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Sökning: LAR1:uu > Högskolan i Gävle > Nilsson Annika

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1.
  • Dahlkvist, Eva, et al. (författare)
  • Residents’ use and perceptions of residential care facility gardens: a behavior mapping and conversation study
  • 2020
  • Ingår i: International Journal of Older People Nursing. - : John Wiley & Sons. - 1748-3735 .- 1748-3743. ; 15:1
  • Tidskriftsartikel (refereegranskat)abstract
    • AimTo describe the gardens and their use by individuals living at residential care facilities (RCFs) with high ratings on restorative values.BackgroundBeing outdoors has been described as important to older people's well‐being. Use of outdoor gardens may increase residents’ well‐being through experiences of restorative qualities such as being away and fascination. Thus far, there has been little research on restorative experiences of gardens in the care of older people.DesignA descriptive design using behaviour mapping observations integrated with qualitative field notes and recorded conversations.MethodsA criterion sampling of two gardens (out of a total of 87) was made based on residents’ ratings of restorative values; the two with the highest values were chosen. Eleven residents at the two RCFs took part. Data were collected through behaviour mapping observations, field notes and conversations on five occasions in the respective facilities during residents’ visits to the garden.ResultsThe observations revealed that the main uses of the gardens were to socialise and relax. The conversations also showed that the garden stimulated residents’ senses and evoked memories from the past. These restorative values were interpreted as a sense of being away and fascination. Not having opportunities for outdoor visits was reported to result in disappointment and reduced well‐being.ConclusionsThe findings showed that two basic gardens with different characteristics and views could stimulate residents’ senses and evoke memories from the past; this supports the call for residents to be able to spend time in gardens to promote their well‐being.Implications for practiceFirst‐line managers, nurses and healthcare staff in the care of older people should consider that regular opportunities to spend time outdoors may promote older people's well‐being through feelings of being away and fascination.
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2.
  • Engström, Maria, 1966-, et al. (författare)
  • Working life and stress symptoms among caregivers in elderly care with formal and no formal competence
  • 2011
  • Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 19:6, s. 732-741
  • Tidskriftsartikel (refereegranskat)abstract
    • Working life and stress symptoms among caregivers in elderly care with formal and no formal competence Aim  The aim of the present study was to describe and compare caregivers with formal and no formal competence on job satisfaction, psychosomatic health, structural and psychological empowerment and perceptions of care quality. A further aim was to study relationships among study variables. Methods  A convenience sample of 572 caregivers in elderly care participated. Results  Caregivers with no formal competence perceived higher workload, more communication obstacles, less competence, poorer sleep and more stress symptoms than did their colleagues. Linear regression analyses revealed that the factor self-determination was an explanatory variable of stress levels among caregivers with no formal competence, and self-determination and impact among caregivers with formal competence. Linear regression analysis revealed that different dimensions in structural and psychological empowerment explained the variance in staff job satisfaction, perceived stress symptoms and quality of care. Conclusions  No formal competence seems to be a risk factor for psychosomatic health problems. Implications for nursing management  Managers need to have a strategic plan for how to create a working environment for caregivers with no formal competence. Caregivers' self-determination seems to be important for stress symptoms. Meaning, self-determination, impact and opportunities appear to be important for job satisfaction and competence, opportunities, resources and formal power for quality of care.
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3.
  • Eriksson, Elisabet, 1971-, et al. (författare)
  • Living with a spouse with chronic illness – the challenge of balancing demands and resources
  • 2019
  • Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 19:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Aims and objectives. To describe the partners’ experiences of living with a person with chronic illness and how they manage everyday life.Background. The number of partners providing informal care for their chronically ill spouse is rising, and they describe their daily life as demanding.Design. A descriptive design with a qualitative approach was used.   Methods. A purposive sample of 16 partners with a chronically ill spouse were interviewed. The interviews were recorded, transcribed, and analyzed using qualitative content analysis.Results Four main themes were identified: ‘Living with challenges caused by the spouse's disease,’ ‘Seeking support for living with the spouse’s illness,’ ‘Appreciating the good parts of life’ and ‘Adapting to constant changes and an uncertain future.’ The participants rated their health as rather good and had great confidence in their own ability to cope with daily life. Their experiences of support from formal care providers varied; they expressed the need for more assistance from the health care sector.Conclusions. The partners experienced many challenges in everyday life when providing informal care for their chronically ill spouse. This affected both their physical and psychological health, as they had limited time for themselves. The partners seemed to receive more support from their informal network than from formal care providers. In handling daily life, the partners balanced demands and resources to identify possibilities to move forward and find meaning in life.Relevance to clinical practice. Formal care providers must acknowledge partners' needs, develop evidence-based assessment guidelines, and provide efficient support to partners with a chronically ill spouse. 
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4.
