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  • 1.
    Aalto, Heidi
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
    Föräldrars upplevelser av omvårdnaden av sitt sent underburna barn på BB: En intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sent underburna barn vårdas ofta på BB-avdelning för fullgångna barn. De har högre frekvens av återinläggningar på sjukhus än fullgångna barn. De flesta studier kring underburna barns vistelse på sjukhus är inte gjorda specifikt på sent underburna barn. Syfte: Syftet är att utforska föräldrars upplevelser av omvårdnaden av sent underburna barn på en BB-avdelning i Sverige. I analysen användes det teoretiska begreppet empowerment. Metod: Studien är deskriptiv med en kvalitativ ansats. Telefonintervjuer användes som datainsamlingsmetod. Fem mammor och två pappor deltog i studien. Intervjuerna analyserades med innehållsanalys. Resultat/Slutsats: Föräldrarna upplevde att personalen antingen förmedlade empowerment eller inte. Omvårdnadsåtgärder kring barnet som gjorde föräldrarna mer delaktiga upplevdes mer positivt och omvårdnadsåtgärder som orsakade en separation mellan föräldrar och barn upplevdes mer negativt. Föräldrarna hade svårt att ifrågasätta personal, även om de upplevde att något kring omvårdnadsåtgärden kändes fel. Omvårdnadsåtgärder, utfördes inte alltid i enlighet med vetenskap och beprövad erfarenhet. Personalen kan utbildas mer i att främja empowerment i föräldrarollen och därmed även öka föräldradelaktigheten i barnets omvårdnad och möjligheten att se varje familjs unika behov. Mer forskning behövs om hur detta ska ske.

  • 2.
    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, p. 623-624Article in journal (Refereed)
  • 3. 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, E-ISSN 1472-6963, Vol. 7, p. 162-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.

  • 4.
    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, p. 117-124Article 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.

  • 5.
    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
  • 6.
    Adman, Erika
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Lund, Li
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Metabola syndromet: Hur kan individer med metabolt syndrom motiveras till förändring av ohälsosam livsstil genom egenvård?2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 7.
    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, p. 95-101Article 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.

  • 8.
    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.

  • 9.
    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
  • 10.
    Agnes, Jedvik
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Anna, Arnljots
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienters upplevelser av tolk inom hälso- och sjukvård: En systematisk litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Commutative obstacles due to language difficulties are gradually increasing with migration. Consequences due to linguistic barriers may lead to misunderstandings or failures of information between patients and healthcare professionals. The availability of authorized hospital interpreters is significantly lower than the demand from patients who are in need for an interpreter. The Swedish Patient Act determines that all patients should be informed about their disease situation, upcoming treatment and aftercare. Aim: To describe patients' experiences of using interpreters in healthcare. Method: A systematic literature study of eleven scientific articles. Searches were made in the PubMed and CINAHL databases. Result: The analysis of included articles resulted in six themes, which were equal care, satisfaction with individualized interpreters, lack of trust, disability, fear for misunderstanding and when the interpreter is a family member. Conclusion: Patients experience access to a professional interpreter positively. However, there are significant deficiencies regarding interpreters in healthcare today. The ability to achieve person-centered care is complicated by the shortcomings that patients experience in the conversation via interpreter. Likewise, patients' ability to participate in their own care situation is complicated.

  • 11.
    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, article id 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.

  • 12.
    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.

  • 13.
    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
  • 14.
    Ahlbin, Kristina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Jansson, Sandra
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Uppfattningar om fall och fallprevention hos vårdpersonal inom geriatrisk slutenvård2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Falls and fall related injuries are a major health issue to the elderly population of Sweden. The number of accidents in the community caused by falls is increasing. It is mainly the elderly who need to be hospitalized after a fall. Patients with stroke, cognitive disorders, or hip fracture, have a particularly high risk of falling. A common consequence of falls is femur fractures. To prevent and reduce the occurrences of falls in hospitals, an individual care plan aimed at the patient, is required, as well as an individual and feasible nursing intervention. It also require that health professionals use their knowledge and the patient’s and the hospital's resources, to implement the care plan. Since 2008 SKL runs a national effort to reduce preventable harm and improve patient safety, where fall related injuries are an area of focus.

