Dissertations / Theses: 'Nurses’ Health Studies'

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Polk, Pamela. "Intercultural competence for public health nurses." Scholarly Commons, 2005. https://scholarlycommons.pacific.edu/uop_etds/625.

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Public health nurses are required to communicate important communicable disease and preventative health information to an increasing number of immigrants and refugees accessing the American public health system. They must also obtain information on a broad scope of topics about clients and/or their children. Little attention has been paid to the study of intercultural communication between public health nurses and their diverse clientele. The purpose of this study was to identify barriers affecting communication between public health nurses and their immigrant and refugee clients. The Developmental Model of Intercultural Sensitivity developed by Milton Bennett provided a conceptual framework for review and analysis of study results. Data were collected using semi-structured formal interviews with a network sample of 17 nurses. Analysis of the data indicated four major themes: (1) common use of a Western- European, ethnocentric communication style; (2) insufficient recognition of how the dominant culture's values, beliefs, and behaviors affect those from non-dominant cultures; (3) inadequate or irrelevant prior diversity training; and ( 4) lack of available and competent interpreters necessary for translation of information during interviews. These categories capture the essential barriers preventing effective communication with culturally diverse clients. From the perspective of the nurses, communication barriers due to cultural or language differences result in difficulty obtaining compliance with public health mandates such as childhood immunization and medication regimens, and limit understanding of preventative healthcare practices. The results of this study provide information and insight for the development of intercultural sensitivity training for public health nurses. A training program that demonstrates cultural training theory, methods, and suggested sequencing is included. An additional sample training outline follows that offers public health nurses culture specific information regarding Hmong refugees.

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Sisti, Julia Shafto. "Dietary and Reproductive Risk Factors for Breast Cancer in the Nurses' Health Studies." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:16121148.

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Breast cancer is the most frequently diagnosed cancer and the second leading cause of cancer death among US women. Several hormonal, anthropometric, lifestyle, and genetic factors are known to be associated with breast cancer, though these associations may differ by menopausal status and molecular subtype. Studying risk factors in relation to these subtypes can help enhance our understanding of breast cancer etiology. Here, we aim to further explore the mechanisms through which several established and suspected risk factors may influence risk of breast cancer, with an emphasis on modifiable exposures, which may have direct implications for prevention strategies, particularly for premenopausal and non-luminal breast cancers. In Chapter 1, we evaluated the cross-sectional relationship between intakes of caffeine, coffee, decaffeinated coffee, and tea, and comprehensive profiles of urinary estrogens and estrogen metabolites in premenopausal women. We found significant associations between coffee intake and metabolites in the 2-hydroxylation pathway, suggesting a possible mechanism through which coffee may affect breast cancer risk. In Chapter 2, we examined associations between premenopausal plasma carotenoid levels and markers of oxidative stress and subsequent breast cancer risk. In contrast to previously published analyses, which largely focused on postmenopausal carotenoid exposure, we did not find significant inverse associations between circulating carotenoids and risk; additionally we did not observe positive associations between fluorescent oxidation products and risk. However, we did find some evidence that the effects of carotenoids on risk may be modified by single nucleotide polymorphisms in genes related to carotenoid availability and oxidative/antioxidative processes. In Chapter 3, we explored whether the associations of reproductive risk factors with breast cancer vary by intrinsic molecular subtype. We observed evidence that many risk factors are most strongly associated with the hormone receptor-positive luminal A subtype, which comprises the majority of breast cancers, though tests of heterogeneity did not reach significance in many cases. Consistent with previous studies, we observed that breastfeeding may reduce risk of basal-like tumors, and may represent a potential preventive strategy for this aggressive subtype. In conclusion, these analyses, while varied in scope, help elucidate mechanisms by which risk factors may influence breast cancer risk.
Epidemiology

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Traister, Tyler. "Registered Nurses' Attitudes and Knowledge of LGBTQ Health and the Impact of an Educational Intervention." Thesis, Carlow University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10813566.

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The health of lesbian, gay, bisexual, transgender, and queer (LGBTQ) people has recently become a national health priority. The National Institutes of Health (NIH) cited provider knowledge and attitudes as one of the key areas needing further research. One of the largest barriers to culturally congruent LGBTQ care is the lack of knowledge about LGBTQ people and possible negative attitudes among nurses and providers (Strong & Folse, 2015). Research and data have shown that LGBTQ people face significant health disparities stemming from years of systemic discrimination and stigmatization.

To establish a baseline understanding of the knowledge and attitude of registered nurses about LGBTQ people as well as measure the impact of a newly designed educational intervention on the nurses’ knowledge and attitudes.

Registered nurses (n = 111) were offered a one hour educational intervention at various inpatient hospitals within a major metropolitan area. Pre-and post-tests were administered to establish baseline knowledge and attitude as well as the effectiveness.

A statistically significant impact on the nurses’ knowledge of LGBT health (p < .0001) was found after the intervention. While attitudes did show some improvement from the intervention, it was not statistically significant and could be an area of further research. Qualitative responses from nurses showed an overwhelming desire to have LGBTQ education for their nursing practice.

Implications for practice include implementing LGBTQ cultural competence into initial and ongoing educational trainings for registered nurses within healthcare organizations, and improved nursing care of LGBTQ people. Future research is needed to examine the impact of the educational intervention over an extended period of time.

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Montgomery, Jacqueline. "Job evaluation : a critical analysis of the clinical grading for nurses midwives and health visitors." Thesis, University of Dundee, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.484436.

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Ayodele, Michael Bamikunle. "Exploring the Acclimation of Foreign Professionals| A Grounded Theory Study of African-Born Nurses in Maricopa County." Thesis, Grand Canyon University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3680131.

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The purpose of this qualitative, grounded theory study was to explore and describe the perceptions and experiences of African-born and educated nurses (ABEN) in order to understand how the nurses influenced systems of professional practice in healthcare systems of Maricopa County of Arizona. The overarching research question for the study directly reflected the purpose statement. Four sub-questions were also used in the study. These centered on was how care experiences shaped ABEN perceptions of the healthcare delivery system, how ABEN informed and shaped their social interactions when caring for patients and residents, the barriers to providing care and to fulfilling work practices and processes that ABEN described and the components of a model to adjust or remove experienced barriers. The sample consisted of 17 registered nurses, 16 females and one male, from five African countries, who participated in individual interviews. Lee's push-pull theory formed the theoretical framework of the study. Responses from interviews and researcher field notes were coded and thematically analyzed to determine answers to research questions. Six categories emerged from conceptual data analysis: optimism, self-development, confronting barriers, discovering, assimilation drive, and adaptability. A four-stage model of acclimation was developed from these six components. Results have implications for healthcare policy changes such that ABEN become fully assimilated and accepted as contributors to healthcare delivery in Maricopa County.

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Muthike, Millicent. "The lived experiences of nurses who work in postpartum units who have breastfed| Thoughts on breastfeeding." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1569382.

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Research has demonstrated that breastfeeding decreases the mortality of infants and supports the health of mothers. In America breastfeeding rates fall below the Healthy People 2020 goals. This qualitative study explored the lived experience of registered nurses (RNs) who had breastfed their children and the support they gave to postpartum mothers.

Fourteen postpartum RNs from a California hospital volunteered for interviews regarding personal experiences with breastfeeding. The sample was multicultural with Kenyan, Middle Eastern, Hispanic, Asian, Caucasian, and Filipino women. Themes discouraging breastfeeding included pain, lack of breastfeeding support, and the need to return to work. Participants with difficult breastfeeding experiences reported empathy with postpartum mothers.

Participants were unprepared for the pain and difficulty associated with breastfeeding. Women whose cultures expected breastfeeding tolerated the pain as part of the maternal experience. Efforts should focus on reducing pain during breastfeeding and improving postpartum care by engaging those with breastfeeding experience.

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Miller, Amie Jacqueline. "Hospice Nurses- Attitudes and Knowledge about Pain Management." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4165.

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It has been well established that many people will suffer with pain at the end of life, and untreated pain contributes to reduced quality of life. Many barriers contribute to this issue including a lack of knowledge in nurses who care for dying patients. Many nurses in general practice settings do not possess adequate knowledge about basic pain management principles; and the same may be true about hospice nurses despite the assumption that hospice nurses are more adept at pain management. Contributing to this problem may be the attitudes that nurses, including hospice nurses, have regarding pain and its management. This study sought to identify the knowledge levels of hospice nurses. Because attitudes may affect the delivery of effective pain management, the study also sought to determine attitudes of hospice nurses regarding pain and its management. Thirty-five hospice nurses completed two instruments: The Pain Management Principles Assessment Test measured levels of knowledge and the Nurses Pain Management Attitude Survey determined attitudes. Data was analyzed using means, standard deviations, frequencies and percentages. A correlation between knowledge level and attitude was also calculated, along with a correlation between knowledge level and certification status. The overall mean knowledge score for the nurses studied was 21.74 (72.3%), which falls below accepted standards. The mean attitude score found was 82.34, which demonstrates only slightly positive attitudes. These findings support the idea that knowledge and attitude are not synonymous and that a nurse may have a positive attitude about the management of pain, without sufficient knowledge to effectively alleviate pain. It is often said that hospice nursing is a calling, and these are the nurses who are at the forefront of pain management. This study demonstrates that slightly more positive attitudes may indicate that this group of nurses is motivated to gain a better knowledge base. This should motivate hospices and other education institutions to incorporate more specific instruction regarding pain management into their curricula. Despite some common misconceptions pain does not have to be an unavoidable part of life, and with a better knowledge base hospice nurses could more effectively deliver compassionate, expert care.

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Blue, Ian A. "The professional working relationship of rural nurses and doctors : four South Australian case studies." Title page, table of contents and abstract only, 2002. http://web4.library.adelaide.edu.au/theses/09PH/09phb6582.pdf.

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Groves, Winnifred. "Diagnosing and prescribing by nurses in different health care settings : perceptions and experiences of key stakeholders in Cameroon." Thesis, Kingston University, 2012. http://eprints.kingston.ac.uk/24622/.

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Declining resources are a global phenomenon. One of the consequences has been the reorganization of health care provision in different countries. Doctor shortages and scarcity of resources particularly in developing countries like Cameroon have resulted in nurses providing frontline care to patients and taking on roles traditionally performed by doctors in developed economies, such as diagnosing and prescribing. However, little is known about the exact role of nurses, the process of providing care, how key stakeholders influence the nurse’s role and the consequences of this role of nurses on the various parties concerned in the context of Cameroon. An empirical study was conducted with (n= 42) key stakeholders; (government representatives, doctors, nursing managers, nurses and patients). Semi-structured taped-recorded interviews were carried out on a one-to-one basis to explore the perceptions of multiple key stakeholders of the role of nurses in diagnosing and prescribing. Interviews were transcribed and data analysed using framework analysis. Nurses are the first point of contact for patients in Cameroon in all health care settings and most have a far greater role in diagnosing and prescribing than their counterparts in developed economies. However their involvement was found to vary significantly depending on a number of factors, including: the organisational context, the type of facility (whether public / private or mission owned), individual nurse characteristics, doctors’ attitudes and practices, resources and experience of nursing managers, level of income and characteristics of patients. Most patients (including women) prefer to consult with doctors and in their absence, male nurses rather than female nurses. Some nurses, patients and doctors felt that a preoccupation with diagnosing and prescribing left nurses with little time for compassion and caring. In addition, the key stakeholders felt that some nurses were overstepping their professional boundaries, or had inadequate knowledge and were acting in a manner detrimental to patient care. Extended roles for nurses have the potential to enhance accessibility to care, to enhance the status and job satisfaction of nursing staff and maximise the use of scarce resources. Despite the benefits, there is growing concern that nurses do not have the advanced level of training and behaviour necessary to take on this expanded role and that some are neglecting the traditional caring side of their profession in pursuit of a more medical oriented disease-focused approach.