  • Forsberg, Markus, et al. (författare)
  • Nurse anesthetists' reflections on caring for patients with previous substance dependence : Balancing between professionalism and preconceptions
  • 2018
  • Ingår i: Journal of Perianesthesia Nursing. - : Elsevier. - 1089-9472 .- 1532-8473. ; 33:1, s. 69-77
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeThe study aim was to describe nurse anaesthetists’ reflections on provision of perioperative care to patients with previous substance dependence.DesignA qualitative approach with a descriptive design.MethodsSemi-structured interviews based on clinical vignettes were conducted with ten nurse anaesthetists.FindingsThe perioperative care provided to patients with previous substance dependence was perceived as balancing between professionalism and preconceptions for this specific patient group. The nurse anaesthetists felt that anesthetizing this group of patients constituted an anaesthesiological challenge with regard to knowledge, experience and time. However, the nurses also had feelings of distrust and uncertainty due to lack of knowledge.ConclusionThe nurse anaesthetists strove to uphold the principle that patients who are/have been substance dependent have the same right to adequate treatment and care as all patients. If guidelines were developed for this patient group, care could be made safer and nurses’ sense of uncertainty minimized. 
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5.
  • Hamberg Levedahl, Kerstin, et al. (författare)
  • How persons with systemic mastocytosis describe the time between symptom onset and receiving diagnosis
  • 2022
  • Ingår i: Primary Health Care Research and Development. - : Cambridge University Press. - 1463-4236 .- 1477-1128. ; 23
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: The aim of the study was to explore how persons with systemic mastocytosis (SM) described the time between the onset of symptoms and signs and getting the diagnosis.Background: SM is a rare disease caused by the accumulation of clonal mast cells with abnormal function. The symptoms and signs of the disease are varied, often diffuse and affect individuals differently. Due to this complexity, a multi-disciplinary diagnostic approach is required, in which general practitioners play an important part in identifying and referring patients relevant for such investigations.Methods: Sixteen persons with SM were interviewed about their experiences of the time before the diagnosis was received. Systematic text condensation was used in the analysis process.Findings: The time between symptom and signs onset and diagnosis was perceived as difficult. SM often had a complex and unpredictable effect on a person’s daily life, long before diagnosis. In the analysis, three themes were found. Having symptoms and signs with an unknown cause included the participants’ descriptions of numerous symptoms and signs, often years before diagnosis. These could be severe and result in worries for both participants and their next-of-kin. Dealing with the symptoms and signs encompassed the different ways in which the participants coped with the symptoms and signs, and sought relief. Being a patient without a diagnosis underlined the lack of information and knowledge within healthcare, often resulting in a delayed or incorrect diagnosis. The study highlighted the importance of a person-centred approach and the need to increase knowledge of the disease within primary care, to shorten this stressful and vulnerable time.
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6.
  • Hedlund, Åsa, et al. (författare)
  • New insights and access to resources change the perspective on life among persons with long-term illness - An interview study
  • 2019
  • Ingår i: Nursing Open. - : Wiley-Blackwell Publishing Inc.. - 2054-1058. ; 6:4, s. 580-588
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: The aim was to describe individuals’ experiences of living with long-term illness.Methods: A qualitative approach with a descriptive design was used. Semi-structured interviews were conducted with 16 persons (50–80 years). They were also asked to self-rate their perceptions of their current health status and confidence in their ability to cope with everyday life.Results: One main theme was identified: new insights and access to resources change the perspective on life. Personal characteristics and support from others were advantageous in finding ways to deal with limitations related to the illness. Most of the persons experienced a changed approach to life, in that they now valued life more than they had before. However, some persons also experienced lost values and found it difficult to accept medications. The persons rated their current health status as slightly above average, but their confidence in their ability to cope with everyday life as high.
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7.
  • Hedman, Maria, et al. (författare)
  • Life memories and the ability to act : the meaning of autonomy and participation for older people when living with chronic illness
  • 2015
  • Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 29:4, s. 824-833
  • Tidskriftsartikel (refereegranskat)abstract
    • There is a lack of knowledge about how older people living with chronic illness describe the meaning of autonomy and participation, indicating a risk for reduced autonomy and participation in their everyday life. The purpose of this study was to describe the meaning of autonomy and participation among older people living with chronic illness in accordance with their lived experience. The design was descriptive with a phenomenological approach guided by Giorgi's descriptive phenomenological psychological method. Purposive sampling was used, and 16 older people living with chronic illness who lived in an ordinary home participated in individual interviews. The findings showed that the meaning of autonomy and participation among the older people emerged when it was challenged and evoked emotional considerations of the lived experience of having a chronic illness. It involved living a life apart, yet still being someone who is able, trustworthy and given responsibility – still being seen and acknowledged. The meaning of autonomy and participation was derived through life memories and used by the older people in everyday life for adjustment or adaption to the present life and the future. Our conclusion is that autonomy and participation were considered in relation to older people's life memories in the past, in their present situation and also their future wishes. Ability or disability is of less importance than the meaning of everyday life among older people. We suggest using fewer labels for limitations in everyday life when caring for older people and more use of the phrase ‘ability to act’ in different ways, based on older people's descriptions of the meaning of autonomy and participation.
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8.