    Aim: The aim with this study is to examine and describe health professionals' attitudes towards falls and fall prevention, and whether the nursing staff considers themselves to be proficient in falls and fall prevention.

    Method: This was a quantitative study and Mann Whitney U test were conducted in order to analyse and summarize the answers from the questionnaires.

    Results: The respondents have a positive attitude towards fall prevention. The perception among the nursing staff is that they feel well trained in fall prevention, and have sufficient knowledge in fall prevention.

    Conclusion: The conclusion of this study is that nurses and nursing staff take falls among patients very seriously and have a positive attitude towards fall prevention. They also consider themselves to have a good knowledge about falls and fall prevention.

  • 15.
    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, p. 189-195Chapter in book (Other (popular science, discussion, etc.))
  • 16. 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, p. 180-188Article 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.

  • 17. 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, p. 180-188Article in journal (Refereed)
  • 18.
    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

  • 19. 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. 

  • 20.
    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.

  • 21. 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.

  • 22. 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, p. 1115-1117Article in journal (Refereed)
  • 23. Aho, Anna Carin
    et al.
    Hultsjö, Sally
    Hjelm, Katarina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Perceptions of the transition from receiving the diagnosis recessive limb-girdle muscular dystrophy to becoming in need of human support and using a wheelchair: an interview study2019In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 41, no 19, p. 2289-2298Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To describe perceptions of the transition from receiving the diagnosis recessive limb-girdle muscular dystrophy to becoming in need of human support to manage daily life and using a wheelchair for ambulation, from the affected young adults' and their parents' perspectives.

    METHOD: A qualitative and descriptive study design was used. Semi-structured interviews were held with 14 young adults diagnosed with recessive limb-girdle muscular dystrophy and 19 parents. Phenomenography was used for data analysis.

    RESULTS: The diagnosis was described as being a shock and difficult to comprehend but also as a relief and a tool for information. Beginning to use a wheelchair was perceived to be mentally difficult but it also provided freedom. New ways of living involved physical, emotional, practical, and social difficulties as well as experiences of learning to adapt to the disease. The transition was overshadowed by concern about disease progression and influenced by facilitating factors, which were young adult being seen as a person; supportive family and friends; mobilized internal resources; meaningful daily activities; adapted environment; and professional support.

    CONCLUSIONS: The different perceptions expressed in this study highlight the importance of identifying personal perceptions and needs in order to optimize support provided by healthcare professionals.

    Implications for Rehabilitation

    • The different perceptions described in this study emphasize the need for person-centered care for young adults living with recessive limb-girdle muscular dystrophy and their parents.
    • Regular controls and professional support to cope with the disease and its consequences should be offered, not only at the time of diagnosis but also throughout disease progression.
    • Beginning to use a wheelchair can be a psychologically distressing process, which has to be acknowledged by healthcare professionals when introducing it.
    • Healthcare professionals should not only recognize the importance of having social relations and activities that are meaningful but also be a link to authorities in society and to interest organizations that can help to facilitate the person's management of the disease.
  • 24.
    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.

