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  • 51.
    Soras, Helinä
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Autentiskt möte: En litteraturstudie om sjuksköterska-patient relationen vid olika modersmål2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 52.
    Sundberg, Cathrine
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Eriksson, Cajsa
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Prenatal anknytning: En begreppsanalys2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mothers prenatal attachment, what it is influenced by and what the consequences might be and how the mothers experience their child during pregnancy are included in prenatal attachment. The concept is lacking clear definitions. Prenatal attachment has a great part within maternal health care but as a concept it's relatively undefined. Aim: The aim was to describe the concept of prenatal attachment through a concept analysis. Methods: A concept analysis with qualitative design. Five midwives were selected trough a convenience sampling and were interviewed, earlier a literature review was conducted. The result from the field study phase was brought together with the result from the theoretical phase. Results: The concept of prenatal attachment results in defined attributes. Fetal movement was a significant attribute. Other attributes were interaction, sharing, fantasies and emotions. The frame around the concept is set due to its conditions and consequences. Conclusion: Prenatal attachment can be identified as a complex concept adapted to each pregnancy based on the defined attributes.

  • 53.
    Vildelöt, Sandra
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Edman, Karin
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Personalens förväntningar inför sammanslagning av förlossnings-, BB- och neonatalavdelningen och att samtidigt införa samvård: Kvalitativ studie med fokusgruppsintervjuer2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The bonding between child and parent is aided when child and parent can be together as soon as possible from delivery. Teamwork improves quality and contributes to a holistic-perspective on nursing. A good work environment and good cooperation between staff is important for the efficiency of family-centered care. It is significant to investigate the expectations of the staff before introducing a new way of working, since it may reflect in the quality of care later given.The aim of this study was to illustrate the staffs’ expectations on the fusion of care units and whilst introducing family-centered care.The method was a qualitative method, with three focusgroup interviews of a total of 14 participants. Data was analyzed using qualitative content analysis.The result was summarized with the theme “safe and common or new and uncertain – the balance of change” that described the feelings of the staff before the fusion. The categories “achieving a good environment for parents and staff”, “to cooperate focusing on the family”, “uniting two clinics and cultures” and “to experience a change in establishment” described the expectations and fears of the staff.Conclusions: Results showed expectations of improved care- and work environment, and that the cooperation between clinics would become more efficient. It was important having a clear flow of information, to feel participant and to have a straight-forward management in order to create a functioning way of work in family-centered care.

  • 54.
    Wallenberg, Solveig
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science.
    Östlund, Lena
    Dalarna University, School of Health and Social Studies, Caring Science.
    HUr ungdomar med självskadebeteende upplever vårdpersonals bemötande2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med studien var att beskriva hur ungdomar med självskadebeteende upplever bemötandet från vårdpersonalen. Metod: Studien genomfördes som en litteraturöversikt där sju kvalitativa vetenskapliga artiklar samt en kvantitativ vetenskaplig artikel användes. Datainsamlingen gjordes i databaserna PubMed, Psyc INFO och CINAHL Resultat: Resultatet av denna studie visade på att de flesta av ungdomarna med självskadebeteende inte sökte vård då de antingen var rädda för att förvärra sina problem eller för att de inte visste vart de skulle vända sig. De valde att i första hand söka hjälp hos sina vänner. Resultatet visade på tre kategorier. Dessa var: rädsla för vården, negativa upplevelser av bemötandet och positiva upplevelser av bemötandet. I resultatet framkom att av de som sökte hjälp inom sjukvården kände sig många missnöjda. Dessa ungdomar upplevde att det största problemet under vårdtiden var negativa attityder och dåligt bemötande från personalen. De ungdomar som tagit överdoser var övervägande positiva till det bemötande och den vård de fått till skillnad från de som inte tagit överdoser. Slutsats: Studien visade att ungdomar inte söker hjälp av sjukvården för sitt självskadebeteende då de är rädda för att deras problem ska förvärras eller att de inte ska bli förstådda eller tagna på allvar. De som ändå söker hjälp upplever att de får en annan hjälp än den de önskar.