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Nagtalon-Ramos, Jamille Kristine. "Factors Affecting Graduate Degree Pursuit for BSN-Prepared Filipino and Filipino American Nurses Working in the United States." Thesis, University of Pennsylvania, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10600040.

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Although Filipino and Filipino American nurses represent an impressive share of the nursing workforce, they are not well represented in advanced practice, faculty, and executive leadership positions. Obtaining a graduate degree in nursing has the potential to open a wider range of opportunities to meet the healthcare demands of a population that is growing older, and increasingly becoming more diverse. The purpose of this study was to examine the factors affecting graduate degree pursuit for BSN-prepared Filipino and Filipino American nurses working in the United States. This study provides an in-depth examination into intergenerational perspectives from 33 Filipino and Filipino American nurses from 14 states. Ricoeur’s hermeneutical phenomenology was utilized as an interpretive approach and the theoretical underpinnings of career construction theory served as a framework. This study revealed that the determination to provide a better life for their family and a commitment to advancing the profession were incentives to pursuing a graduate degree. In addition, having a reliable network of colleagues and peer mentors was essential to persisting in their programs. Across all generations, finances were a major barrier to educational attainment, specifically for first-generation participants who prioritized sending money back to their family in the Philippines. Other factors were related to English as a second language, communication styles, experiencing discrimination, lack of knowledge of available graduate programs, approaching the age of retirement, friction between generations, and perceived discrimination. Exposure to advanced practice registered nurses in the workforce was a disincentive for some participants and was inspiring to others. These factors were not independent of each other and their impact fluctuated over time. The decision to pursue an advanced nursing degree depended upon the individual’s determination that the return on investment of a graduate degree outweighed the sum of all their responsibilities and obligations. Findings from this research can help the Filipino community and professional nursing organizations, higher education faculty and staff, and healthcare system leaders in developing strategic plans to help Filipino and Filipino American nurses overcome barriers and to facilitate robust pathways for those who intend to advance their educational goals and professional nursing careers.

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McMillan, Kimberly. "A Critical Organizational Analysis of Frontline Nurses’ Experience of Rapid and Continuous Change in an Acute Health Care Organization." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37980.

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The aim of this study was to explore the nature of frontline nurses’ experiences of living with rapid and continuous organizational change in a tertiary health care institution. The phenomenon under study was organizational change. A component of this research was also to explore the possibility of change fatigue in nurses’ discourse. Change is inevitable, and increasingly rapid and continuous in health care as organizations strive to adapt, improve and innovate in response to external pressures. These pressures challenge hospitals to strive for patient safety, quality assurance and provision of exceptional family centred care. Attending to these pressures require time, energy and money. Rapid and continuous change creates a push/pull relationship between innovation and budget. New technologies require extra resources however, simultaneous restructuring and optimization efforts see hospitals decreasing available resources. This creates a challenging workplace for nurses who must engage in organizational change activities with limited resources. Organizational change challenges health care providers in a variety of ways because it restructures how and when patient care delivery is provided, changing ways in which nurses must carry out their work. Little research has been done regarding the impact of rapid and continuous organizational change for frontline health care providers, most notably, nurses. In this study a critical hermeneutic design was applied. Guided by the theoretical framework of critical management studies, the researcher explored concepts of organizational change, experience of change, change fatigue, and power and voice. The setting was an urban pediatric teaching hospital located in eastern Ontario. The researcher sought breadth, depth, complexity and richness of data in understanding the experience of organizational change, which supported a decision to seek a sample size of ten to fifteen participants. Thick description commenced at fourteen participants. Face to face interviews were conducted using open-ended questions to understand nurses’ experiences of change. Brown and Gilligan’s Voice-centred relational method of data analysis was used – a multi-levelled analysis exploring the concept of voice in relation to self, other, culture, society and history. Rapid and continuous organizational change in the workplace profoundly impacted nurses’ work, their relationships to the self, other, culture, society and history. Nurses recognized that many change initiatives reflected an ideological shift in health care that supported a culture of service, whilst sacrificing a culture of care. A culture of service prioritized cost-savings and efficiency, which saw nurses lose the time and resources required to provide quality, safe care. Nurses felt morally responsible to uphold a culture of care, which proved challenging, and at times unobtainable. The inability to provide quality, safe care resulted in a multitude of negative emotional repercussions, which fostered moral distress. Nurses exhibited elements of change fatigue, further contributing to feelings of voicelessness and powerlessness within their workplace. Organizational change must be re-conceptualized in ways that ensure change initiatives uphold institutional integrity and better support the provision of morally authentic nursing practice. Health care organizations should place nurses at the forefront of planning, implementation and evaluation of change initiatives in order to alleviate the many negative experiences of organizational change noted in this study.

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O’Malley, Tuomi Melissa. "The Identification of Staff Nurses as Organizational Champions: A Dissertation." eScholarship@UMMS, 2014. https://escholarship.umassmed.edu/gsn_diss/33.

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The characteristics of nurses acting as organizational champions, as well as the ways that clinical leaders systematically harness the energy of these champions in support of innovation, were explored in this qualitative descriptive study. The specific aims were guided by prior empirical evidence and identified research needs. Semi-structured interviews were conducted with 14 formal nursing leaders (e.g. managers, educators, administration) in an academic medical center. This study, including the interview guide, was informed by Kouzes and Posner’s (2007) Five Practices of Exemplary Leadership. Two models were developed to describe the data. Overall, participants echoed prior empirical findings identifying a need for organizational champions’ support of innovation and explained how some nurses seem to have “innate” characteristics that make them champions. Participants identified the champion as the “go to” person who can see the bigger picture and who seems to “own their own practice”. They described the importance of being truly present on the unit in order to harness the energy of these champions. Once champions are identified, leaders match the champions’ talents to the innovation planned, secure buy in from the champions, and actively work to support champions and get a culture of innovation “in the drinking water.” This work enhances the leader’s experience and makes him/her feel inspired and engaged. The two models developed based on the participants’ description of their experience working with staff nurses acting as organizational champions provide a framework for clinical leaders to identify and engage organizational champions in their clinical areas in support of innovation.

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Hoover, Teresa Lyn. "The relationship between nurses' anxiety and attitude related to pediatric hospice." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001657.

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Kisiero, Dorcas. "Sjuksköterskors utmaningar i telefonrådgivning : En systematisk litteraturstudie." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper (from 2013), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-81319.

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Introduktion: Telefonrådgivning är ett sätt för vårdsökande att få vård i Sverige och i vissa andra länder i världen exempelvis i Storbritannien, Canada, USA m.fl. Sjuksköterskor arbetar med telefonrådgivning och hänvisar vårdsökande till rätt vårdnivå. Möten med vårdsökande i telefonen är korta och komplexa vilket kräver hög kompetens. Sjuksköterskor upplever olika utmaningar som kan vara hinder i utförandet av sitt arbete. Syfte: Syftet med studien är att beskriva sjuksköterskors upplevelser av utmaningar i telefonrådgivning. Metod: Metoden var en systematisk litteraturöversikt. Datainsamling genomfördes i databaserna CINAHL och PubMed, och nio kvalitativa artiklar ingick i studien. Graneheim och Lundman (2004) kvalitativ innehållsanalys användes i dataanalysen. Dataanalysen genomfördes med kvalitativ innehållsanalys. Resultat: Resultatet visade att sjuksköterskorna upplevde olika utmaningar i telefonrådgivning som påverkade deras arbete. Kommunikativa utmaningar, organisatoriska utmaningar och arbetsmiljöutmaningar upplevdes som en svårighet. Utmaningar i möte med vårdsökande, bedömning och beslutsfattning, teknologiska utmaningar samt etiska utmaningar var också som utmanade. Kompetens är viktigt i telefonrådgivning på grund av en icke-visuell kontakt. Arbetsgivaren har ett ansvar att hitta lösningar så att dessa utmaningar blir hanterbara. Slutsats: Studien kan öka medvetenheten hos arbetsgivare och vårdsökande om sjuksköterskors utmaningar i telefonrådgivning, vilket kan förbättra sjuksköterskornas arbetssituation. För att förbättra sjuksköterskornas arbetssituation behövs investeringar inom arbetsmiljö och kompetenshöjning, vilket bör förbättra vårdkvaliteten.
Introduction: Telephone contact and telephone counselling is a way for care seekers to receive care in Sweden and in certain countries in the world, for example in the United Kingdom, USA and others. Nurses work with telephone counselling and refer care seekers to the right level of care. Interactions with care seekers on the phone are short and complex which requires competence among the nurses. Nurses experience various challenges that can be obstacles in the performance of their work. Aim: The aim of the study is to describe nurses' experiences of challenges in telephone counselling. Method: The method was a systematic literature study. Data collection was performed in the databases CINAHL and PUBMED, nine qualitative articles were included in the study. Graneheim and Lundman (2004) qualitative content analysis was used in the analysis of data. Results: Results showed that the nurses experienced various challenges in telephone counselling that affected their work. Communicative challenges, organizational challenges, work environment challenges were perceived as a difficulty. Challenges in meetings with healthcare seekers, assessment and decision making, technological challenges and ethical challenges were also perceived to be challenging experiences. Competence is important in telephone counselling due to the non-visual contact with the care seeker. The employer has a responsibility to find solutions to solve the challenges and make them more manageable for the nurses. Conclusion: The study may increase employers' awareness about the challenge’s nurses face in telephone counselling in order to improve nurses working conditions. Investments in the work environment and nurse’s skills development are needed to improve the nurses' work situation, which should also improve the quality of care.

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Anderson, Jennifer Anne. "Understanding Male Nursing Student Perceptions of the Influence of Gender| A Qualitative Case Study Approach of Students, Faculty, and Administration in a Pacific Northwest Nursing Program." Thesis, Portland State University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3636207.

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In contemporary American society, the nursing profession is predominantly made up of white women. Currently, males make up only 6.8 percent of the three million nursing professionals in the U.S. and they are considered gender minorities within the nursing profession and within nursing education. As gender minorities, male students are identified as experiencing nursing programs and the practice of nursing differently than their female counterparts.

The purpose of this single instrumental, within site case study was to explore the learning environment for male nursing students and to investigate the nature of the interactions between nursing faculty and male undergraduate students in a Pacific Northwest medical university nursing program. Data was collected in the educational setting through observations, participant interviews, and document analysis. In addition, this study used Kanter's theoretical framework of tokenism to uncover if male nursing students were perceived as tokens in the educational environment. The findings showed that the faculty-student interactions were largely positive; they also revealed that having other males in the class was an instrumental factor in their positive perception of their educational experience. However, the male nursing students also identified areas of discomfort in the educational setting, specifically when practicing clinical skills with female peers, feeling pressured to volunteer and to expose skin during in-class demonstrations, and anticipating that they would be excluded from certain clinical situations. This research indicated that gender differences are present within nursing education and contributed to instances of discomfort for male students. Specific barriers occurred most often when men engaged with female peers and were in clinical settings. These findings provide new insight into when and where men begin to experience gender barriers in the educational environment and are pertinent to understanding the educational environment for men in nursing. Recommendations specifically geared towards assisting students in their first term are suggested for nursing faculty and administrators to ensure that the learning environment is welcoming for men. These recommendations include consciously placing males together in cohort groups and in clinical experiences, reducing instances of visibility and pressure on men in the clinical setting, building faculty awareness of perceived and real barriers for men in the educational setting, and providing faculty with tools to assess and address barriers that are present in the classroom environment.

