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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.

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    Matglädje vid ätstörningar
  • 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.

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  • 3.
    Abdo, Manal
    et al.
    Kristianstad University, Faculty of Health Science.
    Persson, Emilia
    Kristianstad University, Faculty of Health Science.
    En kvalitativ studie om idrottslärarens arbetssätt med högstadieflickor i relation till kroppsbilder2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: The study gives an overall picture of how mental illness has become an increasingly common condition among children and young people. Therefore, teenage girls are a particularly vulnerable group with a higher incidence of mental illness, mainly due to society's pressure on norms and values ​​about appearance. Research shows that there is an interaction between mental illness and body dissatisfaction, and since girls in their teens spend a lot of time in school, it is of great importance to explore how the school works with this vulnerable group. The aim: The study’s aim was to explore how PE teachers work with body images among girls in the middle school. This is to increase understanding of possible factors that can affect the body image of girls in adolescence. Method: In order to be able to answer the study's aim, a qualitative choice of method was chosen in the form of individual semi-structured interviews in which a total of 10 participants had to represent the result. Result: The result is based on the PE teachers' experiences and thoughts on how to work with the subject body images among girls. Since there are no guidelines in the curriculum for how PE teachers should work with the problem, the public health work should therefore investigate the need for the volnurable group so that the PE teacher's work methods can be developed. Conclusion: Due to the limited research, there is a need to further study body image based on a qualitative and quantitative aspects to give a clearer picture of the PE teacher's way of working.

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  • 4.
    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.

     

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  • 5.
    Abou Nawfal, Nada
    et al.
    Kristianstad University, Faculty of Health Science.
    Bladh, Emelie
    Kristianstad University, Faculty of Health Science.
    Anhörigas upplevelser av att vårda en familjemedlem med långvarig smärta2020Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige lider ca 18,7 procent av svår smärta eller värk och ca 1,3 miljoner människor antingen vårdar, hjälper eller stödjer en anhörig. Smärta ska ha hållit i sig i över tre månade för att klassas som kronisk/långvarig smärta. Familjefokuserad omvårdnad är en teori som används för att inkludera anhöriga i vården. Eftersom anhöriga har en betydelsefull roll i omsorgen för en familjemedlems vård behöver hälso- och sjukvårdspersonal uppmärksamma denna grupp för att ge de stöd och hjälp i ett tidigt skede. Det är därför av stor vikt att veta hur anhöriga upplever i samband med att vårda en familjemedlem.

    Syfte: Att beskriva anhörigas upplevelser av att vårda en familjemedlem med långvarig smärta.

    Metod: En allmän litteraturstudie med systematiskt tillvägagångssätt baserat på kvalitativa artiklar.

    Resultat: Resultatet innehåller fyra huvudkategorier: Upplevelsen av att inte räcka till, Upplevelsen av kontroll, Upplevelsen av familjeroller och relationer samt Anhörigvårdares upplevelser av vårdpersonalen samt två underkategorier. Resultatet visar att anhöriga upplever tecken på psykisk ohälsa, de upplever brist på kontroll och hittar strategier för att öka kontrollen, familjeroller och relationer påverkas både negativt och positivt och de upplever att stöd och tillgänglighet från vårdpersonalen är viktigt.

    Diskussion: I metoddiskussionen diskuteras styrkor och svagheter med den aktuella studien utifrån trovärdighetsbegreppen: tillförlitlighet, verifierbarhet, pålitlighet och överförbarhet. Resultatdiskussionen diskuterar fyra fynd: Symtom på psykisk ohälsa upplevdes av anhöriga som vårdade, Upplevelsen av kontroll har en central del i vårdandet, Förändringar i relationer och Sjukvårdspersonalens stöd och tillgänglighet var viktigt och betydelsefullt för de anhöriga. Det familjefokuserade omvårdnadsperspektivet diskuteras i förhållande till vissa fynd.

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  • 6.
    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)
  • 7.
    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.

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  • 8.
    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.

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  • 9.
    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.

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  • 10.
    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.

  • 11.
    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)
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  • 12.
    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.

  • 13.
    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.

  • 14.
    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)
  • 15.
    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 1239-9736, 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.

