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  • 1.
    Aaby Orellana, Tanja
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Kirkegaard, Betina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Sjuksköterskors upplevelser av att implementera personcentrerad omvårdnad i slutenvården: -         En Empirisk Studie2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Personcentrerad omvårdnad (PCO) är när den vårdsökande personen är delaktig i sin vård och blir sedd som mer än sin sjukdom eller åkomma. Förhållningssättet PCO grundade sig först inom demensvården men har numera blivit ett förhållningssätt som de flesta vårdinstitutioner eftersträvar. För att uppnå den förbättrande vården som PCO kan medföra, behövs en välplanerad och tydlig implementeringsplan från ledningen.

    Syfte: Att beskriva sjuksköterskors upplevelser av att implementera ett personcentrerat arbetssätt på en slutenvårdsavdelning.

    Metod: En induktiv kvalitativ studie där elva intervjuer genomfördes. Därefter utfördes en innehållsanalys av åtta strategiskt utvalda intervjuer.

    Resultat: Det finns förhoppningar hos deltagarna att implementeringen ska leda till en bättre och säkrare vård, men också farhågor om rädsla för förändring bland vårdpersonalen samt en ökad arbetsbelastning. Att arbeta personcentrerat upplevs av deltagarna kommer ställa högre krav på vårdteamet, framför allt sjuksköterskorna, när det gälller tid, kunskap och kommunikation.

    Slutsats: För att kunna ge vårdsökande personen den bästa vården, behövs det engagerad och kompetent personal som har stöd och förståelse från ledningen. Trots de hinder som tycks finnas så lever en positiv anda bland sjuksköterskorna om implementeringen av PCO. Förhoppningarna är att ett personcentrerat arbetssätt bland annat ska öka delaktigheten som kan leda till kortare vårdtider samt minskar risken för återbesök tätt efter vårdtiden. Det i slutändan ger en bättre vård i helhet för den enskilda vårdsökande personen.

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    Sjuksköterskors upplevelser av att implementera personcentrerad omvårdnad i slutenvården
  • 2.
    Abbasi, Amir Zaib
    et al.
    IRC for Finance and Digital Economy, KFUPM Business School, King Fahd University of Petroleum & Minerals, Dhahran, Saudi Arabia.
    Azeem, Sundas
    Shaheed Zulfikar Ali Bhutto Institute of Science and Technology, Islamabad, Pakistan.
    Farooq, Muhammad Usman
    Shaheed Zulfikar Ali Bhutto Institute of Science and Technology, Islamabad, Pakistan.
    Hussain, Khalil
    Shaheed Zulfikar Ali Bhutto Institute of Science and Technology, Islamabad, Pakistan.
    Ting, Ding Hooi
    Department of Management and Humanities, Universiti Teknologi PETRONAS, Seri Iskandar, Malaysia.
    Rehman, Umair
    User Experience Design, Wilfrid Laurier University, Waterloo, ON, Canada.
    Griffiths, Mark D.
    International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK.
    Pakpour, Amir H.
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för omvårdnad. Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Engagement in educational games and quality of life in early and middle childhood: evidence from a developing country2023Ingår i: Current Psychology, ISSN 1046-1310, E-ISSN 1936-4733, Vol. 42, s. 19386-19400Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Serious games (SGs), are gaining prominence as a tool for early education at home as well as in school settings. Given the mixed effects of gamification on various aspects of users' lives, it is pertinent to study its broader effects on a child's pre-school and school years. Given the lack of consensus on a comprehensive measure that encapsulates these effects on an individual's routine functioning, the present study examined whether various engagement states in SGs use influence a relatively broader measure of users' functioning across significant life domains such as Quality of Life (QoL). It is argued that it would serve scholars, teachers, and parents better to understand the broader implications of SGs on children's overall QoL rather than isolated physiological and behavioral effects. Consequently, utilizing structural equation modeling, results from 335 parents of 2-10-year-olds in a developing country showed that cognitive and behavioral engagement in gamified applications appear to influence the child's QoL, but not affective engagement. Results are discussed in terms of the consequences of using game-based technology for a child's development, with far-reaching academic, personal, physical, and social implications not only for the school-going ages, but also for early teenage years. The results are promising in relation to QoL. The findings indicate the role modern technology plays in improving individuals' lives. The findings provide scholars, parents, and creators of SGs important information for their plan of action regarding children's exposure to SGs and making SGs a frequent aspect of the learning experience early in life.

  • 3.
    Abelsson, Anna
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Anxiety caused by simulated prehospital emergency care2019Ingår i: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 29, s. 24-28Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    During the simulation, participants experience different degrees of stress and anxiety. It could be described as “Anxiety is like perpetually hearing the enemy music but never seeing the threat”. This study aimed to describe the Emergency Medical Services personnel's feelings of anxiety during simulation. The study had a qualitative design with interviews of 28 participants. The data were analyzed using content analysis. The result shows how the simulation could be perceived as a stage performance in the form of a theatre. The perceived acting was unpleasant and embarrassing due to unfamiliarity to perform. To be scrutinized meant having spectators reviewing ones' performance. It was considered more natural to care for actors than manikins. The interaction and connection with a human, even unconscious, were more natural. To care for a human did not require the imagination to empathize in the simulation.

  • 4.
    Abelsson, Anna
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Being responsible for the life of another human being2017Ingår i: Disaster and Emergency Medicine Journal, ISSN 2451–4691, Vol. 2, nr 4, s. 164-166Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A common feature of prehospital emergency care are short and fragmentary patient encounters with in­creased demands for efficient and rapid treatment. Crucial decisions are often made, based on the premise of the ambulance staff`s ability to capture the situation instantaneously. The assessment is, therefore, a pre-requisite for decisions about appropriate actions. However, a low exposure to severe trauma cases leads to vulnerability for the ambulance staff, which makes the assessment more difficult. Assessment of severe trauma patients at the scene of accident is difficult and complicated. No trauma scenarios are alike and practical skills, training, and feedback are therefore necessary.

  • 5.
    Abelsson, Anna
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Bringing your simulation into an attractive scientific program - Without the need for research data2017Konferensbidrag (Refereegranskat)
  • 6.
    Abelsson, Anna
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    First response emergency care - experiences described by firefighters2019Ingår i: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 8, s. 247-258Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose – The purpose of this paper was to describe firefighters’ experiences of First Response Emergency Care.

    Design/methodology/approach – An explorative descriptive design with a qualitative approach. Data was collected through group interviews of 35 firefighters and subjected to qualitative content analysis.

    Findings – The results showed that the firefighters’ professional role and their uniform serve as protection against mentally strenuous situations. It is important to protect the dignity of the injured or dead, as well as to protect and safeguard colleagues from the experience of the tragedy of an accident. Having a solid and sterling medical education gives a sense of security when providing emergency care, as well as when caring for the relatives. Debriefing brings thoughts and feelings to the surface for processing and closure. The sense of sadness lingers for those they were unable to save, or the ones that had been dead on arrival or were forgotten.

