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  • 101.
    Andersson, Nilla
    et al.
    Kristianstad University, School of Health and Society.
    Persson, Margela
    Kristianstad University, School of Health and Society.
    Lidande och sorg: vad upplever närstående som stödjande från sjuksköterskan?2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As a nurse you will meet critical ill patients and their relatives. When someone is ill, the whole family will be involved and it is important that the relatives get help with the grief process where the nurse plays a central role. Purpose: The purpose was to describe how relatives experienced the support from the nurse in their suffering and grief. Method: The study was conducted as a literature review and was based on twelve scientific papers. Result: The result showed that relatives to critical ill patients considered that straight and honest information from the nurse was very important. To feel noticed, respected, safe and cared for were other important factors that contributed to that the relatives experienced nurse’s support as satisfactory. Discussion: It is important that the nurse shows her concern about relatives and have the courage to ask in what way they want help in their grief and their suffering. The nurse should also help relatives to maintain some hope even in difficult situations. Conclusion: Nurses need more education in the area and they need experience to be able to face the relative’s needs in their suffering and grief.

  • 102.
    Andersson, Pernilla
    Kristianstad University, School of Health and Society.
    Hur idrottsläraren motiverar eleverna till fysisk aktivitet i skolan och på fritiden2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Motivation is a word that is well known within the world of school, and a word that is important in sport and health. Pupils' attitude towards physical education is crucial, not only for their schooling, but also in the continued life. To support and help to stimulate students to a good attitude towards physical activity is the physical education teacher. Objective: The aim of this study is to investigate how physical education teacher at the high school motivates students to physical activity at school and at play. Method: Qualitative approach has been chosen for the study, this through individual interviews with six physical education teachers. Results: The results showed that the physical education teacher could play a big role in different work when it comes to motivate students. Through communication, learner adapted teaching and support helps the teacher their students to develop an interest in physical activity and a joy of movement, which can be the basis for a life in which physical activity and health in focus. The teacher can help improve self-esteem by giving positive feedback to students while getting these students to succeed in the task. An important part is that teaching has different options and levels so that all students have the opportunity to experience success. The theme days, students get the opportunity to find an activity that they find interesting and funny. A method to motivate their students is through praise, encouragement, feedback and enthusiasm. A motivated and interested student in physical education is the foundation for lifelong learning. The conclusion: Physical education teachers try to strive to arouse greater interest in physical activity among students by trying to vary teaching as much as possible. They also gave the students the influence of education in the hope of increasing interest. It also concluded that the physical education teacher must be very careful with their interpretation of the curriculum and the design of its programming. Sports teacher shaped students' interest through theme days where students could participate and see several different activities to arouse student interest.

  • 103.
    Andersson, Pernilla
    et al.
    Kristianstad University, School of Health and Society.
    Håkansson, Caroline
    Kristianstad University, School of Health and Society.
    Spädbarnsskrik: pappors upplevelse av skrikperioden2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Infant cry is associated with intensive crying. The father can experience the crying period as stressful. The specialist nurse at the child health care center has a guiding and supporting role in the fatherhood. How infant cry affects the father's role is not well documented Aim: To describe father's experiences of infant cry during the first six months after delivery Method: A qualitative interview study with content analysis was used to be able to grasp eight father's experiences of living with a crying infant Finding: In the present study the father experienced inadequacy during the crying period. The inadequacy the father felt were in areas such as knowledge about infant cry, as a father and in the relationship with the infant's mother. The support during the crying period was significant. Support from the infant's mother was important but also social network Conclusion: The father wanted to be involved in the infant care and the contact with the child health care center. The specialist nurse can notice the inadequacy the father felt and the support he needs in the fatherhood. Father groups can lead to an exchange of experiences between fathers.

  • 104.
    Andersson, Petra
    Kristianstad University, School of Health and Society.
    "Man behöver inte spela med de bästa för att vinna": En intervjustudie om hur flickors självförtroende konstrueras inom flickfotbollen2012Independent thesis Basic level (university diploma), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Football organization characterizes many girls living and is the largest youth sport activity in Sweden. There is no doubt about that sport offers several benefits to human mental and physical wellbeing. Football is an arena where girls’ self-confidence can be promoted and strengthened. In the same time many athletes become victims to the rugged individualism of the pursuit of sporting success. The competition of sports impact of child and adolescent mental health is important to highlight and discuss in football to operate as a health promotion arena. The purpose of this study was to investigate, based on girls 'own experiences, how selfconfident are constructed in the girls' football. The method for collecting the empirical material was an interview in the form of six focus group interviews and two individual interviews, which were based on a semi-structured interview guide. The result, based on qualitative content analysis, showed that girls have different intentions with their football and live in different sporting worlds. Girl's football could not meet the needs of girls who would not venture on its football. Girls self-confidence is constructed in interaction with the environment and it responses to the girls' accomplishments on the football field. Girls' football become more competitive and highlighted the importance of being good. This contributed that the activity inhibited the girls who not venture for their football from a mental health in the form of a lowered self-confidence. From a health promotion and education view, the conclusion was that girls' football in the long term need to find new approaches in order not to deprive the girls the right to mental health and physical activity within the business.

  • 105.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Kvalitatsindikatorer för munhälsa2013In: Kvalitatsindikatorer inom omvårdnad: Svensk sjuksköterskeförening / [ed] Ewa Idvall, Stockholm: Gothia Förlag AB, 2013, 6, p. 30-37Chapter in book (Other academic)
  • 106.
    Andersson, Pia
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Oral Hälsa - Allmänhälsa - Livskvalitet.
    Munhälsa2013In: Ortopedisk vård och rehabilitering / [ed] Ami Hommel, Carina Bååth, Lund: Studentlitteratur, 2013, p. 113-125Chapter in book (Other academic)
  • 107.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Johannsen, Annsofi
    Karolinska institutet.
    Tandhygienisters arbete med tobaksavvänjning2010Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Projektets syfte var att kartlägga tandhygienisters utövande av tobaksavvänjning i behandling av patienter som röker och/eller snusar, samt att undersöka deras inställning till tobaksavvänjning i förhållande till olika tillstånd i munhålan. Syftet var också att genom intervjuer beskriva yrkesgruppens uppfattningar om och erfarenheter av arbetet med tobaksavvänjning i patientbehandling. Målet med projektet har varit att implementera kunskaper om tobaksavvänjning i utbildningen till tandhygienist utifrån exempel från tandhygienistens verksamhet.

    Projektet har genomförts vid tandhygienistutbildningarna Högskolan Kristianstad och Karolinska institutet i Stockholm från hösten 2008 till och med 2010. En enkät som innehöll 25 frågor skickades till 400 tandhygienister som slumpmässigt valdes ut från medlemsregistret i Sveriges tandhygienistförening. Enkäten besvarades av 232 tandhygienister (58%). Tolv tandhygienister intervjuades och kvalitativ innehållsanalys användes som analysmetod. Dessutom har kursplaner granskats och innehållet av undervisningen om tobak utvärderats vid de båda lärosätena.

    Resultatet av enkäten visade att 45% av tandhygienisterna hade utbildning i tobaksavvänjning. I stort sett samtliga av dem tillfrågade patienter som rökte eller snusade om deras tobaksbruk, de informerade om tobakens skadliga effekter och frågade om motivationen till att sluta använda tobak. Sextiofyra procent av tandhygienisterna uppgav att de arbetade aktivt för att få patienterna att sluta röka eller snusa. Avsaknad av tid, otillräcklig kompetens och erfarenhet uppgavs vara hinder till att bedriva tobaksavvänjning. Skrivna riktlinjer för tobaksavvänjning och utbildning i detta område efterfrågades av 53% respektive 37%. Samtliga tandhygienister tyckte att det var viktigt att bedriva rökavvänjning på patienter som har tandlossning och tandimplantat, 58% uppgav att de utförde rökavvänjning på patienter som har tandlossning och 31% att de utförde det på patienter med tandimplantat.

    Resultatet av intervjuerna visade att tobaksavvänjning kan beskrivas som osynligt i munhälsoarbetet. Det integrerades i andra behandlingsåtgärder, eftersom det saknas debiteringskod i tandvårdens ekonomiska system för åtgärder mot tobaksbruk. Tandhygienisterna frågade sina patienter om deras tobaksbruk vid varje behandlingstillfälle och försökte få dem motiverade till att sluta. Deras förhållningssätt för att få sina patienter att upphöra med att röka eller snusa präglades av en helhetssyn. De hade fokus på etiska aspekter, som patientens självbestämmande och att deras egna handlingar skulle ha ett gott syfte för såväl patienten som för samhället. Flera av dem som intervjuades betonade att de var aktsamma för att inte förstöra sin goda relation till patienten. De tolkade patienterna utifrån hur motiverade de var till att sluta röka eller snusa och utgick från detta i sitt arbete. Kunskap om olika metoder för att få patienter att upphöra med sitt tobaksbruk upplevdes vara betydelsefullt för att bedriva ett bra arbete med tobaksavvänjning.

    Granskning av kursplaner och utvärderingar vid de båda lärosätena visade att utbildningens innehåll om tobaksavvänjning hade brister. Det framkom att det framförallt fanns brister i den praktiska tillämpningen och att denna del behövde få utökat utrymme i utbildningen.