  • 25.
    Ahrne, Malin
    et al.
    Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A,8th Floor, SE-17177 Stockholm, Sweden.
    Shytt, Erica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Center for Clinical Research Dalarna. Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A,8th Floor, SE-17177 Stockholm, Sweden;Western Norway Univ Appl Sci, Fac Hlth & Social Sci, Haugesund, Norway.
    Andersson, Ewa
    Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A,8th Floor, SE-17177 Stockholm, Sweden.
    Small, Rhonda
    Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A,8th Floor, SE-17177 Stockholm, Sweden;La Trobe Univ, Judith Lumley Ctr, Melbourne, Vic, Australia.
    Adan, Aisha
    Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A,8th Floor, SE-17177 Stockholm, Sweden.
    Essén, Birgitta
    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), International Maternal and Reproductive Health and Migration.
    Byrskog, Ulrika
    Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden.
    Antenatal care for Somali-born women in Sweden: Perspectives from mothers, fathers and midwives2019In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 74, p. 107-115Article in journal (Refereed)
    Abstract [en]

    Objective:

    To explore Somali-born parents' experiences of antenatal care in Sweden, antenatal care midwives' experiences of caring for Somali-born parents, and their respective ideas about group antenatal care for Somali-born parents.

    Design:

    Eight focus group discussions with 2-8 participants in each were conducted, three with Somaliborn mothers, two with fathers and three with antenatal care midwives. The transcribed text was analysed using Attride-Stirling's tool "Thematic networks".

    Setting:

    Two towns in mid-Sweden and a suburb of the capital city of Sweden. Participants: Mothers (n = 16), fathers (n = 13) and midwives (n = 7) were recruited using purposeful sampling.

    Findings:

    Somali-born mothers and fathers in Sweden were content with many aspects of antenatal care, but they also faced barriers. Challenges in the midwife-parent encounter related to tailoring of care to individual needs, dealing with stereotypes, addressing varied levels of health literacy, overcoming communication barriers and enabling partner involvement. Health system challenges related to accessibility of care, limited resources, and the need for clear, but flexible routines and supportive structures for parent education. Midwives confirmed these challenges and tried to address them but sometimes lacked the support, resources and tools to do so. Mothers, fathers and midwives thought that language-supported group antenatal care might help to improve communication, provide mutual support and enable better dialogue, but they were concerned that group care should still allow privacy when needed and not stereotype families according to their country of birth.

    Key conclusions:

    ANC interventions targeting inequalities between migrants and non-migrants may benefit from embracing a person-centred approach, as a means to counteract stereotypes, misunderstandings and prejudice. Group antenatal care has the potential to provide a platform for person-centred care and has other potential benefits in providing high-quality antenatal care for sub-groups that tend to receive less or poor quality care. Further research on how to address stereotypes and implicit bias in maternity care in the Swedish context is needed. (c) 2019 The Authors. Published by Elsevier Ltd.

  • 26. 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, p. 380-389Article 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.

  • 27.
    Akander, Sara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Nilsson, Hanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienters känslor och förväntningar inför operation: En intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Background: Before an operation, patients should receive preoperative information that’s essential and individualized, which provides peace and security to the patients on surgery day. According to previous studies, preoperative information was neither sufficient nor individualized which resulted in increased anxiety prior to surgery. Surgical nurses ensure during perioperative care that the patients are seen and heard as individuals, based on person-centered care (PCC).

    Aim: The aim of this study was to describe the patient’s feelings and expectations before surgery based on provided preoperative information.

    Method: This was a qualitative descriptive study with inductive approach. Sixteen participants were interviewed from a university hospital in central Sweden. Qualitative content analysis was used for data processing.

    Results: Four categories appeared after analysis; Emotions Prior to Operation, Involvement of Participant’s by Staff, Attitude About the Preoperative Information and Participant’s Expectations of Operation Results. Participant’s emotions were regulated by sufficiently provided information, the staff’s actions based on PCC and their expectations of improvement after surgery. When staff acted after PCC, participants felt acknowledged and capable of having an open dialogue about their surgery.

    Conclusion: The categories influenced each other and demonstrates that person-centered approach provides a good relationship between staff and patient, but above all else the importance of providing quality preoperative information. Good relationships invite positive pre-surgery emotions, expectations, patient participation and reduces negative emotions like anxiety and fear. Person-centered care and personalized information have a positive impact on the patient’s emotions and expectations.

