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  • 301.
    Beck, Ingela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Att fokusera på "varandet" i en värld av görande: stöd till personalen i ett palliativt förhållningssätt vid vård- och omsorgsboende för äldre2013Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The aim of this thesis was to study nurse assistants’ experience of palliative care and to investigate how an intervention with a focus on a palliative care approach in residential care facilities influenced the nurse assistants and their work situation. The thesis is based on two qualitative and two quantitative studies, focusing on nurse assistants working at residential care facilities for older people. The qualitative studies were based on focus-group interviews before the intervention (I) and individual interviews after the intervention (IV). The quantitative studies (II, III) were based on a questionnaire, including several measurements, that was answered pre-, and post- intervention. The intervention consisted of study circles with nurse assistants, and workshops together with their leaders, focusing on improvement work. A total of 75 nurse assistants participated in the intervention and answered the questionnaire at baseline and at two follow-ups, in comparison with 110 nurse assistants who served as controls. The results show that the nurse assistants experienced that it was difficult to focus on “being”, i.e. on relationship aspects in their work, since the main discourse in residential care focused on “doing”, i.e. on task oriented aspects. Palliative care was described as something that was only applied during a short and defined phase, namely the very last days of the residents’ life. The results also show that nurse assistants experienced difficulties facing emotional and existential issues with regards to both the residents and their relatives (I). The results of study I were, in turn, used as a basis for the development of the intervention. The evaluation of the intervention showed that the nurse assistants, after the intervention, had increased their focus on the residents’ situation and to a greater extent stated that they focused on the residents’ life stories and on aspects that brought meaning to their lives (III). The nurse assistants also stated that they experienced less criticism from their superiors as well as from the residents after the intervention (II). However, the evaluation also showed that the nurse assistants had a more negative view of the leadership (II), were more critical to the medical and the nursing care (III), and that their job satisfaction had decreased (II) after the intervention. Interviews after the intervention showed that they, as a result of the intervention, had not only gained increased insight into their own significance in their encounter with residents and their relatives, but also an increased awareness of the needs of the residents and their relatives. The intervention also contributed to an increased openness in the workgroup. However, the nurse assistants also expressed frustration over barriers, primarily in the form of a lack of resources and limited leadership (IV), standing in the way of the implementation of changes. The results indicate that the nurse assistants, through discussions and reflections over praxis in their ordinary work group, developed an increased awareness about, and focus on “being”, i.e. on relationship aspects. However, it would seem that essential prerequisites, such as support from the leaders and sufficient resources for working in line with a palliative care approach, were not provided. When implementing a palliative care approach in residential care facilities, more focus on support to the leaders is needed in order to maintain sustainable changes.

  • 302.
    Beck, Ingela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Increasing nurse assistants' focus on residents' situation and needs by applying a palliative care approach in residential care facilities2014Konferensbidrag (Refereegranskat)
  • 303.
    Beck, Ingela
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    IPOS - meningsfull skattning av palliativa vårdbehov2016Konferensbidrag (Övrigt vetenskapligt)
  • 304.
    Beck, Ingela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Palliativ vård2017Ingår i: Omvårdnad & äldre / [ed] Kerstin Blomqvist, Anna-Karin Edberg, Marie Ernsth Bravell, Helle Wijk, Lund: Studentlitteratur, 2017, s. 509-526Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 305.
    Beck, Ingela
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Palliativ vård efter kurativt syftande kirurgi på grund av matstrupscancer2016Konferensbidrag (Refereegranskat)
  • 306.
    Beck, Ingela
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Stödet till personalen vid vård- och omsorgsboende är avgörande för deras möjlighet att möta äldre personers situation och behov2013Ingår i: Tidningen Ä, en tidning för Riksföreningen Sjuksköterskan inom Äldrevård, nr 4, s. 16-19Artikel i tidskrift (Övrigt vetenskapligt)
  • 307.
    Beck, Ingela
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Validering av Svenska Palliativregistert ur patienters och närståendes pespektiv2016Konferensbidrag (Refereegranskat)
  • 308.
    Beck, Ingela
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Översättning och kulturell anpassning av IPOS för användning i Sverige2016Konferensbidrag (Refereegranskat)
  • 309.
    Beck, Ingela
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Teori och modeller som stöd för personcentrerade möten2017Ingår i: Omvårdnad & Äldre / [ed] Kerstin Blomqvist, Anna-Karin Edberg, Marie Ernsth Bravell, Helle Wijk, Lund: Studentlitteratur, 2017, s. 49-60Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 310.
    Beck, Ingela
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Vårdalinstiutet.
    Jakobsson, Ulf
    Lunds universitet.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan. Vårdalinstitutet.
    An intervention applying a palliative care approach in residential care-effects on care provision and caring climate2013Konferensbidrag (Refereegranskat)
    Abstract [en]

    Introduction: The palliative care approach aims to integrate psychosocial and existential aspects as well as relationship aspects in the care and can be used in all care contexts. In residential care, nurse assistants (NAs) are the ones who are closest to the residents, but have limited prerequisites to work in accordance with the palliative care approach. We aimed to investigate the effects of an intervention applying a palliative care approach in residential care, on NAs experience of care provision and caring climate.

    Method: In this quasi-experimental study we evaluated the intervention involving NAs (n=75) and their leaders (n=9), focusing on emotional, existential and relationship aspects within the palliative care approach, in comparison with controls (n=110). Data consisted of a questionnaire that the NAs answered at three time points.

    Results: In the intervention group, effects were seen concerning the NAs reports of the care provision in that they focused more on to ease for residents to narrate about their lives, and on communication with residents in what gives them meaning in life. In the intervention group effects were also seen in that the NAs rated the residents medical and nursing care needs being less met at the facility after the intervention. No effects were seen concerning the caring climate or the possibilities to provide a more person-centered care.

    Conclusion: The intervention seemingly facilitated for the NAs to focus on relationship aspects with the residents. But the intervention was not sufficient to change the organizational prerequisites for the staff to provide a more person-centered care.

  • 311.
    Beck, Ingela
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Jakobsson, Ulf
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Applying a palliative care approach in residential care: effects on nurse assistants' experiences of care provision and caring climate2014Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, nr 4, s. 830-841Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    A palliative care approach aims to integrate psychosocial and existential as well as relationship aspects in the care and is an approach that can be used in residential care. Nurse assistants are the ones who are closest to the residents but have limited prerequisites for working in accordance with the palliative care approach. We aimed to investigate the effects on nurse assistants' experiences of care provision and the caring climate of an intervention applying a palliative care approach in residential care.

    Methods

    An intervention involving nurse assistants (n = 75) and their leaders (n = 9), in comparison with controls (n = 110), was evaluated using a questionnaire at three points in time.

    Results

    In the intervention group, positive effects were seen concerning the nurse assistants' reports of the care provision in that they focused more on the residents' stories about their lives and on communicating with the residents about what gave meaning to their lives. Also, negative effects were seen when the nurse assistants rated that the residents' needs for medical and nursing care had not been met at the facility directly after the intervention. No effects were seen concerning the caring climate or the prerequisites of providing more person-centred care.

