Henoch, I
    Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, SE-40530 Gothenburg, Sweden.
    Melin-Johansson, Christina
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Strang, S
    University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden.
    Danielson, Ella
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Göteborg, Sweden.
    Existential encounters: Nurses' descriptions of critical incidents in end-of-life cancer care2014In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 18, no 6, p. 636-644Article in journal (Refereed)
    Abstract [en]

    Nurses working with cancer patients in end of life care need to be prepared to encounter patients' psychosocial and spiritual distress. Aim: The aim of this study was to describe nurses' experiences of existential situations when caring for patients severely affected by cancer. Methods and sample: Nurses (registered and enrolled) from three urban in-patient hospices, an oncology clinic and a surgery clinic and a palliative homecare team were, prior to the start of a training program, invited to write down their experiences of a critical incident (CI), in which existential issues were featured. Results: Eighty-eight CIs were written by 83 nurses. The CIs were analyzed with qualitative content analysis. Two main themes were found: Encounters with existential pain experiences, which concerned facing death and facing losses; and Encountering experiences of hope, which concerned balancing honesty, and desire to live. Conclusions: This study points out that health care professionals need to be aware of patients' feelings of abandonment in exposed situations such as patients' feelings of existential loneliness. That there are some patients that express a desire to die and this makes the nurses feel uncomfortable and difficult to confront these occurrences and its therefore important to listen to patients' stories, regardless of care organization, in order to gain access to patients' inner existential needs.

  • 280.
    Browall, M
    et al.
    Sahlgrens Univ Hosp, Dept Oncol, Clin Trial Unit, SE-41345 Gothenburg, Sweden.
    Melin-Johansson, Christina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Strang, S
    Univ Gothenburg, Sahlgrenska Acad, Dept Clin Neurosci & Rehabil, Gothenburg, Sweden.
    Danielson, Ella
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Univ Gothenburg, Sahlgrenska Acad, Inst Hlth & Care Sci, Gothenburg, Sweden.
    Henoch, I
    Bracke Diakoni Fdn, Res Unit, Gothenburg, Sweden.
    Health care staff's opinions about existential issues among patients with cancer2010In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 8, no 1, p. 59-68Article in journal (Refereed)
    Abstract [en]

    Objective: The objective of this study was to explore health care staff 's opinions about what existential issues are important to patients with cancer and staff 's responsibility when existential issues are raised by patients. Method: Four focus group interviews were conducted with health care staff (N = 23) at an in-patient hospice, on an oncology ward, on a surgical ward, and with a palliative home health care team. The focus group interviews focused on two questions, first, about health care staff 's opinions about patients' important existential questions and, second, about health care staff 's responsibility when existential issues are raised by the patient. The interviews were taperecorded, transcribed verbatim, and analyzed by qualitative content analysis into subcategories and categories. Results: Four categories and 11 subcategories emerged from the first question. The first category, "life and death," was based on joy of living and thoughts of dying. The second category "meaning," consisted of acceptance, reevaluation, hope, and faith. The third category, "freedom of choice," consisted of responsibility and integrity, and the fourth and last category, "relationships and solitude," consisted of alleviation, dependency, and loss. One category emerged from the second question about the health care staff 's responsibility, "to achieve an encounter," which was based on the subcategories time and space, attitudes, and invitation and confirmation. Significance of results: One strength of this study was that the findings were fairly congruent in different settings and in different geographical areas. Health care staff were aware of the importance of existential issues to patients. The existential issues, mentioned by health care staff, are similar to findings from studies conducted among patients, which is another strength of the present study. Health care staff are also confident about how to act when these issues are raised by the patients. The challenge for the future is to implement the findings from this study among health care staff in different settings.