  • 55.
    Westling, Caroline
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Rektorers erfarenheter av skolans sex och samlevnadsundervisning och samarbete med ungdomsmottagningen: En intervjustudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Swedish schools sexual and relationship education should give adolescents´ knowledge about the body, sexuality, gender and relationships. The headmaster of each school is responsible for this education. Midwives at youth clinics around the country has over the year’s amassed extensive knowledge about adolescents´ conditions that are specific to the age group. The aim of this study was to describe the headmasters' experiences of sexual and relationship education and collaboration with the youth clinic. The study had a descriptive design. A convenience sample was applied as sampling method. Seven principals from schools in central Sweden participated in the study. Data were collected through semi-structured interviews and analyzed according to qualitative content analysis. The results were presented on the basis of six categories and 18 subcategories. The results showed that the headmasters´ had the experience of the teachers was a key factor for the sexual and relationship education to be good. Headmasters´ had the experience that young people's lifestyles and attitudes played a big role in how they transformed their theoretical knowledge of sex and relationship to practice. Headmasters´ had good experience of working with the youth clinic. The Headmasters´ highlighted socio-demographic challenges in sexual and relationship education. Headmasters´ had experiences that there was a lack of knowledge among the students in the subject. Headmasters´ felt that it was important that there was a balance between biology and value issues in sex education. Headmasters´ felt doubts about the form of the education.. The author's conclusion after interviewing seven headmasters is that Swedish schools need much clearer guidelines on how sexual and relationship education should be conducted so that the balance between biology and values can be created.

  • 56.
    Wickman, Fatima
    Dalarna University, School of Health and Social Studies, Caring Science. Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Patienters upplevelse av livskvalitet efter hjärtstopp samt hur livet påverkades hos närstående: En litteraturöversikt2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med denna systematiska litteraturstudie var att beskriva hur patienter upplevde sin livskvalitet efter ett hjärtstopp samt hur närstående upplevde att livet påverkades efter en anhörigs hjärtstopp. Metod: Sökningar efter artiklar skedde via PubMed, CINAHL och Medline. Inklusionskriterierna var att artiklarna skulle vara skrivna på svenska eller engelska, primärkällor samt publicerade i vetenskapliga tidskrifter mellan 2000-2012. Huvudresultat: Livskvaliteten påverkades inom flera områden hos patienterna. Det aktiva dagliga livet (ADL) och/eller den fysiska förmågan var försämrad, dock rapporterades en tillfredsställande livskvalitet och en god ADL nivå 15 år efter hjärtstoppet. Trötthet var uttalat hos patienterna vilket påverkade livskvaliteten negativt. Även närstående upplevde en ökad trötthet med tillägg av andra fysiska symtom. Posttraumatiskt stressyndrom (PTSD) var vanligt hos patienterna men påverkade endast den fysiska upplevelsen av livskvalitet. Oro, ångest och depression var vanligt förekommande hos patienter och var korrelerat till en sämre livskvalitet. Dessa symtom var även vanliga hos närstående. Sociala relationer upplevdes som viktiga hos både patienter och närstående. Livskvalitet upplevdes i relation med närstående. Kvinnor upplevde en sämre social funktion än män. Närstående kände sig isolerade och var rädda för att uppröra sin partner. Slutsats: Att överleva ett hjärtstopp påverkar patientens livskvalitet både fysiskt, psykiskt och socialt. Även närstående påverkas i hög grad. Både patienter och närstående skulle vara behjälpliga av stöd och vägledning tiden efter hjärtstopp. Stödgrupper för närstående i liknande situationer ansågs kunna minska den psykiska påfrestningen. Sjuksköterskans roll var att tidigt försöka identifiera patienter och närstående i riskzonen för att utveckla stressyndrom.

  • 57.
    Wiker, Ulrika
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Pregnant women’s use of coping strategies during early labour: A qualitative interview study2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Backgrund: Labour can be divided into different phases, the latent phase also named early labour can be the longest phase. During early labour, women may advantageously be at home. Different coping strategies can help women to more easily handle the situation.

    Objective: The aim of this study was to describe the coping strategies that pregnant women used during early labour at home.

    Design: A qualitative study design with inductive approaches was used, and based on interviews with a total of 16 women. Content analysis was used.

    Results: After analysis of the interview data an overall theme was shown: Use of internal and external resources for handling the situation. The result was then divided into four categories: To prepare and plan for childbirth, To bring new energy, To seek support from others and To find your own strategies for handling the situation.