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Johansson, Kristina. "Sjuksköterskors upplevelser av att vårda patienter i palliativt skede inom den slutna vården : En fenomenologisk hermeneutisk studie." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-18750.

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Palliativ vård och vård i livets slutskede har på senare år uppmärksammats allt mer. I Sverige dör ca 90 000 människor per år och av dem dör ca 85 procent på institutioner. Vård av svårt sjuka och döende förekommer inom all hälso- och sjukvård. Palliativ vård - lindrande vård- påbörjas då kurativ vård - botande vård - inte längre är möjlig. Det övergripande målet med palliativ vård är att uppnå bästa möjliga livskvalitet för patienten och dennes familj. Det innefattar en livssyn som bejakar livet och ser döendet som en normal process men att arbeta som sjuksköterska med palliativ vård inom den slutna vården är ett område som i låg grad beskrivits inom forskning. Däremot finns mer studier gjorda som beskriver distriktssjuksköterskors och hospicesjuksköterkors upplevelser i att arbeta med svårt sjuka och döende patienter.Syftet med studien var att beskriva innebörden i sjuksköterskors upplevelser av att vårda patienter i ett palliativt skede och som vårdas inom den slutna vården. Studien är kvalitativ och vilar på en livsvärldsteoretisk grund. Åtta sjuksköterskorna inom den slutna vården intervjuades i anslutning till respektive arbetsplats. Intervjuerna analyserades sedan utifrån en fenomenologisk hermeneutisk ansats. Resultatet av sjuksköterskornas upplevelser presenteras i åtta teman: tacksamhet över att få ta del av en annan människas liv och avslut, att bli berörd av det kroppsliga och existentiella, att leva platsen och rummet, att ge och ta emot kraft/energi, öppenhet inför patienter och kollegor, att införliva kunskapen i sig själv, förmåga att göra om sig själv och tiden som inte finns. Den tolkade helheten handlar om innebörder av kontraster och det motsägelsefulla i vårdandet. I mötet med patienter som är nära döden, är det viktigt att veta hur vårdarna upplever sin situation. Ökad förståelse och kunskap inom området kan bidra till bättre vårdkvalitet för patienterna samt ge sjuksköterskor bekräftelse i det som de gör i denna prioriterade kontext.

Program: Fristående kurs

Uppsatsnivå: D

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Galindez, Araujo Luis J. "Factors surrounding and strategies to reduce recapping used needles by nurses at a Venezuelan public hospital." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0003166.

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Kivelä, K. (Kirsi). "Terveysvalmennuksen vaikuttavuus paljon terveyspalveluita käyttäville asiakkaille perusterveydenhuollossa." Doctoral thesis, Oulun yliopisto, 2019. http://urn.fi/urn:isbn:9789526224589.

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Abstract The purpose of the study was to describe and evaluate the effectiveness of health coaching on health promotion (health-related quality of life, adherence to health regimens, clinical health outcomes and lifestyle factors) among frequent attenders of primary healthcare. The aim was to generate new information to promote frequent attenders’ health and to improve the care and education of patients with chronic diseases. The study consisted of three sub studies. A systematic literature review (sub study I) described the effects of health coaching on adult patients with chronic diseases. The data were collected from the databases and through a manual search. The data (n=13) were analyzed using narrative synthesis. Conceptual analysis (sub study II) identified frequent attenders of primary healthcare. The data were collected from databases and through a manual search. The data (n=59) were analyzed using synthesis and content analyses. The quasi-experimental research method (sub study III) evaluated the effectiveness of health coaching among frequent attenders (n=110) in primary healthcare. The experimental group received the health coaching and the control group received the usual care. The data were collected before the intervention and 12 months afterwards using a questionnaire on FINRISKI2012, RAND-36 and ACDI and clinical health outcomes measured by health-coaching nurses. The data were analyzed using statistical methods. According to the systematic review, health coaching produced positive effects on patients’ physiological, psychological and behavioural conditions and on their social life. In particular, weight management, physical and mental status improved, and physical activity increased. Conceptual analysis identified four attributes of frequent attenders: the feelings of symptoms, perceived poor health status, lower quality of life and frequent visits to a primary healthcare provider. Health coaching had statistically significant effects on the blood pressure and health-related quality of life among the experimental group, especially in emotional role limitation and energy during the 12 months. There were no statistically significant differences between the experimental and control groups on health-related quality of life, adherence to health regimens and lifestyle factors
Tiivistelmä Tutkimuksen tarkoituksena oli kuvata ja arvioida terveysvalmennuksen vaikuttavuutta perusterveydenhuollon paljon terveyspalveluita käyttävien asiakkaiden terveyden edistämiseen (terveyteen liittyvään elämänlaatuun, hoitoon sitoutumiseen, kliiniseen terveydentilaan ja elintapoihin). Tavoitteena oli tuottaa uutta tietoa paljon terveyspalveluita käyttävien asiakkaiden terveyden edistämiseen ja pitkäaikaissairaiden hoidon ja ohjauksen kehittämiseen. Tutkimus koostui kolmesta osatutkimuksesta. Systemaattisella kirjallisuuskatsauksella (osatutkimus I) kuvattiin terveysvalmennuksen vaikutuksia pitkäaikaissairaille. Aineisto kerättiin viitetietokannoista ja manuaalisella haulla. Aineisto (n=13) analysoitiin narratiivisella synteesillä. Käsiteanalyysilla (osatutkimus II) määriteltiin paljon terveyspalveluita käyttävä asiakas perusterveydenhuollossa. Aineisto kerättiin viitetietokannoista ja manuaalisella haulla. Aineisto (n=59) analysoitiin synteesillä ja sisällönanalyysilla. Kvasikokeellisella tutkimusmenetelmällä (osatutkimus III) arvioitiin terveysvalmennuksen vaikuttavuutta perusterveydenhuollon paljon terveyspalveluita käyttäville asiakkaille (n=110). Koeryhmä sai terveysvalmennusta ja kontrolliryhmä tavanomaista hoitoa. Aineisto kerättiin FINRISKI 2012-, RAND-36- ja ACDI-kyselylomakkeilla sekä kliinisen terveydentilan mittauksilla ennen ja 12 kuukautta intervention jälkeen. Aineisto analysoitiin tilastomenetelmin. Kirjallisuuskatsauksen mukaan terveysvalmennuksella oli positiivisia vaikutuksia pitkäaikaissairaiden fyysisiin, psyykkisiin, sosiaalisiin ja käyttäytymistekijöihin. Erityisesti painonhallinta sekä fyysinen ja psyykkinen terveydentila paranivat ja fyysinen aktiivisuus lisääntyi. Käsiteanalyysilla tunnistettiin neljä ominaispiirrettä perusterveydenhuollon paljon terveyspalveluita käyttävälle asiakkaalle: oireiden tunne, kokemus terveydentilan heikkenemisestä, alhaisempi elämänlaatu ja useat käynnit perusterveydenhuollossa. Terveysvalmennusinterventio edisti tilastollisesti merkitsevästi koeryhmän terveyteen liittyvän elämänlaadun psyykkisistä syistä johtuvien ongelmien roolitoimintaa, tarmokkuutta ja verenpainetta 12 kuukauden aikana. Koe- ja kontrolliryhmän välillä ei havaittu tilastollisesti merkitseviä eroja terveyteen liittyvässä elämänlaadussa, hoitoon sitoutumisessa ja elintavoissa

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McKenzie-Green, Barbara A. "Shifting focus how registered nurses in residential aged care organise their work : a grounded theory study : a thesis submitted in partial fulfillment of the requirement for the degree of Master in Health Science, Department of Nursing Studies, Auckland University of Technology, June 2003 /." Full thesis. Abstract, 2003.

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Ewertsson, Mona. "Lärande av praktiska färdigheter inom sjuksköterskeprofessionen : studier av lärande i olika arenor." Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-55828.

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A central part of the nursing profession is the performance of practical skills. In order to provide adequate care, maintain patient-safety, and feel comfortable in the profession, registered nurses (RNs) need to be equipped with requisite skills. Overall aim: To explore and describe how learning and development of practical skills occurs during the preparatory phases and within the nursing profession. Method: Qualitative (I, III, IV) and quantitative methods (II) were used. Data were collected through individual interviews (I, IV), questionnaires (II) and participant observations, including informal talks (III, IV). Results: Both students and new RNs expressed a need to learn and develop practical skills (I, II, III, IV). Less than half of the new RNs had access to a clinical skill laboratory (CSL), where they could learn and practice practical skills (II). The students described that learning at a CSL had been meaning for their clinical practice. They also expressed a great need for continuing learning in real patient situations (I, III, IV). During clinical practice, preceptors and students took different approaches which affected student’s learning processesö (I, III, IV). There was a tension between learning at a CSL and learning in clinical practice sites because students perceived differences in the performance of skills. Students described that they understood that performance of skills could be done in different ways without injuring patients. However, the data also showed deviations in performances that could jeopardize patientsafety. In these situations, student’s behavior differed (I, IV). One third of new RNs deviated from evidence based guidelines when they performed practical skills which they were unfamiliar with (II). Both students and new RNs reported that reflection in connection with the performance of practical skills was not common (I, II III, IV). Conclusions: Cooperation between university CSLs and clinical settings must be intensified in order to enhance the understanding of learning processes regarding practical skills. A consensus regarding academic approaches should be reached. Universities need to support preceptors in educational issues where the importance of reflection is clarified and exemplified. Increasing patient-safety requires that new RNs receive opportunities for training in artificial environments, and that a culture that reinforces the use of guidelines and a reflective stance is cultivated.

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Ribòn, Astrid, and Ibtihal Alblebish. "Sjuksköterskors upplevelser av att samtala om sexualitet med patienter som lider av psykisk ohälsa : En litteraturbaserad studie." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-14215.

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Background: Sexuality has been considered as a part of people's lives that are more than a biological and reproductive function. Diseases, medications and mental conditions can directly or indirectly affect the person's sexual health, so it is a subject not to ignore in the nursing perspective. Although nurses believed that sexuality was an important subject, it is not a priority in psychiatric care. People with mental illness lacked information and conversations about sexuality and sexual health. It is precisely in this area that people had a higher risk of being sexually exploited, suffering from sexually transmitted infections, and unwanted pregnancies. In order to achieve a holistic care, nurses expressed that they needed to involve sexuality in their profession. Aim: The aim of this study was to describe nurses' experiences of talking about sexuality with the patients suffering from mental illness. Method: A literaturebased study of ten scientific qualitative articles that have been compiled and analyzed. Articlesearches were conducted in the databases PubMed, CINAHL, PsychInfo and PsycArticles. Results: Four categories emerged that explain the experiences of nurses related to their responsibilities and knowledge about sexuality. A category was how the responsibility of the organization to implement routines and effective work environment can influence the communication of the nurses and patients. Another category presented the feelings of nurses about how their approach and how their attitudes affect the communication with patients suffering from mental illness about sexuality. Conclusion: The nurses are awarded that sexuality is an important subject and a fundamental aspect of life. Nurses needed more education about sexuality to be able to engage in a conversation with patients and kept in mind that they are responsible for holistic care. Nurses attitudes towards to the mental health patients and sexuality is a big barrier in which nurses need to change and the organization needs to provide all the necessary help for the nurses to do an adequate job. Patients need to receive the best care regardless of their mental state.