    Projektet har lett till förändringar av tobaksinnehållet i kursplaner vid tandhygienistutbildningarna på respektive lärosätet för att förbättra undervisningen. Projektet har också resulterat i att de studerande kommer att få utbildning som kan erbjuda dem diplomering i tobaksavvänjning enligt standard hos Yrkesföreningar mot tobak. Därigenom stärks de för att i sin framtida yrkesroll kunna arbeta med att avvänja patienter från tobaksbruk. Ett hinder för att tandhygienister ska kunna utföra tobaksavvänjning är debiteringen, eftersom patienter får betala en högre avgift om avvänjningen sker inom tandvården, jämfört med inom hälso- och sjukvården för samma åtgärd. Detta kan innebära att patienter avböjer erbjudande som ges av tandhygienister. Det är därför angeläget att ekonomiska och organisatoriska förutsättningar ges, så att tobaksavvänjning kan bedrivas inom tandvården. Denna arena är betydelsefull för främjande av folkhälsan och åtgärden når en stor grupp människor eftersom en hög andel av befolkningen besöker tandvården regelbundet.

  • 108.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap III. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).
    Kavakure, Jules
    Region Skåne.
    Lingström, Peter
    Sahlgrenska akademin, Göteborg.
    The impact of oral health on daily performances and its association with clinical variables in a population in Zambia2017In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 15, no 2, p. 128-134Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to investigate oral impacts on daily performance and to relate these data to oral clinical variables.

    Material and methods: The study was performed at a dental clinic in Livingstone, Zambia, and included 78 subjects (mean age 28, range 15–48 years) consecutively recruited in connection witha dental care visit. Data were collected through a structured interview using the Oral Impacts on Daily Performances (OIDP) index measuring oral health-related quality of life followed by a clinical examination.

    Results: Oral health affected one or more daily performances during the last 6 months for 61.5% of the subjects. ‘Difficulty of eating and enjoying food’ was the performance reported most frequently (42.3%), and ‘speaking and pronouncing clearly’ was least often reported (10.3%). DMFT was 3.8, 3.6 (mean  SD; range0–15). A majority of the individuals had periodontal pockets ≥4mm (mean 4.3, 2.6) (94.9%) and gingival bleeding on probing >20%(88.5%). Two or more decayed teeth were shown to be significantly associated (OR 4.6, CI 1.2–17.1) with one or more oral impacts on daily performances in a multivariate logistic regression analysis.

    Conclusions: This study shown that there is a significant association between decayed teeth and oral impacts on daily performances. More research is needed, however, for deeper understanding of oral health problems and their impacts on daily life in Zambia.

  • 109.
    Andersson, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Östberg, Anna-Lena
    Hakeberg, Magnus
    Association between oral health and oral healthrelated quality of life2009Conference paper (Refereed)
  • 110.
    Andersson, Sandra
    et al.
    Kristianstad University, School of Health and Society.
    Friberg, Viktoria
    Kristianstad University, School of Health and Society.
    Stickrädsla och nålfobi hos vuxna: En litteraturstudie utifrån ett patientperspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: 25% av den vuxna befolkningen lider av stickrädsla. Hos vissa är rädslan så påtaglig att de väljer att undvika medicinsk behandling. Rädsla är en naturlig reaktion på ett hot som man vill fly ifrån. En starkare typ av rädsla kallas fobi. Sjuksköterskans skyldighet är att bemöta patienters upplevelser med respekt samt att ta hänsyn till dessa i samband med kontakt med stickrädda patienter. Syfte: Syftet med studien var att beskriva vuxna patienters upplevelser av stickrädsla och nålfobi. Metod: En allmän litteraturstudie baserad på sju kvantitativa och två kvalitativa vetenskapliga artiklar har genomförts. Från analysen av artiklarna sammanställdes tre huvudkategorier. Resultat: De vanligaste förekommande upplevelserna i samband med nålstick hos patienter med stickrädsla och nålfobi är rädsla, ångest, avsky och skam. Det som påverkar dessa upplevelser är bland annat vårdmiljön och hur vårdpersonalen talar till dem. Distraktion och olika strategier kan vara till hjälp för att lindra patienters upplevelser av stickrädsla och nålfobi. Slutsats: Det framkom att stickrädsla och nålfobi är ett relativt vanligt problem inom sjukvården som medför negativa upplevelser och onödigt lidande för patienter. Mer forskning om vuxnas upplevelser kring stickrädsla och nålfobi behövs för att öka medvetenheten hos vårdpersonal. 

  • 111.
    Andersson, Simon
    et al.
    Kristianstad University, School of Health and Society.
    Lagerqvist, Nelly
    Kristianstad University, School of Health and Society.
    Sjuksköterskors upplevelser av kommunikation vid språkbarriärer hos patienter med invandrarbakgrund2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sverige är ett mångkulturellt samhälle där många olika språk talas och det är vanligt att människor som inte kan svenska söker vård. Det kan då vara svårt som sjuksköterska att utföra sitt arbete när en språkbarriär skapas. Syfte: Att undersöka sjuksköterskors upplevelser av kommunikation vid språkbarriärer hos patienter med invandrarbakgrund. Metod: En litteraturöversikt användes som metod baserad på 14 vetenskapliga originalartiklar. Resultat: Upplevelser av otillräckligt informationsutbyte, missförstånd, bristande omvårdnad samt att använda tolk framkom av sjuksköterskor utifrån insamlad data. Slutsats: Sjuksköterskan har ett ansvar för att patienten får den information som behövs så att båda parter kan känna bekräftelse och trygghet. Tolkning är förslagsvis det mest effektiva tillvägagångssättet att bryta en språkbarriär för god omvårdnad.

  • 112.
    Andersson, Sofia
    et al.
    Kristianstad University, School of Health and Society.
    Appelquist, Amanda
    Kristianstad University, School of Health and Society.
    Fast-Bremberg, Emelia
    Kristianstad University, School of Health and Society.
    Att vara beroende av hjälp vid ALS: En studie av bloggar och biografier2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Amyotrophic lateral sclerosis (ALS) is a motor neuron disease that breaks down the muscles of the body. This debilitates the functions of the body. In order to get through everyday life the dependence on help from both aids and people increases. Aim: The aim is to elucidate experiences of being dependent on help because of ALS. Method: A qualitative content analysis was used and the data was gathered from blogs and biographies describing persons living with ALS. Results: The result describes following categories: Being dependent on help from aids, relatives, formal helpers and the community. Discussion: The main findings were that persons could feel powerlessness and as if they no longer were involved in their own lives. There was a fear that strangers would involve and take care of the personal needs and because of that feelings of inferiority could occur. Several persons were dissatisfied with the lack of help from the community and the feeling of being questioned often came up.

  • 113.
    Andersson, Stefan
    et al.
    Kristianstad University, School of Education and Environment.
    Kuqi, Nepe
    Kristianstad University, School of Education and Environment.
    Skolan - himmel eller helvete: en studie om elevers upplevelser av mobbning2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien är att undersöka elevers upplevelser av förekomsten avmobbning i skolan. Eftersom vi studerar till idrottslärare är därför ett delsyfte attundersöka elevers upplevelser av förekomsten av mobbning i omklädningsrumföre och efter en idrottslektion. Utöver detta undersöktes även skillnader mellanpojkar och flickors upplevelser av förekomsten av mobbning och kränkningarsamt elevers upplevelser om lärare agerade för att förebygga, åtgärda ochmotverka mobbning. Studien grundade sig på en enkätundersökning somgenomfördes på tre högstadieskolor där 221 elever i årskurs nio deltog varav 124var pojkar och 97 var flickor. Resultatet av studien visade att 7 % av elevernaupplevde sig vara utsatta för mobbning i omklädningsrummet och 7 % aveleverna upplevde sig vara utsatta för mobbning i andra situationer i skolan.Pojkar upplevde sig oftare vara utsatta och utsätta andra elever för fysiskakränkningar och mobbning än flickor, medan flickor upplevde sig oftare varautsatta för social mobbning än pojkar. Hälften av respondenterna i studien ansågatt det förekom mobbning i stort sett alltid eller ibland på deras skola medanhälften menade att mobbning förekom sällan eller aldrig på deras skola.Resultatet visade även att ungefär hälften av respondenterna ansåg att lärarna påskolorna i stort sett alltid eller ibland agerade mot mobbning och ungefär likamånga ansåg att lärarna aldrig eller sällan agerade mot mobbning.

