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  • 1.
    Abdi, Abdulkadir
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Mroczkowski, Daniel
    Sjuksköterskans erfarenheter av att lindra lidande hos patienter i palliativt sjukdomsskede: En litteraturstudie2024Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Studies show that nurses' experiences of alleviating suffering in patients in palliative stage of illness place high demands on the nurse's knowledge and skills to be able to handle complex medical and psychosocial challenges. Aim: The aim of the literature review was to describe nurses' experiences of alleviating suffering in patients in palliative care. Method: The literature review is based on the results of ten scientific articles with a qualitative approach. The databases PubMed and Cinahl have been used to identify articles relevant to the purpose. The articles were quality reviewed based on SBU's template and analysed using Popenoe's criteria for data analysis. Results: Two categories were identified: A challenging task and the importance of good professional preconditions. Six subcategories were identified as follows: Difficulties in communication, Fears and uncertainty about symptom relief, Institutional related obstacles, Importance of knowledge and experience, Importance of getting to know the patient, and Importance of good teamwork. Conclusion: The result of the study highlights that nurses play a crucial role in alleviating suffering in palliative care but that they face a variety of challenges. With the right conditions and resources, nurses can succeed in providing the best possible relief of suffering. It is essential that nurses working in palliative care continue to be provided with the support and knowledge necessary to ensure that they can meet these challenges effectively.  

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  • 2.
    Acheampong, Jacqueline
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Khadida, Sibel
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Grundutbildade sjuksköterskors upplevelse av transkulturell omvårdnad inom palliativ vård -: En litteraturstudie utifrån sjuksköterskans perspektiv2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sverige har under åren utvecklats till ett multikulturellt land vilket innebär att nyexaminerade sjuksköterskor kommer att möta patienter från olika kulturella bakgrunder. Detta examensarbete kan användas som stöd för grundutbildade sjuksköterskor då det belyser hur andra sjuksköterskor har hanterat svårigheterna och utmaningarna som kan uppstå vid omvårdnad av palliativa patienter från olika kulturella bakgrunder.

    Syfte Syftet med arbetet är att beskriva grundutbildade sjuksköterskors upplevelser av transkulturell omvårdnad inom palliativ vård.

    Metod: Metasyntes användes som analysmetod för arbetet. Det är skrivet utifrån en kvalitativ litteraturöversikt och är baserad på totalt 10 kvalitativa artiklar.

    Resultat: Resultatet för detta arbete valdes att presenteras utifrån tre huvudteman samt åtta subteman. Tema ett (1): Det som krävs för möjligheten till en god kommunikation vid transkulturell omvårdnad med tre (3) subteman: Verbal kommunikation, Beröring som kommunikationssätt samt Hjälp av tolk. Tema två (2): Kulturella skillnader med tre (3) subteman: Oro över att kränka patienten, Vikten av kunskap om kulturella skillnader samt Etiska dilemman. Tema tre (3): Sammarbete med familjen för personcentrerad vård med två (2) subteman: Medvetenhet om patienten som individ ochFamilj över autonomi

    Slutsats: De grundutbildade sjuksköterskorna upplevde den verbala och icke-verbala kommunikationen som en svårighet vid transkulturell vård av palliativa patienter. Användning av tolk upplevdes inte alltid som positivt, och att ha kunskap om olika kulturer för att kunna ge personcentrerad omvårdnad sågs som viktigt.

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  • 3.
    Adamo, Marco
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Abou Zeid, Irena
    Malmö University, Malmö University Library.
    SJUKSKÖTERSKANSUPPLEVELSE AV ATT VÅRDAPATIENTER I LIVETSSLUTSKEDE I ORDINÄRTBOENDE: EN LITTERATURSTUDIE2024Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research shows that patients prefer to be cared for and die at home. Caring for patients at the end of life in community settings places high demands on the knowledge and skills of community nurses to deal with complex medical and psychosocial challenges. Aim: The purpose of the literature review was to describe the nurse's experience of providing home-based end-of-life palliative care. Method: The literature review was based on the results of ten scientific articles with qualitative approaches. The databases PubMed and Cinahl were used to identify articles that met the study's inclusion criteria. The SBU template was used to review the articles. Results: Two categories were identified: Challenges at work, and Importance of a well-functioning organization. Six subcategories were identified and they were as follows: Feeling powerless, Feeling inadequate, Emotional and existential stress, Difficulties in collaboration within the team, The importance of a well-functioning organization, The importance of good relations with patients and relatives and the importance of support and structure in the work.Conclusion: The study findings suggest that nurses face a variety of challenges in caring for patients at the end of life at home. These included workplace stress, high demands, lack of control over tasks, not being seen, heard and respected, which could lead to feelings of inadequacy and difficulties in team collaboration. In order to offer good care to patients at the end of life in ordinary housing, it is important that the nurse receives good support, both from the organization and colleagues.

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  • 4.
    Afzelius, Maria
    Malmö högskola, Faculty of Health and Society (HS), Department of Social Work (SA).
    Families with parental mental illness: supporting children in psychiatric and social services2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Children living with a parent with a mental illness can face difficulties. Parentalmental illness may influence the parents’ ability to cope with family life, where theparents’ awareness of their illness plays an important role. Family interventionsprovided by psychiatric and children’s social care services can be a way to supportthese children, making them feel less burdened, and improving the relationshipswithin the family. The aim of this thesis was to illuminate how children infamilies with a parent with a mental illness are supported in psychiatric and socialservices, especially by means of family interventions, and how families experiencethe support. Study I explored how professionals in adult psychiatric outpatient servicesdeal with children and families when a parent has a mental illness. The findingsshowed that professionals balanced between establishing, and maintaining,a relationship with the patient and fulfilling the legal obligations towards thepatient’s children. Asking the patient about their children could be experiencedas intrusive, and involving the patient’s family in the treatment could be seen asa dilemma, in relation to the patient. Efforts were made to enhance the familyperspective, and when the patient’s family and children joined the treatment thisrequired flexibility from the professional. Study II examined how professionals in children’s social care services experienceworking with children and families when a parent has a mental illness. The socialworkers’ objective was to identify the needs of the children. No specific attentionwas paid to families with parental mental illness; they were supported in thesame way as other families. When the parental mental illness became difficult tohandle both for the parent and the social worker, the latter had to set the child’sneeds aside in order to support the parent. Interagency collaboration seemed likea successful way to support these families, but difficult to achieve. Study III investigated if patients in psychiatric services that are also parentsof underage children, are provided with child-focused interventions or involvedin interagency collaboration between psychiatric and social services and childand adolescent psychiatry. The findings showed that only 12.9% of the patientsregistered as parents in Psykiatri Skåne had registered children under the ageof 18 years. One fourth of these patients had been provided with child-focusedinterventions in psychiatric service, and 13% of them were involved in interagencycollaboration. If a patient received child-focused interventions from the psychiatricservices, the likelihood of being involved in interagency collaboration was fivetimes greater as compared to patients receiving no child-focused intervention.Study IV explored how parents and their underage children who were supportedwith family interventions experienced these interventions. The results showedthat parents experiencing mental illness were eager to find support in explainingto and talking with their children about their mental illness, although the supportfrom the psychiatric service varied. Both children and other family membersappreciated being invited to family interventions. After such an intervention, theyexperienced the atmosphere in the family as less strained and found it easier tocommunicate with each other about difficulties. Unfortunately, the participatingpartners felt that they were left without support specifically targeted at them. The thesis showed that there is a gap between how professionals deal withquestions concerning these families and their support, and the parents’ and thefamilies’ needs to receive support in handling the parental mental illness in thefamily. The psychiatric and social services need to expand their approach andwork with the whole family, in order to meet the needs of the child and otherfamily members involved.

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  • 5.
    Ahlström, Gerd
    et al.
    Lund Univ, Fac Med, Dept Hlth Sci, S-22100 Lund, Sweden..
    Björkman, Eva
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Lundqvist, Lars-Olov
    Orebro Univ, Univ Hlth Care Res Ctr, Fac Med & Hlth, S-70281 Orebro, Sweden..
    A Psychometric Evaluation of the Family Collaboration Scale and an Investigation of How the Close Family of Frail Older Patients Perceive the Collaboration with Healthcare Professionals on Acute Medical Wards at Hospitals in Sweden2022In: Healthcare, E-ISSN 2227-9032, Vol. 10, no 3, article id 478Article in journal (Refereed)
    Abstract [en]

    The inclusion of family members in the acute care of older persons with complex needs results in better coordination of care and reduces the frequency and/or duration of rehospitalisation. Therefore, healthcare professionals need a tool to assess the collaboration with family members on acute hospital wards. The aims were to test the psychometric properties of the Swedish version of the Family Collaboration Scale (FCS), to investigate family members' perception of collaboration with healthcare professionals on acute medical wards in Sweden and to compare the data with the corresponding Danish results. Three hundred and sixty family members of frail patients aged 65 or older from 13 acute medical wards answered the FCS questionnaire. In addition to descriptive statistics, psychometric methods were applied. The internal consistency of the Swedish version of the FCS was excellent, and confirmatory factor analysis revealed that its factor structure was equivalent to that of the original Danish FCS. The respondents' ratings indicated better perceived collaboration than in the Danish case. Older age than 60 was associated with worse collaboration with healthcare professionals regarding Influence on discharge than younger respondents. Those with compulsory and health or nursing education showed better collaboration. The Swedish version of the FCS should be further evaluated for its retest reliability and as an outcome measure in intervention studies.

