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  • 251.
    Engström, Gabriella
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Marmstål Hammar, Lena
    Mälardalens högskola.
    Williams, Christine
    Florida Atlantic University.
    Götell, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Evaluation of communication behavior in persons with dementia during caregivers’ singing2011In: Nursing Reports, ISSN 2039-439X, E-ISSN 2039-4403, Vol. 1, no 4, p. 15-20Article in journal (Refereed)
    Abstract [en]

    The number of persons with dementia (PWD) is increasing rapidly worldwide. Cognitive impairments and communication difficulties are common among PWD. Therefore, gaining mutual togetherness in caring relation between PWD and their caregivers is important. This study was to investigate the effects of music therapeutic care (MTC) during morning care situations on improving verbal and nonverbal communication behaviors in people with dementia. An observation study with 10 PWD participating. Videotaped interactions (VIO) between PWD and their caregivers were conducted during eight weekly sessions, four recordings consisted of usual morning care and four recordings were of morning care with MTC intervention. The Verbal and Nonverbal Interaction Scale was used to analyze the recorded interactions at a later time. The unsociable verbal variable Cursing decreased significantly (P=.037) during MTC when compared with the baseline measurement. A significant (P=.000) reduction was observed for the unsociable nonverbal variable Does not respond to question. MTC significantly (P=.01) increased the mean score for the sociable nonverbal variable – Calm – relaxed. For sociable verbal communication, significant differences were observed for the variables Use coherent communication (P=.012), Use relevant communication (P=.009), Responds to questions (P=.000), Humming (P=.004), Singing (P=.000). MTC during morning care situations can be an effective non-pharmacological treatment, as well as nursing intervention in order to improve sociable communication behaviors, as well as reduce unsociable communication behaviors of PWDs

  • 252.
    Engström, Gabriella
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Marmstål Hammar, Lena
    Mälardalens högskola.
    Williams, Christine
    , Florida Atlantic University.
    Götell, Eva
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    The Impact of Singing in Caring for a Person With Dementia: Single Case Analysis of Video Recorded Sessions2011In: Music and Medicine, ISSN 1943-863X, Vol. 3, no 2, p. 95-101Article in journal (Refereed)
  • 253.
    Engvall, Oksana
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Mossberg, Natalja
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Riskfaktorer och förebyggande omvårdnadsåtgärder för trycksårsutveckling vid intra – och postoperativ vård.2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet var att beskriva vilka riskfaktorer som kan föreligga avseende utveckling av trycksår i samband med operation samt vilka förebyggande omvårdnadsåtgärder sjuksköterskan bör utföra för att reducera risken att patienten utvecklar trycksår intra- och postoperativt. Metod: En litteraturstudie som inkluderade 15 vetenskapliga artiklar. Artikelsökning gjordes i databaser som Cinahl, PubMed. Alla 15 artiklar var av kvantitativ ansats med hög eller medelhög kvalitet. Resultat: I resultatet presenterades att riskfaktorer som hög ålder, nedsatt nutritionsstatus, diabetes, hjärt-kärlsjukdomer, lungsjukdomar, operationstiden och väntan på operation var relevanta för trycksårsutvecklingen i samband med operation. Signifikanta omvårdnadsåtgärder påvisades vara att hålla patienten varm under operation och rätt användning av tryckavlastande hjälpmedel. I det postoperativa skedet var det viktigt med förbättring av nutritionsstatus samt klinisk observation av huden och tillämpning av riskbedömningsinstrument. Slutsats: Det krävdes mer kunskap och medvetenhet om riskfaktorer för utveckling av trycksår samt insats, hos både allmänsjuksköterskor och specialistsjuksköterskor för att förebygga trycksår i samband med operation. Att formulera och tillämpa en individuell omvårdnadsplan ansågs vara betydelsefull i det förebyggande arbetet mot trycksår.

  • 254.
    Ericson, Jenny
    et al.
    Department of Paediatrics, Falu Hospital.
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Estimated breastfeeding to support breastfeeding in the neonatal intensive care unit2013In: Journal of Obstetric, Gynecologic and Neonatal Nursing, ISSN 0884-2175, E-ISSN 1552-6909, Vol. 42, no 1, p. 29-37Article in journal (Refereed)
    Abstract [en]

    Objective. To evaluate the effects of estimated breastfeeding on infant outcomes in comparison to test weighing and to describe staff members experiences of estimated breastfeeding as a method for supporting the transition from tube feeding to breastfeeding.

    Design. A mixed method evaluation. Setting Neonatal Intensive Care Unit (NICU) in Sweden. Participants The study included 365 preterm (25th36th gestational weeks) infants and 45 nurses or nurse assistants. Methods A retrospective comparative medical record study was used to assess infant outcomes during a period of test weighing (196 infants) and again after the implementation of estimated breastfeeding (169 infants). A qualitative survey was conducted to explore the staff experiences of estimated breastfeeding.

    Results. No differences were found between groups regarding duration of tube feeding, length of hospital stay, gestational age, weight at discharge, and rate of any breastfeeding. Infants in the estimated breastfeeding group had a higher risk of not being exclusively breast milk fed than infants in the test-weighing group (OR = 2.76, CI [1.5, 5.1]). Staff perceived estimated breastfeeding as a more facilitative and less stressful method for mothers than test weighing. Some staff had difficulty following guidelines while simultaneously providing person-centered care.

    Conclusions. Estimated breastfeeding is a nonintrusive and feasible method for assessing and supporting the transition from tube feeding to breastfeeding among preterm infants in a NICU. However, the increased risk for not being exclusively breastfed is of concern. Additional research is needed to assess whether this method is appropriate and feasible in varying contexts and cultures. JOGNN, 42, 29-37; 2013. DOI: 10.1111/j.1552-6909.2012.01423.x

  • 255.
    Ericson, Jenny
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Palmér, Lina
    Experiences of breastfeeding support in mothers of preterm infants2018Conference paper (Refereed)
  • 256.
    Erika, Jäderström
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nygren, Michael
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Omvårdnadsinsatser av sjuksköterskan med betydelse för följsamhet till rekommenderade livsstilsförändringar vid behandling av hypertoni.: En litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hypertoni är ett hälsoproblem världen över och även en av de främsta riskerna för kardiovaskulära sjukdomar som är en stor orsak för dödsfall i världen. En orsak till hypertoni är livsstilen. Faktorer som kost, rökning, alkohol, fysisk aktivitet och stress spelar in. Det är också livsstilen som kan behöva förändras när en person har hypertoni. En av sjuksköterskans arbetsuppgifter är att upptäcka det förhöjda blodtrycket och identifiera de hälsorisker som finns. Syfte: Att undersöka vilka omvårdnadsinsatser som påverkar följsamheten till livsstilsförändringar vid hypertoni. Design: Litteraturöversikt Metod: Författarna har sökt artiklar i databaserna PubMed och Cinahl. Tillsammans har de granskat artiklarna i granskningsmallar och sammanställt ett resultat. Resultatet har sedan kategoriserats för att identifiera vilka insatser som påverkar följsamheten hos patienten. Resultat: Sjuksköterskan behöver utbildning för att ge en god vård och kunna motivera patienten. Olika samtalstekniker kan effektivt användas av sjuksköterskan för att få patienten motiverad och följsam till behandlingen. Vården behöver också patientcentraras och individualiseras. Slutsats: För att få en god följsamhet behöver vården anpassas efter patienten. För att kunna göra detta måste både sjuksköterskan och patienten utbildas i hypertonivård och sjuksköterskan även i samtalstekniker, för att på ett bra sätt kunna stödja patienten.