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  • 16.
    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.))
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  • 17.
    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)
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  • 18.
    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, Faculty of Education, 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.

  • 19.
    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, Faculty of Education, 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'.

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  • 20. Abrahamsson, Caroline
    et al.
    Eek, Nina
    Jönsson, Marie
    Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences. Kristianstad University, Research Platform for Collaboration for Health.
    Beck, Ingela
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences. Kristianstad University, Faculty of Health Science, Forskningsmiljön Man - Health - Society (MHS).
    Att drabbas av sorg i samband med vuxen närståendes död: En allmän litteraturöversikt om anhörigas upplevelser av sorg och vad som förvärrar och lindrar sorgen2021Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Bakgrund: Sorg är en normal reaktion i samband med närståendes död. Sorg är inteen sjukdom men kan ge besvär som liknar dem som uppkommer vid sjukdom. Om sorgeninte kan hanteras av personen som drabbas av sorg kan den leda till kompliceradsorg och sorgeprocessen förlängs. Sjuksköterskor som arbetar inom vård och omsorgmöter anhöriga som upplever sorg i samband med närstående döende och död ochbehöver ha kunskap och förståelse för hur deras situation kan vara för att kunna geadekvat stöd för anhöriga i sorg.

    Syfte: Syftet var att beskriva anhörigas upplevelser av sorg i samband med vuxen närståendesdöd.

    Metod: En allmän litteraturöversikt baserad på vetenskapliga artiklar med kvalitativstudiedesign. Vetenskapliga artiklar söktes fram i databaserna Cinahl Complete, Pub-Med och PsycINFO. Artiklarna kvalitetsgranskades utifrån kvalitativa kvalitetskriterieroch analysen av studiernas resultat genomfördes utifrån Fribergs analysmetod för litteraturöversikter.

    Resultat: Upplevelsen av sorg delas in i två kategorier och tio underkategorier. En känslomässigbelastning och att känna sig vilsen och oviss med underkategorierna Chockoch oförmåga att minnas, Smärta, Ångest och ledsenhet, Skuld och lättnad, Ensamhetoch saknad, Ovisshet samt Vilsenhet. Omgivningens agerande förvärrar och lindrarsorgen med underkategorierna Att mötas av personer som inte förstår, Att få informationsom ger förståelse samt Att få känslomässigt stöd.

    Diskussion: Studiens kvalitet diskuteras utifrån trovärdighetsbegreppen tillförlitlighet,verifierbarhet, pålitlighet och överförbarhet. I resultatdiskussionen diskuteras de trecentrala fynden: upplevelser av skuld, ovisshet och betydelsen av känslomässigt stödvid sorg. Fynden diskuteras i relation till personcentrerad vård och sjuksköterskorsbehov av kunskap för att kunna möta personer i sorg.

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    Att drabbas av sorg isamband med vuxennärståendes död: En allmän litteraturöversiktom anhörigas upplevelserav sorg och vad somförvärrar och lindrar sorgen
  • 21.
    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.

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    Bemötande vid långvarig ryggsmärta
  • 22.
    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.

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    fulltext
  • 23.
    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.

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    examensarbete 2013
  • 24.
    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.

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    C-uppsats
  • 25.
    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.

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    FULLTEXT01
  • 26.
    Adam, Christina
    et al.
    Grekland.
    Patiraki, Elisabeth
    Grekland.
    Lemonidou, Chryssoula
    Grekland.
    Radwin, Laurel
    USA.
    Charalambouss, Andreas
    Cypern; Finland.
    Charalambous, Melanie
    Cypern.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Platform for Collaboration for Health.
    Sjövall, Katarina
    Skånes universitetssjukhus; Lunds universitet.
    Katajisto, Jouko
    Finland.
    Stolti, Minna
    Finland.
    Suhonen, Riitta
    Finland.
    Quality of nursing care as perceived by cancer patients: a cross-sectional survey in four European countries2017In: Balkan Union of Oncology. Journal, ISSN 1107-0625, Vol. 22, no 3, p. 777-782Article in journal (Refereed)
    Abstract [en]

