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  • 201.
    Bytyqi, Mimoza
    et al.
    Kristianstad University, School of Health and Society.
    Skanshed, Gabriella
    Kristianstad University, School of Health and Society.
    Sömnkvalité hos patienter: Vilka faktorer påverkar sömnen under sjukhusvistelsen?2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sleep has an important significance for the health of both healthy and ill individuals. During hospitalization patients experience sleeping problems and these troubles are often underestimated by medical staff. Aim: The aim of this study was to illuminate patients' sleep during the hospitalization and to describe the factors that disturb sleep. Method: The literature study includes 11 peer-reviewed articles that have been compiled into a result with two categories and four sub-categories. The literature review was conducted according to Polit & Beck's flow of tasks. Results: The sleep of hospitalized patients is different from the norm, however, an improvement in sleep was found the longer patients were in hospital. The age group who showed the lowest sleep quality was elderly patients as they were more sensitive to external stimuli. Factors in the environment such as noise were the main cause of disturbed sleep. Other factors that also was experienced by patients as disturbing was for example pain, anxiety and fear. The nurses’ nightly routines also gave rise to sleep disorders in patients. Discussion: Many factors disturbing sleep can be eliminated with simple nursing tasks, but more knowledge is needed among nurses to overcome the obstacles hindering a good night’s sleep during hospitalization.

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  • 202.
    Bäck Reimerthi, Sanna
    et al.
    Kristianstad University, School of Health and Society.
    Svensson, Sandra
    Kristianstad University, School of Health and Society.
    Insjuknande och vårdförlopp vid hjärtinfarkt: ett genusperspektiv2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cardio-vascular diseases are the main cause of death for both men and women in Sweden. Although as many women as men are diagnosed there are large differences in onset and treatment. Aim: The aim was to describe similarities and differences in onset, treatment and care of myocardial infarction from a gender perspective. Method: The study was performed as a literature study. Twelve articles that matched the aim for this study were chosen. The articles were analyzed according to the Red Cross analysis model. Result: The majority of the articles pointed out differences in indications for men and women who suffered a myocardial infarction. Men sought medical assistance at an earlier stage. Three studies, however, indicated that there were no gender differences in indications. Our study shows that men and women do not receive the same treatment. Discussion: Differences in indications, ignorance concerning symptoms in both patients and in nursing staff, and also preconceived ideas about male and female behaviour were elements that contributed to differences in treatment. The nursing staff generally need enhanced awareness of how gender affects care. Conclusion: More studies will be needed to ensure that both genders receive evidence-based care.

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  • 203.
    Bäckström, Marie
    et al.
    Kristianstad University College, School of Health and Society.
    Wåhlin, Sandra
    Kristianstad University College, School of Health and Society.
    Sjuksköterskors delaktighet i euthanasiprocessen2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. Euthanasia can be translated into the meaning of helping a person to end his/her life. Holland, Belgium, Luxembourg and the State of Oregon (USA) have legalized euthanasia. Guidelines describing the nurses’ role in the process of euthanasia exists, though great differences can be seen between countries. Aim. To illuminate the nurses’ perception on their involvement in the euthanasiaprocess and what the care during this process looked like. Method. A general review of qualitative literature was conducted with analysis of the articles. Result. This study showed the nurses’ first reaction to the euthanasia request, the importance of in-depth conversations between the patient and the nurse, the nurses’ care for the patient during the process, how they stood by their patients’ side at all times and sometimes acted the role of the patients’ lawyer. This study raised issues about how nurses’ sometimes sat their negative thoughts about euthanasia aside to care for the patient and how they found support and comfort in their colleagues. Conclusion. Many nurses feel they cannot give the patient proper care due to failing guidelines describing their tasks during the euthanasia process.

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  • 204.
    Bökberg, Christina
    et al.
    Lund University.
    Ahlström, Gerd
    Lund University.
    Karlsson, Staffan
    Lund University.
    Hallberg, Ingalill Rahm
    Lund University.
    Janlöv, Ann-Christin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Platform for Collaboration for Health.
    Best practice and needs for improvement in the chain of care for persons with dementia in Sweden: a qualitative study based on focus group interviews2014In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 14, p. 596-Article in journal (Refereed)
    Abstract [en]

    Background: Persons with dementia receive health care and social services from a wide range of professional care providers during the disease trajectory, presenting risks of miscommunication, duplication and/or missed nursing interventions. Accordingly, the aim of this study was to investigate professional care providers’ views on conditions for best practice in terms of collaboration and improvement needs in the chain of care from early to end-of-life stage for persons with dementia in Sweden.

    Methods: The study had a qualitative design based on three focus group interviews. A strategic sample of 23 professional care providers was included. Data were subjected to content analysis based on the three stages of dementia (early, moderate, end-of-life).

    Results: The results were divided into five categories: Diagnosis is a prerequisite for specialized dementia care, Creating routines in the chain of care, Competent staff a prerequisite for high-quality care, Day care facilitates transition in the chain of care and Next-of-kin participation is a prerequisite for continuity in the chain of care. It was clear that, according to the participants, best practice in dementia care in Sweden is not achieved in every respect. It appeared that transitions of care between different organizations are critical events which need to be improved. The further the disease progresses, the less collaboration there seems to be among professional care providers, which is when the next of kin are usually called upon to maintain continuity in the chain of care.

    Conclusions: The results indicate that, according to the care providers, best practice in terms of collaboration is achieved to a higher degree during the early stage of dementia compared with the moderate and end-of-life stages. Lack of best practice strategies during these stages makes it difficult to meet the needs of persons with dementia and reduce the burden for next of kin. These are experiences to be taken into account to improve the quality of dementia care. Implementation research is needed to develop strategies for best practice on the basis of national knowledge-based guidelines and to apply these strategies in the moderate and end-of-life stages.

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  • 205. Carlen, Pontus
    et al.
    Bengtsson Tops, Anita
    Växjö universitet.
    Suicidal patients as experienced by psychiatric nurses in inpatient care2007In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 16, no 4, p. 257-265Article in journal (Refereed)
    Abstract [en]

    Psychiatric nurses have a major influence on the lives of patients with suicidal behaviour in inpatient care. Despite this, there is a lack of knowledge about how nurses experience patients with suicidal behaviour in a deeper sense. The aim of this study was to investigate how psychiatric nurses experience patients with suicidal behaviour within an inpatient psychiatric context. Semi-structured interviews were carried out with 11 psychiatric nurses, each of whom had more than 5 years of experience caring for patients with suicidal behaviour. Data were analysed using qualitative latent content analysis. Two main themes emerged from the data analysis. These are 'labelled' and 'suffering'. In the nurses' natural attitude, they saw patients as being labelled with different conditions and/or behaviours based on objective signs. These were categorized into different groups or identities such as psychiatric diagnosis, mask wearer, screened-off, or the social, relapsing or determined patient. On reflection, however, the nurses described the patients' suffering in terms related to feelings of hopelessness, meaninglessness, and being out of control. The nurses' experiences of the patients as suffering were based on their subjective reflective experience of the patients. The study gives support to the conclusion that two main logic systems are represented in the care of patients with suicidal behaviour: technical practical and nursing perspectives. In order to ensure that these two logic systems combine, it is necessary for the psychiatric care organization to intervene to support the nurses in reflecting on their everyday work.

