du.sePublications
Change search
Refine search result
6789101112 401 - 450 of 1942
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 401.
    Dahlberg, Råger
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Spets, Ewa
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Erfarenheter och upplevelser av hypoglykemi hos vuxna med diabetes mellitus: En kvalitativ intervjustudie2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Approximately one third of people with diabetes suffer episodes of hypoglycaemia with a loss of consciousness as a result. The incidence of hypoglycaemia is unpleasant and patients attempt to avoid this event, which often results in higher plasmaglucose values. Dedicated nursing care involves helping people to cope with unpleasant experiences of hypoglycaemia in daily life.

    Aim: To describe adults' experiences of hypoglycaemia in diabetes mellitus, and the consequences hypoglycaemia leads to daily life.

    Method: This study was conducted with a qualitative content analysis with an inductive approach. The study was conducted as a secondary analysis of semi-structured interwievs. The number of study participants were a total of 29 of which 15 with Type 1 diabetes and 14 with Type 2 diabetes.

    Results: The theme that emerged was: Hypoglycaemia is an ever present risk and is shaped differently with the following categories. Symptoms of hypoglycaemia could come as a bolt from the blue. Knowledge comes from life experiences. Training and exercise today - often have consequences tomorrow for patients. Self management could be perceived as a feeling of not being free. Family support – could mean security in illness.

    Conclusion: The incidence of hypoglycaemia is a common event and is perceived as unpleasant and unsafe event and causing fear in people suffering from diabetes. Undertreatment was seen as a consequence. Better support, help and information from the specialist nurses were needed. Knowledge and information, even to family members, was considered important to reduce the fear and discomfort of hypoglycaemia.

  • 402.
    Dahlberg, Tom
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Kroppsideal via Instagram2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective

    The advanced technology of today’s society has brought on a heavy uprising of social media where images of training and bodies are a common phenomenon. The aim of this study was to examine how body ideals are created on the internet, with focus on social media. Two questions were used to help with this objective: How do male fitness profiles portrait themselves and their bodies on the net based service Instagram? Do connections exist between these profiles portraits of the body and specific body ideologies? (Rosenmann & Kaplan, 2014).

    Method

    The study was carried out with a nethnographic method, a method specifically focused on qualitative research regarding the internet. Three male fitness profiles and five of their images each were selected based on popularity on Instagram to be examined and analyzed in relation to body ideal.

    Results

    The images had similar attributes which included that they, often in a gym environment, showed undressed, extremely muscular bodies with emphasized focus on the upper body. Differences were present in the images but not to any significant extent. The profiles were defined by the body ideology of metrosexuality and consumer masculinity (Rosenmann & Kaplan, 2014).

    Conclusion

    The representation of the images of these fitness profiles translate well into the current muscular body ideal that contains a lean, muscular, well defined body. Clear connections could be made to Rosenmann’s och Kaplan’s (2014) body ideology of metrosexuality and consumer masculinity.

    Download full text (pdf)
    fulltext
  • 403.
    Dahlgren, Gereon
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Vinnare tack vare tidigt födelsedatum: En studie om relativa ålderseffekten inom svensk juniorishockey medfokus på TV-pucken2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 404. Dahlin Ivanoff, Synneve
    et al.
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ekdahl, Anne
    Eklund Grönberg, Annika
    Oredsson, Sven
    Sjöstrand, Fredrik
    Stavenow, Lars
    Wisten, Aase
    Akutvården måste klara också sköra åldringar2014In: Dagens Nyheter, ISSN 1101-2447, no 2014-01-03Article in journal (Other (popular science, discussion, etc.))
  • 405.
    Dahlqvist Jönsson, Patrik
    et al.
    Region Halland.
    Sandlund, Mikael
    Umeå Universitet.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Svedberg, Petra
    Högskolan i Halmstad, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    The meaning of Shared decision making for persons with long-term mental illness2013Conference paper (Refereed)
  • 406.
    Dahlqvist-Jönsson, Patrik
    et al.
    Region of Halland; Halmstad University.
    Schön, Ulla-Karin
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Rosenberg, David
    Umeå University.
    Sandlund, Mikael
    Umeå University.
    Svedberg, Petra
    Halmstad University.
    Service users’ experiences of participation in decision making in mental health services2015In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 22, no 9, p. 688-697Article in journal (Refereed)
    Abstract [en]

    Service user participation in decision making is considered an essential component of recovery-oriented mental health services. Despite the potential of shared decision making to impact service users knowledge and positively influence their experience of decisional conflict, there is a lack of qualitative research on how participation in decision making is promoted from the perspective of psychiatric service users. In order to develop concrete methods that facilitate shared decision making, there is a need for increased knowledge regarding the users' own perspective. The aim of this study was to explore users' experiences of participation in decisions in mental health services in Sweden, and the kinds of support that may promote participation. Constructivist Grounded Theory (CGT) was utilized to analyse group and individual interviews with 20 users with experience of serious mental illness. The core category that emerged in the analysis described a ‘struggle to be perceived as a competent and equal person’ while three related categories including being the underdog, being controlled and being omitted described the difficulties of participating in decisions. The data analysis resulted in a model that describes internal and external conditions that influence the promotion of participation in decision making. The findings offer new insights from a user perspective and these can be utilized to develop and investigate concrete methods in order to promote user's participation in decisions.

  • 407. Dahlström, Ann-Charlotte
    et al.
    Mulder, Linn
    Sjuksköterskors erfarenheter av hot och våld på akutmottagningar: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Att beskriva sjuksköterskor erfarenheter av hot och våld på akutmottagningar, sett ur ett internationellt perspektiv.

    Metod: Studien har genomförts som en litteraturstudie. Databassökningar har utförts på databaserna PubMed och CINAHL, originalpublicerade kvantitativa och kvalitativa forskningsstudier har kvalitetsgranskats och sammanställts.

    Resultat: Studien visade att sjuksköterskor hade erfarenhet av verbalt och fysiskt hot och våld i stor utsträckning. De verbala hoten och våldet bestod av svordomar och kränkningar. Det fysiska våldet visade sig genom att sjuksköterskorna blev spottade på, får knuffar, slag och sparkar. De som utövade hot och våld kunde vara patienten själv, närstående eller andra anhöriga.

    Slutsats: Sjuksköterskor på akutmottagningar världen över drabbas av olika typer av hot och våld. Detta påverkar både övriga patienter och övrig personal negativt. Ur arbetsmiljösynpunkt inkräktar hot och våld på patientsäkerheten. Bristande kommunikation som även kan feltolkas kan leda till hot och våld från patienter. Genom att genomföra förbättringsåtgärder och skapa strategier för bättre kommunikation kan hot och våld förebyggas.

  • 408.
    Dahné, Ylva
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Thorin, Emma
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskan och patienter med strokeinduceradafasi – En litteraturöversikt om kommunikation ochpersoncentrering2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Stroke is a collective term for cerebral infarction and cerebral

    hemorrhage. Stroke often causes lifelong detrimental effects, such as aphasia.

    Aphasia means a reduced ability to understand spoken/written language and/or a

    reduced ability to express oneself adequately. To enable a good and person-centred

    care for the patients, an effective communication is a prerequisite.

    Aim: The aim of

    this study is to describe the factors that influence the person-centred care and

    communication between the nurse and patients affected by stroke induced aphasia.

    Method:

    The study is a literature review on bachelor level. The study is based on 15

    scientific articles that have been red and analyzed and where common themes have

    been identified.