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Lyons, Erica. "Provision Of Reproductive Health Care Services By Nurse Practitioners And Certified Nurse Midwives: Unintended Pregnancy Prevention And Management In Vermont." ScholarWorks @ UVM, 2014. http://scholarworks.uvm.edu/graddis/375.

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Background: In the United States, currently about half (49%) of the 6.7 million pregnancies are reported as mistimed or unplanned, and this rate of unintended pregnancy is significantly higher than the rate in most other developed countries. Abortion services are critical to the prevention and management of unintended pregnancies. Abortion in the United States has been legal since the 1973; however this right has little meaning without access to safe abortion care and access is declining. Medication abortion, the use of medications to induce abortion and terminate an early pregnancy, has been legal in the United States since 2000, is ideal for the outpatient setting, and allows for increased provision of and access to abortion services. The literature assessing the provision of medication abortion has largely been conducted in populations of physicians, and combined groups of advanced practice clinicians including physician assistants (PAs), certified nurse midwives (CNMs), and nurse practitioners (NPs). No studies exist assessing provision of and barriers to medication abortion by NPs and CNMs (Advance Practice Registered Nurses or APRNs) in the state of Vermont. Purpose: This study sought to fill this gap in the literature. Data was collected in order to determine whether APRNs are providing care to women at risk for unintended pregnancy and are providing medication abortion, the characteristics of these providers, and perceived barriers or supports to practice. Methods: The design was a cross-sectional survey, using purposive sampling methods. Between July 2014 and September 2014, 21 eligible participants completed an anonymous, self-administered online survey, recruited via notifications sent out through professional listserv. The survey assessed their personal characteristics, beliefs and clinical practice related to reproductive health care and unintended pregnancy prevention and management. All participants had current APRN certification with prescriptive authority in the state of Vermont. Results: Ninety percent of respondents reported care for women of reproductive age as at least one-third of their clinical work and 85% of respondents reported seeing women with unintended pregnancies as part of their practice. Eighty-five percent agreed or strongly agreed that medication abortions fall within the scope of practice of an APRN and of a primary care provider, and 85% would like to be trained to provide medication abortions to manage unintended pregnancy. Lack of training opportunities, clinical facility constraints, and legal uncertainties were the most frequently reported barriers to provision of medication abortion. Conclusions: Many APRNs in Vermont may be interested in receiving medication abortion training. APRNs are experienced and highly trained health care professionals that have the competence and skills to provide comprehensive reproductive health care, including medication abortion. The perceived barriers of training, clinical facility constraints, and legal uncertainties are amenable to change, and can be decreased through inclusion of these topics into APRN education. The political and social climate of Vermont, combined with the findings of this preliminary study, suggest that the state of Vermont is ready, willing, and able to serve as a model for the primary provision of and improved population access to, comprehensive reproductive health care including abortion services.

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Gluck, Denise M. "How past experiences impact a nurse's decision about family presence during resuscitation| A phenomenological study." Thesis, University of Phoenix, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3583286.

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The purpose of the proposed qualitative phenomenological research study was to determine the lived experiences of emergency department nurses involved in family presence during resuscitation events. The phenomenological research study added to the current knowledge about family presence during resuscitation by examining an emergency department nurse’s past experiences with family presence during resuscitation and the impact they have on their decision to allow family presence in future events. The information can assist health care leaders in understanding the perceptions of emergency department nurses regarding family presence and assist in developing guidelines regarding family presence during resuscitation. The data collected also helped to identify factors which influence the nurse’s feelings about the practice and to overcome resistance to the practice.

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Brewer, Evelyn M., Florence M. Weierbach, Rebecca Fletcher, Katherine C. Hall, and Wendy Nehring. "Nursing in Appalachia: The Voice of the Registered Nurse." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/7378.

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Thunborg, Camilla. "Lärande av yrkesidentiteter : en studie av läkare, sjuksköterskor och undersköterskor." Doctoral thesis, Linköpings universitet, Institutionen för pedagogik och psykologi, 1999. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-111727.

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Stamp, Kelly D. "Advanced registered nurse practitioners' judgments of coronary heart disease risk." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001811.

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Johnson, Erin Johnson. ""Strong Passions of the Mind": Representations of Emotions and Women's Reproductive Bodies in Seventeenth-Century England." Miami University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=miami1531759449299599.

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Eliasson, Emma. "Operationssjuksköterskans profession : En fenomenografisk studie om grundutbildade sjuksköterskors uppfattningar om operationssjuksköterskans profession." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-63785.

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Bakgrund: Idag är det brist på operationssjuksjuksköterskor i Sverige, vilket har resulterat i att flera operationsavdelningar är förhindrade att bedriva full operationsverksamhet. Erfarna operationssjuksköterskor går i pension under de närmsta åren samtidigt som intresset att utbilda sig till operationssjuksköterska varit svagt. Bristen på behöriga operationssjuksköterskor kan förvärras om inte åtgärder görs, vilket kan få svåra konsekvenser som att antalet operationer måste reduceras ytterligare eller ställas in vilket skulle bidra till ett lidande för patienten samt en ökad arbetsbelastning på den befintliga personalen. Syfte: Syftet var att beskriva grundutbildade sjuksköterskors uppfattningar om operationssjuksköterskans profession. Metod: En kvalitativ studie med en fenomenografisk ansats utfördes. Ett strategiskt urval genomfördes, vilket resulterade i nio individuella intervjuer med grundutbildade sjuksköterskor på ett sjukhus i södra Sverige. Resultat: Analysen resulterade i fyra kategorier: En intresseväckande profession, En krävande profession, En teknisk profession och En osynlig profession. Var och en av kategorierna bestod av två underkategorier. Slutsats: Grundutbildade sjuksköterskor har otillräcklig kunskap och kännedom om operationssjuksköterskans profession. Ökad klinisk erfarenhet och information om operationssjuksköterskans profession skulle kunna skapa ett ökat intresse eller underlätta i valet om en framtida operationssjuksköterskeutbildning.
Background: Today is a shortage of operating theater nurse in Sweden, which has resulted in several operational departments are unable to engage fully operational business. Experienced operating theater nurse will retire in the next few years while the interest to train as a operating theater nurse has been neglected. The lack of competent operating theater nurse may worsen if no measures implemented to change the situation, which can have serious consequences, such as the number of operations must be further reduced or canceled, which would contribute to the suffering of the patient and an increased workload on existing staff. Aim: The aim of the study was to describe nurses perceptions of operating theater nurse profession. Method: A qualitative study with phenomenographically was performed. A strategic choice was conducted, which resulted in nine individual interviews nurses at a hospital in southern Sweden. Results: The analysis resulted in four categories: An interesting profession, A demanding profession, A technical profession and An invisible profession. Each of the categories consisted of two categories. Conclusion: Nurses have inadequate knowledge and understanding of operating theater nurse profession. Increased clinical experience and information about the operating theater nurse profession could create an increased interest in or facilitate the election of a future operating theater nurse education.

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Palevan, Moghhadam Akram. "Diabetessjuksköterskors erfarenheter och upplevelser av att jobba med förebyggande arbete för att förhindra utveckling av diabetes typ- 2 hos patienter med prediabetes : En kvalitativ studie." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-43195.

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Bakgrund Förekomsten av diabetes typ-2 har ökat dramatiskt och cirka en halv miljard människor världen över har diabetes. Prediabetes är en av de riskfaktorer som ökar risken för att utveckla diabetes typ-2. Många studier har visat att livsstilsförändringar kan minska risken eller fördröja uppkomsten av diabetes typ-2. Syfte: Diabetessköterskors upplevelser och erfarenheter av att arbeta med metoder och insatser inom primärvården för att förhindra utveckling av diabetes typ-2 hos patienter med prediabetes Metod: Kvalitativ studie med semistrukturerade intervjuer. Resultat: Resultatet visade att screening och remittering till diabetessjuksköterskor för samtal med levnadsvanor och uppföljningar användes. Fem kategorier identifierades utifrån deras erfarenheter av förebyggande arbete: 1-upplevelser av att känna organisatoriskt stöd ger förutsättningar för preventivt arbete. 2-Upplevelser av att ha organisatoriska begränsningar eller hinder i patientarbete. 3-Rådgivning och stöd nämndes som mycket viktig del i deras patientarbete med livsstilsförändringar.4-Att ha verktyg underlättar preventionsarbete. 5-Upplevelser av att ha olika utmaningar och svårigheter i patientkommunikation- och information Slutsatser: Studien visade diabetessjuksköterskor hade olika erfarenheter avseende preventionsarbete utifrån de organisatoriska förutsättningar och förhållande de hade samt hur deras patientklienter såg ut vilket skulle kunna påverka deras preventionsarebete. Resursbrist och avsaknad av rutiner försvårade deras arbete. Därför är det viktigt att diabetessköterskor arbetsförhållande förbättras. Även utbildningar om befintliga rekommendationer eller riktlinjer avseende hälsofrämjande åtgärder är nödvändiga.

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Pahlevan, Moghaddam Akram. "Diabetessjuksköterskors erfarenheter och upplevelser av att jobba med förebyggande arbete för att förhindra utveckling av diabetes typ- 2 hos patienter med prediabetes : En kvalitativ studie." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-43195.

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Bakgrund Förekomsten av diabetes typ-2 har ökat dramatiskt och cirka en halv miljard människor världen över har diabetes. Prediabetes är en av de riskfaktorer som ökar risken för att utveckla diabetes typ-2. Många studier har visat att livsstilsförändringar kan minska risken eller fördröja uppkomsten av diabetes typ-2. Syfte: Diabetessköterskors upplevelser och erfarenheter av att arbeta med metoder och insatser inom primärvården för att förhindra utveckling av diabetes typ-2 hos patienter med prediabetes Metod: Kvalitativ studie med semistrukturerade intervjuer. Resultat: Resultatet visade att screening och remittering till diabetessjuksköterskor för samtal med levnadsvanor och uppföljningar användes. Fem kategorier identifierades utifrån deras erfarenheter av förebyggande arbete: 1-upplevelser av att känna organisatoriskt stöd ger förutsättningar för preventivt arbete. 2-Upplevelser av att ha organisatoriska begränsningar eller hinder i patientarbete. 3-Rådgivning och stöd nämndes som mycket viktig del i deras patientarbete med livsstilsförändringar.4-Att ha verktyg underlättar preventionsarbete. 5-Upplevelser av att ha olika utmaningar och svårigheter i patientkommunikation- och information Slutsatser: Studien visade diabetessjuksköterskor hade olika erfarenheter avseende preventionsarbete utifrån de organisatoriska förutsättningar och förhållande de hade samt hur deras patientklienter såg ut vilket skulle kunna påverka deras preventionsarebete. Resursbrist och avsaknad av rutiner försvårade deras arbete. Därför är det viktigt att diabetessköterskor arbetsförhållande förbättras. Även utbildningar om befintliga rekommendationer eller riktlinjer avseende hälsofrämjande åtgärder är nödvändiga.

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Bagewitz, Astrid. "Skolsköterskors erfarenhet av att förebygga kränkningar i skolor och på nätet : En kvalitativ studie." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-15734.