  • 206.
    Carlsson, Malin
    et al.
    Kristianstad University, School of Health and Society.
    Johansson, Elinor
    Kristianstad University, School of Health and Society.
    Ungdomars upplevelser av att leva med övervikt eller fetma: En litteraturstudie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity among adolescents is a growing problem which can be compared to an epidemic. It is a social problem both in Sweden and worldwide. Overweight and obesity among adolescents can cause psychological and physical adverse effects and may be due to various reasons such as heritage, lifestyle and biological factors. The nurse may come into contact with overweight patients in many different care contexts. It is therefore important to have knowledge of how adolescents with overweight and obesity perceive their reality to be able to respond to them in a good way. Aim: The aim was to highlight adolescents´ experiences of living with overweight or obesity. Method: The method was conducted as s general literature review with a systematic approach. The study is based on 10 articles. Result: The results are presented in three categories; Experience of low self-esteem, Experience of exclusion and Experience of weight loss. These highlight adolescents´ experience of their own body and self-image. Discussion: Various factors affecting the adolescence everyday life are ideal images ofbeauty, exclusion and stigmatization. Conclusion: It’s important to highlight these issues so that nurses know how to approach overweight adolescents and give them good care.

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    examensarbete
  • 207.
    Carlsson, Margareta
    et al.
    Department of Geriatric and Long-term Care Medicine, Gothenburg University.
    Berg, Stig
    Department of Geriatric and Long-term Care Medicine, Gothenburg University.
    Wenestam, Claes-Göran
    Department of Educational Research, Gothenburg University.
    The oldest old: patterns of adjustment and dependence1991In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 5, no 2, p. 93-100Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to investigate how dependence was experienced by 129 non-institutionalized 85-year-old persons, who previously had been categorized into seven different patterns of adjustment. The participants' subjective experiences of dependence were expressed in in-depth interviews and additionally, mobility, self-maintenance and need of help in daily living was conventionally assessed. When the results from these two methods were compared, it was found that subjectively experienced dependence did not generally correspond with the scorings on dependence. The in-depth interviews revealed that subjects with poorer adjustment could be most affected by minor impairments, while physical impairments were of a subordinate importance to those who were better adjusted. For appropriate caring interventions, it is therefore suggested that conventionally assessed dependence needs to be supplemented with documented subjective experiences of dependence.

  • 208.
    Carlsson, Margareta
    et al.
    Department of Geriatric and Long-term Care Medicine, Gothenburg University.
    Berg, Stig
    Department of Geriatric and Long-term Care Medicine, Gothenburg University.
    Wenestam, Claes-Göran
    Department of Educational Research, Gothenburg University.
    The oldest old: patterns of adjustment and life experiences1991In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 5, no 4, p. 203-210Article in journal (Refereed)
    Abstract [en]

    A qualitative method was used to study the life experiences and the adjustment to very old age of a non-institutionalized population of 129 85-year-olds living in Gothenburg, Sweden. In-depth interviews were analyzed and categorized and seven patterns of adjustment emerged: Self-Realizing, Mature Aging, Adapting, Dependent, Resignedly Accepting, Despairing and Withdrawing. Additionally, a coping strategy—ritualization of time and occupations—was revealed in the interviews. These results reflect the heterogeneity among this age group and indicate that the subjective reality should be seriously considered both in further research and in the care of the elderly.

  • 209.
    Carlström, Pia
    et al.
    Kristianstad University, School of Health and Society.
    Wendel, Christina
    Kristianstad University, School of Health and Society.
    Närståendes erfarenheter av stöd efter dödsfall i palliativ vård2013Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    Background: Relatives or close friends may be in need of support following the death of a loved one. Palliative care is based on four keystones, one being support to relatives or close friends. Palliative care units offer various types of support for some time after the patient ́s death. Aim: To investigate relatives ́ or close friends ́experience of support in an end-of-life situation in a palliative care context. Method: The study was in the formof a literature review based on twelve critically examined qualitative and quantative studies. The literature search was conducted in the PubMed, Psycinfo and Cinahl databases. Results: The needs which are identified in the result are practical needs such as guidance and social support and emotional needs such as coping with the grieving process, confidence, trust and inner balance. Conclusion: It is important that healthcare professionals not only offer supportin general, but also communicate what type of support they can give. Healthcare professionals themselves need guidance in this area. Relatives and close friends have varying needs of support and identifying the type of need and above all identifying who is in most need is something which palliative care should develop.

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    Examensarbete
  • 210.
    Cato Jurlander, Ingegerd
    et al.
    Kristianstad University, Research Platform for Collaboration for Health.
    Edfors, Ellinor
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Edberg, Anna-Karin
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Betydelsen av en förändrad utemiljö vid ett särskilt boende för personer med demenssjukdom2016Report (Other academic)
    Abstract [sv]

    Demens är ett syndrom med kognitiv svikt som leder till svårigheter att klara det dagliga livet, vilket medför att omgivningen och miljön måste vara anpassad efter personens behov. Tidigare forskning har visat att utevistelse i en anpassad trädgård som skapar trygghet, är orienterbar, stimulerar till aktiviteter och gemenskap samt erbjuder avskildhet och skyddar mot intryck som kan skapa oro kan leda till ett ökat välbefinnande för personer med demenssjukdom. Syftet med studien var att beskriva betydelsen av en förändrad utemiljö vid ett särskilt boende för personer med demenssjukdom. Studien har en case study design med mixed metod approach med tyngpunkt på kvalitativansats. Studiens resultat visar att den förändrade utemiljön stödjer de boendes välbefinnande, inbjuder till aktivitet, gemenskap och avskildhet samt väcker minnen.Trädgården väcker förväntningar hos de boende men ställer krav på personalen och användningen styrs av personalens tid och kunskap. En förändrad utemiljö med större möjligheter till en stimulerande utevistelse visar sig skapa ett ökat välbefinnande förboende, närstående och personal

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  • 211.
    Cederholm, Tommy
    et al.
    Uppsala universitet.
    Rothenberg, ElisabetKristianstad University, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet. Kristianstad University, Resrarch environment Food and Meals in Everyday Life (MEAL). Kristianstad University, School of Education and Environment, Avdelningen för Humanvetenskap.
    Mat och hälsa: en klinisk handbok2015Collection (editor) (Other academic)
    Abstract [sv]

    Kunskaper och vetenskapligt förankrade insikter kring matens betydelse för människans hälsa tilltar samtidigt som intresset för kost och hälsa ökar hos både patienter och allmänhet. Personal inom vård och omsorg upplever därför ofta svårigheter att orientera sig i flödet av hälsobudskap där buden dessutom kan vara motstridiga. Läkare, sjuksköterskor och annan vårdpersonal har ett kontinuerligt behov av att uppdatera sina kunskaper om mat, nutrition och hälsa. 