  • 114.
    Andersson, Tove
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Molin, Kajsa
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Långvarig smärta: personers erfarenheter av smärtbehandling2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Smärta kan göra att personer upplever en helt annorlunda livsvärld när de lider av långvarig smärta. Långvarig smärta skiljer sig från den akuta smärtan genom att den ska ha varat i minst 3-6 månader. Långvarig smärta kan förekomma både inom öppen- och slutenvård. Behandling av detta tillstånd förklaras genom fem pelare som belyser personen som helhet och att behandling ska ske därefter. De fem pelarna tar upp en ökad kunskap kring sitt smärttillstånd, fysisk aktivitet, social aktivitet, läkemedel och fysioterapi. Pelarna kan kombineras samt varieras för bästa effekt. Syfte: Beskriva vuxna personers erfarenheter av smärtbehandling inom sjukvården och på smärtkliniker vid långvarig smärta. Metod: En allmän litteraturstudie som är baserad på kvalitativa vetenskapliga artiklar. Resultat: I resultatet framkom tre huvudkategorier och nio subkategorier. Den första huvudrubriken var erfarenheter av möten vid smärtbehandling och tar upp hur personerna upplevde omvårdnadspersonalens bemötande och upplevelsen av mötet med andra personer i samma situation. Den andra huvudrubriken var att hantera smärtan i vardagen som beskriver personernas nya copingstrategier och deras attityd till läkemedel. Den tredje och sista huvudkategorin var betydelsen av förståelse kring långvarig smärta som tar upp personernas erfarenhet av informationsbrist gällande sitt tillstånd, samt att personerna i samband med behandlingen börjat ta mer ansvar för dem själv. Diskussion: I metoddiskussionen kommer litteraturstudiens genomförande att diskuteras utifrån Shentons (2004) trovärdighetsbegrepp. Litteraturstudien anses hålla en hög kvalité. I resultatdiskussionen tas de tre huvudfynden att inte bli lyssnad på/att bli lyssnad på, att hjälp varandra och känna gemenskap samt motvilja till läkemedel upp.

  • 115.
    Andertoft, Betty
    et al.
    Kristianstad University, School of Health and Society.
    Paulsson, Helena
    Kristianstad University, School of Health and Society.
    Respekterad eller ifrågasatt?: om bemötande av personer med psykisk ohälsa2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    När sjukvårdspersonal inte kan skapa en relation i mötet med patienten får han/hon svårt att identifiera, bedöma och ta ställning till vilka behov som bör tillgodose patienten. Innehållet i en relation bygger på kommunikation och kommunikativa brister kan bero på stress, osäkerhet och rädsla. Det kan i sin tur leda till att patienten inte uppskattar den givna vården, alternativt inte vågar söka vård. Syftet med denna studie var att belysa hur personer med psykisk ohälsa upplever mötet med sjukvårdspersonal. Studien är gjord utifrån en kvalitativ ansats som bygger på fem självbiografier. I resultatet framkom att patienterna inte alltid kände sig delaktiga i sin behandling. Patienterna upplevde dessutom att de inte möttes med empati, vilket innefattar medkänsla och förståelse, från sjukvårdpersonal. Det framkom också att patienterna hade svårt att skapa tillit när det brast i kontinuiteten med sjukvården, och det var svårt för patienterna att känna trygghet när de ständigt konfronterades med nya människor. Oavsett vilken diagnos på psykisk ohälsa som patienterna har, är uppfattningen om hur de vill bli bemötta densamma. Genom att sträva efter kontinuitet och empati kan maktförhållanden utjämnas och patienterna slipper känna sig som brickor i ett spel.

  • 116.
    Andruškienė, Jurgita
    et al.
    Litauen.
    Kuzmienė, Ala
    Litauen.
    Martinkėnas, Arvydas
    Litauen.
    Jurgutis, Arnoldas
    Litauen.
    Ejlertsson, Göran
    Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Andersson, Ingemar
    Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Psychosocial work experiences related to health: a study of Lithuanian hospital employees2015In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 53, no 3, p. 669-677Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Research in the area of workplace health promotion from a salutogenic perspective is lacking in Eastern Europe.

    OBJECTIVE: To evaluate the relationship between psychosocial work environment and health from a salutogenic perspective among Lithuanian hospital workers.

    METHODS: Using a cross-sectional design a questionnaire was distributed to staff in a large hospital in Lithuania. Out of 811 employees, 714 completed the survey: 151 physicians, 449 nurses and 114 other staff members (e.g., psychologists, technicians, therapists). A response rate of 88.0% was achieved. The Work Experience Measurement Scale (WEMS) and the Salutogenic Health Indicator Scale (SHIS) were linguistically adapted and used for the first time in a Lithuanian context. Logistic and multiple linear regression models were used for the analyses.

    RESULTS: Supportive working conditions, positive internal work experiences and time experience contributed the most to good health, defined as a high SHIS index. Having an executive post was significantly related to good work experiences, i.e. a high WEMS score, while being at the age of 40-54 years was associated with a low WEMS score. Physicians had the highest score on supportive working conditions; while nurses had the lowest scores on autonomy.

    CONCLUSIONS: A salutogenic approach enables an organisation to identify how to improve working conditions for the employees by focusing on possibilities and resources. Individual activities for workplace health promotion among different work groups seem necessary.

  • 117.
    Angelin, Malin
    Kristianstad University, School of Health and Society.
    Skolsköterskors erfarenheter av hälsofrämjande arbete med övervikt hos elever: en kvalitativ intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight increases among Swedish children and school nurses have an important part to reduce overweight among children. Aim: Describe school nurses experiences of their health promotion for overweight in students. Method: Nine school nurses were interviewed individually by semi-structured interviews. The interviews were analyzed based on a content analysis, categories and subcategories were designed to provide an overview of the school nurses experiences. Results: School nurses usually meet students during a health conversation, this meeting is usually the foundation of their health work. The school nurses strive to individualize the support they give the students and they often use the method of motivational interviewing to motivate students to make a change. They can also assist with various diet and exercise advice. The school nurses explain that there is often a need for collaboration in order to get students to become active and lose weight. Both within their own profession but especially inter professional collaboration in the school environment. The parents get involved in this work by some of the school nurses while others believe that the student needs to feel independent. Conclusion: This study thus suggests both differences and similarities in health promotion for overweight among student. To develop a united strategy and guidelines for their work can therefore be a part of the improvement of their health promotion against overweight among students.

  • 118.
    Anghel Maurer, Roxana
    Kristianstad University, School of Health and Society.
    Distriktssköterskans hälsofrämjande och förebyggande arbete relaterat till stress: En kvalitativ intervjustudie2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of people suffering from stress-related mental and physical health problems increase. The basis of district nurses work is to prevent illness and promote health. Aim: The purpose of this paper was to describe how the district nurses experience their health promotion and preventive work related to stress. Method: A qualitative study was conducted through interviews with 16 district nurses, working in nine different health care centers in Skåne. Data analysis was carried out with qualitative content analysis based on an inductive approach. Results: The results showed that the district nurses worked with health promotion and prevention related to stress either by providing "self-help" or as a result of lack of time, opportunity and guidelines, handed over responsibility for stress management of patients by referring them to a more suitable healthcare provider. District nurses worked actively by providing self-care advice, encouraged and gave the patient tools to change their situation. Conclusion: To strengthen the district nurses' health promotion and preventive role and encourage more stress prevention requires to make the district nurses' work visible. National guidelines and recommendations that support the stress prevention, and the time and training to broaden their knowledge is also necessary. If not, patients suffering from stress will be referred to colleagues in other disciplines to a greater extent than is necessary.

  • 119.
    Angrén Nyborg, Carin
    et al.
    Kristianstad University, School of Health and Society.
    Henriksson, Sara
    Kristianstad University, School of Health and Society.
    Sjuksköterskans stöd vid smärtbehandling av patienter med cancerrelaterad smärta: En litteraturstudie om sjuksköterskans omvårdnadsåtgärder2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    En otillräcklig smärtbehandling ger patienter en försämrad livskvalitet och orsakar ett lidande som innefattar såväl ångest som oro. Många cancerpatienter anser att de inte får någon smärtbehandling och de upplever dessutom bristfälliga kunskaper i bemötandet av dem som ansvarar för deras behandling. Syftet med studien är att belysa på vilket sätt sjuksköterskan kan stödja patienter med cancerrelaterad smärta, för att möjliggöra adekvat smärtbehandling. Studien var en litteraturstudie och bygger på en integrerad analys av 13 artiklar. Resultatet presenteras utifrån olika kategorier. Strategier som hjälper patienten att hantera smärtan, medvetna och omedvetna hinder (barriärer) som påverkar smärtbehandlingen, kommunikation mellan patienter, närstående och sjuksköterskor samt utbildning som innefattar både personal, patient och anhörig. En väsentlig uppgift för sjuksköterskan är att bygga upp en god relation till patient och skapa trygghet för att möjliggöra kommunikation, vilket är grunden för att ge information och undervisa patienten i smärta och smärthantering. För att kunna göra det krävs att sjuksköterskan har god sakkunskap i ämnet.