  • 281. Browall, M
    et al.
    Persson, L-O
    Ahlberg, K
    Karlsson, P
    Danielson, Ella
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Daily assessment of stressful events and coping among post-menopausal women with breast cancer treated with adjuvant chemotherapy2009In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 18, no 5, p. 507-516Article in journal (Refereed)
    Abstract [en]

    The purpose of the study was twofold: to examine what type of daily stressful events post-menopausal woman with breast cancer experience during adjuvant chemotherapy and how bothersome these are and to identify coping strategies used by these women used to manage such stressful events. The patient group comprised 75 consecutively invited women (≥55 years of age) at two university hospitals and one county hospital in Sweden. The Daily Coping Assessment was used to collect data over time. Data were analysed both qualitatively and quantitatively. Six categories of stressful events were identified: `nausea and vomiting', `fatigue', `other symptoms', `isolation and alienation', `fear of the unknown' and `being controlled by the treatment'. The first three categories were subsumed under the domain physical problems and the latter three under psychosocial problems. Almost 30% of the diary entries recorded no stressful event. Physical problems were three times as frequent as psychosocial problems. `Nausea/vomiting' was the most frequently observed stressful event (21.6%). `Isolation and alienation' and `fear of the unknown' were less frequent, but when they occurred they were rated as the most distressing. Several coping strategies were used to manage each stressful event. The most common strategies were acceptance, relaxation and distraction. Religion was rarely used as a coping strategy.

  • 282. Browall, Maria
    et al.
    Ahlberg, Karin
    Karlsson, Per
    Danielson, Ella
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Persson, Lars-Olof
    Gaston-Johansson, Fannie
    Health-related quality of life during adjuvant treatment for breast cancer among postmenopausal women2008In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 12, no 3, p. 180-189Article in journal (Refereed)
    Abstract [en]

    The purpose of the present study was twofold: first, to describe changes of Health-Related Quality of Life (HRQoL) during the adjuvant treatment among postmenopausal women with breast cancer; second, in the same population to identify the best predictors of Overall Quality of Life (QoL) after treatment, from perceived functioning, symptoms, emotional distress and clinical/demographic variables measured at baseline. The study group was 150 women (>= 55 years of age) scheduled for adjuvant chemotherapy (CT, n=75) or radiotherapy (RT, n=75). They were examined before (baseline), during and after completing the treatment. Data about QoL, perceived functioning, symptoms and emotional distress were collected with the European Organisation for Research and Treatment of Cancer (EORTC)-QLQ-C30, BR23 and Hospital Anxiety and Depression Scale (HADS) questionnaires. The general finding was that the adjuvant treatments were associated with decrease in overall QoL, physical and role functioning, anxiety and body image, as well as with increase in fatigue, dyspnoea, pain, nausea/vomiting, constipation and systemic therapy side effects measured over time. For women receiving CT, better emotional functioning and less pain at baseline predicted better overall QoL at the end of the treatment. For women receiving RT, better physical and emotional functioning, less breast symptoms and lower tumour stage at baseline predicted better overall QoL at the end of the treatment.

  • 283.
    Brännström, Benny
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Tibblin, A.
    Löwenborg, C.
    Counselling groups for spouses of elderly demented patients: a qualitative evaluation study2000In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 6, no 4, p. 183-191Article in journal (Refereed)
    Abstract [en]

    Ten women and eight men who were caring for their demented husbands or wives participated in a closed-group counselling programme, developed and carried out by two district nurses at a local health centre. There were seven or eight participants in each group, which met 13-14 times over a period of 8months.This study is based on semistructured interviews about the participants' situation just before entering the counselling group, the counselling programme itself, and their situation after the end of the programme. Their situations before the programmes were described as an exhausting, chaotic prison but after the programme they could cope with their situation and plan and manage their daily life. None of the participants needed further organised counselling; engagement in the local dementia association was sufficient for them. The counselling nurses' experience in and about caring for demented patients, their tactful authority, the closed groups and the long duration of the programme were judged to be crucial for the successful outcome of the programme.

  • 284.
    Brännström, Marcus
    Mid Sweden University. Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Tonåringars upplevelser av depression ur ett familjeperspektiv – En litteraturstudie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

     

    Background: Depression is one of the most common causes of mental affliction and adolescents are largely affected. Depression leads to anxiety, isolation and often self-harming behavior. Adolescents seldom seek help. More research on adolescents is needed. Aim: To elucidate adolescent’s experiences of depression from a family perspective. Method: Systematic review containing 15 peer-reviewed articles published between 2001-2011 that have been analyzed and reviewed. Results: The adolescents did not want to talk about their feelings, of fear that others would not understand. They became isolated and had no will to do homework or partake in social relationships. When contact had been taken with family or friends, the adolescents tended to seek professional care. When the nursing worked, feelings of great relief occurred, but fear of relapse remained. Discussion: It was important that the care showed that they understood the disease and it was essential that the adolescents had someone to talk to that they could trust. Conclusion: Depressed adolescents experienced themselves as being different, seldom contacted with the healthcare and worried about how others would react to their feelings. The family was an important part in the nursing process. Also understanding and respect must be included to remedy the problem.

     

    Keywords: adolescents, depression, experiences, family, nursing, relations, systematic review

  • 285.
    Byaruhanga, Deogratius
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Åserud, Lidia
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Närståendes upplevelser av palliativ sedering2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 286.
    Bylin, Anna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Frykman, Tarja
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Egenvårdsfaktorer vid Anorexia nervosa - en litteraturöversikt.2014Student paper other, 10 credits / 15 HE creditsStudent thesis
  • 287.
    Bylin, Anna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Tängman, Charlotte
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Utvärdering av förlossningsinduktion med CytotecR2016Independent thesis Advanced level (professional degree), 10 HE creditsStudent thesis
  • 288.
    Bylin, Anna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Tängman, Charlotte
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Utvärdering av förlossningsinduktion med CytotecR2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 289.
    Bylund, Agneta
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Mouline, Hassan
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Effekten av motiverande samtal hos individer med kardiovaskulära riskfaktorer- En litteraturöversikt.2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 290.
    Bylund, Elena
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Fröhlén, Caroline
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Litteraturstudie om hur sjukvårdspersonal kan upptäcka och stödja kvinnor som utsätts för misshandel av sin partner.2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Kvinnomisshandel är ett stort problem och leder till stora hälsoproblem för dessa kvinnor och även deras barn. Syftet med denna litteraturstudie är att belysa hur sjukvårdspersonal kan upptäcka och stödja kvinnor som utsätts för misshandel av sin partner. Metod: Litteraturstudien innehåller 15 kvalitetsbedömda, vetenskapliga artiklar som motsvarar syftet. Resultatet visade att kvinnor som utsätts för misshandel påverkas negativt. Det finns stora kulturella skillnader om ämnet hos både patienter och sjukvårdspersonal. Kunskaper, attityder och utbildning hos vårdpersonal var relativt dålig men utbildning visade sig förbättra detta och i sin tur relationen. Diskussion: Vårdspersonal behöver mer utbildning för att kunna bemöta kvinnor som blir misshandlade bättre och på så sätt kunna hjälpa dem mer utförligt. Att upptäcka dessa kvinnor i tid kan förbättra hälsan hos deras barn. Slutsats: Forskning om utbildning behövs för att optimera stöd och upptäckt av dessa kvinnor.

  • 291.
    Bylund Gerzén, Madeléne
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Öhman, Ulrika
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Skolsköterskans bemötande och arbete med barn som befinner sig i sorg efter en förlust av en i familjen2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 292.
    Bylund, Madelene
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Johansson, Ingela
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Olika förlossningssätts inverkan på anknytningsprocessen2007Independent thesis Basic level (degree of Bachelor), 20 poäng / 30 hpStudent thesis
    Abstract [sv]

    Abstrakt

    Bakgrund. Anknytning är ett viktigt band som skapas mellan mor och barn, detta är viktigt för att barnet ska utvecklas till en trygg person. För att anknytning ska uppstå krävs mycket närhet och värme. Vid brist på anknytning blir barnet passivt och apatiskt.