    Bokens första del ger råd om nutritionshandläggning vid speciella sjukdomar, t.ex. hjärt–kärlsjukdomar, diabetes och fetma.Dessutom fokuseras nutritionens betydelse vid vanliga kroniska sjukdomar såsom mag-tarm-, njur- och demenssjukdom.Åldrandet, mat och nutrition diskuteras i flera kapitel.Vårdprocessen vid utredning och behandling belyses. Bokens andra del ger kliniskt relevant kunskap om näringslära och kostrekommendationer. T.ex. avhandlas hälsoeffekter och behov av fett, kolhydrater och protein, omega-3-fettsyror och vitamin D,hälsoeffekter av traditionell medelhavskost, och dess nordiska motsvarighet, liksom olika typer av populära koster.


    I den här boken samlas kunskapen hos tjugosex av Sveriges främsta forskare inom nutritionsområdet på ett lättillgängligt sätt för att ge evidensbaserade svar på många av de frågor som möter sjukvårdspersonal.

  • 212.
    Cederholm, Tommy
    et al.
    Uppsala universitet.
    Rothenberg, Elisabet
    Kristianstad University, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet. Kristianstad University, Resrarch environment Food and Meals in Everyday Life (MEAL). Kristianstad University, School of Education and Environment, Avdelningen för Humanvetenskap.
    Ödlund Olin, Ann
    Karolinska universitetssjukhuset.
    Behandling av nutritionsproblem2015In: Mat och hälsa: en klinisk handbok / [ed] Cederholm, Tommy; Rothenberg, Elisabet, Studentlitteratur AB, 2015, p. 143-150Chapter in book (Other academic)
  • 213.
    Cederholm, Tommy
    et al.
    Uppsala universitet.
    Rothenberg, Elisabet
    Kristianstad University, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet. Kristianstad University, Resrarch environment Food and Meals in Everyday Life (MEAL). Kristianstad University, School of Education and Environment, Avdelningen för Humanvetenskap.
    Ödlund Olin, Ann
    Karolinska universitetssjukhuset.
    Utredning av nutritionsproblem (undernäring och fetma)2015In: Mat och hälsa: en klinisk handbok / [ed] Cederholm, Tommy; Rothenberg, Elisabet, Lund: Studentlitteratur AB, 2015, p. 135-142Chapter in book (Other academic)
  • 214.
    Cervin, Monica
    et al.
    Kristianstad University, School of Health and Society.
    Karlsson, Ann-Charlotte
    Kristianstad University, School of Health and Society.
    Perifer venkateter: förebyggande av komplikationer2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:About half of all adults who are being cared for in hospital receivea peripheral venous catheter (PVC) for intravenous treatment. There is a risk of mild or serious complications. The most common complication is thrombophlebitis and the most serious is infection. In Sweden it isthe nurse who is responsible for the insertion, management, removal and documentation of PVC. Nursing care in PVCis neglected and the nurse should ensure that their knowledge is up-to-date and evidence-based in order to reduce the risk of complications.Aim:The aim of the studywas to describe factors that can prevent PVCrelated complications with focus on thrombophlebitis and infection.Method:Aliterature review based on 15articles, 2009-2014. Results:Factors of importance to prevent thrombophlebitis and infection associated with the PVCis insertion technique, anatomic location, PVCsize, closed or open system and how long PVCis in situ. Staff training and feedback improved management of PVCand adherence to guidelines. Conclusion:Several factors affect if the patient developsfrom thrombophlebitis or infection associated with PVC. Many are preventable by adherence to the guidelines be improved and performed nursing interventions should be documented.

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  • 215.
    Chavoshi, Negar
    et al.
    Kristianstad University, School of Health and Society.
    Christensen, Lina
    Kristianstad University, School of Health and Society.
    Jämförelse av sex symtom enligt Svenska Palliativregistrer hos personer med och utan trycksår.: en registerstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Idag finns det sex olika symtom som förknippas med livskvalitet i palliativt skede. Kort tid efter att en patient har avlidit dokumenteras förekomst av smärta, rosslighet, illamående, ångest, andnöd samt förvirring i Svenska Palliativregister av det vårdteam som har varit mest delaktiga i patientens omvårdnad. Syfte: Att jämföra symtomförekomst av sex symtom enligt Svenska Palliativregister hos personer med eller utan trycksår inom palliativ vård. Metod: Studien genomfördes som en retrospektiv jämförande registerstudie. Resultat: Det fanns ett svagt positivt samband mellan smärta och förekomst av trycksår. Ett bifynd var att det även fanns ett signifikant samband mellan trycksårförekomst och vårdtid. Slutsats: Studiens resultat visar behov av vidare forskning. Spridning av kunskaper om trycksår och smärta kan stödja åtgärder för att öka livskvalitet hos svårt sjuka patienter.

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  • 216.
    Chavoshi, Negar
    et al.
    Kristianstad University College, School of Health and Society.
    Svensson, Ann-Sofie
    Kristianstad University College, School of Health and Society.
    Schizofreni och livskvalitet: en litteraturstudie2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 40 000 individuals in Sweden lives with the diagnose schizophrenia. Schizophrenia involves psychiatric disease with symptoms such as hallucinations, delusions, apathy and passivity, which lead to a decline in quality of life. Purpose: The purpose of the study was to elucidate the experience of quality of life in patients with schizophrenia. Method: The study was conducted as a literature review where seven scientific articles were chosen, critically reviewed and analysed. Result: The result was divided in to five different categories. Severe symptoms, marital status, social network, unmet needs and economy appeared to be all directly related to quality of life in patients with schizophrenia. Conclusion: Improved living conditions do not necessarily improve quality of life. Many factors including security, quiet environment, good economy and a good social network affects the quality of life. Therefore, health care professionals should meet patient needs in an adequate manner and thus contribute to an improved quality of life.

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    FULLTEXT01
  • 217.
    Christensson, Per
    et al.
    Kristianstad University, School of Health and Society.
    Ekwurtzel, Jonas
    Kristianstad University, School of Health and Society.
    Patienters hantering av smärta samt skillnaden mellan mäns och kvinnors smärthantering: en empirisk studie på inneliggande patienter på sjukhus2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Smärta är något alla upplevt och det är en av de vanligaste orsakerna till att folk söker kontakt med hälso- och sjukvården. En av sjuksköterskans främsta uppgifter är därmed att lindra smärta. Det finns forskning som pekar på att människor uttrycker och hanterar smärta på olika sätt beroende på bland annat vilket kön de tillhör. Syfte: Syftet med studien var att beskriva hur inneliggande patienter på sjukhus hanterar smärta samt hur skillnaden mellan män och kvinnor ser ut. Metod: Undersökningen genomfördes som en punktprevalensstudie med en kvantitativ ansats. Resultat: Resultatet är baserat på 99 patienter som samtliga var inneliggande på ett sjukhus. Resultatet presenteras i form av text, tabeller och figurer för att det ska vara överskådligt och tydligt. Diskussion: Studien visar att en majoritet av patienterna agerar aktivt för att lindra smärta och att de meddelar vårdpersonal om smärta upplevs. Slutsats: Studien stödjer tidigare fynd i det avseendet att patienter generellt agerar aktivt för att lindra smärta. Studiens resultat, visade att det troligen inte existerar någon skillnad mellan könen gällande smärtlindring, motsäger tidigare forskning. En möjlig förklaring är att sätten att hantera smärta är bundna till individen och dennes personlighet istället för till könet.