  • 120.
    Anna, Martinsson
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Research Platform for Collaboration for Health. Lunds universitet .
    Att ta sig uppför livets bergstoppar på äldre dar2019In: Vetenskap & hälsaArticle in journal (Other (popular science, discussion, etc.))
  • 121.
    Annerén, Göran
    et al.
    Uppsala universitet.
    Hedov, Gerth
    Uppsala universitet.
    Wester, Ulrika
    Uppsala universitet.
    Downs syndrom: ny kunskap ställer höga krav på medicinsk vård och habilitering1999In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 76, no 1, p. 71-79Article in journal (Refereed)
  • 122.
    Antonsson, Marie-Louise
    et al.
    Kristianstad University, School of Health and Society.
    Engvall, Marie
    Kristianstad University, School of Health and Society.
    Malmberg, Carina
    Kristianstad University, School of Health and Society.
    Närståendes upplevelser att närvara under hjärt-lungräddning på sjukhus2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A difference of opinion exists regarding the issue of relatives being present during cardiopulmonary resuscitation in hospital. Despite international guidelines from the Emergency Nursing Association stating that relatives should be offered the opportunity to be present during cardiopulmonary resuscitation, this is generally not the case. The aim: of this study was to describe relatives' experiences of being present during cardiopulmonary resuscitation in hospital. Method: A literature review in which 13 scientific papers have been reviewed. Results: Relatives preferred to be given the option to attend the cardiopulmonary resuscitation or not. Most relatives were satisfied with their decision to attend and would do it again even though the situation was perceived as difficult. Relatives experienced an emotional connection with the patient and felt that they handled the situation better if they were given continuous information on the events and had a support person at their side. Relatives also felt it easier to cope with the grieving process when they had shared their loved ones last moment. Conclusion: The attendance of relatives during cardiopulmonary resuscitation is still a relatively unexplored area. To be given the option to attend or not is important, as is continuous information during the resuscitation as well as a support person throughout the process. Relatives who were present during resuscitation showed lower tendency to experience negative psychological effects, and that the grieving process felt easier to go through.

  • 123. Appelgren, Louise
    et al.
    Mladin Radosavlevici, Silvana
    Personers upplevelser av att leva med urininkontinens: en allmän litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Urininkontinens beskrivs som ett stort folkhälsoproblem eftersom över 50 miljoner personer i världen är berörda, varav en halv miljon är svenskar. Urininkontinens kan ses som tabubelagt där många med besvär väljer att inte söka hjälp och har svårt att prata om det. Syftet med denna studie var att belysa personers upplevelser av att leva med urininkontinens. Metoden som användes var en allmän litteraturstudie baserad på 13 kvalitativa och kvantitativa vetenskapliga originalartiklar. Sökorden som användes var incontinence, urinary incontinence, experience*, nurse*, quality of life*, life purpose* och grounded theory. Databaserna som användes var Cinahl och PubMed. I resultatet framkom fyra huvudkategorier: upplevelsen av levd kropp, upplevelsen av levd tid, upplevelsen av levt rum och upplevelsen av levda relationer. Sju subkategorier framkom: ett begränsat liv, en förlorad kroppskontroll, en förlorad spontanitet, den förgångna tiden/nutiden/framtiden, någon att räkna med och upplevelser i möten med vården. Att leva med urininkontinens kan innebära begränsningar i vardagen så som fysiskt, socialt som sexuellt vilket vårdpersonal bör ha förståelse för eftersom det är ett stort problem för personer.

  • 124.
    Appé, Caroline
    Kristianstad University, School of Health and Society.
    Sjuksköterskans upplevelse av närståendes närvaro vid hjärt-lungräddning på akutmottagningar2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Among nurses in emergency department is a difference of opinion regarding the issue of relatives being present during cardiopulmonary resuscitation. This can depend on the nurse have positive or negative experience of the situation. Since several years international guidelines are written to recommend relatives being present but in general they are not used. The aim: Of this study was to explain nurse’s experiences of relative’s presence during cardiopulmonary resuscitation in emergency department. Method: A literature review in which 12 qualitative and quantitative scientific papers have been reviewed. Results: During the last years most parts of the nurses changed their opinion from negative to positive regarding to relatives being present at CPR. If relatives been present when CPR wasn´t successful the nurses believed could help the coming grieving process. Nurses believed that relatives easier could accept the sudden death if they were able to touch, to say goodbye and share the last moments in life with their family member. Conclusion: To maintain the nurse positive experience of relative presence during CPR in emergency department needs development- and improvement work. This work needs both theoretical and practical education. And also there are needs to establish the international guidelines to local guidelines.

  • 125.
    Arfvidsson Isaksson, Josefin
    et al.
    Kristianstad University, Faculty of Health Science.
    Stiberg, Zara
    Kristianstad University, Faculty of Health Science.
    Emotionellt stöd inom palliativ slutenvård: närståendes erfarenheter2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige avlider varje år cirka 90.000-100.000 personer. Trettiofem till fyrtio procent av svårt sjuka avlider inne på sjukhus och 40–50% på någon form av hospice. Att vara närstående till någon som är svårt sjuk medför många emotionella svårigheter såsom oro, stress och ovisshet. Sjuksköterskan har en viktig roll då hen genom emotionellt stöd kan lindra onödigt lidande hos närstående.Syfte: Syftet var att beskriva närståendes erfarenheter av emotionellt stöd från sjuksköterskan vid den sena palliativa fasen inom slutenvård samt beskriva skillnader mellan palliativ vård på sjukhus och specialiserad palliativ vård.Metod: Designen var en allmän litteraturstudie med systematisk sökning efter empiriska vetenskapliga artiklar.Resultat: Närståendes erfarenheter delades upp i sex olika kategorier: tydlig och ärlig information gav känsla av lättnad och trygghet, tillgängligheten till sjuksköterska gav känsla av närhet och minskad ensamhet, samtalet gav känsla av att vara sedd och betydelsefull, praktiskt stöd gav känsla av tacksamhet och att bli omhändertagen, egentid och tillgång till privat utrymme gav känsla av ro och bevarad integritet, skillnader mellan palliativ vård på sjukhus och specialiserad palliativ vård.Slutsats: Närståendes erfarenheter visade att sjuksköterskan gav emotionellt stöd då hen gav tydlig och ärlig information, fanns tillgänglig, samtalade med närstående, gav praktiskt stöd samt möjliggjorde egentid och privat utrymme för närstående. Det visade sig att på hospice och liknande palliativa vårdenheter var erfarenheterna övervägande positiva medan erfarenheterna från sjukhus var både positiva och negativa.

  • 126.
    Ariche, Haifa
    et al.
    Kristianstad University, School of Health and Society.
    Trifkovic, Jelena
    Kristianstad University, School of Health and Society.
    Leva livet efter mastektomi: Kvinnornas upplevelser efter mastektomi2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is themost common cancer among women in Sweden. Thetreatment of breastcancer may lead to women being forcedto surgery remove her breast. Women’s breasthas always been a symbol of the very feminine. Aim: The aim was to highlight theaffected women's experiences after a mastectomy. Method: The study was a literature review based on qualitative, scientificarticles. Results: The results showed thatmany women experiencechanges in their body.Through the loss ofthe breast, they lost femininity, sexuality and identity.They experienced theirbodies’ mutilated, causing grief. Their relationshipfor their partner was affected, positively or negatively depending on if thewomen considered themselves to besexually accepted or not. The scarsymbolizes both the loss, fear of new cancer and victory to having beencured. Conclusion: It is important that thenurse has the healthpromotion forethought when meeting with women who have undergone a mastectomy.To help themovercome their experiencesand encourage themto achieve a highfeeling of life connection.

  • 127.
    Aronsen Torp, Jenny
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment PRO-CARE.
    Berggren, Vanja
    Lund university.
    Erlandsson, Lena-Karin
    Lund university.
    Westergren, Albert
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap I. Kristianstad University, Research Environment PRO-CARE.
    Weight status among Somali immigrants in Sweden in relation to socio-demographic characteristics, dietary habits and physical activity2015In: Open Public Health Journal, ISSN 1874-9445, Vol. 8, p. 10-16Article in journal (Refereed)
    Abstract [en]

    Background: Immigrants are considered globally to be a vulnerable subpopulation. Vulnerable population groups have a higher prevalence of obesity than the general population. Despite increased immigration of people from Somalia to Sweden in recent years, little research has been undertaken about obesity and obesity-related health risks among Somali immigrants. The present study aimed to investigate the prevalence of overweight and obesity, as well as possible relationships between weight status and socio-demographic characteristics, dietary habits and physical activity (PA) among Somali immigrants in Sweden.

    Methods:This quantitative cross-sectional study included 114 respondents. Data were collected by means of a questionnaire covering socio-demographic factors, PA and dietary habits. Weight and height were also measured.

    Results:Of the 114 respondents, 50.9% had a body mass index (BMI) of 25 or above.In bi-variate analysis, there were no statistically significant differences between those with a BMI below 25 and those with a BMI of 25 or more regarding PA or dietary habits. Multiple logistic regression analysis showed that female gender and being married were associated with having a BMI of 25 or above.

    Conclusion: Socio-demographic factors may be more strongly associated with high BMI than PA or dietary habits among the targeted group and should be taken into account as an issue affecting Somali immigrants in Sweden that warrants further research.

