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  • 51.
    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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  • 52.
    Andersen, Randi Dovland
    et al.
    Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Nursing, Stockholm, Sweden;Telemark Hosp, Dept Child & Adolescent Hlth Serv, POB 2900 Kjorbekk, N-3710 Skien, Norway.
    Munsters, Josanne M. A.
    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), Perinatal, Neonatal and Pediatric Cardiology Research.
    Vederhus, Bente Johanne
    Haukeland Hosp, Dept Pediat, Bergen, Norway.
    Gradin, Maria
    Orebro Univ, Fac Med & Hlth, Dept Paediat, Orebro, Sweden.
    Pain assessment practices in Swedish and Norwegian neonatal care units2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 3, p. 1074-1082Article in journal (Refereed)
    Abstract [en]

    Background

    The use of measurement scales to assess pain in neonates is considered a prerequisite for effective management of pain, but these scales are still underutilised in clinical practice.

    Aim

    The aim of this study was to describe and compare pain assessment practices including the use of pain measurement scales in Norwegian and Swedish neonatal care units.

    Methods

    A unit survey investigating practices regarding pain assessment and the use of pain measurement scales was sent to all neonatal units in Sweden and Norway (n = 55). All Norwegian and 92% of Swedish units responded.

    Results

    A majority of the participating units (86.5%) assessed pain. Swedish units assessed and documented pain and used pain measurement scales more frequently than Norwegian units. The most frequently used scales were different versions of Astrid Lindgren's Pain Scale (ALPS) in Sweden and Echelle Douleur Inconfort Noveau-Ne (EDIN), ALPS and Premature Infant Pain Profile (PIPP) in Norway. Norwegian head nurses had more confidence in their pain assessment method and found the use of pain measurement scales more important than their Swedish colleagues.

    Conclusion

    The persisting difference between Swedish and Norwegian units in pain assessment and the use of pain measurement scales are not easily explained. However, the reported increased availability and reported use of pain measurement scales in neonatal care units in both countries may be seen as a contribution towards better awareness and recognition of pain, better pain management and potentially less suffering for vulnerable neonates.

  • 53.
    Andersson, Amalia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Jakten på vårdplatser som inte finns: En kvalitativ intervjustudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

     

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

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

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    Jakten på vårdplatser som inte finns
  • 54.
    Andersson, Amalia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Stark, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Brytpunktssamtal i livets slutskede: Sjuksköterskors upplevelser2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

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    Brytpunktssamtal i livets slutskede
  • 55.
    Andersson, Anna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Jenny, Thulin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Postoperativ smärtupplevelse hos njurdonatorer2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

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  • 56.
    Andersson, Anton
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Resare, Henrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Sjuksköterskors upplevelser av övertagandet och omvårdnaden av patienter från intensivvårdsavdelningar2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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    Sjuksköterskors upplevelser av övertagandet och omvårdnaden av patienter från intensivvårdsavdelningar
  • 57.
    Andersson Boman, Oskar
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Eriksson, Andreas
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Upplevelser av information på akutmottagningar ur ett patientperspektiv: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research has shown the importance of information for the patients care experience and safety. Still there is clear evidence that information is lacking at emergency departments [ED]. It is therefore important to gather patient experiences on the subject.

    Purpose: To investigate patient experiences of information in emergency departments.

    Method: Descriptive design with a literature review as method where 16 scientific qualitative original articles was analyzed.

    Results: Five themes was created: Initial care at the ED; following waiting time; condition and treatment; understanding and ability to remember; and final care at the ED. Both positive and negative experiences emerged. Most prominently was negative experiences regarding lack of information about subjects such as waiting times, condition and treatment.

    Conclusion: Information is a crucial part of the care at the ED and this study highlights its importance from the patient perspective. A lot of different experiences emerged in the result that displays the relevance of the problem area. The need of further research regarding patient experiences of information is considered needed. Flaws and opportunities for improvement has also been revealed by highlighting patient experiences, which may be of use for nurses in their profession.

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  • 58.
    Andersson, Camilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienters uppfattning om information vid akut kirurgi. En pilotstudie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 59.
    Andersson, Camilla
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Behrenfeldt, Pernilla
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Mammors behov av stöd under barnets första år2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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    Mammors behov av stöd
  • 60.
    Andersson, Carolina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Bengtsson, Louise
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Slarvets offer: Ärenden hos Patientnämnden rörande vårdrelaterade infektioner samt bristande hygien och vårdmiljö ur ett patientperspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Health care acquired infections are the most common injuries resulting from care that occur in Swedish hospitals and 9 % of hospitalized patients are affected annually.

    The aim of this study was to investigate the comments and complaints received by the Patients Advisory Committee regarding the hospitals shortcomings in hygiene and healthcare environment and health care acquired infections.

    To collect data cases received by Patients Advisory Committee during 160701-170630 were analysed. A descriptive design and qualitative data analysis was used.

    The results of this study showed that ten cases containing perceived shortcomings in hygiene and healthcare environment and 26 cases involving health care acquired infections were received by Patients Advisory Committee. Due to the experienced deficiencies in hygiene and the healthcare environment patients and close relatives considered the healthcare staff to be ignorant and sloppy. They also questioned their cleaning routines regarding the healthcare environment. As a patient, being affected by a health care acquired infection was described as frustrating, with extended care times and reduced confidence in the overall healthcare organization. Health care acquired infections caused physical and mental suffering.

    According to Virginia Henderson, the aim of nursing care would always be a better health for the persons being cared for and to help them regain their independence. The result of the study show that the health care system has failed in this regard. Increasing compliance to basic hygiene routines and the understanding of the patients’ situation lead to reduced suffering for patients and relatives.

     

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  • 61.
    Andersson, Caroline
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Omvårdnad vid självskadebeteende: Hinder och svårigheter i omvårdnaden av individer med självskadebeteende.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

    Aim:

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

    Method: A literature review based on 12 scientific articles.