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  • 218.
    Claesson, Anneli
    et al.
    Kristianstad University, School of Health and Society.
    Falkenström, Marika
    Föräldrars upplevelser vid en neonatal transport av barnet2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Varje år transporteras cirka 2 500 nyfödda barn i Sverige till andra sjukhus på grund av tidig födelse, missbildningar, komplikationer eller för att de kräver en annan vårdnivå. Föräldrarnas upplevelser av transportprocessen kan på längre sikt påverka hela familjens hälsa och välbefinnande. För att kunna ge rätt stöd i samband med neonatala transporter ska sjuksköterskan ha kunskap och förståelse för hur föräldrarna upplever en neonatal transport av sitt barn. Syfte: Att beskriva föräldrarnas upplevelse vid en neonatal transport av barnet. Metod: Studien genomfördes som en litteraturstudie där tio vetenskapliga artiklar analyserades. Resultat: Tre huvudkategorier identifierades: upplevelse av förlust av kontroll, upplevelse av trygghet och upplevelse av delaktighet. Dessa delades in i subkategorierna: oförberedd, påfrestning, rädsla och oro, utlämnad, förtroende, lättnad, närvara vid transport, informerade föräldrar samt ansvar för informationsutbyte. Slutsats: Sjuksköterskans bemötande har betydelse för hur föräldrarna upplever en neonatal transport av barnet. I samband med en neonatal transport är det viktigt att det finns välutvecklade och användarvänliga verktyg som personalen ska använda för att kunna bemöta föräldrarna i deras situation och därmed kunna förbättra deras upplevelser. Kommunikation är nyckeln till att minska negativa upplevelser för föräldrarna vid en neonatal transport.

     

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  • 219.
    Claesson, Elin
    et al.
    Kristianstad University, School of Health and Society.
    Ehn, Jenny
    Kristianstad University, School of Health and Society.
    Mötet och interaktionen: mellan sjuksköterskan och anhöriga till svårt sjuka patienter2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a patient becomes seriously ill it also effects the patients relatives. It is essential for the nurse to pay attention to the relatives as they may need support and care as well. Relatives of seriously ill patients may experience feelings such as fear, loneliness and uncertainty. Aim: The aim was to describe the meeting and interaction between nurses and families of seriously ill patients. Method: The study was a general literature study based on qualitative and quantitative research. Result: The analysis resulted in five main categories; ”to create a relationship with relatives”, ”information”, ”communication”, ”emotional support” and ”making families involved”. It was revealed that the need for information had a significant impact on the families well being. Nurses experienced uncertainty about dealing with the families. Conclusion: Relatives have a great need to be informed about the patient’s condition. As a nurse, it is important not to forget about the families of the patient. More training and guidance are needed in this area, where nurses feel uncertain about meeting with relatives of seriously ill patients.

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  • 220.
    Clair, Cecilia
    et al.
    Kristianstad University, School of Health and Society.
    Németh, Jásmine
    Kristianstad University, School of Health and Society.
    Närståendes upplevelse av sin livssituation: vid palliativ vård i hemmet2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Palliativ vård är en helhetsvård av den sjuka samt stöd till deras närstående. Palliativ vård definieras som att lindra lidande och främja livskvaliteté. Vid palliativ vård innebär det att närstående oftast är mer delaktiga i vården, då de bor under samma tak.

    Metod: Studien har utförts som en allmänlitteraturstudie. Resultatet baserades på nio kvalitativa artiklar som var skrivna på engelska och publicerade i vetenskapliga tidsskrifter.

    Resultat: Analysen medförde fem huvudkategorier: Att vardagen förändras, Känslan av att stå bredvid när den sjuke personen lider och försämras, Att vara ensam och inte ha stöd, Att vara tillsammans i en annorlunda situation och Att känna ansvar och mening.

    Slutsats: Den närstående kan uppleva sin nya livssituation som negativ men även positivt. Den positiva aspekten kan vara den gemenskap som parterna kan få. De negativa aspekterna var bristande information och stöd från vårdpersonal och att de upplevde sin nya livssituation som frihetsbegränsande. 

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  • 221.
    Clausson, Eva
    Kristianstad University, School of Health and Society.
    Skolsköterskors arbete med att värdera, dokumentera och förbättra skolbarns hälsa2008In: Barnbladet, ISSN 0349-1994, no 5, p. 32-34Article in journal (Other academic)
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  • 222.
    Clausson, Eva
    Kristianstad University College, School of Health and Society.
    Skolsköterskors uppfattning om, dokumentation av samt modeller för att arbeta med att förbättra skolbarns hälsa2009In: Elevhälsa: för dig som ingår i elevvårdsteamet, no 2, p. 21-25Article in journal (Other academic)
  • 223.
    Clausson, Eva
    et al.
    Kristianstad University, School of Health and Society.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Dokumentation av skolbarns psykosociala hälsa: en utmaning för svenska skolsköterskor. Poster presenterad vid Andra Nordiska Konferensen i Familjefokuserad Omvårdnad, Kalmar 18-19 maj, 20062006Conference paper (Other academic)
    Abstract [sv]

    Resultatet visar på betydelsen av att utveckla dokumentationen i skolhälsovårdsjournalen till såväl struktur som innehåll och med särskild betoning på den psykosociala hälsan. Resultatet visar även på betydelsen av att utveckla metoder och pröva modeller för att förbättra organisation och samverkan.

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  • 224.
    Clausson, Eva
    et al.
    Kristianstad University, Department of Health Sciences.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Family intervention sessions: one useful way to improve schoolchildren's mental health2008In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 14, no 3, p. 289-313Article in journal (Refereed)
    Abstract [en]

    This study examines the effectiveness of therapeutic conversations with families (through family sessions) in alleviating health complaints among adolescent girls in a school setting. Four girls with recurrent, subjective health complaints and their families were included in the study. Three sessions were held with each family, using genograms, ecomaps, interventive questions, and other family nursing interventions; practicing school nurses were also present. A therapeutic letter was sent to each family at the end of the sessions. The Strengths and Difficulties Questionnaire was used as a pre- and posttest measure. Evaluative interviews were carried out with the families and with school nurses. The families reported feeling relief and described positive affective, behavioral, and cognitive changes as a consequence of the interventions. The school nurses experienced the family sessions as time-saving and easy-to-use tools in their work. Involving the family when schoolchildren's recurrent mental health problems are addressed may reduce future suffering.