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Bakgrund: Forskning visar på en stark koppling mellan elever som utsätts för kränkningar och på psykisk och fysisk ohälsa. Kränkningar som sker på nätet upplevs av tonåringar som extra skadligt på den mentala hälsan. Skolsköterskor har möjlighet att förebygga kränkningar och främja hälsa på tre olika nivåer; individ, mellanmänsklig och systemnivå. Syfte: Studiens syfte var att undersöka skolsköterskors erfarenhet av att förebygga kränkningar i skolor och på nätet. Metod: Det användes en kvalitativ metod i studien och resultatet analyserades genom innehållsanalys. Sju skolsköterskor i Sverige har intervjuats via e-post. Resultat: Tre kategorier framträdde i resultatet: att vara tillgänglig för elever och vårdnadshavare, att samtala med elever, och att samverka. Konklusion: Studien visar att skolsköterskorna visar på bred erfarenhet av att förebygga kränkningar. Dessa erfarenheter beskrivs framförallt i det individinriktade- och mellanmänskliga arbetet. Arbetet på systemnivå tenderar att vara eftersatt. Fynd visar på varierad erfarenhet av normkritiskt perspektiv som arbetsmetod.
Background: Research shows a strong connection between pupils exposed to harassment and to physical and mental illness. Harassment occurring on the internet are perceived by teens as extra harmful to their mental health. School nurses have the opportunity to prevent harassment and to promote health on three different levels; individual,- interpersonal,- and system level. Aim: The purpose of the study was to investigate the school nurses’ experiences in preventing harassment in schools and on the internet. Method: A qualitative methodology was used in the study and the results were analyzed by content analysis. Seven school nurses in Sweden have been interviewed by email. Result: Three categories appeared in the result: to be available to pupils and their guardians, to talk with pupils and to cooperate. Conclusion: The study shows that school nurses demonstrate broad experiences in preventing harassment. These experiences occur primarily in the individual-oriented and interpersonal work level. Experiences at the system level are less occuring. It appears there were varied experiences of norm-critical perspective as a working method.

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Lindmark, Karolina. "En kvalitativ studie om skolsköterskors syn på sitt uppdrag." Thesis, Högskolan i Gävle, Avdelningen för utbildningsvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-24253.

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Syftet med denna studie var att undersöka hur skolsköterskor ser på sitt uppdrag och vad de anser ingår i deras uppgifter. Metoden var en enkät- och intervjustudie med en kvalitativ ansats, för att på detta sätt kunna få en fördjupad förståelse för upplevelser och erfarenheter. Resultatet visade att hälsosamtal är något som alla skolsköterskor arbetar med, vilket innebär en kartläggning av elevernas medicinska, fysiska och psykiska hälsa. Att arbeta förebyggande mot enbart psykisk ohälsa är inget som skolsköterskorna anger prioriteras på grund av exempelvis tidsbrist, vilket flera upplever som en svårighet i arbetet. Den slutsats som kan dras från undersökningen är att skolsköterskor upplever att de ingår många uppgifter i deras uppdrag och att de skulle behöva mer utbildning inom vissa områden. Utifrån denna studie skulle det vara intressant att intervjua rektorer för att undersöka hur de ser på skolsköterskornas uppdrag eftersom det är de som har huvudansvaret för elevhälsan.

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Rose, Anna-Karin. "Nyexaminerade sjuksköterskors upplevelser av ett introduktionsprogram: En deskriptiv kvalitativ studie." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26646.

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Bakgrund: Under de senaste decennierna har sjuksköterskeutbildningen, sjuksköterskans yrkeskompetens och sjukvårdsverksamheten i Sverige genomgått omfattande förändringar. När nyexaminerade sjuksköterskor förväntas bekanta sig med arbetsmiljön och förväntningarna i yrket samtidigt som introduktionsperioden ska ske beskrivs situationen som komplex. Internationellt har introduktionsprogram visat sig främja nya sjuksköterskors arbetstillfredsställelse, kompetens, social tillhörighet samt antalet sjuksköterskor som valt att stanna i yrket. Det finns dock inga studier som undersökt vilka upplevelser nyexaminerade sjuksköterskor har av introduktionsprogram med avseende på övergång från studierna till yrkeslivet eller om det möjliggjort att förankra de kunskaper som uppnått under studierna. Syfte: Studiens syfte var att belysa nyexaminerade sjuksköterskors upplevelser av Region Skånes introduktionsprogram, med avseende på om det har underlättat övergången från utbildning till yrkeslivet, samt om det skapat ökade möjligheter för att förankra kunskaper i den nya professionen.Metod: En deskriptiv kvalitativ studie.Resultat: I resultatet framkom att introduktionsprogrammet hade underlättat övergången från studier till yrkeslivet, bidragit till att förankra kunskap och att kunskapen använts i arbetet som sjuksköterskor. Vidare framkom att upplevelser av programmet handlade om förväntningar, fördjupad kunskap, nätverk, profession och trygghet.Slutsats: Det finns vetenskapligt stöd för användning av introduktionsprogram för att säkerställa övergången mellan studier och yrkesliv. Samtidigt framkom information om vilka insatser som behöver göras för att förbättra introduktionsprogrammet och den första tiden i yrket för de nyexaminerade sjuksköterskorna.
Background: During recent decades, the nursing education, the nurse’s professional competence and the healthcare in Sweden have undergone extensive changes. The situation is described as complex when newly graduated nurses are expected to become acquainted with the work environment and expectations in the profession at the same time as the introduction period is to take place. Internationally, introductory programs have been shown to improve new nurses’ job satisfaction, skills, social affiliation and the number of nurses who have chosen to stay in the profession. However, there are no studies that have examined the experiences of newly graduated nurses of introductory programs regarding the transition from education to professional life, or whether they have made it possible to establish knowledge. Objective: The purpose of the study was to evaluate newly graduated nurses’ experiences of Region Skåne’s introductory program, concerning whether it has facilitated the transition from education to professional life, and whether it has created increased opportunities for anchoring knowledge in the new profession.Method: A descriptive qualitative study.Results: The results revealed that the introduction program had facilitated the transition from education to professional life, contributed to anchoring knowledge and that the knowledge was used in work as nurses. It was also found that experiences of the program were about expectations, in-depth knowledge, network, profession and security.Conclusion: There is scientific support for the use of introductory programs to ensure the transition between studies and professional life. At the same time, information emerged about what efforts need to be made to improve the introductory program and the first time in the profession for the newly graduated nurses.

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Lubbad, Salam. "Undersköterskors upplevelser av psykosocial arbetsmiljö och hälsa under Covid-19 pandemin : En kvalitativ studie." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-55450.

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Previous research emphasizes the importance of the psychosocial work environment among healthcare professionals and indicates a strong link between perceived poor psychosocial work environment and ill health. Nursing staff's psychosocial work environment is characterized by a high level of stress, which reduces their control at work and leads to work situations that are characterized by tense work. To ensure a good working environment, various laws and regulations are established that employers must ensure that they are complied with. The employer is responsible for creating a safe and stress-free working environment with good working conditions where there is the opportunity for action and control. The Covid -19 pandemic places demands on healthcare in Sweden like never before and has caused changes in work at both individual and organizational level. There are clear indications that the working environment and health have deteriorated during the Covid pandemic, however, the research testifies to a knowledge gap as the problem area is limited with Swedish studies. The purpose of this study is to examine nurses experiences of their psychosocial work environment and health during the Covid-19 pandemic. A qualitative research method has been used. Selection methods are partly goal-oriented selection and partly snowball selection method. Data collection has taken place through semi-structured interviews and a manifest content analysis has applied. The results show that the assistant nurses experience a poor psychosocial work environment during the pandemic, which is characterized by deteriorating working conditions and recovery opportunities, poorer control, increased work-related stress and higher demands. Furthermore, the assistant nurses feel that the managers are lacking in their role and that the assistant nurses lack direct cooperation with their managers. However, the results indicate improved collaboration between colleagues. In addition, the work is driven by the duty to work. In summary, the assistant nurses experience a perceived poor psychosocial work environment and health during the Covid-19 pandemic overall.

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Shafie, Maryam. "Narkotikaförebyggande arbete i skolmiljö, ur ett skolsköterskeperspektiv : En kvalitativ studie." Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-18557.

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Bakgrund: Bruk av narkotika bland ungdomar har ökat i Sverige de senaste tio åren. Cannabisbruk som är den vanligaste drogen bland ungdomar har visat sig att i tidig ålder kan ge upphov till psykisk störning och sjukdom. Skolsköterskans förebyggande arbete är en del i arbetet för att skapa en drogfri skola. Syfte: Att beskriva skolsköterskors upplevelse av narkotikaförebyggande arbetet inomskolan. Metod: Denna uppsats är en kvalitativ studie med induktiv ansats och bygger på intervjuer med sex skolsköterskor som analyserades enligt kvalitativ innehållsanalys. Resultat: I resultatet framkom fyra huvudkategorier och tio underkategorier. Kategorierna beskriver att skolsköterskorna identifierar elever som brukar narkotika, skapar relation medelever, stärka elevernas skyddsfaktorer och arbetar systematiskt och i samverkan. Tema som framkom var strategier som synliggör och möjliggör arbetet mot narkotika. Slutsats: Skolsköterskan arbetar utifrån det salutogena perspektivet och använder metodersom motiverande samtal med elever i förebyggande arbete mot narkotika. Studien visar att skolsköterskan ser eleven ur ett helhetsperspektiv som en del i ett större sammanhang. Samarbete och en god relation med övriga professioner samt vårdnadshavare är av stor vikt för ett framgångsrikt förebyggande arbete mot narkotika samt ett bättre skolresultat.
Background: The use of narcotics, mainly cannabis, has increased among youngsters in Sweden during the last 10 years. The use of cannabis can lead to mental issues and even disease. The school nurse plays a pivotal role in the work against drugs abuse. Purpose: To highlight the School Nurses' experience of working against abuse amon ghigh school students. Method: This study is a qualitative study with an inductive approach through interviews with six school nurses, the interviews were analyzed according to qualitative content analyses. Result: The result was four main categories and ten subcategories. The categories show that the School Nurses identify students who use drugs, create relations with them, strengthen their outer protection and work systematically and in cooperation with other caretakers. Themes that emerged were strategies that highlight and enable the work against drugs. Conclusion: The School Nurses work with a salutogenic perspective and use appropriate methods as motivational conversations with students in preventive work against drugs. The study shows that the School Nurse sees the student from a holistic perspective as part of alarger context. Collaboration and good relationships with other professions and custodians are of great importance for successful prevention of drugs and better school result.

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Tvede, Sofie, and Malin ek. "Distrikssköterskors erfarenheter avseende att ställa frågor om alkohol : En kvalitativ studie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-79324.

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Bakgrund: Cirka 1 000 000 personer lever idag med en riskabel alkoholkonsumtion. Personer med alkoholrelaterade problem söker sig ofta till primärvården först och det är där problemen identifieras. Distriktsköterskan ska arbeta förebyggande och hälsofrämjande. För att känna sig tryggare att ställa frågor om alkohol krävs det kunskaper och att vara uppdaterad i ämnet. Syfte: Att belysa distriktssköterskors erfarenheter avseende att ställa frågor om alkoholvanor hos patienter i primärvården. Metod: Kvalitativ studie. Semistrukturerat frågeformulär har besvarats av 21 distriktssköterskor. Svaren har sedan analyserats med en kvalitativ innehållsanalys. Resultat: Fyra kategorier har framkommit från analysen: `Att vara bekväm vid att ställa frågor om alkoholvanor`, med underkategorierna naturligt, självklart och vara obesvärad. `Kan vara utmanande att ställa frågor om alkoholvanor`, med underkategorierna Ålder och könsrelaterat, kulturskillnader och Kvinnor och skam`. Screeningverktyg kan vara ett stöd vid att ställa frågor om alkoholvanor`, med underkategorierna tydliggöra och stöd. `Kunskaperna om att hantera alkoholfrågor är otillräckliga`, med underkategorierna kunskapsbrist och osäkerhet. Slutsats: I distriktssköterskans hälsoförebyggande arbete visade studien att det kan finnas svårigheter med att ställa frågor om alkohol. Studien visade också att distriktssköterskorna uttryckte att det fanns en kunskapsbrist i ämnet. Det saknades utarbetade riktlinjer för att kunna hjälpa patienter med en alkoholproblematik vidare i vårdkedjan.
Background: Approximately 1 000 000 people today live with a risky alcohol consumption. People with alcohol-related problems often seek primary care first and that is where the problems are identified. The district nurse should work on prevention and health promotion. To feel safer to ask questions about alcohol requires knowledge and to be up to date on the subject. Purpose: To highlight District nurses experiences regarding asking questions about alcohol habits in patients in primary care. Method: Qualitative study. Semi structured questionnaires were answered by 21 district nurses. The responses were then analyzed with a qualitative content analysis. Results: Four categories have emerged from the analysis: ' be comfortable in asking questions about alcohol habits ', with the following subcategories: natural, of course, be effortless. ' Can be challenging to ask questions about alcohol habits ', with the sub categories of age and gender, cultural differences and Women and shame '. Screening tools can be a support to ask questions about alcohol habits ', with subcategories clarify and support. 'Knowledge on dealing with alcohol issues is insufficient ', with subcategories lack of knowledge and uncertainty. Conclusion: In the District of professional health prevention study showed that there may be difficulties in asking questions about alcohol. The study also showed that district nurses expressed that there was a lack of knowledge on the subject. There was no elaborate guidelines to help patients with a alcoholproblematik further in the chain of care.