    Originality/value – A firefighter’s work situation is exposed and stressful. The firefighter’s uniform as a mental barrier, colleagues, time to mentally prepare and being allowed to show feelings are factors all needed to cope. It is therefore important to encourage, promote and strengthen the protective role of camaraderie for the firefighter, which can likely be emphasized for other uniform-wearing professions such as police, military and ambulance personell. Being acknowledged for their contribution to other peoples’ lives and wellbeing can confirm the firefighters’ importance.

    Ladda ner fulltext (pdf)
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  • 7.
    Abelsson, Anna
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Kan man se blod i mörkret?2017Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 8.
    Abelsson, Anna
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    The case of the women with the broken heart2018Ingår i: Disaster and Emergency Medicine Journal, ISSN 2451-4691, Vol. 3, nr 2, s. 67-68Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Takotsubo can be detected as a kindred disease, predominantly affecting post-menopausal women. By correctly identifying these patients as having an acute heart failure syndrome, the outcome can be favorable.

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    Fulltext
  • 9.
    Abelsson, Anna
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Appelgren, Jari
    Karlstad University.
    Axelsson, Christer
    University of Borås.
    Enhanced self-assessment of CPR by low-dose, high-frequency training2021Ingår i: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 10, nr 1, s. 93-100Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose - The purpose was to investigate what effect an intervention of low-dose, highfrequencycardiopulmonary resuscitation (CPR) training with feedback for one month wouldhave on professionals’ subjective self-assessment skill of CPR.

    Design/methodology/approach - This study had a quantitative approach. In total, 38firefighters performed CPR for two minutes on a Resusci Anne QCPR. They then self-assessedtheir CPR through four multiple-choice questions regarding compression rate, depth, recoil, andventilation volume. After one month of low-dose, high-frequency training with visual feedback,the firefighters once more performed CPR and self-assessed their CPR.

    Findings - With one month of low-dose, high-frequency training with visual feedback, the levelof self-assessment was; 87% (n=33) correct self-assessment of compression rate, 95% (n=36)correct self-assessment of compression depth, 68% (n=26) correct self-assessment of recoil and87% (n=33) correct self-assessment of ventilations volume. The result shows a reduced numberof firefighters who overestimate their ability to perform CPR.

    Originality/value - With low-dose, high-frequency CPR training with visual feedback for amonth, the firefighters develop a good ability to self-assess their CPR to be performed withinthe guidelines. By improving their ability to self-assess their CPR quality, firefighters can selfregulatetheir compression and ventilation quality.

    Ladda ner fulltext (pdf)
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  • 10.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Appelgren, Jari
    Faculty of Arts and Social Sciences, Karlstad University, Karlstad, Sweden.
    Axelsson, Christer
    Prehospen – Centre for Prehospital Research, University of Borås, Borås, Sweden.
    Low-dose, high-frequency CPR training with feedback for firefighters2019Ingår i: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 8, nr 1, s. 64-72Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose

    The purpose of this paper is to investigate the effects of the intervention of low-dose, high-frequency cardiopulmonary resuscitation (CPR) training with feedback for firefighters for one month.

    Design/methodology/approach

    The study had a quantitative approach. Data were collected through an intervention by means of simulation. The data collection consisted of a pre- and post-assessment of 38 firefighter’s CPR performance.

    Findings

    There was a statistically significant improvement from pre- to post-assessment regarding participants’ compression rates. Compression depth increased statistically significantly to average 2 mm too deep in the group. Recoil decreased in the group with an average of 1 mm for the better. There was a statistically significant improvement in participants’ ventilation volume from pre- to post-assessment.

    Originality/value

    Prehospital staff such as firefighters, police, and ambulance perform CPR under less than optimal circumstances. It is therefore of the utmost importance that these professionals are trained in the best possible way. The result of this study shows that low-dose, high-frequency CPR training with an average of six training sessions per month improves ventilation volume, compression depth, rate, and recoil. This study concludes that objective feedback during training enhances the firefighters’ CPR skills which in turn also could be applied to police and ambulance CPR training.

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  • 11.
    Abelsson, Anna
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Falk, P.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Surgical and Intensive care Clinics, Värnamo County Hospital, Region Jönköping county, Sweden.
    Sundberg, B.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Surgical and Intensive care Clinics, Ryhov County Hospital, Region Jönköping county, Sweden.
    Nygårdh, Annette
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Jönköping University, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Empowerment in the perioperative dialog2021Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 8, nr 1, s. 96-103Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To describe how the nurse anaesthetist empowers the patient in the perioperative dialogue. Design: A qualitative descriptive design with interviews with 12 nurse anaesthetist (NA). Method: A hermeneutic text interpretation with a foundation in Gibson's empowerment model. Result: The results highlight Gibson's nursing domain: Helper, Supporter, Counsellor, Educator, Resource Consultant, Resource Mobilizer, Facilitator, Enabler and Advocate. The overall understanding is revealed as a relationship can be built through closeness between the patient and the NA. The NA helps the patient master the situation by talking to and touching the patient. The patient is helped to find their own strengths and to cope with their fears. The patients decide over their own bodies. When the patients do not want to or cope with protecting themselves, the NA protects and represents the patient.

  • 12.
    Abelsson, Anna
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Gustafsson, Marcus
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Petersèn, Christina
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Knutsson, Susanne
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Jönköping University, Hälsohögskolan, HHJ. CHILD. Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden.
    Physical stress triggers in simulated emergency care situations2021Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 8, nr 1, s. 156-162Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim

    To practise emergency care situations during the education can be stressful. The aim of this study is to identify factors that cause stress in simulated emergency care.

    Design

    A descriptive observational study.

    Methods

    Video recordings (N = 26) subjected to observation with written field notes in turn subjected to interpretive qualitative content analysis.

    Results

    To assess the patient's condition and decide what measures to take trigger stress reactions. If the students failed to connect the correct and relevant information in the conversation with the physician, the students showed signs of stress. Also, to calculate medication dosages stress the students.

  • 13.
    Abelsson, Anna
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Gwinnutt, Carl
    Resuscitation Council (UK), London, UK.
    Greig, Paul
    Department of Anaesthetics, Guy’s and St Thomas’s NHS Foundation Trust, London, UK.
    Smart, Jonathan
    Innosonian Europe, Farnborough, Hampshire, UK.
    Mackie, Kevin
    Resuscitation Council (UK), London, UK.
    Validating peer-led assessments of CPR performance2020Ingår i: Resuscitation Plus, E-ISSN 2666-5204, Vol. 3, artikel-id 100022Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    A patient’s survival from cardiac arrest is improved if they receive good quality chest compressions as soon as possible. During cardiopulmonary resuscitation (CPR) training subjective assessments of chest compression quality is still common. Recently manikins allowing objective assessment have demonstrated a degree of variance with Instructor assessment. The aim of this study was to compare peer-led subjective assessment of chest compressions in three groups of participants with objective data from a manikin.