  • 225.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society.
    Familjefokuserad omvårdnad - en modell för skolsköterskor2012In: Skolsköterskans hälsofrämjande arbete / [ed] Eva K. Clausson och Siv Morberg, Lund: Studentlitteratur, 2012, p. 187-203Chapter in book (Other academic)
  • 226.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society.
    School health nursing: perceiving, recording and improving schoolchildren's health2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of this thesis is to explore School health nursing through school nurses’ descriptions of school children’s health and to analyse factors influencing the recording of schoolchildren’s health in the School Health Record (SHR). An additional aim is to evaluate family nursing interventions as a tool for the school nurses in the School Health Service (SHS).Methods: The thesis comprises four papers. A combination of qualitative and quantitative methods was used through individual interviews with a strategic sample of school nurses (n=12) (PI), a national survey to a representative sample of school nurses (n=129) (PII, III) and the implementation of family nursing models developed in Canada with girls in their early adolescence with recurrent health complaints and their families (n=4) in co-operation with their school nurses (n=2) (PIV). The Strengths and Difficulties Questionnaire (SDQ) was used as pre and post test. Evaluation interviews were conducted with the families and the nurses separately. Qualitative content analyses were used to analyze the interview text with the school nurses and the families. Manifest content analysis was used to analyze the free text answers of the survey and the evaluation interview with the school nurses. Descriptive statistical analyses were used to describe demographic data in all four papers. The SDQ was hand-scored statistically.Findings: The findings showed that nurses judged the schoolchildren’s mental health as deteriorated, especially in socially disadvantaged areas and more generally among girls expressed as psychosomatic symptoms. Individual factors related to lifestyle affected the schoolchildren’s physical health, and the mental health was, to a large extent, affected by the school environment and family relations. The latter seemed to be the most important factor affecting schoolchildren’s mental health. The basis for the school nurses judgement of the physical health was health check-ups and the health dialogues. Spontaneous visits were more commonly used to judge the mental health. Recording schoolchildren’s mental health was a challenge for school nurses. Difficulties were related to ethical considerations, tradition, lack of time and the improper structure of the SHR. Fears of marking the schoolchild for life related to the schoolchild itself, the parents or to other authorities/successive caregivers were brought up as hinders for recording mental and social health. Family sessions may be useful within the profession when handling recurrent health complaints among adolescence girls. The girls and their families experienced relief, they felt confirmed and that their feelings and reactions were normal in that situation. The families became aware of their own strengths and possibilities and this was supported by the SDQ which showed an increased well-being. The school nurses valued this way of working and meant that the sessions seemed to start a changing process within the families.Conclusions: The results indicate that school nurses have a deep knowledge about schoolchildren’s health which is not used to its full potential in a public health perspective. However, the experienced difficulties recording schoolchildren’s mental health seem obvious, which would demand developing the SHR for the needs of today. Family sessions in SHS with the school nurse as a collaborator with the family seemed useful and may be transferable to other health problems expressed by the schoolchildren. Bronfenbrenner’s ecological systems theory and other models for health determinants are used to illustrate the school nurse as a mediator working on the bridge over different health streams with schoolchildren’s health on an individual and a population level.

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  • 227.
    Clausson, Eva K.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO).
    The role of the school nurse based on Urie Bronfenbrenners ecological systems theory. Poster presented at the School Nurses Interna­tional 17th Biennial Conference, July, 2013, Ljubljana, Slove­nia2013Conference paper (Other academic)
    Abstract [en]

    Clarifying school nurses’ role with a heoretical model as premise, can facilitate oth theirs and others’ understanding f that school nurses can provide n their profession. The model can also e helpful in planning and prioritizing in ollaboration with managers and other ecision makers in the system.

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  • 228.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Society.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    School nurses – facilitating and constraining beliefs in documenting schoolchildren’s mental health. Oral presentation at Tredje nordiska konferensen i familjefokuserad omvårdnad, 2010, Kalmar2010Conference paper (Other academic)
  • 229.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Society.
    Einberg, Eva-Lena
    Högskolan i Halmstad.
    Teider, Karin
    Dokumentation av elevers hälsa2012In: Skolsköterskans hälsofrämjande arbete / [ed] Eva K Clausson och Siv Morberg, Lund: Studentlitteratur, 2012, p. 121-133Chapter in book (Other academic)
  • 230.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Society.
    Köhler, L.
    Berg, Agneta
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap.
    Documenting schoolchildren’s mental and social health: a challenging issue for school nurses. Oral presentation at The Universality of School Nursing: The Privilege of Caring for the World’s Children”, 2009, Monmouth University, West Long Branch, New Jersey, USA2009Conference paper (Other academic)
  • 231.
    Clausson, Eva K.
    et al.
    Kristianstad University, Department of Health Sciences.
    Köhler, Lennart
    Nordic School of Public Health, Göteborg.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Ethical challenges for school nurses in documenting schoolchildren's health2008In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 15, no 1, p. 40-51Article in journal (Refereed)
    Abstract [en]

    This study explored Swedish school nurses' experiences of school health record documentation. Fifty per cent of a representative sample of Swedish school nurses (n = 129) reported difficulties with documenting mental and social health problems in family relationships, schoolchildren's behaviour, and school situations. Ethical considerations concerning fears of misinterpretation and practical barriers to documentation were expressed as reasons for their worries. Mental and social ill health is an increasing and often dominating problem among schoolchildren, thus proper documentation is a basic issue, both for individuals and for the population as a whole. School nurses obviously need professional guidance regarding documentation and ethical challenges. Systematic effort should be directed towards recognition and support of these nurses' unique opportunities to consider, follow and promote all aspects of schoolchildren's health.

  • 232.
    Clausson, Eva K.
    et al.
    Kristianstad University, Department of Health Sciences.
    Köhler, Lennart
    Nordic School of Public Health, Göteborg.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    Schoolchildren's health as judged by Swedish school nurses: a national survey2008In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 36, no 7, p. 690-697Article in journal (Refereed)
    Abstract [en]

    AIMS: To use school nurses' knowledge and experience for a better understanding of schoolchildren's health problems and their association to socioeconomic background and gender. METHODS: Mail questionnaires were sent to a nationally representative, random sample of Swedish school nurses (n=129). The questionnaire included structured and open-ended questions asking for school nurses' judgement of schoolchildren's health status; changes over the previous two years; estimation of schoolchildren's most common reasons for consulting the school nurse; and estimation of factors influencing schoolchildren's health. RESULTS: Swedish school nurses judged schoolchildren's mental health to have deteriorated during the previous two years with increasing health complaints, especially among girls and in disadvantaged housing areas. Disturbed family relations were considered as one important explanatory factor. Girls were more inclined to consult school nurses with subjective health complaints. Boys more often consulted the nurses with physical injuries. CONCLUSIONS: School nurses work closely with the children and meet them continuously during the school age period. They have a genuine knowledge of schoolchildren's health, which should be used even more, both in research and practice. The results may be applicable in other countries with similarly organized school health systems.