    Conclusion

    The intervention seemed to have encouraged the nurse assistants to focus on relationship aspects with the residents. So as not to jeopardise the NAs' well-being and to support NAs in keeping themselves involved in existential issues, their support most certainly needs to be continuous and ongoing. However, in spite of the leaders' involvement, the intervention was not sufficient for changing the organisational prerequisites for more person-centred care.

  • 312.
    Beck, Ingela
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Jakobsson, Ulf
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Applying a palliative care approach in residential care: effects on nurse assistants' work situation2015Ingår i: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 13, nr 3, s. 543-553Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: The aim was to investigate the effects of an intervention that applies a palliative care approach in residential care upon nurse assistants' level of strain, job satisfaction, and view of leadership.

    Method: A quasi-experimental, pretest and posttest design was used. Study circles with workshops involving nurse assistants (n = 75) and their superiors (n = 9) focusing on emotional and existential issues in palliative care were evaluated using a questionnaire answered by the nurse assistants at baseline (November 2009), post-intervention (May 2010), and six-month follow-up (November 2010) in comparison with controls (n = 110).

    Results: Directly after the intervention, the job satisfaction of the nurse assistants decreased and they perceived the leadership more negatively than before the intervention. Six months later, strain as a result of criticism from residents and their superiors and having difficulty in balancing emotional involvement had decreased.

    Significance of results: The intervention initially seemed to decrease the well-being of the nurse assistants, which could be the result of their increased awareness of the residents' and relatives' needs, in combination with limited support. More emphasis should be placed on the role of leadership when implementing changes in practice.

  • 313.
    Beck, Ingela
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna.
    Olsson Möller, Ulrika
    Lund University.
    Malmström, Marlene
    Lund University.
    Klarare, Anna
    Sophiahemmet.
    Samuelsson, Henrik
    Palliative Care Unit, Ystad.
    Lundh Hagelin, Carina
    Karolinska Institutet.
    Rasmussen, Birgit
    Lund University.
    Fürst, Carl Johan
    Lund University.
    Translation and cultural adaptation of the integrated palliative care outcome scale for use in Sweden2016Ingår i: Palliative Medicine, 2016Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Background: Patient-reported outcome measurements are important for measuring changes in patients’ health over time, evaluating the quality of care given, and improving the quality of care service. The Integrated Palliative care Outcome Scale (IPOS) is one such measure, capturing clinically important physical, psychological, social, and existential aspects of patients’ palliative care needs. When patients are unable to complete the IPOS questionnaire themselves with or without assistance, a staff version is also available.

    Aim: To translate and culturally adapt the IPOS Patient and Staff versions for use in the Swedish context.

    Method: The process comprised forward and backward translations, cultural adaptation, and expert group reviews. To validate the resulting Swedish version of IPOS, cognitive interviews were conducted with 13 patients and 15 staff from various care contexts.

    Preliminary results: The Swedish expert group changed some words and grammar due to minor discrepancies in the back translation process. The participants in the cognitive interviews responded positively overall to the questionnaire. Deteriorating health and not having Swedish as the native language did not cause problems in completing the questionnaire. After the first round of cognitive interviews, problematic questions and answer options were rephrased, and redundant text was deleted.

    Conclusion: The Swedish IPOS (Patient and Staff versions) has been validated linguistically and culturally, and is now available for clinical use. The next final step in the validation process will be to test the psychometric performance of the Swedish questionnaires.

  • 314.
    Beck, Ingela
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Olsson Möller, Ulrika
    Lund University.
    Malmström, Marlene
    Lund University.
    Klarare, Anna
    Ersta Sköndal Bräcke University College.
    Samuelsson, Henrik
    Palliative Care Unit, Ystad.
    Lundh Hagelin, Carina
    Sophiahemmet University.
    Rasmussen, Birgit
    Lund University .
    Fürst, Carl Johan
    Lund University .
    Translation and cultural adaptation of the Integrated Palliative care Outcome Scale including cognitive interviewing with patients and staff2017Ingår i: BMC Palliative Care, ISSN 1472-684X, E-ISSN 1472-684X, Vol. 16, nr 1, artikel-id 49Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: To expand our clinical and scientific knowledge about holistic outcomes within palliative care, there is a need for agreed-upon patient-reported outcome measures. These patient-reported outcome measures then require translation and cultural adaptation, either from country-specific languages to English, or the other way around. The aim of this study was to translate and cross-culturally adapt the Integrated Palliative care Outcome Scale (IPOS) to the Swedish care context.

    METHODS: Swedish versions of IPOS Patient and IPOS Staff were developed and culturally adapted using recommended guidelines including cognitive interviews with patients (n = 13) and staff (n = 15) from different care contexts including general and specialised palliative care.

    RESULTS: The comprehension and judgement difficulties identified in the pre-final patient and staff versions were successfully solved during the cognitive interviewing process. IPOS was well accepted by both patients and staff, none of the questions were experienced as inappropriate, and all questions were judged important.

    CONCLUSIONS: In this study, we translated and culturally adapted the patient and staff versions of IPOS, and demonstrated face and content validity and acceptability of the scale through cognitive interviewing with patients and staff within residential care facility, surgical and specialised palliative home care units. Cognitive interviewing in parallel with patients and staff in rounds, with tentative analysis in between, was a suitable method for identifying and solving challenges with comprehension and evaluation in the pre-final version of IPOS. The Swedish IPOS is now available for use in a variety of clinical care settings.

  • 315.
    Beck, Ingela
    et al.
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Pålsson, Christina
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Bengtsson-Tops, Anita
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Upholding an ideal image of palliative work in the face of obstacles2018Ingår i: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 24, nr 12, s. 611-617Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: Homecare workers play a pivotal role in palliative care, but research on their experiences is limited. The aim of this study was to describe how homecare workers in Sweden experience their work in palliative homecare.

    METHOD:This qualitative study used open-ended interviews with a purposive sample of 15 homecare workers. The data was analysed by means of qualitative content analysis.

    RESULTS: One main theme emerged from the analysis: upholding an ideal image of palliative work. This had four subthemes: doing good; doing their best work; feeling work satisfaction; and facing difficulties.

    CONCLUSION: Palliative care performed by homecare workers is demanding. Homecare workers need more practical support and would benefit from a care model that involves working with registered nurses, as a team, to provide humanistic care to dying patients and their relatives.