    Method

    This was a quantitative multi-center study using data from simulated CPR scenarios. Seventy-eight Instructors were recruited, from different backgrounds; lay persons, hospital staff and emergency services personnel. Each group consisted of 13 pairs and all performed 2 ​min of chest compressions contemporaneously by peers and manikin (Brayden PRO®). The primary hypothesis was subjective and objective assessment methods would produce different test outcomes.

    Results

    13,227 chest compressions were assessed. The overall median score given by the manikin was 88.5% (interquartile range 71.75–95), versus 92% (interquartile range 86.75–98) by observers. There was poor correlation in scores between assessment methods (Kappa −0.051 – +0.07). Individual assessment of components within the manikin scores demonstrated good internal consistency (alpha ​= ​0.789) compared to observer scores (alpha ​= ​0.011).

    Conclusion

    Observers from all backgrounds were consistently more generous in their assessment when compared to the manikin. Chest compressions quality influences outcome following cardiac arrest, the findings of this study support increased use of objective assessment at the earliest opportunity, irrespective of background.

  • 14.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lindwall, Lillemor
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Ethical dilemmas in prehospital emergency care – from the perspective of specialist ambulance nurse students2018Ingår i: International Journal of Ethics Education, ISSN 2363-9997, Vol. 3, nr 2, s. 181-192Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe specialist ambulance nurse students’ experiences of ethical conflicts and dilemmas in prehospital emergency care. In the autumn of 2015, after participating in a mandatory lecture on ethics, 24 specialist ambulance nurse (SAN) students reported experiences and interpretations concerning conflicts and ethical dilemmas from prehospital emergency care. The text consisted of 24 written critical incidents which were interpreted using hermeneutic text interpretation. The text revealed three themes: Not safeguarding a patient’s body and identity; Not agreeing on the care actions; and Not treating the patient with dignity. The SANs experiences ethical dilemmas and conflict of values when they witness how others violate a patient’s dignity. Discussion and reflection is based on ethical conflicts and dilemmas experienced when students see how caregivers do not safeguard the patient’s body or identity. When caregivers have a conflicting will, it results in patients not being treated in an ethical manner. Also, seeing how caregivers put themselves in a power position over patients is described as an ethical dilemma that students experience when they choose not to intervene.

  • 15.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lindwall, Lillemor
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Suserud, Björn-Ove
    Faculty of Caring Science, Work Life and Social Welfare, PreHospen-Centre for Prehospital Research, University of Borås, Borås, Sweden.
    Rystedt, Ingrid
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Ambulance nurses’ competence and perception of competence in prehospital trauma care2018Ingår i: Emergency Medicine International, ISSN 2090-2840, E-ISSN 2090-2859, Vol. 2018, artikel-id 5910342Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction. We focus on trauma care conducted in the context of a simulated traumatic event. This is in this study defined as a four-meter fall onto a hard surface, resulting in severe injuries to extremities in the form of bilateral open femur fractures, an open tibia fracture, and a closed pelvic fracture, all fractures bleeding extensively. 

    Methods. The simulated trauma care competence of 63 ambulance nurses in prehospital emergency care was quantitatively evaluated along with their perception of their sufficiency. Data was collected by means of simulated trauma care and a questionnaire. 

    Results. Life-saving interventions were not consistently performed. Time to perform interventions could be considered long due to the life-threatening situation. In comparison, the ambulance nurses’ perception of the sufficiency of their theoretical and practical knowledge and skills for trauma care scored high. In contrast, the perception of having sufficient ethical training for trauma care scored low. 

    Discussion. This study suggests there is no guarantee that the ambulance nurses’ perception of theoretical and practical knowledge and skill level corresponds with their performed knowledge and skill. The ambulance nurses rated themselves having sufficient theoretical and practical knowledge and skills while the score of trauma care can be considered quite low.

  • 16.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lundberg, Lars
    Centre for Defence Medicine, Swedish Armed Forces, Sweden.
    Cardiopulmonary resuscitation quality during CPR practice versus during a simulated life-saving event2018Ingår i: International Journal of Occupational Safety and Ergonomics, ISSN 1080-3548, E-ISSN 2376-9130, Vol. 24, nr 4, s. 652-655Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction. As a part of the emergency medical services, the Swedish fire brigade can increase the survival rate in out-of-hospital cardiac arrests.

    Aim. To compare the quality of cardiopulmonary resuscitation (CPR) performed by firefighters at a routine CPR practice versus when involved in a simulated life-saving event.

    Methods. In this study, 80 firefighters divided into two groups performed CPR according to guidelines: one group indoors during a routine training session; the other group outdoors during a smoke diving exercise wearing personal protective clothing and self-contained breathing apparatus. Descriptive and inferential statistics were used to analyze the data.

    Results. The results showed a tendency for the outdoor group to perform CPR with better ventilation and compression quality, as compared to the indoor group. The ventilation of the manikin was not hampered by the firefighters wearing personal protective clothes and self-contained breathing apparatus, as the Swedish firefighters remove their facial mask and ventilate the patient with their mouth using a pocket mask.

    Conclusions. Overall, the results in both groups showed a high quality of CPR which can be related to the fire brigade training and education traditions. CPR training is regularly performed, which in turn helps to maintain CPR skills.

  • 17.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lundberg, Lars
    Swedish Armed Forces Centre for Defence Medicine, Sweden.
    CPR performed in battlefield emergency care2019Ingår i: Australasian Journal of Paramedicine, ISSN 2202-7270, Vol. 16, s. 1-9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction

    During military missions medical care is provided to military personnel as well as civilians. Although cardiopulmonary resuscitation (CPR) may not be a common task in a military field hospital, all personnel need to be trained to deal with cardiac arrest.

    Methods

    This study was a comparative simulation study. Participants (n=36) from the Swedish armed forces performed CPR for 2 minutes at one of three different locations: at ground level, a military bed, or a transportable military stretcher. Compression depth and rate after 2 minutes of CPR and at the time of the participants’ own request to be relieved were measured. Descriptive and inferential analysis was conducted.

    Results

    There is a direct correlation between compression depth and working level, concluding that the higher working level, the lower the compression depth. There is in total an overall low percentage of participants within limits for correctly conducted CPR regarding both compression depth and rate. Time to fatigue is related to working level, where increased level results in early fatigue.

    Conclusion

    The quality of CPR is affected by the level at which it is performed. The quality of CPR was satisfactory when working at ground level, but suboptimal when working at hospital bed level or military stretcher level. When working at raised levels, participants appeared to misjudge their own compression depth and rate. This may indicate that changes are needed when CPR is practised in the military hospital setting. Future studies regarding the use footstools are required due to the height of military beds and transportable stretchers.