    Purpose: To explore and compare cancer patients' perceptions on the quality of nursing care in four European countries. Methods: Data were collected in Cyprus, Finland, Greece and Sweden. The sample comprised 596 hospitalized cancer patients. The quality of nursing care was measured using the "Oncology Patients' Perceptions of the Quality of Nursing Care Scale" (OPPQNCS). Patient characteristics were also collected. Analysis of variance was used to examine the effects of country on the perceptions of the quality of nursing care. Results: Patients' age ranged from 18 to 86 years, and 58% were male. The comparison of cancer patients' perceptions regarding the quality of nursing care between the four countries showed a statistically significant difference in the total OPPQNCS scores (p <0.001) as well as in the subscales responsiveness (p <0.001), individualization (p<0.001), co ordination (p<0.001) and proficiency (p<0.001). The Cronbach's alpha coefficient for the OPPQNCS ranged between 0.89 and 0.95. A multivariate analysis of variance for the OPPQNCS controlled by respondents' demographic characteristics revealed that only the patient's country was significantly related with the patients' perceptions of quality care. Conclusion: Quality of nursing care as perceived by cancer patients was high, but differed between the four countries. The impact of the clinical status of cancer patients on the quality of nursing care and managerial factors such as staffing/nursing care delivery models that influence the ability of nurses to offer high quality care should also be explored by more focused studies.

  • 27.
    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.

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    FULLTEXT01
  • 28.
    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.

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    fulltext
  • 29.
    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.

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    fulltext
  • 30.
    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.

  • 31.
    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.

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  • 32.
    Ahlbin, Emelie
    et al.
    Kristianstad University, Faculty of Health Science.
    Karlsson, Elin
    Kristianstad University, Faculty of Health Science.
    Sjuksköterskors upplevelse av etiska dilemman inom palliativ vård: en litteraturstudie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Etiska dilemman förekommer ofta inom hälso- och sjukvården och något som sjuksköterskor dagligen stöter på. Etiska dilemman innebär att sjuksköterskor behöver fatta ett beslut. Ibland kan det vara svårt att veta vad som är rätt och vad som är fel. Det är framförallt vanligt förekommande inom palliativ vård. Det är patienter som lider av obotlig livshotande sjukdom som vårdas palliativt. Palliativ vård syftar till att ge dessa patienter ett fint och värdigt avslut i livet, samt att minska deras lidande. Sjuksköterskornas profession som bland annat är omvårdnad tas också upp under bakgrund och diskuteras tillsammans med personcentrerad vård. Syfte: Syftet var att beskriva sjuksköterskors upplevelse av etiska dilemman inom palliativ vård. Metod: Metoden som använts är en litteraturstudie med kvalitativ ansats. Artiklarna som har använts har hittats i databaserna Cinahl Complete och Pubmed. Resultat: Resultatet utgår ifrån nio vetenskapliga artiklar. De nio studierna undersökte hur sjuksköterskor upplevde etiska dilemma och vad som låg till grund för dessa situationer. De huvudsakliga fynden var sjuksköterskornas upplevelse av osäkerhet vid bemötandet av en patient inom palliativ vård, bristande samarbete och konflikter. Sjuksköterskorna upplevde oro för patienten, maktlöshet, otillräcklig kommunikation, samarbetssvårigheter med kollegor och bristande relation gentemot kollegor, patient och patientens närstående. Diskussion: Studiens trovärdighet har bedömts utifrån trovärdighetsbegreppen tillförlitlighet, verifierbarhet, pålitlighet samt överförbarhet. Styrkor och svagheter med metoden har diskuterats. Under resultatdiskussion har följande fynd diskuterats bristande samarbete och kommunikation, relationer mellan sjuksköterskor och patient samt maktlöshet på grund av läkare och närstående. Personcentrerad vård, pliktetik samt konsekvensetik kommer också att diskuteras.

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    fulltext
  • 33.
    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.