  • 257.
    Eriksson, Ann
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lindström, Ewa
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskors upplevelser av att vårda patienter med smärta En litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Pain is an individual experience and pain is a major cause of people

    seeking care. To provide safe and good care requires the nurse´s to assess and

    evaluate patients' pain. The nurse's experiences can cause a number of obstacles

    that can make a good and safe care can´t be achieved. Objective: To describe

    nurses ' experiences of caring for patients with pain. Method: Literature review

    based on 15 scientific articles both kvalitativ- and quantitative batch.

    Results: This literature study's results showed that nurses are experiencing a lack

    of knowledge when it comes to caring for patients with pain. The nurse´s is

    experiencing inadequate and frustrated not to be able to provide optimal pain relief

    and a great fear to start an abuse of patients. Conclusion: It is important to

    continue research on nurses' experiences in order to clarify any obstacles that

    hinder efforts to provide good, safe care to patients with pain.

  • 258.
    Eriksson, Caroline
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Hillrings, Patricia
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kvinnors behov av stöd och information i samband med livmoderhalscancer: En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year 55,000 people receive a cancer diagnosis in Sweden, which in most cases resulted in feelings of anxiety and anguish. A cervical cancer diagnosis subjects women to suffering. Alongside the diagnosis women often felt vulnerable, exposed and incomplete. The diagnosis also affected the feeling of femininity and contributed to feeling less sexually active due to physical chances to the body.

    Aim: The aim of the study was to describe women's experience of the needs in terms of support and information from diagnosis to end of treatment in cervical cancer in the scientific literature.

    Methods: The study was conducted as a literature review that included 17 scientific articles, of which were 13 qualitative, three quantitative and one covering both approaches. Search Articles made in PubMed, Cinahl and Web of Science. A manual search was also conducted.

    Results: The result showed that women affected by cervical cancer were in great need of emotional and sexual aid. Persons who gave the chiefly support according to the women were family, friends, cancer patients and nurses. The women had the need to obtain information about their sexuality affected by cervical cancer and for disease complications and side effects.

    Conclusion: The nurse will work in a holistic, which involves the whole person. Since cervical cancer can affect a woman physically, psychologically, socially, sexuality and existentially, support and information important components in the disease process. The nurse must assess women's individual needs and dare to talk about them.

  • 259.
    Eriksson, Christine
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lindholm, Annica
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Att undersöka sjuksköterskans roll i teamet till patienter med både intellektuell funktionsnedsättning och alkoholmissbruk2015Independent thesis Basic level (degree of Bachelor), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Att stärka sjuksköterskans kompetens i den psykiatriska omvårdnaden som

    en del i teamet, för patienter med både intellektuell funktionsnedsättning och ett

    alkoholmissbruk. Metod: Examensarbete utfördes som en litteraturstudie med tio

    artiklar av kvalitativ ansats. Datainsamling har gjorts i databaserna CINAHL och

    PsycInfo. Resultat: Resultatet beskrivs med utgångspunkt i tre teman

    sjuksköterskans roll, sjuksköterskans organisatoriska förutsättningar och

    utbildning och utvecklingsbehov. Flera av artiklarna påvisade att man behöver

    stärka sjuksköterskans roll och profession, och att det behövs mer utbildning om

    patienter med en intellektuell funktionsnedsättning och missbruk. Slutsats:

    Resultatet påvisar att det finns ett litet underlag av vetenskapliga studier gällande

    den aktuella gruppen, men att det finns flera studier om psykisk sjukdom och

    missbruk. Det framkom brister och svårigheter för sjuksköterskan att vårda

    patienter med intellektuell funktionsnedsättning, psykisk sjukdom och/eller

    missbruk samt att sjuksköterskans roll behöver tydliggöras utifrån en mängd

    aspekter.

  • 260.
    Eriksson, Elina
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Eriksson, Kristina
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Situationen för anhöriga och sjuksköterskan vid plötsligt dödsfall – en litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Losing a loved one is something that is very traumatic and bewildering. Reactions to the crisis usually appear under different phases, these are the shock phase, reaction phase, processing- and repair phase and reorientation phase. It is important that communication is honest and that it always will be helping for the patient or the relatives. Purpose: The purpose of this study is to compile existing research articles to highlight the situation of family members and staff of sudden death. Method: A literature review conceders on 13 scientific articles. The literature search conceders the databases CINAHL and PubMed. Results: The results of the study showed that relatives needed different support at different stages and that the information is given in such a straight and honest way as possible. Staff felt that education was important for the management of care and that they sought the support and expertise of more experienced colleagues. Conclusion: The information about the cause of death to the families was very important and that the staff were open and honest. Relatives appreciated that the staff were available. Nurses that have sufficient training increases self-confidence enables the handling of difficult situations and knowledge will help to support families better.

  • 261.
    Eriksson, Frida
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Köpmans, Emma
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Distriktssköterskans upplevelser av att motivera patienter med diabetes typ 2 till hälsosammare levnadsvanor genom evidensbaserad vård: Kvalitativ intervjustudie2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes is a common disease and can be prevented by a healthy lifestyle. It is the district nurse's responsibility to inform and motivate patients in a health promotion and preventive manner. The district Nurse's role is to critically review evidence-based research to achieve a safe quality care. Purpose: The district Nurse's experiences of motivating patients with diabetes type 2 to healthier lifestyles by evidence-based care. Method: A qualitative approach was used. Interviews were conducted with seven district Nurses. The material was analyzed according to Graneheim and Lundmans content analysis. Results: The approach of the district nurses must be based on the patient's situation and personalize information. Support from the district nurse shall the patient be able to dedicate time and effort to implement these changes. The informants in this study illustrate the importance of informing the patient of diabetes and which complications that may arise. To achieve a patient safe care of high quality the district nurses deemed that an evidence-based knowledge was a prerequisite. Conclusion: To motivate patients to change their lifestyle, the district nurse must pass diabetes information and teach the patient how these lifestyle changes affect the health. The information must be based on evidence-based knowledge.

  • 262.
    Eriksson, Henrik
    et al.
    Röda Korset Högskola.
    Salzmann-Erikson, Martin
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Pringle, Keith
    Uppsala Universitet.
    Virtual Invisible Men: Shared experiences of early parenthood in an Internet forum for fathers2014In: Culture, Society and Masculinities, ISSN 1941-5583, E-ISSN 1941-5591, Vol. 6, no 1Article in journal (Refereed)
  • 263.
    Eriksson, Karoline
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kuhlman, Patrice
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskans upplevelser av språkbarriärer i hälso- och sjukvården: - En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: People have immigrated to Sweden for over a century and in recent years there immigrations has increased. Language barriers affect patients' confidence in health care, which in turn can aggravate an already exposed situation for the patient. In order to avoid language barriers, interpreters are used in some cases, but since these are not always available, patient safety is threatened in several areas. Important information can be lost, which might lead to the patient being misdiagnosed and therefore having to wait for continued care longer than necessary.

    Aim: The aim of this study was to describe nurses' experiences of language barriers in health care.

    Method: A literature review containing fifteen scientific articles. Articles were searched in the databases CINAHL and PubMed. Articles that were included were ethically approved and received medium to high quality in quality auditing.

    Result: Three main categories were identified: (1) feeling of inadequacy not being able to provide good care (2) experiences of stress and (3) experiences of using communication aids to overcome language barriers, that have subcategories: experiences of communication via interpreters and experiences of using communication tools.

    Conclusion: The results of the literature review showed that the occurrence of language barriers meant that the nurse felt an insufficiency to provide good care and that it created a sense of stress and insufficiency in the professional role. Different communication aids were used and these were experienced both positively and negatively by nurses. Language barriers entail difficulties in working person-centered, and also constitute a threat to patient safety, since important information can be absent.