  • 233.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Society.
    Morberg, Siv
    Skolsköterskans hälsofrämjande arbete2012Collection (editor) (Other academic)
    Abstract [sv]

    Sedan lång tid tillbaka har skolsköterskan en central roll när det gäller att främja skolbarns hälsa då hon/han möter alla barn och ungdomar under de viktiga skolåren. Skolsköterskan är en uppskattad person och en värdefull tillgång för såväl elever som deras familjer och skolpersonal. Avsikten med boken är att belysa skolsköterskans arbete och visa på fördjupad kunskap om användbara metoder och modeller i arbetet utifrån aktuell forskning.

    Boken vänder sig i första hand till studenter i specialistsjuksköterskeutbildningarna samt till redan yrkesverksamma skolsköterskor. Den kan också vara en källa till kunskap om skolsköterskans arbete för övrig personal inom Elevhälsan samt för skolledare, ansvariga chefer och politiker.

  • 234.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health.
    Teider, Karin
    Vänersborgs kommun.
    Einberg, Eva-Lena
    Högskolan i Halmstad.
    SkolVIPS: en modell för omvårdnadsdokumentation i skolhälsovårdsjournalen2010Other (Other (popular science, discussion, etc.))
  • 235.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health.
    Teider, Karin
    Vänersborgs kommun.
    Einberg, Eva-Lena
    Högskolan i Halmstad.
    SkolVIPS: en modell för omvårdnadsdokumentation i skolhälsovårdsjournalen2014Other (Other (popular science, discussion, etc.))
  • 236.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap II. Kristianstad University, Research Environment Children's and Young People's Health in Social Context (CYPHiSCO). Kristianstad University, Research Platform for Collaboration for Health.
    Teider, Karin
    Vänersborgs kommun.
    Einberg, Eva-Lena
    Högskolan i Halmstad.
    SkolVIPS: en modell för omvårdnadsdokumentation i skolhälsovårdsjournalen2010In: Skolhälsan, ISSN 0284-284X, no 3, p. 20-22Article in journal (Other (popular science, discussion, etc.))
  • 237.
    Clausson, Eva
    et al.
    Kristianstad University, Department of Health Sciences.
    Petersson, Kerstin
    Lund University, Department of Nursing, Faculty of Medicine.
    Berg, Agneta
    Kristianstad University, Department of Health Sciences.
    School nurses' view of schoochildren's health and their attitudes to document it in the school health record: a pilot study2003In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 17, no 4, p. 392-398Article in journal (Refereed)
    Abstract [en]

    This study highlights school nurses' view of schoolchildren's health and their attitude to document it in the school health records. A strategic sample of 12 school nurses was interviewed. The interviews were semistructured and analysed with qualitative content analysis. The findings showed that the school nurses' viewed schoolchildren as physical healthy although they called attention to growing problems related to a changed lifestyle. Psychosocial ill-health was however increasing and the most common reason for visiting the school nurse was psychosomatic expressions. According to the nurses' descriptions, health was related to the individual, the school and the family situation. The family situation was mentioned as one of the most important factors of schoolchildren's health. The nurses described no problem to document schoolchildren's physical health. Ethical consideration, tradition, lack of time and the structure of the record were however factors that were said to hinder the documentation of the psychosocial health. In order to promote, protect and recover schoolchildren's health, more research is needed about how beliefs, experience, ethical consideration and resources influence the school nurse's daily work with schoolchildren's health.

  • 238.
    Clausson, Eva
    et al.
    Kristianstad University, School of Health and Society.
    Teider, Karin
    Vänersborgs municipality.
    Einberg, Eva-Lena
    School of Social and Health Science, Halmstad University.
    School-VIPS: a Swedish model for documenting all aspects of school schildren’s health. Poster presented at The 20th Florence Network Annual Meeting, Malmö University, Faculty of Health and Society, the 10th-14th April, 20122012Conference paper (Other academic)
    Abstract [en]

    School-VIPS may facilitate school nurses’ documentation of schoolchildren’s health. It may also make it possible to compare and contrast children’s health development and to evaluate nursing interventions implemented. School- VIPS may also increase the opportunities for follow-up activities and future nursing research.

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  • 239.
    Clausson, Eva
    et al.
    Kristianstad University, School of Health and Society.
    Teider, Karin
    Vänersborgs municipality.
    Einberg, Eva-Lena
    School of Social and Health Science, Halmstad University.
    School-VIPS: a Swedish model for documenting all aspects of school schildren’s health. Poster presented at The School Nurses Interna­tional 16th Biennial Confer­ence, July, 2011, Hong Kong2011Conference paper (Other academic)
    Abstract [en]

     School-VIPS may facilitate school nurses’ documentation of schoolchildren’s health. It may also make it possible to compare and contrast children’s health development and to evaluate nursing interventions implemented. School- VIPS may also increase the opportunities for follow-up activities and future nursing research.

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  • 240. Copland, Lotta
    et al.
    Liedman, Bengt
    Rothenberg, Elisabet
    Sahlgrenska University Hospital, Gothenburg.
    Ellegård, Lars
    Hustvedt, Bo-Egil
    Bosaeus, Ingvar
    Validity of the ActiReg system and a physical activity interview in assessing total energy expenditure in long-term survivors after total gastrectomy2008In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 27, no 6, p. 842-848Article in journal (Refereed)
    Abstract [en]

    BACKGROUND & AIMS: Malnutrition is common after total gastrectomy. There is a need for clinically useful methods to assess energy requirements. We aimed to validate measurements of energy expenditure by an activity monitor (ActiReg) and a physical activity interview (HPAQ(modified)), in long-term survivors after gastrectomy for gastric carcinoma, using doubly labelled water as reference method.

    METHODS: Total energy expenditure (TEE) was estimated by DLW (14 days), ActiReg (3 days) and HPAQ(modified) (7 days) in 15 patients. Measurements were repeated after 12 months. Basal metabolic rate was measured with indirect calorimetry.

    RESULTS: ActiReg and HPAQ(modified) both underestimated TEE by 180 (+/-254 SD) and 130 (+/-326 SD)kcalday(-1), i.e. 14% vs. 12%, respectively. However, this was evident only at higher levels of physical activity (PAL(DLW)> or =1.65), whereas at lower levels (PAL<1.65) no difference was found. There were no changes in TEE over time independent of the method used. DLW and ActiReg had approximately the same width of the 95% confidence interval of this estimate, while it was 2.4 times larger by HPAQ(modified).

    CONCLUSION: Both simple methods underestimated total energy expenditure at higher, but not at lower physical activity levels. The ActiReg method appears useful to estimate changes in TEE over time.