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

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

  • 62.
    Andersson, Ellinor
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
    Barnmorskors stödjande roll i samband med barnafödande: Nyutbildade barnmorskors uppfattningar2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 63.
    Andersson, Emma
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Kilström, Johan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienters uppfattning av vård vid självskadebeteende: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

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

    Aim

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

    Method

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

    Results

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

    Conclusion

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

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  • 64.
    Andersson, Emma
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Nylén, Melina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Anhörigas upplevelser av att vårda en närstående med demenssjukdom: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:As the life expectancy of the population increases, more people are diagnosed with dementia. The diagnosis causes a lack of self-care for the affected person, which can result in a relative taking up the role of caregiver. Thus, the quality of life of the relatives may deteriorate when their own needs are disregarded. Relatives support is important in everyday life. Aim: The aim of the study was to investigate family caregivers experiences of caring for a relative with dementia. Method:A literature review based on 13 qualitative articles, selected on the basis of inclusion criteria. Results: After compiling 13 scientific articles, four themes emerged; the life situation gets a turnaround, the disease changed everyday life, the caregiver's experience of health and the importance of knowledge and support for a good care.The caregiver experienced the changed life situation demanding. New roles as well as changing family relationships caused difficulties in life. The dementia disease caused personality changes that forced the relative to adapt the everyday life to the relative. The physical and mental health of the caregiver was adversely affected by the situation. Relatives felt that feelings of anxiety dominated over the loved one and in the thoughts of the future. Lack of information and knowledge caused difficulties in the care of the dementia patient. The importance of support in everyday life emerged. Conclusion: The life situation changes and life forces adaptation after dementia. Formal support is significant in everyday life. Relatives experience psychological and physical illness. Lack of knowledge and information can be an important cause of perceived bad health, access to support should be facilitated.

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  • 65.
    Andersson, Gun
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Enlund, Zenja
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Stressyndrom hos patienter som vårdats på intensivvårdsavdelning2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

     

    Background:

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

    Aims:

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

    Method:

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

    Results:

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

    Conclusions:

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

     

     

     

    I

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  • 66.
    Andersson, Henrietta
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Larsson, Lovisa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Strategier för att fler barn ska bli vaccinerade; en kvalitativ intervjustudie med sjuksköterskor inom barnhälsovård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:Vaccinating children is cost effective and important for public health. In Sweden, the high vaccine coverage is reflected by the public trust in vaccinations. However, vaccine hesitancy is a growing challenge worldwide. According to the WHO, vaccine hesitancy is one of the top ten threats to public health in the world today. Registered nurses have a key role for vaccinations, especially in providing information to parents.

    Aim:The aim was to examine why some children do not get vaccinated at the child care center and what strategies registered nurses use when responding to parents that are opposed or hesitant towards vaccines.

    Method: Semi structured interviews was undertaken with 12 registered nurses experienced in discussing vaccine safety with parents. Data was analyzed with inductive content analysis.

    Results:The analysis resulted in six categories and 11 subcategories. Reasons for doubt or hesitancy to vaccines were that consequences of the diseases were forgotten, parents felt worried about how the vaccine affected the child, and lack of trust. Basic strategies that were used to address parents were based on evidence-based information. It enabled trust in the registered nurse and the vaccine that was offered.

    Conclusion:InSweden,the normis tovaccinatechildren,somethingthatshouldnotbetakenforgranted. Theregistered nursecanatanearlystageprovideevidence-based informationtoparentsatthe child care centersandtherebyprovideknowledgeofthevaccine's health-promotingbenefits.This canpreventdoubtsabout vaccinations andgetmorechildrenvaccinated.

     

     

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  • 67.
    Andersson, Jenny
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Fjällström, Anne
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Livskvalitet hos barn och ungdomar med enures: Litteraturstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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  • 68.
    Andersson, Jenny
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Freij, Ewa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Ett möte på lika villkor - vårdrelationen på akutmottagning utifrån patientens perspektiv.: En systematisk litteraturstudie.2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

    Metod: En systematisk litteraturstudie med kvalitativ metod.

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

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

  • 69.
    Andersson, Johanna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Parlapiano, Anna-Lisa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Ungdomar och unga vuxnas upplevelser av att genomgå en cancerbehandling: En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of this literature study was to describe adolescents and young adults experiences of going through cancer treatment and what kind of support they would have needed during treatment.

    Method: A literature study has been done where eleven original articles with qualitative studies from the databases Pubmed and Cinahl were used.

    Results: The result were divided into four main themes; experiences of physical changes, the effects on psychological health, the effects on social life and the need for support from healthcare providers and close relations. Bodily changes were something that created insecurities and lack of control over the own body. That created anger and frustration. The result from the studies also showed that social networks, emotional support and competent healthcare providers is essential for the patients.

    Conclusion: Adolescents and young adults lives are very affected when going through cancer treatment. Their physical and psychological health are affected by how they get received by healthcare providers. There for, it would be of advantage if healthcare providers have knowledge about the patients experiences going through cancer treatment. To be able to give the right support and information.  A confidential communication and a trustworthy relation between healthcare provider and patient is crucial for a good care.

    Key words: Cancer, adolescents, young adults, experiences. 

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  • 70.
    Andersson, Karin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Gustafsson, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Patienters uppfattningar om delaktighet under                                                                 anestesi2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 71.
    Andersson, Karolina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Pettersson, Malin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    En optimal intensivvårdsavdelning för nyfödda utifrån föräldrars synpunkter och erfarenheter: Kvalitativ ansats2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    SAMMANFATTNING

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

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

     

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

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

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

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

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  • 72.
    Andersson, Katarina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Eklund, Emma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Vilka frågor om Humant papillomvirus (HPV) har ungdomar som vänder sig till en internetbaserad ungdomsmottagning?2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 73.
    Andersson, Kristoffer
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Jarlekrans, Emmie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Kommunikativa förutsättningar för en vårdande relation2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In the post-operative phase, the patient's ability to communicate is impaired. The postoperative patient is therefore in great need of that the information given is being individually adapted.

    Objectives: The aim of this study was to investigate communicative barriers and facilitating factors between the nurse and the patient in postoperative care and to describe areas of improvement.

    Methods: Literature study consisting of 12 qualitative scientific original articles focusing on communication between the nurse and the patient in postoperative care and the patient's communicative needs and the nurse's approach to this.

    Findings: The literature study showed that barriers like stressful working conditions led to short or no communication between the nurse and the patient, and that the postoperative care time thereby was prolonged. Different language, dialects, gender, cultural beliefs and socio-economic backgrounds meant that the information from the nurses was not perceived - or interpreted correctly - and that the time spent developing the message increased the workload. Patients who took an interest in their treatment and asked questions, acted as a positive facilitator. In by doing this, the patients increased the likelihood of being helped and communicated with by the nurses.

    Conclusion: The result of the literature study shows that an established clear communicative interaction between the nurse and the patient, with individualized care, could be perceived by the patient as just as important and desirable as a quick recovery from illness.