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Dirie, Mona. "SJUKSKÖTERSKORS ARBETSMILJÖ : En kvalitativ studie om sjuksköterskors upplevelse av frisk- och riskfaktorer i deras arbetsmiljö." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper (from 2013), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-72564.

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Bakgrund: Alla människor har rätt till en trygg och hälsosam arbetsmiljö. Hälsan påverkas oundvikligen av olika faktorer i arbetsmiljön som verkar för eller emot hälsan. Att sträva efter att skapa hälsofrämjande arbetsplatser är därför en viktig del av den nationella och globala folkhälsopolitiken. Tidigare forskning, som främst är av kvantitativ karaktär, har visat att det finns frisk- såväl som riskfaktorer i sjuksköterskors arbetsmiljö. Det behövs dock fler kvalitativa studier som belyser sjuksköterskornas egna upplevelser av frisk-och riskfaktorer för att kunna identifiera förbättringsfaktorer i arbetsmiljön och utveckla det framtida hälsofrämjande arbetet. Syfte: Syftet med studien var att belysa sjuksköterskors upplevelse av frisk-och riskfaktorer i sin arbetsmiljö, med fokus på förbättringsfaktorer. Metod: En kvalitativ studie har genomförts och en kvalitativ innehållsanalys med en induktiv ansats användes för att analysera data från de fem sjuksköterskor i Mellansverige, som intervjuats med hjälp av en semistrukturerad intervjumetod. Resultat: Ur analysen framkom två kategorier: ´Arbetstillfredsställelse`, med tillhörande tre subkategorier: Meningsfulla interaktioner, Ett öppet och jämlikt arbetsklimat, Socialt stöd. Vidare kategorin: ´Bemanning och resurser`, som innehöll följande subkategorier: Personalstyrkan och dess konsekvenser, Kompetensutveckling samt Fysisk miljö. Slutsats: En god och hållbar arbetsmiljö var av stor vikt för sjuksköterskornas hälsa och välbefinnande på arbetet. Vidare beskrevs det finnas en del riskfaktorer i arbetsmiljön som försämrade arbetsglädjen och sjuksköterskornas välbefinnande. Sammantaget framkom det av intervjuerna att det är viktigt att fortsätta arbeta för att stärka sjuksköterskornas arbetsmiljö, eftersom arbetsmiljön också påverkar vårdkvaliteten och patienternas välmående. Något som är av vikt för folkhälsan och en god hälsa på lika villkor. Nyckelord: Arbetsmiljö, Frisk- och riskfaktorer, Hälsofrämjande arbete, Kvalitativ vetenskaplig metod, Sjuksköterskor
Background: All humans have the right to safe and healthy work environments. Health is inevitably affected by different factors in the working environment that work for or against health. Striving to create health-promoting workplaces is therefore an important part of the national and global public health policy. Previous research, mainly of a quantitative nature, has shown that there are healthy as well as risk factors in nurses' work environment. More qualitative research is however needed which highlights nurses' own experiences of healthy and risk factors in the work environment, to be able to identify improvement opportunities in the work environment and develop the future health promotion work. Aim: The purpose of this study was to highlight nurses' experiences of healthy and risk factors in their work environment, with a focus on improvement factors. Method: A qualitative study was conducted and a qualitative content analysis with an inductive approach was used to analyse data from the five nurses in Central Sweden, who were interviewed using a semi-structured interview method. Results: From the analysis, two categories emerged: `Work satisfaction`, with associated three subcategories: Meaningful interactions, An open and equal working climate, Social support. Furthermore, the category: "Staffing and resources", which contained the following subcategories: Lack of personnel and its consequences, Skills development and Physical environment. Conclusion: A good and sustainable work environment was of great importance for the nurses' health and well-being at work. Furthermore, there were some risk factors in the working environment that worsened work satisfaction and the nurses' well-being. Overall, it was important to continue working to strengthen the nurses' work environment, as the working environment also affects the quality of care and the well-being of the patients. Something that is important for public health and good health on equal terms. Keyword: Health promotion work, Healthy- and risk factors, Nurses, Qualitative method, Working environment

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McLaughlin, Sarah J. "Nurse Practitioners' Discussion Of Sexual Identity, Attraction And Behavior." ScholarWorks @ UVM, 2016. http://scholarworks.uvm.edu/graddis/443.

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ABSTRACT Background: Sexual orientation is comprised of distinct components, including sexual identity, sexual attraction and sexual behavior. Lesbian, gay and bisexual adolescents are at an increased risk of experiencing poor health outcomes compared to non-sexual minority youth. Health care professional organizations recommend that health care providers discuss each component of sexual orientation at every adolescent health supervision visits in order to best assess the adolescent's health risks and needs for intervention and education. Objective: This survey assessed the frequency with which nurse practitioners (NPs) in the state of Vermont discussed sexual identity, attraction and behavior with adolescents during annual health supervision visits. Design: A cross sectional study that analyzed descriptive statistics of a small convenience sample of Vermont NPs. Setting and Participants: Attendees of the Vermont Nurse Practitioner Association 2015 annual conference. Participants in the study were licensed, practicing NPs in the state of Vermont responsible for the health supervision of adolescents. Results: Participants were overwhelmingly female (93%), with a median age between 40-49 years old, and a median length of years in practice of six to ten years. Sixty-two percent of respondents specialized in family practice. Respondents reported that they always asked adolescents about the sex of sexual partners at 49% of health supervision visits. Respondents always discussed sexual attraction and sexual identity at 31% and 24% of health supervision visits, respectively. Twenty percent of respondents reported rarely or never discussing sexual attraction, and 38% reported rarely or never discussing sexual identity. Conclusions: The Vermont NPs who participated in this survey were demographically similar to national NP cohorts. Vermont NPs discussed the adolescent's sexual behavior at health supervision visits as frequently as health care providers nationally, and Vermont NPs discussed sexual attraction and sexual identity more frequently than providers nationally. However, Vermont NPs discussed sexual attraction and identity much less frequently than they discussed sexual behavior. Results of this survey illustrate that there is substantial room for improvement regarding the frequency with which Vermont NPs discuss the three components of sexual orientation with adolescents, particularly the components of sexual identity and attraction.

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Warnskog, Louise, and Hanna Brännlund. "Kvinnors upplevelser av att leva med Endometrios : En litteraturbaserad studie." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-10807.

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Bakgrund: Endometrios är en kronisk kvinnosjukdom där livmoderslemhinnan växer utanför livmodern. Detta resulterar i inre blödningar och

bäckensmärta. Syfte: Att belysa kvinnors upplevelser av att leva med

Endometrios. Metod: En litteraturbaserad studie baserad på analys av 12 vetenskapliga artiklar. Resultat: Det framkom två huvudteman, Endometrios den avfärdade sjukdomen samt Faktorer som påverkar livet för kvinnor som lever med Endometrios. Resultatet från detta examensarbete påvisar att Endometrios har stor inverkan på kvinnors liv och resulterar i lidande då diagnosen fördröjs. Sjuksköterskan har en viktig roll när det gäller att ge kvinnorna rätt vård. Diskussion: Det finns ett flertal olika miljö- och stressfaktorer som inverkar på kvinnors upplevelser av Endometrios. Flertalet av dessa skulle kunna förebyggas genom utbildning av vårdpersonal och information

om Endometrios till allmänheten. Publiciteten skulle i stor utsträckning minska de drabbade kvinnornas lidande. Kliniska implikationer: Endometrios klassas i nuläget inte

som en folkhälsosjukdom och har inget vårdprogram. Socialstyrelsen behöver utarbeta ett specifikt vårdprogram för sjukdomen. Vårdpersonalen kan då känna minskad osäkerhet kring Endometrios.

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Ahlqvist, Christine, and Karin Wallin. "Telefonrådgivning : En studie om vad som kännetecknar sjuksköterskans arbete med telefonrådgivning." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-19538.

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Telefonrådgivning kräver ett kvalificerat handläggande där sjuksköterskan på kort tid ska kunna etablera en god vårdrelation med patienten trots att den visuella kontakten saknas. Förutom kunskaper inom medicin krävs det att telefonsjuksköterskan har en god förmåga till kommunikation och visar respekt och empati för patienten. Efterfrågan på telefonrådgivning ökar och detta ställer krav på specifik kompetens hos sjuksköterskan. Vi har därför valt att beskriva vad som kännetecknar sjuksköterskans arbete med telefonrådgivning för att få kunskap i om hur vi i vår profession kan bli bättre på att ge råd via telefon. Det har gjorts i form av en litteraturstudie med grund i analys av kvalitativa artiklar samt en kvantitativ artikel. Kvalitativa studier kan vara vägledande för det praktiska arbetet och bidrar till att skapa en evidensbaserad omvårdnad. I resultatet framkommer tre huvudteman. Det första är telefonrådgivning ur sjuksköterskans perspektiv, med fyra subteman. Det andra huvudtemat är patientrelaterade faktorer som påverkar telefonrådgivningen med tre subteman. Det sista huvudtemat är organisatoriska faktorer som påverkar telefonrådgivningen med tre subteman. I diskussionen reflekterar vi över hur fortbildningen inom telefonrådgivningen kan utformas. Vidare diskuterar vi hjälpmedel som kan användas av telefonsjuksköterskan och dessutom tar vi upp betydelsen av feedback.
Program: Fristående kurs

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Averlid, Getrud. "Helsefremmende samarbeid – en viktig triveselfaktor i anestesisykepleierfaget. : En kvalitativ studie av anestesisykepleieres opplevelse av sitt arbeidsmiljø." Thesis, Nordic School of Public Health NHV, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3158.