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  • 6.
    Ahlström, Gerd
    et al.
    Lund University.
    Hansson, Jan-Åke
    Lund University.
    Kristensson, Jimmie
    Lund University.
    Runesson, Ingrid
    Malmö University, Faculty of Health and Society (HS), Department of Social Work (SA).
    Persson, Magnus
    Lund University.
    Bökberg, Christina
    Lund University.
    Collaboration and guidelines for the coordination of health care for frail older persons with intellectual disability: A national survey of nurses working in municipal care.2021In: Nursing Open, E-ISSN 2054-1058, Vol. 8, no 3, p. 1369-1379Article in journal (Refereed)
    Abstract [en]

    AIMS: To describe and compare perceptions of collaboration between care providers on the part of three groups of Registered Nurses working in municipal care and having particular responsibility concerning the care of frail older people with intellectual disability (ID); and, furthermore, to investigate the presence of and compliance with guidelines for the coordination of care.

    DESIGN: National survey study with cross-sectional design.

    METHODS: Nurses (N = 110) with key positions concerning people with ID answered a national questionnaire about collaboration, guidelines and coordinated individual plans. Descriptive and comparative statistical analyses were applied.

    RESULTS: The meetings on cooperation and coordination of interventions were attended most frequently by nurses, and least frequently by social workers. The nurses were overall satisfied with the collaboration but perceived shortcomings in the case of inpatient and outpatient psychiatric care. Only in about half of the meetings for making care plans participated the people with intellectual disability and next of kin.

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  • 7.
    Akel, Amina
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Steen, Tyra
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Patienters upplevelser av hur hjärtsvikt påverkar det dagliga livet: En kvalitativ litteraturstudie2024Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Circa 2% of the Swedish population suffer from heart failure, therefore there is a possibility that every nurse will at least once need to attend to this patient-group. Heart failure is a chronic condition where the heart function is reduced, this leads to life-long treatment with the patient being responsible for following self-care instructions and monitoring their symptoms. In order to provide the best possible care for patients with heart failure, it is necessary that nurses understand the patient’s perspective of their condition. Aim: The aim of the literature study was to illustrate patients’ experiences of how heart failure affects daily life. Method: The literature study was based on a qualitative study design. The database search was conducted in the databases PubMed and Cinahl. Twelve scientific articles were quality checked according to SBU’s review template. The data analysis was performed using Popenoe’s et al. method for analysing qualitative articles. Results: Three categories and eight subcategories emerged from the data analysis. The main categories were: Personal difficulties due to living with heart failure, Obstacles in daily life and Strategies to cope with living with heart failure. The patients were troubled by physical, psychological and existential difficulties. Because of the difficulties, the patients became hindered in physical, mental and social aspects of life. The physical and mental obstacles resulted in patients becoming dependent on others in their daily life. Finally, the results showed that patients created strategies to cope living with heart failure. Conclusion: The literature study’s result demonstrated that heart failure affects patients’ daily lives. Several aspects and dimensions of the patients’ daily lives were affected. If nurses were to gain a deeper understanding of patients' experiences of heart failure, then their professional practice could develop in a positive direction. 

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  • 8.
    Aksoy, Olivia
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Lembre, Nora
    Malmö University, Faculty of Health and Society (HS).
    Har du PMS eller?: En litteraturstudie om kvinnors erfarenheter av att leva med PMS och PMDS2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Approximately 75% of all women of childbearing age are affected by premenstrual symptoms. 15–20% have more distinct PMS, while 2–5% suffer from the more severe version PMDD. The most common symptoms are anger, irritability, anxiety, increased bloating, soreness in the breasts, headaches, joint/muscle pain and weight gain. Aim: The aim of the literature study was to investigate women's experiences of living with PMS and PMDD. Method: The thesis was carried out as a literature study with a qualitative study design. Ten scientific articles were compiled in order to answer the aim of the study. Results: For some women, PMS can mean years of monthly suffering, for others it's a sign of being a healthy woman. Women witnessed having to resort to different coping strategies to make everyday life work, the most common were personal time and self-monitoring. Many women experienced a negative societal image of PMS and how the premenstrual woman was perceived, these norms and ideals have been shown to have a harmful impact on their self-image and how they experience their premenstrual distress. Jean Watson (1985) highlights the importance of the nurse instilling faith and hope in the patient before the situation they find themselves in. In this way, the nurse can contribute to behavioral and attitudinal changes. Conclusion: Women feel that there is a societal ignorance that affects the extent to which they are comfortable speaking about their distress. This means that women do not receive the support and help they need to cope with everyday life, something that has a direct impact on their quality of life. Increased awareness and knowledge is fundamental in order for the nurse to provide adequate and person centered care for these women. 

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  • 9.
    Al Hanash, Sajed
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Reic, Emma
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjuksköterskors upplevelser vid tvärkulturell kommunikation: En litteraturstudie utifrån sjuksköterskans perspektiv2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sweden is today a multicultural society with a population where some have a mother tongue other than the official language. Among other things, this has led to language barriers arising, especially in healthcare. Aim: The aim of the study was to illustrate the nurse's experience of cross-cultural communication. Method: A literature review based on nine scientific articles with a qualitative approach and one with a mixed method. Results: The ten selected scientific articles answered the purpose of the literature study. The results were presented in six main themes: impact on the quality of care, the relationship between nurse and patient, communication without speaking the same language, bilingual nurses as interpreters, relatives as interpreters, and professional interpreters. The lack of communication between the nurse and the patient led to a lack of participation for the patient as the patient avoided communicating with the nurse and did not understand much of the information provided. Bilingual nurses had to often act as interpreters despite the lack of training in this area. Conclusion: The study shows that language barriers complicated the nurse's work and as a consequence also made the workaround nursing and patient-safe care more difficult. Both the nurse and the patient were affected by the language barriers that arose. One solution could therefore be for the nurse to expand her knowledge in communication to offer the patient safe care.

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  • 10.
    Al Sheik Asaad, Wael
    et al.
    Malmö University, Faculty of Health and Society (HS).
    Nordmark, Jakob
    Malmö University, Faculty of Health and Society (HS).
    Erfarenheter av kostförändringar vid diabetes: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes is a disease that is currently classified as an epidemic and is strongly linked to poor lifestyle habits. Treating the disease involves making lifestyle changes, such as dietary modifications. Through diet, many individuals can gain control over their blood sugar levels, resulting in clinical improvement. Purpose: To highlight the experiences of dietary changes among adult individuals with type 2 diabetes. Method: A qualitative literature study. Ten articles were identified and subjected to quality assessment using the SBU review template through structured searches using a PEO model via Pubmed and Cinahl. The results were then analyzed for the findings of the literature study. Results: Four main themes were identified: the need for knowledge, motivation, availability, and social contexts. Conclusion: Dietary changes are crucial in the treatment of type 2 diabetes and adherence to these changes depends heavily on personal factors in an individual’s life. Therefore, it’s important for nurses to provide effective person-centered care and it is necessary to have a holistic perspective in their supportive and health-promoting work.

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  • 11.
    Al Zahed, Jamil
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Lenz, Rebecca
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjuksköterskors upplevelser av att vårda patienter med Covid-19: En litteraturstudie2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Covid-19 is an ongoing pandemic since the end of 2019. The virus has spread throughout the world. The lack of planning, resources and leadership has been an enormous problem during the pandemic. This has led to stress and pressure in the health care for the society. The nurses have been suffering physical and mental problems because of Covid-19.

    Aim: The purpose of this literature study was to describe nurses' experiences of caring for patients with Covid-19.

    Method: Only qualitative studies were used in the literature study. CINAHL, Psycinfo and PubMed were used as databases for data collection. With the help of inclusion and exclusion criteria, thirteen studies were found and selected for the result of the literature study. Each study that was found was assessed for quality which resulted in nine high quality studies and four medium quality studies.

    Results: Two themes were found, and each theme had its own subthemes. The themes were “Physical and mental challenges” as well as “Experiences of the organization”.

    Conclusion: The results showed that nurses who cared for patients with Covid-19 experienced negative emotions, experienced physical and mental challenges in relation to performing various nursing work. The nurses obtained experience and an extended knowledge around various nursing work, which was a positive experience for the nurses. Some nurses experienced a lack of support from the organizations and the government as well as a lack of clear guidelines and information regarding performing safe and person-centered care. After working together for a while, the nurses experienced a better team spirit as well as support from the society.

    Keywords: Covid-19, Experiences, Nurse, Nursing, Pandemic.

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  • 12.
    Al-Badri, Aya
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Cham, Amie
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Personers upplevelser av att leva med Multipel Skleros.: En litteraturstudie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Multipel skleros är en kronisk och allvarlig sjukdom som successivtleder till fysisk funktionsnedsättning. Sjukdomen uppstår på grund avinflammation i det centrala nervsystemet. Det är den vanligaste orsaken tillrörelsehinder i Sverige. Orsaken är okänd och det finns inget botemedel. Studiervisar att behandlingen av MS är främst inriktad på symtomlindring. Det var därförbetydelsefullt att belysa personers upplevelser av att leva med MS för att kunnaförstå hur de uppfattar sjukdomen. Detta kan leda till en förbättrad ochpersoncentrerad vård där deras perspektiv är i centrum. Syfte med studien var attbelysa personer med MS och deras upplevelser av att leva med sin sjukdomMetod: En litteraturstudie baserad på elva studier med kvalitativ ansatsgenomfördes och data analyserades med innehållsanalys. Resultat: Tre temanidentifierades som var fysiska och psykisk påverkan, att hitta copingstrategier ochpåverkat socialt liv. De flesta av personerna blev fysisk begränsade i derasförmåga till rörlighet men även emotionellt påverkade. Självbilden blev påverkadoch kroppen kändes främmande. Familjeroller förändrades där majoriteten kändesig misslyckade i sina tidigare roller. Personerna upplevde att andra människorinte förstod sjukdomen och hade fördomar om den sjuka individen. På grund avbegränsningar blev det av vikt att planera vardagen för att orka och spara energi.De flesta fann hopp och var villiga att acceptera sjukdomen samt lära sig att levamed det. Konklusion: Symtom på MS varierar mycket och är känd för sinoförutsägbarhet. Det är viktigt som sjuksköterska att kunna identifiera personernasbehov av vård på ett personscentrerat sätt.