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    Kommunikativa förutsättningar för en vårdande relation
  • 74.
    Andersson, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
    Eriksson, Henrik
    Nordgren, Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Mälardalens högskola.
    Differences between heart failure clinics and primary health care2013In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 18, no 6, p. 288-292Article in journal (Refereed)
    Abstract [en]

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

  • 75.
    Andersson, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
    Eriksson, Irene
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
    Nordgren, Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Mälardalens högskola.
    Living with heart failure without realising: A qualitative patient study2012In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 17, no 12, p. 630, 632-637Article in journal (Refereed)
    Abstract [en]

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

  • 76.
    Andersson, Malin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Hillenborg, Åsa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Vallgren, Frida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Handhygien: Följsamhet hos vårdpersonal samt interventioner för att öka följsamheten till handhygien En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Accurate hand hygiene is crucial for reducingand eliminating the spread of bacteria and infections, and helps a future reduction of this. Prevention of infection and emergence of healthcare associated infections, is one of the most important tasks in health care. In Merry Scheel's nursing theory, the nursing profession is a social assignment and a nurse in clinical activities is a role model for achieving best care.

    Aim:

    To study the reasons why hand hygiene procedures arefollowedornot followed by healthcare workers in the field of hospital care,and to investigate whether interventions can increase compliance with given guidelines for hand hygiene among healthcare professionals.

    Method:

    The study design is a literature study. Keywords used are compliance, hand hygiene, healthcare professionals, health care workers, healthcare related infections and in hospital. Keywords have been used in combination with AND and OR. The result is described in current text and compiled in the matrix model.

    Result:

    When hand hygiene is applied by healthcare professionals, it is based on the workplace, hand disinfectants location, Hawthorne effect and the impact of hierarchy. When hand hygiene is not applied by healthcare professionals, it is based on workload, the workplace culture and at the individual level. Themes for interventions were behavioral change, shame and guilt as interventions, interventions using hierarchy and interventions with education as a focus.

    Conclusion:

    The work to change and improve hand hygiene routines among clinically effective healthcare professionals is a long-term process and requires strong and committed leadership. Social influence and influence between colleagues is of great importance in the work of changing hand hygiene routines. Occasional courses only have a short-term effect and the result of accurate hand hygiene decreases over time.

     

  • 77.
    Andersson, Margareta
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Andersson, Anette
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Hälsosamtal i elevhälsovården: Vad uppfattas som ett positivt och betydelsefullt hälsosamtal utifrån elev- och skolsköterskeperspektiv?2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 78.
    Andersson, Marlene
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Hjelm, Tim
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Onkologisjuksköterskors attityder till användandet av signalhundar vid cancerdiagnostik2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 79.
    Andersson, Moa
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Löyttynen, Jenny
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Omvårdnad bortom tvåkönsnormen: En kvalitativ studie med fokusgrupper2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Swedish and international research regarding the general health and living situation of transgender persons demonstrates experiences of discrimination from several community institutions. Discrimination of transgender persons in health care is a serious issue that has been shown to result in loss of faith and an avoidance of seeking medical attendance. This paper examines the issue from the perspective of registered nurses in a context of somatic emergency medical care, where nurses may be the first contact between the patient and the health care system. Despite the relatively fast treatment patients receive in emergency medical care, the treatment by a registered nurse can have a big impact on patients’ future perception of the health care system.

    Aim: The purpose of the study was to identify areas of improvement in the care of transgender persons by exploring registered nurses experiences of challenges and possibilities in the care of patients who identify as trans, in emergency medical care units.

    Method: The study held a qualitative approach with focus groups as a method. Study participants included twenty-two registered nurses emerging from five separate emergency wards in central Sweden. Data was processed and analyzed with content analysis with an inductive approach.

    Results: The content analysis resulted in three main categories and six subcategories. The results demonstrated that participating nurses perceived their treatment was given in a ‘natural’ manner, not affected by their personal attitudes. Nurses experienced a lack of knowledge regarding the care of transgender persons and believed education and a more inclusive work environment to be factors having a big impact on the relationship between a nurse and a transgender patient.

    Conclusion: Person-centered care was identified as a possible area for improvement in the registered nurses work with the aim to strengthen the position of transgender patients in healthcare. By representing the profession of registered nurses in organizations concerning lgbt-issues, the relationship between lgbt-persons and healthcare can be improved.

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  • 80.
    Andersson, Sara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Sedin, IngaMaj
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Ett visuellt hjälpmedel vid trycksårsprevention: Continuous Bedside Pressure Mapping System                      (MAP-system)En randomiserad kontrollerad studie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

     

    Background: Pressure ulcers consist of local damage to the skin and underlying tissue and can occur in relation to illness, care and treatment. Pressure ulcers are today considered as an adverse event and are to be reported as a deviation from care routines. For the individual it can be the source of great suffering. It also generates large costs for the community, increased needs of nursing as well as prolonged periods of hospitalization. Studies show that the level of knowledge among registered nurses and assistant nurses in Sweden is insufficient. A pressure mapping system (MAP system) is now available, and can provide immediate feedback about the patient´s pressure points as a tool for pressure ulcer prevention.

    Aim: To study the effect of the MAP system regarding the presence of pressure ulcers in elderly hospitalized patients on a geriatric ward.

    Method: A randomized, controlled study design was chosen. A geriatric ward was selected with a MAP group (n=91) and a control group (n=99). A study protocol containing demographic data, systematic skin inspection (with classification of pressure ulcers category 1-4), Modified Norton scale, comfort, maximum pressure and preventive measures was used. Data was processed in SPSS; generating mean, standard deviation and level of significance.

    Results: No significant difference in the prevalence of pressure ulcers was shown between the MAP- group and the control group. The prevalence of pressure ulcers in the MAP-group was 24,2 % on day one and 28,2 % on day 14. In the control group the corresponding numbers were 18,2 % and 23,8 %.

    The most common localization of pressure ulcers were heels, followed by the sacral and gluteal regions. Patients with pressure ulcers received significantly more preventive measure compared to patients without pressure ulcers.

    Conclusion: The study shows no significant differences between the groups regarding the prevalence of patients with pressure ulcers. Preventive measures were prioritized mostly for patients with existing pressure ulcers. The study is assumed to have increased the focus on pressure ulcer prevention thus affecting the prevalence of pressure ulcers in a positive way on the present ward.