    Result: The results revealed a number of strategies that promoted

    and hindered good communication between the nurse and people affected by stroke

    induced aphasia. These strategies concern seven areas:

    Verbal communication, Nonverbal

    communication, Seeing the patient as a competent and unique individual,

    Attention and involvement, The time aspect of communication with patients with

    aphasia, The importance of the surrounding environment for communication

    and The

    personnel's education and skills

    . Conclusion: There is no standard answer to how

    communication shall be achieved, each individual is unique and every situation

    requires a different solution. However, there are a number of aspects and methods

    that are important and useful when communicating with aphasic people. These are

    used to different degrees in health care.

    Download full text (pdf)
    fulltext
  • 409. Dalmar, Abdirisak Ahmed
    et al.
    Hussein, Abdullahi Sheik
    Walhad, Said Ahmed
    Ibrahim, Abdirashid Omer
    Abdi, Abshir Ali
    Ali, Mohamed Khalid
    Erlandsson, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Klingberg-Allvin, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Osman, Fatumo
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wall, Stig
    Rebuilding research capacity in fragile states: the case of a Somali-Swedish global health initiative2017In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, no 1, article id 1348693Article in journal (Refereed)
    Abstract [en]

    This paper presents an initiative to revive the previous Somali-Swedish Research Cooperation, which started in 1981 and was cut short by the civil war in Somalia. A programme focusing on research capacity building in the health sector is currently underway through the work of an alliance of three partner groups: six new Somali universities, five Swedish universities, and Somali diaspora professionals. Somali ownership is key to the sustainability of the programme, as is close collaboration with Somali health ministries. The programme aims to develop a model for working collaboratively across regions and cultural barriers within fragile states, with the goal of creating hope and energy. It is based on the conviction that health research has a key role in rebuilding national health services and trusted institutions.

    Download full text (pdf)
    fulltext
  • 410.
    Dammgård, Emelie
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Pernhall, Lina
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Distriktssköterskors erfarenheter av att främja hälsosamma levnadsvanor hos patienter med diabetes typ 2: En empirisk studie med kvalitativ ansats2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Diabetes is a people's disease that increases in society and in the world. Diabetes type 2 can be prevented, delayed or alleviated using healthy living habits, such as diet and exercise. Lifestyle treatment is therefore essential for achieving this.

    Purpose:

    To describe the district nurse's experience of promoting healthy living habits, diet and exercise, in type 2 diabetes patients.

    Method:

    An empirical study with qualitative interview method where seven district nurses participated in interviews.

    Results:

    The study highlighted the importance of district nurses' experiences and views on promoting healthy living habits, diet and exercise, to help and motivate patients with type 2 diabetes. To promote healthy living habits, in type 2 diabetes patients, are described as the basis of treatment. A very important task that is necessary to prevent as well as reduce the risk of complications to the disease. District nurses have experience and opportunities to promote healthy living habits in a variety of ways. Work on promoting healthy living habits is done individually, in groups and with the help of written information. District nurses also have experience and are aware of various obstacles to promote healthy living habits.

    Conclusion:

    District nurses should see each patient as a unique individual and then adjust the work to promote healthy living habits. Follow-up and continuity are needed to give the patient motivation for lifestyle changes and maintain them.

    Download full text (pdf)
    fulltext
  • 411.
    Danielsson, Charlotta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Gustavsson, Malin
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Faktorer som kan försvåra möjligheten för sjuksköterskor att ge personcentrerad vård – en litteraturöversikt.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to the new patient law, patients' involvement in their own care will be expanded and strengthened further. As part of this work, personcentred care has been introduced in several Swedish regions and county councils. Positive effects of person-centred care have been proven to exist for both patients and healthcare providers. Aim: To describe factors that can complicate the ability for nurses to provide person-centred care. Methods: The thesis project was conducted as a literature review. Ten scientific articles published between 2010-2016 were included in the study. The articles were searched in the CINAHL and PubMed databases, as well as through Google Scholar free text search. Results: There were several themes with associated factors that could complicate the possibility for nurses to provide a person-centred care. Prominent factors include the attitude of the nurse and his or her view of the profession and the patient, lack of patient participation, lack of teamwork and communication, weak support from organization and management, poor environment and education, and high workload. Conclusion: Several factors that could make it difficult for the nurse to provide person-centred care were discovered, some of which were perceived to be more crucial than others. In order for nurses to be able to provide care based on patient participation, it is very important that awareness of these aggravating factors is increased. By working with a person-centred approach already during nursing education, the likelihood of successful implementation of person-centred care in Swedish healthcare increases

    Download full text (pdf)
    fulltext
  • 412.
    Danielsson, Johan
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Nykvist, Karin
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Mäns upplevelser av miktionsproblem och erektil dysfunktion efter radikal prostatektomi: En litteraturöversikt2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet var att beskriva hur män upplever att de påverkats av miktionsproblem och erektil dysfunktion efter radikal prostatektomi. Metod: Examensarbetet utfördes som en litteraturöversikt med tio vetenskapliga studier. Resultat: Upplevelsen av förlorad kontroll vid miktionsproblem var det som främst påverkade männen samt medförde att det sociala livet blev lidande. Männen beskrev hur de var tvungna att planera inför olika sociala tillställningar, vilket upplevdes som stressande och ångestfyllt. Det framkom också att männen oroade sig för urinläckage, stark odör och upplevde möten med oförstående människor som frustrerande. Erektil dysfunktion var den vanligaste komplikationen efter behandling, men miktionsproblem var det som orsakade mest besvär. Det upplevdes som att männen förlorat sin självständighet. Det framkom även att erektil dysfunktion upplevdes av vissa män som den komplikation som gav störst besvär. Erektil dysfunktion påverkade männen och var mycket svårt att hantera. Det var svårt att finna en acceptans för att den erektila dysfunktion kunde vara bestående. Många av männen beskrev att en viktig del i deras liv förlorats, en del av deras maskulinitet. De kände sig ofullständiga och det fanns en rädsla för att förlora sin partner. Slutsats: Studier visar att erektil dysfunktion och miktionsproblem i samband med radikal prostatektomi ger upphov till stress, oro, ångest samt en känsla av ofullständighet.

    Download full text (pdf)
    fulltext
  • 413.
    Danielsson, Madeleine
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Lind, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Barnmorskors strategier för att främja fysisk aktivitet under graviditeten: En Kvalitativ Intervjustudie2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Physical activity should be recommended to all women during pregnancy. Midwives have an important role in the health promotion practice. There are recommendations about physical activity during pregnancy, although studies show that few pregnant women actually follow them. The midwife experience difficulties in counselling and there is a need to find strategies that can be used to promote physical activity. The aim of this study was to describe the midwives strategies to promote physical activity during pregnancy. The study was conducted by qualitative method and semistructured interviews were used to collect data. The data was analysed by thematic analysis. Several strategies emerged that the midwives used to promote physical activity during pregnancy; To advice, To motivate, To seek support in the surroundings, To individualize, To take care of the relationship and To elaborate. Another finding in the study was that promotion of physical activity was perceived as important but difficult by the midwives. These strategies can be used by midwives and other healthcare providers to promote physical activity during pregnancy.