  • Kristofferzon, Marja-Leena, 1950-, et al. (författare)
  • Coping mediates the relationship between sense of coherence and mental quality of life in patients with chronic illness: a cross-sectional study
  • 2018
  • Ingår i: Quality of Life Research. - : Springer Science and Business Media LLC. - 0962-9343 .- 1573-2649. ; 27:7, s. 1855-1863
  • Tidskriftsartikel (refereegranskat)abstract
    • PurposeThe aim of the present study was to investigate relationships between sense of coherence, emotion-focused coping, problem-focused coping, coping efficiency, and mental quality of life (QoL) in patients with chronic illness. A model based on Lazarus’ and Folkman’s stress and coping theory tested the specific hypothesis: Sense of coherence has a direct and indirect effect on mental QoL mediated by emotion-focused coping, problem-focused coping, and coping efficiency in serial adjusted for age, gender, educational level, comorbidity, and economic status.MethodsThe study used a cross-sectional and correlational design. Patients (n = 292) with chronic diseases (chronic heart failure, end-stage renal disease, multiple sclerosis, stroke, and Parkinson) completed three questionnaires and provided background data. Data were collected in 2012, and a serial multiple mediator model was tested using PROCESS macro for SPSS.ResultsThe test of the conceptual model confirmed the hypothesis. There was a significant direct and indirect effect of sense of coherence on mental QoL through the three mediators. The model explained 39% of the variance in mental QoL.ConclusionsSelf-perceived effective coping strategies are the most important mediating factors between sense of coherence and QoL in patients with chronic illness, which supports Lazarus’ and Folkman’s stress and coping theory.
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9.
  • Kristofferzon, Marja-Leena, 1950-, et al. (författare)
  • Relationships between coping, coping resources and quality of life in patients with chronic illness : a pilot study
  • 2011
  • Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 25:3, s. 476-483
  • Tidskriftsartikel (refereegranskat)abstract
    • In Sweden there are approximately about 3500 end-stage renal disease and 250 000 chronic heart failure patients. Objectives: The original purpose of the study was to determine differences between two groups of patients with chronic illness (end-stage renal disease and chronic heart failure) regarding the following study variables: coping, sense of coherence, self-efficacy and quality of life. Following this, the aim was to explore the relationships between demographic variables (sex, age, educational level and living area) and quality of life as well as between coping, sense of coherence, self-efficacy and quality of life for the combined sample of patients with end-stage renal disease and chronic heart failure.Methods: A comparative and correlative design was used with a sample of 100 patients (n=41 end-stage renal disease, n=59 chronic heart failure). The data were collected during 2004, using four standardized questionnaires and regression analyses were conducted.Results: No significant differences were found between the two groups. Positive correlations were identified between sense of coherence, general self-efficacy and quality of life, whereas negative correlations emerge between emotion-focused coping, sense of coherence, general self-efficacy and quality of life. Sense of coherence, general self-efficacy and emotion-focused coping explained 40% of the variance in quality of life. Those with low sense of coherence and general self-efficacy showed negative correlations between emotion-focused coping and quality of life, whereas no such correlations were shown for those with high values on sense of coherence and general self-efficacy.    Conclusions: The present results on coping and quality of life correspond with previous research regarding how other groups with chronic illness handled their daily life. Preliminary results indicate that how individuals tackle their present situation is more important than which chronic illness they have. Women used more emotion-focused coping than men, which constitute an important finding for further research.
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10.
  • Levedahl, Kerstin, et al. (författare)
  • Living with systemic mastocytosis: balancing between vulnerability and resilience: A qualitative study
  • 2022
  • Ingår i: European Journal of Oncology Nursing. - : Elsevier. - 1462-3889 .- 1532-2122. ; 60
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose Systemic mastocytosis (SM) is a rare group of hematological malignancies with heterogeneous symptoms from various organs, and overall survival ranges from normal for indolent SM (ISM) to 2–4 years for advanced SM subtypes (Adv SM). There is limited knowledge about the experience of living with SM. Thus, the purpose of this study was to describe the experiences of everyday life among persons diagnosed with ISM or Adv SM. Methods In this descriptive qualitative study, data were collected through purposive sampling and semi-structured interviews with 16 participants diagnosed with ISM (n = 9) or Adv SM (n = 7). Data were subsequently analysed with content analysis. Results Three main categories were identified. The persistent presence of the disease includes findings of how the symptoms affected the participants, how they handled its limitations, and the adaptions and medication management required. Struggling against ignorance illustrates contact with both healthcare professionals and strangers. The participants described being forced to be experts on SM due to a general lack of knowledge. An illness or wellness perspective encompasses the participants’ feelings of vulnerability and alienation, but also how various strategies were used to gain emotional control.Conclusions The disease has a considerable impact on everyday life, with constant efforts required to manage symptoms and medication side effects. The complexity and rarity of the disease complicated relationships with healthcare professionals and contributed to feelings of marginalisation and alienation. The participants described feeling vulnerable but used a multitude of strategies in their striving for resilience. Trusting relationships with healthcare professionals, family members and friends promoted a wellness perspective. 
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