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  • 13.
    Alfredsson, Linda
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Bergendal Sterner, Sonja
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Specialistsjuksköterskor i psykiatrisk vård inom primärvården: Erfarenheter av arbetet med psykisk ohälsa på vårdcentral2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Ungefär en tredjedel av de patienter som söker vård inom primärvården gör det på grund av psykisk ohälsa. Det är av vikt att primärvården är anpassad och bemannad för att hantera psykisk ohälsa eftersom primärvården ska vara ingången för all typ av ohälsa i befolkningen. Tidigare studier visar att sjuksköterskor i primärvården upplever en kunskapsbrist i psykiatri som kan riskera att bemötandet av patienter med psykisk ohälsa blir stigmatiserande. Rekryteringen av specialistsjuksköterskor i psykiatrisk vård i primärvården ter sig som en relativt ny företeelse. Det finns inga svenska studier som beskriver deras roll och funktion på vårdcentral eller deras upplevelse av arbetet i primärvård. Syfte: Att undersöka erfarenheterna hos specialistsjuksköterskor i psykiatrisk vård av arbetet på vårdcentral med patienter som söker vård för psykisk ohälsa. Metod: Specialistsjuksköterskor i psykiatrisk vård (N=11) vid nio vårdcentraler i Region Skånes regi intervjuades med semistrukturerade intervjuer. Dataanalysen genomfördes med kvalitativ innehållsanalys enligt Graneheim och Lundman (2004). Resultat: Analysen resulterade i fem kategorier: mötet med patienten med psykisk ohälsa, arbetar självständigt, värdesätter teamarbete, samverkar med specialistpsykiatrin, och besitter värdefull kompetens. Det latenta innehållet i kategorierna formulerades i temat “Unik roll där specialistkompetensen används”. Konklusion: De allra flesta intervjuade specialistsjuksköterskorna i psykiatrisk vård upplevde att de använde sin specialistkompetens i stor utsträckning och att det fanns ett stort behov av deras kompetens. De beskrev en mycket självständig roll med stort eget ansvar. Betydelsen av lång och bred erfarenhet, utöver specialistutbildningen och kunskap i samtalsmetodik, betonades.       

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  • 14.
    Alhaffar, Marwan
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sadja, Abdalsatar
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjuksköterskors erfarenhet av kommunikation med personer med demenssjukdom: En litteraturstudie2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a chronic public disease that affects millions of people around the world. The disease causes severe cognitive impairment in, among other things, the ability to speak, the ability to act and the ability to communicate. People with dementia suffer from obstacles in their ability to communicate, both verbal and non-verbal communication, which leads to people having challenges in expressing themselves and taking in information from the environment. Impaired communication skills can challenge and affect nurses' main task, which is person-centered nursing. Aim: The aim of the study is to compile nurses' experience of communication with people with dementia. Method: The literature study was conducted with ten qualitative scientific articles. The articles were retrieved from two databases, Cinahl and PubMed, and have been reviewed based on SBU's quality review template. Result: Three main themes and five sub-themes are presented to answer the purpose of the study. The three main themes were Nurses' experiences of communication with patients with dementia, Adapted communication for people with dementia, Common language in the nurse-patient meeting. The results were then divided into four sub-themes: Body language, facial expressions and body contact, clear and clear communication, A white lie, the impact of the health care environment on communication and Mother tongue. Conclusion: Communication is thus central to being able to care for patients with dementia. It is the job of nurses to carry out nursing care, where communication plays a crucial role in the care of people with dementia.

  • 15.
    Alhaj, Adam
    et al.
    Malmö University, Faculty of Health and Society (HS).
    Lundberg, Ellenor
    Malmö University, Faculty of Health and Society (HS).
    Att leva med prostatacancer.: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Prostate Cancer is one of the most common cancers among men with over 1,4 million incidents in the year 2020 worldwide. It’s significant that nurses understand lifestyle changes related to medical treatment and complications. By increasing this knowledge nurses can offer person-centered care and customized care to each patient's unique needs. There are many treatment options, and every treatment has its complications that can affect a man's life severely. Nurses play a crucial role in helping those men. It's crucial with person-centered-care to reduce suffering in patients.

    Aim: The purpose of this literature review is to comprehensively map and synthesize the existing literature on men's experiences to live with prostate cancer

    Methods: This literature study is based on twelve scientific articles with aqualitative approach. The articles were retrieved from two databases that specify in nursing and were analyzed using three steps which involves identifying the result and breaking it down into different aims until themes and subcategories submerge. The articles were evaluated for quality using SBU review temple.

    Results: From the analysis two themes emerged: A changed self-image and Strategies to manage everyday life, and based on them six subcategories were identified.

    Conclusion: Men living with prostate cancer suffer physically, mentally, and emotionally. Sexuality and body image are common concerns for prostate cancer patients. Information is of great importance, where the nurses play a decisive role. Men feel like they don't get enough support from the environment.

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  • 16.
    Alin, Faduma
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjuksköterskors upplevelser av att stödja patienter med diabetes typ 2 till egenvård: En kvalitativ litteraturstudie2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 17. Alklid Edvardsson, Malin
    et al.
    Dahl Åbjörnsson, Anna
    Närståendes upplevelser av vård i livets slutskede i ordinärt boende: En litteraturstudie2024Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year, approximately 90,000 people die in Sweden, and about 80% of them are considered to have been in need of end-of-life care. End-of-life care strives to provide care to patients in their last period of life focusing on  alleviating suffering but also promoting quality of life, both for the patient and their relatives. Family care means that relatives provide care to a relative with health condition deterioration, the relatives thus need to be offered support and experience participation from the care staff. The nurse should provide support to relatives in most cases and must be able to involve relatives in their work. Aim: The aim of this literature review. was to investigate how relatives experience endof-life care at home. Method: This literature review. was carried out using a qualitative method and built on ten scientific articles from the databases PubMed and CINAHL. The articles were quality checked using the Swedish Agency for Health Technology Assessment and Assessment of Social Services template, then analyzed using principles for content analysis. Findings: Two categories and seven subcategories were identified. The categories are named as: Being a part of the care and Aspects of the interaction with and between care staff. Conclusion: The results illustrated that the interaction between relatives and care staff played a major role in how the care was experienced by the relatives. In order for them to feel safe providing care and trust the care providers, good relationships and availability from the care staff were required. The relatives also stated a need for support and to be seen in order for them to have confidence in the care they were providing.

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  • 18.
    Alm, Alexander
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Eborn, Samantha
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjuksköterskors upplevelser av att vårda patienter med psykisk sjukdompå somatiska avdelningar: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Alm, A & Eborn, S. Nurses’ experiences of caring for people with mental illness in somatic departments. A literature review. Degree Project in nursing 15 credit points, Malmö University: Faculty of Health and Society, Department of Care Science, 2023. Background: Since the mid-90s, the number of full-day psychiatric places has decreased sharply, which has resulted in more and more patients with mental illness seeking and being cared for in somatic wards. The nurses who work in the somatic departments are expected to use a person-centred approach to provide the best care possible. Aim: The aim is to highlight how nurses who work in somatic care experience the care of patients with mental illness. Method:A literature study based on 12 scientific articles with a qualitative approach. The databases Cinahl, PubMed and PsycInfo have been used for obtaining material. The analysis has been carried out according to Popenoe et al.'s systematic method for data analysis. The articles have been quality reviewed according to SBU's review template. Results: The following six categories were identified: 1) Limited care environment 2) The importance of support and cooperation 3) A time-consuming patient group 4) Experiences of inadequacy in care 5) The importance of communication 6) Try to meet the nursing need.Conclusion: The nurses felt that patients with mental illness are a resource-demanding patient group, which resulted in the nurses feeling the need to provide more care to them than the other somatic patients. The nurses also felt that the patients were using the system to their advantage, which resulted in a reluctance to care for the patients more than what was absolutely necessary.

  • 19.
    Alm, Ludvig
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Pattenden, Christin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Patienters upplevelse av psykisk hälsa efter kritisk sjukdom: En litteraturstudie2024Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: An increasing number of patients survive critical illness due to medical advancements. Current research indicates that patients often find the acute phase of illness emotionally challenging, experiencing stress and uncertainty. It is known that critical illness and intensive care lead to physical consequences long after hospitalization, negatively impacting patients' recovery. With knowledge of patients' post-critical illness health experiences, nurses can tailor care to provide support for optimal recovery. Aim: To illuminate how patients' experiences of mental health are affected after critical illness. Method: A literature review based on twelve articles with a qualitative approach was analyzed using thematic content analysis. Results: Participants' experiences of mental health after critical illness are presented in five main categories: gratitude, vulnerability, worry and fear, fatigue, and identity changes. Conclusion: Participants' mental health experiences were influenced by gratitude for survival and the support received. However, vulnerability, worry, fatigue, and a need to reshape identity were common experiences leading participants to alter their self-perception and life perspectives. The importance of patients feeling understood and offered support from both healthcare and relatives has emerged and person-centered care and a holistic approach are highlighted as important factors in meeting the complex needs that arise after critical illness.