    Download full text (pdf)
    fulltext
  • 414.
    Dannberg, Isabella
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Ivarsson, Emma
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    Alkoholutbildning på svenska riksskidgymnasium: En kvalitativ undersökning om hur skidgymnasietränare arbetar med att utbilda sina adepter i alkoholfrågor2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose The purpose of the study is to examine whether and if so how special sports teachers / trainers on the cross-country high schools are working to educate trainees about alcohol. The study results to promote the Swedish cross-country operations and, if possible, spreading good educational example to other sports college. Method A qualitative study has been carried out through a half-structured telephone interview. The sample covered a total survey of all 16 national ski school coaches in Sweden in the sport cross-country skiing. Participants were contacted through an information letter and then determined time for the interview. The results were then analyzed using a content analysis. Results The results showed that all RIG-ski school in Sweden conducting some form of education through theory lessons in a more or less degree. Two of the ski high schools had a specific lecture on the effects of alcohol on performance. Besides this, the result could indicate that the ski school coaches educate their students to a much greater extent through the open dialogue between coach and trainee than through theory lessons. This by having individual assessment interview, which the coach informs in a deeper way what alcohol intake has consequences on athletic performance, thus coaches are trying to create an environment where students themselves take the decision to refrain alcohol. Conclusions The results showed that all RIG-ski school in Sweden is working to educate their adepts in alcohol matters through theory lessons, but mostly in the open dialogue between student and coach. Theory lessons are something that exists in the curriculum for special sports and effects of alcohol on performance. In the open dialogue coaches educates students in a deeper way about alcohol, for example, through individual assessment interview.

  • 415.
    Das, Lucky
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Chowdhury, Merry
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Mapping of eight education sites and exploration of feasible requirements in an accreditation tool to ensure quality midwifery education in Bangladesh: A questionnaire study in Barisal, Chittagong and Sylhet divisions2017Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    An important component to ensure sustainable quality midwifery education is to have a country specific accreditation tool in place, based on evidence. In Bangladesh with a recently initiated new cadre of professional midwives, the accreditation system is in process of being developed. Objective: The objective of this thesis is twofold. First, to map eight midwifery education sites in Barisal, Chittagong and Sylhet divisions prior the development of an accreditation tool. Second, to explore requirements for the accreditation tool from the perspective of the midwifery faculty to ensure quality midwifery education in Bangladesh. Methods: This study is part of a national wide study. Thirty-six participants filled a semi-structured questionnaire with both open and closed response alternatives. Data were analyzed through essentially non-parametric statistics and qualitative descriptions. Results: The mapping showed that the proportion theory in relation to practice was 40% theory and 60% practice at the eight education sites. The content of a midwifery education that should be delivered in clinical placement by a midwifery clinical teacher or preceptor, mentoring the midwifery students, was identified as a main challenge. The possible solutions were having sufficient amount of well-trained midwifery teacher; negotiating with Gynecology and Obstetrics department and the policy makers on how mentoring of midwifery students could happen smoothly; and negotiating the need for training of trainers to head nurses of all labor wards. The relation between the education site and the clinical site was suggested to be included in an accreditation tool to improve the fulfillment of a midwifery education. Conclusion: The need of an accreditation tool was, perceived by midwifery faculty, as important in order to ensure sufficient standard in the midwifery education. Clinical implications: The clinical implication of this study lies in the development of strategies to increase the number of clinical mentors and trained midwifery teachers, and provision of training of trainers to the clinical nurse midwifes at all labor wards.

  • 416.
    Dellbrant, AnnaSofia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Thunfors, Cristina
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    BHV-sjuksköterskans upplevelse av att bemöta och vägleda föräldrar som är tveksamma till vaccination av sitt barn: En kvalitativ intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of the study was to highlight the child health care nurse’s experience of responding and guiding vaccine hesitant parents. Method: An empirical interview study with a qualitative approach was carried out. The study was based on semi-structured interviews with six child health care nurses. The analysis was formed as a manifest content analysis. Results: The analysis resulted in four main categories: Guiding by informing, Requirements to guide, Approaches to respond in a good way and The Child Health Care Nurse’s experiences of responding hesitant parents as well as thirteen subcategories. The main results showed that child health care nurse’s ways of guiding hesitant parents were quite similar to each other, but differences also occured. The key to guiding parents was to inform them about vaccination. It was important to individualize the information and guide after discussion about risks versus benefits and that parents were guided to take a considered decision. Conditions to guide parents in a good way was time, knowledge and support. The child health care nurse sought a good relationship with the parents through genuine consideration and respect for the decision that the parents made. The child health care nurse experienced emotions such as frustration, anxiety, nervousness, and that responding could feel awkward. It could even be difficult to responding hesitant parents, but that varied with the parent’s attitude. Conclusion: The child health care nurse can increase the possibility that parents may choose to vaccinate their child, through individualized guidance and responding hesitant parents in consideration and respect.

    Download full text (pdf)
    fulltext
  • 417.
    Dent, Jessica R.
    et al.
    Massey Univ, Sch Sport & Exercise, Palmerston North, New Zealand.;Auckland Univ Technol, Sch Sport & Recreat, SPRINZ, Auckland, New Zealand..
    Edge, Johann A.
    Massey Univ, Sch Sport & Exercise, Palmerston North, New Zealand.;Univ Auckland, Dept Sport & Exercise Sci, Auckland 1, New Zealand..
    Hawke, Emma
    Dalarna University, School of Education, Health and Social Studies, Sport and Health Science.
    McMahon, Christopher
    AgResearch Ltd, Ruakura Res Ctr, Hamilton, New Zealand..
    Muendel, Toby
    Massey Univ, Sch Sport & Exercise, Palmerston North, New Zealand..
    Sex differences in acute translational repressor 4E-BP1 activity and sprint performance in response to repeated-sprint exercise in team sport athletes2015In: Journal of Science and Medicine in Sport, ISSN 1440-2440, E-ISSN 1878-1861, Vol. 18, no 6, p. 730-736Article in journal (Refereed)
    Abstract [en]

    Objectives: The physiological requirements underlying soccer-specific exercise are incomplete and sex-based comparisons are sparse. The aim of this study was to determine the effects of a repeated-sprint protocol on the translational repressor 4E-BP1 and sprint performance in male and female soccer players.

    Design: Cross-over design involving eight female and seven male university soccer players.

    Methods: Participants performed four bouts of 6x 30-m maximal sprints spread equally over 40 min. Heart rate, sprint time and sprint decrement were measured for each sprint and during the course of each bout. Venous blood samples and muscle biopsies from the vastus lateralis were taken at rest, at 15 min and 2 h post-exercise. R

    esults: While males maintained a faster mean sprint time for each bout (P < 0.05) females exhibited a greater decrement in sprint performance for each bout (P < 0.05), indicating a superior maintenance of sprint performance in males, with no sex differences for heart rate or lactate. Muscle analyses revealed sex differences in resting total (P< 0.05) and phosphorylated (P< 0.05) 4E-BP1 Thr37/46, and 15 min post-exercise the 4E-BP1 Thr37/46 ratio decreased below resting levels in males only (P < 0.05), indicative of a decreased translation initiation following repeated sprints.

    Conclusions: We show that females have a larger sprint decrement indicating that males have a superior ability to recover sprint performance. Sex differences in resting 4E-BP1 Thr37/46 suggest diversity in the training-induced phenotype of the muscle of males and females competing in equivalent levels of team-sport competition.

  • 418. Desmond, Deirdre
    et al.
    Layton, Natasha
    Bentley, Jacob
    Boot, Fleur Heleen
    Borg, Johan
    Lunds universitet.
    Dhungana, Bishnu Maya
    Gallagher, Pamela
    Gitlow, Lynn
    Gowran, Rosemary Joan
    Groce, Nora
    Mavrou, Katerina
    Mackeogh, Trish
    McDonald, Rachael
    Pettersson, Cecilia
    Scherer, Marcia J.
    Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit2018In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 13, no 5, p. 437-444Article in journal (Refereed)
    Abstract [en]

    Assistive technology (AT) is a powerful enabler of participation. The World Health Organization’s Global Collaboration on Assistive Technology (GATE) programme is actively working towards access to assistive technology for all. Developed through collaborative work as a part of the Global Research, Innovation and Education on Assistive Technology (GREAT) Summit, this position paper provides a “state of the science” view of AT users, conceptualized as “People” within the set of GATE strategic “P” s. People are at the core of policy, products, personnel and provision. AT is an interface between the person and the life they would like to lead. People’s preferences, perspectives and goals are fundamental to defining and determining the success of AT. Maximizing the impact of AT in enabling participation requires an individualized and holistic understanding of the value and meaning of AT for the individual, taking a universal model perspective, focusing on the person, in context, and then considering the condition and/or the technology. This paper aims to situate and emphasize people at the centre of AT systems: we highlight personal meanings and perspectives on AT use and consider the role of advocacy, empowerment and co-design in developing and driving AT processes.