  • 241.
    Copland, Lotta
    et al.
    Sahlgrenska University Hospital, Gothenburg.
    Rothenberg, Elisabet
    Sahlgrenska University Hospital, Gothenburg.
    Ellegård, Lars
    Sahlgrenska University Hospital, Gothenburg.
    Hyltander, Anders
    Sahlgrenska University Hospital, Gothenburg.
    Bosaeus, Ingvar
    Sahlgrenska University Hospital, Gothenburg.
    Muscle mass and exercise capacity in cancer patients after major upper gastrointestinal surgery2010In: e - SPEN: the European e-journal of clinical nutrition and metabolism, ISSN 1751-4991, Vol. 5, no 6, p. e265-e271Article in journal (Refereed)
    Abstract [en]

    Background & aims

    Nutritional therapy has traditionally been evaluated by changes in weight and in food intake, while body composition and function may be of greater clinical significance. We investigated relationships between total body skeletal muscle mass (TBSMM), energy balance and exercise capacity in 41 patients before, 6 and 12 months after curatively intended major upper gastrointestinal surgery.

    Methods

    TBSMM and body energy content were assessed by DXA. Exercise capacity was measured on a treadmill. Energy balance was defined as the difference in body energy content at two points in time.

    Results

    During the first postoperative year average weight loss was 7% although 1 our of 3 patients remained weight stable (WS). Average TBSMM decreased significantly at 6 months (0.9 kg, p < 0.01), but was regained at 12 months, as was exercise capacity. 72% of weight losing patients (WL) lost TBSMM compared to 17% of WS patients, p < 0.01. Both TBSMM and changes in TBSMM, but not changes in energy content, were correlated to exercise capacity, r2 = 0.49, p < 0.001 and r2 = 0.15, p < 0.05 respectively.

    Conclusions

    TBSMM and exercise capacity were clearly related in cancer patients after major upper gastrointestinal surgery, as were changes in TBSMM and exercise capacity. Energy balance was not directly correlated to exercise capacity, but more WS than WL patients increased their TBSMM indicating a possible influence by energy balance.

  • 242.
    Dagerbjörk, Anna
    et al.
    Kristianstad University, School of Health and Society.
    Nilsson, Desirée
    Kristianstad University, School of Health and Society.
    Sjuksköterskans interventioner och dess effekter vid diabetesrelaterade fotsår: En litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Foot ulcers are a common complication of type 2-diabetes.To reduce the risk of foot ulcers and amputations should the nurse with the help of policy documents and laws, work with the person for a better health care. Purpose: To describe the nurse-led foot care interventions and its effect for people with type 2-diabetes. Method: The study is designed as a literature review with eleven original scientific articles. Results: The result is based on three main categories. These were The nurse's various interventions in foot care, where the nurse's various interventions in the work to prevent foot ulcers in people with type 2-diabetes are described in conversations and examinations. Primary effects of interventions, which describes the importance of knowledge regarding the disease and the importance of support in everyday life. And Secondary effects of interventions, which describes how people can avoid complications and improve quality of life. Discussion: Based on the results three key findings were revealed. These were Lack of examinations, where deficiencies existed regarding foot examinations in health care. An education is not for everyone, each person is unique and learning in different ways. And Participation in care, the relevance of personal commitment and involvement in health care are highlighted. Conclusion: By individualize the care and to increase the knowledge in people with type 2-diabetes, complications can be avoided and the feeling of health can appear.

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  • 243.
    Dahl, Sandra
    et al.
    Kristianstad University College, School of Health and Society.
    Jönsson Sträng, Emma
    Kristianstad University College, School of Health and Society.
    Upplevelsen av att vänta på en organtransplantation2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Few areas in medicine today are facing so many difficult ethical problems as transplant surgery. The seriously ill people who get the opportunity to undergo a transplant surgery will get the chance for a new life. It is important that health care professionals understand how patients experience waiting so that they can give good treatment and good care. Aim: The aim of the literature study was to describe the emotional experience of waiting for an organ transplant from a patient perspective. Method: The literature study was based on eight research articles with qualitative method. Result: To wait for an organ transplant was described as painful, but at the same time it gave the patients time to prepare. Health care professionals could help the patients deal with the wait by adapting the information to each individual's pace and needs. Support from family, medical staff and fellow-patients were important to get the energy while waiting for the transplantation. To be placed on the transplant list, gave the patients a new chance and new hope. Patients talked about the importance ofmaking each day meaningful. Discussion: The results have been linked together with Aaron Antonovsky’s health theory, KASAM wich is based on three key concepts: Comprehensibility, Manageability and Meaningfulness. Conclusion: Research is limited concerning how patients experience time before an organ transplant. To develop and improve the care to this patient’s requires further research.

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  • 244.
    Dahlbo, Madeleine
    et al.
    Kristianstad University, School of Health and Society.
    Jakobsson, Liselotte
    Kristianstad University, Research Platform for Collaboration for Health. Kristianstad University, School of Health and Society, Avdelningen för Sjuksköterskeutbildningarna.
    Lundqvist, Pia
    Lund University.
    Keeping the child in focus while supporting the family: Swedish child healthcare nurses experiences of encountering families where child maltreatment is present or suspected2017In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 21, no 1, p. 103-111Article in journal (Refereed)
    Abstract [en]

    Child maltreatment can lead to acute and long-term consequences, and it is important that at-risk children are identified early. Child healthcare (CHC) nurses in Sweden are in a position to identify child maltreatment, as they follow children and their parents from the child's birth to school age. Therefore, the aim was to describe CHC nurses' experiences when encountering families in which child maltreatment was identified or suspected. Individual open interviews with eight CHC nurses were performed and analysed using a qualitative content analysis. Findings revealed that keeping the child in focus, while supporting the family was essential for the nurses. This family-centred approach was assumed to benefit the child's interests. Meeting families where child maltreatment was identified or suspected influenced the nurses, emotionally in different ways. Nevertheless, it was important to keep an open mind and communication build on honesty. Furthermore, the nurses requested professional supervision in order to help them learn from the situation ahead of the next time. This knowledge about CHC nurses' experiences may form a basis for the development of interventions that aim to support the CHC nurses in their professional role, and thereby improve support to children and parents in the future.

  • 245.
    Dahlstrand, Anna
    et al.
    Kristianstad University, School of Health and Society.
    Mathiasson, Sofia
    Kristianstad University, School of Health and Society.
    Yngre personers upplevelser av livet efter stroke2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim was to illustrate younger persons' experiences of daily life after stroke. Method: A review of the literature was conducted. Background: In Sweden 30 000 persons per year are having a stroke and approximately 100 000 persons are living with a post-stroke dysfunction. Of the survivors 15-20 percents are of working age. Result: Stroke often causes extensive needs of help from others. The persons hit by stroke could experience a suffering both physical and mental. Changes in the new situation were associated with mixed feelings and experiences. Younger persons often live a more active life and the illness may change the life situation dramatically. Often life had to be revalued and adapting to a new life situation was necessary. Discussion: Participation in rehabilitation was important for a successful outcome. Fatigue was a major problem that caused many consequences in daily life. Poor wellbeing created questions and thoughts. A need for information was seen and there was a desire of being participating in the caring. Conclusion: Awareness of invisible dysfunctions and an open mind is important to be able to meet the persons in the present situation. By involving persons with stroke in their caring it may increase their experiences of control, meaningfulness and quality of life.