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  • 18.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lundberg, Lars
    Swedish Armed Forces, Centre for Defense Medicine, Stockholm, Sweden.
    Military medical personnel's perceptions of treating battle injuries2019Ingår i: Journal of military and veterans health, ISSN 1835-1271, E-ISSN 1839-2733, Vol. 27, nr 2, s. 10-17Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To evaluate military personnel’s self-rated perceptions of their knowledge, experience and training after high-fidelity battle injury simulation.

    Design: 26 military medical personnel participated in this quantitative study. Data was collected using a questionnaire after a six-day exercise where participants self-rated 10 statements regarding having sufficient medical, practical and ethical knowledge, experience and training. Descriptive and inferential analyses were conducted to obtain the results.

    Results: Nurses rated themselves statistically significantly higher than medics in having sufficient medical knowledge and experience, practical knowledge, experience and training, as well as ethical knowledge and experience. The nurses also rated themselves statistically significantly higher than physicians in having practical knowledge, experience and training. Physicians’ self-rated perception was low regarding sufficient knowledge, experience and training in practical skills. Physicians, nurses and medics all reported low ratings for sufficient training in ethical issues.

    Discussion: Military medical personnel are required to have the knowledge and skills to work autonomously in challenging and threatening environments. For personnel that seldom see battlefield-like injuries, a clinical placement in a country with a high frequency of battlefield-like injuries would be advisable. A comparison between subjective and objective assessments may identify deficiencies in competence, which can negatively impact quality of care.

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  • 19.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lundberg, Lars
    University of Borås, Prehospen-Centre for Prehospital Research, Borås, Sweden.
    Prehospital CPR training performed with visual feedback2018Ingår i: Disaster and Emergency Medicine Journal, ISSN 2451-4691, Vol. 3, nr 2, s. 41-45Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION: Swedish firefighters are a part of the emergency medical services. Therefore, they perform prehospital cardiopulmonary resuscitation (CPR) on a regular basis. Training becomes crucial for maintaining the CPR skills and increasing the patients’ chances of survival. Training with visual feedback is for Swedish firefighters a new way of training CPR. The aim of this study was to evaluate firefighters’ perception of a CPR manikin with visual feedback.

    METHOD: This study had a qualitative approach. Data were collected by interviews with 16 firefighters after performing CPR on a manikin with visual feedback. The data were analyzed with a manifest content analysis.

    RESULTS: Visual feedback makes it easy to identify and maintain correct compression rate. There is a need for identifying too deep compressions. Uncertainty regarding the closeness to the stomach arises when using the whole hand during compressions instead of just the wrist. To accomplish an open airway requires a bit of adjustment of the manikins’ head.

    DISCUSSION: To train and learn CPR is feasible with visual feedback. The firefighters can maintaing a correct compression rate and correct compression depth during the sessions. Ventilating a patient with bag-valvemask or pocket mask may require training with visual feedback to guarantee the firefighters being able to secure an open airway of the patient. All these skills are essential and improve the chance of survival for the patients.

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  • 20.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lundberg, Lars
    Swedish Armed Forces Centre for Defence Medicine, Gothenburg, Sweden.
    Simulation as a means to develop firefighters as emergency care professionals2019Ingår i: International Journal of Occupational Safety and Ergonomics, ISSN 1080-3548, E-ISSN 2376-9130, Vol. 25, nr 4, s. 650-657Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: The aim of this study was to evaluate the simulated emergency care performed by firefighters and their perception of simulation as an educational method.

    METHODS: This study had a mixed method with both a quantitative and a qualitative approach. Data were collected by simulation assessment, a questionnaire, and written comments. Descriptive analysis was conducted on the quantitative data whereas a qualitative content analysis was conducted on the qualitative data. Finally, a contingent analysis was used where a synthesis configured both the quantitative and the qualitative results into a narrative result.

    RESULTS: The cognitive workload that firefighters face during simulated emergency care is crucial for learning. In this study, the severity and complexity of the scenarios provided were higher than expected by the firefighters. Clearly stated conditions for the simulation and constructive feedback were considered positive for learning. Patient actors induced realism in the scenario, increasing the experience of stress, in comparison to a manikin.

    CONCLUSION: To simulate in a realistic on-scene environment increases firefighters' cognitive ability to critically analyze problems and manage emergency care. Simulation of emergency care developed the firefighters as professionals.

  • 21.
    Abelsson, Anna
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Nygårdh, Annette
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    The nurse anesthetist perioperative dialog2020Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 19, nr 1, artikel-id 37Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background In the perioperative dialogue, pre-, intra- and postoperatively, the patient shares their history. In the dialogue, the nurse anesthetist (NA) gets to witness the patient's experiences and can alleviate the patients' suffering while waiting for, or undergoing surgery. The aim of this study was to describe the nurse anesthetist's experiences of the perioperative dialogue. Methods The study had a qualitative design. Interviews were conducted with 12 NA and analyzed with interpretive content analysis. The methods were conducted in accordance with the COREQ guidelines. Results In the result, three categories emerge: A mutual meeting (the preoperative dialogue) where the patient and the NA through contact create a relationship. The NA is present and listens to the patient, to give the patient confidence in the NA. In the category, On the basis of the patient's needs and wishes (the intraoperative dialogue), the body language of the NA, as well as the ability to read the body language of the patient, is described as important. In the category, To create a safe situation (the postoperative dialogue) the NA ensures that the patient has knowledge of what has happened and of future care in order to restore the control to the patient. Conclusion The patient is met as a person with their own needs and wishes. It includes both a physical and a mental meeting. In a genuine relationship, the NA can confirm and unreservedly talk with the patient. When the patients leave their body and life in the hands of the NA, they can help the patients to find their inherent powers, which allows for participation in their care. Understanding the patient is possible when entering in a genuine relationship with the patient and confirm the patient. The perioperative dialogue forms a safety for the patients in the operating environment.

  • 22.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Nygårdh, Annette
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    To enhance the quality of CPR performed by youth layman2019Ingår i: International Journal of Emergency Medicine, ISSN 1865-1372, E-ISSN 1865-1380, Vol. 12, nr 1, artikel-id 30Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    By educating laymen, survival after cardiac arrest can increase in society. It is difficult to reach the entire population with cardiopulmonary resuscitation (CPR) training. However, if 15% of the population knows how to perform CPR, an increase in short- and long-term survival in patients suffering a cardiac arrest could be seen. To educate youth is a way to reach parts of the population. This study aimed to investigate the effect of a 2-h CPR intervention for youth.

  • 23.
    Abelsson, Anna
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Odestrand, Per
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Nygårdh, Annette
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad. Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    To strengthen self-confidence as a step in improving prehospital youth laymen basic life support2020Ingår i: BMC Emergency Medicine, ISSN 1471-227X, E-ISSN 1471-227X, Vol. 20, nr 1, artikel-id 8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    A rapid emergency care intervention can prevent the cardiac arrest from resulting in death. In order for Cardio Pulmonary Resuscitation (CPR) to have any real significance for the survival of the patient, it requires an educational effort educating the large masses of people of whom the youth is an important part. The aim of this study was to investigate the effect of a two-hour education intervention for youth regarding their self-confidence in performing Adult Basic Life Support (BLS).