     

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  • 81.
    Andersson, Veronica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Bröstcancerpatienters tillfredsställelse med den utredande vårdens kvalitet2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose: The purpose was to examine breast cancer patients’ satisfaction with care during diagnostic process and to investigate their identified needs for improvement. Method: Patients reported to the Quality register for breast cancer in Uppsala- Örebro during 2007-2008 were asked to participate in a questionnaire study. The study population was 165 women who commented on the diagnostic process. Answers were analyzed using qualitative content analysis by Graneheim and Lundman. Result: Patients commented diagnostic services regarding organization, competence, interpersonal skills, information and general. Concerning organization they reported needs for better coordination, better personnel continuity, a contact person and more psychosocial care. High satisfaction with health care competence was reported but also mistakes and lack of professionalism. Personnel’s interpersonal skills appeared mostly satisfactory. Lower satisfaction was reported when personnel overlooked the patient as an individual. Satisfaction with information was high when information was given in person with time for questions and feedback, and lower when information was hard to access, lacking or not adjusted to the patients’ needs. General comments indicated high satisfaction. Conclusions: Patient satisfaction with competence and interpersonal skills was high while satisfaction with organization and information was lower. Diagnostic services can be improved by coordination and more psychosocial care.

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  • 82.
    Andersén, Åsa
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Berglund, Erik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Anderzén, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Lifestyle and rehabilitation in long term illness.
    Rehabilitation coordinator intervention versus control in psychiatric specialist care for return to work and reduced sick leave: study protocol of a randomised controlled trial2020In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 20, no 1, article id 250Article in journal (Refereed)
    Abstract [en]

    Background Mental disorders are the most common reason for sick leave in Sweden. Knowledge about effective methods to help these individuals to return to work (RTW)/entry into work or studies is limited. Rehabilitation coordinators (RC's) have been introduced within healthcare with the purpose to promote cooperation, streamline the sick leave and rehabilitation process, and facilitate RTW for sick-listed patients. The function of RC's has shown positive results by reducing sick leave within primary healthcare. However, the function has not been evaluated in terms of specialist psychiatry. This paper describes the design of a study to evaluate effects of a RC intervention on sick leave and RTW/entry in work or studies in patients with moderate to severe affective and/or moderate to severe anxiety disorders within specialist psychiatric care. Methods A randomised controlled trial (RCT) comparing an intervention group receiving support from a RC with a control group receiving treatment as usual (TAU). The target group is patients on sick leave, treated for affective and/or anxiety disorder, aged 25-64, with or without employment. Discussion This study gives the possibility to evaluate a RC intervention for individuals with mental disorders. If the study has promising vocational outcomes, it may be of importance for the participants in many ways, e.g. increase participation in society, provide economic benefits and improve health and wellbeing. This would be valuable for the individual as well as for the society.

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    FULLTEXT01
  • 83.
    Anderén, Melina
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Foo, George
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Sjuksköterskors och barnmorskors syn på abort: En litteraturstudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Health care professionals' attitude and their ability to meet the physical, emotional and existential needs, is relevant to how women experience care in relation to an abortion.

    Aim: The aim of this study was to investigate nurses' and midwives' views on induced abortion, explore factors that influence their attitude and health care provided in the context of abortion. s

    Method: Systematic searches were performed in the databases: PubMed, Cochrane, CINAHL and Scopus and resulted in ten qualitative and quantitative studies.

    Findings: The majority of nurses and midwives believe in the right to terminate a pregnancy. Their role is to support and respect the decision of the woman. A variety of factors and circumstances influence nurses' and midwives' views on abortion; previous experience with abortion (personal and professional), religious belief, length of gestation and if the abortion is used as a contraceptive. Circumstances like rape, young age and/or fetal abnormalities increase understanding and acceptance with abortion. To keep a professional approach and deal with difficult situation the nurses/midwives use coping methods. These methods help nurses and midwives to deal with their feelings, in order to maintain a professional attitude. To provide satisfying care and an empathic attitude were considered more important than their own feelings. 

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    Sjuksköterskors och barnmorskors syn på abort: En Litteraturstudie
  • 84.
    Andrae, Fredrik
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Haglund, Li
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Införandet av smärtskattningsverktyget CPOT- hur påverkas intensivvårdspatienters smärt- och sederingsbehandling?2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Critically ill intensive care patients frequently experience pain and pain may lead to consequences such as prolonged length of hospital stay and increased mortality. The Critical-care Pain Observation Tool (CPOT) is a validated tool for pain assessment in mechanical ventilated patients and is used to enable pain assessment, improve pain management and reduce over-sedation.  Aim: The aim is to examine if the implementation of CPOT affects the doses of analgetics, sedatives administered to the Intensive Care Unit (ICU) patients and/or the sedation levels using RASS-scores. The aim was also to study how often pain-assessments were performed by nurses. Method: A quantitative study with retrospective design, data was collected from patients’ medical records. Included were adult patients treated under mechanical ventilation >24h at an intensive care unit in Sweden (n=55). Results: For this study 55 patients were included and divided into two groups, before and after the introduction of CPOT at the intensive care unit. The amount of analgetics increased among the patients after CPOT was implemented, they were given 1,4 mg of morphine/kg/24h compared to 1,1 mg of morphine/kg/24h before the implementation. The amount of sedatives, Propofol®, given to the patients decreased from 48,3 mg/kg/24h to 47,5 mg/kg/24h after CPOT was implemented. CPOT was used to assess pain levels in all patients except for two (98%) after the implementation of CPOT. Conclusion: The doses of analgetics were higher and the doses of sedatives (Propofol®) were lower after the implementation of CPOT. However, the differences between groups were not statistically significant. Patients were less sedated, according to RASS-scores, after the implementation of CPOT. Nurses used CPOT on an average 1, 6 times/ 24 h. This study can be used to increase the awareness for the need of using a validated tool for assessing pain in ICU-patients.

