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  • 1.
    Aarenstrup, Sophie
    et al.
    Kristianstad University, School of Education and Environment.
    Ekberg, Oscar
    Kristianstad University, School of Education and Environment.
    Matglädje: Möjliga metoder till att finna matglädjen vid ätstörningar2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Eating disorders are a growing public health concern which requires more attention and research to increase the understanding and prevention of eating disorders. This paper focuses on eating disorders and its relation to the joy of food. It is very important to find joy for food when suffering from an eating disorder to achieve a healthier life and healthier thinking around food and the body. This paper has examined possible methods that can be used for treating people with eating disorders to enjoy food. The study was conducted at Capio Anorexia Center in Malmö, a daycare clinic for eating disorders, and the study was focused on how the staff works to help patients find joy for food during treatment, and how they work to express food in a positive way to their patients.

    Methods: Literature studies were carried out before and after the study at Capio Anorexia Center. Qualitative half structured interviews were also carried out with two of the staff at Capio Anorexia Center, and with a dietitian and an anonymous person who has suffered from an eating disorder and received treatment. Three of the interviews were conducted with sound recording and the other one was conducted via email. Each interview lasted about 45 minutes. The interviews were compiled by first writing of the recorded interviews and then the answers for each interview were categorized to relevant fields. An analysis and comparison of these interviews to various literatures like books, reports, scientific papers and internet sources related to enjoying food and eating disorders were also carried out.

    Results: Eleven methods were found that may be useful to find joy for food both in treatment and outside of treatment for those who need support: daring, educational meals, eating regularly, varied and plan meals, cook and serve appealing meals, mindfulness and mindfulness eating, eating environment and social importance when eating, nutritional therapy, the “sapere-method”, eating slow and relaxed, the use of vodcast during meals and to keep out myths, dieting and beauty ideals.

    Conclusions: Eleven possible methods that may be useful to find joy for food have been found. This by preliminary studies with literature, a study at Capio Anorexia Center and interviews, and also by analyzing and comparing the interviews with literature related to eating disorders and enjoying food. The eleven methods described may be useful when regaining joy for food and a healthier thinking when it comes to food and meal situations. An important step in recovering from an eating disorder is to find pleasure when eating; therefore these methods can be possible tools to help people with eating disorders to find the joy for food. However, to reach a healthy life free from an eating disorder these methods described in this paper has to be combined with a variety of other therapies, because it is also important to work with self-esteem, self-confidence, and other symptoms and problems of the eating disorder.

  • 2.
    Abdel Ghani, Rania Mahmoud
    et al.
    Faculty of Nursing, Cairo University.
    Berggren, Vanja
    Kristianstad University, School of Health and Society.
    Parturient needs during labor: Egyptian women’s perspective toward childbirth experience, a step toward an excellence in clinical practice2011In: Journal of Basic and Applied Scientific Research, ISSN 2090-4304, Vol. 1, no 12, p. 2935-2943Article in journal (Refereed)
    Abstract [en]

    Background:

    Every woman giving birth has expectations. Identifying women’s expectations, wishes, needs and fears enable the health care provider(s) to work toward a common goal of safe and positive childbirth experience.

    Aim:

    The aim was to determine women’s preferences and needs during labor.

    Design:

    Analytic- cross sectional study.

    Setting:

    El Kasr- Aini, - Cairo- University Maternity Hospitals.

    Sample:

    A random sample of 400 women were recruited in the present study with the following criteria; age ranged between 20-30 years old, can read and write, primigravida, nulliparous woman with singleton low risk pregnancies, in the third trimester, up to 37 weeks of gestational age, no previous abortion and free from any medical complains.

    Procedure:

    Data collection took place in the antenatal clinic, each interview administrated questionnaire took a time between 10-15 minutes. Mothers completed the questionnaire in the antenatal clinics during their waiting for medical examination.

    Results:

    Twenty two need requirements emerged from the women's perspective. The highest ranked needs for parturient women during labor are; maintaining privacy through all procedures of 86.5%, accessibility of nurses demonstrate empathy of 67.5%, availability to ventilate and expressing fear and anxiety of 57.5%, quick response to request of 67.5%, frequent monitoring of 52.8%, accessibility of caring medical staff of 47.2% and short delivery of 52.8%.

    Conclusion:

    Despite good general coverage of labor care among women, there were clear variations in the type of management given to them or needed by them. This study confirms that different factors predict the multidimensionality of childbirth satisfaction.

  • 3.
    Abelin, Lisa
    et al.
    Kristianstad University College, School of Health and Society.
    Rosinski, Sylvia
    Kristianstad University College, School of Health and Society.
    En litteraturstudie om sjuksköterskans omvårdnad av patienter med intravenöst drogmissbruk2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     

    Aim:Was to highlight factors influencing the care of patients with an intravenous drug abuse, from the perspective of Suzie Kims nursing theories. Background: Nurses often have lack of knowledge about drug abuse and how to handle the care of these patients. This can lead to fear among the staff when in care of them, which can create an encounter with less good quality. A prejudge mental attitude among the staff is sometime evident. Method: A literature overview, based on eight scientific rapports/articles made during 2003-2009. These were found by searching databases such as PubMed, PsyhInfo, ELIN@lund and Cinahl. A deductive analysis method was used using Kim (2000) nursing theories; the domain of the client, client – nurse domain and the practice domain of nursing. Result: Injection drug users (IDU) often have an exposed health issue, dominated by a risky behavior. These patients are often facing difficulties in reaching healthcare, and that the care is badly suites for their specific needs. The client – nurse relation is found to be the most effective when provided in specialized facilities. The practice of nursing fulfills an important prevention role in the care and substation of IDU´s health. Conclusion: Education and information about drug abuse seems to provide better and less prejudice attitudes among the staff. A Swedish empiric study about IDU´s experience of health care and its environment would provide an improved understanding for this patient group.

     

  • 4.
    Abrahamsson, Agneta
    Kristianstad University, Department of Health Sciences.
    Addressing smoking during pregnancy: the challenge to start from the woman's view2004Doctoral thesis, comprehensive summary (Other academic)
  • 5.
    Abrahamsson, Agneta
    Kristianstad University, School of Health and Society.
    Betydelsen av alkohol och drogsamordnare på Länsstyrelsen i Blekinge län: en utvärdering2009Report (Other academic)
    Abstract [sv]

    Rapporten utgår ifrån länssamordnarens egen beskrivning av funktionen och speglar den sedan i andra intressenters/informanters uppfattningar av hennes funktion. De uppfattar att arbetet som länssamordnare har fungerat mycket bra. Däremot har hon inte lyckats med att bygga upp en länsövergripande struktur för folkhälsoarbetet på beslutsfattande nivå. Något som är nödvändigt för att på lång sikt åstadkomma ett effektivt arbete. Rapporten avslutas med två förslag till framtida organisation av arbetet i länet och hur utvecklingen av policy och handlingsprogram kan gå till.

  • 6.
    Abrahamsson, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Forskningsmiljön Arbete i skolan (AiS).
    "Det var inte så lätt som vi trodde": tvärsektoriell samverkan på en familjecentral2007In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 84, no 6, p. 529-540Article in journal (Refereed)
    Abstract [en]

    Intersectorial cooperation is commonly regarded as a desirable development in order to achieve increased efficiency and quality, and to reduce redundancies. In this report the experiences are presented from a project where nurses, midwives, preschool teacher and social worker integrated their activities around families and children. The results show that although all involved personnel were confident that the integration was favorable, they all experienced tensions, due to flaws in administrative and managerial procedures, perverse economic incentives, differences in professional background and organizational culture and personal preferences. This study indicates that integrative policies need to be followed by determined implementation.

  • 7.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Forskningsmiljön Arbete i skolan (AiS).
    Agevall, Lena
    Växjö universitet.
    Välfärdssektorns projektifiering: kortsiktiga lösning av långsiktiga problem2009In: Kommunal ekonomi och politik, ISSN 1402-8700, Vol. 13, no 4, p. 35-60Article in journal (Refereed)
    Abstract [en]

    In this article we use two immigrant projects to identify similarities and consequences in order to discuss and analyse outwarding collaborative projects in human service organizations as a tool for change. The heavy use of projects in a slimmed public sector originates from projects’ contradictory promises of flexibility and effectiveness in the New Public Management context. Usually projects are used as a way to get more resources to long-term needs but are seldom implemented as planned in the regular organisation. Seemingly politicians, management and civil servants preferred are focusing on the positive side of projects as means to legitimate the organizations and to bring change by targeting and steering activities. However, they tend to overlook the negative consequences from projects. Citizens and participants experience frustration and distrust. The long-term development in organizations is scarce. Projects are seldom implemented meanwhile as the problems the projects were expected to target still are remaining or even are increasing.