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  • 34.
    Ahlström, Gerd
    et al.
    Lund University.
    Nilsen, Per
    Linköping University.
    Benzein, Eva
    Linnaeus University.
    Behm, Lina
    Lund University.
    Wallerstedt, Birgitta
    Linnaeus University.
    Persson, Magnus
    Lund University.
    Sandgren, Anna
    Linnaeus University.
    Implementation of knowledge-based palliative care in nursing homes and pre-post post evaluation by cross-over design: a study protocol2018In: BMC Palliative Care, E-ISSN 1472-684X, Vol. 17, no 1, article id 52Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The demography of the world is changing as the population is ageing. Because of this change to a higher proportion of older people, the WHO has called for improved palliative care for older persons. A large number of all deaths in the industrialised world occur while older people are living in nursing homes and therefore a key question becomes how the principles of palliative care can be implemented in that context. The aims of this study are: a) to describe a model of an educational intervention with the goal of implementing knowledge-based palliative care in nursing homes, and b) to describe the design of the evaluation of the effectiveness regarding the implementation of knowledge-based palliative care.

    METHODS/DESIGN: A complex intervention is evaluated by means of a cross-over design. An educational intervention concerning palliative care consisting of five seminars during 6 months for staff and managers has been developed and conducted in 20 nursing homes in two counties. Before the intervention started, the feasibility was tested in a pilot study conducted in nursing homes not included in the main study. The intervention is evaluated through a non-randomized experimental design with intervention and control groups and pre- and post-assessments. The evaluation includes older persons living in nursing homes, next-of-kin, staff and managers. Data collection consists of quantitative methods such as questionnaires and register data and qualitative methods in the form of individual interviews, focus-group interviews and participant observations.

    DISCUSSION: The research will contribute to new knowledge about how to implement knowledge-based palliative care in a nursing home setting. A strength of this project is that the Medical Research Council framework of complex intervention is applied. The four recommended stages, Development, Feasibility and piloting, Evaluation and Implementation, are combined for the educational intervention, which functions as a strategy to achieve knowledge-based palliative care in the nursing homes. Implementation is always a question of change and a good theoretical understanding is needed for drawing valid conclusions about the causal mechanisms of change. The topic is highly relevant considering the world's ageing population. The data collection is completed and the analysis is ongoing.

    TRIAL REGISTRATION: NCT02708498 .

  • 35.
    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.

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    Ahlström, Hendriksson, Stevic - Den hälsosamma kosten
  • 36.
    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.

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  • 37.
    Ahnbo, Johanna
    et al.
    Kristianstad University, Faculty of Health Science.
    Sjöström, Ebba
    Kristianstad University, Faculty of Health Science.
    Sjuksköterskors upplevelser av att möta kvinnor utsatta för våld i nära relation: en litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Våld i nära relationer är ett vanligt förekommande samhällsproblem både internationellt och nationellt. Våldet kan yttra sig på olika vis och i olika former. Våldet påverkar offret både kortsiktigt och långsiktigt, samt både fysiskt, psykiskt och socialt. Sjuksköterskan har en betydande roll i att upptäcka våldet samt att stärka kvinnan i att bryta den destruktiva relationen. Syfte: Syftet var att beskriva sjuksköterskors upplevelser av att möta kvinnor utsatta för våld i nära relation. Metod: Kvalitativa allmän litteraturstudie som inkluderar nio stycken kvalitativa studier. Resultat: Ur analysen framkom två huvudkategorier som var De egna känslornas påverkan samt Arbetsmiljöns påverkan. I kategorin De egna känslornas påverkan framkom de känslor som sjuksköterskan upplevde vid möten med kvinnor utsatta för våld i nära relation. Dessa känslor bildade tre underkategorier som var Oro och rädsla, Frustration och Osäkerhet. Kategorin Arbetsmiljöns påverkan presenterar sjuksköterskors upplevelser av hur arbetsmiljön kan påverka mötet med våldsutsatta kvinnor. Kategorin rymmer två underkategorier Att inte räcka till och Stöd av kollegor. Diskussion: Studien diskuterades utifrån kvalitetsbegreppen Tillförlitlighet, Veriferbarhet, Pålitlighet och Överförbarhet. I resultatdiskussionen diskuteras tre centrala fynd från resultatet dessa är Oro och rädsla, Osäkerhet och Att inte räcka till. De tre fynden diskuteras utifrån olika samhällsperspektiv, etiska aspekter samt personcentrerad omvårdnad. Sjuksköterskors arbete med våldsutsatta kvinnor hindrades av osäkerhet på grund av kunskapsbrist, oro och rädsla, tidsbrist och den emotionella påverkan. För att främja arbete och ett personcentrerat förhållningssätt behöver sjuksköterskor erfarenhet, kunskap, utbildning och tid. 