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  • 85.
    Andreae, Christina
    et al.
    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, Div Nursing Sci, Linkoping, Sweden..
    Strömberg, Anna
    Linkoping Univ, Dept Med & Hlth Sci, Div Nursing Sci, Linkoping, Sweden.;Fac Med & Hlth Sci, Dept Cardiol, Linkoping, Sweden..
    Arestedt, Kristofer
    Linkoping Univ, Dept Med & Hlth Sci, Div Nursing Sci, Linkoping, Sweden.;Linnaeus Univ, Ctr Collaborat Palliat Care, Kalmar, Sweden..
    Prevalence and associated factors for decreased appetite among patients with stable heart failure2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 11-12, p. 1703-1712Article in journal (Refereed)
    Abstract [en]

    Aims and objectivesTo explore the prevalence of decreased appetite and factors associated with appetite among patients with stable heart failure. BackgroundDecreased appetite is an important factor for the development of undernutrition among patients with heart failure, but there are knowledge gaps about prevalence and the factors related to appetite in this patient group. DesignObservational, cross-sectional study. MethodsA total of 186 patients with mild to severe heart failure were consecutively recruited from three heart failure outpatient clinics. Data were obtained from medical records (heart failure diagnosis, comorbidity and medical treatment) and self-rated questionnaires (demographics, appetite, self-perceived health, symptoms of depression and sleep). Blood samples were taken to determine myocardial stress and nutrition status. Heart failure symptoms and cognitive function were assessed by clinical examinations. The Council on Nutrition Appetite Questionnaire was used to assess self-reported appetite. Bivariate correlations and multivariate linear regression analyses were conducted to explore factors associated with appetite. ResultsSeventy-one patients (38%) experienced a loss of appetite with a significant risk of developing weight loss. The final multiple regression model showed that age, symptoms of depression, insomnia, cognitive function and pharmacological treatment were associated with appetite, explaining 27% of the total variance. ConclusionIn this cross-sectional study, a large share of patients with heart failure was affected by decreased appetite, associated with demographic, psychosocial and medical factors. Relevance to clinical practiceLoss of appetite is a prevalent problem among patients with heart failure that may lead to undernutrition. Health care professionals should routinely assess appetite and discuss patients' experiences of appetite, nutrition intake and body weight and give appropriate nutritional advice with respect to individual needs.

  • 86.
    Andreas, Persson
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Förekomsten av hypotermi vid rutinbarnanestesi2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:  Children going through surgery are likely to develop hypothermia caused by anesthesia, which can have severer consequences both peri and postoperatively. With increased understanding and knowledge regarding the correct methods for prevention, hypothermia caused by anesthesia in children can be reduced. This in turn, will lead to better and safer care. Aim: To describe the presence of hypothermia in children undergoing anesthesia. Also, this study will look at how the nurse anesthetists’ different interventions to preserve heat affect the occurrence of hypothermia. Methods: A descriptive retrospective study was performed. Medical records were reviewed to collect data. Results: The result showed that despite interventions to preserve heat were implemented, hypothermia caused by anesthesia still occurred during surgery. Gender, age and type of operation were factors that did not correlate with the presence of hypothermia. The length of surgery was shown to have some negative correlation with presence of hypothermia. Nursing interventions to preserve heat had no significant association with hypothermia. Conclusions: Nurse anesthetist used different combinations of interventions to preserve heat and reduce the risk for hypothermia in children. The majority of children obtained three or more different interventions aimed to preserve heat. Despite this, several children developed hypothermia during surgery. By increasing the nurse anesthetists’ knowledge and awareness regarding hypothermia caused by anesthesia, it can lead to improvement in providing safe care and reduce the number of cases where hypothermia occurs. Continued similar studies could lead to more person-centered care with personalized policies and amend the methods used regarding hypothermia caused by anesthesia. 

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  • 87.
    Andreas, Sågström
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Sara, Maleki
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Cannabis som smärtlindring vid långvarig smärta: En litteraturöversikt med systematisk ansats2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Medicinal cannabis is regularly used as treatment for chronic pain in different parts of the world. Cannabis is not an approved treatment for chronic pain in Sweden even though a demand is seen from the affected population. In Europe 19% of the adult population suffers from chronic pain. Aim: To investigate whether scientific evidence exists for the analgesic effect of medical cannabis and its impact on the quality of life of people suffering from long-term pain. Method: A literature review with a systematic approach. Result: Cannabis has a pain relieving effect within the group of patients suffering from long-term pain. The patients reported a better effect of their previous pain treatment and in some cases could reduce their opioid intake. A mixture of the cannabinoids Tetrahydrocannabinol, THC, and Cannabidiol, CBD, was most effective against pain as opposed to THC alone. There is some indication that cannabis has a positive effect regarding quality of life, primarily due its positive effect on sleep quality. Conclusion: Long-term pain has a negative impact on the individual's independence and quality of life according to Henderson's (1964) Need theory. Individual adjustment is central to the treatment of long-term pain. There are indications for the use of cannabis as an adjunct to long-term pain. Opioids are associated with serious risks such as deaths caused by respiratory failure, addiction, and side effects such as constipation. Cannabis is not associated with similar risks and side effects and can aid patients to lower their opioid dose. Some indication exist for the positive effects of cannabis regarding certain quality of life factors such as sleep. Given the large societal and health care costs that are associated with long-term pain, combined with the difficulties of achieving an adequate level of pain relief, cannabis should not be overlooked as an alternative for continued research and treatment.

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  • 88.
    Andreassen Ekendahl, Gry
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Timber, Olov
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Barns smärtskattning vid lustgasbehandling under smärtsamma procedurer2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

     

    Background: Painful procedures in the care of children may cause fear and phobia later in life. Several methods exist to reduce children's perceived pain during painful procedures and one method is nitrous oxide. Nitrous oxide blocks receptors to reduce the pain experience.

     

    Aim: The purpose was to investigate children's self-assessed pain during painful procedures and compare ratings between age-groups (7-11 vs 12-18 years) and gender. Furthermore, the study explored wheatear children who had used nitrous oxide would like to use it again during another painful procedure.

     

    Method: A quantitative and comparative cohort design was used. Protocols from Gävle Hospital regarding children’s pain assessments during nitrous oxide treatments during procedures were reviewed. From the protocols, the children's pain estimations were extracted when nitrous oxide treatment was used during painful procedures. The pain estimation was described on an ordinal scale, ranging from 0 to 10. Independent t-tests were used to investigate differences between age-groups 7 to 11 year’s vs 12 to 18 years and between genders. Furthermore, data were collected (yes/no) to explore if the children had a desire to use nitrous oxide again if they were to undergo another painful procedure.

     

    Results: 149 protocols in each of the two age-groups was analyzed and no significant difference between children’s pain estimation during nitrous oxide treatment was found. In comparison of 152 protocols representing girls and 146 boys a significant difference between the genders was found regarding their pain estimation. Mean (standardeviation) for girls estimated pain were 2.3 (2.7) and for boys 1.6 (2.2). The result showed that 97 % of the children had a desire to use nitrous oxide again if they had to undergo another painful procedure.

    Conclusion: Nitrous oxide as a pain relief treatment shown to have a positive effect to reduce the pain experience during painful procedures   and the method seems to be appreciated by the children who have used it. The difference between girls’ and boys’ pain estimation during nitrous oxide treatment indicates that further research is needed.