  • 8.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Forskningsmiljön Arbete i skolan (AiS).
    Andersson, Joyce
    Springett, Jane
    Kristianstad University, School of Health and Society.
    Building bridges or negotiating tensions?: experiences from a project aimed at enabling migrant access to health and social care in Sweden2009In: Diversity in Health and Care, ISSN 1759-1422, E-ISSN 1743-4904, Vol. 6, no 2, p. 85-95Article in journal (Refereed)
    Abstract [en]

    A current challenge for many European countries is to enable forced migrants to access health and social care that meets their needs. One solution is to use paraprofessionals - that is, trained individuals who are not professionals - to act as bridge-builders between minority communities and the health and social care sectors. This paper explores the development of a quality improvement project in Sweden. The project aimed to recruit and train forced migrants who had lived in Sweden for more than five years to act as bridge-builders. The aim was to use their unique experiences and knowledge in two ways - to work with service staff in developing new ways of working, and to become culturally competent paraprofessionals working with their own communities. This paper focuses on how an understanding of the role evolved as the participants reflected on their experiences and undertook an inquiry process culminating in the development of three possible models of what the task of a bridge-builder should be in developing culturally appropriate health and social services that are responsive to the needs of forced migrants. The conclusion reflects on what was learned and how the experiences from this project may be useful for others who are struggling with the same kind of problem in Sweden and in other countries.

  • 9.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Forskningsmiljön Arbete i skolan (AiS).
    Bing, Vibeke
    Löfström, Mikael
    Högskolan Borås.
    Familjecentraler i Västra Götaland: en utvärdering2009Report (Other academic)
  • 10.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, Department of Health Sciences.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    A salutogenic perspective could be of practical relevance for the prevention of smoking amongst pregnant women2002In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 18, no 4, p. 323-331Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to use empirical data to assess the theoretical relevance of using a salutogenic, instead of a pathogenic, perspective to prevent smoking during pregnancy. DESIGN: quantitative study, a questionnaire was completed during the first trimester of pregnancy and an interview was conducted after the baby was born. SETTING: a geographically defined area in the south-east of Sweden. PARTICIPANTS: all 395 women in the study area who were pregnant during the study period 1994-1995. FINDINGS: the women were categorised according to their smoking habits. A significant difference in the sense of coherence (SOC) score was shown between smoking and non-smoking women in indicators of bad health. Women who relapsed to smoking showed a lower level of SOC, particularly in the manageability component, than others. The SOC score was higher in the whole study group than in other comparable, non-pregnant populations. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: a salutogenic perspective could be used in antenatal care as a basis for encouraging pregnant women to stop smoking. This could enhance the SOC by making smoking more understandable for the woman, by discussing smoking as a way of coping, and by encouraging the woman's own capacity and motivation to stop smoking. Starting a dialogue about smoking from the woman's point of view could do this, with the midwife and the woman exploring together the woman's thoughts about the smoking problem.

  • 11.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, Department of Health Sciences.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Smoking patterns during pregnancy: differences in socio-economic and health-related varaiables2000In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 10, no 3, p. 208-213Article in journal (Refereed)
    Abstract [en]

    Background: The objective of this study was to assess different smoking patterns during and after pregnancy and relate these patterns to socioeconomic conditions and different health issues such as symptoms, drug consumption and health care use. Methods: The study group included 337 pregnant women from a district in south Sweden. A questionnaire was filled in during the first part of pregnancy and an interview was conducted after the baby was born. The women were categorised according to their smoking habits. Results: The categories defined were continuers, relapsers, decreasers, quitters and non-smokers. Among relapsers three symptoms, difficulty in relaxing (OR 4.48), restlessness (OR 9.59) and dysphoria (OR 3.98), were more common than among non-smokers. All three musculoskeletal symptoms were most common among continuers. Among quitters the OR for backache was 2.05, for numbness In the arms and legs 2.76 and for tearfulness 2.92. Educational level was relatively high among quitters and few had a smoking partner. Among smokers (decreasers, relapsers and continuers) 24% used drugs regularly, compared to 5% among non-smokers. Conclusions: To prevent smoking during pregnancy awareness of the relations between different smoking categories and symptoms could make it easier for hearth personnel to individualise support. A possible starting point is to discuss how to cope with different symptoms occurring during smoking cessation. Women with predictors for continued smoking during pregnancy, such as low education, unemployment, a smoking partner and multiparous, should be focused on more intensively and preventive strategies suitable for their special needs should be developed.

  • 12.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, Department of Health Sciences.
    Karjalainen, Jennie
    Knutsson, Christina
    Humana basala strategier: flyktingkvinnors hälsa och resurser i utvecklingen av närsjukvård2005Report (Other academic)
  • 13.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap.
    Lindmark, Ulrika
    School of Health Sciences, Jönköping University.
    Gerdner, Arne
    School of Health Sciences, Jönköping University.
    Sense of coherence of reindeer herders and other Samis in comparison to other Swedish citizens2013In: International Journal of Circumpolar Health, ISSN 2242-3982, E-ISSN 2242-3982, Vol. 72, p. 20633-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Samis are indigenous people in north Europe. In the territory called Sápmi (Lapland), reindeer herding is the traditional base for the Sami economy. The relation between living conditions and positive health of the Swedish Samis has been sparsely studied. As health is closely linked to sense of coherence (SOC), an understanding of the background factors to SOC may contribute knowledge that might be useful in promoting living conditions and health.

    METHODS: The study examines relations between the level of SOC and background factors from surveys in a Sami population (n=613) in comparison to a non-Sami population (n=525) in Sweden, and in comparison between 2 subsamples of Samis, that is, herders and non-herders.

    RESULTS: There are more similarities than differences between the Sami and non-Sami populations. However, dividing the Sami population, reindeer herders had significantly lower SOC, and in specific the subcomponent manageability, that is, less ability to use available resources to meet different demands in life, compared to non-herders.

    CONCLUSIONS: In addition to age and health, predictors of SOC are related to the life form of reindeer husbandry and the belonging to the herding community.

  • 14.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, Department of Health Sciences.
    Lindskov, Cecilia
    Kristianstad University, Department of Health Sciences.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Darin, Marianne
    Jörnrud, Carina
    Lennartsson, Ingela
    Mattson, Stina
    Sigurdsson, Marie
    Särnblad, Pia
    Tillawi, Ulrica
    Familjehuset Näsby: en utvärdering för utveckling2007Report (Other (popular science, discussion, etc.))
  • 15.
    Abrahamsson, Agneta
    et al.
    Kristianstad University College, School of Health and Society.
    Springett, Jane
    Kristianstad University College, School of Health and Society.
    Dynamic between partners and pregnant women in relation to smoking cessation2008In: Research focus on smoking and women's health / [ed] Tolson, K.P. and Veksler E.B., New York: Nova Science Publishers , 2008, p. 303-314Chapter in book (Other academic)
  • 16.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Forskningsmiljön Arbete i skolan (AiS).
    Springett, Jane
    Kristianstad University, Department of Health Sciences.
    Karlsson, Leif
    Kristianstad University, Department of Health Sciences.
    Håkansson, Anders
    Department of Community Medicine, Lund University.
    Ottosson, Torgny
    Kristianstad University, School of Education and Environment, Avdelningen för Pedagogik. Kristianstad University, Research environment Learning in Science and Mathematics (LISMA).
    Some lessons from Swedish midwives' experiences of approaching women smokers in antenatal care2005In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 21, no 4, p. 335-345Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: to describe the qualitatively different ways in which midwives make sense of how to approach women smokers. DESIGN, SETTING AND PARTICIPANTS: a more person-centred national project 'Smoke-free pregnancy' has been in progress in Sweden since 1992. Using a phenomenographic approach, 24 midwives who have been regularly working in antenatal care were interviewed about addressing smoking during pregnancy. FINDINGS: four different story types of how the midwives made sense of their experiences in addressing smoking in pregnancy were identified: 'avoiding', 'informing', 'friend-making', 'co-operating'. KEY CONCLUSION: the midwives' story types about how they approached women who smoke illustrated the difficulties of changing from being an expert who gives information and advice to being an expert on how to enable a woman in finding out why she smoked and how to stop smoking. IMPLICATIONS FOR PRACTICE: health education about smoking that is built on co-operation and dialogue was seen by the midwives as a productive way of working. The starting point should be the lay perspective of a woman, which means that her thoughts about smoking cessation are given the space to grow while she talks.