    METHODS:

    A quantitative approach where data consist of a pre- and post-rating of seven statements by 50 participants during an intervention by means of BLS theoretical and practical education.

    RESULTS:

    The two-hour training resulted in a significant improvement in the participants' self-confidence in identifying a cardiac arrest (pre 51, post 90), to perform compressions (pre 65, post 91) and ventilations (pre 64, post 86) and use a defibrillator (pre 61, post 81). In addition, to have the self-confidence to be able to perform, and to actually perform, first aid to a person suffering from a traumatic event was significantly improved (pre 54, post 89).

    CONCLUSION:

    By providing youth with short education sessions in CPR, their self-confidence can be improved. This can lead to an increased will and ability to identify a cardiac arrest and to begin compressions and ventilations. This also includes having the confidence using a defibrillator. Short education sessions in first aid can also lead to increased self-confidence, resulting in young people considering themselves able to perform first aid to a person suffering from a traumatic event. This, in turn, results in young people perceiveing themselves as willing to commence an intervention during a traumatic event. In summary, when the youth believe in their own knowledge, they will dare to intervene.

  • 24.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Rystedt, Ingrid
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Suserud, Björn-Ove
    Faculty of Caring Science, Work Life and Social Welfare, PreHospen - Centre for prehospital Research, University of Borås, Borås, Sweden.
    Lindwall, Lillemor
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Learning high-energy trauma care through simulation2018Ingår i: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 17, s. 1-6Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Simulation provides the opportunity to learn how to care for patients in complex situations, such as when patients are exposed to high-energy trauma such as motor vehicle accidents. The aim of the study was to describe nurses' perceptions of high-energy trauma care through simulation in prehospital emergency care. The study had a qualitative design. Interviews were conducted with 20 nurses after performing a simulated training series. Data were analyzed using a phenomenographic method. The result indicates that simulation establishes, corrects, and confirms knowledge and skills related to trauma care in prehosp ital emergency settings. Trauma knowledge is readily available in memory and can be quickly retrieved in a future trauma situation. 

  • 25.
    Abelsson, Anna
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Willman, Anna
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Caring for patients in the end-of-life from the perspective of undergraduate nursing students2020Ingår i: Nursing Forum, ISSN 0029-6473, Vol. 55, nr 3, s. 433-438Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Caring for patients in the end-of-life is an emotionally and physically challenging task. Therefore, undergraduate nursing students (UNS) need opportunities to learn to care for the dying patient. This study aimed to describe UNS' experiences of caring for patients at end-of-life.

    Methods: Interviews with 16 UNS in their last semester of nursing education were conducted. Data were analyzed with a phenomenological approach.

    Results: The UNS created a professional relationship with the dying patient. It meant that when the patient was unable to speak for themselves, the UNS could still meet his/her wishes and needs. The UNS believed they could take responsibility for the patient who was no longer able to take responsibility for themselves. Meeting with the patient's family could be experienced with anxiousness but was dependent on the personal chemistry between the patient's family and the UNS.

    Conclusion: The UNS creates a relationship with the patient and their family. To be knowledgeable about the patient's physical and psychosocial needs means that the UNS can support the patient in the end-of-life phase. Being close to the patient and the family results in an intensity of emotions in the care situation. The UNS can receive support from their colleagues during processing their emotions and creating an experience from their encounters with patients in end-of-life care. 

  • 26.
    Abelsson, Anna
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Willman, Anna
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Ethics and aesthetics in injection treatments with Botox and Filler2021Ingår i: Journal of Women & Aging, ISSN 0895-2841, E-ISSN 1540-7322, Vol. 33, nr 6, s. 583-595Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The medical nature of esthetic treatments is confusing, as the boundaries between medicine and beauty are unclear. A person's autonomous decision is an indicator for esthetic treatments that will improve their self-image, self-esteem and appearance to others. Robust ethical consideration is therefore necessary for the medical esthetician in each meeting with the client. This study aimed to describe medical estheticians' perceptions of ethics and esthetics in injection treatments with Botox and Filler. The results are described in Understanding what different clients desire, Reaching a mutual understanding of expectations and possibilities and Taking responsibility for beauty.

  • 27.
    Abelsson, Anna
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lundberg, Lars
    Swedish Armed Forces Centre for Defence Medicine, Göteborg, Sweden.
    Trauma simulation in prehospital emergency care2018Ingår i: Journal of Trauma Nursing, ISSN 1078-7496, Vol. 25, nr 3, s. 201-204Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Well-educated ambulance staff is a prerequisite for high-quality prehospital trauma care. The aim of this study was to examine how nurses in the ambulance service experienced participation in trauma simulation. Sixty-one nurses, working in an emergency ambulance service, performed simulated trauma care on four different occasions and afterward rated three statements on a 5-point Likert scale. A descriptive and inferential analysis was conducted. There are statistically significant increases between the pre- and posttests regarding all three statements: I think simulation of severe trauma with manikins is realistic (0.23 or 6% increase), Simulation is a suitable method for learning severe trauma care (1.3 or 38% increase), and I am comfortable in the situation learning severe trauma care through simulation (0.74 or 19% increase). With the experience of realism in simulation, participants become more motivated to learn and prepare for future events. If the participants instead feel uncomfortable during simulation training, they focus on their own feelings instead of learning. In a realistic simulated environment, participants are prepared to understand and manage the emergency care situation in clinical work. Participants learn during simulation when they are outside their comfort zone but without being uncomfortable or experiencing anxiety.

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  • 28. Aberg, Anna Cristina
    et al.
    Sidenvall, Birgitta
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Hepworth, Mike
    O'Reilly, Karen
    Lithell, Hans
    On loss of activity and independence, adaptation improves life satisfaction in old age: a qualitative study of patients' perceptions.2005Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 14, nr 4, s. 1111-1125Artikel i tidskrift (Refereegranskat)
  • 29.
    Aboutouk, Rana
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Forsberg, Fredrik
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Erfarenheter av egenvård hos personer med diabetes typ 22017Självständigt arbete på grundnivå (kandidatexamen), 180 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Sammanfattning

    Bakgrund: Antalet personer med diabetes Mellitus typ 2 växer snabbt i världen. Egenvård krävs för att bromsa progressionen av DMT2 och förhindra eller fördröja komplikationer. Många personer med DMT2 sköter emellertid inte sin egenvård enligt rekommendationer.

    Syftet: Att beskriva erfarenheter av egenvård hos personer med DMT2.

    Metod: Med hjälp av Fribergs femstegsmodell gjordes en litteraturöversikt av elva kvalitativa studier om erfarenheter av egenvård hos personer med DMT2.