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  • 89.
    Andreasson, Frida
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Frenning, Ella
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Vårdrelationer utan gemensamt språk: Kvalitativ intervjustudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT                                                                                                        Background. Within a health care context, communication is a crucial basis in order to give a patient the care he or she deserves. In a society with an ever-growing cultural diversity, the health care system in Sweden now faces new challenges to uphold a safe and patient centred care even when nurse and patient lack a common language.                                        Purpose. The purpose was to explore nurse’s experiences of working with patients with whom they do not share a common language, in order to understand which tools they request to aid the everyday care. 

    Method. This study has a qualitative design. The respondents were selected out of convenience. Seven nurses were interviewed with a semi structured method. The results were then transcribed and analysed by through a content analysis method. 

    Result. Eight categories were identified: communication, boundaries in nursing, person centring, working environment, the nurse’s experiences, interpreter, alternative means of communication and areas of development and risk-factors. The nurses described a feeling of insufficiency facing these situations. The nursing care often became shallow and less person centred. The tool most commonly used by the respondents was body language alongside the help of a bilingual person close to the patient. Professional interpreters are rarely used in the adult departments as they were perceived as inaccessible and unreliable to use. The tool most requested from the nurses was an easily accessible yet medically accurate translation app or service especially developed for a health care context.

    Conclusion. The tool most commonly used by nurses in their communication with patients with whom they do not share a common language was body language. The tool most frequently requested was an easily accessible translation service or application developed specifically for a healthcare context to aide their every day care.

    Keywords: Caring relations, communication difficulties,  language barrier, nursing, communication aids.

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  • 90. Andregard, Anna-Carin
    et al.
    Jangland, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Education in Nursing.
    The tortuous journey of introducing the Nurse Practitioner as a new member of the healthcare team: a meta-synthesis2015In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 1, p. 3-14Article, review/survey (Refereed)
    Abstract [en]

    The aim of this study was to explore the obstacles to and the opportunities for achieving optimal interprofessional team collaboration with the introduction of the nurse practitioner (NP). A team approach can contribute importantly to sustainable and safe patient care, and NPs have been added to the healthcare team in many countries. Following the international trend towards the development of the acute care NP, the role has recently been initiated in surgical care in Sweden. The introduction of an advanced nursing role into existing organisations raises questions about how the role will be developed and what its effects will be on collaboration between the different professions. We conducted a systematic review of qualitative studies using the meta-ethnographic approach developed by Noblit and Hare. Literature in the field of nursing was searched on PubMed and CINAHL, and empirical qualitative studies from outpatient and inpatient care in seven countries were included. The studies were appraised according to national guidelines and templates and were analysed and synthesised according to the meta-ethnographic approach. A total of 26 studies were included in the synthesis. The analysis revealed four themes: (i) a threat to professional boundaries, (ii) a resource for the team, (iii) the quest for autonomy and control, and (iv) necessary properties of a developing interprofessional collaboration. Based on these themes, the synthesis was created and presented as a metaphorical journey. The implementation of a new nursing role in a traditional healthcare team is a complex process influenced by many factors and can be described as a tortuous journey towards a partially unknown destination. The synthesised obstacles and opportunities drawn from international studies may help healthcare organisations and new NPs prepare for, and optimise, the implementation of a new nursing role.

  • 91.
    Andén, Jessica
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Nyström, Jenny
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Omvårdnad av äldre patienter med akut förvirringstillstånd2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Background

    Delirium is a common neuropsychiatric condition that primarily affects frail, aged people. When it has occured it is few treatments available to reduce duration and severity. The purpose of this study was to find out how delirium can be prevented and how nursing can facilitate the care of aged patients with delirium in hospital.

    Methods

    To find answer to our purpose a descriptive litteraturestudy have been chosen as a method. Database searches were implemented and the quality of the studies was scientifically reviewed with a template. Fifteen studies were included, both quantitative and qualitative. Through analysis of included studies, valuable data based on the purpose were identified and sorted into three categories.

    Results

    The results show that preventive actions have importance for reducing the risk of being affected of delirium. Some studies formed as multicomponent studies have shown good results for avoiding acute onset of delirium where the interventions secure that several of the patient basic needs are catered, as sleep, nutrition- and fluid intake, elimination and being able to communicate. The studies also came up with the result that the knowledge and education of the health professionals mattered, that increased knowledge facilitates the patient care and the quality of care. When the patient is affected of delirium, there are actions that facilitate the nursing. Facilitating actions is described in the studies as increased supervision, reduction of stimuli, activate the patient etcetera.

    Conclusion

    Preventive interventions have importance of reducing the risk of elderly patients being affected of delirium. Increased knowledge of healthcare professionals improves patient care and quality of care. To facilitate the care of the patient with ongoing delirium there is need for time, experience, suitable facilities and enough healthcare personnel.

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  • 92.
    Angelhoff, Charlotte
    et al.
    Linkoping Univ, Div Nursing Sci, Dept Social & Welf Studies, Norrkoping, Sweden;Linkoping Univ, Dept Clin & Expt Med, Linkoping, Sweden;Linkoping Univ, Dept Paediat, Linkoping, Sweden.
    Blomqvist, Ylva Thernström
    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), Perinatal, Neonatal and Pediatric Cardiology Research.
    Helmer, Charlotte Sahlen
    Linkoping Univ, Div Nursing Sci, Dept Social & Welf Studies, Norrkoping, Sweden;Linkoping Univ, Dept Clin & Expt Med, Linkoping, Sweden;Linkoping Univ, Dept Paediat, Linkoping, Sweden.
    Olsson, Emma
    Orebro Univ, Dept Pediat, Orebro, Sweden;Orebro Univ, Ctr Hlth Care Sci, Orebro, Sweden.
    Shorey, Shefaly
    Natl Univ Singapore, Natl Univ Hlth Syst, Yong Loo Lin Sch Med, Alice Lee Ctr Nursing Studies, Singapore, Singapore.
    Frostell, Anneli
    Linkoping Univ, Div Psychol, Dept Behav Sci & Learning, Linkoping, Sweden.
    Mörelius, Evalotte
    Linkoping Univ, Div Nursing Sci, Dept Social & Welf Studies, Norrkoping, Sweden;Linkoping Univ, Dept Clin & Expt Med, Linkoping, Sweden.
    Effect of skin-to-skin contact on parents' sleep quality, mood, parent-infant interaction and cortisol concentrations in neonatal care units: study protocol of a randomised controlled trial2018In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, no 7, article id e021606Article in journal (Refereed)
    Abstract [en]

    Introduction: Separation after preterm birth is a major stressor for infants and parents. Skin-to-skin contact (SSC) is a method of care suitable to use in the neonatal intensive care unit (NICU) to minimise separation between parents and infants. Less separation leads to increased possibilities for parent-infant interaction, provided that the parents' sleep quality is satisfactory. We aimed to evaluate the effect of continuous SSC on sleep quality and mood in parents of preterm infants born <33 weeks of gestation as well as the quality of parent-infant interaction and salivary cortisol concentrations at the time of discharge.