    Download full text (pdf)
    fulltext
  • 419. Dindic, Azemina
    et al.
    Jonsson, Johanna
    Information och stöd anhöriga vill erhålla av sjuksköterskan vid den sena fasen av palliativ vård: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Att ta reda på vad för information och vilket stöd anhöriga önskar erhålla av sjuksköterskan i den sena fasen av palliativ vård. Metod: Litteraturöversikt med urval av 13 artiklar av kvalitativ och kvantitativ ansats från databaserna Cinahl, PubMed och Medline. Resultat: Forskning visar att anhöriga önskar erhålla flera former av stöd och information i den sena fasen av palliativ vård. Den information som är mest önskvärd är information om sjukdomen, information om vårdandet samt att informationen ges både skriftligt och verbalt. Det stöd anhöriga anser som viktigast är familjecentrerad vård och stöd för delaktighet i vårdandet, gruppstöd och efterlevandestöd. Slutsats: Anhöriga med en närstående som vårdas i den sena fasen av palliativ vård önskar erhålla tydlig skriftlig och verbal information om sjukdomen och om vårdandet. De vill även erhålla stöd före, under och efter dödsfallet. Kunskap om anhörigas önskemål av stöd och information i den sena fasen av palliativ vård kan hjälpa sjuksköterskan att bättre bistå med hjälp i en tid som är svår för både patient och anhöriga. Detta ställer krav på sjuksköterskan att inkludera både patient, i denna studie benämnd som närstående, och dess anhöriga i vårdandet.

  • 420.
    Dittrich, Nick
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Akupressurens effekter och möjlig användninginom vård och omvårdnad: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The need for health care and nursing is increasing and new

    complementary approaches to address these are needed.

    Objective:

    To compile studies using acupressure and study the effects of

    acupressure on various symptoms, disorders and ill-health conditions.

    Method:

    The study was conducted as a literature review where 20 different

    articles were compiled.

    Result:

    Categorization was made in the three main headings: effects of

    acupressure

    , patient’s experience of acupressure and acupressure in health care

    and nursing

    . The application of acupressure was mainly threw fingers with a great

    variety of acupoints distributed over the entire body. Acupressure has a wide range

    of applications both in health care and nursing, and provides a non-invasive,

    uncomplicated, economical, simple and effective complementary intervention that

    nurses and patients can use. Identified areas where fatigue, sleep, depression,

    anxiety, stress, cognitive and functional recovery, agitated behavior,

    gastrointestinal function, hypertension, pain, thirst, incontinence, quality of life

    and health. Generally was acupressure an effective intervention that also patients

    experienced as positive.

    Conclusion:

    Acupressure proves to be a usable intervention in health care and

    nursing with different uses, although the effect is partly explained by placebo.

    Nevertheless acupressure offers a complementary intervention for patients, nurses

    and other health care professionals to relieve discomfort and to promote health and

    quality of life.

  • 421.
    Domeij, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
    Lennström, Charlotte
    Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
    Barnmorskans erfarenhet av handläggning vid uppkommen grad II-bristning: Kvalitativ intervjustudie med barnmorskor verksamma vid förlossningsavdelning2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Many women sustain a second-degree tear when giving birth vaginally. The work field of a midwife includes managing these injuries. There is limited research regarding this field and the focus tend to be on third- and fourth-degree tears, even though second-degree tears may also result in long-term complications.

    Aim:

    The aim was to investigate the midwife’s experience of managing second-degree tears.

    Method:

    Eight semi-structured individual interviews were conducted with midwives working at a medium large maternity ward located in the middle of Sweden. Qualitative content analysis was used to analyze the material.

    Results:

    Four categories and two subcategories were identified. The categories were: Information, The support of colleagues, The need for follow-ups and Physical examination and the subcategories were: Feedback strategies and Documentation.

    Conclusion:

    The result show that midwives feel insecure when managing second-degree tears, especially the midwives with less experience. The midwives also requested more feedback from the women they sutured regarding their second-degree tears and the midwives also wished for a better follow-up for the women with second-degree tears. The result also showed that the midwives give different information to women regarding their tears. No pronounced routines were found regarding what information to give and in what way.

    Clinical application:

    The results of the study aim to increase the knowledge and to develop routines regarding second-degree tears. More knowledge is needed about information given about the tear and when it is the best time to give information.

    Download full text (pdf)
    fulltext
  • 422.
    Drmac, Marijana
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Jörgensen, Angelica
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Omvårdnad vid smärta: En litteraturöversikt om könsskillnader2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Pain is a common cause to seek healthcare. Pain is a subjective feeling; however, the interpretation of "male" and "female behavior" could interfere with the healthcare staff judgement and care – even though quality of care should be given person-centered and on equal terms.

    Aim:

    The aim of the study was to examine the differences in care, that may exist, between men and women with pain and highlight the gender´s meaning in quality of care.

    Method:

    This study was conducted as a literature review investigating the existing literature within this area. Seventeen scientific articles from the PubMed and Cinahl databases were analyzed and compiled into a result.

    Results:

    This review brings out the differences between the treatment and ease for men and women in pain with regards to their gender. Often women have a tendency to be undervalued when they are being cared for compared to men. Physical symptoms are often regarded as psychosomatic. Even the age of the patients was a contributing factor.

    Conclusion:

    This literature study reveals differences between genders pain care. Gender differences were identified in many sections of care. Men’s pain is treated better than women, and the women generally needs to wait longer in receiving treatment. Registered nurses should utilize person-centered treatment in order to decrease this gender gap. Increased equality in care can support a sustainable future.

    Download full text (pdf)
    fulltext
  • 423. Duc, Duong M
    et al.
    Bergström, Anna
    Eriksson, Leif
    Selling, Katarina
    Thi Thu Ha, Bui
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    Response process and test-retest reliability of the Context Assessment for Community Health tool in Vietnam2016In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 9, article id 31572Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The recently developed Context Assessment for Community Health (COACH) tool aims to measure aspects of the local healthcare context perceived to influence knowledge translation in low- and middle-income countries. The tool measures eight dimensions (organizational resources, community engagement, monitoring services for action, sources of knowledge, commitment to work, work culture, leadership, and informal payment) through 49 items.

    OBJECTIVE: The study aimed to explore the understanding and stability of the COACH tool among health providers in Vietnam.

    DESIGNS: To investigate the response process, think-aloud interviews were undertaken with five community health workers, six nurses and midwives, and five physicians. Identified problems were classified according to Conrad and Blair's taxonomy and grouped according to an estimation of the magnitude of the problem's effect on the response data. Further, the stability of the tool was examined using a test-retest survey among 77 respondents. The reliability was analyzed for items (intraclass correlation coefficient (ICC) and percent agreement) and dimensions (ICC and Bland-Altman plots).

    RESULTS: In general, the think-aloud interviews revealed that the COACH tool was perceived as clear, well organized, and easy to answer. Most items were understood as intended. However, seven prominent problems in the items were identified and the content of three dimensions was perceived to be of a sensitive nature. In the test-retest survey, two-thirds of the items and seven of eight dimensions were found to have an ICC agreement ranging from moderate to substantial (0.5-0.7), demonstrating that the instrument has an acceptable level of stability.