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  • 20.
    Almestål, Anna
    et al.
    Malmö University, Faculty of Health and Society (HS).
    Johansson, Jennifer
    Malmö University, Faculty of Health and Society (HS).
    Kvinnors upplevelser av sin sexuella hälsa upp till sju år efter förlossning: En litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are several factors that affect women's sexual health, among those are biological and physiological wellbeing and gender. Furthermore gender is derived from society’s values that comes from history, politics, socio-economic prerequisites among other things. Previous studies have shown a lack of knowledge and a lack of follow-up of women’s sexual health the years after childbirth. The purpose of this study is to get a deeper understanding of women’s experiences of their sexual health the years after childbirth.

    Aim: The aim of this study is to compile previous studies about women's experienced sexual health up til seven years after childbirth. This is done through the question “How do women experience their sexual health the years after childbirth?”

    Method: This is a qualitative literature review that contains twelve articles. The inclusion criteria is previous healthy women with no pathological pregnancies, women who experienced episiotomy or cesarean section during childbirth. However, twins and spontaneous sphincter tears of the 3de or 4th degree have been excluded. This studies scope is limited to the first seven years after childbirth. The articles are written in swedish or english and published between 1960- 2020. Latent content analysis is used to analyse the material.

    Result: Many women experience a loss in sexual health the years after childbirth. It depends on several different things such as physical changes, breast feeding, the impact of having a child, changes in relationships and how women experience the meeting with health care. All of this is presented through the four themes of our study.

    Conclusion: There is a general loss in sexual health among women after childbirth and they wish for better support from health care professionals. To meet this demand healthcare professionals need more knowledge and to actually apply it. Furthermore, a deeper understanding how gender affects women’s sexual health is needed.

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  • 21.
    Almqvist, Julia
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Bengtsson, Julius
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Omvårdnad av vuxna med övervikt och fetma.: En litteraturstudie som beskriver sjuksköterskans erfarenheter2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity are considered one of the biggesthealth problems of our time. Despite existing guidelines for preventive work, the increase continues and today affects more than 1.9 billion people worldwide, and entails an increased risk of developing sequelae such as diabetes, cancer and cardiovascular disease. The nurse has a central role in the nursing care, and the prevalence of the disease means that the registered nurse can meet this group of patients in different instances in the care chain. Aim: The purpose of the literature review was to illustrate the nurses' experiences of caring for overweight and obese adults with focus on promoting health. Method: The study was conducted as a literature review with a qualitative approach. With the databases Cinahl and Pubmed, twelve scientific articles were generated which were used to answer the purpose of the study in the result. Selected studies were reviewed using the SBU's review template and analyzed using metasynthesis. Result: The result highlighted the factors that influenced the nurse's work with the patient group. The factors led to the identification of three main themes: organization and collaboration in teams, knowledge and education, as well as attitudes and treatment. Based on the three main themes, another seven sub-themes could be identified, which enabled a deeper insight into how the nursing care was affected. Conclusion: Overweight and obesity are a complex health condition that can be caused by several different aspects. The complexity can result in that the nurse's knowledge is not sufficient, which places demands on well-functioning transcendence work between different professions. Attitudes and prejudices have a negative impact on the work, which leads to poorer care and increases the workload. More resources in the form of time, materials, training and guidelines are needed for the nurses to be able to offer good care to the group of patients.

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  • 22.
    Almén, Joel
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Hansen, Maria
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Livet med ADHD och att erhålla diagnos i vuxen ålder: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The number of people diagnosed with ADHD has increased steadily over the past 15 years. It has been shown that many have been diagnosed first as an adult. In recent years, research has shown the experience of a lower quality of life in adults with ADHD as well as several consequences of untreated ADHD such as divorce, increased risk of addiction, car accidents, accidental injuries, depression, anxiety, and suicide.

    Aim The aim of the literature study was to compile experiences of ADHD in people who received the diagnosis in adulthood.

    Method Literature review with qualitative design. Based on the perspective of adults with ADHD, a total of ten scientific articles from the PsycInfo and Cinahl databases were reviewed. Data were extracted, translated, condensed, coded and thematized based on basic content analysis.

    Results The analysis of the results of the studies resulted in three main themes: ADHD affected life which describes the impact of ADHD, The significance of the diagnosis and the winding road talks about thoughts and feelings of being diagnosed, and Experiences of strategy, care and treatment which depicts the coping strategies of symptoms and difficulties as well as experiences of offered care.

    Conclusion Experiences of symptoms and difficulties related to ADHD can differ greatly between people and gender. Something that has to be understood in order to enable work based on person-centred care. Stigma and negative experiences of healthcare are seen to be caused by lack of understanding and unawareness. Why the importance of attitude change in society is seen as crucial for good quality of life and to be treated well. One knowledge gap that was seen was women's experience of the cause of later diagnosis, here continued research is needed.

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  • 23.
    Anderberg, Jessika
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Ståhl, Anna
    Sjuksköterskors erfarenhet av trycksårsprevention inom slutenvården: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A pressure ulcer is an injury to the skin and underlying tissue that can occur after pressure or shear. Patients who suffer from pressure ulcers express that it causes great physical, psychological and social suffering. The nurse is responsible for the nursing work where pressure ulcer prevention is part of the preventive work and includes risk assessment, skin assessment and regular repositioning. Aim: The aim of the literature study was to shed light on nurses' experiences of pressure ulcer prevention in inpatient care. Method: Qualitative literature study based on 10 articles with a qualitative study design obtained from the databases Cinahl and Pubmed. The results of the selected articles were analyzed by conventional content analysis. Result: Through the content analysis, main categories and subcategories were crystallized from the results of the articles. The result was formed into two main categories: Care team and Work environment and six subcategories: Prevention, Communication, Nurse, Patient, Organizational factors and High workload. Conclusion: Nurses had experience that the care team and the caregiver's organizational responsibility had a decisive importance in the work with pressure ulcer prevention.

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  • 24.
    Anderberg, Peter
    et al.
    Blekinge Tekniska Högskola, Institutionen för hälsa.
    Björling, Gunilla
    Swedish Red Cross University College, SWE.
    Stjernberg, Louise
    Swedish Red Cross University College, SWE.
    Bohman, Doris
    Blekinge Tekniska Högskola, Institutionen för hälsa.
    Analyzing nursing students’ relation to electronic health and technology as individuals and students and in their future career (the ENURSED study): Protocol for a longitudinal study2019In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 21, no 10, article id e14643Article in journal (Refereed)
    Abstract [en]

    Background: The nursing profession has undergone several changes in the past decades, and new challenges are to come in the future; patients are now cared for in their home, hospitals are more specialized, and primary care will have a key role. Health informatics is essential in all core competencies in nursing. From an educational perspective, it is of great importance that students are prepared for the new demands and needs of the patients. From a societal point of view, the society, health care included, is facing several challenges related to technological developments and digitization. Preparation for the next decade of nursing education and practice must be done, without the advantage of certainty. A training for not-yet-existing technologies where educators should not be limited by present practice paradigms is desirable. This study presents the design, method, and protocol for a study that investigates undergraduate nursing students’ internet use, knowledge about electronic health (eHealth), and attitudes to technology and how experiences of eHealth are handled during the education in a multicenter study. Objective: The primary aim of this research project is to describe the design of a longitudinal study and a qualitative substudy consisting of the following aspects that explore students’ knowledge about and relation to technology and eHealth: (1) what pre-existing knowledge and interest of this area the nursing students have and (2) how (and if) is it present in their education, (3) how do the students perceive this knowledge in their future career role, and (4) to what extent is the education capable of managing this knowledge? Methods: The study consists of two parts: a longitudinal study and a qualitative substudy. Students from the BSc in Nursing program from the Blekinge Institute of Technology, Karlskrona, Sweden, and from the Swedish Red Cross University College, Stockholm/Huddinge, Sweden, were included in this study. Results: The study is ongoing. Data analysis is currently underway, and the first results are expected to be published in 2019. Conclusions: This study presents the design of a longitudinal study and a qualitative substudy. The eHealth in Nursing Education eNursEd study will answer several important questions about nursing students’ attitudes toward and use of information and communications technology in their private life, their education, and their emerging profession. Knowledge from this study will be used to compare different nursing programs and students’ knowledge about and relation to technology and eHealth. Results will also be communicated back to nursing educators to improve the teaching of eHealth, health informatics, and technology. ©Peter Anderberg, Gunilla Björling, Louise Stjernberg, Doris Bohman.

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  • 25. Andersen, Wiveka
    et al.
    Ingvarsson, Anna
    Vuxenlivet med ADHD:Upplevelser och behov för stöd och förståelse: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Attention deficit hyperactivity disorder (ADHD) belongs to the group of neuropsychiatric disorders. The core symptoms of adults with ADHD involve difficulties with attention with or without concomitant impulsivity and overactivity. The expressions and consequences of ADHD are characterized by what demands and expectations you have on yourself and what the current life situation looks like. ADHD can cause many worries and challenges in everyday life in different ways and cause physical, mental and social problems. In the meeting with this patient group, the nurse should perform individualized care with a holistic approach to meet the needs of these patients. Aim: The purpose of this literature study was to highlight how people with ADHD experience the impact of the neuropsychiatric impairment in adulthood. Method: A literature review with a qualitative approach. The articles are retrieved via the databases Cinahl and Psycinfo. The articles have been reviewed according to SBU: s review template for studies with qualitative methodology and the data analysis has been carried out according to Popenoe's recommendations. Result: The result is based on analysis of 12 qualitative articles. The analysis resulted in three main categories Feeling different, Comfort and support, Quality of life and six subcategories. Conclusion:The results showed that living with ADHD in adulthood can be both positive and negative. These people often have an increased comorbidity with experiences of exclusion and struggle with low self-esteem. Care and public knowledge of these people's experiences should be increased in order to provide person-centered care and thus avoid unnecessary suffering.