    Conclusions: Result showeds that the use of coping strategies can help women to better manage early labour at home. Women should be aware of that the using of coping strategies can help them to better manage their labour. It is also an advantage for the midwifery profession to know about different kinds of coping strategies that can be used in the home during early labour in order to give women adequate advice and support.

  • 58.
    Zadik, Tove
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Sterner, Kathy
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Exploring midwives’ experiences, attitudes and perceptions in relation to unsafe abortion and post abortion care: - a qualitative study with midwives in Kampala, Uganda.2017Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In the East African region abortion complications causes significant morbidity and mortality, impairing women´s and girls’ health and well-being. Health care provider shortages, physicians in particular, non-availability of safe and effective medicines and technology, and the fact that few midwives and nurses are trained in post abortion care (PAC), result in limited health care access. Stigma and legal repercussions further obstruct access to care and contributes to hesitance among health care providers to provide such care. Previous studies concerning women´s access to sexual and reproductive health (SRH) care in Uganda have revealed several barriers to health care access and limited quality of care. Aim: Exploring midwives´ experiences, attitudes and perceptions in relation to unsafe abortion and their experience of providing PAC. Method: In depth interviews were conducted with twelve midwives at Mulago Referall hospital, Uganda by using a semi- structured interview guide. The transcribed material was then developed through qualitative content analysis using a manifest approach. Result: The analysis resulted in two main categories: 1) stigma and social norms related to women´s sexuality and abortion and 2) quality of post abortion care. The result showed that unintended pregnancies, FP and abortions generally are viewed badly in Uganda and are highly stigmatized. The quality of PAC is perceived reduced due to lack of equipment, high work load and stigma surrounding abortions.

    Conclusion: Unsafe abortions are viewed negatively and is seen as a consequence to stigma surrounding FP and unplanned pregnancies, which is mainly affecting young unmarried women. Midwives experienced reduced quality of PAC due to limited resources. The study also shows that new knowledge and education about PAC can help reduce midwives prejudice towards abortion seeking women and broaden their views.

  • 59.
    Ärlebäck, Anna
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Maineborn, Carina
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Sambandet mellan vidden på rektusdiastas och ländryggs- och bäckensmärta samt rörelserädsla: En kvantitativ tvärsnittsstudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The abdominal muscles play an important part in posture, inner unit stability, breathing, upper body movement, to generate power of the abdominal muscles and in supporting inner organs. Diastasis of the rectus abdominis muscles is common during and after pregnancy and might affect these important functions and thereby increase the vulnerability of the lower back and pelvic areas.

    Aim: To determine the correlation between the width of the diastasis recti abdominis and low back- and pelvic pain and the width of diastasis recti abdominis and fear of movement, in women after pregnancy.

    Method: Quantitative cross-sectional study. The amount of participants was 141. The population was women, 20-50 years old, who had given birth, the youngest child between the ages of 1-8 years old and were able to understand Swedish both verbally and in writing. The research participants had a diastasis recti abdominis more than 2 finger-widths, measured 4 cm above the umbilicus. The data collection was made with ultrasound and the questionnaires used were Numeric Rating Scale (NRS) and the swedish version of Tampa Scale of Kinesiophobia (TSK-SV). Correlation was analyzed with Spearman’s correlation coefficient. The participants were also divided into two groups based on a cut-off value of the diastasis of 2,4 cm and differences between groups were analyzed with Mann-Whitney U-test.

    Results: No statistical significance in correlation over p = 0,05 was found between the width of the diastasis recti abdominis and any of the pain ratings. However, there was a statistical significant weak positive correlation between the width of the diastasis recti abdominis and fear of movement. Furthermore there was no statistical significance between the groups ≤ 2,4 cm or > 2,4 cm of diastasis recti abdominis and the pain ratings, but a significant difference between the groups and the estimation on fear of movement.

    Conclusion: The study showed that the width of diastasis recti abdominis as alone factor doesn’t have any correlation with low back- and pelvic pain in women after pregnancy. Women with remaining diastasis recti abdominis > 2,4 cm, tended to estimate higher in this study in TSK-SV than those who had ≤ 2,4 cm. Regarding the ratings of the pain, no statistically significant difference between the groups were shown. When meeting these women physiotherapists should not only focus on the pain but also consider factors such as fear of movement and focus their efforts on guiding the women so that the risk of developing fear of movement is reduced.

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