  • 264. Eriksson, Leif
    et al.
    Nga, Nguyen Thu
    Målqvist, Mats
    Persson, Lars-Ake
    Ewald, Uwe
    Wallin, Lars
    Uppsala universitet, Karolinska Institutet.
    Evidence-based practice in neonatal health: knowledge among primary health care staff in northern Viet Nam2009In: Human Resources for Health, ISSN 1478-4491, Vol. 7, p. 36-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: An estimated four million deaths occur each year among children in the neonatal period. Current evidence-based interventions could prevent a large proportion of these deaths. However, health care workers involved in neonatal care need to have knowledge regarding such practices before being able to put them into action.The aim of this survey was to assess the knowledge of primary health care practitioners regarding basic, evidence-based procedures in neonatal care in a Vietnamese province. A further aim was to investigate whether differences in level of knowledge were linked to certain characteristics of community health centres, such as access to national guidelines in reproductive health care, number of assisted deliveries and geographical location.

    METHODS: This cross-sectional survey was completed within a baseline study preparing for an intervention study on knowledge translation (Implementing knowledge into practice for improved neonatal survival: a community-based trial in Quang Ninh province, Viet Nam, the NeoKIP project, ISRCTN44599712). Sixteen multiple-choice questions from five basic areas of evidence-based practice in neonatal care were distributed to 155 community health centres in 12 districts in a Vietnamese province, reaching 412 primary health care workers.

    RESULTS: All health care workers approached for the survey responded. Overall, they achieved 60% of the maximum score of the questionnaire. Staff level of knowledge on evidence-based practice was linked to the geographical location of the CHC, but not to access to the national guidelines or the number of deliveries at the community level. Two separated geographical areas were identified with differences in staff level of knowledge and concurrent differences in neonatal survival, antenatal care and postnatal home visits.

    CONCLUSION: We have identified a complex pattern of associations between knowledge, geography, demographic factors and neonatal outcomes. Primary health care staff knowledge regarding neonatal health is scarce. This is a factor that is possible to influence and should be considered in future efforts for improving the neonatal health situation in Viet Nam.

  • 265.
    Eriksson, Linda
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Hammar, Lina
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Upptäcka depression hos äldre med hjälp av olika metoder: En litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med studien var att beskriva hur sjuksköterskan kan identifieratecken på depression hos patientgruppen äldre. Metod: Arbetet har gjorts som enlitteraturöversikt. Resultat: Det finns ett antal beprövade mätinstrument somsjuksköterskan kan använda för att upptäcka tecken på depression hos den äldrebefolkningen. Geriatric Depression Scale (GDS) finns i flera versioner med olikaomfattning och används i huvudsak på äldre patienter i långtidsboende. PatientHealth Questionnaire (PHQ) används främst i primärvården på patienter utankognitiv funktionsnedsättning, finns även den i varianter med varierandeomfattning. Cornell Scale of Depression in Dementia (CSDD) är ett mätinstrumentsom passar bra då patienterna har demens eller annan kognitivfunktionsnedsättning. Det finns även försök med att utveckla nya mätinstrument.Slutsats: Den mest tillämpade metoden för att upptäcka tecken på depression hos äldre är att använda sig av något av de mätinstrument som finns. De mätinstrumentsom finns är till viss del anpassade efter olika patienter och verksamheter. Rätttröskelvärde för valt instrument är viktigt.

  • 266.
    Eriksson, Lovisa
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Persson, Johanna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Faktorer som påverkar sjuksköterskansattityd till patienter med blodsmitta2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today bloodborne infection is a big healtproblem around the world and over 35milion people live with HIV. Every year 780 000 die from hepatit B-virus and 350-500 milionfrom hepatit C-virus. In Sweden a large amount of nurses would choose to not treat a patientwith bloodborne infection. Care workers around the world are exposed to the risk of gettinginfected because of insufficient hygiene routines.Aim: To elucidate the factors that influence nurses' attitudes to patients with contaminatedblood.Method: Literature reviewResults: Factors influencing nurses' attitudes to patient with contaminated blood wereidentified. High level of knowledge, length of education, the desire to care, high empathylevel and experience of caring for patients with a blood infection are factors that affect nurses'attitudes positively. Low level of knowledge and fear of becoming infected influence nursesattitude negatively. Two factors were identified that can both affect the nurse's attitudepositively and negatively: cause of infection and gender/age.Conclusion: In the health sector globally, it is important to have knowledge about bloodtransmission method and the hygiene practices that protect healthcare workers from becominginfected. Knowledge and further research on the factors influencing nurses' attitudes topatients with blood contamination can lead to better relationship between the nurse and thepatient. In order to provide good care to patients with a blood infection further research thathighlights factors is needed.

  • 267.
    Eriksson, Margita
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Öhrn, Sandra
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Behandlingspersonals attityder till arbete med suicidnära patienter: En deskriptiv och komparativ totalundersökning med kvantitativ ansats2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to examine the attitudes to work with inpatients with suicidal behavior among all health care personnel in psychiatric care and addiction care. Subsidiary aim was to in-vestigate whether there were any differences between psychiatric care and addiction care based on background variables used in the study.

    The method used for the study was a descriptive and comparative census survey with quantitative approach.

    The results showed that there are significant differences when comparing the independent variables with the seven attitude questions which were used. Workplace showed significant difference in five attitude questions, working time showed significant difference in four attitude questions. Gender and if you have experienced any patient committed suicide showed significant differences in three attitude questions, experience of sufficient training showed significant difference in two attitude questions. How often staff worked with suicidal inpatients closely and age group showed significant difference on one attitude question. The survey also showed significant differences between psychi-atric care and addiction care based on how long you been employed, experience of adequate train-ing, if any inpatient the health care personnel had worked with has committed suicide, gender and age group.

  • 268.
    Eriksson, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Westblad, Helena
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Utevistelsens betydelse för personer med demenssjukdom boende på vårdhem – En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    : The number of people with dementia is increasing in Sweden and the rest of the world. The disease has major impact on life itself, quality of life and autonomy for the affected person. There is still no treatment that cures the disease, but much can be done to increase the quality of life and support for people with dementia. In general, outdoor stay has proven to be of great importance to well-being. However, due to the often restricted outdoor environment's availability and lack of time from the healthcare professionals, many people with dementia rarely outweigh those who can independently provide for their own ability for outdoor stay. Therefore, it is important to describe the knowledge of outdoor stay for people with dementia living at nursing homes. Aim: The purpose is to put together knowledge about the meaning of outdoor stay for people with dementia living at nursing homes. Method: A literature review based on 13 scientific articles, quantitative and qualitative. Result: Outdoor stay in the form of different types of gardens, outdoor activities and exposure of daylight have positive effects on persons with dementia disease, as increased well-being and physical and cognitive function, and need of medication. Health care professionals and family members have knowledge about positive effects of outdoor stay for people with dementia disease, and it is important to make outdoor stay possible and offer activities outdoors that are individually adapted by need and ability. Conclusions: For people with dementia outdoor stay had positive results and as a contributing factor to people with dementia disease feeling increased quality of life. The outdoor activities should be individually adapted to the greatest effect on their well-being.