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  • 26.
    Andersson, Alexander
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Lindborg, Ida
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Icke-invasiva omvårdnadsåtgärder för patienter med obstipation på äldreboende som är 65 år och äldre: En litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Being constipated means physical and mental suffering that negatively affects the quality of life. Impaired fluid intake, low-fiber diet, immobilization, illness and medication are risk factors for constipation. Old age and female gender mean a further increased risk of being affected. The most common treatment methods for constipation are laxatives which can be difficult to balance as well as the invasive treatments enema and manual evacuation which for the elderly can be experienced as very stressful. Aim: The aim of the literature study was to shed light on non-invasive nursing measures for patients with constipation living in nursing homes aged 65 years and older. Method: This study was conducted as a literature review with a quantitative approach. Ten scientific articles were selected of which four were randomized trials and six were non-randomized trials. The studies underwent a quality review in which five articles were graded as grade I, which refers to high study quality, and five as grade II, which refers to medium-high study quality. Using the analysis, four themes were identified; healthy bacteria as a nursing measure, dietary supplements as a nursing measure, external influences as a nursing measure and individualized nursing measures which structured the results. Results: Nursing measures in the form of healthy bacteria, dietary supplements, external influences and individualized nursing resulted in a good therapeutic effect against constipation. Constipation-related symptoms decreased, quality of life improved and administration of laxatives, enemas and manual evacuation were reduced. Conclusion: The results of the literature review showed that non-invasive nursing measures exists that nurses can implement to treat constipation in nursing homes in Sweden. The nursing measures require acceptance, time and willingness from both patient and nursing staff for implementation.

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  • 27.
    Andersson, Alexandra
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Lundberg, Frida
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Anhöriga till palliativt vårdade patienter vid livets slut: En litteraturstudie över anhörigas upplevelser i hemsjukvården2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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  • 28.
    Andersson, Anton
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Persson, Jennifer
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    How the aftermath of secondary traumatic stress show itself in nurses.: A literature review2020Independent thesis Basic level (degree of Bachelor), 20 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses face many challenges in the nursing profession. One challenge is the ability to handle patient trauma and at the same time, as a nurse, process their trauma. With more awareness about how secondary traumatic stress shows itself in nurses and its aftermath, the stress can be identified in earlier stages. Aim: The aim of this literature review is to map how the aftermath of secondary traumatic stress show itself in nurses, described by nurses. Method: This study has been designed as a qualitative literature review with searches carried out in the databases CINAHL and PubMed. The mapping resulted in ten articles that were reviewed for their quality. Result: The metasynthesis of the identified articles resulted in seven subthemes, desire to leave nursing, providing insufficient care, teamwork, depersonalization, emotional distress, lack of resources and knowledge deficit. Conclusion: When the secondary traumatic stress overpowers the nurse, it may result in the nurse leaving its profession. Future research should thereby focus on methods that support the nurses exposed to secondary traumatic stress and lessen their feeling of exhaustion. Methods that help not only the nurses but also the patients they care for.

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  • 29.
    Andersson, Ewa K.
    et al.
    Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Dallora, Ana Luiza
    Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden.
    Marcinowicz, Ludmila
    Faculty of Health Sciences, Medical University of Bialystok, Bialystok, Poland.
    Stjernberg, Louise
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Swedish Red Cross University, Huddinge, Sweden.
    Björling, Gunilla
    School of Health and Welfare, Jönköping University, Jönköping, Sweden;Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Sweden;Faculty of Nursing, Kilimanjaro Christian Medical University College, Tanzania.
    Anderberg, Peter
    Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden;School of Health Sciences, University of Skövde, Skövde, Sweden.
    Bohman, Doris
    Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden;Optentia Research Unit, Vanderbijlpark Campus, North-West University, Vanderbijlpark, South Africa.
    Self-Reported eHealth literacy among nursing students in Sweden and Poland: The eNursEd cross-sectional multicentre study2023In: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 29, no 4Article in journal (Refereed)
    Abstract [en]

    This study aimed to provide an understanding of nursing students’ self-reported eHealth literacy in Sweden and Poland. This cross-sectional multicentre study collected data via a questionnaire in three universities in Sweden and Poland. Descriptive statistics, the Spearman’s Rank Correlation Coefficient, Mann–Whitney U, and Kruskal–Wallis tests were used to analyse different data types. Age (in the Polish sample), semester, perceived computer or laptop skills, and frequency of health-related Internet searches were associated with eHealth literacy. No gender differences were evidenced in regard to the eHealth literacy. Regarding attitudes about eHealth, students generally agreed on the importance of eHealth and technical aspects of their education. The importance of integrating eHealth literacy skills in the curricula and the need to encourage the improvement of these skills for both students and personnel are highlighted, as is the importance of identifying students with lacking computer skills.

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  • 30.
    Andersson, Joakim
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjuksköterskors erfarenheter av patienter som inte följer den ordinerade läkemedelsordinationen.: En litteraturstudie i omvårdnad2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is a common problem in healthcare that patients do not take prescribed medication. This can have major consequences for the patients. It is important to investigate what nurses really know about the causes of patients' lack of adherence, as a correct understanding of the phenomenon means that the nurse can help the patient in the best way.Aim: The aim of the literature study was to compile nurses 'experiences of patients' non-compliance with prescribed drug treatment.Method: The essay is based on a literature study with a qualitative approach.Included studies were sought in the databases PubMed and CINAHL. A quality review, of relevant studies, was made based on SBU's quality review template. A content analysis was made of the articles, based on Forsberg and Wengström. A total of 10 articles were used in the present literature study.Results: The results showed that nurses largely explain patients' non-adherence with three main categories of causes: Patient-specific causes, causes in thepatient's environment and the relationship between the patient and the nurse.Conclusion: Nurses have a good idea of the causes of patients' difficulties or unwillingness to use prescribed medication. However, nurses attribute certain causal relationships to be more important than what other, patient-centeredresearch has shown. More research is needed to clarify the degree of nurses'insight into the problems of patients.

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  • 31.
    Andersson, Joanna
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Drammeh, Ator
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjuksköterskors erfarenheter av vårdrelationer vid telefonrådgivning inom primärvården: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Telenursing within eHealth is a growing phenomenon due to an increase in aging within the population and changes in demographics. Telenursing within primary health care is the first line for patients to get support and help. Good communication and how the patient is approached by the nurse is of importance in the call due to lack of visual cues. Furthermore, the nurse must assign to person-centred care, which is one of the nurses’ core competencies. How is the nurse-patient relation affected due to physical meetings being carried out to a lesser extent? Aim: The aim is to compile nurses' experiences of factors with an impact on nurse-patient relations in telenursing within primary health care. Method: Literature review with an inductive approach, based on ten qualitative studies, published between 2001–2020. To process the data content analysis was used. Results: Three categories of importance for nurse-patient relations were identified during the analysis: the conversation, the assessment and decisionmaking process and the organization. The findings were overlapping in many aspects. Difficulty linked to the lack of visual cues was a distinctive result, which pervades all three main findings. Furthermore, difficulties regarding the organization and the lack of resources, were related to both the conversation and the assessment and decision-making process. Conclusion: The absence of visual cues which emerged in the result is an important aspect of the assessment, which can affect the assessment negatively. Organizational shortcomings with the effect of the nurse having to make decisions quickly can result in the person-centred care being opted out, which affects the nurse-patient relations. The results of the literature review can increase the understanding of the nurse's experiences of nurse-patient relations in telenursing within primary health care. More research within the topic is of interest to ensure that good quality of care is provided, due to an estimated increase of demand on primary health care in the future.

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  • 32.
    Andersson, Linda
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Operating Theatre Nurses´ Main Concerns during the Operative Process of Organ Donation - A Grounded Theory2022Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Little is known about operating theatre nurses’ (OTNs) main concerns during the perioperative organ donation process. The purpose of this study was to explore OTNs’ experiences of caring for the organ donor during operations where organs are retrieved and to answer the question: what is the main concern during this procedure and how do they deal with it? A total of ten OTNs, one man and nine women with a mean age of 51.8 years (range 38-63 years) were interviewed in this Constructive Grounded Theory study. A core category emerged: Optimum organ retrieval, where the generated grounded theory is present in the four main categories: Brace oneself, Facilitate, Retrieve and Completion. Commitment is the force that binds the OTN to a course of action of relevance for optimum organ retrieval. Respect for and the dignity of the donor are essential. 

  • 33.
    Andersson, Madeleine
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Bergman, Johanna-Louise
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Patienters upplevelser av att leva med inflammatorisk mag-tarmsjukdom samt behov av stöd.: En litteraturstudie2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Inflammatorisk mag-tarmsjukdom är ett samlingsnamn för Ulcerös kolit och Crohns sjukdom. Gemensamt för sjukdomarna är att de är kroniska och att de går i skov, vilket innebär att sjukdomen är mer aktiv i vissa perioder och mindre aktiv under andra. Inflammatorisk mag-tarmsjukdom påverkar patienterna fysiskt, psykiskt och socialt, vilket påverkar deras livskvalitet. Inflammatoriska mag-tarmsjukdomar kan resultera i psykiska besvär, därför har patienterna ett behov av goda copingstrategier och en god anpassning till livet med sjukdomen. Genom evidensbaserad och personcentrerad vård har sjuksköterskan en stödjande funktion i vården av dessa patienter. 