    CONCLUSIONS: This study provides evidence that the Vietnamese translation of the COACH tool is generally perceived to be clear and easy to understand and has acceptable stability. There is, however, a need to rephrase and add generic examples to clarify some items and to further review items with low ICC.

    Download full text (pdf)
    fulltext
  • 424. Duong, Duc M.
    et al.
    Bergström, Anna
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Bui, Ha T. T.
    Eriksson, Leif
    Eldh, Ann Catrine
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Exploring the influence of context in a community-based facilitation intervention focusing on neonatal health and survival in Vietnam: a qualitative study2015In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, no 15, article id 814Article in journal (Refereed)
    Abstract [en]

    Background

    In the Neonatal health – Knowledge into Practice (NeoKIP) trial in Vietnam, local stakeholder groups, supported by trained laywomen acting as facilitators, promoted knowledge translation (KT) resulting in decreased neonatal mortality. In general, as well as in the community-based NeoKIP trial, there is a need to further understand how context influences KT interventions in low- and middle-income countries (LMICs). Thus, the objective of this study was to explore the influence of context on the facilitation process in the NeoKIP intervention.

    Methods

    A secondary content analysis was performed on 16 Focus Group Discussions with facilitators and participants of the stakeholder groups, applying an inductive approach to the content on context through naïve understanding and structured analysis.

    Results

    The three main-categories of context found to influence the facilitation process in the NeoKIP intervention were: (1) Support and collaboration of local authorities and other communal stakeholders; (2) Incentives to, and motivation of, participants; and (3) Low health care coverage and utilization. In particular, the role of local authorities in a KT intervention was recognized as important. Also, while project participants expected financial incentives, non-financial benefits such as individual learning were considered to balance the lack of reimbursement in the NeoKIP intervention. Further, project participants recognized the need to acknowledge the needs of disadvantaged groups.

    Conclusions

    This study provides insight for further understanding of the influence of contextual aspects to improve effects of a KT intervention in Vietnam. We suggest that future KT interventions should apply strategies to improve local authorities’ engagement, to identify and communicate non-financial incentives, and to make disadvantaged groups a priority. Further studies to evaluate the contextual aspects in KT interventions in LMICs are also needed.

    Download full text (pdf)
    fulltext
  • 425.
    Dusinkiewicz, Fenja
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Liss-Back, Amanda
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Barnens upplevelser av att ha föräldrar som tidigt insjuknar i en demenssjukdom- en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Objective: The purpose of this study was to describe research on children’s experiences of being a relative of a parent with early-onset dementia. Method: The study was conducted as a literature review where nine qualitative and two quantitative scientific articles were included in the analysis. Databases that were used to search for articles was Cinahl and Web of science. Results: The result was identified in four categories: Diagnosis, Role changes, Impact on daily life and Support. The result showed that the children felt that it was important to get information about the parent's diagnosis and that this information would be individualized. Furthermore, the children had negative experiences on the role changes within family. It was not unusual for the children to experience concern, grief and anxiety out of the role changes that occurred as a result of dementia. The children also expressed a need for time alone where they could do things such as spending time with friends, exercise or go on a vacation. The need to meet other children who were in similar situations was experienced by the children as an important part of being able to handle being a relative of a parent with early-onset dementia. Conclusion: The children experienced changes within the family. The nurse needs to pay attention to the childrens’ needs. However, this requires further research in the area to develop an adapted support for the children.

  • 426.
    Dykes, Fiona
    et al.
    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 .
    Flacking, RenéeDalarna 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.
    Ethnographic research in maternal and child health2015Collection (editor) (Other academic)
  • 427.
    Dykes, Fiona
    et al.
    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 .
    Flacking, Renée
    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.
    Introducing the theory and practice of ethnography2015In: Ethnographic Research in Maternal and Child Health / [ed] Fiona Dykes and Renée Flacking, Taylor & Francis, 2015, p. 1-14Chapter in book (Other academic)
  • 428.
    Dykes, Fiona
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. University of Central Lancashire, UK..
    Thomson, G
    Gardner, C
    Hall Moran, V
    Flacking, Renée
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Perceptions of European medical staff on the facilitators and barriers to physical closeness between parents and infants in neonatal units2016In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 9, p. 1039-1046Article in journal (Refereed)
    Abstract [en]

    AIM: Studies have provided insights into factors that may facilitate or inhibit parent-infant closeness in neonatal units, but none have specifically focused on the perspectives of senior neonatal staff. The aim of this study was to explore perceptions and experiences of consultant neonatologists and senior nurses in five European countries with regard to these issues.

    METHODS: Six small group discussions and three one-to-one interviews were conducted with 16 consultant neonatologists and senior nurses representing nine neonatal units from Estonia, Finland, Norway, Spain and Sweden. The interviews explored facilitators and barriers to parent-infant closeness and implications for policy and practice and thematic analysis was undertaken.

    RESULTS: Participants highlighted how a humanising care agenda that enabled parent-infant closeness was an aspiration, but pointed out that neonatal units were at different stages in achieving this. The facilitators and barriers to physical closeness included socio-economic factors, cultural norms, the designs of neonatal units, resource issues, leadership, staff attitudes and practices and relationships between staff and parents.

    CONCLUSION: Various factors affected parent-infant closeness in neonatal units in European countries. There needs to be the political motivation, appropriate policy planning, legislation and resource allocation to increase measures that support closeness agendas in neonatal units. This article is protected by copyright. All rights reserved.

    Download full text (pdf)
    fulltext
  • 429.
    E. Adelved, Helen
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Rönnholm, Anne Sinikka
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Fysiska miljöns betydelse för välbefinnande för personer med demenssjukdom: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To describe different aspects of the physical environment which may affect

    the well-being for people with dementia. Method: The study was conducted as a

    literature review. Articles published between the years 2000-2016 was searched in

    the databases CINAHL, PubMed, PsycINFO and Web of Science. Results: Our

    results showed that physical factors such as sound, light, color, pattern, layout,

    furnishing and sensory stimuli as well as the possibility for activity had a positive

    impact on the behavioral and psychological symptoms for people with dementia,

    which led to well-being. Conclusion: Certain characteristics of the physical

    environment decreased behavioral and psychological symptoms of dementia,

    improved performance level, and reduced negative emotional symptoms.

    Observation of emotional symptoms for people with reduced communication skills

    is an important tool to identify the individual’s non-verbal expression.

  • 430.
    Easmin, Nazma
    et al.
    Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
    Khatun, Hamida
    Dalarna University, School of Education, Health and Social Studies, Sexual Reproductive Perinatal Health.
    Family members’ care of the newborn after birth, during maternal-infant separation or in the presence of the mother: A qualitative metasynthesis2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Newborn infants are sensitive and the neonatal mortality remains high in low resource settings for various reasons such as hyperthermia, hypoglycemia and infections. In both low and high income settings the bonding is important for children in the long run. Skin-to-skin care of the newborn both enhances the infant’s wellbeing and health.Aim: The aim of this meta- synthesis was to describe family members’ care of the newborn after birth, during maternal-infant separation or in the presence of the mother.Methods: Methasynthesis with metaethnography as analysis method. 15 scientific articles are included.Result: The content of the care provided is presence, emotional and practical support to the newborn. In presence, close body contact or preferably skin-to-skin contact is the main caring activity. Emotional support is provided through the presence when consoling the baby. Practical support is provided by changing diaper, through breastfeeding support etc. practical activities which in turn enhance emotions (bonding).Conclusion: The mother to the newborn should provide skin-to-skin care immediately after birth of the infant. When this is not possible the father or another family member such as grandmother, sister, or aunt could be close to the infant.Clinical implications: The results from this study can be used to foster midwives to provide evidence based care of the newborn including close contact and preferably skin-to-skin contact with the mother, father or other family member after birth. This to enhance health and wellbeing of the newborn. This thesis could be a lecture in the midwifery education.