  • 128.
    Aronsson, Karina
    Kristianstad University, School of Health and Society.
    Patientens förståelse för egenvård vid nyligen diagnostiserad typ 2 diabetes2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In today's society, information flowing from many different directions. Knowledge communicated to patients and families of different professions, without coordination, which can lead to misunderstandings. For patients with diabetes type 2, it is important to get information that is understandable and relevant to their illness. Through patient education, the patient may then engage in self-care and take control of the disease. Aim: The purpose of this study was to see how patients with newly diagnosed type 2 diabetes understand self-care after visiting the nurse. Method: An empirical, qualitative interviews were carried out and contents were analyzed using qualitative content analysis inspired by Granheim and Lundman. Results: It emerged during the interviews that about half of the participants expected to suffer from diabetes, when there was a family history. Diabetes was natural to get at a certain age, with or without self-care. Most patients had made changes in diet and smoking during the first months after being diagnosed and confirmed that self-care was useful. Many felt concerned about not being able to continue with the changes, but was not worried about the future. Others had continued very confident and knew that the outcome depended on themselfs. Conclusion: With or without early self-care the disease would had come anyway. The first time after beeing diagnosed, change and self-care feelt important. When the sense of "feel good" reappeared, the motivation faded. With frequent visits to the nurse, the patients were motivated to continue.

  • 129.
    Artursson Kjell, Frida
    Kristianstad University, School of Health and Society.
    Varför slutar flickor att idrotta inom organiserad lagidrott?: en kvalitativ studie bland flickor i åldern 13 till 16 år2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Since 2007 the Swedish government has allocated 500 millions SEK per annum, for a project named “Idrottslyftet”, the aim is to enhance the child and youth sport within five years. Despite this, it seems that more young girls choose to stop participating in organized sport clubs. The aim with this study was to find out why girls stop participating in organized sport clubs. The method that was used was focus groups, and 13 focus groups interviews (n=118) was performed in northeast Skåne. Qualitative content analysis was used as the analysis method. The result showed that there were several factors that influenced the girls to stop participating in organized sport clubs. The factors were friends and family and sport clubs. The physical education was also pointed out as a negative factor. The discussion was divided into two health perspectives; pathogenesis and salutogenesis. In pathogenesis the focus was to find out why young girls choose to dropout of organized sport clubs, and the interviewees perspective on the physical education curriculum. In salutogenesis, the discussion focus on, how sport clubs and physical education in schools can prevent dropouts and pursue more physical activity by young females in their spare time and in their future. The conclusions were that sport clubs that perform child and youth sports should perform their activities conforming with the Swedish Idrotten vill ideology and club education, but also a touch of competition education. A sport club that can balance these three factors will probably reach success in different ways. Schools should oversee the curriculum in physical education and make it more variable and stimulating for the students. But also the society and the families should cooperate to pursue a better and more positive attitude towards physical activity among young people.     

  • 130.
    Arvidsson, Emil
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    Buchholtz, Kristina
    Kristianstad University, Faculty of Health Science, Avdelningen för folkhälsovetenskap.
    “En ytlig bransch”: en kvalitativ studie om upplevd hälsa och kroppsuppfattning bland träningsinstruktörer som arbetar på gym2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A poor body perception can affect well being in a negative way and lead to detrimental results for both physical and mental health. Previous research about the phenomenon body perception is limited, especially work related, which makes it harder to understand how work can affect body perception. Purpose: To study body perception and the existence of well being amongst training instructors working at the gym. The objective is to increase the understanding of potential factors that may affect body perception and well being. Method: The study was implemented by using a qualitative methodology in the form of individual semi-structured interviews with a total of ten participants. Results: In summary the result shows that most of the participants experienced both negative and positive thoughts about their own body, although the positive thoughts were more common. A well conditioned body was considered a valuable asset in attracting clients since this was preferred. Some of the participants also competed in bodybuilding; however, this tended to have a negative impact on their well being. In a social setting there is a greater expectation about a women’s appearance than it is for men. The participants view on health can be summarized as a holistic approach where several components contributed. Conclusion: Due to the existence of limited research, there is a need for further studies about body perception from a qualitative and quantitative point of view to give a better picture of possible additional factors that affect it.

  • 131.
    Arvidsson, Ida
    Kristianstad University, School of Education and Environment.
    Tv-reklam för söta drycker: En studie av hur antalet reklaminslag förändrats under åren 1999-20142016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: TV commercials for sweetened drinks may result in an increased consumption of unhealthy and energy dense drinks with a high content of sugar. In 2014 the swedes purchased an average of 92 litres of soft drinks per consumer, which is an increase by ten litres compared to the year 2000. Regular consumption of sugary drinks increases the risk of developing overweight, obesity and caries.

    Aim: The aim of the study is to investigate whether the number of commercials for sweetened drinks on TV has changed during the years 1999-2014 and if there are any differences between various TV channels regarding the number of commercials.

    Material and method: The study examines TV commercials for sweetened drinks such as juice and soft drinks (with and without carbonic acid) using an Excel document based on data from TvChecks database. By filtering the data by different food numbers and year various tables and graphs were created to show what changes occurred in the number of commercials for sweetened drinks during the years 1999-2014.

    Results: TV commercials for sweetened drinks has increased largely between the years 2013 and 2014. The TV channels that in average showed the most commercials for sweetened drinks are the Swedish Channel 5 and TV3, while TV4 and TV7 showed the least commercials in average during the years 1999-2014. Moreover, the TV commercials for drinks sweetened with sweeteners shows a clear increase during the years 1999-2014 from 586 to 8716 commercials.

    Conclusion: The number of TV commercials for sweetened drinks has increased considerably over the years 2013-2014, while the number of commercials during the years 1999-2009 was relatively constant.

  • 132. Arvidsson, Susann
    et al.
    Bergman, Stefan
    Arvidsson, Barbro
    Fridlund, Bengt
    Bengtsson Tops, Anita
    Linneuniversitetet.
    Experiences of health-promoting self-care in people living with rheumatic diseases2011In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, no 6, p. 1264-1272Article in journal (Refereed)
    Abstract [en]

    AIM: This paper is a report of a study that explores and describes the meaning of the phenomenon of health-promoting self-care as experienced by people living with rheumatic diseases.

    BACKGROUND: People with rheumatic diseases estimate health status as low and health belief and health status influence self-care behaviours. Several self-care behaviours are used in the efforts to mitigate the diseases.

    METHOD: The study had a descriptive phenomenological approach based on a reflective life-world perspective. Data were gathered in 2007 by unstructured open-ended interviews with 12 individuals living with rheumatic diseases.

    FINDINGS: The meaning of health-promoting self-care as experienced by people living with rheumatic diseases was that self-care takes place against a background of continual hope and belief to influence health in positive ways. Self-care was a way of life and implied being ready to understand and respond to signals from the body. Three inter-related constituents elucidated their experiences: dialogue, power struggle and choice. Self-care was experienced as dialogues with the body and with the immediate environment. In order to respond to signals from the body, power struggles were required to be entered into when fighting the diseases. Choices were required to be made and things that were beneficial for the body were prioritized.

    CONCLUSION: In this study, the meaning of health-promoting self-care as experienced by people living with rheumatic diseases was that self-care was a way of life. This meant to be ready to understand and respond to signals from the body. Self-care required dialogues, power struggles and choices.

  • 133.
    Asamoah, Helen
    et al.
    Kristianstad University, Faculty of Health Science.
    De Zylva, Sara
    Kristianstad University, Faculty of Health Science.
    Behandlingsmetoder för dental erosion: En kvantitativ litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med litteraturstudien var att kartlägga behandlingsmetoder för dental erosion. Den metod som användes var en litteratursökning vilken gjordes under mars månad 2018, i databasen PuBMed. Litteraturstudiens resultat sammanställdes utifrån 19 artiklar. Ämnen och metoder för behandling av dentala erosioner var Kaseinfosfopeptid - amorft kalciumfosfat (CPP - ACP), fluor, Polyvinylmetyletermalein syra (PVM/MA) syra, Er:YAG och CO2 laser, samt Euclea natalensis växt. Olika variabler såsom emaljförlust, dentinförlust, ythårdhetsförändring, remineraliseringsgrad och storlek på dentinkanaler mättes för att värdera effekten av utläkning vid dental erosion. I fyra av fem studier som testade kaseinfosfopeptid-amorft kalciumfosfat (CPP-ACP) i form av tuggummi eller tandkräm sågs en signifikant effekt på dental erosion. Fluor och fluor i olika kombinationer och formula såsom gel/lack, tandkräm och munskölj hade också en positiv effekt på dental erosion. PVM/MA syran gav en god effekt på dental erosion då alla öppnade dentinkanaler var stängda efter användning. Däremot visade behandling med Er:YAG och CO2 laser samt Euclea natalensis ingen stor effekt. Slutsatsen är att användning av CPP-ACP,  fluor och fluor i kombination med andra  ämnen  samt PVM/MA syra har goda effekter vid behandling av dental erosion

  • 134.
    Askari Saif, Mehrnoosh
    et al.
    Kristianstad University, School of Health and Society.
    Peters, Sandra
    Kristianstad University, School of Health and Society.
    Maten är att leva: en litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Varje år dör ca 95 000 människor i Sverige och 60 % av dem beräknas behöva palliativ vård. De flesta lider av undernäring i form av anorexi och kakexi eller biverkningar av strålning och kemoterapi som är en gemensam orsak till aptitförlust eller aptitlöshet vilket orsakas av olika symtom. Dessa problem kan orsaka ett lidande. Genom personcentrerad vård och kompetenta sjuksköterskor med specialistutbildning kan patientens livskvalitet höjas. Syfte: Studiens syfte var att beskriva hur palliativa patienter upplever sin aptitförlust. Metod: Allmän litteraturstudie baserad på kvalitativa artiklar. Resultat: Studien visade att patienter med aptitförlust har en stor önskan om att bli hörda och att sjuksköterskan ska finnas där för att lyssna på dem. Upplevelser som önskan att överleva, skuldkänslor, förlust av kontroll på olika nivåer och relationer som är konfliktladdade påverkade patienters aptit negativt. Upplevelser och aptit har ett stort inflytande på livskvaliteten. Slutsats: Att arbeta efter personcentrerad vård kopplad till KASAM kan vara en lösning för att kunna öka patientens livskvalitet i samband med ökat matintag. Webbaserad utbildning som DUNÄT kan vara en stor hjälp till att öka förståelse för nutritionens vikt. Kollegial utbildning kan vara till hjälp för att öka medvetenhet om möjliga problem. En noggrann omvårdnadsanamnes gör det möjligt att rätt åtgärd kan inledas. Medvetenheten om att patienten är en unik person med unika upplevelser kan göra stor skillnad för alla inblandade.