  • 17.
    Abrahamsson, Agneta
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Samhällsvetenskap. Kristianstad University, Forskningsmiljön Arbete i skolan (AiS).
    Springett, Jane
    Kristianstad University, Department of Health Sciences.
    Karlsson, Leif
    Kristianstad University, Department of Health Sciences.
    Ottosson, Torgny
    Kristianstad University, School of Education and Environment, Avdelningen för Pedagogik. Kristianstad University, Research environment Learning in Science and Mathematics (LISMA).
    Making sense of the challenge of smoking cessation during pregnancy: a phenomenographic approach.2005In: Health Education Research, ISSN 0268-1153, E-ISSN 1465-3648, Vol. 20, no 3, p. 367-378Article in journal (Refereed)
    Abstract [en]

    In general, most women are familiar with the need to stop smoking when they are pregnant. In spite of this, many women find it difficult to stop. Using a phenomenographic approach, this study explored Swedish pregnant and post-pregnant women's ways of making sense of smoking during pregnancy. A total of 17 women who either smoked throughout pregnancy or stopped smoking during pregnancy were interviewed. Five different story types of how they are making sense of smoking during pregnancy were identified: smoking can be justified; will stop later; my smoking might hurt the baby; smoking is just given up; smoking must be taken charge of. Based on the study it is argued that the approach used in health education in relation to smoking cessation in antenatal care needs to move from information transfer and advice-giving to the creation of a dialogue. The starting point should be the woman's knowledge, concerns, rationalizations and prejudices. A model is suggested in which a woman may move in a space on three axes depending on life encounters, dialogue and reflections on meaning. The goal in health education would be to encourage movement along three axes: 'increase of self-efficacy towards control', 'increase awareness by reflection on meaning of the smoking issue' and 'avoidance of defense of the smoking behavior'.

  • 18.
    Abrahamsson, Cathrine
    et al.
    Kristianstad University, School of Health and Society.
    Hägg, Jennie
    Kristianstad University, School of Health and Society.
    Bemötande vid långvarig ryggsmärta: patienters upplevelser av möten med vårdpersonal - en litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:Cirka 80 procent av Sveriges befolkning kommer någon gång i livet att drabbas av ryggsmärta. Ryggsmärta är en av de största anledningarna till att patienterna söker vård vilket ställer stora krav på sjukvårdspersonalen. Syfte: Syftet med studien var att beskriva hur patienter med långvarig ryggsmärta upplever möten med vårdpersonal. Metod: Under litteraturstudiens gång har elva vetenskapliga artiklar analyserats och sammanställts. Detta resulterade i två presenterade kategorier. Resultat: Att känna sig delaktig i sin egen vård visade sig vara viktigt för patienterna. När vårdpersonalen lyssnade på patienterna och accepterade dem som experter på deras egen smärta kände de sig mer delaktiga. Patienternas känsla av misstro berodde på att de kände sig betraktade som hypokondriker och lögnare. De önskade också att få tillbringa tillräckligt med tid med sin vårdpersonal. Slutsats: Det är viktigt att vårdpersonalen tillåter patienter att vara delaktiga i sin vård. Genom att erbjuda patienterna tillräckligt mycket tid för samtal om deras smärta blir det möjligt att skapa en förståelse för det individuella lidandet och att minska misstron.

  • 19.
    Abrahamsson, Karin
    Kristianstad University, School of Health and Society.
    Rygg och nackvärk, före, under och efter reflexologisk behandling.2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    People with back- and neck pain are common in primary care. Lot of patients don´t get the help needed. Meanwhile the public´s interest in Complementary Alternative Medicine (CAM) is growing. Need was identified to in the Healthcare system increase the knowledge about CAM´s options of treatment. The aim of this study was describing peoples experiences associated with back-and neck pain and reflexological treatment. The method was qualitative approach with semistructured interviews that analysed with contentanalysis. Sample included seven clients soughted reflexological treatment for back-and/or neck pain, wich identified through three flexologists in South Sweden. In The result the category Everyday life was identified with subcategories Pain and ache, Attempts to adapt and also Seek care and treatment. In the category Physically and mentally sensations subcategories Personal treatment, Zone pain, Increasing of circulation and also relaxation was identified. In the category Change in everyday life subcategories Symptom relief, Help to self-help and also work and sports were observed. Conclusion is that Reflexological treatment relief pain for people with back- and neck pain, it also provides chance for relaxation, better sleep, be able to work and to get new energy. More research about reflexological treatment is needed.

  • 20.
    Abrahamsson, Lisa
    Kristianstad University, School of Health and Society.
    "Idrotten har alltid varit en stor del av mitt liv": en intervjustudie med fotbollsspelande flickor 14-20 år.2013Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Organized sport involving many children and adolescents. However, there is a tendency among young people to stop participating in sport with increasing age. Many studies have been conducted to investigate the causes of dropout in the organized sport. In contrast, this study was based from a health promotion perspective. The aim of this study was to examine the different reasons why girls aged 14 to 20 continuing participate in organized sport. A qualitative approach was used and ten semi-structured interviews were conducted with girls from two football clubs in southern Sweden. The result of the study showed that the girls experiences could be grouped under six categories: Enjoyment, Health and Well-being, Social Environment, Socialization / habitus, Competence and Motivational climate. The conclusion of the study showed that the sports movement in Sweden can be seen as an arena that reaches out to a large number of children and adolescents. Sport was perceived to have great importance for the interviewed girls. It is therefore important that the knowledge and resources are available to develop the sport by the practitioners' needs.

  • 21.
    Abrahamsson, Sanne
    Kristianstad University, School of Health and Society.
    Socialtjänsten och mödrahälsovårdens arbete och samarbete kring gravida risk- och/eller missbrukare2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim with my study is to highlight, illuminate and examine the social and maternal health care motivational work of pregnant women with a risk or abuse of alcohol and / or drugs, and what actions can be considered for these women. In addition, the aim is to explore how social services and maternity care might interact in this type of case. The aim is to convey the subjective experience of each of the interviewees. For the purposes of this study, I have chosen to use the qualitative research method. I have interviewed social workers in individual and family care, and midwives. Study interview results show that pregnant misusers priority for both maternity care and social services. By the AUDIT, conducted by the maternal health care, shows that the woman has a risk and / or abuse woman offered a variety of activities that may be in the form of talks, drug testing and treatment. Cooperation is the key to success in this motivational work, and it's mainly collaboration between social services, maternal health and child health care. Cooperation seems to work fine, but could be improved with more time and more staff.

  • 22.
    Abrego Szabo, Leyden
    et al.
    Kristianstad University College, School of Health and Society.
    Bengtsson, Marie
    Kristianstad University College, School of Health and Society.
    Svensson, Anette
    Kristianstad University College, School of Health and Society.
    Anhörigvårdares behov av utbildning och information: Vid vård av en familjemedlem med stroke2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Allt fler personer som haft stroke vårdas i hemmet med stöd från sin familj. Anhörigvårdare upplever att de ”kastas in” i rollen som vårdare och är dåligt förberedda och informerade om den nya situationen. Syfte: Syftet var att beskriva anhörigvårdares behov av utbildning och information vid vård av en familjemedlem med stroke. Metod: En allmän litteraturöversikt genomfördes och baserades på 16 vetenskapliga artiklar. Resultat: Anhörigvårdare hade behov av utbildning och information om sjukdomen stroke, dess orsak, riskfaktorer och behandling samt utbildning i basal omvårdnad för att kunna vårda sina anhöriga i hemmet. Dessutom behövde de utbildning och information om stöd och service från samhället bland annat om hur de kunde bli avlastade i sin vårdarroll. De behövde även information om tillgänglig vårdkoordinator/kontaktsjuksköterska och anhörig/patientförening att vända sig till för information och stöd. Slutsats: Anhöriga behöver involveras mer i vården och därmed ses som en samarbetspartner. Med hjälp av familjesamtal kan distriktssköterskan ta reda på familjens individuella behov av utbildning och information. Författarna föreslår ett utbildnings/informationsprogram för anhöriga för att på så vis undvika att de upplever att de ”kastas in” i vårdarrollen.

  • 23.
    Adamsson Jensen, Sabina
    et al.
    Kristianstad University College, School of Health and Society.
    Johnsson, Josefin
    Kristianstad University College, School of Health and Society.
    Upplevelse av stress och lärande relaterat till KASAM och fysisk aktivitet: en enkätstudie till gymnasieelever2009Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Public health is important to many areas of society. It is important to have different goals to focus the work with health promotion in different sectors, one such area is the school. In the society of today there are a lot of public health issues like stress, overweight and physical inactivity. To experience well-being physical activity, sense of coherence (SOC) and the individual experience of stress have important functions. School is an important part of the student’s learning, development and socialisation. The aims of the study were numerous: how many of the upper secondary school students are physically active and if physical activity reduces the experience of stress. Other questions of the study were: if the experience of teaching about stress and physical activity relate to students SOC, physical activity and the experience of stress, and also illuminate the relation between SOC, physical activity and stress. A quantitative questionnaire study was performed among 187 students at three  upper secondary schools in the south of Sweden. The questionnaire was classified into four different categories; stress, physical activity, pedagogy and SOC. The result showed that the students´ SOC related to the students’ experience of stress and prevalence of different symptoms. The students’ physical activity did not relate to the students SOC and experience of stress. The physical activity education showed a trend to relate to increased physical activity and prevalence of stress education was related to increased stress. The socio-cultural perspective imprinted the study that shows that learning takes place not only in school, but also in other social contexts. The school should open up for physical activity and create a bigger interest in good health and SOC and thereby create opportunities for the  future life of the students.