    Syfte: Syftet med litteraturstudien var att undersöka patienternas upplevelser av att leva med inflammatorisk mag-tarmsjukdom för att kunna belysa deras behov av stöd.

    Metod: En litteraturstudie med boolesk sökteknik gjordes i databaserna Cinahl, PubMed och PsycINFO där tio artiklar valdes ut genom granskning med SBU:s granskningsmall.   

    Resultat: När resultatet av tio artiklar sammanställts framkom fyra teman; patienters upplevelser av att leva med inflammatorisk mag-tarmsjukdom, patienternas behov av stöd, stöd i att acceptera och leva med sjukdomen samt stöd i form av utbildning.

    Slutsats: Patienter med inflammatorisk mag-tarmsjukdom har behov av stöd både fysiskt, psykiskt och socialt, från både sjukvårdspersonal och anhöriga. Patienterna har ett behov av stöd i form av information, undervisning samt psykiskt och emotionellt stöd. Sjuksköterskans stöd genom personcentrerad och empatisk kommunikation hjälper patienterna att acceptera sjukdomen och deras “nya normala”, vilket främjar deras självständighet, självkännedom och eget ansvar i sjukdomshanteringen. Patientutbildning bidrar till bättre egenvårdsstrategier, ökad följsamhet till behandling och livsstils anpassningar, vilket även bidrar till ökat självförtroende och välmående. 

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  • 34.
    Andersson, Marie
    et al.
    Malmö University, Faculty of Health and Society (HS).
    Clausson, Lotta
    Barnsjuksköterskors erfarenhet av att arbeta med övervikt och fetma inom barnhälsovården och elevhälsan- en litteraturstudie2024Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 35.
    Andersson, Oskar
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Dahlin, Fanny
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Arbetsrelaterad stress hos sjuksköterskor med fokus på upplevelser i slutenvården: En litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Andersson, Oskar & Dahlin, Fanny. Arbetsrelaterad stress hos sjuksköterskor med fokus på upplevelser inom slutenvård. En litteraturstudie. Examensarbete i omvårdnad 15/30 högskolepoäng. Malmö Universitet: Fakulteten för hälsa och samhälle, institutionen för vårdvetenskap, 2021.Bakgrund: Arbetsrelaterad stress har under en längre tid varit vanligt förekommande inom vården och i synnerhet för sjuksköterskor. Under pandemin (Covid-19) har det blivit tydligt hur nära bristningsgränsen sjuksköterskor faktiskt var. Det är viktigt att förstå hur en stressig arbetsplats påverkar den omvårdnad som en sjuksköterska ska tillhandahålla, samt vilka andra konsekvenser en ohållbar och stressig arbetssituation kan leda till i längden.Syfte: Litteraturstudien syftade till att undersöka hur arbetsrelaterad negativ stress påverkar sjuksköterskans omvårdnadsarbete med fokus på sjuksköterskans upplevelser i slutenvården. Metod: Examensarbetet är en kvalitativ litteraturstudie. Litteratursökning gjordes i databasen PubMed. Samtliga artiklar är kvalitetsgranskade genom SBU:s granskningsmall för kvalitativa studier. Litteraturstudiens resultat är baserat på 10 artiklar. Resultat: I resultatet framkom 3 huvudteman; Arbetsmiljö, Organisatoriska faktorer och Coping. Utifrån dessa teman togs det sammanlagt fram 8 subteman; Arbetsbelastning, samverkan i team, relation mellan sjuksköterskor och läkare, återhämtning, organisatoriskt stöd, underbemanning, coping inom teamet och individuell coping. Konklusion: Organisatoriska faktorer är det som i störst utsträckning leder till arbetsrelaterad stress för sjuksköterskor. Underbemanning, tidsbrist och för många patienter per sjuksköterska är de största faktorerna. Arbete i team visar sig vara en större utmaning för sjuksköterskan än övriga yrkeskategorier inom slutenvården. Tillräckliga copingstrategier är essentiellt både på ett individuellt plan och på arbetsplatsen som helhet. Nyckelord: Kvalitativ forskning, psykologisk stress, slutenvård, sjuksköterskor, upplevelse

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  • 36.
    Andersson, Py
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Peter, Minna
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjuksköterskans upplevelse av att ge palliativ vård i hemmet: En litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Andersson P, Peter M. Nurses experience of providing palliative care at home. A literature review. Degree Project 15 credit points in nursing. Malmö University, Faculty of Health and Society, Department of Care Science, 2021.

    Background: Palliative care is provided when there is no cure for the patient's illness and more people are choosing to receive palliative care in their home. Palliative care focuses on supporting the patient whilst ensuring that their symptoms are relieved in a timely manner and is individually adapted to the patient and the relatives are encouraged to be involved in the palliative care. Furthermore, it is crucial that the patient know they are directly involved in the decisions that impact their end-of-life experience.

    Aim: The purpose is to describe the nurse's experience of providing palliative care at home.

    Method: The project was carried out as a literature study with a qualitative study design. The databases used in the literature searches were Cinahl and PubMed. The results of the literature study are based on 10 scientific articles that have been reviewed with the help of SBU:s review template for qualitative studies.

    Results: 3 main categories emerged; challenges at work, information and support for relatives, the need for a god cooperation. These main categories were formed by the 9 subcategories; the need of knowledge, flexibility at work, emotional strain, to face ethical dilemmas, to create participation, create dialogue with relatives, postmortem, collaboration with nurse-colleagues, collaboration with physicians

    Conclusion: Working in palliative care as a nurse can be stressful and affect the nurse negatively. It also requires a lot of commitment and knowledge from the nurse as they have a lot of responsibility. It is crucial that there is a clear and concise line of communication between all the parties involved in order to givethe patient the best end-of-life experience as possible.

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  • 37.
    Andersson, Ronja
    et al.
    Malmö University, Faculty of Health and Society (HS).
    Sandberg, Jennie
    Malmö University, Faculty of Health and Society (HS).
    Att stå på egna ben: Nyutexaminerade sjuksköterskors upplevelser av det första verksamma året på vårdavdelning2024Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The lack of registered nurses is the largest in many years, both global and in Sweden and it is a growing issue. In 2022, 4422 new nurses got their license in Sweden. The newly graduated nurse can experience the transition from student to nurse as challenging and difficult and the number of nurses that choose to leave their occupation grows every year. To get them to stay within the profession therefore is important in order to continue to conduct a well executed and safe care. Aim: The purpose of the literature study was to describe newly graduated nurses experiences of their first year of clinical work at a hospital ward. Method: A literature study with a qualitative approach based on eleven studies obtained from the databases Cinahl and Pubmed. The studies underwent a quality review and data analysis based on content analysis. Result: The data analysis resulted in three categories: The search for professional identity, The work environments impact on self-esteem and The feeling of inadequacy characterized the work. The categories included a total of seven subcategories: Understanding of the new work role, Need for support, Personal and professional development, The work climates importance for the teamspirit and colleagues' attitude affected the teamspirit, The importance of confirmation, The pursuit of control and The mental and physical wellbeing was effected by stress. Conclusion: The first year was overwhelming. The year consisted of a development process that started with the sense of being a beginner and ended with the feeling of being a registered nurse. To facilitate this process support from colleagues and preceptors was important.

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  • 38.
    Andiani, Mira
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Baludda, Erika
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Att delegera eller inte?: En litteraturstudie om sjuksköterskors uppfattningar av patientsäkerhet inom hemsjukvård i samband med delegering.2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Background: The health care system is facing a dilemma because of theincreasing demand of care and as well as the shortage of graduate level nurses andnurses with specialization. Earlier studies show that the shortage of nurses has ledto the necessity of delegating tasks to unlicensed health care personnel. Severalstudies showed that delegation is one of the areas within home care that has beenidentified a main risk in relation to health care injuries. Aim: To explore nurses’perspective of patient safety within home care in relation to delegation. Method:A literature review of eleven qualitative studies. The literature search wasperformed through database search (PubMed and Cinahl) and manual searching.The studies were reviewed through the SBU’s for qualitative studies and wereanalyzed with Friberg’s analysis method, where similar data were grouped intoappropriate categories. Result: The result yielded two main categories and sixsub-categories. The sub-categories, A helping hand, To lose control andDelegation barrier belongs to the main category The Delegation Dilemma. Underthe other main category, The delegation process there are three subcategories;Nursing diagnostics, Ensuring competence and to follow up delegated tasks.Conclusion: Delegation constitutes a great deal of responsibility and thedelegation process is complex. Delegation requires increased understanding andawareness of its complexity and what the responsibility of delegating entails, to beable to act effectively in order to maintain patient safety in relation to delegation. 

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  • 39.
    Andrejic Bengtsson, Emilia
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Persson Tholin, Jessica
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Vårdpersonalens upplevelser av att möta äldre med depression: En litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Psykisk ohälsa är vanligt bland äldre och depression är den vanligaste psykiska sjukdomen. Depression är så pass vanligt förekommande bland äldre att det räknas som ett folkhälsoproblem. En känsla av nedstämdhet och ett minskat intresse och glädje vid aktivitet är några symtom på depression. Trots att det finns kännedom om att depression hos äldre är vanligt förekommande är det ett tillstånd som både är underdiagnostiserat och underbehandlat. Den grundutbildade sjuksköterskan möter dessa patienter inom primärvården och inom äldreomsorgen och har i uppgift att identifiera depressiva symtom och ge en god omvårdnad till äldre med depression. Syfte: Syftet med litteraturstudien är att beskriva vårdpersonalens upplevelse av att möta och vårda äldre personer med depression inom äldreomsorgen och primärvården. Metod: Litteraturstudien grundar sig på 10 vetenskapliga kvalitativa artiklar som har valts ut från databaserna Cinahl, Pubmed och PsycINFO. Analysen skedde med kvalitativ innehållsanalys på manifest nivå.