  • 135.
    Assarsson, Frida
    et al.
    Kristianstad University, Faculty of Health Science.
    Anderberg, Kajsa
    Kristianstad University, Faculty of Health Science.
    "Att inte bli trodd gör extra ont": Patienters upplevelser av hälso- och sjukvårdspersonalens bemötande vid långvarig smärta.2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakrund: Personer som lider av långvarig smärta är återkommande inom hälso- och sjukvården. Långvarig smärta beräknas kosta det svenska samhället cirka 80 miljarder kronor per år. Att behandla långvarig smärta kan vara svårt eftersom smärta ofta innefattar psykologiska faktorer så som känslor, tankar och/eller beteende. Hälso- och sjukvårdspersonalens bemötande är en viktig del i omvårdnaden av patienter med långvarig smärta. Syfte: Syftet var att belysa patienters upplevelser av hälso- och sjukvårdspersonalens bemötande vid långvarig smärta. Metod: En allmän litteraturstudie med elva inkluderade originalartiklar. Datainsamling gjordes i databaserna Cinahl Complete och PubMed. Granskningen utgick från en granskningsmall för kvalitativa och kvantitativa artiklar. Analysen utfördes i fem steg utifrån en modell av Friberg (2012b). Resultat: Patienter med långvarig smärta ansåg att det var viktigt att betraktas som en unika personer med individuella behov. Att bli behandlad med respekt och få sin smärtupplevelse bekräftad var viktigt i bemötandet. När hälso- och sjukvårdspersonalen visade intresse och gav adekvat information ökade patientens delaktighet. I resultatet presenteras negativa men även positiva upplevelser av hälso- och sjukvårdspersonalens bemötande. Diskussion: Studiens kvalitet bedömdes utifrån Shenton (2004) trovärdighetsbegrepp. De tre centrala fynden kommunikation, tilltro och kunskap diskuterades i relation till etik, bemötande samt samhällsperspektiv. 

  • 136.
    Ast, Felicia
    et al.
    Kristianstad University, School of Health and Society.
    Bjärnskog, Sara
    Kristianstad University, School of Health and Society.
    Att vara förälder till ett barn med schizofreni: En litteraturstudie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are about 30 000-40 000 people in Sweden who have schizophrenia. The disease often starts at a young age with symptoms such as delusions, hallucinations, incoherent speech and movements and inertia. The whole family is affected as a child undergoes the major transformations the disease involves. The lack of understanding from the surrounding environment contributes to great disappointment and concern among parents. Aim: The purpose of this study has been to describe the experience of being a parent of a child with schizophrenia. Method: A systematic literature review has been carried out, based on twelve scientific articles. Results: Results state that parents feel guilty about not have given their child the proper attention as they identified the first symptoms of schizophrenia. There is also a major concern due to the changes a child undergoes, which makes the parents feel very uncertain and insecure about the future. The information and help offered as the child was given its diagnosis was by parents considered as inadequate. The sharing of experience and reflections within specific support group, consisting of people in similar situations, gave parents a sense of security. Discussion: Contact to health services should be established as early as possible at disease onset. As a nurse it is important to primarily take care of the individual, but in dealing with diseases like schizophrenia the family is also very important to take in to account. Conclusion: If measures, such as better and more regular flow of information was introduced earlier on in the process the parents everyday life would be greatly improved and thus, lead to a better functioning family situation.

  • 137.
    Atroshi, Isam
    et al.
    Department of Orthopedics, Hässleholm-Kristianstad Hospitals.
    Andersson, H. Ingemar
    Department of Rehabilitation Medicine, Kristianstad Hospital.
    Gummesson, Christina
    Department of Orthopedics, Hässleholm-Kristianstad Hospitals.
    Leden, Ido
    Department of Medicine, Division of Rheumatology, Kristianstad Hospital.
    Odenbring, Sten
    Department of Orthopedics, Hässleholm-Kristianstad Hospitals.
    Ornstein, Ewald
    Department of Orthopedics, Hässleholm-Kristianstad Hospitals.
    Primary care patients with musculoskeletal pain: value of health-status and sense-of-coherence measures in predicting long-term work disability2002In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 31, no 4, p. 239-244Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To investigate long-term sick leave among primary care patients with musculoskeletal disorders and the predictive value of health-status and sense-of-coherence measures. METHODS: Patients aged 17 to 64 years who, during seven weeks, attended one of six primary care centers because of non-traumatic musculoskeletal pain and who completed the SF-36 health questionnaire and the sense of coherence (SOC) scale at baseline and after one year. RESULTS: Of 189 patients, 36 (19%) were sicklisted for at least three months before and/or after their visit; the most common diagnoses were non-specific soft-tissue or multiple joint, low back, and shoulder pain. The long-term sicklisted patients had significantly worse baseline SF-36 and SOC scores than the non-sicklisted patients; moderate improvement in the SF-36 bodily pain but no improvement in the physical functioning scores occurred. The duration of sick leave at baseline and the SF-36 bodily pain score were significant predictors of continuos one-year work disability. CONCLUSION: Long-term sick leave was common among primary care patients with musculoskeletal pain. The physical functioning and return-to-work outcomes after one year were poor. The SF-36 bodily pain scale might be helpful in identifying at risk patients.

  • 138.
    Axelsson, Carolina
    Kristianstad University, School of Health and Society.
    A cross-sectional pre- and postintervention study of hygiene routines amongst health care workers combined with a screening of microbes in wounds2014Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    During the fall of 2005 and the spring of 2006, there was a nosocomial infection outbreak caused by a multiresistant Escherichia coli producing Extended-Spectrum Beta-Lactamase (ESBL) in a unit at the Central Hospital in Kristianstad. The bacteria were believed to be transmitted through patient contact with the hands of staff members. Since five of the cases of ESBL-producing E. coli were found in wounds of patients from the unit, wounds in other units needed to analyzed. In Sweden, patients with wounds are treated in hospitals as well as in municipal health care settings. The aim of this study was to investigate, improve and evaluate hygiene routines among the hospitals’ and municipal health care facilities’ staff members. In addition, a screening for the microbial flora, including multi antibiotic resistance, in patients’ wounds in these facilities was carried out.

    The study used a cross-sectional pre- and postintervention design. The data collection was designed as naturalistic observational study with participant observations and interviews. The study was performed at two central general hospitals, three general hospitals and six counties municipal health care settings in Sweden. The coverage area were 370 000 inhabitants. The data from the investigation in 2006 were analyzed and presented in individually written reports for each unit. The national regulations on basic hygiene were implemented in 2007. A poster was distributed to all participating units and displayed for patients and visitors. The message of the poster stated: “[We respect patient hygiene safety by: wearing short sleeves; long hair wearing up; have short unpainted nails; not wearing jewellery on our hands or arms; disinfect our hands before and after every patient and care procedure. Please remind us if we forget!]“. In 2006, 214 units, 2541 staff members in a patient care situation and 218 staff members were observed when treating wounds. In 2008, 221 units, 2339 staff members in a patient care situation and 142 staff members were observed when treating wounds.

    The working clothes provided by the employer significantly increased for municipal staff members (from 39% to 62%) as did the use of plastic aprons also (from 53% to 75%). Staff members with either short hair or long hair wearing it up was significantly decreased for municipality staff members (from 94% to 88%). The correct absence of jewellery increased significantly (from 53% to 69%), as did the correct absence of nail polish, build up nails, and infected cuticles (from 74% to 77%)). The use of gloves increased significantly for all staff members (from 83% to 89%). The staff members were observed during a wound treatment situation, and the correct absence of jewellery increased for hospital staff members (from 75% to 89%). The use of gloves decreased (from 91% to 80%). The use of plastic apron significantly increased (from 27% to 52%). In the microbiology screening study, a total of 394 patients with 438 wounds were included. The most frequent microbe was Gram-positive cocci, which was found in 458 (60%) of the 760 isolates and in 353 (81%) of the wounds. Two ESBL-producing isolates were found, one Escherichia coli and one Enterobacter aerogenes.

    The findings suggest that the combined interventions and the method used with multidisciplinary teams as well as multiple strategies for interventions might have a positive effect on focusing on hygiene routines. Knowledge of the local bacteria flora and their antibiotic resistance as well as the type of wounds, is of importance when deci ing what antimicrobial treatment to suggest, and the monitoring needs to be continuing.