  • 24.
    Ademi, Sara
    et al.
    Kristianstad University, School of Health and Society.
    Johansson, Tuva
    Kristianstad University, School of Health and Society.
    När livet förändras: en litteraturstudie om närståendes upplevelser av att leva med sin livskamrat som drabbats av stroke2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Stroke är en vanlig sjukdom i Sverige och varje år drabbas ca 30 000 personer. En stroke kan medföra både fysiska och kognitiva funktionsnedsättningar hos den som drabbats. När livskamraten drabbas av stroke kan det för den närstående komma som en chock och en ny livssituation kan uppstå. Närstående får ta på sig ett stort ansvar när livskamraten kommer hem. Syfte: Syftet med denna litteraturstudie var att beskriva närståendes upplevelser av att leva med sin livskamrat som drabbats av stroke. Metod: Arbetet utfördes som en litteraturstudie som baserades på 13 kvalitativa vetenskapliga artiklar. Resultat: I resultatet framkom en övergripande kategori; En förändrad livssituation med tre huvudkategorier; En förändrad vardag, En förändrad relation och Fysisk och emotionell påfrestning. Slutsats: Det är viktigt att sjuksköterskan har kunskap om och skapar sig en djupare förståelse för den närståendes situation för att kunna möta den närstående på ett bra sätt. Det ligger i sjuksköterskans ansvar att se till att den närstående inte blir åsidosatt utan blir sedd som en del i systemet. Rätt information och stöd innan hemgång, kan detta göra att den närstående känner sig tryggare i den nya situationen i hemmet med livskamraten.

  • 25.
    Adriansson, Martina
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Bengtssson, Pernilla
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Patienters upplevelser av palliativ omvårdnad på sjukhus vid cancersjukdom2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:Majoriteten av de patienter som avlider i Sverige varje år till följd av cancer vårdas vid sin död på sjukhus. Många erhåller palliativ vård som innebär medicinska behandlingar eller omvårdnadsåtgärder i livets slutskede. Ett holistiskt förhållningssätt hjälper patienter att uppleva god livskvalitet i livets slutskede och uppnå en god död. Tidigare studier har påvisat svårigheter att tillgodose patienter på sjukhus en optimal palliativ omvårdnad. Via patienters upplevelser kan den omvårdnaden utvecklas. Syfte: Syftet med litteraturöversikten var att beskriva patienters upplevelser av palliativ omvårdnad på sjukhus vid cancersjukdom. Metod: En allmän litteraturöversikt baserad på kvalitativa artiklar som framkom efter systematiska databassökningar i Cinahl och PubMed. Dessa granskades med HKR:s granskningsmall för kvalitativa artiklar, analys genomfördes enligt Graneheim och Lundman (2004). Resultat: Följande sex kategorier framkom; Betydelsen av kontroll i livets slutskede, Upplevelsen av ensamhet, Den gode vårdaren och lojala patienten, Att vara beroende, Vikten av kontinuitet och Bibehålla sin självständighet. Resultatet visade att sjukhuset kunde vara en trygghet men att den palliativa omvårdnaden överlag präglades negativt av en stressig miljö där patienterna upplevde både ökad självständighet och ökat beroende. Diskussion: Arbetet bedöms tillförlitligt och verifierbart då datainsamling och analys är redovisat och kontinuerligt utvärderat i grupp. Pålitligheten stärks av att förförståelsen är redovisad. Resultatet bedöms överförbart till en sjukhuskontext, men kanske inte till patienter med andra diagnoser. Resultatet bidrar till ökad kunskap inom området palliativ omvårdnad. Tre huvudfynd belyses som påvisar en bristande holistisk omvårdnad relaterat till bland annat tidsbrist, ett medicinskt fokus samt okunskap hos vårdpersonalen angående palliativa omvårdnadsbehov.

  • 26.
    af Sandeberg, Margareta
    et al.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Johansson, Eva M.
    Department of Medicine, Karolinska Institutet.
    Hagell, Peter
    4Department of Health Sciences, Lund University.
    Wettergren, Lena
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Psychometric properties of the DISABKIDS Chronic Generic Module (DCGM-37) when used in children undergoing treatment for cancer2010In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 8, p. 109-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The aim was to evaluate data quality and psychometric properties of an instrument for measurement of health-related quality of life: DISABKIDS Chronic Generic Module (DCGM-37) used in school-aged children with cancer.

    METHODS: All school-children diagnosed with cancer in Sweden during a two-and-a-half year period were invited to participate in the study. Analysis was performed on combined data from two assessments, two and-a-half and five months after start of cancer treatment (n = 170). The instrument was examined with respect to feasibility, data quality, reliability and construct and criterion-based validity.

    RESULTS: Missing items per dimension ranged from 0 to 5.3 percent, with a majority below three percent. Cronbach's alpha values exceeded 0.70 for all dimensions. There was support for the suggested groupings of items into dimensions for all but six of the 36 items of the DCGM-37 included in this study. The instrument discriminated satisfactorily between diagnoses reflecting treatment burden.

    CONCLUSIONS: The results indicate satisfactory data quality and reliability of the DCGM-37 when used in children undergoing treatment for cancer. Evaluation of construct validity showed generally acceptable results, although not entirely supporting the suggested dimensionality. Continued psychometric evaluation in a larger sample of children during and after treatment for cancer is recommended.

  • 27.
    Aferdita, Mehmetaj
    et al.
    Kristianstad University College, School of Health and Society.
    Skoug, Emelie
    Kristianstad University College, School of Health and Society.
    Sjuksköterskans och Invandrarkvinnors upplevelser av mötet i vården: en litteraturstudie2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Skandinavisk sjukvårdpersonal anser att det ibland är svårt att förstå patienter med en annan kultur och bakgrund vilket kan påverka mötet dem emellan. Kulturkrockar är därför inte helt ovanliga i vården vilket kan upplevas jobbigt för både sjuksköterskan och invandrarkvinnor. Syfte: Syftet med denna litteraturstudie var att beskriva sjuksköterskans och invandrarkvinnors upplevelser av mötet i vården. Metod: Under litteraturstudiens gång har vetenskapliga artiklar analyserats och sammanställts. Granskningen av artiklarna har resulterat till tre underrubriker som presenteras i resultatdelen. Resultat: Språksvårigheter är en av den vanligaste faktorn till kulturkrock mellan invandrarkvinnor och sjuksköterskor i vården. Enligt sjuksköterskorna är det viktigt att ha förståelse för kvinnornas värderingar och bakgrund för att kunna ge invandrarkvinnorna en anpassad och individuell omsorg. Sjuksköterskorna anser att mer tid behövs för att hinna ge omsorg till kvinnorna enligt kvinnornas önskemål som varierar beroende på deras olika kulturer. Invandrarkvinnorna anser att en bättre omsorg till dem är att ta hänsyn till deras religion, etnicitet och individuella önskemål. För att som sjuksköterska kunna få förståelse om andra människors tro måste sjusköterskan först förstå sitt eget levnadssätt som är påverkat av interaktion, sociala och kulturella bakgrunder. Diskussion: Enligt socialstyrelsen ska sjuksköterskan ge hela befolkningen vård och omsorg på lika villkor samt visa öppenhet och respekt för olika värderingar och trosuppfattningar.

  • 28.
    Ahlman, Marie
    et al.
    Kristianstad University College, School of Health and Society.
    Lindh, Helen
    Kristianstad University College, School of Health and Society.
    Wikström, Barbro
    Kristianstad University College, School of Health and Society.
    Patientens informationsbehov efter hjärtinfarkt2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bakgrund: Insjuknandet i hjärtinfarkt är oftast akut och kan påverka patienten under en lång tid. Vårdtiden är kort och patienten drabbas ofta av en kris. Förutom adekvat behandling behövs information för att känna trygghet och för att kunna göra livsstilsförändringar som förebygger återinsjuknande. Sjuksköterskan kan vägleda och motivera till ett hälsosammare liv både under och efter sjukhusvistelsen. Syfte: Syftet med studien var att beskriva patientens informationsbehov vid hjärtinfarkt under och efter sjukhusvistelsen. Metod: En litteraturstudie har gjorts där 13 vetenskapliga artiklar har granskats. Resultat: Patienterna önskade information från olika källor. Informationen skulle vara lättförståelig och samstämmig. Individuell information var viktig och skulle vara uppdelad på flera tillfällen. Informationsbehovet såg olika ut beroende på om patienten var inskriven på sjukhus eller hade kommit hem. Slutsats: Patientundervisning under sjukhusvistelsen och efter utskrivningen är nödvändigt för att minska den informationsbrist som många patienter upplever efter hemkomst. Ett samarbete behövs mellan slutenvården och primärvården då all information inte kan ges vid ett tillfälle. Detta skulle kunna vara kostnadseffektivt då risken för återinsjuknande troligtvis minskar för en patient som är välinformerad.