  • 316.
    Beck, Ingela
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Runeson, Ingrid
    Blomqvist, Kerstin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    To find inner peace: soft massage as an established and integrated part of palliative care2009Ingår i: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 15, nr 11, s. 541-545Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to demonstrate how people with incurable cancer experienced soft massage in a palliative care setting in which massage was used as an established and integrated part of the nursing care. To reach a deep understanding of the experiences of receiving soft massage a qualitative method with a phenomenological approach was chosen. The study was based on interviews with eight patients in an advanced home care setting who had all received soft massage as part of their daily care. Soft massage was experienced by the informants as a way to find inner peace. During the massage the patients felt dignified, while memories from past massage sessions were about becoming free. These experiences of dignity and freedom brought hopes for the future. The conclusion is that soft massage ought to be offered in the ordinary palliative care. More research is needed to understand what is needed to integrate and establish methods such as soft massage in the palliative care.

  • 317. Beck, Ingela
    et al.
    Tastesen, Karin
    Beröringsmassage i den dagliga omvårdnaden2006 (uppl. 2)Bok (Övrigt vetenskapligt)
  • 318.
    Beck, Ingela
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Lunds universitet & Vårdalinstitutet .
    Törnquist, A
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Nurse assistants’ experience of an intervention focused on a palliative care approach to frail older people in residential care2011Konferensbidrag (Övrigt vetenskapligt)
  • 319.
    Beck, Ingela
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Lunds universitet & Vårdalinstitutet .
    Törnquist, A
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Nurses’ experience of palliative care in nursing homes2010Konferensbidrag (Övrigt vetenskapligt)
  • 320.
    Beck, Ingela
    et al.
    Lund University.
    Törnquist, Agneta
    Lund University.
    Broström, Linus
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Having to focus on doing rather than being: nurse assistants' experience of palliative care in municipal residential care settings2012Ingår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 49, nr 4, s. 455-464Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Palliative care should be provided, irrespective of setting to all patients facing a life-threatening illness and to their families. The situation and needs of older people differ from those of younger people since they often have several co-existing diseases and health complaints. This implies an extensive need for care and for longer periods of palliative care. The main providers of palliative care for older people are nurse assistants, who are also those with the shortest education. AIM: The aim of this study was to illuminate nurse assistants' experience of palliative care for older people in residential care. DESIGN: The study had an explorative, descriptive design. SETTINGS: Thirteen residential care units in three different districts in a large city in southern Sweden. PARTICIPANTS: Twenty-five nurse assistants selected to represent variations in age, gender workplace and work experience. METHODS: Data were collected from six focus-group interviews and subjected to content analysis to gain an understanding of the phenomenon. RESULTS: The nurse assistants described palliative care as a contrast to the everyday care they performed in that they had a legitimate possibility to provide the care needed and a clear assignment in relation to relatives. Palliative care also meant having to face death and dying while feeling simultaneous that it was unnatural to talk about death and having to deal with their own emotions. They emphasised that they were in need of support and experienced leadership as invisible and opaque, but gained strength from being recognized. CONCLUSION: In order to support nurse assistants in providing high quality end-of-life care, more focus is needed on the trajectory of older peoples' dying, on the importance of involving relatives throughout the period of care provision, and on support when encountering death and dying. There is also a need for engaged care leaders, both registered nurses and managers, to recognize the work of nurse assistants and to support care provision for older people within the framework of palliative care philosophy.

  • 321.
    Beck, Ingela
    et al.
    Lund University.
    Törnquist, Agneta
    Lund University.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap II. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Nurse assistants’ experience of an intervention focused on a palliative care approach for older people in residential care2012Ingår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 9, nr 2, s. 140-150Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background.  Nurse assistants working in residential care facilities need support to ensure that they provide high-quality care for the residents and support for relatives, from admission to bereavement.

    Aim.  The aim was to describe the nurse assistants’ experience of how an intervention with a palliative care approach, had influenced them in their work in residential care for older people.

    Participants.  Fourteen nurse assistants working in three different municipal residential care facilities.

    Methods.  Data were collected by means of semi-structured individual interviews following an intervention consisting of study circles combined with workshops. The data were analysed using content analysis.

    Result.  The nurse assistants felt that, through the intervention, they had gained insight into their understanding of the importance of quality of care. This included an increased awareness of, and respect for, residents’ and relatives’ needs, and an increased understanding of the importance of the outcome of encounters with residents and their relatives. After the intervention, they also felt there was increased openness and understanding between colleagues. However, the nurse assistants also expressed frustration over obstacles to implementing a palliative care approach, such as lack of resources and supportive leadership.

    Conclusion.  The nurse assistants felt that the intervention was positive and encouraged them to provide more person-centred care within the framework of a palliative care approach. Although the intervention was intended to involve and support the management, it was not sufficient. Nurse assistants described lack of resources and supportive leadership. There is, therefore, a need to place greater emphasis on leadership and their support of nurse assistants so that they can provide high-quality care.

    Implications for practice.  To support nurse assistants in the provision of care, clear leadership and opportunities to discuss and reflect on issues associated with care, including systematic improvement work in practice, appear to be essential to ensure high-quality care.

  • 322.
    Becovic, Jasminka
    et al.
    Högskolan Kristianstad, Fakulteten för hälsovetenskap.
    Fager, Johanna
    Högskolan Kristianstad, Fakulteten för hälsovetenskap.
    Sjuksköterskors upplevelse av att möta patienter med ett aktivt självskadebeteende: En litteraturstudie2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Självskadebeteende är ett ökande samhällsproblem och idag räknas det till ett folkhälsoproblem. Detta beteende är ett sätt för personen att göra om den psykiska smärta till en fysisk smärta då det kan vara lättare att hantera, vilket kan ge en ångest lindrade effekt.  Personer som har ett självskadebeteende upplever ibland att i mötet med sjuksköterskor i somatisk akutsjukvård inte är bra. Patientgruppen självskadebeteende är en komplex och komplicerad grupp; dessa personer kan upplevas som provocerande samt att sjuksköterskor kan ha svårt att förstå dem. Syfte: Syftet var att belysa sjuksköterskors upplevelse av att möta personer med ett aktiv självskadebeteende inom den somatiska akutsjukvården. Metod: Kvalitativ litteraturstudie. Studien har en induktiv design och omfattas av åtta artiklar. Sökorden utformades efter syftet. Sökningarna gjordes i tre olika databaser. Resultat: Två kategorier med fem underkategorier kom fram: ” Sjuksköterskors upplevelse av hur bristande kunskap och erfarenheter kunde påverka mötet med personer som har ett självskadebeteende” och ” Sjuksköterskors upplevelse av en ökad förståelse för patienter med självskadebeteende”. Diskussion: Sjuksköterskors upplevelse av bristande adekvat kunskap och kompetens har lyfts fram i denna litteraturstudie. Det har också visats att sjuksköterskors inställning och tillit till den egna förmågan att möta patienter med självskador kunde förbättras genom ökad kunskap.