  • 269.
    Eriksson, Martina
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sundgren, Frida
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kvinnors upplevelser och behov av stöd vid akuthjärtinfarkt- En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart disease is common in the population and myocardial infarction is the most common cause of death for women. Research on myocardial infarction in women has improved but needs to be more known. There are differences in men and women during a myocardial infarction who, together with other factors, make their opportunities for medical care worse.Aim: To describe women´s experiences and needs during a myocardial infarction, from onset to discharge from hospital.Method/Design: Literature review consisting of critical review of 13 nursing studies.Result: Women with myocardial infarction experience pain, anxiety, fear, stress and a changed self-image. A nurse needs to be aware of this to be able to give person-centered care and the support that they need. Women often feel they are not taken seriously because of atypical symptoms. This together with lack of knowledge, results in a delay of treatment.Conclusion: Person-centered care needs to be used to be able to respond to their experiences and needs of support. The nurse can understand the woman and disseminate knowledge to improve the possibilities for adequate nursing and survival.

  • 270.
    Eriksson, Sofia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Metcalfe, Michael
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Följsamhet till Early Warning Scores samt faktorer som påverkar följsamheten – en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Early recognition of serious clinical deterioration is of great importance for

    minimizing suffering and serious adverse events. For early recognition, several physiological

    track and trigger systems have been developed, among them the early warning scores. These

    have been implemented in many places across the world but there is uncertainty about

    adherence to these systems.

    Aim: The aim of this study was to investigate adherence to Early warning score-systems and

    to evaluate what factors affect this adherence.

    Method: The study was conducted as a literature review including 14 articles with

    quantitative, qualitative and mixed-methods approaches. Searches were made in the PubMed,

    CINAHL and Web of Science databases. Content-analysis was used to identify themes.

    Results: Adherence seems higher to observations than to clinical responses. The main

    factors affecting adherence are the clinical experience of nurses, collaboration between

    professions, staffing, miscalculation, documentation and reporting.

    Conclusion: Adherence to EWS is lacking in many ways and several causes for this have

    been accounted for. Factors affecting adherence was the clinical experience of nurses,

    cooperation between professions, staffing, miscalculation, documentation and reporting.

  • 271.
    Eriksson, Sofie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Laitinen, Veronica
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Bemötande i vården vid övervikts- och fetmaproblematik En litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity cause today more deaths than underweight.

    There is a public health disorder that is increasing worldwide . Overweight and

    obesity leads to both physical and mental problems and inconvenience for the

    patient.

    Aim: The purpose of this study is to highlight the treatment of obese and

    overweight patients from the patient and the health-care personnel’s’ perspective.

    Methods: A literature review.

    Findings: It emerged that patients with a higher BMI experienced negative

    attitude from medical professionals , that they felt not being listened to and

    excluded. Patients dreaded to seek care. It appears that healthcare staff had a

    negative attitude and are not willing to care for overweight or obese patients.

    Conclusions: Overweight and obese patients are a vulnerable group of patients in

    both society and in healthcare. Patients feel they are not heard, they will be

    excluded and not taken seriously. Caregivers agrees that they must help these

    patients, despite the state a large part of health care workers that they would rather

    not care for obese patients.

  • 272.
    Eriksson, Tim
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Brobäck, Alexander
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Livskvalitet hos barn med akut lymfatisk leukemi: Litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Acute lymphoblastic leukemia accounts for 80 % of child

    leukemia’s. Treatment is mainly chemotherapy in various combinations, which

    more or less have side effects that affects the child. More recently research has led

    to increased rate of survival, which means other challenges to satisfy the needs of

    children and promote the child's perspective and perception of his/hers quality of

    life.

    Aim: To describe the quality of life in children diagnosed with acute

    lymphoblastic leukemia.

    Method: A literature review based on 15 scientific articles by quantitative and/or

    qualitative approach from the databases CINAHL and PubMed.

    Results: Children who were under treatment for acute lymphoblastic leukemia had

    impact on their mental and physical quality of life aswell as their sleep. It was

    normal for the children to have sleep disturbances, fatigue, exhaustion, worry and

    anxiety, which affected the child's perceived quality of life. The quality of life

    were mainly affected initially at the treatment but were improved within time,

    despite the negative experiences of illness and treatment.

    Conclusion: Children under treatment experienced poorer quality of life.

    Gradually during the time of treatment the experience in quality of life improved

    and at the end of treatment most had reached a similar quality of life as children of

    the same age.

  • 273.
    Eriksson, Tobias
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Landberg, Zackarias
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Illamående vid Palliativ Vård: En Litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Symptom management is an important part in palliative care. Nurses have a central role in this care. Previous research highlights pain management, this literature review aims to shed light on the importance of nausea management in palliative care.  Aim: To examine the prevalence of nausea in palliative patients and to compile nurses’ knowledge about management of these patient’s nausea in healthcare.  Method: A literature review based on 16 articles.  Result: Prevalence of nausea in palliative patients in the literature review was between 7-40%. The result shows that nurses rate their knowledge high when it comes to symptom estimation, treating symptoms and evaluate treatment of nausea in palliative care. Nurses knowledge of palliative care differed depending on their work experience. It also showed that symptom estimation doesn’t always occur and validated tools to estimate nausea are not always used. Some palliative care patients are medically undertreated for nausea and evaluation of nausea-treatment isn’t always done. The result also showed discrepancies of treatment between gender and age.  Conclusion: Nurses’ had more knowledge about symptom management the more work experience they had. There is a need for further education in how to manage nausea both in nursing school and at the workplace. Additional research is needed to identify exactly what knowledge nurses’ lack. There is also a need for research that examines how nurses determines the cause of nausea.

  • 274.
    Erkers, Sofia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Rupertsson, Elisabet
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Missbruk och beroende hos legitimerad vårdpersonal – En enkätstudie.2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim

    : The purpose was to investigate what awareness and management of routines as well as the preventive work that registered healthcare personnel in leadership position in primary care have regarding abuse and addiction to employee- registered healthcare personnel.

    Method:

    The study has been conducted as a descriptive survey. A quantitative method was chosen to reach a larger population for a short period of time.

    Result:

    The study found that the majority of respondents in leadership positions had leadership training and most of them had education about addiction and abuse. The study shows that they work more or less preventively with addiction and abuse to their staff. It appears that legitimate healthcare personnel in management positions consider themselves sufficiently knowledgeable about addiction and abuse. They highlight the importance of further training in the field and that they are needed to discuss more at workplace meetings about addiction and abuse.

    Conclusion:

    The study shows that they work preventively by using the local policy regarding alcohol and addiction. The local routines are different between council and the communities and differences are that the council has a common policy for the whole of Dalarna, while the communities have their own policies. Furthermore, it appears that registered healthcare personnel in management positions have knowledge of addiction and abuse.

  • 275.
    Erlandsson, Emma
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Johnson, Marit
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Distriktssköterskans arbete med, och erfarenhet av livsstilsförändringar hos patienter med pre-diabetes: En kvalitativ intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The Aim of this study was to describe the Community Health Care nurse´s work and experience with lifestyle changes in patients with pre-diabetes, within the primary health care. The Method was an empirical interview study with a qualitative approach. Eight semi structured interviews were accomplished, the interview material were analyzed with Graneheim and Lundmans qualitative content analysis. The Results showed that the patients with pre-diabetes was discovered during the annual check-up for hypertension, or when the patients sought care for other symptoms. Blood glucose were checked on all patients with risk factors. It was the diabetes nurse who informed the patients about pre-diabetes, type 2- diabetes, and gave advice about lifestyle changes. They used different pedagogic tools and methods in the preventive work. The follow-up was adapted individually. It was a challenge to get the patients to understand that lifestyle changes were needed. Recourses and lack of time were an obstacle in the preventive work. Still the opportunities were seen as many. The Conclusion is that patients with pre-diabetes would be found earlier if structured routines for discovery of pre-diabetes and prevention of type 2-diabetes excited in the primary health care. Therefore, unnecessary suffering for the patient, and social costs would decrease.