  • 29.
    Ahlström, My
    et al.
    Kristianstad University, School of Education and Environment.
    Hendriksson, Sanna
    Kristianstad University, School of Education and Environment.
    Stevic, Bojan
    Kristianstad University, School of Education and Environment.
    Den hälsosamma kosten: uppfattningar, resonemang och livsmedelsval2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Most consumers today are very health conscious and wish to eat a healthy diet, but they are faced with several problems in their everyday lives. Food and product choices can be about taking a stance and showing your identity, whether that is as a price conscious or environmentally conscious customer. As such many factors are in play when the consumer decides what a healthy diet is. The choice of diet and food thus becomes a complex everyday challenge. This is influenced by the debate around food and health in what is termed the mass media. The purpose of the study was to show how a sample of Swedish consumers percieve a healthy diet, the relation of said perception to comming nutrition reccommendations and the consumers’ views of diet and health. The study used semi-structured interviews as well as a web-based food frequency questionnaire with fourhundred respondents. Interviews centered on concepts of healthy diet and unhealthy diet, as well as the meaning of words frequently used in the debate around diet and health in mass media. The consumer’s view of a healthy diet mainly coincides with Swedish Nutritional Recommendations from 2004 and the proposal for Nordic Nutrition Recommendations from June, 2012. There are differences in the opinions of male and female subjects between self-estimated food consumption, the view of what a healthy diet should look like and on how often the defined food items should be consumed. A higher frequency of consumption of food items that the proposal for the Nordic Nutrition Recommendations have recommended be reduced, such as sausages, snacks and sweets was more acceptable to men than to women. Women’s perception of a healthy diet included a higher frequency of consumption of food items that the proposal for the Nordic Nutrition Recommendations have recommended be increased, such as fruits, berries and vegetables. Over all, the subjects were well informed and knowledgeable about what constitutes a healthy diet.

  • 30.
    Ahmetaj, Zana
    et al.
    Kristianstad University College, School of Health and Society.
    Radu, Laura
    Kristianstad University College, School of Health and Society.
    Faktorer som påverkar hur patienter med lungcancer upplever sin smärta och mötet med sjuksköterskan2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Lung cancer is the fifth most common form of cancer and a cancer-related cause of death in Sweden. The majority of patients suffering from lung cancer are around 70 years old, barely a hundred people each year become ill before the age of 50 years. Purpose: To describe the factors that affect how patients with lung cancer experience their pain and the contact with the nurse. Method:  A systematic literature study was conducted in which both qualitative and quantitative articles were reviewed. Conclusion: The result showed that pain perception and the meeting with the nurse is individual and depends on many factors. The physical and mental pain went together and influenced each other. Patients felt that nurses' lack of time, could create misunderstandings, meaning that they could receive inadequate information and that their pain could be underestimated. Discussion: The results were discussed based on Travelbees nursing theory. The nurse should see the patient as an individual and treat his pain with respect, giving him the time, the understanding and the information he needs.

  • 31.
    Akner, Gunnar
    et al.
    Örebro universitet.
    Rothenberg, Elisabet
    Kristianstad University, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet. Kristianstad University, Resrarch environment Food and Meals in Everyday Life (MEAL). Kristianstad University, School of Education and Environment, Avdelningen för Humanvetenskap.
    Multisjuka och bräckliga äldre2015In: Mat och hälsa: en klinisk handbok, Lund: Studentlitteratur AB, 2015, p. 105-108-Chapter in book (Other academic)
  • 32.
    Albarkawi, Bassam
    et al.
    Kristianstad University, School of Health and Society.
    Tallroth, Sebastian
    Kristianstad University, School of Health and Society.
    En hotad omvårdnad?: Sjuksköterskans arbete under hotbild2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Hot och våld på sjukhus är ett växande problem både i Sverige och globalt. Vad händer med omvårdnaden när detta sker och hur påverkas de som arbetar med vård när hoten kommer in på avdelningarna?  Syfte: Belysa hur omvårdnaden och sjuksköterskans situation påverkas när sjuksköterskan som arbetar i somatisk vård arbetar under hotbild.  Metod: En litteraturstudie av både kvalitativa och kvantitativa forskningsartiklar. Studierna som inkluderats berör vad som händer med omvårdnaden och sjuksköterskan under hotfulla eller våldsamma situationer. Studier som tar upp hot och våld inom somatiken och även artiklar som berör ämnen kring arbetsplatsrelaterat våld. De som exkluderats är studier som uteslutande fokuserat på hot och våld från patienter från psykiatriska vårdinrättningar samt patienter med uttalad nedsatt kognitiv förmåga.  Resultat: Stress, ångest rädsla, fysiska och andra psykiska konsekvenser var faktorer som påverkade för både omvårdnaden och sjuksköterskorna som arbetade med somatisk vård och blev utsatta för hotbild.  Diskussion: Tar upp problematiken kring resultatet samt vilken påverkan det har på sjuksköterskan, patienten och vårt samhälle utifrån lagstiftning, genus, medbestämmande, folkhälsa och utveckling. Diskussionen tar därför upp problematiken kring, hur hot och våld tar tid och hur det påverkar sjuksköterskan och i förlängningen vårdsituationen, hur rädslan påverkar sjuksköterskan och hur sjuksköterskans undvikande kan förhindras.

  • 33.
    Alfredsson, Betty
    et al.
    Kristianstad University, School of Health and Society.
    Ewesson, Frida
    Kristianstad University, School of Health and Society.
    Mångbesökares upplevelser av omvårdnad på akutmottagning och i primärvård: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Mångbesökare är en utsatt patientgrupp med ett stort behov av omvårdnad och behöver kontinuitet i vården, både inom akutsjukvård och i primärvård.

    Syfte: Syftet med studien var att beskriva mångbesökares upplevelser av omvårdnad på akutmottagning och i primärvård.

    Metod: En litteraturöversikt med åtta artiklar har analyserats induktivt, sammanställts genom innehållsanalys som genererade i kategorierna bemötande och respekt.

    Resultat: Mångbesökare hade både positiva och negativa upplevelser som beskrivs genom mötet, att känna sig omhändertagen, att känna förtroende, att bli besviken, att känna sig underlägsen, tillfredställelse och tacksamhet, att bli betrodd och lyssnad på samt upplevelser av personcentrerad omvårdnad.

    Diskussion: Etisk reflektion möjliggör förbättring för mångbesökare och för vårdpersonalen på individnivå och som arbetsgrupp. I denna litteraturöversikt upplevde mångbesökare i Sverige att de saknade personcentrerade omvårdnad och SBU:s sammanställning visade att patienter i Sverige i allmänhet upplevde personcentrarad omvårdnad positivt. Det kan därför vara viktigt att implementera personcentrerad omvårdnad oavsett patientkategori inom hälso- och sjukvården i Sverige. Ur ett samhällsperspektiv blir det fördelaktigt för mångbesökare och sjukvård att arbeta genom samplanering och uppföljning. Det kan leda till att mångbesökare upplever mindre känsla av skuld och minskar antalet besök, vilket kan resultera i bättre folkhälsa. För att förbättra omvårdnaden i det första mötet med mångbesökare men även ur ett allmänperspektiv skulle det vara önskvärt med ett prioriteringssystem för omvårdnad, detta för att omvårdnad inte ska negligeras. Mångbesökare är en grupp med stort behov, ett prioriteringssystem möjliggör att omvårdnad lyfts fram.

  • 34.
    Al-Hilly, Fatin
    et al.
    Kristianstad University, School of Health and Society.
    Mufti, Magdalena
    Kristianstad University, School of Health and Society.
    Olsson, Lousie
    Kristianstad University, School of Health and Society.
    Kommunikationssvårigheter: mellan sjuksköterska och patient som är immigrant med annat modersmål2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To provide good health care requires good communication between nurse and patient. When the nurse caring for patient whom are immigrant with a different native language, the nurse’s language skills are sometimes insufficient and they are in able to understand and to be understood, which can lead to misunderstandings. Method: The literature review was based on 14 articles. Researches were made in the databases; Cinahl, PubMed, and Elin@Blekinge. Articles from 2000-2010 were included. Articles were reviewed by Forsberg & Wengström template. Aim: The aim was to describe nurses' communication problems and the implications of meeting patients who are immigrants with a native language. Results: The results are presented in four categories: use of interpreter, inadequate language skills, frustration and pre-understanding. The nurse experienced that nursing a patient with inadequate language skills led to limited nursing and miscalculations. The nurse also expressed the dissatisfaction at the lack of care given to non-native speaking patient and was worried about the quality of care provided. The nurse believed that patients with language difficulties required more time and was more of a burden on health care than patients without language barriers. Discussion: To facilitate communication with patients who are immigrants with a native language, a professional interpreter should be hired. Multilingual nurses can also be helpful as interpreters.