    Syfte. Syftet med denna studie var att belysa hur anknytningsprocessen mellan mor och barn kan påverkas vid olika förlossningssätt.

    Metod. En litteratursökning av artiklar publicerade mellan 1989-2007 gjordes, sökorden var attachment, cesarean section, delivery, mother-child relations och nurs*. 28 artiklar granskades noga och av dessa stämde 14 helt överens med inklusionskriterierna och vårt syfte. Dessa bearbetades och analyserades i litteraturstudien.

    Resultat. Analysen resulterade i tre kategorier. Den första var faktorer som kan påverka anknytningsprocessen, den andra var en komplicerad förlossnings inverkan på anknytningsprocessen och den tredje var omvårdnadshandlingar som kan underlätta anknytningsprocessen och sjukhusvistelsen för modern.

    Diskussion. Komplicerade förlossningar bidrog ofta till att kvinnan inte fick träffa sitt barn direkt efter förlossningen, något som var psykiskt påfrestande för kvinnan och negativt för anknytningsprocessen. Kvinnor som genomgick komplicerade förlossningar var i extra stort behov av stöd och information från personalen för att känna närhet till sitt barn.

    Konklusion. När en kvinna får känna sitt barns närhet direkt efter förlossningen så startar anknytningsprocessen fortare än om det första mötet blir uppskjutet. Om omvårdnadspersonalen använder sig av den kunskap som finns angående interaktionen mellan mor och barn så kan det underlätta för kvinnan i samspelet med sitt barn.

  • 293.
    Bylund, Marie
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Strömberg, Linda
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Att stödja barn med diabetes typ 1 ur skolsköterskans perspektivEn litteraturöversikt2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 294.
    Bylund, Pauline
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Engström Johnsson, Agnes
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Att vara barn till förälder med psykisk ohälsa- Barnens perspektiv på sin livssituation.2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 295.
    Bylund, Sara
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Att leva med ALS i hemmet:: Ur patient och anhörig perspektiv2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 296.
    Byström, Jannica
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Haghighat, Carolina
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    SJUKSKÖTERSKANS ROLL VID LIVSSTILSFÖRÄNDRINGAR FÖR PERSONER MED ÖVERVIKT ELLER FETMA: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Övervikt och fetma är ett stort problem i världen och i Sverige. Problemet ökar och risken för följdsjukdomar är stor. Livsstilsförändringar behövs ofta göras hos personer som lever med övervikt och fetma vilket är något som sjuksköterskan arbetar med att främja. Syfte: Syftet med denna litteraturöversikt är att belysa sjuksköterskans roll vid livsstilsförändringar för personer med övervikt eller fetma. Metod: Litteraturöversikten baseras på ett underlag av 15 vetenskapliga artiklar med kvalitativ- och kvantitativ ansats. Databaserna som använts är PubMed och Cinahl. Resultat: Materialet i resultatet har format två teman; 1. Färdigheter sjuksköterskan behöver i sin roll för att hjälpa patienten att göra livsstilsförändringar som handlar om sjuksköterskans kunskap och vikten av att ha förståelse för patientens situation. 2. Hur sjuksköterskan kan använda sina färdigheter i sin roll för att hjälpa patienten till livsstilsförändringar, detta tema beskriver olika färdigheter som sjuksköterskan kan använda sig av i arbetet med att främja livsstilsförändringar hos personer som lider av övervikt eller fetma. Diskussion: Sammanställning av huvudpunkter från resultatet diskuteras och jämförs med forskning, myndigheter, riktlinjer och lagar. Vidare förekommer reflektioner genomgående i diskussionen. Slutsats: Det är en process för både sjuksköterskan och patienten att arbeta med livsstilsförändringar. Vidare forskning behövs för att utarbeta effektiva sätt att hjälpa en person att genomföra livsstilsförändringar i syfte att få kontroll över övervikt.

  • 297.
    Byström, Lina
    et al.
    Mid Sweden University. Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Fjällman, Magnus
    Mid Sweden University. Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Påverkande faktorer vid beslutet att söka vård vid misstänkt hjärtinfarkt - en litteraturöversikt2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 298.
    Bäck, Ann Charlotte
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Gustafsson, Fanny
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Det dagliga livet med Multipel SklerosEn litteraturöversikt med utgångspunkt från Antonovskys teori Känsla Av Sammanhang (KASAM)2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 299.
    Bäck, Lena
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Confidence in Midwifery: Midwifery students and midwives’ perspectives2018Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    A confident midwife has an impact on a pregnant woman’s clinical outcome and birth experience. Knowledge acquisition, competence, and confidence develops over a lifetime and is of great importance in developing and forming personal skills and allowing the personal traits to grow and mature. Previous international studies have shown that midwifery students do not feel confident in many areas in which they are supposed to practice independently. The aim of this thesis was to investigate confidence levels in basic midwifery skills in Swedish midwifery students in their final semester just before entering the midwifery profession. An additional aim was to describe clinical midwives’ reflections about learning and what factors that developes professional competence, and confidence.

    Study I was a cross-sectional survey with Swedish midwifery students (n=238). They assessed their own confidence in all competencies that a midwife should have and could practice independently. The results of study I confirmed that Swedish midwifery students feel confident in dealing with the most common procedures during normal pregnancy, childbirth, and postpartum and newborn care. However, they do not feel fully confident in cases in which there are deviations from the normal procedures and obstetric emergencies. When comparing groups of midwifery students, the younger group of midwifery students felt more confident in general compared to the older group. Students at a university with a medical faculty were also more confident than the students at a university without a medical faculty.

    In study II, focus group discussions were held with 14 midwives emphasizing the way in which midwives reflect on learning and the development of competence and confidence. Content analysis was used to analyze the focus group discussions. Four categories were identified as a result of study II: 1.) feelings of professional safety evolve over time; 2.) personal qualities affect professional development; 3.) methods for knowledge and competence expansion; and 4.) competence as developing and demanding. The conclusion of this thesis is that more practical and clinical training during education is desirable. Midwifery students need to have access and the opportunity to practice obstetrical emergencies within a team of obstetricians and pediatricians. Learning takes time, and one improvement is to extend midwifery education to include and increase in clinical training. This would strengthen the students theoretical, scientific, and clinical confidence. Clinical midwives claim that it takes time to feel confident and that there is a need to develop professionalism.

  • 300.
    Bäck, Lena
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Hildingsson, Ingegerd
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. Uppsala Universitet.
    Sjöqvist, Carina
    Östersunds sjukhus.
    Karlström, Annika
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Developing competence and confidence in midwifery: focus groups with Swedish midwives2017In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 30, no 1, p. E32-E38Article in journal (Refereed)
    Abstract [en]

    Background

    Midwives have a significant impact on the clinical outcome and the birthing experience of women. However, there has been a lack of research focusing specifically on clinical midwives’ learning and development of professional competence.

    Aim

    The objective of the study was to describe how midwives reflect on learning and the development of professional competence and confidence.

    Methods

    A qualitative study based on focus groups with midwives employed in maternity services.

    Findings

    Four categories describe the results: (1) Feelings of professional safety evolve over time; (2) Personal qualities affect professional development; (3) Methods for expanding knowledge and competence; and (4) Competence as developing and demanding. The meaning of competence is to feel safe and secure in their professional role. There was a link between the amount of hands-on intrapartum experience and increasing confidence that is, assisting many births made midwives feel confident. Internal rotation was disliked because the midwives felt they had less time to deepen their knowledge and develop competence in a particular field. The midwives felt they were not seen as individuals, and this system made them feel split between different assignments.

    Discussion

    External factors that contribute to the development of knowledge and competence include the ability to practise hands-on skills in an organisation that is supportive and non-threatening. Internal factors include confidence, self-efficacy, and a curiosity for learning.

    Conclusions

    Midwives working within an organisation should be supported to develop their professional role in order to become knowledgeable, competent and confident.

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