  • 431. Edman, K
    et al.
    Öhrn, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.
    Nordström, B
    Holmlund, A
    Hellberg, D
    Trends over 30 years in the prevalence and severity of alveolar bone loss and the influence of smoking and socio-economic factors: based on epidemiological surveys in Sweden 1983-20132015In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 13, no 4, p. 283-291Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Epidemiological studies of the prevalence of periodontitis over an extended time using the same methodology to investigate and classify periodontitis are sparse in the literature. Smoking and socio-economic factors have been proven to increase the risk for periodontal disease. The objective of this study was to investigate 30-year time trends, using the same methodology to classify the prevalence and severity in alveolar bone loss (ABL) and to investigate the influence of tobacco and socio-economic factors.

    METHODS: Four cross-sectional epidemiological studies in an adult population were performed in the county of Dalarna, Sweden, in 1983, 2003, 2008 and 2013. Random samples of 787-1133 individuals aged 35-85 who answered a questionnaire about tobacco use and socio-economic factors were radiographically and clinically examined. A number of teeth, ABL and calculus visible on radiographs were registered. The severity of ABL as detected on radiographs was classified into no bone loss, moderate or severe.

    RESULTS: The prevalence of moderate ABL decreased from 45% in 1983 to 16% in 2008, but increased to 33% in 2013 (P < 0.05). The prevalence of severe ABL remained the same from 1983 (7%) to 2013 (6%). Calculus visible on radiographs increased from 22% in 2008 to 32% in 2013 (P < 0.05). Socio-economic factors had limited impact on the severity of ABL.

    CONCLUSION: Moderate ABL and calculus visible on radiographs significantly increased between 2008 and 2013. Smoking was the strongest factor associated with ABL overall.

  • 432. Edvardsson, Kristina
    et al.
    Small, Rhonda
    Persson, Margareta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lalos, Ann
    Mogren, Ingrid
    'Ultrasound is an invaluable third eye, but it can't see everything': a qualitative study with obstetricians in Australia2014In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 14, article id 363Article in journal (Refereed)
    Abstract [en]

    Background: Obstetric ultrasound has come to play a significant role in obstetrics since its introduction in clinical care. Today, most pregnant women in the developed world are exposed to obstetric ultrasound examinations, and there is no doubt that the advantages of obstetric ultrasound technique have led to improvements in pregnancy outcomes. However, at the same time, the increasing use has also raised many ethical challenges. This study aimed to explore obstetricians' experiences of the significance of obstetric ultrasound for clinical management of complicated pregnancy and their perceptions of expectant parents' experiences.

    Methods: A qualitative study was undertaken in November 2012 as part of the CROss-Country Ultrasound Study (CROCUS). Semi-structured individual interviews were held with 14 obstetricians working at two large hospitals in Victoria, Australia. Transcribed data underwent qualitative content analysis.

    Results: An overall theme emerged during the analyses, 'Obstetric ultrasound - a third eye', reflecting the significance and meaning of ultrasound in pregnancy, and the importance of the additional information that ultrasound offers clinicians managing the surveillance of a pregnant woman and her fetus. This theme was built on four categories: I:'Everyday-tool' for pregnancy surveillance, II: Significance for managing complicated pregnancy, III: Differing perspectives on obstetric ultrasound, and IV: Counselling as a balancing act. In summary, the obstetricians viewed obstetric ultrasound as an invaluable tool in their everyday practice. More importantly however, the findings emphasise some of the clinical dilemmas that occur due to its use: the obstetricians' and expectant parents' differing perspectives and expectations of obstetric ultrasound examinations, the challenges of uncertain ultrasound findings, and how this information was conveyed and balanced by obstetricians in counselling expectant parents.

    Conclusions: This study highlights a range of previously rarely acknowledged clinical dilemmas that obstetricians face in relation to the use of obstetric ultrasound. Despite being a tool of considerable significance in the surveillance of pregnancy, there are limitations and uncertainties that arise with its use that make counselling expectant parents challenging. Research is needed which further investigates the effects and experiences of the continuing worldwide rapid technical advances in surveillance of pregnancies.

    Download full text (pdf)
    fulltext
  • 433. Egeh, Abdi-Aziz
    et al.
    Dugsieh, Osman
    Erlandsson, Kerstin
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Osman, Fatumo
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    The views of Somali religious leaders on birth spacing: A qualitative study2019In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 20, p. 27-31Article in journal (Refereed)
    Abstract [en]

    Background

    Birth spacing is an important health intervention for women to attain good physical and mental health. In Somalia, religious leaders play a decisive role in approving or rejecting the use of family planning.

    Objective

    The study aimed to investigate Somali Islamic religious leaders’ views on birth spacing.

    Method

    Qualitative individual interviews were conducted with 17 Somali Islamic religious leaders aged 28–59 years and analysed through content analysis.

    Results

    The main category that emerged from the analysis was that the concept “birth spacing should be used and nor family planning to be in accordance with the Islamic religion. Two perspectives of views of birth spacing were identified: accepted ways and unaccepted ways. The accepted ways include breastfeeding, use of contraceptives causing no harm to the women’s health, and coitus interruptus. The preferred method should be determined by a joint agreement between the husband and wife, and that Muslim doctors should play a key role while the couples investigate their preferred method. Using contraceptives with the intention to limit the number of children was against Islamic values and practice. In addition, it was believed that using condoms promoted the temptation to engage in sex outside the marriage and was therefore prohibited.

    Conclusion

    According to the religious Islamic leaders, selected practice recommendations for contraceptive use is permitted in relation to birth spacing to promote the health of the mother and child. When providing professional contraceptive counselling to Muslim women, the word “birth spacing” is recommended to be used instead of “family planning”.

    Download full text (pdf)
    fulltext
  • 434.
    Eggens, Marit
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Österback, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Distriktssköterskors erfarenheter av preventivt arbete och riktlinjerför hjärtsviktspatienter i hemsjukvården: En kvalitativ intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of the study was to illuminate the district nurses' experience of guidelines and preventive work with heart failure patients in their homes to prevent re-hospitalization.Method: A qualitative study was used and semi structured interviews were held with eight district nurses. The interviews were tape recorded, transcribed and analysed with Granheim & Lundmans qualitative content analysis.Result: Five themes were revealed by the analysis: Observations, various checks and caregiving at home. Support the patient in self-care. To conduct the medication related to administration and monitoring. Knowledge and interaction with other professions and variation about using guidelines and prescription.The result showed that preventive work was often based on several different observations, they inspected the general condition, scanned for swollen legs, and checked the breathing and weight. They administrated and followed up the use of medicines. The district nurses supported the patients in their self-care they gave information about the disease to the patients and their relatives. The district nurses had different experiences about guidelines most of them felt they didn’t have guidelines in their homecare team and they followed the prescriptions from primary health care.Conclusion: The district nurse in homecare have an important role in the preventive work about heart failure patients. The district nurse did observations and did caregiving arrangements and supported the patient in self-care. This led ultimately to the patient could be symptom-free for a long time and to avoid hospitalization. There was, however, in the district nurses experience a lack of knowledge regarding heart failure and a lack of clear, common guidelines.