  • 35.
    Almborg, Ann-Helene
    et al.
    Institute of Gerontology, School of Health Sciences, Jönköping University.
    Ulander, Kerstin
    Kristianstad University College, School of Health and Society.
    Thulin, Anders
    Karolinska University Hospital, Stockholm.
    Berg, Stig
    Institute of Gerontology, School of Health Sciences, Jönköping University.
    Discharge planning of stroke patients: the relatives' perceptions of participation2009In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 6, p. 857-865Article in journal (Refereed)
    Abstract [en]

    To describe relatives' perceived participation in discharge planning for patients with stroke and identify correlates to perceived participation. Stroke affects both patients and their relatives and previous research shows that relatives were often dissatisfied with their perceived involvement in discharge planning and the information they get. Prospective cross-sectional study. The study comprised 152 consecutively enrolled relatives (mean age = 60.8 years) of acute stroke patients admitted to a stroke unit in southern Sweden during 2003-2005. Data were collected through interviews 2-3 weeks after discharge using 'Relative's Questionnaire about Participation in Discharge planning'. This instrument measures perceived participation in three subscales: R-Information-Illness, R-Information-Care/support, and R-Goals and Needs. The Overall Rating of Relative's Perceived Participation in Discharge Planning was measured by a visual analogue scale (VAS) (1-10 score). Among the relatives, 56-68% reported positively according to R-Information-Illness, but 46-53% perceived that they did not receive any information about care/medication/rehabilitation/support. About 80% perceived no participation at all in goals and needs. The mean value of the VAS was 3.89 (SD 3.40) score. Regression analyses revealed that longer stay at hospital, patients with higher education, and relatives of female patients and female relatives were associated with relatives' perceptions of higher participation in discharge planning. Relatives perceived that they needed more information and knowledge about stroke and care/medication/rehabilitation/support. They also needed to be more involved in goal-setting and in identifying patient needs. Professionals should take into consideration these associated variables to improve relatives' perceived participation. Clinicians should give more attention to the altered situation of stroke patients' relatives when planning for continuing care and when setting postdischarge goals for the patients. The professionals need to develop strategies to involve relatives in sharing information, goal-setting and needs assessment in discharge planning.

  • 36.
    Almborg, Ann-Helene
    et al.
    Institute of Gerontology, School of Health Sciences, Jönköping University.
    Ulander, Kerstin
    Kristianstad University, School of Health and Society.
    Thulin, Anders
    Karolinska University Hospital, Stockholm.
    Berg, Stig
    Institute of Gerontology, School of Health Sciences, Jönköping University.
    Discharged after stroke - important factors for health-related quality of life2010In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 15-16, p. 2196-2206Article in journal (Refereed)
    Abstract [en]

    Aims. This study examines different correlates to health-related quality (HRQoL) of life after discharge in patients with stroke. Background. HRQoL is an important aspect of life after suffering a stroke. Previous research has revealed several variables associated with poststroke quality of life, including age, gender, depression, fatigue, length of hospital stay, functional status and amount of social participation. However, the time span after stroke varies greatly in the different studies. Although the multiple factors that contribute to short-term postdischarge HRQoL have potential importance for discharge planning, to our knowledge, these factors have not been systematically investigated during the earlier days following discharge. Design. Cross-sectional study. Methods. The sample consisted of 188 consecutively included individuals (mean age 74 years, 56% men) from a stroke unit in southern Sweden. The interviews were performed two to three weeks after discharge and included use of the SF-36, the Center for Epidemiological Studies Depression Scale, the Barthel Index, the Frenchay Activities Index, performance of interests and survey of patients' perceived participation in discharge planning. Multiple linear regression analysis was conducted to identify variables associated with HRQoL. Results. Multiple regression analyses with the eight scales of SF-36 as dependent variables revealed eight models, one for each scale, which were statistically significant. Depressive symptoms were associated with lower HRQoL. Ability to perform personal and social activities, interests, younger age, education (elementary school) and shorter hospital stay were related to higher HRQoL. Patients' perceived participation in discharge planning was both positively and negatively associated with HRQoL. Conclusions. Several variables were related to good HRQoL two to three weeks post-discharge, particularly fewer depressive symptoms, participation in social activities such as outdoor activities and performance of interests. Relevance to clinical practice. These results can be used to design needs assessment forms of discharge planning to promote adaptation and recovery after stroke.

  • 37.
    Almborg, Ann-Helene
    et al.
    Institute of Gerontology, School of Health Sciences, Jönköping University.
    Ulander, Kerstin
    Kristianstad University College, School of Health and Society.
    Thulin, Anders
    Karolinska University Hospital.
    Berg, Stig
    Institute of Gerontology, School of Health Sciences, Jönköping University.
    Patients' perceptions of their participation in discharge planning after acute stroke2009In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 2, p. 199-209Article in journal (Refereed)
    Abstract [en]

    Aims and objectives. To describe stroke patients' perceptions of their participation in the discharge planning process and identify correlates of perceived participation.

    Background. Patients have the right to participate in discharge planning, but earlier research has shown that they are often dissatisfied with the information they receive and their involvement in goal-setting during discharge planning.

    Design. Cross-sectional study.

    Methods. The sample consisted of 188 persons (mean age 74 years, SD 11·2) with acute stroke who were admitted to a stroke unit at a hospital in southern Sweden during 2003–2005. Data was collected by face-to-face interviews 2–3 weeks after discharge using the 'Patients' Questionnaire on Participation in Discharge Planning'. This instrument measures perceived participation in discharge planning in three subscales: P-Information, P-Medical Treatment, P-Goals and Needs.

    Results. The percentage of patients who perceived that they had participated in discharge planning was as follows: 72–90% according to P-Information, 29–38% according to P-Medical Treatment and 15–47% according to P-Goals and Needs. Age, education and performance of activities of daily living were significantly related to perceived participation as measured by different subscales.

    Conclusions. Most of the patients perceived that they received information, but fewer perceived participation in the planning of medical treatment and needs of care/service/rehabilitation and goal-setting. Professionals need to pay more attention to patients in different subgroups to facilitate their participation in discharge planning.

    Relevance to clinical practice. To facilitate and increase patients' participation in discharge planning, methods should be implemented for goal-setting and identifying patients' needs. Methods that foster patient participation may improve goal-orientated care, services and rehabilitation after discharge.

  • 38.
    Alvarez, Lorena
    et al.
    Kristianstad University, School of Health and Society.
    Bergström, Susanna
    Kristianstad University, School of Health and Society.
    Anhörigas behov av stöd, när de vårdar vuxna närstående med cancer: en litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Cancer was the second most common cause of death in Sweden in 2011. As the number of beds in hospitals decreases, numerous severely ill patients receive care at home. This results in family members performing important parts of the caring process. The aim of this study was to describe the caregivers' support needs from healthcare professionals when caring for an adult relative with cancer. A literature review was performed, in which results from empirical studies were reviewed and summarized. The result shows that caregivers need information about the disease and education regarding nursing skills. They also have social needs, such as to participate in decision making concerning treatment alternatives, to be kindly met by healthcare professionals, and to have opportunities for respite. The number of caregivers who suffer from anxiety and depression might indicate the presence of unsatisfied needs, which healthcare professionals could identify early in the care process. By putting focus on the caregivers' needs, healthcare professionals can help them achieve an increased feeling of competence in performing the caring role and possibly promote their sense of health and well-being.

  • 39.
    Ambolt, Amelie
    et al.
    Lund University.
    Gard, Gunvor
    Lund University.
    Sjödahl Hammarlund, Catharina
    Kristianstad University, School of Health and Society. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Therapeutically efficient components of Basic Body Awareness Therapy as perceived by experienced therapists: a qualitative study2017In: Journal of Bodywork & Movement Therapies, ISSN 1360-8592, E-ISSN 1532-9283, Vol. 21, no 3, p. 503-508Article in journal (Refereed)
    Abstract [en]

    Background

    Basic Body Awareness Therapy (BBAT) is a physiotherapeutic method used in rehabilitation to increase physical and emotional balance. The aim was to identify and describe perceived therapeutically efficient components of BBAT.

    Methods

    Twenty-four experienced BBAT therapists participated in focus group interviews. The data were analysed with content analysis.

    Results

    One central theme, the therapeutic space consisted of two categories; the therapeutic encounter and the therapeutic tools, which emerged as the core of the perceived therapeutically efficient components. The therapeutic encounter entailed the therapeutic approach, affect attunement, continuous interaction during treatment, affect mirroring and communicating by use of a person-centred approach. The therapeutic tools included adjustment and adaptation, the use of manual, verbal and non-verbal guiding, and creating an atmosphere of safety and sanctuary.

    Conclusion

    The significance of interaction by use of a person-centred approach combined with the ability to continuously adjust the treatment constituted useful guidelines when designing rehabilitation using BBAT treatment.