    Resultat: Analysen mynnade ut i två kategorier; Den första var organisatoriska faktorer med subkategorierna organisationsstrukturens påverkan, riktlinjer och resurser samt samverkan. Den andra kategorin är mänskliga faktorer som beskrev upplevelser om stigma och felaktiga föreställningar, kontinuitet och holistiska synsätt är underkategorier. Konklusion: Sammanfattningsvis visar denna litteraturstudie att vårdpersonalen upplever vården vid psykisk ohälsa hos äldre som bristfällig. Frustration över resursbrist och ned prioriteringar av psykisk ohälsa samt att samverkan, kontinuitet och ett holistiskt synsätt var essentiellt. Dessa faktorer upplevdes påverka deras förutsättningar för att identifiera depression och möjliggöra en god vård.

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  • 40.
    Anjou, Emilia
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Haidl, Ebba
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Patienters erfarenheter av tolkanvändning i vården.: En litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Migration has increased in recent years, therefore increasing the need for interpreters in healthcare. Communication between nurses and patients is crucial for a good relationship, something that is hindered when a language barrier is present. As of now there is no Swedish law that enforces the need of an interpreter in healthcare settings, however there is a law stating the right to equal care despite background. The patient's experience of interpreter use is one of the main foundations to achieve patient centered care. 

    Aim: The aim of this study was to compile the patients’ experience using an interpreter in healthcare. 

    Method: This study was a literature review with a qualitative approach. The databases that were used during this literature review were Cinalh and Psycinfo. Quality of the studies were assessed using SBU:s template for quality analysis. The result was analyzed with a qualitative content analysis specific for literature studies, to identify relevant categories and subcategories. 

    Results: The results were based on 10 qualitative studies. The results are presented under three main categories: Limitations with communication and time, Patient’s expectations from the interpreter and Trust and confidentiality of the interpreter. The results showed that patients had a lack of trust in interpreters in regard to lack of confidentiality and the interpreter’s professionalism. The limitation with communication impacted the care for patients with a need for an interpreter, among other things owing to difficulties booking an interpreter and time pressure.

    Conclusion: The interpreter's work of facilitating communication was crucial for person centered care and patient safety. There was a need for certified interpreters in order to ensure person centered care. The interpreter was crucial in order to enforce the patients participation in their healthcare, but many patients were uncomfortable with having the interpreter in the room. The nurse has a responsibility to meet the patients’ needs.  Relatives were used partly due to the lack of interpreters, more certified interpreters are needed in order to avoid this. The need for further knowledge for nurses in regards to interpreter use within healthcare was identified through this study.

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  • 41.
    Annersten Gershater, Magdalena
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Apelqvist, Jan
    Skåne University Hospital.
    Elderly individuals with diabetes and foot ulcer have a probability for healing despite extensive comorbidity and dependency2021In: Expert review of pharmacoeconomics & outcomes research, ISSN 1473-7167, E-ISSN 1744-8379, Vol. 21, no 2, p. 277-284Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Limited scientific evidence for prevention and treatment of diabetic foot ulcers in elderly with comorbidities.

    AIM: To explore patient-related factors and outcomes in patients ≥75 years with diabetes and a foot ulcer.

    METHOD: Sub-analysis of consecutively presenting patients ≥75 years (N = 1008) from a previous study on 2,480 patients with diabetic foot ulcer treated in a multidisciplinary system until healing. Patient characteristics: age - 81(75-96); diabetes type 2-98.7%; male/female - 49/51%; living with a spouse - 47%; nursing home 16%; or with home nursing 64%.

    RESULT: Primary healing was achieved in 54%, minor amputation 8%, major amputation 9%, auto-amputation 2%, and 26% of the patients died unhealed. Among the oldest (88-96 years), 31% healed without any amputation. Extensive comorbidities were frequent: neuropathy 93%, visual impairment 73%, cardiovascular disease 60%, cerebrovascular disease 34%, and severe peripheral disease in 29% of the patients. Out of patients (80%) living in institutions or dependent on home nursing, 56% healed without amputation, compared to 44% of patients living in their own home without any support from social services or home nursing.

    CONCLUSION: Healing without major amputation was achieved in 84% of surviving patients ≥75 years, despite extensive comorbidity and dependency.

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  • 42.
    Annersten Gershater, Magdalena
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Brenner, Josefin
    Department of Health and Social Care, Home Care Kungsparken, Malmö Municipality, Västra Kanalgatan 4, Malmö 211 41, Sweden.
    Nordberg, Malin
    Department of Health and Social Care, Malmö Municipality, Villa Vikhem, Vikhems bygata 100, Staffanstorp 245 46, Sweden.
    Hommel, Ami
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Nurse assistants' perception of caring for older persons who are dying in their own home: An interview study.2024In: BMC Palliative Care, E-ISSN 1472-684X, Vol. 23, no 1, article id 70Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: As the proportion of older persons in society increases, there is a growing trend towards providing end-of-life care in their homes. Palliative care is a complex and knowledge-demanding form of care, and nurse assistants are those who work closest to the older person at the end-of-life in their own homes. However, nurse assistants sometimes have low educational and insufficient levels of knowledge in palliative care, which can affect the quality of care they provide. Moreover, nurse assistants' experiences are relatively unexplored in this context. The purpose of the study was to illuminate nurse assistants' experiences in caring for dying older persons at home.

    METHOD: An empirical, qualitative interview study was conducted with 14 nurse assistants with experience of palliative care in homecare. The material was analyzed using thematic content analysis.

    RESULTS: From the nurse assistant's experiences, one main theme emerged: doing everything possible for the dying older person despite challenges. Moreover, three sub-themes emerged: making a difference at a crucial time, death awakens emotions, and balancing personal and professional relationships. The nurse assistants' saw their role primarily as relieving symptoms but also focusing on next of kin. The following are described as essential parts of their role: carrying out practical nursing tasks, focusing on the physical environment, working alone and seeking help from colleagues due to a physical distance to the other members of the multidisciplinary team. The nurse assistants experienced a lack of support as there was no structured guidance or debriefing available in difficult emotional situations. Furthermore, they disclosed that they were left alone to deal with their feelings.

    CONCLUSION: This study demonstrates that nurse assistants strive to provide comprehensive care for dying older persons despite facing obstacles from their working conditions and work organization. They lack supervision and education in palliative care, but they rely on their experience-based knowledge to a large extent and provide care according to the four cornerstones of palliative care.

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  • 43.
    Annersten Gershater, Magdalena
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Rämgård, Margareta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Zdravkovic, Slobodan
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Holmberg, C. Nagorny
    Novo Nordisk Scandinavia AB, Malmö, Sweden..
    Grahn, M.
    Malmö City, Malmö.
    Andersson, M.
    Hlth & Med Care Management, Grp Off, Reg Skane, Malmö, Sweden..
    Diabetes prevalence is rising among young residents in Malmö, Sweden2021In: Diabetologia, ISSN 0012-186X, E-ISSN 1432-0428, Vol. 64, no SUPPL 1, p. 161-161Article in journal (Other academic)
  • 44.
    Annersten Gershater, Magdalena
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Zdravkovic, Slobodan
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Elgzyri, Targ
    Endocrinology Department Skåne University Hospital Malmö Sweden.
    Changes in daily nursing needs and self‐care capability of people with diabetes after in‐hospital treatment for foot complications: A descriptive study2024In: Nursing Open, E-ISSN 2054-1058, Vol. 11, no 5Article in journal (Refereed)
    Abstract [en]

    Aim: A limited number of studies discuss the changes in patients' self-care skills and needs for assisted self-care after discharge from in-patient treatment due to diabetes foot ulcer-related complications. The aim of this study was to examine the ability to perform self-care and needs for assisted nursing interventions at hospital discharge, compared to pre-admission, for people with diabetes admitted and treated for foot ulcer-related complications.

    Design: Retrospective patient record study.

    Methods: A retrospective assessment was done on the medical records of a total of 134 patients with diabetes consecutively admitted to a specialist in-patient unit due to foot ulcer complications, between 1 November 2017 and 30 August 2018. Data on daily self-care needs and home situations at admission and discharge were recorded.

    Results: The median age was 72 years (38-94), 103 (76.9%) were men and 101 (73.7%) had diabetes type 2. The median length of admission was 10 days (2-39). Infection was the most common cause of admission (51%), with severe ischaemia in 6%, and a combination of both in 20% of patients. Surgical treatment was performed in 22% and vascular intervention in 19% of patients. The percentage of patients discharged to their home without assistance was 48.1% compared to 57.5% before admission, discharge to home with assistance was 27.4% versus 22.4% before admission and 9.2% were discharged to short-term nursing accommodation versus 6% before admission. Three patients died during their stay in hospital. The need for help with medications increased from 14.9% of patients at admission to 26.7% at discharge and for mobility assistance from 23.1% to 35.9%. Social services at home were increased in 21.4% of patients at discharge.