  • 435.
    Egnell, Tilda
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ragnarsson, Johanna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kvinnors kroppsuppfattning efter bröstcancerbehandling – En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Breast cancer is the most common type of cancer that affects women. The side

    effects of treatments are many and stressful and may result in mental illness. Even though the

    chances for surviving are good women’s mental health are affected. This is, for instance,

    because of the changed body image after the treatments. The nurse’s aim with the personcentered-

    care is to include and support the patient.

    Aim:

    To describe what factors contribute to a changed body perception after breast cancer

    treatment.

    Method:

    A literature review based on 15 scientific articles.

    Results:

    Women’s changed perception of her body can be described in four categories, and

    these are; visible changes of the body, mental health, sexuality, need for support.

    Conclusion:

    There were many factors that changed the body image after breast cancer

    treatment. The side effects of the treatments affected women both physically and

    psychologically. Losing one or two breasts and hair loss caused the female identity to suffer.

    The physical changes affected mental health and women were at risk of depression and

    anxiety. Many experienced a dissatisfaction with their body and felt less attractive to their

    partner, which in turn led them to distance themselves from sexual activities. There was a

    great need for support and information from healthcare professionals.

    Download full text (pdf)
    fulltext
  • 436.
    Ehlin, Catharina
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Österling, Emma
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patientens erfarenheter av omvårdnad på en akutmottagning: En litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: At emergency departments patients with different conditions of illness requires that the nurse will make a correct assessment and care, and at the same time deliver a good nursing care. These short and intensive meetings can mean that the nurse is forced to prioritize the medical needs. The mission to provide quality emergency care while meeting the need for nursing care is complex. An increased understanding of the patient experience of nursing at an emergency department can help the nurse provide good nursing care.

    Aim: To describe the patients experience of nursing at an emergency department.

    Methods: The study has been conducted as a literature review were 15 scientific articles have been used in the results.

    Results: Several factors emerged in this literature review that have significance for the patient´s experience of nursing at the emergency department. One main category emerged: Meeting with the nurse and six categories were identified: Low participation and powerlessness, The nurse's attitudes, Collaboration within the healthcare team, The patient's individual needs, The interaction between the patient and the nurse and the nurse's body language.

    Conclusion: The results of the literature review showed that the patient experienced a powerlessness and low participation in the emergency department. When the nurse identified the patient's unique needs, opened up for participation and continuous information about the patient's health situation and treatment created a positive experience. Implementation of person-centered care may be an important tool for improving nursing care at the emergency department.

    Download full text (pdf)
    fulltext
  • 437. Ehnfors, Margareta
    et al.
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Thorell-Ekstrand, Ingrid
    Nye VIPS-boken: Velvaere, integritet, profylakse, sikkerhet2015Book (Other academic)
  • 438.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Carlström, Eric
    Sjuksköterskebristen kan inte lösas med lägre kompetens2017In: Dagens Medicin, ISSN 1104-7488Article in journal (Other (popular science, discussion, etc.))
  • 439.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Enarsson, Per
    Wijk, Helle
    Äldre personers rätt till omvårdnad - behov, kompetenser, myter och evidens2015Report (Other (popular science, discussion, etc.))
  • 440.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Gustavsson, Petter
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Boström, Anne-Marie
    Rudman, Ann
    New graduate nurses' developmental trajectories for capability beliefs concerning core competencies for healthcare professionals: A national cohort study on patient-centered care, teamwork and evidence-based practice.2016In: Worldviews on Evidence-Based Nursing, ISSN 1545-102X, E-ISSN 1741-6787, Vol. 13, no 6, p. 454-462Article in journal (Refereed)
    Abstract [en]

    Background:

    This study aimed to describe the developmental trajectories of registered nurses' capability beliefs during their first 3 years of practice. The focus was on three core competencies for health professionals-patient-centered care, teamwork, and evidence-based practice.

    Methods:

    A national cohort of registered nurses (n = 1,205) was recruited during their nursing education and subsequently surveyed yearly during the first 3 years of working life. The survey included 16 items on capability beliefs divided into three subscales for the assessment of patient-centered care, teamwork, and evidence-based practice, and the data were analyzed with linear latent growth modeling.

    Results:

    The nurses' capability beliefs for patient-centered care increased over the three first years of working life, their capability beliefs for evidence-based practice were stable over the 3 years, and their capability beliefs for teamwork showed a downward trend.

    Linking evidence to action:

    Through collaboration between nursing education and clinical practice, the transition to work life could be supported and competence development in newly graduated nurses could be enhanced to help them master the core competencies. Future research should focus on determining which factors impact the development of capability beliefs in new nurses and how these factors can be developed by testing interventions.

    Download full text (pdf)
    fulltext
  • 441.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Häggblom, M
    Problem-based learning in clinical nursing education: Integrating theory and practice.2007In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 7, p. 67-74Article in journal (Refereed)
  • 442.
    Ehrenberg, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Forsman, Henrietta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nyexaminerade sjuksköterskors användning av forskningsresultat och tillämpning av evidensbaserad vård2013In: Verksamhetsförlagd utbildning i högskolans vårdutbildningar – Att stödja lärande den 13-14 november 2013 i Skövde: Sammanfattningar av föredrag, 2013Conference paper (Other (popular science, discussion, etc.))
  • 443.
    Ehrs, Alexander
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Abro, Ban
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Domäner av betydelse för hälsorelaterad livskvalitet hos personer med diabetesfotsår: Litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    diabetes is a global and serious disease which is likely to become eaven more common in the future. Out of all people suffering from diabetes about 15 percent is at risk of developing diabetic foot ulcer in their lifetime. In quantitavie research health related quality of life is measured with tools containing domains of psychological, physical and social health. People need a sense of coherence to be able to percieve good health. Aim: was to describe which domains of health related quality of life have the greatest role for people with diabetic foot ulcer. Method a litterature review was conducted based on 13 quantitative research articles were health related quality of life was measured with generic tools in people with diabetic foot ulcer. Reserach was found on CINAHL, PubMed and Web of Science. Results people with diabetic foot ulcer have the least health related quality of life in the domain physical role. Mental health was shown to be the domain where most health related quality of life was found in people with diabetic foot ulcer. Conclusion was that diabetic foot ulcer have a great impact in the domain physical role. Devolepment in nursing needs to focus on this aspect of life. In the same way resource diagnoses can be found in regard of the mental health more often than in any other domain of health related quality of life.

    Download full text (pdf)
    fulltext
  • 444.
    Eilegård Wallin, Alexandra
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    Steineck, Gunnar
    Nyberg, Tommy
    Kreicbergs, Ulrika
    Insufficient communication and anxiety in cancer-bereaved siblings: a nationwide long-term follow-up2016In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. October, p. 488-494Article in journal (Refereed)
    Abstract [en]

    Objective: The purpose of this study was to examine siblings’ long-term psychological health in relation to their perception of communication with their family, friends, and healthcare professionals during a brother or sister's last month of life.

    Method: A nationwide questionnaire study was conducted during 2009 in Sweden of individuals who had lost a brother or sister to cancer within the previous two to nine years. Of the 240 siblings contacted, 174 (73%), participated. The Hospital Anxiety and Depression Scale (HADS) was employed to assess psychological health (anxiety). The data are presented as proportions (%) and relative risks (RR) with a 95% confidence interval (CI 95%).

    Results: Siblings who were not satisfied with the amount they talked about their feelings with others during their brother or sister's last month of life were more likely to report anxiety (15/58, 26%) than those who were satisfied (13/115, 11%; RR = 2.3(1.2–4.5)). The same was true for those who had been unable to talk to their family after bereavement (RR = 2.5(1.3–4.8)). Avoiding healthcare professionals for fear of being in their way increased siblings’ risk of reporting anxiety at follow-up (RR = 2.2(1.1–4.6)), especially avoidance in the hospital setting (RR = 6.7(2.5–18.2)). No such differences were seen when the ill brother or sister was cared for at home.

