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  • 1.
    Abdikadir, M. Bisharo
    et al.
    Dalarna University, School of Health and Welfare.
    Ubah, Warsame H.
    Dalarna University, School of Health and Welfare.
    Vuxna patienters upplevelse i samband med palliativ vård - en litteraturöversikt2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:Palliative care is about relieving the suffering of patients with incurable diseaseand meeting their physical, psychosocial and existential needs to promote the patient's quality of life. Palliative care should be built on four cornerstones: symptom relief, cooperation, communication and support for relatives. The care staff must have enough knowledge about palliative care in order to perform the practical nursing care to the patients in the palliative phase.Aim: The aim of this study is to describe adult patients' experience in connection with palliative care.Method: The literature review contains 17 scientific articles with qualitative, quantitative and mixed methods. The data search was performed in the databases CINAHL and PubMed.Results: The result showed six categories that are knowledge of palliative care, loss of self-esteem and vulnerability, existential support, empathy and sympathy, feelings of security and communication and self-determination. The results showed that several patients missing knowledge about palliative care and those patients have different perceptions of palliative care, for example, some patients believe that palliative care means the end of life while other patients describe that palliative care for them is more than the end of life. For example, patients express that it is a supportive care to improve their quality of life.Conclusion: Patients need more knowledge about palliative care and therefore it is important that care staff offer information to patients. This is important for patients to be well informed about their care. To increase patient participation and knowledge of palliative care, it is important that there is good communication between patients and care staff.

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  • 2.
    Abdillahi, Ayan Ismail
    et al.
    Dalarna University, School of Health and Welfare.
    Catindoy, Cyna Remonida
    Dalarna University, School of Health and Welfare.
    Sjuksköterskans upplevelser av att vårda patienter med annan kulturell bakgrund: en litteraturöversikt2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The increasing migration in Sweden increases the demands on nurses to meet and care for patients with a different cultural background. Culture is a decisive factor that affects the patient, and the nurse needs to take this into account with the help of cultural competence. Having cultural competence means that the nurse has knowledge and understanding of the patient's culture and adapts care to the patient's cultural background. The patients feel that cultural and linguistic differences between them and the nurses affect the care and reduce the quality of care.

    Aim The purpose of the literature review is to explore the nurse's experiences of caring for patients with a different cultural background.

    Method The method for the work is a structured literature study with elements of the methodology used in systematic reviews. It consists of 14 qualitative articles collected from the databases CINAHL, PubMed and PsycInfo. The articles were analysed using Friberg's analysis model in three steps and the quality of the articles was reviewed using Ulrika Nilsson's review template.

    Results The results were presented in three main categories: experiences of communication; cultural differences and cultural competence and its strategies for improving the care of patients with different cultural backgrounds. The results showed that language differences made patient care more difficult, that the nurses faced discrimination and that a lack of cultural competence caused feelings of uncertainty and fear.

    Conclusions The nurses experienced challenges that included cultural differences, language differences, lack of cultural competence and meeting and being met by patients. Despite these challenges, the nurses were able to navigate different situations and use different strategies to overcome the challenges.

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  • 3. Abdullahi, A.
    et al.
    Kalid, Mohamed
    Dalarna University, School of Health and Welfare, Care Sciences. Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Kipchumba, E.
    Sulaiman, M.
    Supporting Micro-enterprise in Humanitarian Programming: Impact Evaluation of Business Grants versus Unconditional Cash Transfer2023In: Journal of African Economies, ISSN 0963-8024, E-ISSN 1464-3723, Vol. 32, no 4, p. 415-437Article in journal (Refereed)
    Abstract [en]

    Humanitarian programming in fragile economies often use unconditional cash transfers (UCTs) to offset food insecurity. However, there is an increasing focus on using cash transfers to boost household incomes beyond the short-term through micro-enterprise start-up and growth. This paper conducts a randomised control trial to measure the impact of three different sizes of business grants against UCT in Somalia. We find that giving the same amount of money as a lump sum business grant results in higher likelihood of business ownership and income compared with UCT in the short run (3-4 months after the transfers). However, the impacts are larger and persist 3 years later only for those who received larger amount of grants. The results indicate our 'medium'-sized grant being more cost-effective. © 2022 The Author(s).

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  • 4.
    Abelström, Kim
    et al.
    Dalarna University, School of Health and Welfare.
    Mulamba, Carmine
    Dalarna University, School of Health and Welfare.
    Sjuksköterskans upplevelser av transkulturell omvårdnad: en litteraturöversikt2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Due to various circumstances, more and more people are forced to flee their countries of origin, which leads to more and more countries becoming multicultural. A multicultural society is in turn reflected in health care. Nurses are faced with great challenges in the care of patients who have other cultural backgrounds. Therefore, it is important that nurses are culturally competent and able to communicate with patients who do not share the same language and culture.

    AimThe purpose was to describe the nurse's experiences of transcultural nursing among adult patients.

    MethodA literature review based on 15 scientific articles was conducted. The collection of data was done by using databases PubMed and CINAHL

    ResultsThe results of the study showed that nurses face several challenges in the field of transcultural nursing which include lack of cultural competence, communication barriers, prejudices, and individual values. It became clear that sufficient cultural competence, effective communication, respect, and a welcoming attitude are significant and decisive factors in being able to provide meaningful and dignified care to patients with a different cultural background.

    ConclusionsNurses face challenges in caring for patients from different cultural backgrounds, which can lead to uncertainty and misunderstanding. To ensure quality care, nurses need to increase their knowledge of transcultural nursing and develop effective communication strategies.

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  • 5.
    Abrahamsson, Caroline
    et al.
    Dalarna University, School of Health and Welfare.
    Westerin, Björn
    Dalarna University, School of Health and Welfare.
    Effekter av shoulder dislocation exercise för styrkelyftstränande vuxna med subacromiell smärta: en single subject studie2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Subacromial pain is a common problem within sports. Exercise is the treatment of choice with subacromial pain. However, there is a lack of consensus regarding optimal exercise, doses and load. The shoulder dislocation exercise can be seen on social media as an effective treatment on subacromialpain, but without scientific backing.

    Purpose: To investigate the effect on mobility, activity limitations, general shoulder health and pain of the shoulder dislocation exercise on adult recreational powerlifters with subacromial pain.

    Method: A single subject study with A-B design were conducted on five individuals with subacromial pain syndrome who regularly trains powerlifting. Baseline phase (A) consisted of three measurements sessions for one week. Outcome measures for mobility was Apley’s scratch test; grade of activity limitation was evaluated with PSFS, pain was evaluated with number of positive provocation tests and the general shoulder health by the SRQ-S. The intervention phase (B) was during six weeks, performing the intervention three times a week split into three sets of ten repetitions. The results were analyzed using the 2SDband method and presented narratively for each participant.

    Results: Four of five participants significantly improved their mobility. Four offive participants clinically significantly improved their self-assessed activity limitations. No one improved their general shoulder health, but all five participants decreased number of positive provocation tests for subacromial pain.

    Conclusion: The shoulder dislocation exercise seems to improve mobility, activity limitations and number of positive provocation tests for subacromial pain, but not the general shoulder health in the population of adult recreationally powerlifters with subacromial pain. 

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  • 6. Abshir, Juweria N L
    et al.
    Osman, Fatumo
    Dalarna University, School of Health and Welfare, Caring Science/Nursing. Somali National University, Mogadishu, Somalia; Uppsala University, Uppsala.
    Dahir, Gallad
    Somali National University, Mogadishu, Somalia.
    Dahlberg, Anton
    Uppsala University, Uppsala.
    Parental burnout among Somali mothers: Associations with mental health, perceived social support, and sociodemographic factors2023In: PLOS Global Public Health, E-ISSN 2767-3375, Vol. 3, no 10, article id e0002501Article in journal (Refereed)
    Abstract [en]

    Parenthood can be defined by the contradiction that it is one of the most satisfying yet stressful experiences in life. Many parents experience stress during parenthood, and some to the extent that they display symptoms of parental burnout. Nevertheless, research on parental burnout is scant and many studies have only examined the condition in Western settings. The aim of this study was to examine parental burnout among Somali mothers in Mogadishu, Somalia, and its association with certain psychological, psychosocial, and sociodemographic factors. In this cross-sectional study, questionnaire data were collected through the measurements Parental Burnout Assessment and Patient Health Questionnaire 9, as well as through social and demographic questions. A total of 882 Somali mothers in Mogadishu participated. The analysis methods used were univariate, bivariate, and multiple linear regression analysis. The results revealed that the mean parental burnout score was low in the sample. Additionally, a significant association was found between higher levels of parental burnout and higher levels of depression, perceived lack of social support, being unmarried, having a low monthly household income, and when the youngest child was of school-age.

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  • 7.
    Abzhandadze, Tamar
    et al.
    Sahlgrenska Academy, University of Gothenburg, Gothenburg; Sahlgrenska University Hospital, Gothenburg.
    Westerlind, Emma
    rg, Gothenburg; Sahlgrenska University Hospital, Gothenburg.
    Palstam, Annie
    Dalarna University, School of Health and Welfare, Medical Science. Sahlgrenska Academy, University of Gothenburg, Gothenburg; Sahlgrenska University Hospital, Gothenburg.
    Sunnerhagen, Katharina S
    Sahlgrenska Academy, University of Gothenburg, Gothenburg; Sahlgrenska University Hospital, Gothenburg.
    Persson, Hanna C
    Sahlgrenska Academy, University of Gothenburg, Gothenburg; Sahlgrenska University Hospital, Gothenburg.
    Sick leave one year after COVID-19 infection: a nationwide cohort study during the first wave in Sweden2024In: Scientific Reports, E-ISSN 2045-2322, Vol. 14, no 1, article id 572Article in journal (Refereed)
    Abstract [en]

    This study aimed to investigate the patterns of sick leave, as well as factors associated with sick leave due to COVID-19 during one year after the COVID-19 diagnosis, and sex-related aspects on sick leave. This nationwide study involved 11,902 individuals who received sickness benefits for COVID-19 during the first wave of the pandemic. Data from three Swedish registries were analyzed for sick leave that commenced between March 1 and August 31, 2020, with a follow-up period of 12 months. Sick leave due to COVID-19 was counted as the number of days with sickness benefits and required to include at least one registered COVID-19 diagnosis. The median duration of sick leave was 35 days, and 347 (2.9%) individuals continued their sick leave during the entire follow-up period. Furthermore, 1 year later, the cumulative incidence of sick leave was slightly higher in males (3.5%) compared to females (2.7%). Older age, being single with no children, diagnosed with the virus, medium income level, history of sick leave, and need for inpatient care were significantly associated with a higher duration of sick leave due to COVID-19, both in the total population and when stratified by sex. These results indicated that three out of 100 (3%) patients were still on sick leave 1 year after their COVID-19 diagnosis. Aspects regarding the importance of sick leave duration differed between males and females and comprised sociodemographic characteristics and need for inpatient care. The results indicated the complexity of sick leave due to COVID-19.

  • 8.
    Adamek, Caisa
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Lissars, Julia
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Sjuksköterskors upplevelser av att vårda personer med demenssjukdom inom slutenvård: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is an umbrella term for illnesses that cause cognitive impairment. A person centered approach is the foundation of caring for people with dementia. The relatives to admitted patients with dementia experience the care as generally good, but with room for improvement. Aim: This literature review aims to illustrate RNs experiences in caring for persons with dementia in an inpatient hospital setting. Method: This literature review was made with a methodology similar to ones used in systematic reviews. The search engines PubMed, CINAHL and APA PsycInfo were used and the chosen articles were checked for quality according to a template for qualitative research. The results were analyzed using Fribergs five steps for qualitative analysis. Results: A large number of RNs experienced challenges in the care of PwD. Organisational pressure and a lack of interprofessional co-operation led to an increase in the use of psychotropic drugs, as the stressful environment increased the rate of responsive behaviours in PwD. Distraction was common for RNs to use to counter responsive behaviours. RNs also used person centred communication to facilitate a good relationship. Conclusions: Experienced factors like lack of time and lack of knowledge was experienced as contributing to nurses having difficulties performing person centred care. This can resultin a reduced wellbeing for people with dementia when they are in need of care.

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  • 9.
    Adani Buubshe, Fartun
    et al.
    Dalarna University, School of Health and Welfare.
    Gray, Maria
    Dalarna University, School of Health and Welfare.
    Vårdmiljöns betydelse för att lindra nyopererade patienters postoperativa smärta - en litteraturöversikt2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Florence Nightingale (1820 - 1910) was a major advocate for the importance of environment for optimal patient recovery. The modern healthcare environment typically consists of two components, one physical and one psychosocial, where both parts are considered crucial for the patient’s return to health. This is particularly important to bear in mind in the postoperative context and with the experience of postoperative pain, which varies from patient to patient. Nurses are responsible for providing postoperative pain relief, chiefly by nursing, utilizing the health care environment and administering pharmacological painkillers.Aim: The purpose of the study is to describe the importance of the health care environment in relieving newly operated patients postoperative pain.Method: A literature review with qualitative design. The results of the study are based on 15 scientific articles that have been quality reviewed. The scientific articles were searched on CINAHL, PubMed, Web of Science and via manual search.Results: The literature review identified physical care environment with subcategories; patient room and contact with the external environment. In the category psychosocial care environment subcategories; sense of control, relationships and music as distraction as pain-relieving alternatives.Conclusion: The physical and psychosocial health care environment act as a distractive element on the patient and/or have a relieving effect on the postoperative pain.

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  • 10.
    Adeli, Majid
    et al.
    Dalarna University, School of Health and Welfare.
    Telles d´Utra, Mariana
    Dalarna University, School of Health and Welfare.
    Kvinnors erfarenheter av att leva med lipödem: En litteraturöversikt2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Lipoedema has a prevalence of seven to eleven percent of adult women in Western countries, yet the condition remains largely unknown by both society and health professionals who often mistake it for obesity. Women with lipedema go through anaverage interval of eighteen years between the onset of symptoms and diagnosis where they experience exacerbation of various symptoms without knowing the cause or mistaking it for obesity. As lipedema is a chronic disease, it affects the lives of women with lipedema not only through disease-related symptoms, but also through fat-related stigma.

    Aim The purpose of the literature review is to investigate women´s experiences of living with lipedema.

    Method A literature search was conducted on the Cinahl and PubMed databases, resulting in ten scientific articles. These articles were quality reviewed using Ulrika Nilsson's review template and analysed using the analysis model of Forsberg & Wengström.

    Results Results show that women’s experiences can be grouped into two main categories: to be a Stranger in one's own body which were divided into three subcategories, Bodily Changes, Pain and Mental Illness. The other main category, Stigmatisation, was divided into two subcategories: Shame and Lack of care.

    Conclusions Experiences with lipedema are revealed to be potentially damaging to both physical as well as psychological health due to lack of information, reduced number of effective treatments and stigmatization coming from both healthcare actors as well as society. Wrong diagnosing, lack of information, misdiagnosis and ineffective treatments then leads these women to ineffective interventions and unnecessary suffering. Further research is needed to increase knowledge about diagnoses and treatments for lipoedema to increase the quality of life of women with lipoedema. 

  • 11.
    Aduah, Rhoda
    Dalarna University, School of Health and Welfare.
    Women’S Experiences With Digital Health Service As A Tool For Improving Awareness And Perception On Sexual Reproductive Health And Contraception. A Phenomenography Qualitative Study2021Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: Most women within reproductive ages living in Low- and Middle-Income Countries, have limited or no access to education on sexual and reproductive health and contraception, yet about 1.9 billon women in LMICs own a mobile phone. The exposure to digital health services has the potential to contribute to improving awareness, influencing positive perceptions, beliefs and promoting SRH and contraception.AIM: To explore user views and perceptions on the Grace Health’s (a digital health service) ability to improve awareness on sexual reproductive health and contraception among Ghanaian, Nigerian and Kenyan women aged 18-35.METHODOLOGY: A qualitative design using phenomenography to interview women remotely on women’s perception of digital health services through their own experience with using the Grace health chat bot and app. Also, their views were sought on how other women are gaining awareness and impacts on sexual reproductive health and contraception from the digital health services.RESULTS: Seven categories on digital health services emerged, with key findings presented as Safe days, ovulation as contraception, impacts on SRH, Avoiding or seeking pregnancy and influence on perception.CONCLUSION: This qualitative study gives insight for research community, public health professionals, app designers, health care providers, stakeholders and civil society organisations in making decisions regarding the use of digital health service as strategic, innovative instruments for interventions in major key indicators of Sexual Reproductive Health and Rights.

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  • 12.
    af Winklerfelt Hammarberg, Sandra
    et al.
    Karolinska Institutet, Stockholm, Academic Primary Health Care Centre, Region Stockholm, Stockholm.
    Björkelund, Cecilia
    Sahlgrenska Academy, University of Gothenburg, Gothenburg.
    Nejati, Shabnam
    Sahlgrenska Academy, University of Gothenburg, Gothenburg.
    Magnil, Maria
    Sahlgrenska Academy, University of Gothenburg, Gothenburg.
    Hange, Dominique
    Sahlgrenska Academy, University of Gothenburg, Gothenburg; Region Västra Götaland, Närhälsan Research and Development Primary Health Care, Gothenburg.
    Svenningsson, Irene
    Sahlgrenska Academy, University of Gothenburg, Gothenburg; Region Västra Götaland, Närhälsan Research and Development Primary Health Care, Gothenburg.
    Petersson, Eva‑Lisa
    Sahlgrenska Academy, University of Gothenburg, Gothenburg; Region Västra Götaland, Närhälsan Research and Development Primary Health Care, Gothenburg.
    Udo, Camilla
    Dalarna University, School of Health and Welfare, Social Work. Division of Health Care Science, Marie Cederschiöld University, Stockholm; Center for Clinical Research Dalarna, Uppsala University, Falun.
    Wallin, Lars
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Westman, Jeanette
    Karolinska Institutet, Stockholm; Academic Primary Health Care Centre, Region Stockholm, Stockholm; Uppsala University, Uppsala.
    Clinical effectiveness of care managers in collaborative primary health care for patients with depression: 12‑ and 24‑month follow‑up of a pragmatic cluster randomized controlled trial2022In: BMC Primary Care, E-ISSN 2731-4553, Vol. 23, no 1, article id 198Article in journal (Refereed)
    Abstract [en]

    Background: In previous studies, we investigated the effects of a care manager intervention for patients withdepression treated in primary health care. At 6 months, care management improved depressive symptoms, remission,return to work, and adherence to anti-depressive medication more than care as usual. The aim of this study wasto compare the long-term effectiveness of care management and usual care for primary care patients with depressionon depressive symptoms, remission, quality of life, self-efficacy, confidence in care, and quality of care 12 and24 months after the start of the intervention.Methods: Cluster randomized controlled trial that included 23 primary care centers (11 intervention, 12 control)in the regions of Västra Götaland and Dalarna, Sweden. Patients ≥18 years with newly diagnosed mild to moderatedepression (n = 376: 192 intervention, 184 control) were included. Patients at intervention centers co-developed astructured depression care plan with a care manager. Via 6 to 8 telephone contacts over 12 weeks, the care managerfollowed up symptoms and treatment, encouraged behavioral activation, provided education, and communicatedwith the patient’s general practitioner as needed. Patients at control centers received usual care. Adjusted mixedmodel repeated measure analysis was conducted on data gathered at 12 and 24 months on depressive symptomsand remission (MADRS-S); quality of life (EQ5D); and self-efficacy, confidence in care, and quality of care (study-specificquestionnaire).Results: The intervention group had less severe depressive symptoms than the control group at 12 (P = 0.02) butnot 24 months (P = 0.83). They reported higher quality of life at 12 (P = 0.01) but not 24 months (P = 0.88). Differencesin remission and self-efficacy were not significant, but patients in the intervention group were more confident that they could get information (53% vs 38%; P = 0.02) and professional emotional support (51% vs 40%; P = 0.05) from theprimary care center.Conclusions: Patients with depression who had a care manager maintained their 6-month improvements in symptomsat the 12- and 24-month follow-ups. Without a care manager, recovery could take up to 24 months. Patients withcare managers also had significantly more confidence in primary care and belief in future support than controls.

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  • 13.
    Agemalm, Stina
    et al.
    Dalarna University, School of Health and Welfare.
    Aldén, Maria
    Dalarna University, School of Health and Welfare.
    Identifiering av smärta och smärtlindrande omvårdnadsåtgärder vid vård av äldre personer i livets slut: En kvalitativ intervjustudie med sjuksköterskor arbetandes på särskilt boende2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Each year approximately 1 percent of Sweden’s population dies, which corresponds to approximately 90 000 people. Of these, about 36 percent dies while living in special housing. Pain is a common symptom in older people receiving end-of-life care. Identifying pain and alleviating pain thus becomes central and an important part of the work of the nurse responsible for care.

    Aim

    The aim is to describe nurses’ experiences of identifying pain and using nursing interventions for pain relief in older people living in special housing at the end of life.

    Method

    The method used is a qualitative interview study with and inductive approach. Semistructured interviews have been used for the collection of data were nurses with at least one year of experience of working in special housing for people older than 65 years of age in end-of-life care were included as informants. Content analysis was done according to a method described by Graneheim and Lundman (2004).

    Results

    The result of the study is presented with four categories; Relationship central for end-oflife care, Identifying pain is difficult, Nursing interventions alleviate pain and A qualified team promotes nursing. All categories are presented with associated subcategories.

    Conclusions

    The results of the study show that knowledge of the person made person-centered care possible and increased the possibility to individualize nursing interventions and made it easier to identify pain in older people. Nursing staff lacked knowledge about identifying pain and alleviating pain with nursing interventions. It was nurses who had the responsibility to tutor, and competence supply the team however the results show that nurses does not follow guidelines regarding estimation instruments when identifying pain and neither do they have satisfactory knowledge of the four dimensions of pain.

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  • 14.
    Aghaesmaili, Mahboubeh
    et al.
    Dalarna University, School of Health and Welfare.
    Hematfar, Narges
    Dalarna University, School of Health and Welfare.
    Stigmatisering av personer som lider av psykisk ohälsa utanför psykiatrin - En litteraturöversikt2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: People suffering from mental illness experience stigma in differentcontexts. There are various factors that affected by stigma in people suffering frommental illness, which also leads to experiences of discrimination in them. Stigma isa common problem in today's society, which has consequences in people sufferingfrom mental illness.Aim: The purpose of this study is to describe factors related to the stigma of as wellas these consequences for people suffering from mental illness outside psychiatry.Method: The thesis carried out as a literature review where 15 scientific articlessearched based on the purpose, which then analyzed and compiled into the results.The articles were of both qualitative, quantitative design and a mixed method. TheCINAHL and PsycINFO databases used as search engines.Result: The result consists of four main categories. “Quality of life” describes theconsequences of stigma on quality of life. “Cultural and socio-demographic factors”which discuss the impact of cultural perspectives on stigma and the link betweenstigma and educational attainment are described. “Social distancing,” points outfactors that cause people suffering from mental illness to withdraw from socialsituations. "Family" there describes the family as a source of stigma.Conclusion: Stigma affects the quality of life of people suffering from mentalillness. Furthermore, lack of access and level of education can increase the risk ofstigma. Stigma also leads to social distancing in people suffering from mentalillness. In addition, the family of people suffering from mental illness considered animportant source of stigma, which means that they avoid talking about mental illnessin the family.

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  • 15.
    Ahlblom, Annika
    et al.
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Latvakoski, Sabina
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Föräldrars upplevelse av spädbarns sömn vid en och sex månaders ålder: En kvantitativ studie2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The first year of life is critical for sleep development, and the quality of sleep affects both the physical and neurological development. The sleep of infants constitutes a common cause of worry among new parents, which can lead to modifications in recommended sleep arrangements to promote both parents’ and infants’ wellbeing. Aim: To investigate parents’ experience and description of preterm (<37 weeks of pregnancy) and full-term infants’ sleeping habits at one and six months of age. Method: This was a quantitative study with a longitudinal design consisting of 923 parents to 504 infants born during 2020/2021 who received care in either the maternity- or neonatal ward in Sweden. Data was collected from questionnaires and was analyzed using descriptive statistics, Mann-Whitney U test and Cohen’s d. Results: Fathers and parents with a low educational level experienced the infant’s sleep less problematic compared to mothers and parents with a high educational level at both one and six months of age. Over time there was no difference related to educational level. One moth post-partum, parents to preterm infants experienced that the sleeping habits were more of a problem compared to parents to full term infants. Parents to breastfed infants experienced the sleeping habits as more problematic at six months of age, and co-sleeping was common during the infants’ first month of life. Conclusions: Parents’ experience of infants’ sleeping habits is affected by various factors in the immediate home environment. Hence there is a need for individualized support and interventions for new parents regarding infants’ sleep environment.

  • 16.
    Ahlm, Emelie
    et al.
    Dalarna University, School of Health and Welfare.
    Bäckström, Maria
    Dalarna University, School of Health and Welfare.
    Barns delaktighet i barnavårdsutredningar utifrån: Berättelser från socialsekreterare2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    According to the Convention on the Rights of the Child, children shall be provided the opportunity to express their views in all matters that affect them. Despite this, research and several public authorities highlight several shortcomings concerning the participation of children in child welfare practice. The purpose of the study is to investigate social workers' experiences with involving children when using the Signs of Safety working method.

    The study is based on a qualitative approach and seven semi-structured interviews with social workers in social services who work with child welfare assessments based on Signs of Safety. A thematic analysis indicated that social workers could identify some obstacles and difficulties with parts of Signs of Safety. However, they largely believe that Signs of Safety supports them to involve children. 

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  • 17.
    Ahlqvist, Jessica
    Dalarna University, School of Health and Welfare.
    Barnmorskors erfarenheter av att mätaförlossningsrädsla på barnmorskemottagning: En kvalitativ intervjustudie2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Förlossningsrädsla är vanligt förekommande och drabbar cirka 20 procent av alla gravida.Barnmorskan på barnmorskemottagningen möter de gravida med förlossningsrädsla i sitt arbete och har ettviktigt uppdrag i att identifiera förlossningsrädsla. I Sverige finns idag inget gemensamt och standardiserat sättatt mäta förlossningsrädsla inom klinisk vård. Fear of Birth Scale (FOBS) är emellertid ett validerat sätt attscreena för förlossningsrädsla som används inom flera regioner.Syfte: Syftet var att undersöka barnmorskor på barnmorskemottagningars erfarenheter av att använda Fear ofBirth Scale (FOBS) för att mäta förlossningsrädsla.Metod: En kvalitativ intervjustudie med induktiv ansats valdes för studiens genomförande. Totalt intervjuadesåtta barnmorskor som arbetade på barnmorskemottagningar i fem olika regioner i Sverige.Resultat: Resultatet utmynnade i två teman; Att mäta och vägleda rätt samt Dialogen som verktyg förskattning. Temat Att mäta och vägleda rätt omfattade fyra subteman; Tidpunkter och insatser, Konkretmätskala tydliggör, Dynamiken en utmaning samt Strategier vid språkbarriärer. Temat Dialogen som verktygför skattning omfattade två subteman; Öppet samtal i fokus samt Att tolka och anpassa i situationen.Slutsats: FOBS har bidragit till att sätta ämnet förlossningsrädsla på agendan hos barnmorskan på BMM.Under rätt förutsättningar kan FOBS bidra till att underlätta barnmorskans arbete med att identifiera ochbedöma förlossningsrädsla, men tid och fortbildning krävs.Klinisk tillämpbarhet: Identifiering och stöd vid förlossningsrädsla ingår i mödrahälsovårdens omfattandeuppdrag. Med rätt förutsättningar kan FOBS vara ett användbart hjälpmedel för att hitta och inleda en dialogom förlossningsrädsla, som är ett komplext ämne där vissa grupper särskilt sårbara och har ett stort stödbehov

  • 18.
    Ahlskog, Erika
    et al.
    Dalarna University, School of Health and Welfare.
    Högosta, Chloé
    Dalarna University, School of Health and Welfare.
    Stöd till äldre med psykisk ohälsa: En kvalitativ intervjustudie om enhetschefers erfarenheter kring stöd till äldre med psykisk ohälsa2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The occurrence of mental illness amongst the elderly has increased and is a relatively unexplored subject. About 22% of the Swedish population that suffered from mental illness or behavioural disorders in 2019 was elderly. This study will use a qualitative method and semi structured interviews with nine different unit managers within the elderly care, to explore the support for this target group. The purpose of the study is to describe the managers within elderly care's experiences with support for elderly with mental illness. The study’s results show a lack of competence about elderly with mental illness. The conclusion showed collaboration between the operating agencies and a higher staffing density is needed in order to better design a support that fills their needs.

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  • 19.
    Ahlström, Sara Wallin
    et al.
    Mälardalen University, Västerås; Center for Clinical Research Dalarna, Uppsala University, Falun; Habilitation Center in Falun.
    Almqvist, Lena
    Mälardalen University, Västerås.
    Janeslätt, Gunnel
    Center for Clinical Research Dalarna, Uppsala University, Falun; Habilitation Center in Falun, Dalarna; Uppsala University, Uppsala.
    Gustavsson, Catharina
    Dalarna University, School of Health and Welfare, Medical Science. Center for Clinical Research Dalarna, Uppsala University, Falun; Uppsala University, Uppsala.
    Harder, Maria
    Mälardalen University, Västerås.
    The experiences and the meaning of using MyTime in the preschool context from the perspective of children in need of special support, 5-6 years of age2023In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 49, no 6, p. 1096-1103Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Children in need of special support often display delays in time processing ability, affecting everyday functioning. MyTime is an intervention programme for systematic training of time processing ability. To support preschool children's development of time processing ability and everyday functioning, it is necessary to include their perspectives of the MyTime intervention programme. A previous study shows that MyTime is feasible with children in the preschool setting and shows positive effects on time processing ability for older children in special schools. Yet, there is a lack of knowledge regarding how preschool children experience the intervention programme and how they understand its meaning. The aim of this study was to explore the experiences and the meaning of using MyTime from the perspective of children with informal needs of special support (INS) 5-6 years of age in the preschool context.

    METHODS: To explore the children's perspectives, video-recorded interviews with 21 children were analysed hermeneutically. To facilitate the interview situation with the children in need of special support, the Talking Mats© was used. Both body and spoken languages were analysed.

    RESULTS: The results reveal children as active participants, willing to share their experiences of using the MyTime intervention in the preschool context. The conceptualization of the children's experiences and expressions uncovers their meaning of using the MyTime intervention as to know and to understand time by doing.

    CONCLUSIONS: When children are given the opportunity to use concrete tools to understand and measure time, they experience themselves as active participants involved and engaged in the intervention. They reveal meaningful experiences to be able to manage time that facilitate their everyday functioning and participation in the preschool context.

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  • 20. Ahmad, Shafqat
    et al.
    Hammar, Ulf
    Kennedy, Beatrice
    Salihovic, Samira
    Ganna, Andrea
    Lind, Lars
    Sundström, Johan
    Ärnlöv, Johan
    Dalarna University, School of Health and Welfare, Medical Science. Karolinska Institutet, Stockholm.
    Berne, Christian
    Fall, Tove
    Effect of General Adiposity and Central Body Fat Distribution on the Circulating Metabolome: a Multi-Cohort Non-Targeted Metabolomics Observational and Mendelian Randomization Study2022In: Diabetes, ISSN 0012-1797, E-ISSN 1939-327X, Vol. 71, no 2, p. 329-339Article in journal (Refereed)
    Abstract [en]

    Obesity is associated with adverse health outcomes, but the metabolic effects have not yet been fully elucidated. We aimed to investigate the association between adiposity with circulating metabolites and to address causality with Mendelian randomization (MR). Metabolomics data was generated by non-targeted ultra-performance liquid-chromatography coupled to time-of-flight mass-spectrometry in plasma and serum from three population-based Swedish cohorts: ULSAM (N=1,135), PIVUS (N=970), and TwinGene (N=2,059). We assessed associations between general adiposity measured as body mass index (BMI) and central body fat distribution measured as waist-to-hip ratio adjusted for BMI (WHRadjBMI) with 210 annotated metabolites. We employed MR analysis to assess causal effects. Lastly, we attempted to replicate the MR findings in the KORA and TwinsUK cohorts (N=7,373), the CHARGE consortium (N=8,631), the Framingham Heart Study (N=2,076) and the DIRECT consortium (N=3,029). BMI was associated with 77 metabolites, while WHRadjBMI was associated with 11 and 3 metabolites in women and men, respectively. The MR analyses in the Swedish cohorts suggested a causal association (p-value <0.05) of increased general adiposity and reduced levels of arachidonic acid, dodecanedioic acid and lysophosphatidylcholine (P-16:0) as well as with increased creatine levels. The replication effort provided support for a causal association of adiposity on reduced levels of arachidonic acid (p-value 0.03). Adiposity is associated with variation of large parts of the circulating metabolome, however causality needs further investigation in well-powered cohorts.

  • 21.
    Ahmad, Shafqat
    et al.
    Uppsala University, Uppsala;Harvard Medical School, Brigham and Women's Hospital, Boston, MA, USA..
    Ärnlöv, Johan
    Dalarna University, School of Health and Welfare, Medical Science. Karolinska Institutet, Stockholm.
    Larsson, Susanna C.
    Karolinska Institutet, Stockholm; Uppsala University, Uppsala.
    Genetically Predicted Circulating Copper and Risk of Chronic Kidney Disease: A Mendelian Randomization Study2022In: Nutrients, E-ISSN 2072-6643, Vol. 14, no 3, article id 509Article in journal (Refereed)
    Abstract [en]

    Elevated circulating copper levels have been associated with chronic kidney disease (CKD), kidney damage, and decline in kidney function. Using a two sample Mendelian randomization approach where copper-associated genetic variants were used as instrumental variables, genetically predicted higher circulating copper levels were associated with higher CKD prevalence (odds ratio 1.17; 95% confidence interval 1.04, 1.32; p-value = 0.009). There was suggestive evidence that genetically predicted higher copper was associated with a lower estimated glomerular filtration rate and a more rapid kidney damage decline. In conclusion, we observed that elevated circulating copper levels may be a causal risk factor for CKD. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

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  • 22. Ahmed, Caisha Arai
    et al.
    Khokhar, Amrish Tayyibah
    Erlandsson, Kerstin
    Dalarna University, School of Health and Welfare, Sexual Reproductive Perinatal Health.
    Bogren, Malin
    Defibulated immigrant women's sexual and reproductive health from the perspective of midwives and gynaecologists as primary care providers in Sweden - A phenomenographic study.2021In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 29, article id 100644Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To capture care providers' perceptions of defibulated immigrant women's sexual and reproductive health, illuminated by their experiences as care providers for these women.

    METHODS: Individual interview study with 13 care providers at Swedish healthcare facilities: six gynaecologists and seven midwives caring for defibulated immigrant women, analysed with a phenomenographic method.

    FINDINGS: One of the care providers' perceptions of women who had been defibulated was that they had an altered genital function, meaning a wider introitus, improved vaginal intercourse, and more ease urinating and menstruating. The care providers also perceived that women who were defibulated had to balance their wellbeing, struggling between a positive self-image and handling their emotions. Existing in-between cultural values led to a fear of being excluded while at the same time having a desire to be included in the new culture.

    CONCLUSION: Defibulation affects women's sexual and reproductive health and calls for a holistic perspective when providing services, individualized according to the woman's care needs. Support and counselling, should include information about defibulation already during the adolescent years to promote sexual and reproductive health and well-being.

  • 23.
    Ahmed, Hamdi
    et al.
    Dalarna University, School of Health and Welfare, Care Sciences.
    Babayeva, Irade
    Dalarna University, School of Health and Welfare, Care Sciences.
    Att belysa stressfaktorer som påverkar kommunikationen mellan sjuksköterskor och patienter inom sluten vård: En litteraturöversikt2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One of the most important qualities in the nursing profession is to establish a dialogue with patients to learn more about the patient's current situation. The purpose of this study is to study the stressors that affect communication between nurses and patients. Stressrelated to work causes poor physical and mental health and affects the nurses' work environment. A good nurse always tries to improve the relationship with the patients so that it is easier to get to the basic problem. A well performed communication contributes to patients feeling involved and given the opportunity to convey their experience. Aim: To clarify stress factors that affect communication between nurses and patients in inpatient care. Method: A structured literature review with elements of the methodology used in systematic literature reviews. The result contained 15 scientific articles and was taken from Psycinfo, PubMed and Cinahl. Results: Understaffing increases the nurse's workload, which minimizes the ability to see the patient's needs. Time pressure will cause the nurses to not have time to complete their work tasks, which in turn burdens their colleagues. Cultural and language barriers are one of the stressors that hinder communication between patients and nurses. Conclusions: Lack of experienced nurses increases the nurse's work-related stress, which in turn reduces the ability to see patients' needs. Documentation and understaffing creates a stressful work environment, and this leads to an increased workload. Lack of time minimizes communication between nurses and patients, which leads to a lack of nursing. Cultural differences could mean that nurses do not communicate with patients as much due to the fear of insulting the patients' culture.

  • 24.
    Ahmed, Marwo
    et al.
    Dalarna University, School of Health and Welfare.
    Ilau, Diana-Madalina
    Dalarna University, School of Health and Welfare.
    Mäns upplevelser av sexualitet efter radikal prostatektomi: En kvalitativ metasyntes2024Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The prostate is a gland located under the male bladder and surrounding the urethra. Prostate cancer is the most common form of cancer in Sweden among men. A common treatment is radical prostatectomy, which means removal of the prostate gland. One of the side effects of this treatment is erectile dysfunction, which affects over half of men after the procedure. Men's sexuality is intimately linked to the social context and can be influenced by both physiological and psychosocial factors

    Aim: To describe men's experience of sexuality after radical prostatectomy.

    Method: Meta-ethnography was chosen as the analysis method to answer the purpose of the meta-synthesis. PubMed, CINAHL and PsykINFO were used for data collection. The quality of the articles was assessed according to the Joanna Briggs review template. The results of the meta-synthesis are based on 15 scientific articles.

    Results: The result consists of three main categories that emerged during the analysis of the articles: The first main category is the experience of sexual life, which includes the subcategory Lack of support and the subcategory Restrictions on sexual activity. The second main category is Impact on psychosocial well-being and perceived emotions followed by the sub-category Life transitions and changes, impact on quality of life and the sub-category Redefining sexuality. The third main category is Changed Identity which is followed by the sub-category Loss of Confidence, Masculinity and Masculinity.

    Conclusion: Men experienced negative changes in their sexual scripts, influenced by traditional masculinity norms. For that reason, it is of great importance that this patient group receives adequate support after the operation and sexual counseling in order to promote sexual health, sexuality and to minimize negative side effects on quality of life and men's perception of masculinity and masculinity. Clinical applicability: This study may contribute to an increased insight, knowledge and understanding of men who have undergone radical prostatectomy. Which can further help midwives manage the treatment of these patients. Improved insight and understanding of the problem can promote high-quality person-centred care, reduce hospital stays and increase patients' trust in health care. 

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  • 25.
    Ahrne, Malin
    et al.
    Karolinska Institutet, Stockholm.
    Byrskog, Ulrika
    Dalarna University, School of Health and Welfare, Sexual Reproductive Perinatal Health.
    Essén, Birgitta
    Uppsala University, Uppsala.
    Andersson, Ewa
    Karolinska Institutet, Stockholm.
    Small, Rhonda
    Karolinska Institutet, Stockholm; La Trobe University, Melbourne, Victoria, Australia.
    Schytt, Erica
    Center for Clinical Research Dalarna, Uppsala University, Falun; Western Norway University of Applied Sciences, Bergen, Norway.
    Group antenatal care compared with standard antenatal care for Somali-Swedish women: a historically controlled evaluation of the Hooyo Project2023In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 1, article id e066000Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: Comparing language-supported group antenatal care (gANC) and standard antenatal care (sANC) for Somali-born women in Sweden, measuring overall ratings of care and emotional well-being, and testing the feasibility of the outcome measures.

    DESIGN: A quasi-experimental trial with one intervention and one historical control group, nested in an intervention development and feasibility study.

    SETTING: Midwifery-led antenatal care clinic in a mid-sized Swedish town.

    PARTICIPANTS: Pregnant Somali-born women (<25 gestational weeks); 64 women in gANC and 81 in sANC.

    INTERVENTION: Language-supported gANC (2017-2019). Participants were offered seven 60-minute group sessions with other Somali-born women led by one to two midwives, in addition to 15-30 min individual appointments with their designated midwife.

    OUTCOMES: Primary outcomes were women's overall ratings of antenatal care and emotional well-being (Edinburgh Postnatal Depression Scale (EPDS)) in gestational week ≥35 and 2 months post partum. Secondary outcomes were specific care experiences, information received, social support, knowledge of pregnancy danger signs and obstetric outcomes.

    RESULTS: Recruitment and retention of participants were challenging. Of eligible women, 39.3% (n=106) declined to participate. No relevant differences regarding overall ratings of antenatal care between the groups were detected (late pregnancy OR 1.42, 95% CI 0.50 to 4.16 and 6-8 weeks post partum OR 2.71, 95% CI 0.88 to 9.41). The reduction in mean EPDS score was greater in the intervention group when adjusting for differences at baseline (mean difference -1.89; 95% CI -3.73 to -0.07). Women in gANC were happier with received pregnancy and birth information, for example, caesarean section where 94.9% (n=37) believed the information was sufficient compared with 17.5% (n=7) in standard care (p<0.001) in late pregnancy.

    CONCLUSIONS: This evaluation suggests potential for language-supported gANC to improve knowledge acquisition among pregnant Somali-born women with residence in Sweden ˂10 years. An adequately powered randomised trial is needed to evaluate the effectiveness of the intervention.

    TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Registry (NCT03879200).

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  • 26.
    Ahrne, Malin
    et al.
    Karolinska Institutet, Stockholm.
    Byrskog, Ulrika
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Essén, Birgitta
    Uppsala University, Uppsala.
    Andersson, Ewa
    Karolinska Institutet, Stockholm.
    Small, Rhonda
    Karolinska Institutet, Stockholm; La Trobe University, Melbourne, Australia.
    Schytt, Erica
    Uppsala Univ, Ctr Clin Res Dalarna; Western Norway University of Applied Sciences, Bergen, Norway.
    Group antenatal care (gANC) for Somali-speaking women in Sweden - a process evaluation.2022In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 22, no 1, article id 721Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Language supported group antenatal care (gANC) for Somali-born women was implemented in a Swedish public ANC clinic. The women were offered seven 60-min sessions, facilitated by midwives and starting with a presentation of a selected topic, with an additional 15-min individual appointment before or after. The aim of this study was to assess the feasibility for participants and midwives of implementing The Hooyo ("mother" in Somali) gANC intervention, including implementation, mechanisms of impact and contextual factors.

    METHODS: A process evaluation was performed, using The Medical Research Council (MRC) guidelines for evaluating complex interventions as a framework. A range of qualitative and quantitative data sources were used including observations (n = 9), complementary, in-depth and key-informant interviews (women n = 6, midwives n = 4, interpreters and research assistants n = 3) and questionnaire data (women n = 44; midwives n = 8).

    RESULTS: Language-supported gANC offered more comprehensive ANC that seemed to correspond to existing needs of the participants and could address knowledge gaps related to pregnancy, birth and the Swedish health care system. The majority of women thought listening to other pregnant women was valuable (91%), felt comfortable in the group (98%) and supported by the other women (79%), and they said that gANC suited them (79%). The intervention seemed to enhance knowledge and cultural understanding among midwives, thus contributing to more women-centred care. The intervention was not successful at involving partners in ANC.

    CONCLUSIONS: The Hooyo gANC intervention was acceptable to the Somali women and to midwives, but did not lead to greater participation by fathers-to-be. The main mechanisms of impact were more comprehensive ANC and enhanced mutual cultural understanding. The position of women was strengthened in the groups, and the way in which the midwives expanded their understanding of the participants and their narratives was promising. To be feasible at a large scale, gANC might require further adaptations and the "othering" of women in risk groups should be avoided.

    TRIAL REGISTRATION: The study was registered in ClinicalTrials.gov (Identifier: NCT03879200).

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  • 27.
    Ajdini, Barije
    et al.
    Dalarna University, School of Health and Welfare.
    Pommer, Emelie
    Dalarna University, School of Health and Welfare.
    Kvinnors upplevelser av hedersrelaterat våld och förtryck i Sverige2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie fokuserar på ämnet kring kvinnors erfarenheter av hedersrelaterat våld och förtryck, då forskning inom detta område är begränsat i Sverige. Syftet med denna studie var att presentera hur kvinnor utsatta för hedersrelaterat våld och förtryck i Sverige beskrivit deras erfarenheter. Studien ville bland annat lyfta kvinnors känslor, vilken typ av våld de utsatts församt andra aspekter som hör till kvinnornas upplevelser inom hederskulturen de lever under. Studien var en kvalitativ systematisk litteraturöversikt med en tematisk analys av resultatet i artiklarna. Analysmetoden som användes var metaanalys, för att extrahera data från de valda artiklarna. Resultatet visade att kvinnor som upplever hedersrelaterat våld och förtryck levde under omfattande begränsningar från sina föräldrar, men även av andra familjemedlemmar samt släktingar. Olika typer av våld var förekommande, även rykten och skvaller spelar en stor roll i kvinnornas liv. Det är dessutom kvinnorna som bär ansvaret för att leva upp till hedersnormerna. 

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  • 28.
    Akash, Roshe
    Dalarna University, School of Health and Welfare.
    ”Jag klarar det här! Så länge jag har stöd.”: En kvalitativ studie om nyutexaminerade socionomers upplevelser av första tiden i arbete.2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study aimed to investigate how newly graduated social workers, in the social services' income support, experience their work in the first time after graduation, and what factors affect their experiences. This is based on requirements-, control and the support model. Data collection took place through six semi-structured interviews with newly graduated social workers who work on the social services' income support. Collected data were analyzed with thematic analysis. The results showed that newly graduated social workers experience feelings of insecurity, unpreparedness, and stress. The results also showed that quantitative workload is high, but support plays an important role in ensuring that newly graduated social workers thrive in the workplace.

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  • 29.
    Akselsson, Anna
    et al.
    Karolinska Institutet, Stockholm; Sophiahemmet University, Stockholm.
    Cabander, Lisa
    Karolinska Institutet, Stockholm.
    Thorarinsdottir, Steinunn
    Karolinska Institutet, Stockholm.
    Small, Rhonda
    Karolinska Institutet, Stockholm; School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.
    Ternström, Elin
    Dalarna University, School of Health and Welfare, Sexual Reproductive Perinatal Health. Karolinska Institutet, Stockholm.
    Language-supported labor ward visits for pregnant migrant women: Staff experiences in a Swedish hospital2022In: European Journal of Midwifery, E-ISSN 2585-2906, Vol. 6, article id 43Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: The aim of this study was to explore midwives' and assistant nurses' experiences of providing extra support to non-Swedish-speaking migrants by offering individual language-supported visits to the labor ward during pregnancy.

    METHODS: Semi-structured interviews were conducted with six guides, midwives or assistant nurses, working in the INFÖR (Individuell förlossningsförberedelse) project at Södertälje hospital in Sweden. INFOR includes a two-hour individual language-supported visit at the labor ward, for non-Swedish speaking pregnant women and their partners. An inductive thematic analysis was conducted.

    RESULTS: The guides described INFOR as being a bridge and creating safety, achieved by meeting with women and providing practical information. The guides felt that they fulfilled an important purpose, they were dedicated and adapted to the women's individual needs. Providing extra language-assisted support to migrant pregnant women was developing and enriching, but the guides highlighted some barriers. Communicating via an interpreter was a challenge and the women were in need of more and extended meetings. The guides wished that INFOR could become a standard part of antenatal care, but the model needs to be further developed, and a better system for recruitment must be introduced.

    CONCLUSIONS: The guides experienced that the INFOR model is valuable in creating safety to pregnant migrant women before birth. The model is appreciated by the expectant couples, midwives and assistant nurses, and could be implemented as standard care. However, it is important to adapt the visits to the women's and their families' needs and goals, and structure needs to be developed before implementation.

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  • 30.
    Akselsson, Anna
    et al.
    Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
    Westholm, Lena
    Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
    Small, Rhonda
    Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; Judith Lumley Centre, La Trobe University, Melbourne, Australia.
    Ternström, Elin
    Dalarna University, School of Health and Welfare, Sexual Reproductive Perinatal Health.
    Midwives' communication with non-Swedish-speaking women giving birth: A survey from a multicultural setting in Sweden2022In: European Journal of Midwifery, E-ISSN 2585-2906, Vol. 6, article id 38Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: The European Union faces challenges related to migration, cultural diversity and health. Immigration to Sweden has increased and a third of all women giving birth were born outside Sweden. A higher risk for negative pregnancy outcomes is seen among foreign-born women and one of the explanations given is inadequate communication. Midwives in Sweden have responsibility for normal birth. This study aimed to investigate labor ward midwives' experiences of caring for and communicating with women who do not speak and understand the Swedish language.

    METHODS: A questionnaire based on the Migrant Friendly Hospital questionnaire was distributed to all 46 midwives working on the Södertälje Hospital labor and postpartum ward in 2018 and 32 completed it (70%).

    RESULTS: Most of the midwives thought communication and giving support to non-Swedish speaking women during birth was difficult or very difficult (n=31; 97%). The quality of the professional interpreters' work was reported as good or very good by most of the midwives (n=31; 97%). However, the most common resource for facilitating communication during labor was an adult relative (always/often: n=25; 83%). Increased availability was the most common response for improving the interpreter service (n=22; 69%), as well as increasing the number of languages available for interpreter services (n=8; 25%).

    CONCLUSIONS: When women are giving birth, it is of the highest priority to improve communication between midwives and non-Swedish-speaking women. Better strategies for improving communication must be implemented in order to comply adequately with Swedish law and achieve equitable care of high quality for all, regardless of linguistic background.

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  • 31.
    Alalauri, Sandra
    et al.
    Dalarna University, School of Health and Welfare.
    Rönnblad, Charlotta
    Dalarna University, School of Health and Welfare.
    Coronapandemins påverkan på vårdpersonalens psykiska hälsa – en litteraturöversikt2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is common throughout the world and is an increasing condition. In order for a person to be able to handle crises and difficulties in life, good mental health is basically required, which can be affected if the person's life situation changes. The Coronavirus causes a serious situation, where social isolation can affect mental health.Aim: To describe the Coronapandemic`s negative impact on the mental health of healthcare workers and its underlying factors.Methods: The thesis was conducted as a literature review based on 15 scientific articles published between 2020-2021.Results: The Coronapandemic and the measures taken have greatly affected the mental health of the world, not least among healthcare workers. The pandemic has contributed depression, anxiety, stress, post-traumatic stress disorder and difficulties sleeping. Contributing factors have been high workload, lack of protective equipment, concerns about the spread of infection, sharp changes in work and stress outside work.Conclusion: Coronapandemic stresses on healthcare have affected the mental health of healthcare workers. The fear of infecting a family, the feeling of insecurity and high workload have contributed depression, anxiety, stress, post-traumatic stress disorder and sleep disorders. Good physical and mental health of healthcare workers promotes patient safety and in order to provide safe care during an ongoing crisis, the well-being of healthcare professionals needs to be promoted. Healthcare workers with mental illness need to be caught early and given the opportunity to recover during and after a crisis such as the Coronapandemic.

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  • 32.
    Albatroukh, Miar
    et al.
    Dalarna University, School of Health and Welfare.
    Kareem, Ilina
    Dalarna University, School of Health and Welfare.
    ”Sociala medier – Vän eller fiende?”: En kvalitativ studie om hur sociala medier påverkar unga flickors psykiska hälsa utifrån kuratorers perspektiv2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Research shows that mental illness in young people is increasing, especially in young girls. This study´s aim was to investigate counsellor’s-'knowledge and experiences about young girls' mental health and the use of social media, as well as its impact on young girls. The method in the survey has been qualitative, semi-structured interviews with goal-oriented selection that is fundamental. All the data were processed through thematic analysis to clearly describe the results. The results of the study have shown that body dissatisfaction, weight gain and comparison with others on social media are very occurring among young girls, which can cause mental illness in the form of anxiety, depression, and performance anxiety. In addition, cyberbullying is common among young girls on social media. The results also show that selfconfidence and self-esteem in girls have been negatively affected and resulted in mental illness increasing with the use of social media.

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  • 33.
    Ali Mohamud, Faduma
    et al.
    Dalarna University, School of Health and Welfare.
    Ahmed, Zamzam
    Dalarna University, School of Health and Welfare.
    Livsberättelsen som ett verktyg för sjuksköterskor vid arbete med demenssjukdom: en litteraturöversikt2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Today, there are approximately 150,000 people with dementia in Sweden, dementia entails an increased need for nursing care. Person-centred care is one of the nurse's core competencies and nursing must be carried out based on a person-centred approach. The life story is the person's own experiences, past and stories and can be used as a tool for person-centered work.

    Aim The aim of this study is to describe the nurse's experience of using the life story as a tool in nursing people with dementia.

    Method A structured systematic literature study with elements of methodology used in systematic reviews. The result was based on 13 qualitative articles , which were analyzed and reviewed by the authors based on an overall perspective. The result has been compiled based on the articles' similarities and differences after dividing the articles into different categories.

    Results The analysis resulted in three themes which were Creating an understanding of the person behind the illness, Enables individual adaptations of the care, Time-consuming to use the life story. The literature review shows that nurses feel that the use of life story is positive when caring for people with dementia. By getting to know the person behind the illness, the nurses could more easily understand the person's wishes and needs and thus promote well-being. Staff-shortage and lack of time was two challenges for the nurse.

    Conclusion The life story is a tool that was considered to contribute to person-centered care, however, it turned out to be time-consuming where the care is not always organized in a way where the possibility of working with the life story is not always available. 

  • 34.
    Allringer, Emilia
    et al.
    Dalarna University, School of Health and Welfare.
    Hagström, Moa
    Dalarna University, School of Health and Welfare.
    “I jämförelsen kan man alltid hitta ett sätt att förlora”: En kvalitativ intervjustudie om pressen att prestera socialt i skolan som social arena2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to investigate how staff in student health teams at high school perceives how the pressure to perform socially in the social arena of school affects the students and how staff prevent, or perceive that they should work preventively against this. The study is based on eight qualitative, semi-structured interviews with staff from student health-teams at high schools. The collected data was analyzed using thematic analysis. The results show that staff from the student health-teams perceived that students may feel pressure and stress to live up to some form of expectations set by themselves and others. This can lead to psychosomatic issues, condescending thoughts and self-valuations. The results also show that preventive work can focus on making norms visible and talk about what they mean and how they affect us. That can give the students an understanding of what unconsciously affects them and their well-being.

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  • 35.
    Almquist, Lilly
    et al.
    Dalarna University, School of Health and Welfare.
    Andersson, Tilda
    Dalarna University, School of Health and Welfare.
    Barndomstraumas påverkan på psykisk ohälsa i vuxen ålder: En litteraturöversikt2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Persons who have suffered mental trauma could fall victim to mental illness from this. A traumatic experience could mean mental, physical and sexual abuse, threats of violence, bullying or other stressful events. Children who suffer from trauma have a higher risk of suffering from long-term issues, due to the fact that they are undergoing development in life. The registered nurse plays an important roll in the meeting with persons that have been affected by mental illness, by highlighting their own esources and also by encouraging recovery.

    Aim: The aim of the literature review was to describe the correlation between childhood trauma and mental illness in adulthood.

    Method: The structured literature review was based on 13 scientific articles, two articles with qualitative design and eleven with quantitative design. The article search was done in the databases CINAHL, PsycINFO and Web of Science. The chosen articles have been analysed according to Friberg’s five step model.

    Results: The results of the literature review was based on two main categories: Consequences of mental trauma in childhood and Factors which increase the risk for mental illness with their six belonging sub categories. The result concluded that mental trauma in childhood had major negative consequences in adulthood. Repetitive traumatic events, what gender the affected person has and the persons age plays a major role in whether the person develops mental illness following childhood trauma.

    Conclusions: The literature review highligts the negative psychological consequenses a person suffers in adulthood following childhood trauma. Children are a vulnerable group and have a greater risk of developing mental illness. There are other reasons than childhood trauma for a person to develop mental illness. However, it is important that the vulnerable person recieves support, where a registered nurse has a significant role in the meeting with the person, to reduce suffering and promote recovery. Thus, it is important to identify a vulnerable child early to reduce the risk of mental illness in adulthood. 

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  • 36.
    Almquist Pessoa, Hanna
    et al.
    Dalarna University, School of Health and Welfare.
    Gorab, Ione
    Dalarna University, School of Health and Welfare.
    Att främja ett säkert och hälsosamt självbestämmande: En kvalitativ studie om personalens hantering av dilemman mellan omvårdnad och självbestämmande inom LSS2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to investigate how staffs at group housing and service housing manage dilemmas between nursing and self-determination. Experiences of dilemmas, how they manage these dilemmas and factors that determined their actions were explored. The data were collected through six semi-structured interviews with staffs in group housing and service housing and was analyzed using a thematic analysis. The result showed that the staff face many dilemmas, and their management of these situations is always based on self-determination. Communication was also a significant part of how they manage the dilemmas. Furthermore, the study showed that staffs deal with dilemmas based on their own intention - to promote self-determination and nursing. Their actions are based on what they can do morally and organizationally as well as the patients’ actions.

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  • 37.
    Alsalman, Aymen
    et al.
    Dalarna University, School of Health and Welfare.
    Dimas, Lorena
    Dalarna University, School of Health and Welfare.
    Sjuksköterskors upplevelser av språkbarriär vid omvårdnad: En litteraturöversikt2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The presence of a language barrier in health care affects the ability of nurses to perform nursing. Communication is identified as an important factor between the nurse and the patient to promote high quality care. The opportunity to obtain cultural competence increases the quality of care.Aim: The aim of the literature review is to describe the nurse's experience of language barrier , and nurses' strategies for overcoming them in nursing.Method: The study was conducted as a literature review with a systematic search strategy and was based on 13 qualitative and two mix method scientific articles. Article searches were performed in databases CINAHL and Pubmed.Results: The results of the literature review shows that nurses face challenges that prevent the promotion of good and safe care when a language barrier occurs. Nurses experience that through the use of professional and non-professional interpreters they have their advantages and disadvantages. Nurses strive to overcome the language barrier by using different strategies.Conclusion: Language barrier is an obstacle to providing individual caring and being able to make an assessment of the patient's care needs. Language barrier is a threat to patient safety. Professional and non-professional interpreters increases the risk that the patient will not recive correct information.

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  • 38. Alvarez-Nieto, Carmen
    et al.
    Richardson, Janet
    Navarro-Peran, M. Angeles
    Tutticci, Naomi
    Huss, Norma
    Elf, Marie
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Anåker, Anna
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Aronsson, Jennie
    Baid, Heather
    Lopez-Medina, Isabel M.
    Nursing students' attitudes towards climate change and sustainability: A cross-sectional multisite study2022In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 108, article id 105185Article in journal (Refereed)
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  • 39.
    Amanatidou, Rebecka Efstathia
    Dalarna University, School of Health and Welfare.
    Akuta och långsiktiga effekter av Seniorpuls: ett projekt genomfört av Örebro kommun2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte Syftet med denna studie var att undersöka de akuta och långsiktiga effekterna av Seniorpuls avseende uppskattad allmän och psykisk hälsa, levnadsvanor, fallrisk, socialstatus, trygghet och ekonomi, livskvalitet samt fysisk status hos personer som är 65 år eller äldre.

    Metod Urvalet baserades på sju deltagare från Örebro kommuns projekt Seniorpuls. Deltagarna var 65 år eller äldre, självständiga och kunde ta sig själva till och från samt delta i projektets aktiviteter. Deltagarna har två gånger per vecka i tolv veckor deltagit i projektets aktiviteter som bestod av fysisk aktivitet samt diskussioner med olika teman inom hälsa och välmående. För att kunna utvärdera effekten av projektet genomfördes fyra hälsotesttillfällen (T1- T4) samt fyra enkättillfällen (E1-E4). De tre hälsotesterna bestod av diastoliskt (DBLTR) och systoliskt (SBLTR) blodtryck, Timed Get Up and Go-test (TUG) och Chairstand-test. Hälsoenkätens testvariabler utgörs av skattningar av deltagare i Seniorpuls.

    Resultat Deltagarnas DBLTR sjönk signifikant mellan T1 och T4 (p < 0,05). De genomförde TUG-testet snabbare vid T2 jämfört med T1 och den positiva effekten kvarstod vid T3 och T4. Deltagarna blev mindre nöjda efter avslutat projekt (från T3 till T4), medan det för övriga testvariabler inte sågs några signifikanta skillnader under perioden T1-T4.

    Slutsatser Effekten av Seniorpuls-projekt gav en sänkning av det diastoliska blodtrycket samt förbättrades förmågan att resa sig och gå snabbt en kort sträcka. Deltagarna blev mer missnöjda med livet de lever sex månader efter första uppföljningstillfället. Övriga testvariabler var oförändrade.

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  • 40.
    Aminoff, Stephanie
    et al.
    Dalarna University, School of Health and Welfare, Sexual Reproductive Perinatal Health.
    Hellander, Solveig
    Dalarna University, School of Health and Welfare, Sexual Reproductive Perinatal Health.
    Förlossningsupplevelsen under covid-19 pandemin: En integrativ litteraturstudie ur den födandes perspektiv2023Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Covid-19 pandemic have had a major impact on the healthcare system, both globally and nationally. A variety of guidelines and policies from hospitals and governments affected the maternity care. Because of guidelines and policies women have been limited in their options regarding their childbirth, and the opportunity to bring a partner, doula or support person has been uncertain. Aim: The aim of this study was to, from the birthing persons perspective, investigate how the covid-19 pandemic affected their birth experience. Method: Integrative literature review. A systematic search was conducted in the databases PubMed and Cinahl. Inclusion- and exclusion criteria were chosen, quality was assessed, and data was extracted from relevant studies. In the data analysis a qualitative content analysis with a deductive approach was used. Findings: A total of 16 articles were included. Guidelines and policies aiming to protect women led to feelings of loss of autonomy, and disappointment regarding the birth plans and wishes. Women gave birth alone, some women without pain relief, some have been separated from their newborn, and some did not received information or options regarding their birth. Conclusion and clinical implications: Based on the recommendations regarding intrapartum care for a positive birth experience, restrictions during the pandemic have restricted the woman's right to a positive birth experience. Therefore, when guidelines arise during a pandemic, it is important to consider the evidence that already exists to promote a good birth experience.

  • 41.
    Ampén, Ida
    et al.
    Dalarna University, School of Health and Welfare.
    Broberg, Sanne
    Dalarna University, School of Health and Welfare.
    Erfarenhet av amning och förväntningar inför kommande amning - mödrars perspektiv: En studie med mixad metod2024Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Breastfeeding is a safe and effective way to promote the health of the child and the mother, but despite this, a decrease in breastfeeding is seen in Sweden. Previous studies show that mothers' experiences and expectations of breastfeeding vary greatly, and with that the need for support and help from the health care system also varies.

    Aim The aim was to describe mothers' experiences of breastfeeding and expectations before future breastfeeding.

    Method This study has processed data from a previous pilot study. Twelve quantitative and qualitative questions have been analyzed according to a mixed method with convergent design. A total of 32 pregnant women participated in the pilot study.

    Results The results suggest that mothers have both positive and negative experiences of and expectations before breastfeeding that are enclosed by closeness, interplay and love as well as worry, aversion and complications. The result is presented under the summary main theme "Drops that hold oceans of emotions".

    Conclusions The result suggests that breastfeeding is accompanied by extensive emotions. Breastfeeding can be experienced as valuable, healthy and promoting attachment, but it can also bring hardship. For some mothers, breastfeeding seems to create a series of negative emotions that are bordered by both pain, concern, aversion and sexualization. The result also suggests a lack of support from the health care system.

  • 42.
    Amran, Mohammad Yosuf
    Dalarna University, School of Health and Welfare.
    Health in Crisis: An Integrative Review of Sexual and Reproductive Health in Humanitarian Settings2023Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual and Reproductive Health (SRH) is a cornerstone of overall health, particularly in fragile humanitarian contexts. Despite being recognized as a fundamental human right, access to quality SRH services is often significantly restricted in crisis situations. This limitation can lead to damaging health outcomes for women, children, and marginalized groups. Given this reality, there is an urgent need for an enriched understanding of SRH in area simpacted by conflicts, disasters, and population displacements. With global trends such as increasing forced migration and escalating crises, a thorough re evaluation of the challenges and potential solutions associated with SRH in these contexts is crucial.

    Aim: The aim of the integrative review is to describe the current status of sexual and reproductive health (SRH) services and interventions in humanitarian settings and explore key challenges in sexual and reproductive health services in these settings.

    Methodology: This integrative literature review analyzed and synthesized 22 research papers through inductive methodology by Elo and Kyngäs (2008).

    Results: This in-depth review of studies from a wide range of humanitarian environments worldwide, has unveiled critical insights into the hurdles surrounding Sexual and Reproductive Health (SRH) services. Firstly, barriers to accessibility and awareness prevent individuals from acquiring vital SRH knowledge and services, and this prevention is often intensified by sociocultural stigmas. Educational and language obstacles further amplify these challenges, particularly for migrants. This review also underscores the severe impact of gender-based violence (GBV) and early or forced marriages on SRH outcomes.

    Conclusions: This analysis reveals key obstacles that obstruct the provision of SRH services in humanitarian settings. Acknowledging these issues enables decision-makers to plan effectivestrategies and interventions to address the SRH needs in these settings. Exploration of each barrier and seeking holistic solutions to overcome these challenges is suggested.

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  • 43. Amritzer, Maria A
    et al.
    Muntlin, Åsa
    Berg, Lena M
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Göransson, Katarina E
    Nursing staff ratio and skill mix in Swedish emergency departments: A national cross-sectional benchmark study.2021In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 29, no 8, p. 2594-2602Article in journal (Refereed)
    Abstract [en]

    AIM: To describe ratio and skill mix for nursing staff in Swedish emergency departments over a specific 24-hour period.

    BACKGROUND: The link between number of patients per nursing staff and missed nursing care is well described within the in-hospital setting, showing association with negative outcomes such as increased mortality. Potential association within the emergency department setting is still unexplored.

    METHOD: A national descriptive cross-sectional benchmark study.

    RESULTS: The majority (n=54; 89%) of Swedish emergency departments participated. The patients-per-registered nurse ratio varied between the shifts, from 0.3 patients to 8.8 patients (mean 3.2). The variation of patients per licensed practical nurse varied, from 1.5 to 23.5 patients (mean 5.0). The average skill mix was constant at around 60% registered nurses and 40% licensed practical nurses.

    CONCLUSION: The varying ratios for patient per registered nurse and licensed practical nurse in Swedish emergency departments is noteworthy. Furthermore, the patient flow and nursing staff numbers did not match one another, resulting in higher nursing staff ratios during the evening shift.

    IMPLICATIONS FOR NURSING MANAGEMENT: Findings can be used to improve rosters in relation to crowding, to manage the challenging recruitment and retention situation for nursing staff and to improve patient safety.