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  • 38.
    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)
  • 39.
    Al Omari, Omar
    et al.
    Oman.
    Abu Sharour, Loai
    Jordanien.
    Heslop, Karen
    Australien.
    Wynaden, Dianne
    Australien.
    Alkhawaldeh, Abdullah
    Jordanien.
    Al Qadire, Mohammad
    Oman & Jordanien.
    Khalaf, Atika
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences. Oman.
    Knowledge, attitudes, prevalence and associated factors of cigarette smoking among university students: a cross sectional study2020In: Journal of community health, ISSN 0094-5145, E-ISSN 1573-3610, Vol. 46, no 3, p. 450-456Article in journal (Refereed)
    Abstract [en]

    This study aimed to assess the prevalence of smoking and associated sociodemographic and economic factors as well as students' knowledge about and attitudes towards smoking among university students in Oman. A proportionate random sampling technique recruited 401 students from three universities in a cross-sectional study. The prevalence of smoking was 9.0%. Significant differences in gender, place of residence, if participants had received medical advice, years spent at the university, student income/day, family members who smoked, knowledge and attitude scores were identified. Universities in collaboration with health care providers should be leading the development of strategies to reduce the prevalence of smoking and to sustain the current knowledge and attitude towards smoking. Gender-specific approaches to smoking interventions need to be developed.

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  • 40.
    Al Omari, Omar
    et al.
    Oman & Australien.
    Al Sabei, Sulaiman
    Oman.
    Al Rawajfah, Omar
    Oman & Jordanien.
    Abu Sharour, Loai
    Jordanien.
    Al-Hashmi, Iman
    Oman.
    Al Qadire, Mohammad
    Oman & Jordanien.
    Khalaf, Atika
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Oman.
    Prevalence and predictors of loneliness among youth during the time of COVID-19: A multinational study2021In: Journal of the American Psychiatric Nurses Association, ISSN 1078-3903, E-ISSN 1532-5725, p. 1-11, article id 10783903211017640Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Given the restrictions associated with COVID-19, feelings of loneliness among youth may increase.

    AIMS: The aims of the current study were to assess the prevalence of loneliness among young people at the time of COVID-19 and to identify whether selected variables related to the pandemic predicted the level of loneliness.

    METHOD: A cross-sectional study using WhatsApp and Facebook social media platforms was conducted to survey 1,057 young people aged 15 to 24 years from six Middle Eastern countries. Participants completed survey items including demographic and COVID-19-related questions; the Depression, Anxiety and Stress Scale (DASS); the Satisfaction With Life Scale (SWLS); and the UCLA Loneliness Scale.

    RESULTS: The prevalence of experienced loneliness was 1 (0.1%), 625 (59.1%), 429 (40.6%), and 2 (0.2%), reflecting low, moderate, moderately high, and high experiences for loneliness, respectively. History of depression or anxiety, being dissatisfied with life, and having depression at the time of COVID-19 were significant predictors of loneliness among youth. The model was significant (F = 44.95, p < .05) and accounted for 29.8% of the variance in UCLA Loneliness Scale scores.

    CONCLUSIONS: We found that the high prevalence rate of loneliness during the COVID-19 pandemic was correlated with depression and impaired life satisfaction among Middle Eastern youth. Thus, special attention and interventional action plans need to be developed taking into consideration the youths' special situation during COVID-19.

  • 41.
    Al Qadire, Mohammad
    et al.
    Oman; Jordanien.
    Ballad, Cherry Ann C.
    Oman.
    Al Omari, Omar
    Oman.
    Aldiabat, Khaldoun M.
    Oman.
    Shindi, Yousef Abu
    Oman.
    Khalaf, Atika
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Oman.
    Prevalence, student nurses’ knowledge and practices of needle stick injuries during clinical training: a cross-sectional survey2021In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 20, no 1, p. 1-7, article id 187Article in journal (Refereed)
    Abstract [en]

    Background: The incidence of needle stick injuries is higher among nurses with a low level of knowledge on the prevention of needle stick injury, and who have not received the relevant training during their undergraduate study. The aim of this study was to determine the level of knowledge of the prevention guidelines and the prevalence of needle stick injury among students in Oman.