  • 276.
    Erlandsson, Kerstin
    et al.
    Karolinska Institutet; Mälardalen University.
    Christensson, Kyllike
    Dsilna, Ann
    Jonsson, Baldvin
    Do caregiving models after caesarean birth influence the infant's breathing adaptation and crying? A pilote study2008In: Journal of Children's and Young People's Nursing, ISSN 1753-1594, Vol. 2, no 1, p. 7-12Article in journal (Refereed)
  • 277.
    Erlandsson, Kerstin
    et al.
    Karolinska institutet.
    Christensson, Kyllike
    Fagerberg, Ingegerd
    Fatherhood as taking the child to oneself: A phenomenological observation study after caesarean birth2006In: Indo-Pacific Journal of Phenomenology, ISSN 2079-7222, E-ISSN 1445-7377, Vol. 6, no 2, p. 1-9Article in journal (Refereed)
  • 278.
    Erlandsson, Kerstin
    et al.
    Mälardalen University.
    Christensson, Kyllike
    Fagerberg, Ingegerd
    Fathers' lived experience of getting to know their baby while acting as primary caregivers immediately following birth2008In: Journal of Perinatal Education, ISSN 10581243, Vol. 17, no 2, p. 28-36Article in journal (Refereed)
  • 279.
    Erlandsson, Kerstin
    et al.
    Karolinska Institutet.
    Dsilna, Ann
    Fagerberg, Ingegerd
    Christensson, Kyllike
    Skin-to-skin with the father after cesarean birth and its effect on newborn crying and prefeeding behavior2007In: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 34, no 2, p. 105-114Article in journal (Refereed)
  • 280.
    Erlandsson, Kerstin
    et al.
    Mälardalen University.
    Fagerberg, Ingegerd
    Mothers' lived experiences of co-care and part-care after bith, and their strong desire to be close to their baby2005In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 21, no 2, p. 131-138Article in journal (Refereed)
  • 281.
    Erlandsson, Kerstin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Häggström-Nordin, Elisabet
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Prenatal parental education from the perspective of fathers with experience as primary caregiver immediately following birth: a phenomenographic study2010In: The Journal of Perinatal Education, ISSN 1058-1243, Vol. 19, no 1, p. 19-28Article in journal (Refereed)
    Abstract [en]

    The aim of this phenomenographic study was to capture fathers' conceptons of parental educatio topics illuminated by their experiences as primary caregiver of their child immediately following bith. Fifteen fathers were interviewed between 8 days and 6 weeks after the birth of their child. For further information go to abstract in the article.

  • 282. Estabrooks, Carole A
    et al.
    Derksen, Linda
    Winther, Connie
    Lavis, John N
    Scott, Shannon D
    Wallin, Lars
    Karolinska Institutet.
    Profetto-McGrath, Joanne
    The intellectual structure and substance of the knowledge utilization field: a longitudinal author co-citation analysis, 1945 to 20042008In: Implementation science : IS, ISSN 1748-5908, Vol. 3, p. 49-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: It has been argued that science and society are in the midst of a far-reaching renegotiation of the social contract between science and society, with society becoming a far more active partner in the creation of knowledge. On the one hand, new forms of knowledge production are emerging, and on the other, both science and society are experiencing a rapid acceleration in new forms of knowledge utilization. Concomitantly since the Second World War, the science underpinning the knowledge utilization field has had exponential growth. Few in-depth examinations of this field exist, and no comprehensive analyses have used bibliometric methods.

    METHODS: Using bibliometric analysis, specifically first author co-citation analysis, our group undertook a domain analysis of the knowledge utilization field, tracing its historical development between 1945 and 2004. Our purposes were to map the historical development of knowledge utilization as a field, and to identify the changing intellectual structure of its scientific domains. We analyzed more than 5,000 articles using citation data drawn from the Web of Science. Search terms were combinations of knowledge, research, evidence, guidelines, ideas, science, innovation, technology, information theory and use, utilization, and uptake.

    RESULTS: We provide an overview of the intellectual structure and how it changed over six decades. The field does not become large enough to represent with a co-citation map until the mid-1960s. Our findings demonstrate vigorous growth from the mid-1960s through 2004, as well as the emergence of specialized domains reflecting distinct collectives of intellectual activity and thought. Until the mid-1980s, the major domains were focused on innovation diffusion, technology transfer, and knowledge utilization. Beginning slowly in the mid-1980s and then growing rapidly, a fourth scientific domain, evidence-based medicine, emerged. The field is dominated in all decades by one individual, Everett Rogers, and by one paradigm, innovation diffusion.

    CONCLUSION: We conclude that the received view that social science disciplines are in a state where no accepted set of principles or theories guide research (i.e., that they are pre-paradigmatic) could not be supported for this field. Second, we document the emergence of a new domain within the knowledge utilization field, evidence-based medicine. Third, we conclude that Everett Rogers was the dominant figure in the field and, until the emergence of evidence-based medicine, his representation of the general diffusion model was the dominant paradigm in the field.

  • 283. Estabrooks, Carole A
    et al.
    Midodzi, William K
    Cummings, Greta G
    Wallin, Lars
    Karolinska Institutet.
    Predicting research use in nursing organizations: a multilevel analysis2007In: Nursing Research, ISSN 0029-6562, E-ISSN 1538-9847, Vol. 56, no 4 Suppl, p. 7-23Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: No empirical literature was found that explained how organizational context (operationalized as a composite of leadership, culture, and evaluation) influences research utilization. Similarly, no work was found on the interaction of individuals and contextual factors, or the relative importance or contribution of forces at different organizational levels to either such proposed interactions or, ultimately, to research utilization.

    OBJECTIVE: To determine independent factors that predict research utilization among nurses, taking into account influences at individual nurse, specialty, and hospital levels.

    DESIGN: Cross-sectional survey data for 4,421 registered nurses in Alberta, Canada were used in a series of multilevel (three levels) modeling analyses to predict research utilization.

    METHODS: A multilevel model was developed in MLwiN version 2.0 and used to: (a) estimate simultaneous effects of several predictors and (b) quantify the amount of explained variance in research utilization that could be apportioned to individual, specialty, and hospital levels.

    FINDINGS: There was significant variation in research utilization (p <.05). Factors (remaining in the final model at statistically significant levels) found to predict more research utilization at the three levels of analysis were as follows. At the individual nurse level (Level 1): time spent on the Internet and lower levels of emotional exhaustion. At the specialty level (Level 2): facilitation, nurse-to-nurse collaboration, a higher context (i.e., of nursing culture, leadership, and evaluation), and perceived ability to control policy. At the hospital level (Level 3): only hospital size was significant in the final model. The total variance in research utilization was 1.04, and the intraclass correlations (the percent contribution by contextual factors) were 4% (variance = 0.04, p <.01) at the hospital level and 8% (variance = 0.09, p <.05) at the specialty level. The contribution attributable to individual factors alone was 87% (variance = 0.91, p <.01).

    CONCLUSIONS: Variation in research utilization was explained mainly by differences in individual characteristics, with specialty- and organizational-level factors contributing relatively little by comparison. Among hospital-level factors, hospital size was the only significant determinant of research utilization. Although organizational determinants explained less variance in the model, they were still statistically significant when analyzed alone. These findings suggest that investigations into mechanisms that influence research utilization must address influences at multiple levels of the organization. Such investigations will require careful attention to both methodological and interpretative challenges present when dealing with multiple units of analysis.

  • 284. Estenberg, Ida
    et al.
    Gillberg, Amanda
    Hur sjuksköterskor kan främja egenvård hos vuxna patienter med hypertoni: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Att belysa hur sjuksköterskan kan främja egenvård hos vuxna patienter med hypertoni.