    Resultat: Att integrera egenvården i vardagen är en utmaning. Familjen och vårdpersonalen har en nyckelroll och kan utgöra såväl ett hinder som ett stöd för egenvården. Andra personer med diabetes upplevs som ett entydigt positivt stöd. Att acceptera sjukdomen är en förutsättning för att kunna bedriva egenvården. Brist på förståelse och okunskap kring DMT2 utgör ett hinder mot egenvård. Personliga mål och feedback är avgörande för motivationen.

    Slutsatser: Socialt stöd, acceptans av sjukdomen, positiv feedback och individualiserad information upplevs underlätta egenvård.

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  • 30.
    Abrahamsson Tiderblom, Ida
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Harmat, Susanne
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Patienters psykosociala förändringar efter stroke: en litteraturöversikt2022Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Sammanfattning 

    Bakgrund: Var tjugonde minut drabbas en person av stroke i Sverige. Att drabbas av en stroke kan medföra både fysiska och psykosociala konsekvenser. Cirka 40 % av alla strokedrabbade personer lider av psykosociala konsekvenser.  

    Syfte: Syftet var att beskriva patienters upplevelse av den förändrade livssituationen efter stroke-med fokus på psykosociala aspekter.   

    Metod: Examensarbetet var en litteraturöversikt med induktiv ansats med utgångspunkt i 13 kvalitativa artiklar. Sökningarna gjordes i databaserna CINAHL, MEDLINE och PsycINFO. I analysen användes Fribergs femstegsmodell.  

    Resultat: Resultatet sammanställde två huvudteman med fem subteman. Det första temat var känslomässiga konsekvenser med tillhörande subteman: initial chock och rädsla för återfall samt förlorad känslomässig kontroll. Det andra temat var livsstilsmässiga konsekvenser med tillhörande subteman: förlust av identitet, isolering och förändrade sociala relationer samt att finna stöd i andra och oro inför framtiden. 

    Slutsats: Att drabbas av en stroke medförde psykosociala konsekvenser i form av depression, ångest, ensamhet och sorg. Patienterna upplevde förlust av identitet och hade svårt att anpassa sig till det nya livet. De upplevde även bristande stöd från vårdpersonal när det gällde den psykosociala hälsan.  

    Nyckelord: Känsla av sammanhang, omvårdnad, psykosocial, stroke, upplevelse. 

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  • 31.
    Abyan, Luul
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Gustavsson, Ellinor
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Unga vuxnas upplevelser av att leva med diabetes typ-12016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Sammanfattning

    Bakgrund: Diabetes typ-1 är en autoimmun sjukdom och en av de vanligaste kroniska sjukdomarna i Sverige. Diabetes typ-1 kan utvecklas i alla åldrar men bryter vanligen ut under barn- och ungdomsåren. Att leva med sjukdomen innebär även att individen ansvarar för sin egenvård.

    Syftet: Syftet med studien var att beskriva unga vuxnas upplevelser av att leva med diabetes typ-1 utifrån Orem’s egenvårdsteori.

    Metod: Denna studie är en kvalitativ studie med en deduktiv ansats. Studien är baserad på tre bloggar. I denna studie användes Orem’s egenvårdsteori.

    Resultat: Gemenskapen med familj och andra diabetiker upplevs vara ett stort stöd och kan fungera som en hjälp i egenvården. Egenvården kan vara svår att lyckas med och ibland upplevs planering och struktur vara förgäves. Det upplevs som viktigt att inte låta sjukdomen begränsa det sociala livet. Det finns en stor okunskap i samhället om diabetes typ-1 vilket leder till otrygghet och brist på förtroende. Individerna med diabetes typ-1 upplever ensamhet trots en omgivning av stöttande personer.

    Slutsats: En förståelse för upplevelsen av att leva med diabetes typ-1 är viktig för sjuksköterskan. Förståelsen kan minska konflikter mellan sjuksköterskan och patienten samt förbättra förutsättningarna för en god egenvård.

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  • 32.
    Aden, Ghedi
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Vendelius, Patrik
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Effekter av olika träningsformer när hjärtat sviktar: En litteraturstudie2020Självständigt arbete på grundnivå (kandidatexamen), 180 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund:      

    Hjärtsvikt är idag en folkhälsosjukdom som försämrar personens fysiska funktionsförmåga vilket ofta leder till fysisk inaktivitet. Hos drabbade finns en rädsla för att utföra fysisk aktivitet på grund av oro över att för­värra eller utlösa symtomen. Det är dock rekommenderat från både Socialstyrelsen och Europeiska Kardiologföreningen att per­soner med hjärtsvikt bör er­bjudas fysisk aktivitet.

    Syfte:                

    Syftet var att beskriva olika träningsformer och dess effekter på den fysiska funktionsförmågan hos personer med hjärtsvikt.

    Metod:             

    Examensarbetet genomfördes som en litteraturöversikt där resultatet bygger på tolv vetenskapliga artiklar med kvantitativ design varav nio var randomiserade kontrollerade studier, två var kontrollerade ej randomiserade studier och en var en jämförande studie. 

    Resultat:          

    Resultatet av litteraturöversikten visar att all form av fysisk aktivitet bidrar mer eller mindre signifikant till en förbättrad eller bevarad fysisk funktionsförmåga. Promenad­er är en lämplig konditionsträning för personer med hjärtsvikt för att förbättra, bibe­hålla eller återfå sin fysiska funktionsförmåga, då detta kan utföras hemma och kost­nads­effektivt.

    Slutsats:           

    Fysisk aktivitet har en positiv effekt på den fysiska funktionsförmågan hos personer med hjärtsvikt. Sjuksköterskan har en viktig uppgift att medverka till ett individanpassat fysiskt träningsprogram.

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  • 33.
    Adolfsson, Elin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Göranson, Ina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Se mig, inte min diagnos.: En litteraturöversikt om upplevelser av att genomgå bröstcancerbehandling som ung kvinna.2020Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Bröstcancer är den vanligaste cancerformen hos kvinnor över hela världen. Till skillnad från äldre kvinnor drabbas yngre kvinnor oftare av en mer aggressiv cancerform. Att få diagnosen bröstcancer kan innebära stora förändringar i livet med behandlingar som orsakar svåra biverkningar och oförutsägbara sjukhusbesök, en omställning som kan komma att påverka livskvalitén för de unga drabbade kvinnorna. I samband med de biverkningar som uppkommer till följd av behandling krävs stöd från både hälso-och sjukvård och anhöriga. Personcentrerad omvårdnad ligger till grund för att främja den psykiska, fysiska och existentiella hälsan hos vårdsökande person.Syfte: Att beskriva upplevelser av att genomgå bröstcancerbehandling som ung kvinna.Metod: En litteraturöversikt med kvalitativ metod och induktiv ansats. Artikelsökning gjordes i Medline och CINAHL. Resultatet framställs av 12 vetenskapliga artiklar.Resultat: Innefattar två kategorier följt av sex subkategorier. Kategorierna är: upplevelser av den psykosociala påverkan som kan uppstå vid behandling samt upplevelser av biverkningar efter bröstcancerbehandling.Slutsatser: Huvudfynd i de 12 artiklarna fokuserade främst på bristfällig information från hälso-och sjukvård gällande bröstcancerbehandling, samt de konsekvenser som förändrad kroppsbild efter genomgående behandlingen kom att få.