  • 28.
    Al-Akabi, Lana
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Hussein, Zainab
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Mäns våld mot kvinnor i nära relationer2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Mäns våld mot kvinnor är ett samhällsproblem i Sverige och runt om i hela världen. Omkring 35 % av kvinnorna i världen har blivit utsatta för psykiskt, sexuellt och fysiskt våld. Sjukvården har som ansvar att ta hand om utsatta kvinnor genom att skapa ett förtroende mellan patient och vårdpersonal genom att visa respekt, beakta patientens behov av att känna sig trygg.

     

    Syftet: Studiens syfte är att identifiera konsekvenserna av mäns våld mot kvinnor i nära relationer. Studien kommer även lyfta upp hur sjuksköterskan identifierar och bemöter våldsutsatta kvinnor.

     

    Metod: En litteraturstudie där databaserna PubMed och CINAHL användes för artikelsökning. Artiklarna som valdes genomgick en kvalitetsgranskning. Resultatet är baserad på 15 kvalitativa och kvantitativa artiklar.

     

    Resultat: Enligt resultatet som sammanställdes från de olika artiklarna, är det fysiska våldet den mest förekommande typen av våld i nära relationer. Medan det psykiska och sexuella våldet tar lång tid att bearbeta för kvinna. Resultatet visade även att sjuksköterskorna tyckte att våld i nära relationer var ett känsligt ämne därför var det svårt att ställa frågan till den våldsutsatta kvinnan. Sjuksköterskorna tyckte även att bemöta våldsutsatta kvinnor var komplicerat och behövde förberedelser innan samt att sjuksköterskan hade svårt att lämna ämnet bakom sig efter samtal med våldsutsatt kvinna.

     

    Slutsats: Kvinnorna skämdes och skuldbelade sig själva för det de blev utsatta för. För att sjuksköterskor skall kunna bemöta och kunna ställa frågor om utsatthet på korrekt sätt behövs det mer utbildning.

  • 29. 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, E-ISSN 1748-2631, Vol. 6, no 4, p. 11457-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.

  • 30.
    Alborzi, Sara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Olofsson, David
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Livskvalitet efter stomioperation2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract: Stomas get done for a variety of reasons and can be seen by the patient as both a blessing and a curse. This study aims to investigate the lived experiences of patients going through a stoma operation as it relates to quality of life, and what factors play a part in that experience. The area is well examined from a quantitative standpoint but there is a lack of qualitative information. Thus, this study was constructed as adescriptive qualitative literature review. A content analysis was made, and six main themes could be identified: life style changes, acceptance of the stoma, hygiene, sexuality and intimacy, social situation, and nurse’s role in the recuperation process. The study concludes that a stoma has a varying effect on the quality of life in patients depending on several factors. These factors include how prepared the patient is for the operation and how quickly the patient learns to deal with the practical challenges a stoma entails.

  • 31.
    Albrektsson, Linda
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Trolle, Hanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Är jag en dålig mamma?: Kvinnors upplevelser av förlossningsdepression och sjuksköterskans åtgärder - en litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Background: Postpartum depression is a depressive disorder which lasts for a few weeks up to a year after childbirth, and it affects 10 - 15 percent of new mothers. Postpartum depression affects the mother’s quality of life and increases the risk of becoming depressed later in life. This highlights the importance of nurses identifying women with symptoms of postpartum depression and having awareness of existing standards of care.

    Aim: The aim of this literature review was to examine women’s experiences concerning postpartum depression and which standards of care that exist to relieve symptoms of postpartum depression.

    Method: A literature review was conducted with 11 original articles from different countries, which were chosen from the PubMed database. The articles were audited and three categories were developed. The nursing theory of Katie Eriksson was used as theoretical framework in this study.

    Results: There existed a great fear towards becoming stigmatised because of postpartum depression. Many women had trouble acknowledging that they had a problem, which in turn hindered them from seeking help. One aspect which was very important to them was the need for social and professional support. Different standards of care were identified, for example group discussion, mindfulness and yoga. There were also varying educational programmes as well as programmes based on cognitive behavioural therapy.