    Metod: Studien genomfördes som en litteraturöversikt. Databaserna PubMed och CINAHL användes och tolv vetenskapliga artiklar ligger till grund för resultatet, varav nio kvantitativa artiklar och tre kvalitativa artiklar.

    Resultat: Som svar på frågeställningen bildades fem kategorier: Sjuksköterskans förhållningssätt, information och utbildning, stödja och motivera, uppföljning och regelbundenhet samt engagera anhöriga. En av sjuksköterskans arbetsuppgifter är att främja patienter till egenvård vid hypertoni. Patienternas delaktighet och egna vilja är av betydelse för utförandet av egenvården. Sjuksköterskan ska skapa ett förtroende hos patienterna samt stödja, motivera, informera och utbilda patienterna om egenvård. Sjuksköterskan ska ge uppföljning så patienterna inte skall tappa motivationen till att utföra egenvård. Även anhörigas delaktighet främjar till egenvård vid hypertoni.

    Slutsats: Sjuksköterskan behöver sätta patienten i fokus samt i första hand utgå från patientens egna behov för att kunna främja till egenvård. Sjuksköterskan behöver aktivt arbeta med att informera och utbilda patienter med hypertoni för att öka patienters förståelse för sjukdomen och dess behandling. Genom att öka patienters förståelse kan sjuksköterskan främja till egenvård hos patienterna med hypertoni.

  • 285.
    Etnell, Ulrika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Liedbäck, Sofia
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patienters upplevelser av sjuksköterskors information ochstöd i samband med hjärtkirurgi – en litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim:The aim was to describe patients’experiencesof the information and support given by nurses in relationtocardiac surgery.

    Method: The literature reviewwas conducted as a literature review based on 17 scientific articles, eight of them with qualitative approach, eightwith quantitative approachand one with mixed approach.

    Result: The results showed thatpatientsoverall felt satisfied with the information they received. Deficiencies were seen regarding information on recovery after surgery and emotional effects that may occur due tocardiac surgery. Italso showed that patients received a good support, bothbefore and during admission to hospital. Patients experienced respect and percipiencefrom the nurses. It also showedthat high workload of the nurses affected patient'sperception of information and support. Lack of information and support was connected with worry and anxiety of the patient.

    Conclusion:It turned out that most of the patients were satisfied with the information and support from nurses. Deficiencies in the nurse's information was perceived not as big as deficiencies in the nurse's support. This meant that patients sought support from relatives and other patients. The patient's experience of care is affected by the nurse's information and support.

  • 286.
    Evenius, Magdalena
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lind, Ellinor
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Föräldrars upplevelse av att ha barn med anorexia nervosa och deras stödbehov: en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The incidence of anorexia nervosa (AN) is approximately eight cases per hundred thousand inhabitants and years. Female gender is heavily overrepresented at AN, as it is ten times more common in girls compared to boys.

    Aim: The aim of the study was to describe the parents’ experience of having children with anorexia nervosa and how the nurse could support the parents based on the parents’ perspective.

    Method: The study was a literature review based on 15 articles, of which 13 was qualitative studies, one quantitative study and one was a mixed method study.

    Result: The parents experienced an emotional sense of guilt and shame, anxiety, frustration and powerlessness. Parents also experienced social isolation and that the parental role is largely affected negatively. In contact with the health care system parents experienced a negativity, since they were not taken seriously and that their concerns were reduced. The parents wanted more clear information, call support, that they were seen as individuals, a clear structure in the contact with the health care system and that healthcare professionals had a professional approach.

    Conclusion: When a child is afflicted with AN, the disease largely affects the whole family, parents experience a great emotional impact and change in relationships outside the family. Parents experience great suffering and they are in need of adequate support from, for example, the nurse. AN is a life-threatening illness and parents are worried about prognosis and medical complications, thus the nurse should provide accurate and clear information about the disease and its treatment.

  • 287.
    Ewertzon, Mats
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Andershed, B.
    Svensson, E.
    Lützen, Kim
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Family member's expectation of the psychiatric healthcare professionals' approach towards them2011In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 18, no 2, p. 146-157Article in journal (Refereed)
    Abstract [en]

    The importance of involving family members in the care of individuals with schizophrenia or other psychotic illnesses has received increasing attention within psychiatric healthcare services. However, investigations among family members suggest that they often experience a lack of involvement. The professionals' approach towards them may have bearing on whether they feel involved or not. The aim of this survey was to investigate what aspects family members of individuals receiving psychiatric care ascribe as important in relation to the healthcare professionals' approach towards them and how these aspects agree with their actual experiences. Seventy family members of individuals with schizophrenia or other psychotic illnesses from various parts of Sweden replied to a questionnaire that was developed in order carry out this survey. Results of this survey suggest that the participants valued openness, confirmation, cooperation and continuity as important aspects in the professionals' approach towards them. The results also show a low level of agreement between the participants' actual experience of the professionals' approach and what they consider as important. The knowledge produced in this survey can contribute to an understanding of the expectations family members have regarding the professionals' approach towards them. Such knowledge plays an important role in contributing to the development of a family-focused perspective within psychiatric healthcare services. Abstract The importance of involving family members in the care of individuals with schizophrenia or other psychotic illnesses has received increasing attention within psychiatric healthcare services. However, several studies suggest that family members often experience a lack of involvement. Furthermore, research indicates that family members' experience of the professional's approach has bearing on whether they feel involved or not. Thus, the aims of this study were to investigate the level of importance that the family members of individuals with schizophrenia or other psychotic illnesses ascribe to the professionals' approach, the level of agreement between their experiences and what they consider as important, and aspects they consider to be important with regards to contact with professionals. Seventy family members from various parts of Sweden participated. Data were collected by the Family Involvement and Alienation Questionnaire and open-ended questions. The median level and quartiles were used to describe the distribution, and percentage agreement was analysed. Open-ended questions were analysed by qualitative content analysis. The results reveal that the majority of the participants consider Openness, Confirmation, and Cooperation as important aspects of a professional's approach. Continuity emerged as an additional aspect. The results show a low level of agreement between the participants' experience and what they consider as important.

  • 288.
    Ewertzon, Mats
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lützen, Kim
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Svensson, E.
    Andershed, B.
    Family members' involvement in psychiatric care: experiences of the healthcare professionals' approach and feeling of alienation2010In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 17, no 5, p. 422-432Article in journal (Refereed)
    Abstract [en]

    The results contribute knowledge of family member's (from a large geographic area) experiences of psychiatric healthcare professionals' approach towards them, an approach that is characterized by 'Openness', 'Confirmation' and 'Cooperation'. The results contribute knowledge that their experiences of the professional's approach is partly associated with a feeling of being alienated from professional care, characterized by 'Powerlessness' and 'Social isolation'. The result also contributes knowledge of relationships between family member's level of satisfaction in their contact with psychiatric care and their experience of the healthcare professionals' approach and feeling of alienation. Abstract The involvement of family members in psychiatric care is important for the recovery of persons with psychotic disorders and subsequently reduces the burden on the family. Earlier qualitative studies suggest that the participation of family members can be limited by how they experience the professionals' approach, which suggests a connection to the concept of alienation. Thus, the aim of this study was in a national sample investigate family members' experiences of the psychiatric health care professionals' approach. Data were collected by the Family Involvement and Alienation Questionnaire. The median level and quartiles were used to describe the distributions and data were analysed with non-parametric statistical methods. Seventy family members of persons receiving psychiatric care participated in the study. The results indicate that a majority of the participants respond that they have experiencing a negative approach from the professionals, indicating lack of confirmation and cooperation. The results also indicate that a majority of the participants felt powerlessness and social isolation in the care being provided, indicating feelings of alienation. A significant but weak association was found between the family members' experiences of the professionals' approach and their feelings of alienation.