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  • 34.
    Adrian, Cajsa
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Frånbergh, Jenny
    Jönköping University, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Nollseparation mellan barn och mödrar: En intervjustudie om barnsjuksköterskors erfarenheter2022Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Enligt barnkonventionen har alla barn rätt till sin vårdnadshavare, men även anknytningsteorin lyfter fram vikten av att barn får vara tillsammans med sina mödrar. Barn som vårdas på neonatalavdelning har inte alltid möjlighet att vårdas med sina mödrar. En del av barnsjuksköterskans uppgift är att främja familjecentrerad vård för att uppnå nollseparation. 

    Syfte: Att beskriva barnsjuksköterskors erfarenheter av nollseparation av barn och mödrar vid samvård för barn som var inskrivna på neonatalavdelning. 

    Metod: Studien utfördes via kvalitativ metod med induktiv ansats. Via ett ändamålsenligt urval intervjuades 13 barnsjuksköterskor med minst ett års yrkeserfarenhet och som hade erfarenhet av samvård. Semistrukturerade intervjuer utfördes med hjälp av en intervjuguide via videosamtal och telefonsamtal, därefter utfördes en kvalitativ innehållsanalys med induktiv ansats. 

    Resultat: Barnsjuksköterskor beskrev vikten av att bedriva en familjecentrerad vård utifrån ett bra teamarbete samt att besitta kunskap och erfarenhet för att främja nollseparation. Organisationens inverkan såsom rutiner, bemanning och lokaler hade även betydelse för att kunna bedriva vård utifrån nollseparation. Barnsjuksköterskor menade även att kulturen på arbetsplatsen hade en inverkan på hur vården bedrevs. 

    Slutsats: Teamarbete och yrkeserfarenhet var av vikt för att kunna hålla ihop mödrar och barn. Lokala rutiner, kultur, bemanning och lokalernas förutsättningar var även betydelsefulla för att uppnå nollseparation. 

  • 35.
    Agren, Susanna
    et al.
    Department of Medical and Health Sciences, Linköping University, 581 83 Linköping, Sweden and Department of Cardiothoracic Surgery, Linköping University, Linköping, Sweden.
    Ivarsson, Bodil
    Department of Cardiothoracic Surgery, Clinical Sciences, Lund University, 221 85 Lund, Sweden and Department of Cardiothoracic Surgery/THAI, Sk˚ane University Hospital and Medical Services, 221 85 Lund, Sweden.
    Rönning, Helén
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    The Unsteady Mainstay of the Family: Now Adult Children's Retrospective View on Social Support in Relation to Their Parent's Heart Transplantation.2014Ingår i: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The needs for support among children with a seriously ill parent, who is waiting for heart transplantation, are unknown today. The aim was to describe now adult children's experiences of social support in relation to a parent's heart transplant during childhood. Nine females and four males were interviewed. The median age for the children was 18 at the transplantation and their parents had been ill before for 18 months (median) and on waiting list for 161 days (mean). Three categories emerged: health care professionals' approaches, family and friends' approaches, and society approaches. Our results show that there was lack of support for children of heart transplantation patients. Support in the shape of information was in most cases provided by the sick or healthy parent. It is of great clinical importance to develop psychosocial support programs for children with a seriously ill parent waiting for heart transplantation (before, during, and after surgery).

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  • 36.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Assessment of coping and quality of life in adults with neuromuscular diseases.1998Ingår i: European Congress on Evaluation of Rehabilitation in a Lifelong Course, 1998Konferensbidrag (Refereegranskat)
  • 37.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Consequences of Muscular Dystrophy: Impairment, Disability, Coping and Quality of Life.1994Doktorsavhandling, monografi (Övrigt vetenskapligt)
  • 38.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Coping with Long-term Neurological illness and the Implications for Nursing.2005Ingår i: Journal of neuroscience nursing, ISSN 0888-0395, Vol. 37, nr 6, s. 301-302Artikel i tidskrift (Refereegranskat)
  • 39.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Coping with Long-term Neurological Illness and the Implications for Nursing Interventions.2005Ingår i: 9th Quadrennial World Federation of Neuroscience Nurses, 2005Konferensbidrag (Refereegranskat)
  • 40.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan.
    Coping with Neuromuscular disease and the Implications for Interventions2008Ingår i: The First International Symposium on Psychosocial Aspects of Neuromuscular Disorders, Bilbao, June 20-21 2008: University of Deusto, Bilbao , 2008, s. 1-Konferensbidrag (Refereegranskat)
    Abstract [en]

    Coping with Neuromuscular disease and the Implications for Interventions

    The lecture is based on results from three theses and about 25 scientifically articles about the plight of the patient with muscular dystrophy (MD), and the patients’ ways of coping with illness-related problems from a psychosocial perspective. MD is a group of inherited disorders characterised by muscular weakness caused by muscle wasting. Three subgroups are distinguished in our research: one group with different types of proximal MD and the other two groups characterized chiefly by distal weakness. The research was to elucidate how persons with muscular dystrophy experience their everyday life over a ten years period. The research includes four data collections with qualitative and quantitative methods. The data was selected in three different county councils in Sweden.

    The persons with MD described the change from being independent to being an individual in need of assistive devices and/or personal support to manage activities of every day life. Besides muscular weakness the persons have the strain it means to have a hereditary disease. The deterioration in a decennium was mainly with regard to ambulation. The number of persons walking without assistive devices and working has almost been halved. They experienced periods of sorrow due to losses of independence, control, status and social roles and the loss of one’s identity as a healthy person. The sorrow connecting with repeated losses are in the literature designate as chronic or episodic sorrow. Also, in the lecture the patients’ illness trajectory were described by a model of Sullivan (1994) into four dimensions in order to increase the understanding of what it means to live with muscular dystrophy.

    The aim of interventions is to support the patient’s appropriate ways of coping as Problem-focused coping/Searching for a solution, Fighting spirit/Struggling, Re-appraising of life values, Maintaining hope, Social comparison, Laughing and joking  and Caring about self.