    Conclusion: Women with postpartum depression feel stigmatised which leads to them not seeking help. Group activities and education concerning postpartum depression had a positive effect on women’s wellbeing. Through active normalisation of postpartum depression and by offering varying standards of care, nurses are able to break the stigma, and receive women with insight and understanding.

  • 32.
    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
  • 33.
    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.

  • 34.
    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. 

  • 35.
    al-Jeddahwi, Farida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Vara delaktig i mitt syskons liv och död: En kvalitativ litteraturstudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    It is important that guardians are included in the care of their child. This is essential in the pediatric palliative care, participation has been shown to contribute to a positive treatment of the severe grief with a child's death. A family includes siblings and other relatives, but they are not as self-evident as to be involved in the pediatric palliative care. Family-focused nursing aims to include all family members with due regard to their own wishes, as the family is a unit that constantly affects each other. Siblings who have a brother or sister who dies during childhood have an increased mortality, which the pediatric-nurse should consider during and after the pediatric palliative care.

    Aim

    To describe siblings’ experiences of pediatric palliative care in connection with the death of a brother or sister.

    Method

    A literature study based on 16 qualitative studies of high and medium quality. Qualitative content analysis with inductive approaches were used to analyse the data.

    Results

    The generic categories that emerged from the results were the need for information, the need for participation, the need for support and life after death with sub-categories, from which the main category appeared to be involved in the life and death of my sibling.

    Conclusion

    Siblings are unique individuals who need to be involved in the pediatric palliative care and at the death of a brother or sister. By applying family-focused nursing, healthcare can provide an inclusive environment for the siblings and contribute to better preparation and treatment of grief.

  • 36.
    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.

  • 37.
    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.

  • 38.
    Allemann, H.
    et al.
    Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.
    Liljeroos, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
    Thylen, I.
    Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden;Linkoping Univ, Dept Cardiol, Linkoping, Sweden.
    Stromberg, A.
    Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden;Linkoping Univ, Dept Cardiol, Linkoping, Sweden.
    Information and Communication Technology (ICT) as a supportive aid; perceptions amongst family caregivers to persons with heart failure2018In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, no suppl 1, p. 100-100Article in journal (Other academic)
  • 39.
    Allemann, Hanna
    et al.
    Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.
    Thylén, Ingela
    Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden;Linkoping Univ, Dept Cardiol, Linkoping, Sweden.
    Ågren, Susanna
    Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden;Linkoping Univ, Dept Cardiothorac Surg, Linkoping, Sweden.
    Liljeroos, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.
    Strömberg, Anna
    Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden;Linkoping Univ, Dept Cardiol, Linkoping, Sweden.
    Perceptions of Information and Communication Technology as Support for Family Members of Persons With Heart Failure: Qualitative Study2019In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 21, no 7, article id e13521Article in journal (Refereed)
    Abstract [en]

    Background: Heart failure (HF) affects not only the person diagnosed with the syndrome but also family members, who often have the role of informal carers. The needs of these carers are not always met, and information and communications technology (ICT) could have the potential to support them in their everyday life. However, knowledge is lacking about how family members perceive ICT and see opportunities for this technology to support them.

    Objective: The aim of this study was to explore the perceptions of ICT solutions as supportive aids among family members of persons with HF.

    Methods: A qualitative design was applied. A total of 8 focus groups, comprising 23 family members of persons affected by HF, were conducted between March 2015 and January 2017. Participants were recruited from 1 hospital in Sweden. A purposeful sampling strategy was used to find family members of persons with symptomatic HF from diverse backgrounds. Data were analyzed using qualitative content analysis.

