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  • Ewesson, Sara
    et al.
    Sophiahemmet University.
    Knutsson, Jeanette
    Sophiahemmet University.
    Interbedömarreabilitet och upplevelsen av att använda T-mex för bedömning av samverkan i team.2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Working together in teams can be difficult and requires coordination and knowledge about good teamwork and effective communication. Good teamwork is a prerequisite for being able to provide the patient with high quality care in often complex situations. Today, no pronounced method is used to objectively assess whether the nurse has the skills necessary to provide safe and sound care with a specific focus on team collaboration. The aim of the study was to evaluate The Teamwork Mini-Clinical Evaluation Exercise (T-MEX) as an assessment tool for team collaboration, regarding inter-rater reliability and the experience of using the instrument for nurses active in emergency care. The method used was a mixed method with both quantitative and qualitative approach. An instrument development study with a specific focus on the inter-rater reliability of the instrument T-MEX, which was tested with calculation of percentages and Free-marginal kappa. A survey was also conducted on the experience of using the instrument. The comments that the study participants could write in both the T-MEX instrument and on the questionnaire were analyzed with a manifest content analysis. The result showed, depending on the statistical method, that T-MEX's inter-rater reliability was questionable to acceptable but when we excluded the deviating result it was at an acceptable to good level in both calculations. The experience of using the instrument T-MEX is good to very good. The conclusion is that using a structured and validated instrument adapted to assess team collaboration can be a way to secure competence. Such an assessment could form the basis for the development of the competence of the individual nurse through structured feedback after assessment, in order to reach expert knowledge, both for herself but also for her staff. However, the design of the instrument and the context are of great importance for the outcome of the assessment.

  • Söderberg, Sabina
    et al.
    Sophiahemmet University.
    Åman, Malin
    Sophiahemmet University.
    Patienters upplevelse av att sova i vårdmiljö på sjukhus2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund  

    Sömn är livsnödvändigt och påverkar hela människans hälsotillstånd både fysiskt och psykiskt samt på kort och lång sikt. Sömnbrist hämmar läkningsprocesser och kan leda till följdsjukdomar. Då sömn är så viktig för en såväl frisk som sjuk människa är det av stor vikt att belysa påverkansfaktorer vid sömn på vårdavdelning för att främja en god hälsa.

    Syfte 

    Syftet är att belysa patienters upplevelse av att sova på vårdavdelning samt de faktorer som kan påverka sömnen och hur omvårdnad kan bidra till att främja sömnen. 

    Metod 

    Syftet besvaras genom metoden litteraturöversikt. Litteraturöversikten inkluderade 15 vetenskapliga artiklar publicerade mellan år 2009-2019. Artiklarna insamlades från databaserna Cinahl Complete och PubMed. Resultatet analyserades genom integrerad analys. 

    Resultat

    Litteraturöversikten visar att upplevelsen av att sova på vårdavdelning är övergripande negativ. Det framkom att faktorer inom fysiska- och psykiska aspekter, omvårdnads- och medicinska aspekter samt faktorer relaterade till vårdmiljö begränsade patienters möjligheter till god sömn. 

    Slutsats

    Den här litteraturöversikten innehåller en sammanställning av forskning som visar på vad patienter upplever vid sömn på sjukhus och vilka faktorer som påverkar deras sömn. Det framkom av litteraturöversikten att patienters sömn mestadels påverkas negativt. Detta innefattade påverkansfaktorer inom vårdmiljön såsom ljud och ljus, psykiska faktorer såsom oro och ångest, fysiska faktorer såsom smärta samt omvårdnadsmoment såsom provtagning och administrering av läkemedel. Vidare framkom i litteraturöversikten att sömnbrist har påvisats ha negativa konsekvenser på människors hälsa vilket kan leda till en rad olika följdsjukdomar. Slutsatsen är att det behövs vidare forskning inom ämnet samt att det behöver tas fram strategier för att hälso- och sjukvården ska kunna arbeta personcentrerat för att främja en god sömn. 

  • Lindqvist, Ebba
    et al.
    Sophiahemmet University.
    Tjärnberg, Lovis
    Sophiahemmet University.
    Egenvårdsstrategier vid premenstruellt syndrom och premenstruellt dysforiskt syndrom2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Premenstrual syndrome (PMS) and premenstrual dysphoric syndrome (PMDS) are conditions that involve a total amount of mental and / or physical premenstrual disorders for some women. These conditions are a major affliction and can lead to mental illness, long-term sick leave, somatic disorders, affected relationships and difficulties in coping with their everyday lives. However, nursing research of these women is inadequate. Research in the field of nursing has shown that self-care strengthens the patient's sense of control in both psychiatric and somatic disease states.

    Aim

    To illuminate different self-care strategies that may lead to reduced suffering for patients with premenstrual syndrome and premenstrual dysphoric syndrome.