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  • 246.
    Dalstam, Sara
    et al.
    Kristianstad University, School of Health and Society.
    Kudo, Catrin
    Kristianstad University, School of Health and Society.
    Distriktssköterskors upplevelser av pappors delaktighet i samband med kontakt med barnavårdscentralen2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Previous studies has shown that fathers feel left out of the contact with the child health centre. One of the assignments of the child health services is that of giving support and advice to parents, in order to promote the development of the child. When the father is not involved it can lead to insecure attachment, and also affect the development of the child in a negative way. The aim of this study was to describe district nurses experience of fathers participation in contact with the child health centre. A qualitative approach was used. Individual semi-structured interviews were conducted with twelve district nurses working in child health centres. The interviews were analysed with a qualitative content analysis. Analysis of the interviews resulted in three categories: The ability of being present, fathers feelings could affect the participation, fathers who are active in the child health centre. The result of this study showed that the district nurses experienced that fathers could feel forgotten, when the main focus was of the mother and child. The district nurses experienced that fathers had different questions and were interested in other subjects than the mothers. The majority of the district nurses experienced that fathers participation in the contact with the child health centres increased, in part of the district nurses change of attitudes towards fathers participation, leading to more active invitation of the fathers.

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  • 247.
    Danarö, Christoffer
    et al.
    Kristianstad University, School of Health and Society.
    Gillsjö, Sara
    Kristianstad University, School of Health and Society.
    Mötet med sjuksköterskan: en litteraturstudie om bröstcancerdrabbade kvinnors upplevelser.2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Each year approximately 7000 people is diagnosed with breast cancer in Sweden, which means that 15-20 women a day get a breast cancer diagnosis and that one out of ten women develop breast cancer during their lifetime. The meetings between these women and the nurse will be important for the experience of the entire course of the disease. Aim: The aim was to highlight how women with breast cancer experience the meeting with the nurse. Method: The study was a literature review that was based on a systematic selection of scholarly articles, in which eleven articles have been quality reviewed and analyzed. Results: The results showed that women with breast cancer experienced security, support and being seen, which was categorized as caring encounters. The women also experienced insecurity, not being supported and not being seen. This was categorized as uncaring encounters. Discussion: The importance of reflection on a daily basis to get to the caring encounters with the patient was discussed. The importance of clarifying the responsibilities of the nurse in the education was also highlighted. Conclusion: There is a further need to raise awareness of women's experiences of the meeting with the nurse. The understanding of the patient's situation that this study gives should be applied to all patients regardless of disease, which can lead to caring encounters in all care settings.

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  • 248.
    Del Treppo, Louise
    et al.
    Kristianstad University, School of Health and Society.
    Stendahl, Carl-Johan
    Kristianstad University, School of Health and Society.
    Information inför hjärtoperation: hur upplever patienten situationen?2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cardiac surgery is carried out worldwide. The genetic factor and today’s welfare society has resulted in an increase in the number of episodes. Studies have shown that people with heart disease experience increased anxiety in everyday activities. The information given to patients therefore becomes highly important. Purpose: Highlight the patients' experiences of information prior to planned cardiac surgery. Method: Literature review. Results: Four categories was revealed: emotional impact, need of information, responsiveness and manageability and participation. Studies showed that information decreased anxiety and increased the level of satisfaction. Additional information was requested by patients who had received routine information. Other studies showed that the level of information had no effect on the patient’s anxiety and in other cases increased the anxiety. The timing of when the information was given had a large impact on how patients experienced the preoperative period. Discussion: Three categories were developed; positive impact, information requirements and negative impact. The information was important and led to a better outcome. Patients' information requirements are bigger today than in the past. A lack of information led to feelings of anxiety, fear and uncertainty. Conclusion: Information has both positive and negative impact on the patients’ experiences prior to surgery.

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    Information inför hjärtoperation
  • 249.
    Delander, Eva
    et al.
    Kristianstad University, School of Health and Society.
    Olsson, Josefine
    Kristianstad University, School of Health and Society.
    Hemsjukvård i förändring, en utmaning för distriktssköterskan: En kvalitativ intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of beds in nursing homes and in the inpatient care have continued to decline during the latter decades. In addition, the stay in inpatient care has become shorter. These changes have resulted in that an increased number of patients are getting care at home and in that the care provided at home is getting increasingly advanced. This scenario is likely to prevail. The work of the district nurse may change due to the fact that the district nurse working with patients getting care at home is responsible for coordination and support of the interaction between the patient and health care organizations.

    Aim: To describe, from the view of the district nurse, future challenges in home care related work. Method: A qualitative study was performed. Fifteen interviews were conducted with persons hired as district nurses for home care. The outcome of the interviews where analyzed using a qualitative content analysis.

    Result: The following three categories were discovered: Changes in care requirement, Changes in cooperation requirement and Changes in knowledge requirement. The result show that the district nurse believes that developments and changes are required in home care as well as between care institutes in order to meet changing needs in care from future patients.

    Conclusion: The district nurses see great changes in the future work related to home care. These changes are mainly viewed as positive changes, but to some extent more difficult challenges are also recognized. It is important that the district nurses contribute with knowledge and ideas in the forming of the future home care.

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  • 250.
    Delic, Jasmina
    et al.
    Kristianstad University, School of Health and Society.
    Ekholm, Elina
    Kristianstad University, School of Health and Society.
    Omvårdnaden i det tysta: En litteraturstudie om upplevelser av att vårda en partner med demens2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Demens är en av Sveriges folksjukdomar och idag finns det ungefär 160 000 drabbade. Sjukdomen medför kognitiv nedsättning som successivt försämras under sjukdomsförloppet och detta gör att de anhörigas liv påverkas. På grund av de behov som personen med demens har, kan det bli en utmaning för den anhörige att vårda. Syfte: Att belysa upplevelser av att vårda en partner med demenssjukdom i hemmet. Metod: Studien genomfördes som en allmän litteraturstudie och är baserad på 13 kvalitativa artiklar. Samtliga artiklar granskades och analyserades. Resultat: Tre huvudkategorier som är Upplevelser i den praktiska omvårdnaden, Upplevda förändringar och Känslomässiga upplevelser med tillhörande underkategorier. De anhöriga hade både positiva och negativa upplevelser av att vårda, dock dominerade de negativa känslorna. Slutsats: Med kännedom och förståelse för anhörigas upplevelser av att vårda sin partner med demenssjukdom kan sjuksköterskan ge rätt utbildning, stöd och information. Det är önskvärt med ett bredare perspektiv på anhörigas upplevelser av att vårda då det har framkommit att fler kvinnor än män vårdar sin partner med demenssjukdom. Litteraturstudien är en begränsad studie och det är av betydelse med fortsatt forskning.

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