    Methods: An online cross-sectional survey using a questionnaire and involving 167 students from a governmental university was conducted. The questionnaire consists of 30 questions; eight general questions, knowledge related questions, and questions about risk factors, prevention measures, and actions in a case of needle stick injury. Ethical approval was obtained and the link to the survey was shared with students using their university email portal.

    Results: Of the participants, 81.2% were females; mean age was 23.3 (SD = 4.5) years. The mean total knowledge score was 6.6 out of 10 (SD = 2.1). In addition, 18.2% (n = 32) of the students experienced needle stick injury. Most of the injuries 71.9% (n = 24) occurred during medication preparation and administration. The main cause of NSI as reported by students was recapping the needles (59%, n = 19).

    Conclusions: This study demonstrates that student nurses have a moderate level of knowledge about needle stick injury prevention measures and lack many facets of safe infection control practice. These findings require the collaborative effort of nursing administrators from both academic and clinical areas, to develop effective strategies to reduce or eliminate the occurrence of needle stick injury.

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  • 42.
    Al Qadire, Mohammad
    et al.
    Oman.
    Ballad, Cherry Ann C
    Oman.
    Al Omari, Omar
    Oman.
    Alkhalaileh, Murad
    Saudiarabien.
    Sharour, Loai Abu
    Jordanien.
    Khalaf, Atika
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences. Kristianstad University, Faculty of Health Science, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    Aljezawi, Ma''en
    Jordanien.
    Student nurses' knowledge about the management of chemotherapy-induced neutropenia: Multi-national survey2021In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 105, p. 1-6, article id 105053Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Chemotherapy-induced neutropenia is a serious global health concern. It is essential that student nurses who are the future of healthcare are equipped with the right knowledge to care for the unique needs of patients with neutropenia.

    OBJECTIVE: The study assesses student nurses' knowledge of neutropenia management and examines the difference in their knowledge with regard to their demographics.

    DESIGN: A descriptive cross-sectional survey design was used.

    SETTINGS: Participants for this survey were recruited from four nursing schools from three countries: Jordan, Oman, and Saudi Arabia.

    PARTICIPANTS: The study sample comprised 230 student nurses representing all three countries.

    METHODS: Online data collection was implemented. A message including the link to the study questionnaire was sent to students through their university portal. Demographic data and the neutropenia knowledge questionnaire were collected.

    RESULTS: The student nurses showed poor knowledge of neutropenia and its management (mean = 10.1 out of 30). The bridging students (M = 12.6, SD = 9.8) had significantly higher mean total knowledge scores than the regular students (M = 9.8, SD = 5.5) (t = 2.9, df = 38.9, p = 0.006). However, students who had received previous education about neutropenia management (M = 11.6, SD = 5.0) had significantly higher mean knowledge scores than those who had not (M = 9.5, SD = 5.6) (t = -2.73, df = 134.8, p = 0.007).

    CONCLUSIONS: The study findings underscore the overarching necessity to improve students' knowledge of neutropenia and its management. However, addressing this concern is multifaceted and requires deliberate effort from various agencies. Developing innovative strategies to increase the coverage of oncology nursing in the curriculum, improving faculty expertise, enhancing staff nurses' knowledge and skills, provision of funding, and adoption of oncology-related competencies in the nursing program need to be explored as key solutions.