    Method

    The study is a literature review and includes 17 scientific articles that were searched through systematic database searches in PubMed and Cinahl. Selected articles were of qualitative and quantitative method to gain an increased understanding of both self-care experience and objective measures of efficiency.

    Results

    There was a variety of self-care strategies that women use and may use to varying degrees. Three categories in the form of lifestyle, psychosocial aspects and complementary therapies were created during the analysis process. The self-care strategies that has showed the strongest connection with reduced suffering at PMS or PMDS were stress reduction, regular physical activity and increased awareness of their body and their own mood.ConclusionsIn the studies, it was found that women used self-care strategies to varying degrees and that they perceived their effectiveness differently. Self-care was able to relieve the symptoms of PMS / PMDS to varying degrees and promoted the feeling of control over one's own situation. Self-care strategies can thus be a tool for reducing the suffering of PMS / PMDS.

  • Tangstad, Bodil
    et al.
    Sophiahemmet University.
    Wiberg, Zenitha
    Sophiahemmet University.
    Sjusköterskors perspektiv på att arbeta med existentiell smärta hos patienter i palliativt skede: En litteraturöversikt2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Palliative care is characterized by a foundation of values ​​with the catchwords empathy, holism and knowledge. The purpose of the values ​​is to promote the individual's quality of life, alleviate suffering and offer an existential support in the end of life. The foundation for a good person-centered care is based on the relationship between caregiver, patient and next of kin are being promoted and being listened to and seen as a person. Existential pain is common in patients in palliative phase such as loneliness, isolation, meaninglessness, separation and death anxiety. The patient gives the expression of needs to be met with respect, empathy and not be abandoned by his caregiver. Several studies have demonstrated the gaps where the health care system can't define and understand the existential needs.

    The aim of the study was to describe the nurses' perspectives on working with existential pain in patients in the palliative phase.

    The method chosen for the study was a literature review to examine the state of knowledge in the field. The databases CINAHL complete, PubMed, PsycINFO and SweMed+ were systematically searched with selected keywords, which resulted in 16 articles being identified which corresponded to the study's aim based on the chosen selection criteria.

    The result showed that nurses saw a responsibility to create a good relationship and communication with the patient and next of kin, in the work with existential pain in patients in the palliative phase. Important components for a deeper relationship were time, timing, attendance and shown empathy. Responsiveness of the nurse was seen as important to be able to interpret and alleviate the patient's existential pain. Many nurses saw the work as meaningful in the situations which they felt that they alleviated the patient's existential pain. The work involved emotional involvement and in some situations where the balance between distance and presence was difficult to identify. The work also opened up for reflection on life and death. Some nurses described the work with existential pain of the patient as too laborious and did not see it as their duty to sit down and talk about death. Some nurses described that they missing tools to be able to act and handle in different situations with existential pain in the patient.

    Conclusion in this study, the nurses' meetings with patients with existential pain in palliative stage is different as each person is unique with different needs and resources. The work of existential pain in patients involved the nurse emotionally and the balance between the presence and distance were difficult to identify. More education, discussion and training in addressing existential pain are needed to strengthen nurses in their work with the patient in palliative phase.

  • Bryhn, Hanna
    et al.
    Sophiahemmet University.
    Lindström, Moa
    Sophiahemmet University.
    Sjuksköterskors upplevelser och erfarenheter av vård vid katastrofer och allvarliga händelser: en litteraturöversikt2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Sweden has a responsibility to provide high-quality health care, even in the event of disasters. To achieve this, nurses need knowledge to feel confident in their work. Lessons can be learned from experiences from past disasters to strengthen disaster preparedness. The theoretical point of view of this literature review was vulnerability, as disasters put nurses in a vulnerable situation.

    Aim

    The aim was to illustrate nurses’ experiences in providing care at healthcare institutions during disasters.

    Method

    The method used was literature review. Article searches were conducted in the databases CINAHL and PubMed. This resulted in 15 included articles compiled into a matrix. The quality of the articles was reviewed and then analyzed in three steps.

    Results

    Three themes with accompanying sub themes were identified. The first was Nursing during the disaster, which described the nurses’ long working days, high workloads and tasks. The second was Psychosocial influence on nurses that included various aspects of psychological influence and the importance of support from both colleagues and relatives. The third theme was Preparedness and education, where the need for education and knowledge emerged.

    Conclusions

    During disasters, accurate information must reach nurses. Working during disasters can mean long days with high workload, and in some cases changed work environment. There are similarities in tasks regardless of what caused the disaster. Nurses need to have the ability to be adaptive in their work due to a lack of resources, which can often occur during disasters. Collegial support is important, as work in disasters can have major a psychological impact. Many nurses find it difficult to distinguish private life from the professional, as nurses in certain disasters can be affected even privately. Nurses believe there is a need for more education and realistic disaster exercises.

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