    Results: The analysis revealed 4 categories and 9 subcategories. The first category, about how ICT could provide relevant support, included descriptions of how ICT could be used for communication with health care personnel, for information and communication retrieval, plus opportunities to interact with persons in similar life situations and to share support with peers and extended family. The second category, about how ICT could provide access, entailed how ICT could offer solutions not bound by time or place and how it could be both timely and adaptable to different life situations. ICT could also provide an arena for family members to which they might not otherwise have had access. The third category concerned how ICT could be too impersonal and how it could entail limited personal interaction and individualization, which could lead to concerns about usability. It was emphasized that ICT could not replace physical meetings. The fourth category considered how ICT could be out of scope, reflecting the fact that some family members were generally uninterested in ICT and had difficulties envisioning how it could be used for support. It was also discussed as more of a solution for the future.

    Conclusions: Family members described multiple uses for ICT and agreed that ICT could provide access to relevant sources of information from which family members could potentially exchange support. ICT was also considered to have its limitations and was out of scope for some but with expected use in the future. Even though some family members seemed hesitant about ICT solutions in general, this might not mean they are unreceptive to suggestions about their usage in, for example, health care. Thus, a variety of factors should be considered to facilitate future implementations of ICT tools in clinical practice.

  • 40.
    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.

  • 41.
    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.

  • 42.
    Almgärd, Charlotte
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Söderberg, Isa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienter som utsatts för trauma och deras närståendes upplevelser av sjuksköterskans bemötande2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients who have suffered trauma and arrives at an emergency department / intensive care department need professional encounter and comprehensive care from the nurse.

    Aim: The aim of the study is to examine patients who have suffered trauma and their families’ experiences of the nurse's encounter at the emergency care and / or intensive care department.

    Method: A descriptive design with a literature review as data collection method. Ten qualitative articles have been used, where five of the articles have conducted studies that investigated patients’ experiences and five articles have conducted studies of families’ experiences.

    Result: Four significant behaviours in the nurse’s encounter were identified; information from the nurse, verbal and nonverbal communication from the nurse, psychological and physical support from the nurse, and commitment and attitude of the nurse. Patients and family considered that honest and understandable information, a relationship with the nurse, physical touch and eye contact, commitment and demonstrated interest in patient/family, and that their emotional and physical needs were satisfied was caring behaviours in the nurse’s encounter. Patients and family experienced the nurse’s encounter as non-caring when the information was inadequate, when the nurse was crossed, stressed and seemed to be overloaded, and when the nurse didn’t pay attention to the physical and psychological needs of the patient and the family.

    Conclusion: Patients who have suffered trauma and their families´ experienced the nurse's encounter at the emergency care and/or intensive care department as both positive and negative. The experiences of the encounter were determined in connection with the nurse's ability to transmit information, communicate, engage and fulfil the physical and psychological needs of the patient and their families. 

  • 43.
    Almstedt, Julia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
    Mård, Erika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
    Föräldrars upplevelser av information given i samband med att deras barn insjuknade i diabetes mellitus2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Background: When children suffer from diabetes mellitus, hospital care is required in the acute phase, thereafter parents gradually take over the responsibility for their child's medical treatment. The family needs information and education to manage the chronic disease in their daily life. 

     

    Aim: The aim was to investigate how parents perceived the information given when their children suffer from diabetes mellitus. 

     

    Method: A qualitative design. Semistructured interviews with eight parents whose children were in the ages of two to twelve years. Data was analyzed with a qualitative content analysis. 

     

    Results: The study resulted in four categories: the needs of the parents, the impact of the child, the role of the healthcare personnel and the future perspective. The categories culminated in the subject knowledge gives power. Parents perceived the given information in a variety of ways, where factors such as receptivity, crisis reaction, location and time of information, and who provided the information were of importance. They perceived that clear planning of care time and early involvement in the care of their children generated greater independence and control over the situation.

     

    Conclusion: Parents perceived the given information in a variety of ways, where factors such as receptivity, crisis reaction, location and time of information, and who provided the information were of importance. Early involvement generated in greater independence and control over the situation. Further research on the subject can contribute to increased knowledge of healthcare professionals, which in the future can improve the parents' experience of the given information.