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  • 44. Amritzer, Maria
    et al.
    Göransson, Katarina
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Berg, Lena
    Nymark, Carolin
    A new perspective of missed nursing care – the emergency department context: a descriptive, cross-sectional study2023In: Journal of Emergency Nursing, ISSN 0099-1767, E-ISSN 1527-2966Article in journal (Refereed)
  • 45.
    Anderberg, Mats
    et al.
    Department of Social Work, Linnaeus University.
    Jess, Kari
    Dalarna University, School of Health and Welfare, Social Work.
    Forkby, Torbjörn
    Department of Social Work, Linnaeus University.
    Reinventing the wheel?: Children’s wellbeing in the journey along the GIRFEC stream2023In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588Article in journal (Refereed)
    Abstract [en]

    The Wellbeing Wheel is a tool used for early detection, assessment, and planning around children. This study examines how this artefact has been translated from Scotland to Sweden and what that process involved in relation to transformation from the original ideas when travelling from one specific context to another. The analysis was based on three graphic wheels and their supporting documentation, interviews, and field notes. The results reveal great similarity in the overall ‘spirit’ of the work performed to introduce the Wellbeing Wheel to the Swedish context, but on several points significant differences can also be noted, with some content being removed or relocated, and new content being added. These changes were conscious and intentional in some instances, while others arose spontaneously and ad hoc during the development processes. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

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  • 46.
    Andersdotter, Nora
    et al.
    Dalarna University, School of Health and Welfare.
    Robbertse, Tanya
    Dalarna University, School of Health and Welfare.
    Combating Gender-Based Violence through Education: An interview study with educators in Gauteng, South Africa, about Gender-Based Violence in the Life Orientation curriculum2021Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BackgroundGender-Based Violence (GBV) is a global problem rooted in gender inequality. South Africa has exceptionally high rates of GBV. Despite the fact that Comprehensive Sexuality Education (CSE) has been taught as part of the school subject Life Orientation to teach topics like gender equality, studies have demonstrated inconsistent implementation of this curriculum.AimTo investigate Life Orientation educators’ experiences of teaching the curriculum in relation to GBV and gender equality and manging the issue of GBV in public schools located in the Gauteng province, South Africa, and gain information about the challenges educators experience and what they think is needed to actively work towards preventing GBV in schools.Research DesignA qualitative research design was utilised.MethodTwelve participants were interviewed online using a semi-structured interview guide. The data was transcribed, coded, and analysed using inductive thematic analysis.ResultsThe results indicate that the participating educators experience various challenges and have diverse views on potential improvements. Limited educational and training resources, deep-rooted views of gender roles and cultural traditions, limited recognition of the subject’s importance by educational authorities, as well as uncertainty regarding existing school GBV policies are crucial findings on how the educators experience teaching GBV.ConclusionThis study identified challenges and the potential benefits of improved educator training to address the topic of GBV, more detailed coverage of GBV in the curriculum, increased awareness surrounding GBV and allocating more time to these concepts.

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  • 47.
    Andersen, Randi Dovland
    et al.
    Department of Research Telemark Hospital Skien Norway; Research Center for Habilitation and Rehabilitation Services and Models (CHARM) Institute of Health and Society University of Oslo Oslo Norway.
    Genik, Lara
    Department of Psychology University of Guelph Guelph ON Canada.
    Alriksson-Schmidt, Ann I
    Department of Clinical Sciences Lund Skåne University Hospital Orthopedics Lund University Lund Sweden.
    Anderzen-Carlsson, Agneta
    University Health Care Research Center and Swedish Institute for Disability Research Faculty of Medicine and Health Örebro University Örebro Sweden.
    Burkitt, Chantel
    Gillette Children's Specialty Healthcare Saint Paul MN USA; Department of Educational Psychology University of Minnesota Minneapolis MN USA.
    Bruflot, Sindre K
    Telemark Chapter of the Norwegian Cerebral Palsy Association Skien Norway.
    Chambers, Christine T
    Departments of Psychology & Neuroscience and Pediatrics Dalhousie University Halifax NS Canada; Centre for Pediatric Pain Research IWK Health Centre Nova Scotia Canada.
    Jahnsen, Reidun B
    Research Center for Habilitation and Rehabilitation Services and Models (CHARM) Institute of Health and Society University of Oslo Oslo Norway; Department of Clinical Neurosciences for Children Oslo University Hospital Oslo Norway.
    Jeglinsky-Kankainen, Ira
    Department of Health and Welfare Arcada University of Applied Sciences Helsinki Finland.
    Wallin, Lars
    Dalarna University, School of Health and Welfare, Caring Science/Nursing.
    Pain burden in children with cerebral palsy (CPPain) survey: Study protocol2022In: Paediatric & neonatal pain, ISSN 2637-3807, Vol. 4, no 1, p. 11-21Article in journal (Refereed)
    Abstract [en]

    Pain is a significant health concern for children living with cerebral palsy (CP). There are no population-level or large-scale multi-national datasets using common measures characterizing pain experience and interference (ie, pain burden) and management practices for children with CP. The aim of the CPPain survey is to generate a comprehensive understanding of pain burden and current management of pain to change clinical practice in CP. The CPPain survey is a comprehensive cross-sectional study. Researchers plan to recruit approximately 1400 children with CP (primary participants) across several countries over 6-12 months using multimodal recruitment strategies. Data will be collected from parents or guardians of children with CP (0-17 years) and from children with CP (8-17 years) who are able to self-report. Siblings (12-17 years) will be invited to participate as controls. The CPPain survey consists of previously validated and study-specific questionnaires addressing demographic and diagnostic information, pain experience, pain management, pain interference, pain coping, activity and participation in everyday life, nutritional status, mental health, health-related quality of life, and the effect of the COVID-19 pandemic on pain and access to pain care. The survey will be distributed primarily online. Data will be analyzed using appropriate statistical methods for comparing groups. Stratification will be used to investigate subgroups, and analyses will be adjusted for appropriate sociodemographic variables. The Norwegian Regional Committee for Medical and Health Research Ethics and the Research Ethics Board at the University of Minnesota in USA have approved the study. Ethics approval in Canada, Sweden, and Finland is pending. In addition to dissemination through peer-reviewed journals and conferences, findings will be communicated through the CPPain Web site (www.sthf.no/cppain), Web sites directed toward users or clinicians, social media, special interest groups, stakeholder engagement activities, articles in user organization journals, and presentations in public media.

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  • 48.
    Andersson, Anita
    et al.
    Dalarna University, School of Health and Welfare.
    Johansson, Tina
    Dalarna University, School of Health and Welfare.
    Sjuksköterskors erfarenheter av arbetsmiljön inomslutenvård under covid-19 pandemin: En litteraturöversikt2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The work environment has both physical and mental significance for the quality of care. During the Covid-19 pandemic, working conditions changed markedly and nurses experienced new challenges in the work environment. Aim: The purpose was to describe nurses’ experiences of working environment in hospitals during the covid-19 pandemic. Method: A literature review with an inductive approach, the results of which are based on fifteen scientific articles. Search for scientific articles has been conducted with systematic search in the databases CINAHL and PubMed. Results: The result was divided into three categories and seven subcategories. It was Changes in the work environment with subcategories; Experiencing increased workload and Experiencing difficulties with changed working conditions. Obstacles in the work environment with subcategories; Experiencing limitations and difficulties in nursing situations and To experience uncertainty at work and Experiencing fear of the infection. Opportunities in the work environment with subcategories; To experience the feeling of positive teamwork and To experience a supportive management and get the opportunity for further training in the workplace. Conclusions: Increased workload during the covid-19 pandemic contributed to reduced recovery and the risk of poorer quality of care. Nurses experienced discomfort using protective equipment and insecurity moving between different workplaces. Care was limited by the risk of infection, which challenged patient safety. Communication between organization/management was worse. This caused stress and frustration among nurses. At the same time, nurses experienced positive teamwork.

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  • 49.
    Andersson, Cecilia
    et al.
    Dalarna University, School of Health and Welfare.
    Möller, Åsa
    Dalarna University, School of Health and Welfare.
    Våld mot kvinnor i nära relation – faktorer som kan påverka sjuksköterskors identifiering av våldsutsatta kvinnor: en litteraturöversikt2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Violence in intimate relationships is a global health problem and leads to many and serious consequences for women. The nurse must work to promote health and human rights and relieve suffering and therefore has an important role in the work against violence in close relationships.

    Aim The purpose was to highlight factors that can affect the nurses ability to identify women who are exposed to violence in close relationships.

    Method A literature review based on 13 scientific articles of both quantitative and qualitative approach. The articles were retrieved by database search and manual search in CINAHL and PubMed. The results were analyzed using content analysis.

    Results The results revealed facilitating and hindering factors that influenced the identification of abused women. Facilitating factors for identifying intimate partner violence were experience, knowledge, visible signs of violence, access to screening tools and good communication. Obstructing factors were limited experience, limited knowledge, work environment, organization, emotional distancing, personal values and attitudes.

    Conclusions The nurse needs to gain increased knowledge both in basic education and ongoing competence development about violence in intimate relationships. The health care system needs clear guidelines and the right screening tools for the nurse to be able to identify and care for women exposed to violence. The nurse needs to maintain a professional approach to women exposed to violence in a close relationship and ignore their own personal prejudices.

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  • 50.
    Andersson, Charlotte
    et al.
    Dalarna University, School of Health and Welfare.
    Rockmyr, Caroline
    Dalarna University, School of Health and Welfare.
    Kvinnors upplevelser av sin sexualitet under och efter klimakteriet: En kvalitativ metasyntes2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Backgound: All people of all ages have the right to achieve good health and well-being. Sexuality is described as a central aspect for women during menopause as good sexual health can increase women's quality of life. However, menopausal symptoms and sexual dysfunction are common among women during and after menopause, which have negative impact on women's sexuality and sexual well-being. To ensure healthy lives and promote well-being for these women, access to good sexual health care is needed.

    Aim: The purpose of this metasynthesis was to investigate how women experience their sexuality during and after menopause.

    Method: Qualitative metasynthesis with a meta-ethnographic analysis method. Databases included were CINAHL, PsycInfo, PubMed och Web of science. After quality review, 13 articles remained to represent the results of the metasynthesis.

    Result: Four main themes have been identified, Lust, Change in body image and its significance, External factors and "Job as a wife". The result also identified seven sub-themes, Symptoms, Transition of Lust, Acceptance, Strategies and Communication, Intimacy, Information and Adaptation.

    Conclusion: The results of the meta-synthesis showed that menopause brought changes that had an impact on women's experience of their body image and sexual desire. As a result of decreased desire, women avoided sexual activities, which had a negative impact on their well-being and relationships. External factors also affected women's sexuality. The partner's role and actions influenced the women's experience of their sexuality, which meant that the woman often adapted her sexual needs to the partner's needs and function.

    Clinical implications: The results of the metasynthesis can primarily be used by midwives but also by other healthcare professionals to increase knowledge about how women experience their sexuality during and after menopause in order to better respond and provide information to these women. As a suggestion, the midwife can make it possible for women to meet for discussion and highlight questions and experiences concerning sexuality and sexual health.

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