  • 323.
    Beda, Boniface
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Sjuksköterskans preventionsåtgärder i omvårdnad av personer med självmordsrisk: en litteraturstudie2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Självmord är ett existentiellt problem och varje självmordshandling är ett rop på hjälp. Det är drygt en miljon människor, som begår självmord varje år över hela världen, men det är tio gånger fler som försöker ta sitt liv. Uppskattningsvis dör 1500 personer varje år till följd av självmord i Sverige. En del av dessa personer har varit i kontakt med vården under sin sista månad i livet på grund av självmordsproblematik. Syftet: Att beskriva sjuksköterskans preventionsåtgärder i omvårdnaden av personer med självmordsrisk.

    Metod: En litteraturstudie som baseras på 11 vetenskapliga artiklar som består av både kvantitativa och kvalitativa studier. Resultat: I analysen av artiklarna framkommer fyra kategorier som beskrivs: Att utöka kunskaperna om prevention, förmåga att identifiera riskfaktorer, ett terapeutiskt förhållningssätt samt ett preventivt socialt stödsystem. Diskussion: Resultatet visar att sjuksköterskan kan använda sig av alla kategorierna för att ge ett gynnsamt stöd till personer med självmordsrisk. De fyra kategorierna är beroende av varandra för att förbättra omvårdnaden till självmordsnära personer. Om preventionen brister inom någon kategori försämras patientens möjligheter att hantera sin livssituation.

    Slutsats: Föreliggande arbete skulle kunna bidra till att ge information till sjuksköterskor om preventionsåtgärder för att förebygga och hantera självmordshandlingar samt höja livskvaliteten hos självmordsbenägna personer.

  • 324.
    Beeckman, Dimitri
    et al.
    Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University and Research Staff, Nursing Department, University College Arteveldehoge-school.
    Schoonhoven, Lisette
    Centre for Quality of Care Research (WOK), Radboud University Nijmegen Medical Centre.
    Fletcher, Jacqui
    School of Nursing and Midwifery, University of Hertfordshire, Hatfield.
    Furtado, Kátia
    Community Nursing Specialist Centro de Saúde de Arronches, Portalegre.
    Gunningberg, Lena
    Nursing Research and Development Surgery Division, Uppsala University Hospital.
    Heyman, Hilde
    Nursing Home Sint Bartholomeus, Antwerp.
    Lindholm, Christina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Paquay, Louis
    Wit-Gele Kruis van Vlaanderen, Brussels.
    Verdú, José
    Department of Community Nursing, Preventive Medicine, Public Health and History of Science, School of Nursing, University of Alicante.
    Defloor, Tom
    Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University.
    EPUAP classification system for pressure ulcers: european reliability study2007Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 60, nr 6, s. 682-691Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. This paper is a report of a study of the inter-observer reliability of the European Pressure Ulcer Advisory Panel pressure ulcer classification system and of the differential diagnosis between moisture lesions and pressure ulcers. Background. Pressure ulcer classification is a valuable tool to provide a common description of ulcer severity for the purposes of clinical practice, audit and research. Despite everyday use of the European Pressure Ulcer Advisory Panel system, its reliability has been evaluated in only a limited number of studies. Methods. A survey was carried out between September 2005 and February 2006 with a convenience sample of 1452 nurses from five European countries. Respondents classified 20 validated photographs as normal skin, blanchable erythema, pressure ulcers (four grades), moisture lesion or combined lesion. The nurses were familiar with the use of the European Pressure Ulcer Advisory Panel classification scale. Results. Pressure ulcers were often classified erroneously (kappa = 0.33) and only a minority of nurses reached a substantial level of agreement. Grade 3 lesions were regularly classified as grade 2. Non-blanchable erythema was frequently assessed incorrectly as blanchable erythema. Furthermore, the differential diagnosis between moisture lesions and pressure ulcers appeared to be complicated. Conclusion. Inter-observer reliability of the European Pressure Ulcer Advisory Panel classification system was low. Evaluation thus needs to focus on both the clarity and complexity of the system. Definitions and unambiguous descriptions of pressure ulcer grades and the distinction between moisture lesions will probably enhance clarity. To simplify the current classification system, a reduction in the number of grades is suggested.

  • 325.
    Behm, Lina
    University of Gothenburg/ Sahlgrenska Academy.
    It´s never too late: health-promotion and disease-prevention for very old person2014Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim of this thesis was to evaluate the effects of health-promoting and disease-preventive interventions on health and frailty in very old community-dwelling persons, and to explore the participants’ experiences in relation to these interventions. Studies I and II were evaluations of the three-armed randomised, single-blind and controlled trial Elderly Persons in the Risk Zone, which consisted  of the two health-promoting and disease-preventive interventions preventive home visits (PHV) and multi-professional senior group meetings (senior meetings). A total of 459 persons aged 80 years or older and still living at home were included in the study. Participants were independent in ADL and without overt cognitive impairment. They were assessed at baseline and followed up at one and two years after intervention. An intention-to-treat analysis was performed using the outcome variables; morbidity, symptoms, self-rated health, satisfaction with health (study I), frailty measured as tiredness in daily activities and frailty measured with eight frailty indicators (study II). In study III, seventeen participants in the intervention preventive home visits were interviewed in their own homes. The interviews were analysed using a phenomenographic method. In study IV focus group methodology was used to interview a total of 20 participants who had participated in the intervention senior meetings. The interviews were analysed according to the focus group method described by Kreuger.  The results of studies I and II showed that both interventions postponed morbidity and delayed deterioration in satisfaction with physical and psychological health for up to two years compared to the control group. Both interventions also showed favourable effects in postponing the progression of frailty measured as tiredness in daily activities for up to one year. The intervention senior meetings had an advantage over preventive home visits since it prevented a decline in general self-rated health for up to one year. However, neither of the interventions was effective in postponing the progression of symptoms or frailty as measured with the sum of frailty indicators. The participants that were defined as frail according to frailty indicators (>3 indicators) increased in all three study arms during the two-year study period. The interviews with the participants involved in the intervention preventive home visits (study III) revealed four categories which explained how they experienced the visit and its consequences for health: the PHV made them visible and proved their human value, it brought a feeling of security and gave the participants an incentive to action. A few of the participants experienced that the PHV was of no value. The focus group interviews with the participants who had received the senior meetings (study IV) revealed that the participants lived in the present. However, the supportive environment together with learning a preventive approach contributed to the participants’ experiencing the senior meetings as a key to action.  In conclusion, the studies in this thesis show that it is possible to postpone a decline in health outcomes measured as morbidity, self-rated health, satisfaction with health and frailty measured as tiredness in daily activities in older persons at risk of frailty. Both interventions might have functioned as a trigger to motivate the participants to engage in a health-promoting behaviour. The contributing factors were the holistic information, the fact that participants were strengthened in their role as older persons, that someone cared about their health, and the fact that the interventions focused on personal needs. The senior meetings were the most beneficial intervention, which may be due to the group setting where the participants could learn from each other, gain role models and share their problems. Altogether this could have increased participants’ understanding and ability to use their own resources and may have motivated them to take measures and engage in health-promoting activities

  • 326.
    Behm, Lina
    et al.
    Lund University.
    Björkman, Eva
    Lund University.
    Ahlström, Gerd
    Lund University.
    Mental health and reactions to caregiving among next of kin of older people (65+) with multi-morbidity discharged home after hospitalization2018Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, nr 4, s. 1458-1467Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Older people with multi-morbidity are major users of healthcare and are often discharged from hospital with ongoing care needs. This care is frequently provided by informal caregivers and the time immediately after discharge is challenging for caregivers with new and/or additional tasks, resulting in anxiety and stress.

    AIM: This study aimed to describe mental health, with particular reference to anxiety and depression and reactions to caregiving, and to investigate any associations between the two, in next of kin of older people with multi-morbidity after hospitalisation. It also aimed to explore the association between the demographic characteristics of the study group and mental health and reactions to caregiving.

    METHODS: This was a cross-sectional questionnaire study using the Hospital Anxiety and Depression Scale and the Caregiver Reaction Assessment. The study group consisted of 345 next of kin of older people (65+) with multi-morbidity discharged home from 13 medical wards in Sweden. Data were analysed using descriptive and analytical statistics. To identify whether reactions to caregiving and next of kin characteristics were associated with anxiety and depression, a univariate logistic regression analysis was performed.

    RESULTS: More than one quarter of respondents showed severe anxiety and nearly one in 10 had severe depressive symptoms. The frequencies of anxiety and depression increased significantly with increased negative reactions to caregiving and decreased significantly with positive reactions to caregiving. Regarding caregiving reactions, the scores were highest for the positive domain Caregiver esteem, followed by the negative domain Impact on health. Women scored significantly higher than men on Impact on health and spouses scored highest for Impact on schedule and Caregiver esteem.

    CONCLUSIONS: Nurses and other healthcare professionals may need to provide additional support to informal caregivers before and after discharging older people with significant care needs from hospital. This might include person-centred information, education and training.

  • 327.
    Behm, Lina
    et al.
    Universities of Gothenburg and Lund.
    Eklund, Kajsa
    Universities of Gothenburg and Lund.
    Wilhelmson, Katarina
    University of Gothenburg.
    Zidén, Lena
    University of Gothenburg.
    Gustafsson, Susanne
    University of Gothenburg.
    Falk, Kristin
    University of Gothenburg.
    Dahlin-Ivanoff, Synneve
    University of Gothenburg.
    Health promotion can postpone frailty: results from the RCT elderly persons in the risk zone2016Ingår i: Public Health Nursing, ISSN 0737-1209, E-ISSN 1525-1446, Vol. 33, nr 4, s. 303-15Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: Very old persons (80+) are often described as "frail", implying that they are particularly vulnerable to adverse health outcomes. Elderly Persons in the Risk Zone was designed to determine whether a preventive home visit or multiprofessional senior group meetings could postpone deterioration in frailty if the intervention is carried out when the person is not so frail.

    DESIGN AND SAMPLE: The study was a RCT with follow-ups at 1 and 2 years. A total of 459 persons (80+), still living at home, were included. Participants were independent in activities of daily life and cognitively intact.

    MEASURES: Frailty was measured in two complementary ways, with the sum of eight frailty indicators and with the Mob-T Scale measuring tiredness in daily activities.

    RESULTS: Both interventions showed favorable effects in postponing the progression of frailty measured as tiredness in daily activities for up to 1 year. However, neither of the two interventions was effective in postponing frailty measured with the sum of frailty indicators.

    CONCLUSIONS: The results in this study show the potential of health promotion to older persons. The multiprofessional approach, including a broad spectrum of information and knowledge, might have been an important factor contributing to a more positive view of aging.

  • 328.
    Behm, Lina
    et al.
    University of Gothenburg.
    Ivanoff, Synneve Dahlin
    Zidén, Lena
    Preventive home visits and health: experiences among very old people.2013Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 13Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: As more people reach older age, there is a growing interest in improving old person's health, activity, independence and social participation, thereby adding quality to the extended years. Preventive home visits (PHV) programs for old people have received much attention in recent decades. A large body of research shows mixed effects, and argues that a home visit is a complex social process influenced by numerous factors. To evaluate the impact of PHV, as well as making decisions on whether, how, and to whom the service should be provided, requires a deeper understanding of PHV than we have now. Consequently, the aim of the study was to describe the variations in older people's (80+) experiences of a single preventive home visit and its consequences for health.

    METHODS: Seventeen participants between 80 and 92 years of age who had all received a structured PHV were interviewed in their own homes. The interviews were analyzed using the phenomenographic method, looking at the variations in the participants' experiences.

    RESULTS: The interviews revealed four categories: "The PHV made me visible and proved my human value"; "The PHV brought a feeling of security"; "The PHV gave an incentive to action"; and "The PHV was not for me".

    CONCLUSIONS: The experiences of a PHV were twofold. On one hand, the positive experiences indicate that one structured PHV was able to empower the participants and strengthen their self-esteem, making them feel in control over their situation and more aware of the importance of keeping several steps ahead. Together this could motivate them to take measures and engage in health-promoting activities. On the other hand, the PHV was experienced as being of no value by a few. These findings may partly explain the positive results from PHV interventions and emphasize that one challenge for health care professionals is to motivate older people who are healthy and independent to engage in health-promoting and disease-preventive activities.

  • 329.
    Behm, Lina
    et al.
    Universities of Gothenburg and Lund.
    Wilhelmson, Katarina
    University of Gothenburg.
    Falk, Kristin
    University of Gothenburg.
    Eklund, Kajsa
    University of Gothenburg.
    Zidén, Lena
    University of Gothenburg.
    Dahlin-Ivanoff, Synneve
    University of Gothenburg.
    Positive health outcomes following health-promoting and disease-preventive interventions for independent very old persons: long-term results of the three-armed RCT Elderly Persons in the Risk Zone.2014Ingår i: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 58, nr 3, s. 376-83Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    UNLABELLED: The aim of this study was to analyze the long-term effect of the two health-promoting and disease-preventive interventions, preventive home visits and senior meetings, with respect to morbidity, symptoms, self-rated health and satisfaction with health. The study was a three-armed randomized, single-blind, and controlled trial, with follow-ups at one and two years after interventions. A total of 459 persons aged 80 years or older and still living at home were included in the study. Participants were independent in ADL and without overt cognitive impairment. An intention-to-treat analysis was performed. The result shows that both interventions delayed a progression in morbidity, i.e. an increase in CIRS-G score (OR=0.44 for the PHV and OR=0.61 for senior meetings at one year and OR=0.60 for the PHV and OR=0.52 for the senior meetings at two years) and maintained satisfaction with health (OR=0.49 for PHV and OR=0.57 for senior meetings at one year and OR=0.43 for the PHV and OR=0.28 for senior meetings after two years) for up to two years. The intervention senior meetings prevented a decline in self-rated health for up to one year (OR=0.55). However, no significant differences were seen in postponing progression of symptoms in any of the interventions. This study shows that it is possible to postpone a decline in health outcomes measured as morbidity, self-rated health and satisfaction with health in very old persons at risk of frailty. Success factors might be the multi-dimensional and the multi-professional approach in both interventions.

  • 330.
    Behm, Lina
    et al.
    University of Gothenburg.
    Zidén, Lena
    University of Gothenburg.
    Dunér, Anna
    University of Gothenburg.
    Falk, Kristin
    University of Gothenburg.
    Dahlin-Ivanoff, Synneve
    University of Gothenburg.
    Multi-professional and multi-dimensional group education--a key to action in elderly persons.2013Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 35, nr 5, s. 427-35Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: This study was intended to evaluate a multi-professional health-promoting and disease-preventive intervention organized as multi-professional senior group meetings, which addressed home-dwelling, independently living, cognitively intact elderly persons (80±), by exploring the participants' experiences of the intervention.

    METHOD: The focus group methodology was used to interview a total of 20 participants. The informants had participated in four multi-professional senior group meetings at which information about the ageing process and preventive strategies for enhancing health were discussed.

    RESULTS: The overall finding was that the elderly persons involved in the intervention lived in the present, but that the supportive environment together with learning a preventive approach contributed to the participants' experiencing the senior meetings as a key to action.

    CONCLUSIONS: Elderly persons who are independent may have difficulty accepting information about preventing risks to health. However, group education with a multi-professional approach may be a successful model for achieving an exchange of knowledge, which may possibly empower the participants, give them role models, the opportunity to learn from each other and a sense of sharing problems with people in similar circumstances.

  • 331.
    Bengtsson, Emelie
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Larsson, Susanne
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Oväntad död: en litteraturstudie om närståendes och sjuksköterskors upplevelser i mötet2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Bakgrund: Att vara med om en oväntad död kan för närstående innebära en livskris och för en sjuksköterska kan mötet som uppstår i samband med detta vara svårt att hantera. Syfte: Syftet var att belysa upplevelser i mötet mellan närstående och sjuksköterska i samband med att en person oväntat har avlidit. Metod: En litteraturstudie baserad på kvalitativa artiklar har genomförts. Resultat: Resultatet innefattar närståendes upplevelser och under den kategorin ingår subkategorierna lång väntan och önskan om information samt vänlighet och trygghet och under kategorin sjuksköterskans upplevelser ingår följande subkategorier osäkerhet, rädsla och oro; behov av att få vara hos de närstående; otillräcklighet och ovisshet samt tidsbrist. Diskussion: Utebliven information skapar oro och osäkerhet hos närstående, brist på tid ökar känsla av stress hos sjuksköterskor och osäkerhet hos sjuksköterskor i mötet påverkar närståendes trygghet och tillit.

  • 332.
    Bengtsson, Madeleine
    et al.
    Högskolan Kristianstad, Sektionen för Hälsa och Samhälle.
    Andersson, Jennie
    Högskolan Kristianstad, Sektionen för Hälsa och Samhälle.
    Att leva med ADHD: Vuxnas upplevelser av funktionshindret i vardagslivet.2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: ADHD är en neuropsykiatrisk sjukdom. Det är en relativt ny kunskap att även vuxna lever med ADHD och ett område som är under ständig utveckling. Syfte: Syftet med studien är att belysa hur det är att vara vuxen och leva med ADHD, med fokus på funktionshindret. Metod: En litteraturstudie har genomförts där sju stycken kvalitativa och kvantitativa artiklar granskades och analyserades. Resultat: Analysen påvisade fem gemensamma nämnare vid ADHD: Brist på impulskontroll, social problematik i mötet med andra, problem att organisera vardagen, diagnos: för eller nackdel för att kunna hantera vardagslivet och medicinens inverkan på personligheten i dagligt liv. Diskussion: Det framkom att personer som lever med ADHD använder sig av olika strategier för att hantera sin vardag. Strategierna kan ha både positiv och negativ inverkan på den funktionshindrades liv. Det visade sig också att impulsiviteten gjorde dem till mer olycksdrabbade bilförare. Slutsats: Sjukvårdspersonal kan behöva en ökad kunskap om funktionshindret ADHD för att lättare kunna bemöta och stötta individen på ett respektfullt sätt.

  • 333.
    Bengtsson, Mariette
    et al.
    Malmö University Hospital.
    Ohlsson, Bodil
    Malmö University Hospital.
    Ulander, Kerstin
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Development and psychometric testing of the Visual Analogue Scale for Irritable Bowel Syndrome (VAS-IBS)2007Ingår i: BMC Gastroenterology, ISSN 1471-230X, E-ISSN 1471-230X, Vol. 7, artikel-id 16Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The aim of this study was to develop and psychometrically test a short, patient-reported questionnaire to be used in clinical practice for patients with Irritable Bowel Syndrome (IBS). The Visual Analogue Scale for Irritable Bowel Syndrome (VAS-IBS) questionnaire was designed to measure the treatment response of symptoms and well-being in patients suffering from IBS. Methods: The VAS-IBS was psychometrically tested for content and criterion validity, scale acceptability, item-reduction, internal reliability consistency, simplicity, and speed. Two samples were used. One expert panel (five physicians and four registered nurses), who gave their opinion on the content validity, and one of 71 patients with IBS (mean age 38 years SD + 13, range 19-65), who completed the VAS-IBS, as well as the Gastrointestinal Symptom Rating Scale and the Psychological General Well-Being Index for criterion validity. Results: The items in the VAS-IBS capture the main physical concerns women with IBS might present and the psychometric testing confirmed that the VAS-IBS is an acceptable homogeneous patient-reported questionnaire indicated by Cronbach's alpha internal consistency reliability coefficient, with a value of 0.85. All correlations to test the criterion validity performed by using Pearson's correlation test, were statistically significant (p < 0.0001) and in the expected directions. The VAS-IBS is easy to complete and unproblematic to calculate. Conclusion: The VAS-IBS appears to be reliable and user-friendly, for patients as well as for health professionals. The final version of the VAS-IBS including nine items needs to be further tested in clinical practice cross-culturally in women as well as in men.

  • 334.
    Bengtsson, Mariette
    et al.
    Division of Gastroenterology and Hepatology, Department of Medicine, Malmö University Hospital.
    Ohlsson, Bodil
    Division of Gastroenterology and Hepatology, Department of Medicine, Malmö University Hospital.
    Ulander, Kerstin
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Women with irritable bowel syndrome and their perception of a good quality of life2007Ingår i: Gastroenterology Nursing, ISSN 1042-895X, E-ISSN 1538-9766, Vol. 30, nr 2, s. 74-82Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Irritable bowel syndrome has a negative impact on a person's quality of life, but only a few existing studies have been based on patients' own perceptions. This study therefore aimed to collect information on the view of female patients with irritable bowel syndrome regarding what constitutes a good quality of life for them and to create a healthcare model for these patients. For the study, 30 women with irritable bowel syndrome (median age, 38.5 years; range, 20-65 years) responded in writing to a single, all-inclusive question: What is your perception of a good quality of life? When the questionnaires were returned, there was time for a short dialogue, and notes of the conversations were made. Data were analyzed qualitatively according to Burnard's method of thematic content analysis. The answers also were counted and thereby quantified.

    The women's perception of a good quality of life could be divided into five categories: (a) physical and mental health, (b) social well-being, (c) welfare, (d) strength and energy, and (e) self-fulfillment. According to the results, a healthcare model for patients with irritable bowel syndrome should include four main areas: (a) treatment of the patient's symptoms, (b) confirmation of the patient, (c) confirmation of the diagnosis, and (d) instruction for the patient. The healthcare model should be focused on the primary care level and should include a longitudinal plan of healthcare that also describes the secondary care level.

  • 335.
    Bengtsson, Mariette
    et al.
    Department of Nursing, Faculty of Health and Society, Malmö University.
    Ulander, Kerstin
    Högskolan Kristianstad, Sektionen för Hälsa och Samhälle.
    Bergh Börgdal, Elisabet
    Division of Gastroenterology and Hepatology, Department of Medicine, Malmö University Hospital.
    Ohlsson, Bodil
    Division of Gastroenterology and Hepatology, Department of Medicine, Malmö University Hospital.
    A holistic approach for planning care of patients with irritable bowel syndrome2010Ingår i: Gastroenterology Nursing, ISSN 1042-895X, E-ISSN 1538-9766, Vol. 33, nr 2, s. 98-108Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aims of this study were to determine whether a registered nurse can collect information and plan a holistic and individual strategy for the treatment of patients with irritable bowel syndrome (IBS) and whether this approach can reduce these patients' health aspects. The referrals of 50 Swedish-speaking female patients aged between 18 and 65 years with the preliminary diagnosis of IBS were collected and scrutinized by a gastroenterologist at a university hospital. Of these, 41 patients agreed to participate but 2 did not show up. The 39 patients were randomized into one of two groups: (1) the intervention group (n = 19) where the subjects were interviewed on the basis of the theory of culture care by a nurse before visiting a gastroenterologist and (2) the control group (n = 20) where the subjects first met a gastroenterologist. After the medical examination, 19 subjects were found to have diseases other than IBS. The interview gave a holistic view of the subjects' problems, which could be of use when planning further care. Because subjects sometimes did not receive an accurate diagnosis by their primary care physician, however, the clinic nurse could not give these subjects IBS-specific information because the subjects' diagnosis had not been established. The initial medical assessments based on the primary care doctors' care of many subjects with IBS symptoms were a noted weak point.

  • 336.
    Bengtsson, Matilda
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Kajborn, Jaqueline
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Sjuksköterskors erfarenheter och upplevelser av vårdrelaterade infektioner: En litteraturstudie2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Vårdrelaterade infektioner (VRI) har ökat under de senaste åren, vilket har medfört lidande för patienterna, 750 000 extra vårddagar och en kostnad beräknad till 6,5 miljarder kronor. Sjuksköterskan kan minska patientens lidande genom att finnas där för hen. VRI är den vanligaste typen av vårdskada och utgör cirka 35 procent av alla vårdskador. En del VRI har uppkommit på grund av ökad antibiotikaanvändning och felanvändning av antibiotika. Syfte: Syftet var att undersöka sjuksköterskans erfarenheter och upplevelser av vårdrelaterade infektioner. Metod: Studien genomfördes som en allmän litteraturstudie som baserades på 12 vetenskapliga studier. Kvantitativa och kvalitativa studier användes. Sökningen av vetenskapliga studier gjordes i databaserna PubMed, PsycINFO och CINAHL Complete. Resultat: Tre kategorier framträdde: Stöd, hygienrutiner och kunskap. Diskussion: Sjuksköterskorna upplevde sig ha tillräcklig kunskap och erfarenhet om hygienrutiner. Kunskapstester påvisade motsatsen. Slutsats: Sjuksköterskans erfarenheter och upplevelser av stöd, handhygien och kunskap kan liknas vid en cykel där alla delar är beroende av varandra och behövs för att förebygga VRI. Utbildning av sjuksköterskorna är viktigt då VRI är ett ökande samhällsproblem. 

  • 337.
    Bengtsson, Rebecca
    Högskolan Kristianstad, Sektionen för lärande och miljö.
    Jämförelse av automatiskt beräknade ejektionsfraktion (EF) ochmaximal volym vid diastole i vänster kammare (EDV) vid myokardscintigrafi och ultraljud.2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Hjärtats storlek och funktion är avgörande för att ställa diagnos och prognos vid kardiella sjukdomar. För bestämning av dessa parametrar finns olika metoder att använda sig av. I denna studie har vi försökt visa korrelation och överensstämmelse mellan 3-dimensionell ekokardiografi (RT3DE) och myokardscintigrafi (SPECT). Då 25 patienter var remitterade för arbetsdelen av myokardscintigrafin undersöktes de även med RT3DE. Av dessa exkluderades 7 patienter antingen för att bildkvaliteten var för dålig för automatiska beräkningar, eller för att programvaran inte klarade av att göra trovärdiga beräkningar även då bildkvaliteten var god. De återstående 18 patienter (ålder 62 ± 11 år, 9 kvinnor) ingick i jämförelserna. Vänsterkammarens ejektionsfraktion (EF) och end diastoliska volym (EDV) beräknades automatiskt utan manuell justering av konturerna med RT3DE och jämfördes med erhållna värden från SPECT. Resultaten för EDV mätt med SPECT och RT3DE blev 83 ± 59 ml (37-291 ml) respektive 118 ± 32 ml (75-186 ml). Pearsons korrelationskoefficient mellan SPECT och RT3DE var r = 0,78 (P < 0,002). Beräkning av överensstämmelsen mellan metoderna ger bias som är medelvärdet av skillnaden vilket blev 35 ± 40 ml (P < 0,001). Motsvarande resultat för EF beräknat med SPECT och RT3DE blev 62 ± 13 % (36-83 %) respektive 54 ± 8 % (36-71 %). Pearsons korrelationskoefficient mellan metoderna var r = 0,59 (P = 0,009). Biasvärdet blev -7 ± 11 % (P = 0,004) för EF. Spridningen mellan metoderna var stor och några tydliga trender kunde inte ses. Med en trendlinje i differensdiagrammet visualiserades att felet växte med storleken på värdena för EF. De stora variationerna mellan metoderna ökar vikten av utbildning och erfarenhet vid bedömning av enskilda resultat oavsett undersökning.

  • 338.
    Bengtsson Tops, Anita
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Behov av vård och stöd2014Ingår i: Att leva med psykisk funktionsnedsättning: livsssituation och effektiva vård- och stödinsatser / [ed] David Brunt & Lars Hansson, Lund: Studentlitteratur AB, 2014, 2, s. 153-170Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 339. Bengtsson Tops, Anita
    Caregivers’ everyday work with persons with learning disability in a Swedish nursing home: an ethnographic study2009Konferensbidrag (Övrigt vetenskapligt)
  • 340.
    Bengtsson Tops, Anita
    Växjö universitet.
    Ett ögonblick av queer i vården2009Ingår i: Lambda Nordica: Tidskrift om homosexualitet, ISSN 1100-2573, nr 1, s. 43-62Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A queer moment in care. Although the perspective of caring sciences propose to cover the suffering of patients as well as humanistic aspects of caring relationships its theoretical frame lacks assumptions connected gender and sexuality. From a starting point of a concrete caring situation within the context of psychiatric care this autobiographic study makes shortcomings within the theoretical frame of caring sciences obvious. The shortcomings are related to issues of instability of gender, gender performances and heteronormativity as for granted taken assumptions. The situation concerns an encounter between me as a nurse and a patient who experienced himself as both a man and a woman. By means of queer theories, aspects of what happened in the situation are interpreted. Queer theoretical concepts such as the binary heterosexual matrix, gender instability, performativity, and subversive performativity are penetrated in relation to the caring situation. It is suggested that in order to develop and complement the theoretical frame of caring sciences the perspective of queer should be used.

  • 341.
    Bengtsson Tops, Anita
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap I. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Hot och våld mot personer med psykisk funktionsnedsättning2014Ingår i: Att leva med psykisk funktionsnedsättning: livsssituation och effektiva vård- och stödinsatser / [ed] David Brunt & Lars Hansson, Lund: Studentlitteratur AB, 2014, 2, s. 207-216Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 342.
    Bengtsson Tops, Anita
    Växjö universitet.
    I väntan ...: Rapport om vardagslivet på privata vårdhem utifrån de boendes perspektiv2005Rapport (Övrigt vetenskapligt)
  • 343.
    Bengtsson Tops, Anita
    Växjö universitet.
    Social network in patients with severe mental illness2005Konferensbidrag (Övrigt vetenskapligt)
  • 344.
    Bengtsson Tops, Anita
    Växjö universitet.
    Staff's experiences and understanding of support to abused women with mental illness2008Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Objective: Several studies have reported that care and support staff has a tendency to ignore recognising violence against women with mental illness, which lead to increased feelings of stigma in these women. Today there is a lack of in-depth knowledge about factors that may influence care providers attitudes in encounters with these women. The aim of this qualitative study was to describe how staff experience and understand their everyday work with abused women with mental illness.

    Methods: 13 professionals who in their working practice encountered women with mental illness and experience of abuse were interviewed by means of unstructured thematic interviews. Data were analysed by using latent content analysis in order to identify categories a nd themes.

    Results: Participating staff found it hard to understand abuse against women with mental illness. They lack knowledge about how to handle and interpret this phenomenon and developed personal frames of interpretations and strategies for handling the women’s needs. They experienced their everyday work with these women as painful and ambiguous and made them act pragmatic mainly in a practical way that sometimes included assertive attitudes.

    Conclusion: Staff working with abused women with mental illness is in a vulnerable position due to lack of understanding and knowledge about the phenomenon. In such position it is at risk to adopt stigmatised attitudes against the women and thereby challenge the professionals’ occupational safety.

  • 345.
    Bengtsson Tops, Anita
    Växjö universitet.
    The prevalence of abuse in Swedish female users of psychiatric care2005Konferensbidrag (Övrigt vetenskapligt)
  • 346. Bengtsson Tops, Anita
    Vi är många: övergrepp mot kvinnor som använder psykiatrin : en omfångsstudie2004Rapport (Övrigt vetenskapligt)
  • 347.
    Bengtsson Tops, Anita
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap.
    Våld mot kvinnor med psykisk funktionsnedsättning på grund av psykossjukdom2013Ingår i: Våld mot kvinnor med funktionsnedsättning, Uppsala: Nationellt centrum för kvinnofrid (NCK), Uppsala universitet , 2013, s. 75-89Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 348.
    Bengtsson Tops, Anita
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Våldsutsatthet bland kvinnor som vänder sig till psykiatrisk vård2010Ingår i: Att fråga om våldsutsatthet som en del av anamnesen, Uppsala: Nationellt centrum för kvinnofrid (NCK) , 2010, s. 159-166Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Hot och våld som riktas mot kvinnor med psykisk sjukdom är vanligt förkommande i vårt samhälle i dag och medför att kvinnornas psykiska hälsa och självkänsla försämras. För att tillgodose deras behov av vård och stöd måste personal inom det samhällsbaserade vård- och stödsystemet i större utsträckning än vad som görs i dag ställa frågor om utsatthet samt informera om hjälp som finns att tillgå. Dessutom behöver personal utbildning för att bättre förstå bakomliggande orsaker till våld mot dessa kvinnor samt hur de på bästa sätt ska bemötas. För att personal ska kunna tillgodose behov hos våldsutsatta kvinnor med psykisk sjukdom måste verksamhetsledningen oavsett beslutsnivå legitimera personalens arbete med denna grupp kvinnor.

  • 349.
    Bengtsson Tops, Anita
    Växjö universitet.
    Övergrepp mot kvinnor och psykisk ohälsa: Utvärdering av innovativ fortbildningsinsats för poliser, socionomer och sjuksköte2007Rapport (Övrigt vetenskapligt)
  • 350. Bengtsson Tops, Anita
    et al.
    Brunt, David
    Rask, Mikael
    The structure of Antonovsky's sense of coherence in patients with schizophrenia and its relationship to psychopathology2005Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, nr 3, s. 280-287Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The main aim of the study was to investigate whether the three hypothesized subscales of Antonovsky's sense of coherence (SOC) scale: comprehensibility, meaningfulness and manageability, can be found when measuring SOC in a sample of patients with schizophrenia living in the community. A further aim was to study the relationship between SOC and psychopathology. The concept of SOC has been proposed to explain successful coping with life stressors. A total of 120 patients completed the SOC scale and the Brief Psychiatric Rating Scale (BPRS) was used to assess the psychopathology of the patients. The SOC scale was analysed by means of a factor analysis with a varimax rotation and the Spearman rank correlation test was used to test for associations between subscales, factors and psychiatric symptoms. A four-factor model presented the best solution and explained 48% of the total variation in SOC. The first factor, which included 12-items of the SOC scale, turned out to be the most salient factor explaining 29% of the total variation. All factors displayed some overlapping between items. Affective symptoms were negatively related to all the three subscales and the four factors of SOC, while positive symptoms were similarly related to two of the subscales and two of the factors while negative symptoms were not associated with any of the factors or subscales. The findings in this study corroborate those in studies with other patient groups and indicate that the theoretical framework of SOC should not be adopted uncritically. Furthermore, the use of the three subscales in the SOC scale in studies of patients with a severe mental illness is questioned and a further investigation of the relationship between SOC and psychopathology is proposed.

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