  • 139.
    Axelsson, Carolina
    et al.
    Kristianstad University College, School of Health and Society.
    Ulander, Kerstin
    Kristianstad University College, School of Health and Society.
    Westergren, Albert
    Kristianstad University College, School of Health and Society.
    Fallriskbedömning med Downton Fallrisk Index: studenter på sjuksköterskeprogrammet använder och utvärderar instrumentet i oktober 20082009Report (Other academic)
  • 140.
    Axelsson, Emelie
    et al.
    Kristianstad University, School of Health and Society.
    Nedmar, Sara
    Kristianstad University, School of Health and Society.
    Sjuksköterskors erfarenheter av compassion fatigue: en litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Compassion fatigue är ett nytt begrepp och är en respons på stress som kan påverka sjuksköterskors hälsa och skapa svårigheter att ge en god vård.

    Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av compassion fatigue.

    Metod: Denna litteraturöversikt grundades på tio vetenskapliga artiklar med kvalitativ ansats. Artiklarna granskades, analyserades och sammanställdes till ett nytt resultat och en ny helhet.

    Resultat: Resultatet visade att sjuksköterskorna involverade sig för mycket och kände stark ansvarskänsla för patienter. En påfrestande arbetsmiljö i kombination med svårigheter att hålla professionella gränser i patientkontakten, kan vara orsaken till att compassion fatigue uppstår. Compassion fatigue påverkade arbetslivet genom att sjuksköterskorna använde distansering till patienter och anhöriga för att undvika känslomässigt svåra situationer. Sjuksköterskor hade behov av organisatoriska förändringar för att inte drabbas av tillståndet. Compassion fatigue kan förebyggas och motverkas på individnivå genom att ha en hälsosam balans mellan yrkesliv och privatliv. För att minska risken att drabbas av compassion fatigue, är det viktigt med reflektion om sina tankar och känslor för att kunna bearbeta dem.

    Diskussion: Sjuksköterskor som känner stark ansvarskänsla och involverar sig för mycket i patientkontakten har en ökad risk att drabbas av tillståndet. Distansering är en osund strategi som sjuksköterskor använder för att bevara sin hälsa, men som sänker kvaliteten i omvårdnaden. Nyexaminerade sjuksköterskor löper större risk att drabbas av compassion fatigue. Genom att införa information och öka kunskapen om tillståndet redan på utbildningsnivå kan det skapa en medvetenhet och förbereda sjuksköterskestudenter inför det kommande arbetslivet. 

  • 141.
    Axelsson, Lars
    et al.
    Kristianstad University, Department of Health Sciences.
    Andersson, H. Ingemar
    Kristianstad University, Department of Health Sciences.
    Edén, Lena
    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).
    Inequalities of quality of life in unemployed young adults: a population-based questionnaire study2007In: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 6, p. 1-Article in journal (Refereed)
    Abstract [en]

    Background: It is well known that unemployment is a great problem both to the exposed individual and to the whole society. Unemployment is reported as more common among young people compared to the general level of unemployment. Inequity in health status and lifesatisfaction is related to unemployment. The purpose of this population-based study was to describe QOL among unemployed young people compared to those who are not unemployed, and to analyse variables related to QOL for the respective groups.

    Methods: The sample consisted of 264 young unemployed individuals and 528 working or studying individuals as a reference group. They all received a questionnaire about civil status, educational level, immigration, employment status, self-reported health, self-esteem, social support, social network, spare time, dwelling, economy and personal characteristics. The response rate was 72%. The significance of differences between proportions was tested by Fisher's exact test or by χ2 test. Multivariate analysis was carried out by means of a logistic regression model.

    Results: Our results balance the predominant picture of youth unemployment as a principally negative experience. Although the unemployed reported lower levels of QOL than the reference group, a majority of unemployed young adults reported good QOL, and 24% even experienced higher QOL after being unemployed. Positive QOL related not only to good health, but also to high self-esteem, satisfaction with spare time and broad latitude for decision-making.

    Conclusion: Even if QOL is good among a majority of unemployed young adults, inequalities in QOL were demonstrated. To create more equity in health, individuals who report reduced subjective health, especially anxiety need extra attention and support. Efforts should aim at empowering unemployed young adults by identifying their concerns and resources, and by creating individual programmes in relation not only to education and work, but also to personal development.

  • 142.
    Axelsson, Lars
    et al.
    Kristianstad University, Department of Health Sciences.
    Andersson, Ingemar
    Kristianstad University, Department of Health Sciences.
    Håkansson, Anders
    Department of Clinical Sciences, Malmö, Family Medicine, Lund University.
    Ejlertsson, Göran
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsmiljön Människa - Hälsa - Samhälle (MHS).
    Work ethics and general work attitudes in adolescents are related to quality of life, sense of coherence and subjective health: a Swedish questionnaire study2005In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 5, p. 103-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Working life is an important arena in most people's lives, and the working line concept is important for the development of welfare in a society. For young people, the period before permanent establishment in working life has become longer during the last two decades. Knowledge about attitudes towards work can help us to understand young people's transition to the labour market. Adolescents are the future workforce, so it seems especially important to notice their attitudes towards work, including attitudes towards the welfare system. The aim of this study was to describe and analyse upper secondary school students' work attitudes, and to explore factors related to these attitudes. METHODS: The sample consisted of 606 upper secondary school students. They all received a questionnaire including questions about quality of life (QOL), sense of coherence (SOC), subjective health and attitudes towards work. The response rate was 91%. A factor analysis established two dimensions of work attitudes. Multivariate analyses were carried out by means of logistic regression models. RESULTS: Work ethics (WE) and general work attitudes (GWA) were found to be two separate dimensions of attitudes towards work. Concerning WE the picture was similar regardless of gender or study programme. Males in theoretical programmes appeared to have more unfavourable GWA than others. Multivariate analyses revealed that good QOL, high SOC and good health were significantly related to positive WE, and high SOC was positively related to GWA. Being female was positively connected to WE and GWA, while studying on a practical programme was positively related to GWA only. Among those who received good parental support, GWA seemed more favourable. CONCLUSION: Assuming that attitudes towards work are important to the working line concept, this study points out positive factors of importance for the future welfare of the society. Individual factors such as female gender, good QOL, high SOC and good health as well as support from both parents, positive experience of school and work contacts related positively to attitudes towards work. Further planning and supportive work have to take these factors into account.

  • 143.
    Axelsson, Philippe
    et al.
    Kristianstad University, School of Health and Society.
    Sånge, Catarina
    Kristianstad University, School of Health and Society.
    Vad kan sjuksköterskan göra för att underlätta för vuxna personer med stickrädsla?: en litteraturstudie2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Inom vården är möten med vuxna patienter som känner obehag inför blodprovstagning eller rädsla vid situationer där stick är inblandat vanligt förekommande. Studier visar att det rör sig om cirka tio procent av den vuxna befolkningen som känner stickrädsla. Sjuksköterskan har därvid ett stort ansvar att hjälpa patienterna genom de ibland påfrestande situationer som kan uppstå på grund av stickrädslan. Syfte: Syftet var att beskriva vad sjuksköterskan kan göra för att underlätta för den vuxna patienten med stickrädsla vid sticksessioner. Metod: Studien är en litteraturstudie där resultatet baserats på kvantitativa och kvalitativa originalartiklar. Artiklarna har granskats, analyserats och sammanställts. Resultat: Resultatet visar att det finns olika sätt att underlätta för den stickrädda vuxna patienten. Det är möjligt genom att smärtlindra patienten, genom att miljön och den medicinska utrustningen är sådan att den kan minska stressen för den stickrädda vuxna patienten, samt genom kommunikation, där lyhördhet och respekt ingår, med patienten. Slutsats: Vårdpersonal som möter vuxna stickrädda patienter i samband med sticksessioner behöver ha kunskap om stickrädsla hos vuxna och redskap för att underlätta för dem och ge dem ett gott bemötande.

  • 144. Axelsson, Runo
    et al.
    Bihari Axelsson, Susanna
    Åhgren, Bengt
    Nordic School of Public Health.
    Utveckling av en hälsofrämjande primärvård på Hisingen: uppföljning och utvärdering 2007-20082008Report (Other academic)
  • 145. Axelsson, Runo
    et al.
    Bihari Axelsson, Susanna
    Åhgren, Bengt
    Nordic School of Public Health.
    Utvärdering av DELTA‐samverkan ur Hisingsbornas perspektiv: Utvärderingsrapport2008Report (Other academic)
  • 146.
    Bala, Sidona-Valentina
    et al.
    Lund University.
    Forslind, Kristina
    Lund University.
    Fridlund, Bengt
    Jönköping University.
    Hagell, Peter
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Measuring person-centred care in nurse-led outpatient rheumatology clinics2018In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 16, no 2, p. 296-304Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Measurement of person-centred care (PCC) outcomes is underdeveloped owing to the complexity of the concept and lack of conceptual clarity. A framework conceptualizing outpatient PCC in rheumatology nurse-led clinics has therefore been suggested and operationalized into the PCC instrument for outpatient care in rheumatology (PCCoc/rheum).