  • 289.
    Fagrell, Dea
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjödén, Beatrice
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patienters upplevelser av fysisk aktivitet som behandling vid depression: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is a world-wide problem in today’s society and more than 350 million people are affected. The self-esteem can be affected negatively of depression and negative thoughts, lethargy and apathy can also be part of the symptomatology. Physical activity has a positive influence on mental health in healthy people and can be recommended as a treatment for depression. Personcentered care means that the persons own experience of their unique situation is put in focus, therefore can the wellbeing increase as well as the person gets more influence in their own care and also gets confirmed and seen.

    Aim: Describe how patients with depression experiences physical activity as a treatment for depression.

    Method: A literature review based on 16 scientific articles collected from CINAHL and PsycINFO. These were analysed in five stages and themes were created thereafter.

    Result: Patients with depression experienced improvement in their condition thanks to physical activity. Increased psychological wellbeing, distraction of negative thought patterns, increased self-confidence and sleep was described. Barriers for performing physical activity was described to be performance anxiety and lack of self-confidence. Individualized and motivating strategies, for example structured training programs, and also experiencing positive results increased the motivation in patients with depression.

    Conclusion: Physical activity has a positive impact on people with depression and increases wellbeing. It is important as a nurse to see underlying reasons why people with depression sometimes performs physical activity in a smaller extent. Through individualised, motivating and distinct strategies these people can recieve optimal conditions to improve depression over time. Through the nurses person centered work by motivating and supporting performance of physical activity, people with depression can feel confirmed, seen, respected as well as experience increased psychological wellbeing.

  • 290.
    Falegård Johansson, Mikaela
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Skansgård, Sara
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskors erfarenheter av parenteral nutrition för patienter i livets slutskede: En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research shows that parenteral nutrition is administered to

    patients who are at the end of life, even though the medical benefit is unclear.

    Aim: Through a scientific literature review describe nurses' experiences of what is

    important in the work of parenteral nutrition for patients in the end of life.

    Method: A literature review, based on 13 articles with both qualitative and

    quantitative design. The articles were searched on databases CINAHL and

    PubMed

    Result: Participation in care team was of great importance, a working partnership

    where the nurse wanted and had the opportunity to work as a care manager

    experienced by nurse’s result in good person-centered care. Experience and own

    emotions play a significant role in how much the nurse dare and want to be

    involved in decisions regarding PN at the end of life , and the relationship that is

    created with the patient's relatives.

    Conclusion: Increased knowledge of parenteral nutrition in palliative care and

    person-centered care needed for nurses to dare to be actively involved and to

    strengthen the patient in the final stages of life.

  • 291.
    Falkenström, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Hein, Terese
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Kvinnors upplevelser av fosterrörelser och upplevd anknytning med mindfetalness2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The movement pattern is unique to each individual child, and so even the woman's experiences of fetal movements. The patterns intensity and duration, provides important information about the unborn child's well-being. Different methods to document the child´s movement pattern, are used by pregnant women. The self-assessment method mindfetalness, means that you are paying attention to the fetal movement's strength, type and frequency.

     

    Aim: To examine women's experiences of fetal movements and perceived attachment with mindfetalness as self-assessment method.

     

    Method: Crossover trial with a qualitative and abductive approach. Systematic text condensation was used as analyzed method.

     

    Result: Three main categories and six subcategories could be identified in the results. Security was a major factor why the women wanted to feel fetal movements. Lightweight, stretchy and strong movements, was most abundant in the descriptions. Mindfetalness helped the women feel attachment with their child and create an expectation.

     

    Conclusion: Mindfetalness can be a good method to help women strengthen their connection to the unborn baby and her self-confidence. Living in the moment and take the time to get to know their child and its movements can be very helpful in the related process. Fetal movements are unique and the midwife can use mindfetalness, to get information about the movement pattern and the treatment of the woman.

     

    Clinical applicability: There is limited research on the topic mindfetalness and the authors believe that further research on the topic for it to be used in clinical practice.

  • 292.
    Fernström, Therese
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ylitalo, Anitta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Skolsköterskans erfarenhet av kommunikation med vårdnadshavare gällande ohälsa hos elev i kommunal grundskola: En kvalitativ intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To describe the school nurse's experiences of communication with guardians regarding illness among pupils in local primary schools.

    Method: A qualitative descriptive method with the inductive approach was used. Semi-structured interviews were performed with seven nurses. The data were analyzed by content analysis with manifested direction.

    Findings: The nurse´s experience in this study shows that it was important to be available and accessible for guardians. A straight, honest and informative communication contributed to a common understanding in the relationship. The school nurse´s highlighted the importance of confirming, give advice and support in parenting and the importance of giving positive feedback. The school nurse´s exemplified aggravating factors in communications from several aspects. The communication is adversely affected when the denial of health problems were the guardians. Demands on the school nurse's flexibility and tolerance were large. Although language problems were considered to be a growing.

    Conclusion: The school nurses experience of being available to pupil’s guardians was considered very important for continued good communication and good cooperation. A relationship with open, honest and trustworthy communication made it possible for guardians to be heard, and in which school nurses could do themselves understood. An empathy for the guardian's situation and conditions were considered to be of great importance. The experience of inadequacy was particularly noticeable in the meeting with newly arrived where communication was hard to understand when resources such as interpreter support were not always available.

  • 293.
    Fix Olsson, Josefin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ågren, Hanna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Hälso- och sjukvårdspersonalens upplevelser av attvårda patienter med multiresistenta bakterier: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Multiresistant bacteria is a global problem and a threat to public

    health. Infection prevention such as basic hygiene routines are a key part of

    preventive work against multiresistant bacteria. Patients who is a carrier of a

    multiresistant bacteria can experience feelings of insecurity and shame, therefore it

    is important that all healthcare professionals apply a person-centered care.

    Aim:

    To study the healthcare professionals' experience of caring for patients with

    multiresistant bacteria.

    Method:

    The study has been conducted as a literature review based on 15 articles.

    The articles were of both qualitative and quantitative method as well as mixed

    method with combined qualitative and quantitative method. Databases used in the

    search are PubMed and CINAHL. The analysis resulted in three themes.

    Result:

    The results are presented in three different themes: Experiences of fear

    and insecurity, experienced lack of knowledge and need for education and

    experiences of obstacles to the performance of infection prevention measures.

    Conclusion:

    Fear and insecurity in healthcare staff clearly emerged and led to

    shortcomings in the performance of nursing care. The result also showed an

    experienced ignorance of multiresistant bacteria and a need for education was

    requested. Knowledge through education would result in a greater understanding

    of multiresistant bacteria and reduce the fear among healthcare professionals

    ’.

  • 294.
    Fjägerås, Ida
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Villman, Julia
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Måltidssituationer hos personer med demenssjukdom – en litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Dementia is a global disease that increases for every year. Physical and psychological abilities reduce continuously during the disease course. It is usual that people with dementia is affected by malnutrition since they forget how and when to eat. Healthcare professionals’ need more knowledge about mealtime situations for people with dementia and how to customize their needs about increasing food intake.

    Aim:

    To illustrate aspect of healthcare professional’s knowledge about mealtime situations for people with dementia in nursing homes.

    Method:

    A literature review based on 15 research articles. Eleven articles were qualitative design and four were mixed design. Used databases were CINAHL and PubMed.