  • 43. Alam, Farzana
    et al.
    Nilsson, Annika
    Petersson, Pia
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Trygghet och delaktighet: vård- och omsorgspersonalens syn på närståendes behov av stöd vid palliativ vård av äldre2019Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    När äldre inte klarar av att bo hemma längre flyttar de ofta till ett vård-och omsorgs-boende, lever den sista tiden där och är i behov av palliativ vård. Palliativ vård är ett förhållningssätt som kännetecknas av en helhetssyn på människan utifrån individens behov. De som arbetar nära den äldre och den närstående är vård- och omsorgsperso-nalen och det är distriktssköterskan som har det övergripande ansvaret för omvårdna-den. Stöd till den närstående är av största vikt inom den palliativa vården. Syftet med studien var att beskriva vård- och omsorgspersonalens erfarenheter av att uppmärk-samma och stödja närstående till den äldre på vård- och omsorgsboende utifrån ett palliativt förhållningssätt. Datainsamlingarna gjordes i två omgångar, en fokusgrupp-sintervju 2017 och genomförda diskussionsgrupper 2010, analyserades med hjälp av kvalitativ innehållsanalys och tolkades med hjälp av Dosseys "Theory of integral nur-sing". I resultatet framkom kategorierna att skapa trygghet för den närstående, önskan att göra den närstående delaktig och att få kunskap om palliativ vård. Kategorierna utmynnade i temat: I ett palliativt förhållningssätt stöds närstående genom att de får känna trygghet och delaktighet. Slutsatsen är att vård- och omsorgspersonalens in-tention är att stödja de närstående men behöver arbeta mer i ett partnerskap med de närstående för att de ska känna en helhet och därmed trygghet och delaktighet.

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  • 44.
    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.

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  • 45.
    Albenny, Dimah
    Kristianstad University, Faculty of Natural Sciences.
    Reducing meat consumption: a mixed methods study investigating attitudes of young adult omnivores2020Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Meat is one of the most nourishing and highly consumed foods, but the controversy around theconsumption of meat products, and the negative effects around the consumption of meatproducts led to increased scholarly attention on the user willingness to alter their meatconsumption. In Sweden, a guideline by the Livsmedelsverket (The Swedish National Food Agency) in 2015 encouraged people to consume less red and processed meat. This was because 72 per cent of men and 42 per cent of women in Sweden have individual consumption levels that exceed the 500 grams per week of red and processed meats as recommended by the World Cancer Research Fund.

    Objective

    This planned mixed-methods study inquires about the attitudes of young adult omnivorestowards the reduction of meat intake, their expected liking of changing dietary habits, andmotivation towards the reduction of meat consumption in Sweden. Changing dietary habits inthe current context refers to the participant’s willingness to favour meat alternatives.

    Methods

    The current study is a convergent mixed method design using both a quantitative survey andqualitative interviews to collect primary data.

    Results and conclusion

    The participants from both the qualitative and quantitative study are broadly worried about thehealth problems associated with high meat consumption and motivation for reducing meatconsumption was based on health as well as ethical issues. Being opposed to reducing meatconsumption is a common position for young adult omnivores. 

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  • 46.
    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.

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  • 47.
    Alftberg, Åsa
    et al.
    Malmö University.
    Ahlström, Gerd
    Lund University.
    Nilsen, Per
    Linköping University.
    Behm, Lina
    Lund University.
    Sandgren, Anna
    Linnaeus University.
    Benzein, Eva
    Linnaeus University.
    Wallerstedt, Birgitta
    Linnaeus University.
    Rasmussen, Birgit H
    Lund University.
    Conversations about death and dying with older people: an ethnographic study in nursing homes2018In: Healthcare (Basel, Switzerland), ISSN 2227-9032, Vol. 6, no 2Article in journal (Refereed)
    Abstract [en]

    Nursing homes are often places where older persons &ldquo;come to die.&rdquo; Despite this, death and dying are seldom articulated or talked about. The aim of this study was to explore assistant nurses&rsquo; experiences of conversations about death and dying with nursing home residents. This study is part of an implementation project through a knowledge-based educational intervention based on palliative care principles. An ethnographic study design was applied in seven nursing homes, where eight assistant nurses were interviewed and followed in their daily assignments through participant observations. The assistant nurses stated that they had the knowledge and tools to conduct such conversations, even though they lacked the time and felt that emotional strain could be a hinder for conversations about death and dying. The assistant nurses used the strategies of distracting, comforting, and disregarding either when they perceived that residents&rsquo; reflections on death and dying were part of their illness and disease or when there was a lack of alignment between the residents&rsquo; contemplations and the concept of dying well. They indicated that ambivalence and ambiguity toward conversations about death and dying should be taken into consideration in future implementations of knowledge-based palliative care that take place in nursing homes after this project is finalized.

  • 48.
    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.