    Methods and analysis: A randomised intervention study with two arms-intervention versus standard care. Data will be collected from 50 families. Eligible families will be randomly allocated to intervention or standard care when transferred from the intensive care room to the family-room in the NICU. The intervention consists of continuous SSC for four consecutive days and nights in the family-room. Data will be collected every day during the intervention and again at the time of discharge from the hospital. Outcome measures comprise activity tracker (Actigraph); validated self-rated questionnaires concerning sleep, mood and bonding; observed scorings of parental sensitivity and emotional availability and salivary cortisol. Data will be analysed with pairwise, repeated measures, Mann Whitney U-test will be used to compare groups and analysis of variance will be used to adjust for different hospitals and parents' gender.

    Ethics and dissemination: The study is approved by the Regional Research Ethics Board at an appropriate university (2016/89-31). The results will be published in scientific journals. We will also use conferences and social media to disseminate our findings.

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  • 93.
    Anheller, Magnus
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Grahm, Albin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Fysisk aktivitet vid egentlig depression: En litteraturstudie om effekterna av fysisk aktivitet som behandlingsmetod2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    A large number of people around the world suffer from depression. Physical activity has been proven to have a positive effect on the wellbeing and is recommended as part of a healthy lifestyle. The relationship between physical activity and mental health has not been as entirely determined, although research implies that exercise could help prevent or alleviate depressive symptoms. The aim of this is to further investigate if physical activity has a positive effect on depression. According to Dorothea Orems theory is self-care essential for recovery and well- being. As a nurse it is important to give such guidance in the daily work.

     

    Aim

    To investigate what evidence there is in favor of physical activity as a form of treatment for patients suffering from major depressive disorder.

     

    Method

    Literature review based on the results of ten original scientific articles published in the PubMed or CINHAL databases between 2004 and 2016. A literature review has been done where the checklist was used to assess the quality of the included studies.

     

    Results

    The majority of the studies shows a decrease in depressive symptoms for patients who are physically active. Various forms of exercise seem to be effective on its own or as an addition to standard therapy in the treatment of major depressive disorder of diverse severity.  However, which type of exercise or level of intensity could not be confirmed. 

     

    Conclusion

    Major depressive disorder is expressed in many different ways and the treatment usually consists of psychotherapy and pharmacotherapy. The results of this study support physical activity as a part of this treatment.

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  • 94.
    Anne, Wiregård
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Mård, Lovisa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Asylsökande och nyanlända barns hälsa i grundskolan: En kvalitativ studie med skolsköterskor2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    SAMMANFATTNING

    Bakgrund: Barn som söker asyl i Sverige har ökat de senaste åren. Asylsökande och nyanlända barn tillhör en sårbar grupp utifrån ett hälsoperspektiv med en hög förekomst av psykisk ohälsa. Skolsköterskan möter dessa barn i sitt hälsofrämjande arbete i skolan. Skolsköterskans erfarenheter kring asylsökande och nyanlända barn kan därför bidra till en ökad förståelse kring vilka faktorer som påverkar dessa barns hälsa. Syfte: Att beskriva skolsköterskors erfarenheter av asylsökande och nyanlända barn i grundskolan för att få en ökad förståelse för barnets hälsa, samt identifiera brister, möjligheter och förbättringsförslag. Metod: Studien har en kvalitativ design med en induktiv ansats. Semistrukturerade intervjuer utfördes med tio skolsköterskor från fyra kommuner i mellersta Sverige som arbetar med asylsökande och nyanlända barn i grundskolan från förskoleklass till årskurs nio. Resultat: Innehållsanalysen resulterade i tre kategorier och sex subkategorier. Maktlöshet att inte kunna påverka sin framtid i Sverige bildade kategorin Migrationsprocessens påverkan på barnets hälsa. Skolsköterskans relation till barnet och Socialt nätverk bildade kategorin Skolans påverkan på barnets hälsa. Barnets ansvar att lära sig språket, Kultur och Att komma med eller utan familj bildade kategorin Familjens påverkan på barnets hälsa. Olika förbättringsförslag framkom även i studien. Slutsats: Skolsköterskans erfarenheter av asylsökande och nyanlända barns hälsa i grundskolan är att barnens hälsa påverkas av migrationsprocessen, familjen och skolan. Psykisk ohälsa är vanligt förekommande främst för de barn som kommer utan familj. Skolsköterskan relation till barnet är viktig för att barnet ska kunna prata om sin hälsa.

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  • 95.
    Annmo, Linnea
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Hållberg, Frida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Blivande sjuksköterskors reflektioner angåendeett gott respektive ett sämre bemötande: En kvalitativ fokusgruppsintervjustudie2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Being a nurse means a lot of interacting with people. It has been found that when the interaction is perceived as bad, the other health care is perceived as bad. A prerequisite for being able to make a well interaction, you have to reflect the meaning and thoughts about the factors that can affect the interaction and make it good or worse. Aim: The aim of the study was to examine what the nursing students from last semester believe is a good / bad interaction, and the reasons why the interaction is better or worse. Methods: Twelve nursing students were interviewed in focus groups and qualitative content analysis was used to analyze the data. Results: Nursing students emphasized the importance of time, respect, empathy, personal standpoints and characteristics in an interaction. Examples of different causes that lead to good interaction is both consistent with the interviewed nursing students, and studied literature, was the friendliness, helpfulness, touch and eye contact. In addition, also revealed a "blame-yourself"-attitude as a cause of a worse interaction, and are not mentioned in either literature or research. Conclusion: External circumstances and personal characteristics affect the interaction. However, nursing students need a better understanding regarding the concept of interaction. It is therefore proposed that roleplay and seminar, concerning interaction, should be included in nursing education. Further research needs to be done to examine how patients and professional practice nurses, reflects of interaction, in order to be able to clarify current guidelines. The increased knowledge is considered to contribute to improved quality of care, better working environment and increased well-being for both nurses and patients.