     

    Keywords: parents, information, type 1 diabetes mellitus, pediatrics, communication, parental education

  • 44.
    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, p. 830-836Article 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.

  • 45.
    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.

  • 46.
    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. 

  • 47.
    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.

  • 48.
    Anandavadivelan, P.
    et al.
    Karolinska Inst, Karolinska Univ Hosp, Dept Mol Med & Surg, Surg Care Sci, 2nd Floor,Norra Stationsgatan 67, S-17176 Stockholm, Sweden..
    Wikman, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Reproductive Health.
    Johar, A.
    Karolinska Inst, Karolinska Univ Hosp, Dept Mol Med & Surg, Surg Care Sci, 2nd Floor,Norra Stationsgatan 67, S-17176 Stockholm, Sweden..
    Lagergren, P.
    Karolinska Inst, Karolinska Univ Hosp, Dept Mol Med & Surg, Surg Care Sci, 2nd Floor,Norra Stationsgatan 67, S-17176 Stockholm, Sweden..
    Impact of weight loss and eating difficulties on health-related quality of life up to 10 years after oesophagectomy for cancer2018In: British Journal of Surgery, ISSN 0007-1323, E-ISSN 1365-2168, Vol. 105, no 4, p. 410-418Article in journal (Refereed)
    Abstract [en]

    Background: Severe weight loss is experienced by patients with eating difficulties after surgery for oesophageal cancer. The aim of this prospective cohort study was to asssess the influence of eating difficulties and severe weight loss on health-related quality of life (HRQoL) up to 10years after oesophagectomy.

    Methods: Data on bodyweight and HRQoL were collected at 6months, 3, 5 and 10years in patients who underwent surgery for oesophageal cancer in Sweden between 2001 and 2005. Exposures were percentage weight loss, and eating difficulties defined by the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-OES18 questionnaire. Outcomes were HRQoL scores from the EORTC QLQ-C30 questionnaire. Repeated-measures ANOVA, adjusting for potential confounders, was used to assess the association between eating difficulties and weight loss (4 exposure groups) and HRQoL scores at each time point. Mean score differences (MDs) between time points or exposure groups were defined as clinically relevant in accordance with evidence-based interpretation guidelines.

    Results: In total, 92 of 104 10-year survivors (885 per cent) responded to the questionnaires. Weight loss was greatest within 6months of surgery. Patients with eating difficulties with or without weight loss reported clinically and statistically significantly worsened HRQoL in almost all aspects. The largest MD was seen between 5 and 10years after surgery for global quality of life, physical, role and social function (MD -22 to -30), as well for fatigue, nausea, dyspnoea, insomnia, appetite loss and diarrhoea (MD 24-36).

    Conclusion: Eating difficulties are associated with deterioration in several aspects of HRQoL up to 10years after surgery for oesophageal cancer.

  • 49.
    Anandavadivelan, Poorna
    et al.
    Karolinska Inst, Stockholm, Sweden.
    Wikman, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Reproductive Health.
    Martin, Lena
    Dept Biosci & Nutr, Stockholm, Sweden.
    Rueb, Claudia
    Imperial Coll Healthcare NHS Trust, St Marys Hosp, London, England.
    Johar, Asif
    Karolinska Inst, Dept Mol Med & Surg, Surg Care Sci, Stockholm, Sweden.
    Malberg, Kalle
    Karolinska Inst, Dept Mol Med & Surg, Surg Care Sci, Stockholm, Sweden.
    Lagergren, Pernilla
    Karolinska Inst, Dept Mol Med & Surg, Surg Care Sci, Stockholm, Sweden.
    Extent of dumping symptoms and its association with malnutrition following surgery for oesophageal cancer2018In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 27, no Supplement 1, p. S76-S76Article in journal (Other academic)
  • 50.
    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.

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