  • 41.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Experiences of loss and chronic sorrow in person with neurological disorders.2001Ingår i: 8th World Federation of Neuroscience Nurses Congress, 2001Konferensbidrag (Refereegranskat)
  • 42.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Experiences of loss and chronic sorrow in person with neurological disorders.2001Ingår i: 8th World Federation of Neuroscience Nurses Congress, 2001Konferensbidrag (Refereegranskat)
  • 43.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Experiences of Loss and Chronic Sorrow in Persons with Neurological disorders.2004Ingår i: The First Affiliated Hospital of Kunming Medical College, 2004Konferensbidrag (Refereegranskat)
  • 44.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Experiences of loss and chronic sorrow in persons with severe chronic illness2007Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, nr 3A, s. 76-83Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims and objectives. The aims of the present study were to describe losses narrated by persons afflicted with severe chronic physical illness and to identify the concomitant occurrence of chronic sorrow. Background. Reactions connected with repeated losses are referred to in the literature as chronic sorrow, which has recently been described in conjunction with chronic illness. Design. A qualitative study with an abductive approach of analysis, including both inductive and deductive interpretations. Method. The study is based on 30 persons of working age with average disease duration of 18 years. The average age was 51 years. All of the persons had personal assistance for at least three months because of considerable need for help in daily life due to physical disability. Each person was interviewed twice. There was also an independent assessment of the deductive results concerning chronic sorrow. Results. The inductive findings show that all persons had experienced repeated physical, emotional and social losses. Most common were 'Loss of bodily function', 'Loss of relationship', 'Loss of autonomous life' and 'Loss of the life imagined'. 'Loss of identity' included the loss of human worth, dignity and a changed self-image. In addition, the deductive findings suggest that chronic sorrow exists in the study population. Sixteen of 30 participating subjects were assessed by both assessors to be in a state of chronic sorrow and there was an especially high agreement with respect to one criterion of chronic sorrow 'Loss experience, ongoing or single event' (28 of 30 subjects). Conclusions. This study shows that persons with severe chronic illness often experience recurring losses. These experiences are consistent with the phenomenon of chronic sorrow. Relevance to clinical practice. Knowledge of the existence of chronic sorrow in persons with chronic illness will enable nurses to support these persons in a more sensitive and appropriate way.

  • 45.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan.
    Integrating improvement learning into health professional educational curricula2008Ingår i: International Forum on Quality Improvement in Healthcare, France, April 24 2008: International Forum on QI , 2008, s. 1-Konferensbidrag (Refereegranskat)
    Abstract [en]

    We all need to start where we are and also wanting to go further all the time. This is the essence in quality improvement. The leader and the teachers must own this attitude themselves in order to have the ability to be trustworthy for the students. There is evidence in the literature about the impact of education on the professional attitude and role. This means that it is important to work with better professional development for better outcomes in the faculty.

    One starting point for us in the planning of our different programs are that improvement knowledge will be a streak through the whole education in order to establish a professional attitude of daily inspiration to produce the best practise. We have applied all curricula to Boologna declaration and in this system progression in learning is a key point. We have four levels in the basic education (3-years education which lead to Bachelor degree) where we start to introduce 1) Concepts and models in health improvement. Then let our students make a 2) Personal improvement in their everyday life. Later in the education we teach about 3) Evidence practise and systematic literature reviews. Finally the students are 4) Making health improvements in collaboration with the staff during one clinical education.

    All educational programmes on basic level since 2007 include aim descriptions about quality improvement. The aim of the learning is to have the competence to initiate and participate in work about health care improvements.

    Finally, besides the mentions aspects in improvement education there are some other factors that needs for better system performance.

  • 46.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan.
    Intentional Partnerships—Creating New Partnerships: A national and international model2008Ingår i: Quality and Safety in Nursing Education: A Clinical Microsystems Approach, Chicago, USA: The Joint Comission , 2008, s. 6-Konferensbidrag (Refereegranskat)
    Abstract [en]

    Since one of the aims of this meeting is to create a strategy for the participants to connect and share experiences post-conference I will start by giving a very brief account of Jönköping University and the School of Health Sciences, this in order to give you a sense of the school as a possible partner for collaboration. Then I will describe how teachers work to increase knowledge with regard to health care improvement within the nursing program. Thereafter I will talk about a research project and relate this to what we can learn about interprofessional education. The basic values regarding health care improvement described by Paul Batalden and his colleagues are central to our present development. We share the theoretical assumptions concerning the Clinical Microsystem and the view of redesigning health care education in order to produce the best care for the patient and his/her family. So within our organization both teachers and students — like nurses — have two jobs, one of which is to bring about improvement. So we have started the process where the educators need to change their teaching for the sake of better patient outcomes, better system performance, and better professional development. This means communicating not only the existing evidence-based knowledge but also improvement knowledge which involves a substantial shift in our idea of the work of health care — a challenging task that can benefit from the use of a wide variety of tools and methods. A key concern for us in the planning of our different programs is that the improvement of knowledge shall permeate the education and contribute to establishing a professional attitude marked by daily inspiration to produce the best care. The basic education involves four stages. First there is an introduction to concepts and models in health care improvement. This content is in the first semester.  Second the students’ are making a personal improvement in their everyday life. The students apply PDSA-cycle for improvement of an issue, commonly their time-table for studies, time spending for eating breakfast in the morning or eating habits in general. The third stage involves evidence-based nursing and systematic literature reviews and in the fourth stage, the students make health care improvements in collaboration with the staff during a clinical training period. The nurses at the clinic formulate the area of improvement. Then the students work systematically in pairs to collect data and the results are reported to the nurses. The latter stage is a new content in nursing education but we know from occupational therapy that the staff appreciated these works and the results were in most cases used by the staff in their job.

     

    The overall aim of the research project “Bridging the gaps” is to generate evidence about the process and outcome of clinical work within the area of quality improvement. The project contributes to an advanced environment for learning and innovation, research and development in the field of health-care management and improvement. There are 14 doctoral students at the research school, who takes part in the research project. Three of them are nurses and doctoral students at the School of Health Sciences. All PhD students have to take two compulsory courses, one is named “Bridging the gaps — a multidisciplinary research field” and the other is named “Interactive Research Methodology”. The Microsystem as a theoretical model is included in the mention research course “Bridging the gaps” and in each doctoral student’s research proposal. The PhD students shall work together with health-care staff by way of an interactive research method. This means that there is an integration of research and practice. The PhD students and the health-care staff are working together throughout the project. The staff is involved at every stage, from designing the improvement work, formulating the research questions to reporting the results. Research with this methodology generates knowledge of great relevance for clinical practice.

  • 47.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Living with Neurological Disorders: Illness Experiences, Coping and Coping Resources.2004Ingår i: WENR-conference, 2004Konferensbidrag (Refereegranskat)
  • 48.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Lära tillsammans: ett rehabiliteringsprogram för personer med avancerad multiple skleros och deras personliga assistenter.1999Rapport (Övrigt vetenskapligt)
  • 49.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Mänskliga resurser och empowerment vid kronisk sjukdom.2002Ingår i: Kongress Lust & Kunskap, 2002Konferensbidrag (Refereegranskat)
  • 50.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Nursing rehabilitation programme and its effect on patients' coping and quality of life.1997Ingår i: 7th Quadrennial Congress, 1997Konferensbidrag (Refereegranskat)
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