    Results:

    A main result showed that healthcare professionals needed more knowledge about mealtime situations and how to provide increased food intake. Healthcare professionals adjust mealtime situations according to the abilities that people with dementia had. Healthcare professionals did consideration about different kind of arrangement to reduce stimuli in mealtime situations for people living with dementia.

    Conclusion:

    Healthcare professionals had knowledge about nursing for people with dementia but not enough. The needs among people living with dementia are many and the lack of knowledge in healthcare professionals' work is not approval. In mealtime situations the lack of knowledge about optimal nutrition status among people with dementia and surrounded by healthcare professionals' is not clearly to sustain.

  • 295.
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    The neonatal environment and the long-term impact of neonatal care2018Other (Other (popular science, discussion, etc.))
  • 296.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Breili C, C
    Eriksson, M
    Facilities for presence and provision of support to parents and significant others in neonatal units.2019In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227Article in journal (Refereed)
    Abstract [en]

    AIM: To describe parental facilities for staying in neonatal units, visiting policies, and access to emotional support during hospitalization.

    METHODS: A cross-sectional design was used in which a survey was presented to all neonatal units in Sweden; 34 out of 38 units participated (89%).

    RESULTS: The findings showed that in 50% of the units, parents could stay 24/7 for the infant's entire hospital stay. In 32% of the units, siblings could stay the night with their parents. Units had policies on restrictions for visits by siblings (80%), grandparents (59%), friends and relatives (71%). All units offered counselling to parents, and some units offered peer-to-peer groups (24%), diaries (35%), relaxation techniques (6%) or internet parental forums (6%). All units enabled parents to be at home with their infant and to visit the unit for check-ups (35%) or to have staff visits at home (65%).

    CONCLUSION: Facilities for parents to stay with their infant during hospitalization and to have significant others visit are good, but there is room for improvement. During the transitional phase to being at home, parents are facilitated in being at home before the infant is discharged and are supported by the unit, which must be considered beneficial for parents. This article is protected by copyright. All rights reserved.

  • 297.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, Lancashire, UK.
    Dykes, Fiona
    University of Central Lancashire.
    ‘Being in a womb’ or ‘playing musical chairs’: the impact of place and space on infant feeding in NICUs2013In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 13, article id 179Article in journal (Refereed)
    Abstract [en]

    Background: Becoming a parent of a preterm baby requiring neonatal care constitutes an extraordinary life situation in which parenting begins and evolves in a medical and unfamiliar setting. Although there is increasing emphasis within maternity and neonatal care on the influence of place and space upon the experiences of staff and service users, there is a lack of research on how space and place influence relationships and care in the neonatal environment. The aim of this study was to explore, in-depth, the impact of place and space on parents’ experiences and practices related to feeding their preterm babies in Neonatal Intensive Care Units (NICUs) in Sweden and England.

    Methods: An ethnographic approach was utilised in two NICUs in Sweden and two comparable units in England, UK. Over an eleven month period, a total of 52 mothers, 19 fathers and 102 staff were observed and interviewed. A grounded theory approach was utilised throughout data collection and analysis.

    Results: The core category of ‘the room as a conveyance for an attuned feeding’ was underpinned by four categories: the level of ‘ownership’ of space and place; the feeling of ‘at-homeness’; the experience of ‘the door or a shield’ against people entering, for privacy, for enabling a focus within, and for regulating socialising and the; ‘window of opportunity’. Findings showed that the construction and design of space and place was strongly influential on the developing parent-infant relationship and for experiencing a sense of connectedness and a shared awareness with the baby during feeding, an attuned feeding.

    Conclusions: If our proposed model is valid, it is vital that these findings are considered when developing or reconfiguring NICUs so that account is taken of the influences of spatiality upon parent’s experiences. Even without redesign there are measures that may be taken to make a positive difference for parents and their preterm babies.

  • 298.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Chinese University of Hong Kong, Hong Kong; Maternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, United Kingdom.
    Dykes, Fiona
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Maternal and Infant Nutrition and Nurture Unit (MAINN), University of Central Lancashire, United Kingdom; Chinese University of Hong Kong, Hong Kong; University of Western Sydney, Australia .
    Cross-national ethnography in neonatal intensive care units2015In: Ethnographic Research in Maternal and Child Health / [ed] Fiona Dykes and Renée Flacking, Taylor & Francis, 2015, p. 89-116Chapter in book (Other academic)
  • 299.
    Flacking, Renée
    et al.
    Department of Women's and Children's Health, Uppsala University, SE-751 85 Uppsala, Sweden; Center for Clinical Research Dalarna, SE-791 82 Falun, Sweden; Department of Paediatrics, Falun Hospital, SE-791 82 Falun Sweden.
    Dykes, Fiona
    Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Public Health and Clinical Sciences, University of Central Lancashire, Preston, PR1 2HE, UK.
    Ewald, Uwe
    Department of Women's and Children's Health, Uppsala University, SE-751 85 Uppsala, Sweden.
    The influence of fathers’ socioeconomic status and paternity leave on breastfeeding duration: a population based cohort study2010In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 38, p. 337-343Article in journal (Refereed)
    Abstract [en]

    Aim: The propensity to breastfeed is a matter of public concern because of the favourable effects for infants. However, very few studies have described the influence of paternal variables upon duration of breastfeeding. The aim of this study was to describe the effects of fathers’ socioeconomic status and their use of paternity leave on breastfeeding duration for infants up to 1 year of age. Methods: A prospective population-based cohort study was undertaken. Data on breastfeeding, registered in databases in two Swedish counties for 1993—2001, were matched with data on socioeconomic status and paternity leave obtained from Statistics Sweden. Fathers of 51,671 infants were identified and included. Results: Infants whose fathers had a lower level of education, were receiving unemployment benefit and/or had a lower equivalent disposable household income were significantly less likely to be breastfed at 2, 4, 6, 9, and 12 months of age. Infants whose fathers did not take paternity leave during the infant’s first year were significantly less likely to be breastfed at 2 (p < 0.001), 4 (p < 0.001), and 6 months (p < 0.001). Conclusions: This paper shows that an enabling of an increased involvement from fathers during the infants’ first year of life, such as by paid paternity leave, may have beneficial effects on breastfeeding up to 6 months of age. A more systematic approach to supporting fathers’ involvement may be particularly valuable to those infants whose fathers have a lower socioeconomic status.

  • 300.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Thomson, Gill
    Axelin, Anna
    Pathways to emotional closeness in neonatal units - a cross-national qualitative study.2016In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 16, no 1, article id 170Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Research shows evidence for the importance of physical and emotional closeness for the infant, the parent and the infant-parent dyad. Less is known about how, when and why parents experience emotional closeness to their infants in a neonatal unit (NU), which was the aim of this study.

    METHODS: A qualitative study using a salutogenic approach to focus on positive health and wellbeing was undertaken in three NUs: one in Sweden, England and Finland. An 'emotional closeness' form was devised, which asked parents to describe moments/situations when, how and why they had felt emotionally close to their infant. Data for 23 parents of preterm infants were analyzed using thematic networks analysis.

    RESULTS: A global theme of 'pathways for emotional closeness' emerged from the data set. This concept related to how emotional, physical, cognitive and social influences led to feelings of emotional closeness between parents and their infants. The five underpinning organising themes relate to the: Embodied recognition through the power of physical closeness; Reassurance of, and contributing to, infant wellness; Understanding the present and the past; Feeling engaged in the day to day and Spending time and bonding as a family.

    CONCLUSION: These findings generate important insights into why, how and when parents feel emotionally close. This knowledge contributes to an increased awareness of how to support parents of premature infants to form positive and loving relationships with their infants. Health care staff should create a climate where parents' emotions and their emotional journey are individually supported.

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