  • 40.
    Anderberg Hansen, Sara
    et al.
    Kristianstad University, School of Health and Society.
    Andersson, Björn
    Kristianstad University, School of Health and Society.
    Att vara en cirkel i en fyrkantig värld: En litteraturöversikt om HBTQ personers upplevelser av mötet med sjukvården2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Heteronormativitet genomsyrar samhället och även sjukvården. Detta påverkar mötet mellan HBTQ personer och vårdpersonal. Homosexuella handlingar avkriminaliserades i Sverige 1944. Sedan dess har olika lagar tagits fram i syfte att minska diskrimineringen av HBTQ personer i samhället. 38 % av deltagarna i en studie har någon gång upplevt sig illa bemötta i sjukvården. 36 % legitimerade sjuksköterskor i Sverige skulle välja att inte vårda personer ur HBTQ gruppen om den möjligheten fanns. Syfte: Att beskriva HBTQ personers upplevelser av mötet med vårdpersonal i den somatiska sjukvården. Metod: En litteraturöversikt baserad på 13 kvalitativa vetenskapliga artiklar. Analysprocessen inspirerades av Forsberg och Wengströms modell. Resultat: Tre huvudkategorier med vardera två underkategorier. Upplevelsen av den skickliga vården, upplevelsen av den begränsade vården och upplevelsen av den diskriminerande vården. Det framkom att de flesta upplevde mötet med sjukvården som negativt. Heteronormativa antaganden var ett genomgående tema för resultatet, där både negativa och positiva möten grundade sig i dessa antaganden och frånvaron av dessa. Slutsats: Kunskapen kring olika sexuella läggningar och identiteter måste förbättras inom sjukvården för att skapa en accepterande miljö och ett bättre möte. Detta för att folkhälsan för HBTQ gruppen skall kunna förbättras. Kommunikativa hinder och heteronormativa normer måste belysas redan i utbildningen för vårdpersonal.

  • 41.
    Andersson, Anders-Petter
    et al.
    The Oslo School of Architecture and Design.
    Cappelen, Birgitta
    The Oslo School of Architecture and Design.
    Designing empowering vocal and tangible interaction: 2013In: The International conference on new interfaces for musical expression / [ed] Kyogu Lee, Kaejeon, Korea: Seoul National University , 2013, p. 406-412Conference paper (Refereed)
    Abstract [en]

    Our voice and body are important parts of our self-experience, and our communication and relational possibilities. They gradually become more important for Interaction Design due to increased development of tangible interaction and mobile communication. In this paper we present and discuss our work with voice and tangible interaction in our ongoing research project RHYME. The goal is to improve health for families, adults and children with disabilities through use of collaborative, musical, tangible media. We build on the use of voice in Music Therapy and on a humanistic health approach. Our challenge is to design vocal and tangible interactive media that through use reduce isolation and passivity and increase empowerment for the users. We use sound recognition, generative sound synthesis, vibrations and cross-media techniques to create rhythms, melodies and harmonic chords to stimulate voice-body connections, positive emotions and structures for actions.

  • 42.
    Andersson, Anders-Petter
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Platform for Collaboration for Health.
    Cappelen, Birgitta
    The Oslo School of Architecture and Design.
    Musical interaction for health improvement2014In: Oxford handbook of interactive audio / [ed] Karen Collins, Bill Kapralos, Holly Tessler, Oxford: Oxford University Press , 2014, p. 247-262Chapter in book (Refereed)
    Abstract [en]

    During the past decade, tangible sensor technologies have matured and become less expensive and easier to use, leading to an explosion of innovative musical designs within video games, smartphone applications, and interactive art installations. Interactive audio has become an important design quality in commercially successful games like Guitar Hero , and a range of mobile phone applications motivating people to interact, play, dance, and collaborate with music. Parallel to the game, phone, and art scenes, an area of music and health research has grown, showing the positive results of using music to promote health and wellbeing in everyday situations and for a broad range of people, from children and elderly to people with psychological and physiological disabilities. Both quantitative medical and ecological humanistic research show that interaction with music can improve health, through music’s ability to evoke feelings, motivate people to interact, master, and cope with difficult situations, create social relations and experience shared meaning. Only recently, however, the music and health field has started to take interest in interactive audio, based on computer-mediated technologies’ potential for health improvement. Here, we show the potential of using interactive audio in what we call interactive musicking in the computer-based interactive environment Wave. Interactive musicking is based on musicologist Christopher Small’s concept “musicking”, meaning any form of relation-building that occurs between people, and people and things, related to activities that include music. For instance, musicking includes dancing, listening, and playing with music (in professional contexts and in amateur, everyday contexts). We have adapted the concept of "musicking" on the design of computer-based musical devices. The context for this chapter is the research project RHYME. RHYME is a multidisciplinary collaboration between the Centre for Music and Health at the Norwegian Academy of Music, the Oslo School of Architecture and Design (AHO), and Informatics at the University of Oslo. Our target group is families with children with severe disabilities. Our goal is to improve health and wellbeing in the families through everyday musicking activities in interactive environments. Our research approach is to use knowledge from music and health research, musical composition and improvisation, musical action research, musicology, music sociology, and soundscape studies, when designing the tangible interactive environments. Our focus here is interaction design and composition strategies, following research-by-design methodology, creating interactive musicking environments. We describe the research and design of the interactive musicking environment Wave, based on video documentation, during a sequence of actions. Our findings suggest some interactive audio design strategies to improve health. We base the design strategies on musical actions performed while playing an instrument, such as impulsive or iterative hitting, or sustainable stroking of an instrument. Musical actions like these can also be used for musicking in everyday contexts, creating direct sound responses to evoke feelings that create expectations and confirm interactions. In opposition to a more control-oriented, instrument and interface perspective, we argue that musical variation and narrative models can be used to design interactive audio, where the audio is seen as an actor taking many different roles, as instrument, co-musician, toy, etc. In this way, the audio and the interactive musicking environments will change over time, answering with direct response, as well as nose-thumbing and changing response, motivating creation, play, and social interaction. Musical variation can also be used to design musical backgrounds and soundscapes that can be used for creating layers of ambience. These models create a safe environment and contribute to shared meaning.

  • 43.
    Andersson, Anders-Petter
    et al.
    Institute of Design, The Oslo School of Architecture and Design.
    Cappelen, Birgitta
    Institute of Design, The Oslo School of Architecture and Design.
    Vocal and tangible interaction crossing borders2013In: Include Asia 2013 Proceedings: global challenges and local solutions in inclusive design, Conference on inclusive design / [ed] Jeremy Myerson, London: Helen Hamlyn Centre of Design, The Royal College of Art in London, The Hong Kong Design Centre , 2013Conference paper (Refereed)
    Abstract [en]

    Our voice and body are important parts of our self-expression and self-experience for all of us. They are also essential for our way to communicate and build relations cross borders such as abilities, ages, locations and backgrounds. Voice, body and tangibility gradually become more important for ICT, due to increased development of tangible interaction and mobile communication. The voice and tangible interaction therefore also become more important for the Universal Design field. In this paper we present and discuss our work with voice and tangible interaction in our ongoing research project RHYME. The goal is to improve health for families, adults and children with disabilities through use of collaborative, musical, tangible and sensorial media. We build on use of voice in Music Therapy, knowledge from multi-sensory stimulation and on a humanistic health approach. Our challenge is to design vocal and tangible interactive media that are sensorially stimulating. Interactive media that through use reduce isolation and passivity and increase empowerment for all the users. We use sound recognition, generative sound synthesis, vibrations and cross-media techniques, to create rhythms, melodies and harmonic chords to stimulate voice-body connections, positive emotions and structures for actions.

  • 44.
    Andersson, Anders-Petter
    et al.
    Kristianstad University, School of Health and Society. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Cappelen, Birgitta
    The Oslo School of Architecture and Design.
    Vocal and tangible technology for music and health2013In: Book of abstracts: setting the tone: cultures of relating and reflecting in music therapy / [ed] Gro Trondalen, Oslo: The Norwegian Academy of Music , 2013, p. 24-24Conference paper (Refereed)
    Abstract [en]

    Our voice and body are important parts of our self-expression and self-experience. They are also essential for our way to communicate and build relations cross borders like abilities, ages, locations, backgrounds and cultures. Voice and tangibility gradually become more important when developing new music technology for the Music Therapy and the Music and Health fields, due to new technology possibilities that have recently arisen. For example smartphones, computer games and networked, social media services like Skype. In this paper we present and discuss our work with voice and tangible interaction in our ongoing research project. The goal is to improve health for families, adults and children with severe disabilities through use of collaborative, musical, tangible sensorial media. We build on use of voice in Music Therapy and studies by Lisa Sokolov, Diane Austin, Kenneth Bruscia and Joanne Loewy. Further we build on knowledge from Multi-sensory stimulation and on a humanistic health approach. Our challenge is to design vocal and tangible, sensorially stimulating interactive media, that through use reduce isolation and passivity and increase empowerment for all the users. We use sound recognition, generative sound synthesis, vibrations and cross- media techniques, to create rhythms, melodies and harmonic chords to stimulate body- voice connections, positive emotions and structures for actions. The reflections in this paper build on action research methods, video observations and research-by-design methods. We reflect on observations of families and close others with children with severe disabilities, interacting in three vocal and tangible installations.