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  • 96.
    Ann-sofie, Helgsten
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Miriam, Jenefeldt
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Förbereda barn med text- och bildmaterial inför hälsobesök på barnavårdscentral vid fem år2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 97.
    Antonsson, Linda
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Löfström, Elina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Ångestlindring hos personer med affektiv problematik2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background and purpose: Anxiety is increasing in the world and can result in a severe suffering. There are several treatment options, both pharmacological and psychological, which aim to reduce the anxiety. However, there are still a desire for more research to investigate what treatment is most effective and most cost-effective. The purpose of this study was to investigate how people with affective disorders experience help from non-pharmacological anxiety reducing treatments and strategies.

    Method: A qualitative design with explorative and descriptive approach was used in this study. Semi-structured interviews were conducted at wards that cared for patients with affective disorders. There were eight participants. Content analysis was used to analyse data.

    Result: Two categories were formed: “individual strategies” and “treatments”. Eight subcategories were also found. The subcategories for “individual strategies” were: to have a dialogue with someone, anxiety reducing strategies, healthy lifestyle, destructive methods and alternative medicine. The subcategories for “treatments” were: psychological treatment, ECT and knowledge and awareness.

    Conclusion: The experience of treatments and strategies that could reduce anxiety was diverse between the participants. It is therefore important with a healthcare that is based on the unique individual, a good relationship and an early plan for anxiety treatment. Further research is needed to investige how the health care can support the unique person to reduce anxiety.

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  • 98.
    Appel, Gabriella
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Becker Hjärp, Henrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Effekten av icke farmakologiska omvårdnadsåtgärder vid cancersmärta: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund

    Smärta är ett vanligt problem hos cancerpatienter. Upp till 55 % av alla cancerpatienter uppger att de har smärta trots att det får läkemedelsbehandling. Anledningen tros vara en kombination av att patienterna inte säger till i tid, samt att vårdpersonalen inte har tillräcklig kunskap om alternativa behandlingsmetoder.

    Syfte

    Syftet är att undersöka om icke farmakologiska omvårdnadsåtgärder har effekt vid cancersmärta.

    Metod

    En litteraturöversikt med deskriptiv design. Sammantaget var det 10 vetenskapliga originalartiklar som analyserades och sammanställdes i resultatet. Samtliga artiklar var randomiserade kontrollerade studier och söktes fram i PubMed, Cinahl eller Google Scholar.

    Resultat

    Resultatet visade att akupunktur, massage och TENS kan ha effekt på smärta. I artiklarna som inkluderades skiljde sig dosen, metoden och längden på interventionerna. De icke farmakologiska smärtlindringsmetoderna påverkade också deltagarnas livskvalitet då många upplevde en ångestlindring. Detta tros bero på en mellanmänsklig kontakt som upplevs som lugnande, vilket ger effekt på både psykisk och fysiologisk nivå.

    Slutsats

    Akupunktur, massage och TENS kan ha effekt på cancersmärta. Fler och större studier behöver dock utföras för att få ett större underlag för klinisk användning.

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  • 99.
    Appeldahl, Anders
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Forsberg, Jacob
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Sjuksköterskors uppfattningar kring lustgasbehandling till barn vid smärtsamma procedurer2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Smärta är en subjektiv upplevelse som är förenad med vävnadsskada eller hot av sådan. Inom sjukvården används uttrycket procedursmärta, där patienten utsätts för smärta i syfte att kunna diagnostisera eller behandla. Barn kan ha svårt att förstå meningen med att utstå en smärtsam procedur i syfte att tillfriskna. En effektiv metod för att lindra smärta och oro hos barn är lustgas och de rapporterade biverkningarna är få. Syfte: Syftet med denna studie var att ta reda på vilka för- och nackdelar som sjuksköterskor ser vid administrering av lustgas som smärtlindring för barn vid procedursmärta. Metod: Detta är en intervjustudie, baserad på ett bekvämlighetsurval. Studien har en deskriptiv design för att undersöka sjuksköterskors subjektiva upplevelse av lustgas som behandlingsmetod. Resultat: Resultatet från intervjuerna bildade nio subkategorier som sedan delades in i tre stycken kategorier. Dessa kategorier blev ”tillvägagångssätt vid procedursmärta”, ”lustgasens effekter” och ”svårigheter kring lustgasbehandling”. Slutsats: Sjuksköterskorna ansåg att fördelarna med lustgas är att det är en effektiv och säker behandlingsmetod mot procedursmärta, framförallt till barn mellan fem år och tonåren. Lustgasens effekter är smärtstillande, lugnande samt att den motverkar rädsla och oro. Eftersom sjuksköterskorna beskriver lustgas som ett så pass bra preparat vid procedursmärta och målet med vården är att främja hälsa och minska lidande så bör lustgas användas i större utsträckning. Nackdelarna med lustgas som metod är att det kräver mer resurser, i form av personal med delegering, samt en högre tillgänglighet genom fler lokaler och lustgasapparater.

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    Sjuksköterskors uppfattningar kring lustgasbehandling till barn vid smärtsamma procedurer
  • 100.
    Aqel, Reem
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Eklund, Jenny
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Effekter av lågkolhydratkost hos patienter med övervikt eller fetma: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Övervikt och fetma ökar både i Sverige och andra länder. Kost anses vara en viktigt komponent i behandlinngen. Det råder diskussion kring vilken kost som anses ge bästa resultat på vikt och hälsa. Lågkolhydratkost har lyfts fram som ett effektivt alternativ.

    Syfte: Att undersöka effekter av en lågkolhydratkost hos personer med övervikt eller fetma.

    Metod: En systematisk litteraturstudie som innehåller 15 kvantitativa vetenskapliga artiklar. Artiklarna söktes i databaserna PubMed och CINAHL.

    Resultat: Flera av de granskade studierna visar positiva effekter på viktminskning, blodtryck, blodsocer, HbA1c, insulinresistens och blodfetter. Kosten ansågs vara gynnsam för de som har metaboliskt syndrom och diabetes typ 2. I några av studierna förekom skilda resultat på totalkolesterol och LDL. För att undvika risker med lågkolhydratkost är det viktigt med hög kvalitet på de ingående makronutrienterna.

    Slutsats: Resultatet av studien visar att lågkolhydratkost kan vara en användbar metod för personer med övervikt eller fetma. Lågkolhydratkost passar dock inte alla och därför krävs noggrann övervakning och handledning från sjukvården. sjuksköterska har en viktigt roll för att förklara och delge patienten information. Det finns ett behov av fler långsiktiga studier, helst i Sverige för att säkerställa evidens att kosten passar en svensk befolkning.

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