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Bakgrunn: Medarbeiderundersøkelsen i 2006 ved anestesiavdelingen seksjon 2, Rikshospitalet iOslo, avdekket dårlige skår for anestesisykepleieres mulighet til å påvirke sin egen arbeidssituasjon. Hensikt: Hensikten med studien var å kartlegge faktorer i anestesisykepleierens arbeidssituasjon som oppleves som helsefremmende og å finne ut på hvilken måte ledelsen kunne bidra til et mer helsefremmende arbeidsmiljø. Nytteverdien av studien blir at de faktorer som fremmer helse foranestesisykepleiere blir synliggjort overfor ledelsen. Metode: Det ble brukt en kvalitativ metode med intervjuer av fjorten yrkesaktive anestesisykepleiereved seks forskjellige anestesiavdelinger. En modifisert Grounded Theory ble benyttet somanalysemetode. Resultat: Analysen av intervjuene resulterte i kjernekategorien: Samarbeid på godt og vondt,anestesisykepleierens lodd i yrkeslivet og tre kategorier: Ledelsen som premissleverandør; Trivsel iet operasjonsmiljø; Rolleklarhet.Kjernekategorien belyser den koordinerende helheten som anestesisykepleieren i varetar i forhold tilpasient og andre profesjoner. Den beskriver både en stor tilfredsstillelse i arbeidssammenheng men samtidig gir den en anelse om at uoverensstemmelser kan forekomme. Ledelse utkrystalliserte segsom en viktig faktor for å tilrettelegge for et helsefremmende arbeidsmiljø, slik at grunnleggende behov ble tilfredsstilt. Produksjonspress og kommunikasjonsvansker i forhold til de nære samarbeidspartnere var faktorer som opplevdes som demotiverende og kunne noen ganger skapemistillit. Kollegastøtte spilte en avgjørende rolle i anestesisykepleiernes opplevelse av et godtarbeidsmiljø. En sammenfattende modell ble utviklet som beskriver grunnforutsetninger for utøvelseav sitt fag, hinder og begrensninger, opplevelsen av optimal pasientbehandling og ledelsens overordnede påvirkningspotensiale på både de positive og negative faktorene. Konklusjoner: Studien viser at flere viktige faktorer medvirker til at arbeidsmiljøet oppleves som helsefremmende for anestesisykepleiere. Ledelsen er en viktig faktor og den bør være mer aktiv vedå gi forsvarlige rammer for drift, og i større grad initiere helsefremmende tiltak og motivere til bedresamarbeid mellom profesjonene. Andre viktige faktorer for trivselen var det selvstendige arbeidet og det tverrfaglige samarbeidet om pasienten.
Background: The 2006 employee survey from Anaesthesia Unit 2, at Oslo’s Rikshospital, revealedlow scores regarding anaesthesia nurses` opportunity to influence their own work situation. Purpose: This study aimed to examine work factors that anaesthesia nurses perceive health promoting and to analyze how hospital leadership could initiate a healthier work environment. The value of this assessment is that factors that promote a healthy work environment for anaesthesia nurses will become visible to department management. Method: A qualitative method was used, which included interviews with fourteen anaesthesianurses, working in six different departments. A modified Grounded Theory was applied as a methodfor analysis. Result: Analysis of the interviews yielded a core category: Cooperation for Better or Worse-Anaesthesia Nurses` “Ticket” in the Workplace, and three categories: Leadership, An Organizer of Conditions; Well-being in an Operations Environment and Clarity of Roles.The core category illustrates the coordinated entirety that anaesthesia nurses consider a safeguard inrelation to the patients and other professions. Nurses described great satisfaction in their work aswell as an inkling that differences can occur. Leadership was crystallized as an important factor infacilitating a healthy working environment that satisfies basic personal and professional needs. The respondents perceived production pressure and communication difficulties with close collaborators,as demotivators that sometimes caused lack of trust. Collegial support was a crucial factor in creatingthe perception of a good working environment. A model was developed, which illustrates the basic conditions of practicing the profession, obstacles and restrictions, how nurses experience optimal patient care and fundamental and potential influence of department leadership on both positive and negative factors. Conclusions: The study shows that several important factors contribute to a healthy working environment for the anaesthesia nurses. Leadership should work more actively toward developing ajustifiable framework of management and initiating health promoting efforts that motivate better cooperation between team members. Other important factors for well-being in the workplace included independent work and interdisciplinary collaboration around patient care.

ISBN 978-91-85721-75-7

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Alagöz, Sevgi. "Omvårdnad inom demensvård : En kvalitativ studie ur ett sjuksköterskeperspektiv." Thesis, Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-52257.

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ABSTRACT Background: Today there are about 150 000 people in Sweden with dementia and every year, about 25 000 people develop dementia. A dementia disease results in impaired cognitive abilities, leading to increased nursing needs. Dementia care should be based on person-centered care, which is a central concept in the nursing profession. Purpose: To describe the nurses’ experiences of caring for older people with dementia. Method: A systematic literature study with qualitative approach and descriptive synthesis where twelve articles have been included. Results: The analysis resulted in two themes and five subthemes. The first theme is Furtherance conditions with the subthemes; The importance of getting to know the elderly, The impact of the healthcare environment and The importance of education. The second theme is Challenging aspects with the subthemes; Difficulties in treatment and Lack of resources. Conclusion: Nurses’ feelings of satisfaction were experienced when the conditions for conducting person-centered care were present. The elderly`s life story, an adapted healthcare environment and increased knowledge through education promoted care of the elderly person with dementia. Nurses experienced challenges due to difficulties in managing the elderly`s behavior, lack of time and staff in dementia care.

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Jansson, Ingela, and Jenny Marberg. "Hanteringsstrategier i det dagliga livet hos personer med Implanterbar Defibrillator (ICD). : En litteratur baserad studie." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-10957.

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Von, Baltzer Camilla. "Att vårda palliativa hjärtsviktspatienter inom kommunal hemsjukvård - Distriktsköterskors upplevelser : - En kvalitativ studie." Thesis, Högskolan Dalarna, Omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-29516.

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Bakgrund: Distriktsköterskan inom kommunal hemsjukvård är en central person inom den palliativa vården. Patienter som lider av kronisk hjärtsvikt och är under palliativ vård riskerar att inte få samma behandling eller vård under den sista tiden som andra palliativa patienter. Brist på erfarenhet och utbildning av vårdpersonal samt att ledarskapet i organisationen är en av flera faktorer som påverkar att palliativa hjärtsviktspatienter inte får en skräddarsydd vård. Syfte: Att beskriva distriktsköterskors upplevelse av att vårda palliativa patienter med hjärtsvikt inom den kommunala hemsjukvården. Metod: Kvalitativ design med kvalitativ innehållsanalys. Resultat: I resultatet framkom två kategorier; Organisationens påverkan på distriktsköterskornas yrkesutövning med subkategorierna Distriktsköterskornas kompetens, utveckling och teamarbete samt Palliativa vårdens huvudmän och ledarskap. Den andra kategorin; Distriktsköterskornas professionella förhållningssätt med subkategorierna Distriktsköterskans bemötande av patienter och anhöriga samt Distriktsköterskans upplevelse av vårdplaner. Slutsats : Distriktsköterskorna behöver fortbildning för att känna säkerhet och tillfredsställelse i vården av hjärtsviktspatienter och bemötandet av anhöriga. Det är viktigt att stärka och stimulera distriktsköterskornas teamarbete vilket skapar en positiv arbetsmiljö. Dokumentationssystemet för vårdplanerna behöver bli mer lättanvänt och tydligt för att förbättra den palliativa vården för hjärtsviktspatienterna.
Background: District nurses in the community health service are one of the main providers of palliative care. Chronic heart failure patients could suffer from lack of treatment or correct care in comparison to other groups of palliative care patients. Lack of experience, education in health professionals and the leadership within the organisation are one of several factors for palliative chronic heart failure patients to not receive tailor dressed care Aim: To explore district nurses view of caring for palliative chronic heart failure patients in community health service Method : Quality design and interviews were analyzed by a quality content analysis. Result: The results resulted in two categories; The organizations influence public health nurses daily work with two subcategories, The competence, development and team work of the public health nurses and the palliative care organisations and leadership. The second category was, Public health care nurses’ professional approach with subcategories Public health care nurse’s treatment of patients and relatives and Public health care nurse’s experiences of care plans. Conclusion: District nurses need continuously education enabling to feel secure and satisfaction in the care and reception of palliative heart failure patients and relatives. It´s important to enhance the teamwork to create a positive work environment for the District nurses. Care plan systems must be suitable and user friendly to improve the palliative care for chronic heart failure patients.

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Johnsson, Marlen, and Nathalie Martinsson. "Undersköterskors uppfattning om oral hälsa och munvårdsrutiner på en intensivvårdsavdelning : en kvalitativ studie." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-15529.

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På en intensivvårdsavdelning vårdas bland annat patienter som är svårt sjuka, har allvarliga skador och kan ha genomgått omfattande operationer. Patienterna är oftast helt beroende av vårdpersonalen och att de sköter deras hygien. Med tanke på att de även kan vara infektionskänsliga är det extra viktigt att dessa patienter får en så individuellt anpassad munvård som möjligt. Studier tyder på bristande kunskaper kring oral hälsa och att munvården inte prioriteras inom vården trots att allvarliga komplikationer kan uppstå. Syftet med denna studie var att belysa undersköterskors uppfattning om oral hälsa och vilka rutiner som finns för munvård på patienter vid en intensivvårdsavdelning. Åtta intervjuer ägde rum som analyserades med kvalitativ innehållsanalys. Resultatet tyder på att munvård prioriteras högt på avdelningen och att undersköterskorna har kunskaper om varför det är viktigt att patienterna har en god munhygien. Det framgick också att munvårdsrutiner finns på avdelningen och tycks utföras till stor del tillfredsställande.

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Bergström, Marina, and Shaghayegh Wiklander. "Unga kvinnors användande av sexualitet som självskadebeteende : En kvalitativ studie." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-12611.

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Bakgrund: Unga kvinnor som skadar sig med sin sexualitet har uppmärksammats på senare år. De som tidigare i livet varit utsatta sexuellt är överrepresenterade bland dessa kvinnor som skadar sig själva med sexualitet.Syfte: Syftet med studien var att beskriva unga kvinnors upplevelser av sexualitet som självskadebeteende.Metod: En kvalitativ studie med fenomenologisk ansats av egna skrivna berättelser. Datamaterialet analyserades med hjälp av innebördsanalys.Resultat: Unga kvinnor som skadar sig genom sexualitet söker bekräftelse bland annat genom att publicera bilder på internet för att få positiv feedback om det egna utseendet. Vidare använder de sin sexualitet till att uppnå en kick och få en känsla av att duga till och på sätt dämpa den ångest de bär på. Dessa unga kvinnor behöver mycket stöd från omgivningen för att kunna förstå och bearbeta sitt självskadebeteende.Slutsats: Skolsköterskor behöver uppmärksamma att sexualitet som självskadebeteende existerar och finns i alla samhällsklasser. Skolsköterskor kan genom kontinuitet och förtroendegivande bemötande skapa en god relation som bygger på ett genuint intresse att vilja förstå dessa unga kvinnor utifrån ett livsvärldsperspektiv. För att kunna erbjuda det stöd som dessa unga kvinnor behöver är det viktigt att hen vågar finnas där, lyssna och ställa frågan.
Background: Young girls that self-harm themselves have recent years been in focus. Thosewho earlier in life have been sexually abused are overrepresented among these women thatself-harm themselves through their sexuality.Aim: The aim of this study was to illustrate young women’s experiences of sexuality as aself-harm behavior.Method: A qualitative study with a phenomenological approach of own written stories.Result: Young women that harm themselves with their sexuality seek acknowledgement forinstance by publishing pictures on the internet to receive positive feedback on theirappearance. Further they use their sexuality to achieve a rush and a sense of suffice and bythat mitigate their anxiety. These women need a lot of support from their surroundings inorder to understand and process their self-harm behavior.Conclusion: School nurses need to pay attention that sexuality as a self-harm behavior existsin all social classes. The school nurse can through continuity and a trustworthy attitude createa good relation that is based on a genuine interest of wanting to understand these youngwomen from a life-world perspective. To be able to offer these young women the supportthey are in need of it is important that the school nurse dare to be present, listen and ask the question.