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  • 45.
    Antonsson, Linda
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Nobrell, Anettte
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Översättning och validering av the Verran Professional Governance Scale2023Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Den svenska sjukvården har stått inför utmaningen att behålla sjuksköterskor i över ett decennium. Magnetmodellen är ett tillvägagångssätt som visat sig vara framgångsrikt på andra håll i världen för att vända negativa trender i bristen på sjuksköterskor. Structural empowerment är en av de fem kärnkomponenterna i Magnetmodellen. Det krävs en förändring av organisations- och ledningsstrukturer så att sjuksköterskor äger frågor inom sin profession och stärks i sin professionella utveckling. Professional governance kan betraktas som ett ramverk för structural empowerment. Med denna bakgrund finns också ett behov av att utvärdera och mäta professional governance. Det finns dock inga validerade instrument för att mäta professionell styrning i svensk kontext.

    Syfte: Syftet med studien var att översätta, anpassa och validera the Verran Professional Governance Scale till svenska.

    Metod: Översättning, anpassning och validering av instrumentet i fem faser: översättning av instrumentet från originalspråket engelska till svenska, syntetisering av två versioner till en, back translation, expertpanel, pilottestning av den svenska versionen av instrumentet och kognitiva intervjuer med fem sjuksköterskor. Data analyserades med innehållsanalys med RITA metoden.

    Resultat: Översättningsprocessen i fem faser resulterade i en ny svensk version av instrumentet. Språklig validitet och användbarhet bekräftades i steg fyra och fem. Konsensus uppnåddes i expertgruppen och S-CVI värdet, .95, visar hög relevans. I analysen av de kognitiva intervjuerna framkom att inledningen och vissa ord och meningar i några påståenden behövde revideras till exempel vår arbetsplats.

    Slutsats: Studien har genererat översättning och validering för The Verran Professional Governance Scale och utgör en lovande start inför fortsatta valideringsstudier. Den svenska versionen kan lyfta sjuksköterskans profession och sätta fokus på omvårdnad, som en del av Magnetmodellen.                                                                                         

     

    Nyckelord: Magnetmodellen, professional governance, structural empowerment, The Verran Professional Governance Scale

  • 46.
    Appelgren, Marie
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). City of Malmö.
    Persson, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Bahtsevani, Christel
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Borglin, Gunilla
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden; Department of Nursing Education, Lovisenberg Diaconal University College, Oslo, Norway.
    Swedish registered nurses' perceptions of caring for patients with intellectual and developmental disability: A qualitative descriptive study2022In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 30, no 3, p. 1064-1076Article in journal (Refereed)
    Abstract [en]

    Patients with intellectual and developmental disability (IDD) are often misinterpreted and misunderstood. Studies show that, in general, healthcare professionals have limited knowledge about IDD, and registered nurses (RNs) often report feeling unprepared to support this group of patients. Therefore, more knowledge about how to adequately address care for this patient group is warranted. This qualitative study employs an interpretative descriptive design to explore and describe Swedish RNs' perceptions of caring for patients with IDD, here in a home-care setting. Twenty RNs were interviewed between September 2018 and May 2019, and the resulting data were analysed through an inductive qualitative content analysis. The study adheres to consolidated criteria for reporting qualitative research (COREQ). Our analysis found that nurses' perceptions of caring for patients with an IDD could be understood from three overarching categories: nursing held hostage in the context of care, care dependent on intuition and proven experience and contending for the patients' right to adequate care. Our findings show that the home-care context and organisation were not adjusted to the needs of the patients. This resulted in RNs feeling unable to provide care in accordance with their professional values. They also explained that they had not mastered the available augmentative and alternative communication tools, instead using support staff as interpreters for their patients. Finally, on a daily basis, the RNs caring for this group of patients took an active stance and fought for the patients' right to receive the right care at the right time by the right person. This was particularly the case with issues involving psychiatric care.

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  • 47.
    Argenbright, Christine
    et al.
    James Madison University, Harrisonburg, VA, USA.
    Sanford, Julie
    James Madison University School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA.
    Sherwood, Gwen D
    University of North Carolina at Chapel Hill, Chapel Hill, USA.
    Jordan, Portia Janine
    Stellenbosch University, Stellenbosch, Western Cape, South Africa.
    Moriyama, Michiko
    Hiroshima University Graduate School of Biomedical and Health Sciences Division of Integrated Health Sciences, Hiroshima, Hiroshima, Japan.
    Jiménez-Herrera, Maria Francisca
    Universitat Rovira i Virgili, Tarragona, Spain.
    Bengtsson, Mariette
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Lui, Lee
    Kingston University, Kingston-Upon-Thames, London, UK.
    Hart, Vesna
    Graduate Psychology, Malmö University, Malmö, Sweden.
    McDonald, Maria
    University of Virginia, Charlottesville, VA, USA.
    Embracing diversity: measuring the impact of an international immersion learning experience on nursing students' cultural beliefs and values2022In: International Journal of Nursing Education Scholarship, E-ISSN 1548-923X, Vol. 19, no 1Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: An international Nursing Leadership Collaborative covened in Japan to hold a patient safety and quality workshop for nursing students from six countries. The purpose was to measure students' self reported beliefs reflecting sensitivity and openness to cultural diversity before and after the international experience.

    METHODS: A pre-post-test design was used and the Beliefs, Events, and Values Inventory was administered to international undergraduate and graduate nursing students.

    RESULTS: The group aggregate data analysis indicate that prior to the start of the workshop, the group presented itself as quite introspective and after the workshop the group reported being more sophisticated in making causal explanations about why the world works in the way it does.

    CONCLUSIONS: Nursing students experienced an expanded awareness of their beliefs and values that reflect a greater degree of intercultural sensitivity for acceptance of inclusivity and diversity after the experience.

  • 48.
    Asalati, Michelle
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Chaaban, Maram
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjuksköterskors erfarenheter av språkbarriärer inom vården: En litteraturstudie2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: I relation with the increased migration over the past decade, the Swedish health care has encountered an increasingly heterogeneous working class. The increasingly heterogeneous work environment has meant that nurses encounter new challenges that affect nursing work, where the language barrier between patient and nurse has a negative impact on the care provided. When communication between these two parties is lacking, patient safety is jeopardized. Thus, communication is crucial and fundamental to achieve good quality of care where patients’ individual needs can be met. Aim: The aim of the literature study was to compile nurses' experiences of language barriers in communication within health care. Method: The essay is based on a compilation of twelve literature studies with a qualitative approach. A systematic literature study based on scientific publications that deal with scientific studies. The database search was performed in CINAHL and PubMed and focuses on nursing. The studies were reviewed according to the inclusion and exclusion criteria. The quality of the studies was then reviewed based on SBU's quality review template and the content was analyzed using content analysis to identify relevant themes. Results: The results of the literature study are presented based on three themes, which includes: language barriers as a challenge, communication with interpreters and barriers to cultural understanding. The identified themes include five subthemes. Conclusion: Language barriers affect nurse's nursing work. When language barriers exist, the exchange of information between nurse and patient is limited. Working from a holistic approach cannot be maintained and nursing is affected.

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  • 49.
    Ask, Mathilda
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Lennartsson, Sophie
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjuksköterskors erfarenheter och attityder mot patienter med substansberoende: Hur påverkas omvårdnaden?2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients with opioid- or drug addiction is a vulnerable group in healthcare. The patients often experience distrust and that they don’t get the help they need. It is known that nurses experience a lack of knowledge, has a negative attitude towards these patients and allows past experiences to affect the nursing care. Nurses needs to possess an awareness regarding their attitudes and experiences to avoid this effecting the person-centered care. Aim: To investigate how nurses’ experiences and attitudes towards people with an opioid- or drug addiction affect the nursing of this patient group within somatic care. Method: Qualitative literature review where Cinahl, Psycinfo and Pubmed were used as databases for the search of literature. Review of the articles was based on SBU’s quality review template. Analysis of the articles were done accordingly to Popenoe. Result: The results describe different aspects that affect the nursing care of opioid- or drug addictive patients. The result is divided into two categories: Wrong focus in nursing, The nurses want to provide person-centered care and five sub-categories: The nurses emotions affect the nursing care, Patients are distrusted, Uncertainty and lack of knowledge, Patients deserve good care, Experience contribute to good care. Conclusion: Nurses experience patients with opioid- or drug addiction as demanding and complex. The patients evoke feelings such as irritation, suspicion and anger but also sympathy and compassion. This is due to the nurse’s lack of knowledge and experience. Despite this, the nurses feel a responsibility towards the patients and want to provide good care.

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  • 50.
    Atai, Elnaz
    et al.
    Malmö University, Faculty of Health and Society (HS).
    Ekiz, Nesibe
    Malmö University, Faculty of Health and Society (HS).
    SKOLSKÖTERSKANS BEHOV FÖR ATT KUNNA IDENTIFIERA PSYKISK OHÄLSA BLAND SKOLBARN2024Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness among school-age children and young people continues to increase. School nurses have been identified as a profession with good opportunities to work preventively in this area. Despite the school nurse's formal competence, there are shortcomings in the work when it comes to preventing or identifying mental illness in school children.

    Purpose: The purpose was to highlight the school nurse's need to be able to identify mental illness among school children.

    Method: In this study, a semi-structured interview study has been used.

    Results: The school nurses felt that existing tools are not functional at the moment to identify mental illness. The school nurses experienced a lack of education about mental illness among school children, they do not feel available for the school children and that they do not have good cooperation with external actors. The school nurses point out that education in mental illness, accessibility and cooperation with external actors are the most important need for children with mental illness to be identified. The results were collected in three categories: Need for increased knowledge, need for more accessibility and need for collaboration.

    Conclusion: The tools available today to identify mental illness are not sufficient to identify schoolchildren with mental illness. The school nurses emphasized that the main needs for identifying mental illness in school children were more knowledge, better accessibility and increased cooperation.

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