    OBJECTIVE: The aim of the present study was to test the extent to which the PCCoc/rheum represents the underpinning conceptual outpatient PCC framework, and to assess its measurement properties as applied in nurse-led outpatient rheumatology clinics.

    METHODS: The 24-item PCCoc/rheum was administered to 343 persons with rheumatoid arthritis from six nurse-led outpatient rheumatology clinics. Its measurement properties were tested by Rasch measurement theory.

    RESULTS: Ninety-two per cent of individuals (n = 316) answered the PCCoc/rheum. Items successfully operationalized a quantitative continuum from lower to higher degrees of perceived PCC. Model fit was generally good, including lack of differential item functioning (DIF), and the PCCoc/rheum was able to separate individuals with a reliability of 0.88. The four response categories worked as intended, with the exception of one item. Item ordering provided general empirical support of a priori expectations, with the exception of three items that were omitted owing to multidimensionality, dysfunctional response categories and unexpected ordering. The 21-item PCCoc/rheum showed good accordance with the conceptual framework, improved fit, functioning response categories and no DIF, and its reliability was 0.86.

    CONCLUSION: We found general support for the appropriateness of the PCCoc/rheum as an outcome measure of patient-perceived PCC in nurse-led outpatient rheumatology clinics. While in need of further testing, the 21-item PCCoc/rheum has the potential to evaluate outpatient PCC from a patient perspective.

  • 147.
    Bala, Sidona-Valentina
    et al.
    Helsingborg Central Hospital.
    Forslind, Kristina
    Helsingborg Central Hospital.
    Samuelson, Karin
    Lund University.
    Svensson, Björn
    Lund University, Helsingborg.
    Fridlund, Bengt
    Jönköping University.
    Hagell, Peter
    Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Measuring person-centered care in nurse-led outpatient rheumatology clinics2018In: International Conference on Probabilistic Models for Measurement, 2018Conference paper (Other academic)
    Abstract [en]

    BACKGROUND: Person-centered care (PCC) is a key component to effective illness management and high-quality care but conceptually underdeveloped in outpatient care settings for long-term disorders such as rheumatoid arthritis (RA), and there is a lack of instruments measuring patient perceived PCC.

    AIM: To conceptualize and operationalize outpatient PCC as a basis for measuring patient-perceived PCC in nurse-led outpatient rheumatology clinics.

    DESIGN: A conceptual outpatient PCC framework was developed based on theory and patient experiences.The resulting framework was operationalizedinto items that were tested regarding their accordancewith the theoretical framework and their measurement properties according to Rasch measurement theory (RMT) using the RUMM2030 software. 

    RESULTS: The conceptual framework comprised five intermingled domains (personalization, shared decision-making, empowerment, communication, and social environment) that were operationalized into a 24-item PCC instrument for outpatient care in rheumatology (PCCoc/rheum). RMT analyses found items to successfully map out a quantitative continuum from lower to higher PCC levels, with generally acceptable model fit and a reliability of 0.88. Three items exhibiting multidimensionality, dysfunctional response categories, and/or unexpected hierarchical ordering were omitted. The revised PCCoc/rheum showed good accordance with the conceptual framework, improved fit, functioning response categories, and no DIF; reliability was 0.86.

    SUMMARY AND IMPLICATIONS: We found support for the PCCoc/rheum as a conceptually based outcome measure of patient perceived PCC. Results implied minor theoretical reconsiderations, and related scale revisions improved theoretical and clinical clarity. While in need of further testing, the PCCoc/rheum has great potential as a measure of outpatient PCC from a patient perspective.

  • 148.
    Bala, Sidona-Valentina
    et al.
    Lund University & Helsingborg Hospital.
    Samuelson, Karin
    Lund University.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna. Kristianstad University, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Kristianstad University, Research Platform for Collaboration for Health.
    Fridlund, Bengt
    Lund University & Jönköping University.
    Forslind, Kristina
    Helsingborg Hospital & Lund University.
    Svensson, Björn
    Lund University.
    Thomé, Bibbi
    Lund University.
    Living with persistent rheumatoid arthritis: a BARFOT study2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 17-18, p. 2646-2656Article in journal (Refereed)
    Abstract [en]

    AIM AND OBJECTIVE: To describe and understand the meaning of living with persistent rheumatoid arthritis.

    BACKGROUND: A considerable number of patients with rheumatoid arthritis live with an ongoing active and symptomatic illness despite access to potent antirheumatic treatment. There is, however, a lack of knowledge about the meaning of living with this severe long-term illness, defined as persistent rheumatoid arthritis.

    DESIGN: A descriptive design based on a hermeneutic phenomenological method was used.

    METHODS: Ten adults with persistent rheumatoid arthritis and at least five years disease duration were interviewed. The interviews were analysed according to van Manen's method.

    RESULTS: Living with persistent rheumatoid arthritis revealed four overall themes: an existence dominated by painful symptoms and treatment, radical changes and limitations in one's life, a continual struggle to cope with one's life and to master the illness, and a dependency on those who are close by and the world around. The lifeworld was affected to a varying extent and in various ways by the illness but also by the dependence on its treatment and care that was not experienced as sufficiently meeting needs in terms of security, access to and coordination of care as well as team and rehabilitation services.

    CONCLUSIONS: Persistent rheumatoid arthritis and its treatment entail a radical effect on the person's life and quality of life. Current ordinary rheumatology care does not seem to meet the individual needs of the person with persistent rheumatoid arthritis in an optimal way.

    RELEVANCE TO CLINICAL PRACTICE: A greater knowledge about and understanding of the person who lives with persistent rheumatoid arthritis is important for facilitating the development of care and the relief of suffering. A holistic alternative to conventional clinical practice, such as person-centred care, could be tested as an innovative model of care. Our findings might serve as material for educational and counselling purposes for healthcare professionals.

  • 149.
    Bala, Sidona-Valentina
    et al.
    Department of Health Sciences, Lund University.
    Samuelson, Karin
    Department of Health Sciences, Lund University.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Svensson, Björn
    Section of Rheumatology at the Institution of Clinical Science, Lund University.
    Fridlund, Bengt
    Department of Health Sciences, Lund University.
    Hesselgard, Karin
    Corpporate office, Skåne Regional Council, Malmö.
    The experience of care at nurse-led rheumatology clinics2012In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 10, no 4, p. 202-211Article in journal (Refereed)
    Abstract [en]

    Objective To describe how people with rheumatoid arthritis (RA) experience the care provided by Swedish nurse-led rheumatology outpatient clinics. Methods Eighteen adult people with a diagnosis of RA who had had at least three documented contact sessions with a nurse-led clinic were interviewed. The interviews were analysed with qualitative content analysis. Results Care was expressed in three categories: social environment, professional approach and value-adding measures. A social environment including a warm encounter, a familial atmosphere and pleasant premises was desired and contributed to a positive experience of care. The nurses' professional approach was experienced as empathy, knowledge and skill, as well as support. The care was described as person centred and competent, as it was based on the individual's unique experience of his/her disease and needs. The nurses' specialist knowledge of rheumatology and rheumatology care was highly valued. The offered care represented added value for the participants, instilling security, trust, hope and confidence. It was perceived as facilitating daily life and creating positive emotions. The nurse-led clinics were reported to be easily accessible and provided continuity of the care. These features were presented as fundamental guarantees for health care safety. Conclusion The experiences emphasized the need for a holistic approach to care. In this process, the organization of care and the role and skills of the nurse should be focused on the individual's needs and perspectives. The social environment, professional approach and value-adding measures are particularly relevant for optimal care at nurse-led rheumatology outpatient clinics.

  • 150.
    Balaton Blom, Kim
    et al.
    Kristianstad University, Faculty of Health Science.
    Bildtgård, Alexandra
    Kristianstad University, Faculty of Health Science.
    Kroppbildsuppfattning och användning av sociala medier bland ungdomar.: En kvantitativ undersökning ur ett salutogent perspektiv.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The study's introduction is given as an overall picture of the fact that Swedish youth generally estimate their health as high but the psychosocial health is estimated to be lower, which includes being satisfied with themselves. Being content with yourself and your body is covered by the body image perception. Social media takes more time and it's used to a greater extent as a communication medium. Living habits, the environment and the conditions of early life have a bearing on the individual's health.The aim of this study was to investigate the body image of young people and the use of social media and to investigate the relationship between them. Method: A quantitative cross-sectional study was performed. The survey was used as a data collection method among Scanian students in grades 1-3 in high school, where 249 students answered questionnaires. The result showed that 33 percent of girls had a higher body image than boys (14 percent) and that 38 percent of boys had a lower body image than girls (18 percent) (p = 0.001). The way girls and boys used social media differs. Girls use social media to a greater extent than boys. The way girls and boys used social media differed. Girls had more different roles on social media than boys, and boys played more online games than girls. Conclusion: Since the boys in this study had lower body image perception and played more online games than girls, it is appropriate from a gender and gender perspective to study boys' body image perception in relation to online gaming. Therefore, further research with a focus on boys' body image should be conducted on the basis of both a qualitative and quantitative method aspect, with the aim of trying to understand which factors underlie their body image perception. 

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