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Bergström, Anna, and Hanna Wallentinsson. "EN KVALITATIV STUDIE OM SJUKSKÖTERSKORS UPPLEVELSE AV ATT VÅRDA KVINNOR UTSATTA FÖR VÅLD I NÄRA RELATION KÄNSLOR AV VÄLBEFINNANDE OCH MAKTLÖSHET." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-27019.

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Bakgrund: Våld i nära relation är ett omfattande problem och drabbar 30 % av världens kvinnor. Våldsutsatta kvinnor drabbas ofta av psykisk ohälsa till följd av våldet och önskar ett gott empatiskt bemötande av hälso- och sjukvården. Sjuksköterskor upplever dock att de har för lite kunskap i ämnet och känner ofta en maktlöshet kring hur de ska kunna hjälpa på bästa sätt. Syfte: Att belysa sjuksköterskors upplevelse av att vårda kvinnor som utsatts för våld i nära relation och som vårdas för psykisk ohälsa i en psykiatrisk kontext. Metod: Empirisk intervjustudie av sjuksköterskor som arbetar i psykiatrisk verksamhet har genomförts. En kvalitativ innehållsanalys enligt Berg (2009) användes för analys av data. Resultat: Resultatet beskriver hur sjuksköterskor upplever ett välbefinnande när de bidrar till kvinnans uppbrytande från den våldsamma relationen. Samtidigt finns upplevelser av att inte alltid kunna hjälpa vilket medför en känsla av maktlöshet, både personlig emotionell påverkan men även professionellt. Slutsats: I mötet med våldsutsatta kvinnor uppstår många känslor hos sjuksköterskor och erfarenheten räcker inte alltid till. Utbildning och stöd bör finnas för att trygga sjuksköterskor i omhändertagandet av kvinnor utsatta för våld i nära relation.
Background: Intimate partner violence is a major problem facing 30% of women worldwide. Women who are subjected to intimate partner violence are at risk of mental illness and experience empathic treatment as a valuable attribute for health professionals. Nurses feel that they do not have enough knowledge about the subject and often feel powerless over how they can best help.Aim: The purpose is to illustrate how nurses in psychiatric contexts experience the care of women with mental illness who are also subjected to intimate partner violence. Method: An empirical qualitative interview study was conducted with nurses working in psychiatric care. The data were analyzed using content analysis by Berg (2009). Result: The result describes how nurses experience well-being as they contribute to the woman leaving the violent relationship. At the same time there are experiences of not always being able to help, which results in feelings of powerlessness, both personal emotional but also professional. Conclusion: Nurses find that in encounters with women who are subjected to violence, many feelings arise and their experience is not always sufficient. Increased training and support should be provided for nurses in the care of women who are subjected to intimate partner violence.

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Johansson, Martin. "Ambulanssjuksköterskors syn på möjliga åtgärder för att minska arbetsrelaterad psykisk stress : En kvalitativ studie." Thesis, Högskolan i Gävle, Avdelningen för arbetshälsovetenskap och psykologi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-30607.

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Problemformulering: Upprepade traumatiska upplevelser, oförutsägbara situationer, oregelbundna arbetstimmar, tidspress samt otillräcklig tid för återhämtning är bara några få anledningar som bidrar till att ambulanssjuksköterskor lider av stor risk att drabbas av psykisk ohälsa. Långa sjukskrivningar kan bli resultatet av den psykiska ohälsan. I dagsläget används flera metoder för att minska den arbetsrelaterade psykiska stressen men ändå är det ett stort problem. Genom att låta ambulanssjuksköterskorna själva berätta om vad de anser kan vara en möjlig metod för stressreducering kan problemet minska. Metod: En kvalitativ metod användes för att få en djupare förståelse inom det aktuella ämnet. Sex ambulanssjuksköterskor intervjuades, med hjälp av semistrukturerade intervjuer, där de fick berätta om vilka möjliga åtgärder de ansåg kunde minska den arbetsrelaterade psykiska stressen. Intervjuerna transkriberades och analyserades därefter med hjälp av en kvalitativ innehållsanalys. Där togs teman fram som sedan användes i resultatet. Resultat: Respondenterna ansåg att det fanns flera områden där möjliga åtgärder kunde bidra till att minska den arbetsrelaterade psykiska stressen. Sociala relationer, bra ledarskap, kontroll över schema, utbildning, erfarenhet och fritid var de områden där respondenterna ansåg att det fanns möjlighet till potentiella åtgärder. I vissa fall var det nya åtgärder som kunde implementeras och i andra fall var det redan aktuella åtgärder som behövde förbättras eller användas mer frekvent. Slutsats: Det finns flera åtgärder som kan visa sig vara effektiva för att minska den arbetsrelaterade psykiska stressen. Ett bra ledarskap i samband med gemensamt ansvar är essentiellt för att skapa en bra arbetsmiljö. Möjligheten till att eliminera all psykisk stress från arbetet ses som väldigt svårt, men genom möjliga åtgärder kan den minskas eller hanteras. Mer kvalitativ forskning kring detta ämne kan leda till fler svar.
Problem: Mental illness is common in ambulance nurses due to traumatic events, irregular working hours, pressure and lack of time for recovery. The result of these factors can be long-term sick leave. There are som actions already taken in todays ambulance service but the problem with work-related mental stress is still present. Method: Six ambulance nurses were interviewed to see what actions they thought could be used to reduce the work-related mental stress. The interviews were then analyzed by using a qualitative content analysis. Several themes were revealed that then were used in the result. Result: Several possible actions where was considered as useful to reduce the work-related mental stress. Social relationships, a good leadership, control over scheduling, education, experience and leisure time activities were areas where possible actions could be taken. In som cases there were new methods to reduce stress and in others there were already existing ones that could be expanded. Conclusion: Work related mental stress in ambulance nurses is something that will not disappear. But this study showed that there are possible methods that could help reduce and manage the mental stress. A good leadership seemed essential to create a good working environment were work-related mental stress was not common. More qualatative studies needs to be done regarding this subject and then there is a possibility to learn more methods wich can help ambulance nurses deal with the problem of work-related mental stress.

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Ingemarsson, Emilia, and Linnéa Franzén. "Distriktssköterskors uppfattningar av att samtala om sexuell hälsa med äldre människor på vårdcentral : En kvalitativ studie." Thesis, Högskolan i Skövde, Institutionen för hälsovetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-18492.

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Bakgrund: Sexuell hälsa innebär bland annat ett fysiskt, emotionellt, mentalt tillstånd och socialt välbefinnande i relation till sexualitet. Attityder till äldres sexuella hälsa har förändrats och de äldre tillåts njuta av sin sexualitet. Positiva och negativa aspekter gällande äldre människors sexuella hälsa pekar på att skillnader finns mellan män och kvinnor. Syfte: Att undersöka hur distriktssköterskor uppfattar att samtala om sexuell hälsa med äldre människor på vårdcentral. Metod: Metoden i denna studie är kvalitativ med en fenomenografisk ansats. Data samlades genom individuella intervjuer med öppna frågor. Resultat: Resultatet visade sju beskrivningskategorier: Det är ett känsligt ämne att samtala om, Det är inte en rutin att samtala om sexuell hälsa, Att ha en förutfattad mening i mötet med de äldre, Det är ett relevant ämne att samtala om, Brist på kunskap i ämnet, Att samtala med män och kvinnor skiljer sig åt och Dessa samtal är mer relevanta vid läkarbesök. Efter resultatet presenteras ett utfallsrum. Konklusion: Slutsatsen är att sexuell hälsa är ett känsligt ämne att samtala om. Det behövs fler rutiner för distriktssköterskor på vårdcentral och möjlighet till utbildning för att utöka kunskapen inom detta ämne.
Background: Sexual health consists of physical, emotional, mental and social well-being in relation to sexuality. Attitudes towards elderly’s sexual health have changed, and elder are allowed take pleasure in their sexuality. Positive and negative aspects concerning elderly people’s sexual health suggests that there are differences between men and women. Purpose: To investigate how district nurses perceive their dialogues about sexual health with elderlies. Method: The method in this study is of qualitative character through a phenomenographical approach. Data was collected during individual interviews with open-ended questions. Result: The results revealed seven categories of description; It is a sensitive topic to discuss, It is not of routine to talk about sexual health, Preconceptions when meeting elderlies, It is a relevant subject to talk about, Insufficient knowledge regarding the subject, Dialogues with men and women differ and these dialogues are more relevant during visits to physicians. After the result, an outcome space is presented. Conclusion: The conclusion labels sexual health as a sensitive speech topic. There is a need for additional routines for district nurses at health centers along with the possibility to extend the knowledge in this field.

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Christerson, Eva, and Helena Kejonen. "Distriktssköterskors upplevelser av hälsofrämjande arbete inom kommunal hemsjukvård." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-30996.

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Hälsofrämjande arbete är viktigt inom hela hälso- och sjukvården, där distriktssköterskan har ett stort ansvar. Sedan ädelreformen har de flesta kommuner övertagit ansvaret för att tillhandahålla hälso- och sjukvård, bland annat i hemmiljö. Orems omvårdnadsteori fokuserar på egenvård och menar att människan är en aktiv och fri varelse som kan uppnå välbefinnande genom egenvård. Syftet med studien var att beskriva distriktssköterskors upplevelser av hälsofrämjande arbete inom kommunal hemsjukvård. En kvalitativ metod med induktiv ansats användes och fem intervjuer med distriktssköterskor från två kommuner i nordvästra Skåne genomfördes. Intervjuerna analyserades med kvalitativ innehållsanalys. I studien framkom kategorierna: omvårdnad är hälsofrämjande, hälsofrämjande arbete saknar prioritet samt hemmet som arena. Distriktssköterskorna upplevde att hälsofrämjande arbete bygger på holistiskt synsätt och är grunden för allt omvårdnadsarbete, samtidigt som de lutade sig mot sin medicinska kompetens. Vidare upplevde de att hälsofrämjande arbete saknade prioritet genom bristande kompetens inom hälso- och sjukvårdsteamet, tidsbrist och kortsiktiga interventioner. Det hälsofrämjande arbetet försvårades genom att hemmet är arenan, som är individens revir och dennas villkor styr arbetet. Framtida studier utifrån vårdtagarens perspektiv skulle kunna vidareutveckla resultatet i denna studie och samtidigt vara ett steg i vårdutvecklingen inom kommunal hemsjukvård.
Health promotion is important in all of the health care system, where the district nurse has big responsibility. Since the “ädelreform”, most counties are taking responsibility for providing health care, including the care takers who live at home. Orem´s nursing theory focuses on self-care and believes that man is an active and free being capable of achieving wellness through self-care. The aim of the study was to describe nurses' experiences of health promotion in municipal home care. A qualitative method with inductive approach was used and five interviews were performed, with district nurses from two counties in northwest Skåne. The interviews were analyzed using qualitative content analysis. The study revealed categories: caring is health promotion, health promotion lacks priority and the home as the arena. District nurses felt that health promotion is based on a holistic approach and the foundation for all nursing work, while they leaned towards their medical expertise. Furthermore, they felt that health promotion has low priority by lack of skills in the health care team, lack of time and short-term interventions. Health promotion efforts were affected since the home was the arena, where the individual's terms and conditions governed the work. Future studies based on the resident's perspective could further develop the results of this study while being a step in the healthcare developments in municipal home care.

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Dissertations / Theses on the topic 'Nurses’ Health Studies'

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