    Significance of results: Long-term anxiety in bereaved siblings might be due to insufficient communication. Avoiding healthcare professionals, especially when the brother or sister is cared for at the hospital, may also increase the risk of anxiety.

  • 445.
    Eilegård Wallin, Alexandra
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke högskola.
    Lövgren, Malin
    Ersta Sköndal Bräcke högskola.
    Cancer-bereaved siblings advice to peers: A nationwide follow-up survey2019Conference paper (Refereed)
  • 446.
    Eilegård Wallin, Alexandra
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Udo, Camilla
    Dalarna University, School of Education, Health and Social Studies, Social Work.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke Högskola.
    Lövgren, Malin
    Ersta Sköndal Bräcke Högskola.
    Cancer-bereaved siblings' advice to peers: a nationwide follow-up survey2019In: Death Studies, ISSN 0748-1187, E-ISSN 1091-7683Article in journal (Refereed)
    Abstract [en]

    The aim of this nationwide survey was to explore, based on an open-ended question, cancer-bereaved siblings’ advice to peers with a brother or sister with cancer. Half of the advice related to being with the ill sibling and cherishing the time together. Other advice related to the value of communicating about the situation, letting go of guilt, and living life as usual. The results highlight the importance of health care professionals, family, and others facilitating for siblings to spend time together and communicate openly.

  • 447. Eilertsen, Mary
    et al.
    Lövgren, Malin
    Eilegård Wallin, Alexandra
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kreicbergs, Ulrika
    Cancer-bereaved siblings' positive and negative memories and experiences of illness and death: A nationwide follow-up2018In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 16, no 4, p. 406-413Article in journal (Refereed)
    Abstract [en]

    Objective: Our aim was to explore bereaved siblings' positive and negative memories and experiences of their brother's or sister's illness and death.

    Method: In our nationwide Swedish study, 174 of 240 (73%) bereaved siblings participated, and 70% responded to two open-ended statements, which focused on siblings' positive and negative memories and experiences of illness and death. The data were analyzed using systematic text condensation. Results:: The bereaved siblings' responses were categorized into four different themes: (1) endurance versus vulnerability, (2) family cohesion versus family conflicts, (3) growth versus stagnation, and (4) professional support versus lack of professional support. The first theme expressed endurance as the influence that the ill siblings' strong willpower, good mood, and stamina in their difficult situation had on healthy siblings, whereas vulnerability was expressed as the feeling of emptiness and loneliness involved with having an ill and dying sibling. In the second theme, family cohesion was expressed as the bonds being strengthened between family members, whereas family conflicts often led siblings to feel invisible and unacknowledged. In the third theme, most siblings expressed the feeling that they grew as individuals in the process of their brother's or sister's illness and death, whereas others experienced stagnation because of the physical and mental distress they bore throughout this time, often feeling forgotten. In the last theme—professional support—most siblings perceived physicians and staff at the hospital as being warm, kind, and honest, while some siblings had negative experiences.

    Significance of results: The study shows that bereaved siblings can have positive memories and experiences. The significance of the positive buffering effect on bereaved siblings' own endurance, personal growth, family cohesion, and social support should be noted. This knowledge can be valuable in showing healthcare professionals the importance of supporting the siblings of children with cancer throughout the cancer trajectory and afterwards into bereavement. 

  • 448.
    Einarsson, Julia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Johansson, Johanna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Personcentrerad vård vid demenssjukdom: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Approximately160 000 people in Sweden suffer from dementia. Behavioral and psychological symptoms of dementia (BPSD) affect about 90 % of all the people with dementia. These symptoms may reduce the quality of life of the person who suffers and be difficult to handle for staff and relatives. Care for people with dementia should be person-centered, which could be complicated by the fact that people with dementia may have difficulty in communication and being involved in their care. Hence, it is considered important to get an overview of existing knowledge about person-centered care for people with dementia.

    Aim:

    To describe person-centered care for people with dementia.

    Method:

    A literature review where 12 articles where included.

    Results:

    Staff gained understanding and knowledge of dementia through education. A personal environment and activities adapted to the person’s ability were of importance. Seeing the person behind dementia by taking part in their life story and involving relatives in the care, could staff provide important information which could be used in care to handle BPSD.

    Conclusion:

    Person-centered care is of importance to people with dementia. Person-centered care can reduce the incidence of BPSD, which is beneficial to both the person with dementia, relatives and staff. Person-centered care should be implemented in dementia care and focus should be on education to staff about dementia and person-centered care.

  • 449.
    Ek, Ann-Christin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Larsson, Gina
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Personcentrerad omvårdnad vid demens: En deskriptiv kvalitativ studie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is one of the major diseases and health professionals

    encounter these people with dementia both in emergency care and municipal care.

    At the end of life most people affected by dementia live in institutions. Personcentered

    care is described to be beneficial in the care of people with dementia and

    staff's experience of this is of great importance.

    Purpose: The aim was to study nurses, unit managers and staff nurses'

    experience of person-centered care in local health care.

    Method: The design was a descriptive study with qualitative approach which

    has been analyzed by means of an inductive content analysis. Participants enrolled

    in the interview study came from the same municipality. There were ten people

    and consisted of four registered nurses, four enrolled nurses and two managers for

    the organization. They were chosen by business manager and had worked with

    people with dementia in at least five years

    Results: The result showed four categories and 12 subcategories. Personcentered

    care was considered relevant in the context of good nursing care of

    people with dementia. In the process of person-centered care was the focus

    to; adapt to the person with dementia, to ensure the identity and personality.

    Furthermore, it was stressed relatives' participation, treatment and a common

    approach, which consisted of identifying the needs and sees the person

    Conclusion: The results showed that most interviewees had similar experiences

    in working with people with dementia. It emerged from the study that the patient

    specific approach had positive outcomes when caring for a person with dementia.

    Person-centered care was considered very important and necessary to ensure that

    people with dementia have good and dignified life after being diagnosed with the

    disease.

    Download full text (pdf)
    fulltext
  • 450.
    Ekborn, Marie
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Att föda barn i vatten: Kvinnors upplevelse av utdrivningsskedet när det sker i vatten. En kvalitativ intervjustudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To give birth in water is still and has for a long time been questioned regarding the benefits and safety in many countries. In Sweden there is no longer any a restriction or recommendations about water births. The aim of this study was to investigate women´s experience of the second stage of labour in water.

    Method: Interviews were conducted with six women three to four months after the water birth. The interviews were analyzed qualitative.

    Result: Four categories were identified; Handle the pain, kept integrity, feeling secure and natural childbirth.

    None of the women had planned for a water birth but all had a wish to avoid medical pain relief and have a natural birth if possible. Their experience was that the bath made it easier to support natural child birth and the women were positive to stay in the bath as long as the midwife told them everything was fine. The primiparas expressed the pain in the second stage of labour as mainly positive. The multiparas thought the pain was equal as previous experience. The most psychological benefit was the experience of kept integrity in the bath. The women felt less exposed in the water compared with previous experiences or ideas. Women´s opinion of the midwife as skilled and calm had importance for the choice of a water birth.

    Conclusions: The women experienced the water as protective and a way to support natural birth. The primiparas expressed the pain in the second stage of labour as mainly positive. The multiparas thought the pain was equal as previous experience. The women expressed the kept integrity as most beneficial about water birth. High confidence with the midwife had importance for feeling safe in with the water birth.

6789101112 401 - 450 of 1942
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf