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  • 1.
    Aarts, Clara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Greiner, Ted
    Regarding the review article by Erlanson-Albertsson and Zetterström, Acta Paediatr 2005;94:1523-312006In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 95, no 5, 623-624 p.Article in journal (Refereed)
  • 2. Abdulhadi, Nadia
    et al.
    Al Shafaee, Mohammed
    Freudenthal, Solveig
    Östenson, Claes-Göran
    Wahlström, Rolf
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology.
    Patient-provider interaction from the perspectives of type 2 diabetes patients in Muscat, Oman: a qualitative study2007In: BMC Health Services Research, ISSN 1472-6963, Vol. 7, 162- p.Article in journal (Refereed)
    Abstract [en]

    Background: Patients' expectations and perceptions of the medical encounter and interactions are important tools in diabetes management. Some problems regarding the interaction during encounters may be related to a lack of communication skills on the part of either the physician or the patient. This study aimed at exploring the perceptions of type 2 diabetes patients regarding the medical encounters and quality of interactions with their primary health-care providers. Methods: Four focus group discussions ( two women and two men groups) were conducted among 27 purposively selected patients ( 13 men and 14 women) from six primary health-care centres in Muscat, Oman. Qualitative content analysis was applied. Results: The patients identified some weaknesses regarding the patient-provider communication like: unfriendly welcoming; interrupted consultation privacy; poor attention and eye contact; lack of encouraging the patients to ask questions on the providers' side; and inability to participate in medical dialogue or express concerns on the patients' side. Other barriers and difficulties related to issues of patient-centeredness, organization of diabetes clinics, health education and professional competency regarding diabetes care were also identified. Conclusion: The diabetes patients' experiences with the primary health-care providers showed dissatisfaction with the services. We suggest appropriate training for health-care providers with regard to diabetes care and developing of communication skills with emphasis on a patient-centred approach. An efficient use of available resources in diabetes clinics and distributing responsibilities between team members in close collaboration with patients and their families seems necessary. Further exploration of the providers' work situation and barriers to good interaction is needed. Our findings can help the policy makers in Oman, and countries with similar health systems, to improve the quality and organizational efficiency of diabetes care services.

  • 3.
    Adamski, Jan
    et al.
    via media, S-75655 Uppsala, Sweden..
    Goraj, Radoslaw
    Reg Specialist Hosp Olsztyn, Dept Anaesthesiol & Intens Care, Olsztyn, Poland..
    Onichimowski, Dariusz
    Reg Specialist Hosp Olsztyn, Dept Anaesthesiol & Intens Care, Olsztyn, Poland..
    Gawlikowska, Ewa
    Reg Specialist Hosp Olsztyn, Dept Anaesthesiol & Intens Care, Olsztyn, Poland..
    Weigl, Wojciech
    Uppsala Univ, Univ Uppsala Hosp, Dept Surg Sci Anaesthesiol & Intens Care, Uppsala, Sweden..
    The differences between two selected intensive care units located in central and northern Europe: preliminary observation2015In: ANAESTHESIOLOGY INTENSIVE THERAPY, ISSN 1642-5758, Vol. 47, no 2, 117-124 p.Article in journal (Refereed)
    Abstract [en]

    Background: The aim of this study was to evaluate possible differences in the functioning of two selected intensive care units in Poland and Finland. The activity of the units was analysed over a period of one year. Methods: The following parameters were compared: demography of treated populations, site of admission, category of illness, severity of illness (APACHE-II scale), mean length of stay, demanded workload (TISS-28 scale), mortality (both ICU and hospital) and standardized mortality ratio (SMR). Results: The results of this study indicated that most of the patients in the Polish ICU, regardless of age, diagnosis and APACHE II score, presented significantly longer lengths of stay (14.65 +/- 13.6 vs 4.1 +/- 4.7 days, P = 0.0001), higher mean TISS-28 score (38.9 +/- 9.1 vs 31.2 +/- 6.1, P = 0.0001) and higher ICU and hospital mortality (41.5% vs 10.2% and 44.7% vs 21.8%, respectively, P = 0.0001). The values of SMR were 0.9 and 0.85 for the Finnish and Polish ICUs, respectively. Conclusion: The collected data indicate huge differences in the utilisation of critical care resources. Treatment in Polish ICU is concentrated on much more severely ill patients which might be sometimes accompanied by futility of care. In order to verify and correctly interpret the presented phenomena, further studies are needed.

  • 4.
    Aderö, Mariette
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Larsson, Inga
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Det osynliga lidandet: Upplevelser av bemötande inom hälso- och sjukvård hos personer med diagnosen endometrios2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 5.
    Adolphson, Katja
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
    Axemo, Pia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
    Högberg, Ulf
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology.
    Midwives' experiences of working conditions, perceptions of professional role and attitudes towards mothers in Mozambique2016In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 40, 95-101 p.Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: low- and middle-income countries still have a long way to go to reach the fifth Millennium Development Goal of reducing maternal mortality. Mozambique has accomplished a reduction of maternal mortality since the 1990s, but still has among the highest in the world. A key strategy in reducing maternal mortality is to invest in midwifery. AIM: the objective was to explore midwives' perspectives of their working conditions, their professional role, and perceptions of attitudes towards mothers in a low-resource setting. SETTING: midwives in urban, suburban, village and remote areas; working in central, general and rural hospitals as well as health centres and health posts were interviewed in Maputo City, Maputo Province and Gaza Province in Mozambique. METHOD: the study had a qualitative research design. Nine semi-structured interviews and one follow-up interview were conducted and analysed with qualitative content analysis. RESULTS: two main themes were found; commitment/devotion and lack of resources. All informants described empathic care-giving, with deep engagement with the mothers and highly valued working in teams. Lack of resources prevented the midwives from providing care and created frustration and feelings of insufficiency. CONCLUSIONS: the midwives perceptions were that they tried to provide empathic, responsive care on their own within a weak health system which created many difficulties. The great potential the midwives possess of providing quality care must be valued and nurtured for their competency to be used more effectively.

  • 6.
    Agerberg, Elin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Ericsson, Carin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Att leva med döden i farstun: En kvalitativ studie av kvinnors berättelser på internet om att leva med obotlig cancer2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of this study was to examine how women living with incurable cancer described the palliative phase based on their own stories on the Internet. Method: The study was performed with qualitative descriptive approach and included six blogs written by women diagnosed with incurable cancer. The Google search was used to collect data and the keywords were “incurable cancer” and "blog”. To answer the aim of the study a qualitative content analysis, according to Graneheim and Lundman (2004), was performed. Results: The women experienced physical and social changes as well as psychological pressure and they used various strategies to manage their lives. The women felt that both daily life and relationships changed due to the disease and it turned out that relatives had an important supporting role to play. A strategy of great importance was communication and some of the women highlighted the importance of getting to talk about their illness and death. It was revealed that the women experienced writing meaningful for themselves and also for others. Conslusions: The study provides a greater understanding to the experience of living with incurable cancer. It also gives an opportunity to understand the coping strategies that patients use to manage their lives. A personal story on the Internet is a relatively new source of greater knowledge, as seen from the patient's perspective. The Internet is a growing forum that in healthcare should be seen as a resource for gathering information.

  • 7.
    Agerlind, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Musikens betydelse vid omvårdnad av individer med demenssjukdom2016Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
  • 8.
    Agren, Susanna
    et al.
    Lund Univ, Dept Cardiothorac Surg, Lund, Sweden.;Linkoping Univ, Dept Med & Hlth Sci, Div Nursing Sci, Linkoping, Sweden.;Linkoping Univ, Dept Cardiothorac Surg, Linkoping, Sweden..
    Sjoberg, Trygve
    Lund Univ, Dept Cardiothorac Surg, Lund, Sweden.;Skane Univ Hosp Lund, Dept Cardiothorac Surg, Lund, Sweden..
    Ekmehag, Björn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Wiborg, Maj-Britt
    Skane Univ Hosp Lund, Dept Cardiol, Lund, Sweden..
    Ivarsson, Bodil
    Lund Univ, Dept Cardiothorac Surg, Lund, Sweden.;Skane Univ Hosp Lund, Dept Cardiothorac Surg, Lund, Sweden..
    Psychosocial aspects before and up to 2years after heart orlung transplantation: Experience of patients and their nextof kin2017In: Clinical Transplantation, ISSN 0902-0063, E-ISSN 1399-0012, Vol. 31, no 3, e12905Article in journal (Refereed)
    Abstract [en]

    BackgroundPsychosocial factors are important for patients undergoing heart (HTx) or lung (LTx) transplantation and for their next of kin (NoK). AimTo describe health-related quality of life (HRQoL; patients only), anxiety, depression, stress, coping ability, and burden (NoK only) for patients and their NoK before and up to 2years after HTx or LTx. DesignAdult patients (28 hearts and 26 lungs) and their appointed NoK were surveyed with questionnaires about specific psychosocial topics when they were accepted for the transplantation waiting list and 6months, 1year, and 2years after transplantation. FindingsPatients' coping ability and self-perceived health were low at baseline and improved over time after transplantation. However, lung patients took longer time to recover in terms of HRQoL, depression, and stress than heart patients. Similarly, NoK of lung patients experienced a higher burden and more stress 1year after transplantation than NoK of heart patients. ConclusionsHealthcare professionals should be aware of the psychosocial challenges patients and their NoK face in daily living and provide support both before and after heart or lung transplantation.

  • 9.
    Ahl, Lina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Eriksson, Sandra-Marie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Språkbarriärer i vården av barn: Vad sjuksköterskor anser om informationsutbyte och hjälpmedel2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Background Research has shown that health care in another language than the patient’s main language can affect the outcome of treatment in a negative way. It is of great importance when children are patients that the foundation of health care feels safe and trustworthy since the way of viewing health care will affect the rest of the child’s life.

     

    Aim Examine nurses experience of giving and receiving information in the care of children when children and/or relatives do not understand/speak Swedish. Another aim is to examine if there is any strategies and tools that are being used to give correct information and if the nurses believe the tools help them or not.

     

    Method The study is a descriptive study with quantitative approach and a quantitative content analysis contenting a qualitative part. Surveys were handed out on pediatric wards and clinics on a hospital in the middle of Sweden. In total, 44 nurses replied.

     

    Result The respondents believed that they sometimes could give and receive information to and from patients and relatives. A majority said there was a strategy on their ward and half of them thought the strategy was working well. All of the respondents said tools were available. The best tool was interpreter at the scene. Most accessible was telephone interpreter.  

     

    Conclusion No one of the participating nurses believed they could give information correctly to patients or and relatives that do not speak or and understand Swedish. This reveals an uncertainty whether the right information has been given or received. The majority of the nurses believed that they sometimes can give and receive correct information to/from patients and relatives that do not speak and or understand Swedish. Mostly there was a strategy available and tools were always available. Telephone interpreter was the most accessible tool and interpreter at the scene was the best option, although there were some questions considering the quality of for example the medical knowledge of the interpreter. Booking of an interpreter took a lot of planning ahead and there is a need for more bookings.

  • 10.
    Ahl, Lisa
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Gustafsson, Petra
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Kvinnors upplevlse av urinläckage efter graviditet: en intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 11.
    Ahlstedt, Carina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Samarbete och flexibelt lärande inom sjuksköterskeprogrammet2010In: Kunskapens nya världar: mötet mellan pedagogik och teknik vid Uppsala Learning Lab / [ed] Jenny Lee, Uppsala: Uppsala Learning Lab, Uppsala universitet , 2010, 1, 189-195 p.Chapter in book (Other (popular science, discussion, etc.))
  • 12. Ahlström, Gerd
    Encounters in close care relations from the perspective of personal assistants working with persons with severe disablility.2010In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 18, no 2, 180-188 p.Article in journal (Refereed)
    Abstract [en]

    In Sweden adults with major and sustainable disabilities can be granted publicly financed support in the form of personal assistance after assessment and decision-making in accordance with government rules. The purpose of the present study was to explore more deeply the encounters in close care relations between personal assistants and disabled persons of working age, as well as the prerequisites for and obstacles to the success of such encounters, this from the perspective of the personal assistants. Thirty-two personal assistants (22- to 55-year old) who worked for 32 persons with serious neurological diseases living at home were interviewed. The transcribed unstructured interviews were qualitatively analysed using latent content analysis. The analyses resulted in five main themes: Perceptive awareness, Entering into the other's role, Mutuality, Handling the relationship and Personal difficulties facing the assistant. These themes illustrated that a prerequisite for the encounter's being meaningful is that the assistant should be able to observe and understand the unique needs of the disabled person. The assistant must furthermore be able to put herself/himself into the other person's position. It is also important that the personal chemistry between the assistant and the disabled person should be good. Being able to share feelings and interests with the functionally impaired person provides the assistant with positive emotional confirmation of a good relationship. A distressing dilemma the assistant faces is that of distinguishing between the working relationship and the personal friendship. In this borderline area are found experiences, feelings and events that the assistant may view as negative or even unacceptable. This study contributes to the understanding of the complexity underlying the daily community care of disabled persons with an extensive need for care and assistance.

  • 13. Ahlström, Gerd
    et al.
    Wadensten, Barbro
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Encounters in close care relations from the perspective of personal assistants working with persons with severe disability.2010In: health and social care in community, Vol. 18, no 2, 180-188 p.Article in journal (Refereed)
  • 14.
    Ahlsvik, Karin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Strid, Minna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Health-related quality of life among patients with chronicobstructive pulmonary disease in Ho Chi Minh City2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Chronic obstructive pulmonary disease (COPD) is a chronic disease that causes illness and death over the whole world. There are a little available data about COPD patients in Vietnam and how the disease affects their health related quality of life (HRQL).

    Aim: The aim of this study was to examine HRQL among patients with COPD in Ho Chi Minh City, Vietnam, and investigate differences in HRQL between men and women with COPD.

    Method: This was a descriptive study with a cross-sectional design. The method was quantitative by using a questionnaire. The study was performed at the respiratory department at Cho Ray Hospital in Ho Chi Minh City, Vietnam. The sampling was made through a consecutive sample. The questionnaire was based on Short Form 36 (SF-36) which is a widely used questionnaire to measure HRQL. The answers from the questionnaires were turned into a scale where 0 represent the lowest possible HRQL and 100 represent the highest possible HRQL.

    Results: The results showed that patients with COPD have a low HRQL. Mean value for HRQL in the total group of respondents was 22.42.The result also showed that women suffering from COPD have a significant lower HRQL than men concerning total HRQL (P-value= 0.04), general health (P-value= 0.02) and pain (P-value= 0.05).

    Conclusion: Patients suffering from COPD in Ho Chi Minh City have a low score of HRQL. Better routines and knowledge about the symptoms and caring for these patients are needed.

    Keywords: Chronic Obstructive Pulmonary Disease, Health related quality of life, Vietnam, SF-36

  • 15. Ahlén, Cornelia
    et al.
    Sundström, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Föräldrars upplevelse och önskan av stöd från vårdpersonal vid vård av barn i palliativt skede: – En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Being a parent to a child in palliative care means a great sorrow and sense of helplessness. The care of a child in palliative care involves a complete care of the child’s body and mind, and support for the child’s family.

    Aim: To examine how parents to children in palliative care experience the support from health care professionals and what support they require.

    Method: A systematic review where the results are based on 13 original articles.

    Result: The results of this study revealed a desire for health care professionals to be empathic, honest and considerate in the care of the child and its family. They experienced the best care when there was continuity in health care professionals and trusting relationships could be built. The parents wanted as far as possible to be involved in the care of the child and in the decision making processes.  They also wanted to take part of the information and to be respected as parents. An emotional and practical support was requested both during the child’s illness and after the child’s death. Lack of support was a riskfactor for the parental unhealth.

    Conclusion: All parents are unique individuals who experience different feelings and needs of support for their child in palliative care and after the child has died. The support has to be adapted to the individual family. The health care professionals can support the families by being responsive, empathetic, honest, committed and respectful, and also encourage parents to be active in the care of the child. A good continuity in health care professionals contributes to establish trusting relationships between health care professionals and the family, which the parents considered important for a good quality of care. Unhealthy might be reduced among parents with a child in palliative care if they receive adequate support from health professionals during the child’s illness and after the child’s death. 

  • 16.
    Ahmad Yousif, Tara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Ludvigsson, Sanne
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Yrkesverksamma och blivande sjuksköterskors attityder gentemot patienter med psykisk ohälsa och sjukdom: Faktorer som kan påverka omvårdnaden2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is common in Sweden, previous studies demonstrate that people with mental illness have an increased risk of physical illness compared to the general population. These patients often experience stigmatization generally in society, as well as within health care, which can result in a deficient care of these patients in the somatic care. Purpose: The aim of the study was to explore registered nurses and nursing students’ attitudes towards patients with mental illness in somatic care. Method: Ten scientific studies were included in a literature study of the chosen research field. The databases PubMed, CINAHL and PsycInfo was used for data collection. All the articles reviewed for quality and answered the purpose. Findings: The analysis resulted in three categories that describe attitudes to mental illness among nurses and nursing students. These categories are; Positive attitude, Negative attitude and Avoiding attitude. Experience, education and knowledge are some of the factors that can have an impact on the attitude towards caring for patients with mental illness. Conclusion: Nurses and nursing students express varying attitudes towards caring for patients with mental illness treated in somatic hospital settings. Lack of knowledge and experience of mental illness can result in stigmatization and rejection attitudes towards the patient, as well as an unequal care. Increased awareness about such attitudes can contribute to developing nursing care for these patients.

  • 17. Ahmadi, Fereshteh
    Coping with Cancer in Sweden: a Search for Meaning2015Collection (editor) (Other academic)
    Abstract [en]

    The present book is a result of a several interconnected studies; sociological qualitative and quantitative research on individuals stricken by cancer as well as a study within caring sciences focusing on nurses working in cancer care. The aim of the book is to diversify the current research in the field of meaning-making coping.

    The sociological qualitative study aimed at investigating the prevalence of religious and spiritually oriented coping methods used by cancer patients in Sweden, which serves as an example of societies in which religion is not an integrated part of the social life of individuals. The study showed the existence of a strong tendency among informants towards relying primarily on themselves for solving problems related to their disease instead of on other sources such as God. The results indicated also the importance of those coping methods which are related to nature and in this way emphasized the impact of culture on coping.

    The qualitative study among oncology nurses shows that the dominant coping strategy is boundary demarcation. Religious coping is dominated by basic trust and prayer and can provide support.

    The aim of the sociological quantitative study was to examine the extent to which the results obtained in the qualitative study among cancer patients were applicable to a wider population of cancer patients in Sweden. The result showed that the three most important coping methods used by the informants were related to nature.

  • 18. Ahmed, Sara
    et al.
    Schwartz, Carolyn
    Ring, Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
    Sprangers, Mirjam A. G.
    Applications of health-related quality of life for guiding health care: advances in response shift research2009In: Journal of Clinical Epidemiology, ISSN 0895-4356, E-ISSN 1878-5921, Vol. 62, no 11, 1115-1117 p.Article in journal (Refereed)
  • 19.
    Ahola, Mariana
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Ambulanssjuksköterskans kunskaper i omhändertagande av brottsoffer2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Då våld är ett folkhälsoproblem som kan förebyggas, bör sjuksköterskor ha kunskaper och förmågan att bedöma offer för våld. Ambulansen är ofta på en brottsplats först bör även de inneha kunskaper i bevissäkring/-bevarande. Sjuksköterskor har utmanats att ta del av ett gemensamt ansvar med det juridiska systemet för att öka de tillgängliga resurserna till patienter som utsatts för brott.

     Syfte: Syftet med denna studie var att var att undersöka vilka kunskaper ambulanssjuksköterskan har om omhändertagande av brottsoffer samt deras åsikter kring ämnet forensisk omvårdnad.

    Metod: En kvantitativ enkätstudie, som besvarade av 24 respondenter. Enkäterna analyserades statistikprogrammet SPSS.

     Resultat: Kunskaperna hos den prehospitala personalen om omhändertagande av brottsoffer var spridda. I vissa områden fanns det goda kunskaper medan det i andra fanns obefintliga. De flesta önskade mer utbildning i ämnet även om en tredjedel hade erhållit någon utbildning i ämnet redan. Att vårda brottsoffer ansågs av flera vara en viktig arbetsuppgift. På arbetsplatserna fanns det inga riktlinjer eller dokument beträffande omhändertagande av brottsoffer.  Sjuksköterskorna ansåg ett delat ansvar i att uppmärksamma brott samt bevis vid vårdandet samt att det fanns tid till annat än det medicinska under vårdtiden.

    Slutsats: Ambulanssjuksköterskorna anser att forensisk omvårdnad är en viktig uppgift för dem men kunskaperna inom området varierar och det saknas riktlinjer på arbetsplatserna. Det finns behov av utökade utbildningsinsatser samt av hjälpmedel som underlättar tillvaratagande av bevismaterial.

    Nyckelord: Forensisk omvårdnad, prehospital vård, ambulanssjuksköterska, bevissäkring.

  • 20. Aila Gustafsson, Sanna
    et al.
    Edlund, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Kjellin, Lars
    Norring, Claes
    Risk and protective factors for disturbed eating in adolescent girls: aspects of perfectionism and attitudes to eating and weight2009In: European eating disorders review, ISSN 1072-4133, E-ISSN 1099-0968, Vol. 17, no 5, 380-389 p.Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to longitudinally examine the role of personal standards, self-evaluation, perceived benefits of thinness and attitudes to eating and weight in the development of healthy versus disturbed eating in adolescent girls. In a longitudinal study, girls who participated in two assessments, four to five years apart, were divided into three groups according to the attitudes to eating that they manifested at the second evaluation: those with disturbed eating patterns (DE-group, n = 49), those with intermediate concerns about eating (IE-group, n = 260) and those with healthy eating attitudes (HE-group, n = 120). Variables concerning attitudes to eating and weight and physical self-evaluation emerged as risk factors, whereas personal standards or self-evaluation in general did not. Protective factors were a low BMI, healthy eating attitudes, an accepting attitude towards body size and a positive self-evaluation, particularly with regard to physical and psychological characteristics. The results of this study contribute to the understanding of early risk and protective factors for eating disturbances in girls.

  • 21. Albarran, John
    et al.
    Rosser, Elizabeth
    Bach, Shirley
    Uhrenfeldt, Lisbeth
    Lundberg, Pranee C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Law, Kate
    Exploring the development of a cultural care framework for European caring science2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, Vol. 6, no 4, 11457- p.Article in journal (Refereed)
    Abstract [en]

    The aim of this paper is to discuss the development of a cultural care framework that seeks to inform and embrace the philosophical ideals of caring science. Following a review of the literature that identified a lack of evidence of an explicit relationship between caring science and cultural care, a number of well-established transcultural care frameworks were reviewed. Our purpose was to select one that would resonate with underpinning philosophical values of caring science and that drew on criteria generated by the European Academy of Caring Science members. A modified framework based on the work of Giger and Davidhizar was developed as it embraced many of the values such as humanism that are core to caring science practice. The proposed caring science framework integrates determinants of cultural lifeworld-led care and seeks to provide clear directions for humanizing the care of individuals. The framework is offered to open up debate and act as a platform for further academic enquiry.

  • 22.
    Albrektsson, Marianne
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Jedstedt, Lisa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Implementering och användning av WHO:s checklista för säker kirurgi inom perioperativ vård2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 23.
    Alenvall, Jonna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Axelsson, Frida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Akut buksmärta hos tonåringar ur ett genusperspektiv: Ett synliggörande av det akuta omhändertagandets genus bias.2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Gender bias; inaccuracies in the healthcare system related to gender and stereotype gender roles, or a lack of knowledge and awareness of relevant biological differences among the sexes, are common in Sweden. Abdominal pain is a common reason to why teenagers up seek healthcare, and there is a lot of gender specific differential diagnosis, which comes with is a risk for gender bias to occur.

    Aim: The aim of this study was to describe the caring-process of teenagers with acute abdominal pain from a gender perspective.

    Method: A qualitative, descriptive study based on three focus groups with a total amount of 16 participants whom where registered nurses, specialist nurses and doctors with experience of administrating teenagers with acute abdominal pain. The interviews where analyzed with qualitative content analysis.

    Result: An overall theme appeared in the study: Complexity affected by knowledge, routines and attitudes. The theme where based on three main categories: To consider different reasons of abdominal pain in teenagers; to administrate acute abdominal pain in teenagers demands sensitivity, clear routines and knowledge; to identify gender bias in the caring-process in teenagers with acute abdominal pain.

    Conclusion: The caring-process of teenagers with acute abdominal pain has inadequacies and gender biases exists. Gender specific routines for teenagers with abdominal pain could be favorable both for healthcare professionals and patient, and teenage girls. The gender perspective needs to be more illuminated and further education and research in the area medical gender bias is needed.

  • 24.
    Alenvall, Jonna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Wåhlin, Hannes
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Skillnader i kunskap om HPV och HPV-vaccin mellan sistaårsstudenter på sjuksköterske- och läkarprogrammet2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Human papillomavirus (HPV) is the most common sexually transmitted infection in Sweden and the world. HPV can cause cell changes, cancer and genital warts. Despite there being a vaccination programme the knowledge of HPV and the HPV vaccine is low amongst the public.  

    Aim: To investigate the knowledge of HPV and HPV-vaccine amongst medical- and nursing students at Uppsala University, Sweden.

    Method: A questionnaire about HPV and HPV was answered by 138 last year medical- and nursing students.

    Results: All participants had heard about HPV (n=138) and 86% (n=118) knew that it could cause cervical cancer but only 34 % (n=47) knew that HPV could cause condyloma. Nine out of ten (n=124) knew about the HPV vaccine and 57 % (n=71) could name a correct one. There was a significant difference in knowledge between the medical- and nursing students (p≤0,05), where the medical students scored higher overall. There was no difference in knowledge between men and women.

    Conclusion: More education about HPV is desirable on the nursing programme since nurses have an important role in preventing HPV related diseases. 

  • 25.
    Al-joumeyli, Jasmin Rim
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Landén, Vivi-Ann
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Riskfaktorer för Post Partum Depression i samband med graviditet och förlossning – en litteraturstudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A systematic use of the Edinburgh Postnatal Depression Scale (EPDS), symptoms of postpartum depression (PPD) can be identified at an early stage, followed by timely required actions. Mental health and well-being can be perceived as sensitive objective. Joyce Travelbee and Johan Cullberg advocate nursing theoretical approaches to promote good communication and crisis management, which is the fundamental base of this master thesis. Purpose: To study risk factors for postpartum depression (PPD). Method: A descriptive literature review based on 16 quantitative studies with different study designs. Results: Risk factors for PPD may be previous or current mental and physical health issues, childbirth experiences, and socioeconomic factors. Conclusion: The results indicates association between PPD and, ill health, delivery and socioeconomics. With increased knowledge about risk factors and the value of early measures and preventive efforts, chances to prevent PPD may increase.

  • 26.
    Allanius, Jenny
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Stina, Wiklund
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Hälsorelaterad livskvalitet efter genomgången hjärtinfarkt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Acute myocardial infarction is a life-threatening condition and is one of the main causes of death among men and women in Sweden. It is a traumatic experience that has a great impact on the patient’s life, both physically and mentally. Aim: To investigate how a myocardial infarction affects the health-related quality of life in men and women. Method: A literature review was done whereas eleven articles were reviewed, analyzed and compiled. Result: After an acute myocardial infarction both men and woman had a generally reduced health- related quality of life. Women rated their quality of life lower than men within the dimensions of physical factors. For both men and woman the quality of life had a generally improvement over time. The study suggests a relationship between coping strategies and the perceived quality of life. Conclusion: Men and women had a generally reduced health- related quality of life. Women rated their quality of life lower than men within the dimensions of physical factors. Nurses should take part of the patients’ life-world perspective to be able to understand and thus help the patient to a better health-related quality of life.

  • 27.
    Alm, Cecilia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Hammerling, Sofia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Arbetstillfredsställelse och vårdkvalitet bland personal på två rättspsykiatriska avdelningar: En pilotstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This pilot study has investigated job satisfaction and perceived clinical care quality within forensic psychiatric care, compared whether any difference between psychiatric aides and nurses could be distinguished and whether years of working activity in these professions had any inpact on the parameters mentioned above. Two validated questionnaires - “Satisfaction with Nursing Care and Work” (SNCW) and “Quality in Psychiatric Care” (KPV), were employed in the investigation. The finally selected sample covered 10 nurses and 8 psychiatric aides, employed at two forensic psychiatric clinics in the Central Sweden area. The participants replied mostly favourably to a large majority of questions. Moreover, the overarching result showed no clear difference in either of job satisfaction or perceived quality of care between nurses and psychiatric aids, nor could any distinct dissimilarity across the above-mentioned parameters be observed between those who had less than 10 years of professional experience within forensic psychiatric care, relative to those with shorter work experience. Statistical significant correlation were, however, observed for a limited number of questions, in regard to number of professional years in this health care segment and job satisfaction. A major conclusion of the survey is that the care providers in the two clinics of this study are largely pleased with their work and responded in favour regarding perceived care quality. Before the upcoming base-line investigation, it is critical to adjust and complement questionnaire background questions, in order to improve profiling of the participants.

  • 28.
    Almblad, Ann-Charlotte
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Sjuksköterskors uppfattning om triagebedömning på en barnakutmottagning2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Triage, which means "to sort", determine the priority of the patients need of care. The aim of the present study was to describe nurses’ perception of triage at a pediatric emergency department. A questionnaire with open- and closed-ended questions were distributed to all 25 nurses that worked at a pediatric emergency department. The answer frequency was 48 % (n=12). Open-ended questions were analyzed by qualitative content analysis and the closed-ended questions with descriptive statistics after which statistical correlations and differences were calculated. The nurses’ perception of triage was that this first assessment and prioritization of the patients’ need of care increased safety and control and that to refer patients to another level of care may reduce the waiting time however, were time consuming for the nurse. The perception of interception factors for referring patients to another level of care were lack of availability and negative reactions from parents and patients. To perform triage and at the same time be responsible for other patients was perceived as a difficult. As a support in the performance of triage a triage-system, easy to interpret, was needed. Any significant differences or association could not be detected regarding level of education or work experiences. The nurses perceived that a correct triage gave the patient correct care at right level.

  • 29.
    Alriksson-Schmidt, Ann I.
    et al.
    Lund Univ, Div Orthopaed, Dept Clin Sci, Lund, Sweden..
    Arner, Marianne
    Karolinska Inst, Dept Clin Sci & Educ, Stockholm, Sweden.;Soder Sjukhuset, Dept Hand Surg, Stockholm, Sweden..
    Westbom, Lena
    Lund Univ, Skne Univ Hosp, Dept Clin Sci, Paediat, Lund, Sweden.;Karolinska Inst, Astrid Lindgren Childrens Hosp, Dept Womens & Childrens Hlth, Stockholm, Sweden..
    Krumlinde-Sundholm, Lena
    Lund Univ, Dept Hlth Sci, Fac Med, Lund, Sweden..
    Nordmark, Eva
    Rodby-Bousquet, Elisabet
    Lund Univ, Div Orthopaed, Dept Clin Sci, Lund, Sweden.;Lund Univ, Dept Hlth Sci Fac Med, Lund, Sweden..
    Hägglund, Gunnar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland. Lund Univ, Div Orthopaed, Dept Clin Sci, Lund, Sweden..
    A combined surveillance program and quality register improves management of childhood disability2017In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 39, no 8, 830-836 p.Article in journal (Refereed)
    Abstract [en]

    Purpose: To describe a concept for prevention of secondary conditions in individuals with chronic neuromuscular disabilities by using two Swedish developed follow-up-programmes for cerebral palsy (CP; CPUP) and myelomeningocele (MMC; MMCUP) respectively as examples. Method: This paper describes and outlines the rationale, development and implementation of CPUP and MMCUP. Results: Both programmes are multidisciplinary longitudinal follow-up programmes that simultaneously serve as national registries. The programmes are population-based and set in Swedish habilitation clinics. Most children (95%) born 2000 or later with CP are enrolled in CPUP and the recruitment of adults is underway. CPUP has also been implemented in Norway, Denmark, Iceland, Scotland and parts of Australia. In MMCUP, almost all children with MMC born 2007 or later participate and individuals of all ages are now invited. The registries provide epidemiological profiles associated with CP and MMC and platforms for population-based research and quality of care improvement. Conclusions: Through multidisciplinary follow-up and early detection of emerging complications individuals with CP or MMC can receive less complex and more effective interventions than if treatment is implemented at a later stage. Possibilities and challenges to design, implement and continuously run multidisciplinary secondary prevention follow-up programmes and quality registries for individuals with CP or MMC are described and discussed.Implications for rehabilitationIndividuals with disabilities such as cerebral palsy or myelomeningocele are at risk of developing secondary conditions.Multidisciplinary population-based longitudinal follow-up programmes seem effective in preventing certain types of secondary conditions. IMPLICATIONS FOR REHABILITATION Individuals with disabilities such as cerebral palsy or myelomeningocele are at risk of developing secondary conditions. Multidisciplinary population-based longitudinal follow-up programmes seem effective in preventing certain types of secondary conditions.

  • 30.
    Alsén, Ellen
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Genusperspektiv på sjuksköterskeutbildningen i Uppsala: En kvalitativ studie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Att utforska studenters upplevelse av sjuksköterskeutbildningen i Uppsala ur ett genuspesrpektiv.

    METOD: Vald forskningsmetod var en kvalitativ metod med fokusgruppsintervju samt semistrukturerade enskilda intervjuer.

     Resultat: Deltagarna i studien ansåg att sjuksköterskeutbildningen är könsstereotyp. Sjuksköterskan var en kvinna med stereotypt kvinnliga egenskaper. Informanterna upplevde att bilden av sjuksköterskan var svår att leva upp till, då de inte kunde relatera och känna igen sig själva i bilden som målats upp. Sjuksköterskestudenter som bryter mot könsnormen på utbildningen upplevde detta som mycket påtagligt och frustrerande. Andra vårdyrken upplevdes inte lika tydligt könspräglade som sjuksköterskan även om hierarkin ansågs vara mycket tydlig och frustrerande. Det framkom i studien att studenterna upplevde att bilden av patienten i kurslitteratur och undervisningsmaterial var en heterosexuell man. Studenterna saknade ett norm- och könskritiskt perspektiv i undervisningen. Kvinnors symtom och sjukdomar tenderade att hamna inom parentes.

    Slutsats: Sjuksköterskeutbildningen i Uppsala liksom hälso- och sjukvården i stort är grundad på föreställningar om tydliga könsroller. Detta gäller såväl patienter som vårdpersonal. Studien visar att hälso- och sjukvården är könssegregerad och bygger på könsnormer samt föreställningar om kvinnor och mäns olikheter.  Detta stöds av en rad studier i ämnet. Studiens design, det stora bortfallet samt det låga intresset för att delta i studien gör att ingen generaliserbarhet föreligger.

    Resultaten tyder på att ett könsbias föreligger och att mer forskning kring ämnet genusmedicin, utbildningens påverkan på yrkesverksamheten och genusvetenskap krävs.

  • 31.
    Aman Ali, Shirin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Upplevelser hos föräldrar till omskurna pojkar vad gäller bemötande på barnhälsovårdscentral/sjukhus efter genomförd omskärelse2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT Aim: The aim of this study was to describe parents' experiences of treatment at child

    health care/hospital after circumcision of their son/sons.

    Method: The study had a qualitative and inductive approach and was conducted at a open pre-school in a suburb in Stockholm, in fall 2013 and spring 2014. The author chose the parents of children who had been circumcised and who could provide good information descriptions of the phenomenon. A total of seven pair of parents participated in the study, all whom circumcised their son/sons in Sweden. The data collection was carried out through semi structured interviews which was analyzed with the help of a qualitative content analysis.

    Result: Parents’ experience of treatment after the circumcision of their son/sons was summarized in three themes. The experience of a satisfactory and professional treatment, parents described the factors that contribute to a good treatment, which among other things, showed that respect and understanding of parents' values are important to create a sense of security and confidence for caregivers. The parents described their experiences of a lack of treatment by expressing that the nursing staff lacked in commitment, was stressed, difficult to reach and lacked in giving information and advice. These experiences left parents wishing for more of the care attitude of the nursing staff in the theme a required treatment, in which the parents wished for a dedicated nursing staff who communicate, provide approriate information and advice and has good knowledge and education about other cultures.

    Conclusion: Parents experienced both positive and negative experiences with the treatment of nursing staff, where the nursing staffs lack of transcultural knowledge was one of the biggest problems. Continuous education of transcultural care can help nursing staff in their meeting with people from other cultures. 

  • 32.
    Amanda, Dahlin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Frida, Ekstrand
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    HBTQ-personers upplevelse av bemötande från vårdpersonal inom vården: En litteraturstudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A neutral and direct communication is one of the key factors of a person´s experience of attitudes within the society. Society today is based on a heteronorm which contributes to an exclusion of people whom are not a part of this norm, such as LGBTQ-people. Previous research has shown that this phenomenon also exists within the health care.

    The aim: To analyze LGBTQ-people’s experiences of attitude from caregivers within the health care and analyze if Lesbian, gay, bisexual, transsexual and queer (LGBTQ-people), as a minority group, were affected by stigmatization and discrimination within the health care.

    Method: for the review was to through quantitative and qualitative data summarize the knowledge of today.

    Results: The study showed that a heterosexual assumption had an impact of the health care and  LGBTQ-people’s experiences of attitudes from caregivers in different ways. Furthermore the LGBTQ-people were more or less affected by direct- or indirect stigmatization and discrimination.

    Conclusion:A neutral appearance from caregivers could create a stable patient-caregiver relation. This will enable a greater openness and acceptance within the health care. A holistic attitude, where every human being is seen with unique needs and characteristics, will lead to safer care for LGBTQ-people. As a nurse it is important to show knowledge and understandings of different sexual orientations and gender variations to make the health care a safe place for everyone.

  • 33.
    Anbo Berglund, Li
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Skytesvall, Linda
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienters inställning till att dela rum: En deskriptiv tvärsnittstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    The aim of this study was to investigate the patient´s views on their expirience and preference of sharing a patient room with other patients of the opposite sex en age.

    The metod was a deskriptive cross-sectional study with a quantitavie analyxix. A survey was conducted at two surgical departments. The sample consisted of 33 inpatients. The investigation included questions of gender and age in order to compare differances between men and women and between age groups. The differences between sexes were analysed using Mann Whitney U test and the Kruskall Wallis test was used to determine differances between age groups.

    The results showed that women felt it somewhat inconvenient to share a room with the opposite sex than men did. The women would also like to receive information about this before the were assigned a room and place. the youngest age group of 18-30 years was the most troubled by disturbed sleep compared with the two older groups.

    The conclusion was that women found it more uncomfortable to share a room with people of the opposite sex. Among age groups the youngest participants experienced that it was most embarrassing to share a room with others and especially when considering distrubed sleep. What created the most concern was when the other patients did not show respect or if they were medically worried.

  • 34.
    Andersson, Amalia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Jakten på vårdplatser som inte finns: En kvalitativ intervjustudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Under the last decade hospital beds in Swedish hospitals have been reduced dramatically which have increased the bed – occupancy rates as well as the waiting hours at the emergency departments.  As a consequence to this the medical wards become overcrowded and patients are been located in other wards then the ward with the right expertise.  

    Purpose: To examine how registered nurses and physicians are affected by the lack of patient beds in an emergency hospital and how they think the situation affect patient safety.

    Method: Qualitative study consisting of semi –structured interviews with nine registered nurses and three physicians, all working in an emergency department, an surgery with acute intake and a department for acute infectious diseases. Content analysis (Malterud, 2009) was used to analyse the material. Vårdplatssituationen kommer sig av en brist på vårdplatser inom främst medicindivisionen, samt en oförmåga att hålla de platser som finns öppna på grund av sjuksköterskebrist. Bristen på vårdplatser har inneburit en oförmåga för läkare och sjuksköterskor att utföra sitt arbete i enlighet med sin kompetens och beprövad erfarenhet.

     

    Results: The problem to find adequate in-hospital beds for the patients are caused by the lack of physical beds in especially the medicine division and the inability to keep existing beds open as a result of the lack of registered nurses. The lack of hospital beds have made it difficult for the physicians and the registered nurses to give safe and adequate care to their patients.

    Conclusion: The shortage of hospital beds, and the constant relocation of patients, is making it difficult for nurses and physicians to give patients the medical care they need which have a great effect on patients safety. 

  • 35.
    Andersson, Amalia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Stark, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Brytpunktssamtal i livets slutskede: Sjuksköterskors upplevelser2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Palliativ vård syftar till att öka livskvaliteten för patienten och dess anhöriga under den sista tiden i livet. Vid övergången från kurativ till palliativ vård hålls ett brytpunktssamtal av ansvarig läkare. Utan detta brytpunktssamtal fortsätter vården att vara kurativ.

    Syfte: Syftet med studien var att undersöka sjuksköterskors upplevelser av brytpunktssamtal vid övergång till palliativ vård i livets slutskede samt hur de uppfattade den egna förmågan, och de egna upplevelserna av, att vårda patienter i livets slutskede.

    Metod: Studien har genomförts via en kvalitativ intervjustudie som innefattade åtta intervjuer som analyserats genom en manifest innehållsanalys.

    Resultat: Från intervjuerna utkristalliserades tre huvudkategorier: att läkare inte tar initiativ till brytpunktssamtal, att sjuksköterskor upplever en oförmåga till god palliativ omvårdnad på grund av tids- och resursbrist och att de anser sig ha en god kunskap och förmåga om hur omvårdnaden av den palliativa patienten bör ske. Det framkom att brytpunktssamtal i de allra flesta fall endast är ett samtal mellan ansvarig läkare och patientens anhöriga. Patienten och den ansvariga sjuksköterskan är således inte delaktiga i samtalet. Vad som sades och vilka som deltog dokumenterades sällan. Detta upplevde många av de tillfrågade sjuksköterskorna som ett problem då det var dem som efter samtalen oftast fick bemöta både patientens och anhörigas frågor efter dessa samtal. Flera av sjuksköterskorna talade om att de var de, som sjuksköterskor, som skulle föra patientens talan vid de tillfällen då patienten själv inte kunde närvara eller kommunicera.

    Slutsats: För att optimera den palliativa vården behöver brytpunktssamtalen genomföras tidigare och dokumenteras tydligare. Frånvaron av sjuksköterskor på brytpunktssamtalen leder till svårigheter både i bemötandet av anhörigas frågor och till ge korrekt information om brytpunktssamtalets innehåll och innebörd.

  • 36.
    Andersson, Anna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Jenny, Thulin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Postoperativ smärtupplevelse hos njurdonatorer2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Donatorn vid en levandegivaretransplantation vårdas inneliggande under en kort tid trots ett relativt stort kirurgiskt ingrepp, de är fullt friska människor som frivilligt opereras för att hjälpa någon annan. Därför är det viktigt att stötta donatorn under utredningens gång, vid operationen och efteråt.

    Syfte: Att beskriva känsla och upplevelse av smärta efter operationen hos njurdonatorer som har haft Painbuster som smärtbehandling efter donation.

    Metod: En kvalitativ metod, där fem njurdonatorer vid ett transplantationscentra intervjuades vid två tillfällen.

    Resultat: Resultatet visar att flertalet av njurdonatorerna upplevt smärta och oro som ett problem, trots att ingen uppgav mer än VAS 2 vid intervjutillfällena. Men en övervägande positiv känsla, en känsla av trygghet och tillfredsställelse framkom.

    Slutsats: Trots smärta och oro före och efter operationen kände sig intervjupersonerna trygga och omhändertagna tack vare stöd och god information före, under och efter vårdtiden.

  • 37.
    Andersson, Anton
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Resare, Henrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Sjuksköterskors upplevelser av övertagandet och omvårdnaden av patienter från intensivvårdsavdelningar2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses are responsible for the nursing care of patients and are expected to act adequately in both everyday and complex situations. To cope with these situations, the nurses have different tools that they can use when checking patients’ vital signs and when communicating with other nurses. Studies show that nurses feel that it is important with good communication and cooperation when patients are being transferred from intensive care to hospital wards.

    Aim: The aim was to describe nurses' experiences of the takeover and care of patients from an intensive care unit and also to investigate if the nurses felt that something could be improved.

    Method: The study was conducted as a qualitative interview study with a descriptive design. The interviews consisted of semi-structured questions and the data was analyzed using qualitative content analysis.

    Results: The participants experienced differences in the takeover and care of the patients and these differences were affected by the participants’ experience. A sense of insecurity, particularly among the less experienced participants, often occurred before the takeover. The participants did not experience that the care of these patients was particularly problematic but unfamiliar or difficult moments sometimes appeared. In these moments the participants were more alert and they also observed these patients more frequently. More explicit guidelines for the care, accurate prescriptions and further training were highlighted as suggestions for improvement.

    Conclusion: The participants of the study had varying experiences of taking over and caring for the patients from ICU. The former ICU patients were often experienced as more complex. They also demanded more care, which required more knowledge and focus from the nurses in their daily work. The takeover and the care was often good but could have been further improved with more accurate prescriptions and guidelines.

  • 38.
    Andersson, Camilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienters uppfattning om information vid akut kirurgi. En pilotstudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 39.
    Andersson, Camilla
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Behrenfeldt, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Mammors behov av stöd under barnets första år2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To explore mother's needs in terms of knowledge, emotional and social support during the baby’s first year and to identify what support giving conductors the women feel important.

    Method: Descriptive cross-sectional study. Seventy mothers who visited one of six municipal open pre-schools in Uppsala County Council responded to a questionnaire about their support needs.

    Results: Health care was the main conductor for many of the mothers who sought information support. The study showed that not all mothers have got the knowledge support they wished. Social support and emotional support was important most mothers, and many sought emotional support from health care. Mothers' needs were related to their age, and also to some extent, education and employment.

    Conclusion: If child health nurses and other health care professionals, who encounter mothers with children under the age of one year, see the whole picture of their situation by offering both knowledge and emotional support, they can help create satisfied and secure mothers in the long term.

  • 40.
    Andersson, Caroline
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Omvårdnad vid självskadebeteende: Hinder och svårigheter i omvårdnaden av individer med självskadebeteende.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During the 2000's, mental illness has increased among young people. Symptoms of mental illness can be expressed through self-harm. Self-harming individuals are considered complicated and the patients have complex health care needs. Nurses have expressed difficulties in the care of self-harming individuals, and self-harming individuals have expressed difficulties when seeking help in health care.

    Aim:

    The aim was to examine difficulties nurses find when caring for individuals that self-harm, and also the difficulties that self-harming individuals experience in the health care context.

    Method: A literature review based on 12 scientific articles.

    Results: The nurse’s attitude was due to the understanding they had for the self-harming behavior, and it affected the interaction. A good interaction was considered when individuals felt that that they were understood and felt respected.

    Conclusion: Nurses overall need more education about self-harming individuals, and it's important to work in teams. The most important part of nursing care for individuals with self-harming behavior is the interaction. The interaction is crucial to whether the individuals feel that they have trust in health care. The individual’s health is promoted when they are seen and understood. 

  • 41.
    Andersson, Ellinor
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
    Barnmorskors stödjande roll i samband med barnafödande: Nyutbildade barnmorskors uppfattningar2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 42.
    Andersson, Emma
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Kilström, Johan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienters uppfattning av vård vid självskadebeteende: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Self-harm is a growing problem among young people. There are many misunderstandings about self-harm. Research from a nursing perspective is available while research from a patient perspective is more unusual.

    Aim

    The aim of the study was to investigate the perception of primary care and somatic care in persons with self-injurious behavior, as well as identify possible barriers to seeking care.

    Method

    A literature study was made based on searches in the CINAHL and PubMed databases. The analysis material consisted of scientific articles describing persons with self-injurious behavior, who on one or more occasions had needed care.

    Results

    Most people with self-injurious behavior does not seek care. Positive perceptions of primary care and somatic care were the sense of being taken seriously, promotion of integrity, not being judged and that the healthcare staff truly listened. Negative perceptions consisted of dismissal from the healthcare, lack of drug effects, routing management, lack of follow-up and long waiting times. It was emphasized that self-harm could be hindered if people were helped on time. Barriers to seeking care were that no one understood or cared, unwillingness to get help, mental condition, fear and shame, practical barriers, previous negative experiences of care and lack of knowledge on where to turn. Friends and family was identified to have a major influence on whether care was sought.

    Conclusion

    It is difficult for primary care and somatic care to reach persons with self-injurious behavior. Patients who sought care have different perceptions of care. Many people who self-harm does not seek medical care because they experience shortcomings in treatment and lack trust in care. The patient group expresses the need to be seen as a human being and listened to which may increase the likelihood of seeking care. The challenge for the healthcare is to meet patients in an optimal way and raise confidence. This can be achieved with adequate training for healthcare professionals outside the psychiatric care.

  • 43.
    Andersson, Gun
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Enlund, Zenja
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Stressyndrom hos patienter som vårdats på intensivvårdsavdelning2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

     

    Background:

    Patients come to the intensive care unit (ICU) with different life threating situations that can lead to failure of vital organs. The care aims at observing, treating and giving care to those patients. Treatments and interventions that are given on ICU can affect patients both under their time on the ward and even after their discharge back to other wards and eventually home. The patients can be affected both physically and mentally after their stay on ICU. Posttraumatic stress disorder (PTSD) can be a consequence of treatment on ICU.

    Aims:

    The purpose of this study was to elucidate those mental problems a patient can get after being treated on an ICU and also to elucidate the risk factors that can lead to the development of PTSD after being treated on an ICU.

    Method:

    The method was a literature study where searches were made in PubMed, PSYCINFO, Cinahl and Scopus. The search resulted in a sample of 20 articles that were examined and evaluated before compiled into a result.

    Results:

    From the articles that were included in the result it was shown that patients that were treated on ICU developed mental suffering to different degrees which showed itself in the form of anxiety, depression, nightmares and insomnia. The mental problems can trouble the patients over many years at different levels after their time on ICU. The result showed that there are many risk factors that can lead to the development of PTSD after being treated on ICU.  Physical problems post ICU, gender, meditation on ICU, respirator treatment, the patient´s psychological background and memory of time on ICU are those risk factors that can lead to the development of PTSD.

    Conclusions:

    It is important to increase awareness among nurses that meet patients that have been treated in ICU to the mental consequences and also to the risk of developing PTSD that time on the ICU can lead to. It is also important to follow up patients that have been treated in ICU after their discharge home.

     

     

     

    I

  • 44.
    Andersson, Jenny
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Fjällström, Anne
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Livskvalitet hos barn och ungdomar med enures: Litteraturstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Enuresis involves involuntary emptying of the bladder at night, completely orpartially, from five years of age. If it occurs twice or more/week for at least three months and it causes suffering, the diagnosis is enuresis. Enuresis is divided into primary and secondary enuresis.In the past, enuresis was interpreted as a psychiatric symptom. Today, psychological disorders are seen as secondary to enuresis. Aim: The purpose of this literature study was to describe the quality of life of children and adolescents with enuresis. Method: A literature study was performed to compile the current state of knowledge regarding quality of life in connection with enuresis. Scientific articles for the study has been searched via PubMed and Cinahl. Results: The results were put together under four of WHO’s six themes, physical health/ psychological health/independence/ social relationships. These are linked to quality of life. As well as a fifth theme emerged from the analysis of the scientific articles, cultural aspects. Children and adolescents with enuresis experienced their life situation mainly as having poor self-esteem, after that it affected mental health, body image, independence, family and social interaction. Conclusion: This literaturestudy demonstrated that children and adolescents were influenced by the quality of life of their enuresis. Among other things, related to social relations, where the boys experienced a greater impact on the quality of life than the girls. In particular, adolescents experienced a worse quality oflife than the younger children, affecting self-esteem. In the clinical activity, it is necessary as apediatric nurse to take into account the experiences and feelings of children and adolescents regarding the daily life of enuresis, in order to achieve optimal enuresis treatment and thus increase their quality of life.

  • 45.
    Andersson, Jenny
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Freij, Ewa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Ett möte på lika villkor - vårdrelationen på akutmottagning utifrån patientens perspektiv.: En systematisk litteraturstudie.2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Patienter som söker vård på akutmottagningen med akuta buksmärtor är en patientgrupp som vårdpersonal inom både akutmottagning och kirurgisk vårdavdelning kommer i kontakt med. Genom att belysa patientens upplevelse av omvårdnaden och relationen till vårdpersonalen kan vården utvecklas och förbättras för denna patientgrupp genom hela vårdkedjan.

    Syfte: Att beskriva hur patienter med akuta buksmärtor upplever omvårdnaden på akutmottagning med specifikt fokus på vårdrelationen.

    Metod: En systematisk litteraturstudie med kvalitativ metod.

    Resultat: Fyra teman; relationen mellan patient och vårdpersonal, den eviga väntan, känslor av oro och tilltro samt uppfattningar om vårdstrukturen. Huvudresultaten är vårdrelationens betydelse för patienters upplevelse av besöket på akutmottagning samt att patienter lägger stor vikt vid god kommunikation med vårdpersonal. Även om patienter upplever en lång väntetid så är de villiga att vänta bara de får veta varför. Information ska vara individanpassad och vårdpersonal ska försäkra sig om att patienter förstår den givna informationen. Patienter har ett behov av att känna sig sedda och bekräftade samt att vårdpersonal med enkla medel kan förbättra patienters totala upplevelse av besöket på akutmottagningen.

    Slutsats: Det är hälso- och sjukvårdens ansvar, inte patientens, att en jämlik och hälsofrämjande vårdrelation utformas med fokus på god kommunikation och information. Patienter har ett behov av att känna sig sedda och bekräftade och vårdpersonal kan med enkla medel förbättra patienters totala upplevelse av besöket på akutmottagningen. Ovanstående resultat är inte unika för förhållandena på akutmottagning utan anses överförbara även till kirurgisk vårdavdelning.

  • 46.
    Andersson, Karin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Gustafsson, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienters uppfattningar om delaktighet under                                                                 anestesi2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 47.
    Andersson, Karolina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Pettersson, Malin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    En optimal intensivvårdsavdelning för nyfödda utifrån föräldrars synpunkter och erfarenheter: Kvalitativ ansats2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    SAMMANFATTNING

    Bakgrund: På en intensivvårdsavdelning för nyfödda vårdas kritiskt sjuka och/eller ostabila nyfödda barn som är i behov av sjukvård dygnet runt. Miljön på avdelningen ska främja föräldrars medverkan och närvaro i vården vilket ska optimeras på moderna intensivvårdsavdelningar för nyfödda. Föräldrar till sjuka barn har rätt att vara närvarande och aktivt medverka i vården av sitt barn.

    Syfte: Syftet med föreliggande studie var att undersöka föräldrars, vars barn tidigare vårdats på en intensivvårdsavdelning för nyfödda, tankar och synpunkter på utformning av en, utifrån deras erfarenheter, optimal intensivvårdsavdelning för nyfödda.

     

    Metod: Enkäter skickades hem till föräldrar (n=39) vars barn vårdats på intensivvårdsavdelningen för nyfödda vid Akademiska barnsjukhuset i Uppsala under minst en månad under 2015. Svaren i de öppna frågorna analyserades med kvalitativ innehållsanalys.

    Resultat: Föräldrarna (n=18) beskrev att personalens sätt att arbeta; rutiner, bemötande och kommunikation, både kunde underlätta och försvåra deras medverkan och närvaro i vården av barnet. Flertalet faktorer i avdelningens miljö påverkade föräldrars närvaro och medverkan både fyskiskt och psykiskt. Föräldrarna beskrev en stor vilja av att vara nära barnet under vårdtiden, där sova intill eller i närheten av barnet beskrevs som en viktig faktor för möjligheten att vara nära. 

    Slutsats: Föräldrarna beskrev att personalens rutiner och arbetssätt samt faktorer i avdelningsmiljön var väsentliga för föräldrars psykiska och fysiska närvaro och medverkan i vården. Viljan att vara nära barnet under vårdtiden upplevdes som stor bland föräldrarna.

    Nyckelord: Intensivvårdsavdelning för nyfödda, Miljö, Föräldranärvaro, För tidigt född

  • 48.
    Andersson, Katarina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Eklund, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Vilka frågor om Humant papillomvirus (HPV) har ungdomar som vänder sig till en internetbaserad ungdomsmottagning?2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 49.
    Andersson, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
    Eriksson, Henrik
    Nordgren, Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Mälardalens högskola.
    Differences between heart failure clinics and primary health care2013In: British Journal of Community Nursing, ISSN 1462-4753, Vol. 18, no 6, 288-292 p.Article in journal (Refereed)
    Abstract [en]

    There is a paucity of knowledge concerning how people with heart failure experience differences between specialised heart failure clinics and primary healthcare in Sweden. This study aimed to describe differences regarding information and follow-up in heart failure clinics and primary healthcare. The study was conducted in Sweden in 2011. Four people (three men, one woman; aged 60 to 84) with heart failure (NYHA II) were interviewed. The interviews were analysed with qualitative content analysis. The findings revealed after referral from the heart failure clinic to primary healthcare, follow-ups were omitted. Still, the patients needed care, support and information. The findings are illuminated in four themes. The patients' varying and individual needs can be difficult to recognise and manage unless they are followed-up from either HFC or PHC on a regular basis.

  • 50.
    Andersson, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
    Eriksson, Irene
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
    Nordgren, Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Mälardalens högskola.
    Living with heart failure without realising: A qualitative patient study2012In: British Journal of Community Nursing, ISSN 1462-4753, Vol. 17, no 12, 630, 632-637 p.Article in journal (Refereed)
    Abstract [en]

    Heart failure is an important problem in Swedish primary healthcare as in the U.K. In spite of that little is known about how people with heart failure experience support from primary healthcare. This paper investigates how people with heartfailure experience support in primary healthcare. Semi structured interviews were conducted with five men and five women, born 1922-1951. The interviews were analyzed with qualitative content analysis in accordance with Graneheim and Lundman (2004). The participants experienced they had not received information about their diagnosis or about the cause of their condition. They had not been informed they had heart failure. Instead the participants believed their symptoms were caused by age, thus being part of normal ageing. They did not experience they needed care or support to cope with illness or disease. Instead their main needs for support in daily life concerned help with practical matters.There is a risk primary healthcare abandons people with heart failure meaning the patients are forced to develop strategies on their own in order to manage symptoms. When inadequately informed there is also a risk they make up their own explanations signifying possible difficulties to handle their health situation.

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