  • 45.
    Andersson, Anna
    et al.
    Kristianstad University, School of Health and Society.
    Nilsson, Ingela
    Kristianstad University, School of Health and Society.
    Samtal i livets slut2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Samtal om övergången från en botande behandling till palliativ vård kan vara svårt. Sjuksköterskan har en central roll i omvårdnaden och att kommunicera med patienter är betydelsefullt för omvårdnaden av döende patienter. Livets slut är ett känsligt ämne att samtala om och lätt att undvika. Detta kan bero på bristande erfarenhet, utbildning, tidsbrist och rädsla inför ämnet.

    Syftet med studien var att beskriva sjuksköterskans upplevelse av samtal med vuxna patienter i livets slutskede.

    Metoden var en allmän litteraturstudie, som byggde på tretton artiklar.

    Resultatet visade upplevelser som påverkade sjuksköterskan i kommunikationen med patienter i livets slutskede. Till exempel rädslan att ta ifrån patienten hoppet, brist på utbildning, erfarenhet och tid. Dessa sammanställdes i tre teman; ärlighet, engagemang och verbal- ickeverbal kommunikation. Livets slut är något vi har behov av att prata om, men som är svårt.

    Diskussion: Det är viktigt att sjuksköterskan är trygg i yrkesrollen och vet sin egen inställning till döden. Det krävs god kunskap och tid för samtal med patienter i livets slutskede. Genom samtal kan rädslan minskas och tiden fram till livets slut kanske kännas mindre skrämmande för den döende.

  • 46.
    Andersson, Anna
    et al.
    Kristianstad University, School of Health and Society.
    Thurban, Emelie
    Kristianstad University, School of Health and Society.
    Vid mötet och i omvårdnaden av patienter med HIV/Aids: Sjuksköterskor och sjuksköterskestudenters upplevelser och attityder2010Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nursing students and nurses meets patients newly informed about HIV/Aids. These patients often indicate crisis and anxiety. The meetings require flexibility, empathy and communication skills. Nursing care includes the patients physical, psychological, cultural, spiritual and social needs. With these needs in mind the aim is providing best possible quality of life. Purpose: The purpose was to describe the different experiences and attitudes in the meeting and care of HIV/Aids patients. Method: Literature based on 12 qualitative and quantitative articles using The Friberg model. The use of Katie Eriksson's nursing theory relates to the result discussion. Results: Nursing students and nurses have positive and negative attitudes and different experience of empathy, compassion, fear, discomfort and contempt. While main experience of the nurses was fear with a positive attitude the nursing students were fear with a negative attitude. Discussion of the result: Knowledge is what is missing and strongly needs for loose fear and negative attitudes. Conclusion: The conclusion illustrates that knowledge is the key to a good meeting and well care for patients with HIV/Aids. The negative attitudes and experiences can be prevented/ reduced by knowledge. The conclusion also shows that culture and pre-understanding plays a role in attitudes.

  • 47.
    Andersson, Ann-Christine
    et al.
    Jönköping University.
    Ainalem, Ingrid
    Region Skåne.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Janlöv, Ann-Christin
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing2016In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, no 1, p. 44-52Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe health care- and social service professionals' experiences of a quality-improvement program implemented in the south of Sweden. The focus of the program was to develop inter-professional collaboration to improve care and service to people with psychiatric disabilities in ordinary housing. Focus group interviews and a thematic analysis were used. The result was captured as themes along steps in process. (I) Entering the quality-improvement program: Lack of information about the program, The challenge of getting started, and Approaching the resources reluctantly. (II) Doing the practice-based improvement work: Facing unprepared workplaces, and Doing twice the work. (III) Looking back--evaluation over 1 year: Balancing theoretical knowledge with practical training, and Considering profound knowledge as an integral part of work. The improvement process in clinical practice was found to be both time and energy consuming, yet worth the effort. The findings also indicate that collaboration across organizational boundaries was broadened, and the care and service delivery were improved.

  • 48.
    Andersson, Ann-Christine
    et al.
    Kristianstad University, School of Health and Society.
    Melander, Katarina
    Kristianstad University, School of Health and Society.
    Kvinnors upplevelse av att leva med diabetes typ 22012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en kronisksjukdom som ökar på grund av förändrade kostvanor och minskad fysisk aktivitet. Det är en sjukdom som ställer stora krav på individen eftersom det är viktigt med välfungerande egenvård för att må bra. Att drabbas av en kronisk sjukdom upplevs oftast negativt samtidigt som det är viktigt att få ett namn på sjukdomen. Det finns studier som tyder på att kvinnor verkar må psykiskt sämre och har sämre reglerad diabetes än män. För att kunna stödja kvinnorna i egenvården behövs kunskap om hur de upplever det att leva med diabetes. Syfte: Undersöka kvinnors upplevese av att leva med typ 2 diabetes Metod: Litteraturstudie som bygger på nio kvalitativa artiklar Resultat: Fyra teman hittades; besvikelse och svek, kluvenhet, skuld och skam samt oro för framtiden Diskussion: Det är svårt att vara kvinna och leva med diabetes typ 2. Sjukdomen kräver daglig egenvård och kombinerat med andra roller som kvinnan har i sitt dagliga liv kan kraven upplevas som stressande för en del av kvinnorna. Många kvinnor med diabetes typ två upplevde att de var i behov av bättre stöd och information för att kunna leva med sin sjukdom Slutsats: Vårdpersonal behöver mer utbildning och ha med ett genusperspektiv för att förstå kvinnornas behov. Diabetesutbildningen behöver utvecklas till att omfatta hela familjen, men samtidigt måste den vara individanpassad.

  • 49.
    Andersson, Ann-Christine
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Melander, Katarina
    Blomqvist, Kerstin
    Kristianstad University, School of Health and Society. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Kvinnors upplevelse av att leva med diabetes typ 22013Report (Other academic)
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en kronisksjukdom som ökar på grund av förändrade kostvanor och minskad fysisk aktivitet. Det är en sjukdom som ställer stora krav på individen eftersom det är viktigt med välfungerande egenvård för att må bra. Att drabbas av en kronisk sjukdom upplevs oftast negativt samtidigt som det är viktigt att få ett namn på sjukdo- men. Det finns studier som tyder på att kvinnor verkar må psykiskt sämre och har sämre reglerad diabetes än män. För att kunna stödja kvinnorna i egenvården behövs kunskap om hur de upplever det att leva med diabetes. Syfte: Undersöka kvinnors upplevese av att leva med typ 2 diabetes. Metod: Litteraturstudie som bygger på nio kvalitativa artiklar. Resultat: Fyra teman hittades; besvikelse och svek, kluvenhet, skuld och skam samt oro för framtiden. Diskussion: Det är svårt att vara kvinna och leva med diabetes typ 2. Sjukdomen kräver daglig egenvård och kombinerat med andra roller som kvinnan har i sitt dagliga liv kan kraven upplevas som stressande för en del av kvinnorna. Många kvinnor med diabetes typ två upplevde att de var i behov av bättre stöd och information för att kunna leva med sin sjukdom. Slutsats: Vårdpersonal behöver mer utbildning och ha med ett genusperspektiv för att förstå kvinnornas behov. Diabetesutbildningen behöver utveckas till att omfatta hela familjen, men samtidigt måste den vara individanpassad.

  • 50.
    Andersson, Bodil T.
    et al.
    Department of Health Sciences, Lund University.
    Fridlund, Bengt
    The School of Health Sciences and Social Work, Växjö University.
    Elgán, Carina
    Faculty of Health and Society, Malmö University.
    Axelsson, Åsa B.
    Institute of Health and Care Sciences, The Sahlgrenska Academy at Göteborg University.
    Radiographers' areas of professional competence related to good nursing care2008In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 22, no 3, p. 401-409Article in journal (Refereed)
    Abstract [en]

    Background: Radiographers’ ability and competence is a matter of vital importance for patients. Nursing care is an integral part of the radiographer’s work. The demand for high competence in clinical activities has increased in diagnostic radiology and has had an impact on the development of the profession.

    Aim: The aim was to describe the radiographer’s areas of professional competence in relation to good nursing care based on critical incidents that occur in the course of radiological examinations and interventions.

    Method: A descriptive design with a qualitative approach, using the Critical Incident Technique was employed. Interviews were conducted with a strategic sample of registered radiographers (n = 14), based at different hospitals in Sweden.

    Ethical issues: The appropriate ethical principles were followed. All the participants provided informed consent, and formal approval for conducting the research was obtained according to national and local directives.

    Results: The data analysis resulted in two main areas; direct and indirect patient-related areas of competence, which describe the radiographers’ skills that either facilitate or hinder good nursing care. In the direct patient-related area of competence, four categories emerged, which illustrate good nursing care in the patient’s immediate surroundings. In the indirect patient-related area of competence, four categories illuminated good nursing care that is provided without direct contact with the patient.

    Conclusions: The study highlights the different areas of the radiographer’s unique professional competence. The findings provide insight into the radiographer’s profession, on one hand as a carer and on the other as a medical technologist as well as highlighting the importance of each role. The radiographer’s work encompasses a variety of components – from caring for the patient to handling and checking the technical equipment.

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