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    FULLTEXT01
  • 49.
    Al-Juboori, Halah
    et al.
    Kristianstad University, Faculty of Health Science.
    Ismael, Naser
    Kristianstad University, Faculty of Health Science.
    Munhygien- och kostvanor hos nyanlända asylsökande som är arabisktalande från Irak och Syrien: En enkätstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inledning: Tandvården möter både barn och vuxna asylsökande som har omfattande tandvårdsbehov. I Sverige har asylsökande rätt till akut sjukvård och tandvård. Syfte: Syftet med studien var att undersöka munhygienvanor och kostvanor hos nyanlända asylsökande som var arabisktalande från Irak och Syrien. Metod: Metoden var en kvantitativ empirisk studie som utfördes med en enkät. Undersökningsgruppen var nyanlända asylsökande. Enkäterna delades ut på ett asylboende samt på ett migrationsverk. Resultat: Resultatet baseras på 105 besvarade enkäter där deltagarna kom från Irak (35%) och Syrien (65%). Majoriteten av studiedeltagarna (84%) borstade tänderna minst 1 gång per dag och använde fluortandkräm (87%). Det var 56% som inte använde något mellanrumshjälpmedel för att rengöra mellan tänderna och det var 64% som inte använde extra fluortillskott. Gällande kostvanor visade sig att 59% av deltagarna åt 1–3 måltider per dag och 40% åt 4–6 gånger per dag. Mer än hälften åt frukost dagligen, 90% åt lunch dagligen och 43% åt middag dagligen. Det var 33% som konsumerade läsk 1–2 gånger dagligen Slutsats: Nyanlända asylsökande hade bristfälliga tandborstvanor då de flesta borstade endast en gång per dag och att många inte använde approximala hjälpmedel. Även kostvanorna var bristfälliga då många åt för få huvudmål. Information om munhygien och kostvanor behöver förbättras till gruppen.

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    Uppsats2018
  • 50.
    Alkrdi, Amal
    et al.
    Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences.
    Sneath, Monika
    Kristianstad University, Faculty of Health Science, Department of Nursing and Integrated Health Sciences.
    När distriktssköterskan misstänker att ett barn far illa: en kvalitativ intervjustudie2021Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Barn har rätt att växa upp under trygga förhållanden utan utnyttjande eller våld. Tyvärr far barn illa på många sätt, vilka är en utmaning att identifiera. Distriktssköterskan har en skyldighet enligt lag att orosanmäla till socialtjänsten då ett barn misstänks fara illa, dock finns det försvårande faktorer som påverkar anmälningsbenägenheten. Det är svårt att identifiera riskfaktorer för barn i fara under korta vårdmöten på vårdcentral. Samtidigt åligger det distriktssköterskan att arbeta på ett familjecentrerat sätt och ta hela familjens mående i beaktande. Syfte: att beskriva distriktssköterskors erfarenheter av att få kännedom om eller misstänka att ett barn far illa. Metod: Kvalitativ intervjustudie med induktiv ansats, som analyserades med konventionell innehållsanalys. Individuella intervjuer över telefon eller video hölls med 12 distriktssköterskor från varierande arbetsplatser inom primärvården, med erfarenhet från vårdcentral. Resultat: I resultatet framkom ett övegripande tema: barn i fara är ett komplext ämne för distriktssköterskan. Två kategorier framträdde i resultatet: distriktssköterskans samlade kompetens om barn som far illa samt faktorer som påverkar anmälningsbenägenheten negativt. Distriktssköterskorna såg orosanmälan som en plikt, ibland saknades dock rätt förutsättningar. Det gjorde att distriktssköterskorna kunde tvivla på bedömningen och undvika orosanmälningar. Ett familjecentrerat arbetssätt underlättade. Slutsats: Inför beslut om orosanmälan behöver distriktssköterskan kartlägga familjens situation och barnets utsatthet, eftersom det oftast inte är tydligt att barnet far illa. För att känna trygghet i professionen behöver distriktssköterskan rätt förutsättningar på arbetsplatsen. Arbetsmomentet underlättas om distriktssköterskan har färdigheter i kommunikationstekniker med barn och föräldrar. Ytterligare insatser i form av samverkan med socialtjänsten behövs för att stärka distriktssköterskans anmälningsbenägenhet.

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    fulltext
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